Hardness in Healing Wounds: When to Seek Medical Advice

Q: Hardness in Healing Wounds: When to Seek Medical Advice

Hello： The wound healing process takes several weeks. <br>Initially, there is an inflammatory phase, which is often accompanied by swelling. <br>This is followed by the fibroplastic phase, during which scar tissue forms and the tissue may become hardened; you may be in this phase

The wound healing process is accompanied by a firm and swollen area?

Previously, I had a laceration on my lower lip that was sutured with non-dissolvable stitches.
It has healed now, but the inside of the wound feels hard, and there is no pain when I press on it.
When I returned to get a medical certificate, the doctor mentioned that there is inflammation inside, and it will gradually subside.
How long does this typically take? I read online that inflammation inside a wound could lead to cellulitis and that the pus may need to be drained.
Does my wound require such treatment? Thank you for your response.

Wang, 20~29 year old female. Ask Date: 2006/10/24

Dr. Huang Junxiong reply Surgery

Hello: The wound healing process takes several weeks.
Initially, there is an inflammatory phase, which is often accompanied by swelling.
This is followed by the fibroplastic phase, during which scar tissue forms and the tissue may become hardened; you may be in this phase.
Next is the remodeling phase, which can last from several weeks to several years, during which the wound gradually softens and the scar may fade, depending on individual constitution and the severity of the injury.
Your condition does not appear to be one of suppuration or cellulitis.
Typical inflammatory responses may include redness, swelling, heat, and pain.
If you experience any of these symptoms, it is advisable to seek medical attention promptly.
Dr.
Huang Jun-Hsiung

Reply Date: 2006/10/24

More Info

When it comes to healing wounds, particularly after a surgical procedure like the one you described for your lower lip, it's essential to understand the healing process and when to seek further medical advice. Based on your description, it seems that you have undergone a suturing procedure with non-removable stitches, and now you're experiencing some hardness at the site of the wound.

The hardness you feel under the skin is not uncommon after suturing. This can be due to several factors, including inflammation, scar tissue formation, or even the presence of fluid accumulation. Inflammation is a natural part of the healing process, as your body works to repair the damaged tissue. It can take several weeks to months for inflammation to fully resolve, depending on the severity of the injury and your overall health.

Typically, if the hardness is not accompanied by pain, redness, swelling, or discharge, it may simply be a sign of normal healing. However, if you notice any of these symptoms, especially if the area becomes increasingly painful or if you develop a fever, it could indicate an infection or other complications, such as cellulitis or abscess formation. In such cases, it is crucial to seek medical attention promptly.

Regarding your concern about the potential for cellulitis or the need for drainage of pus, it's important to monitor the wound closely. If you notice any signs of infection, such as increased warmth, redness, swelling, or the presence of pus, you should contact your healthcare provider immediately. They may need to evaluate the wound and, if necessary, perform a drainage procedure to prevent further complications.

As for the duration of inflammation, it can vary widely among individuals. Generally, mild inflammation can take a few days to a couple of weeks to subside, while more significant inflammation may take longer. Your doctor’s advice to wait for the inflammation to resolve is standard, but if you have concerns or if the hardness persists beyond a reasonable timeframe (typically a few weeks), it would be wise to follow up with your healthcare provider for further evaluation.

In summary, while some hardness at the site of a healing wound can be normal, it is essential to remain vigilant for any signs of infection or complications. If you experience any concerning symptoms, do not hesitate to seek medical advice. Regular follow-ups with your healthcare provider can help ensure that your wound heals properly and that any potential issues are addressed promptly.

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