Post-Surgery Pain: Is Your Incision Healing Normally? - Surgery

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Surgical wound pulling pain?


Hello: I had a car accident last January that resulted in an injury to my right clavicle, for which I had a plate inserted for a year.
It was removed this January, and now it has been almost four months.
If I accidentally pull or stretch the skin near the sutured wound (about 6 cm), I experience some pain.
Is this situation normal?

Mrs. Zheng, 30~39 year old female. Ask Date: 2009/05/15

Dr. Huang Junxiong reply Surgery


Hello: The wound needs to be examined to determine if there are any issues.
The appearance is indeed fine, but the wound is very painful.
It is advisable to return to the original surgeon for an evaluation.

Reply Date: 2009/05/15

More Info


Post-surgery pain is a common concern for many patients, especially when it comes to the healing process of an incision. In your case, having undergone surgery to remove a plate from your clavicle, it is understandable to experience some discomfort around the incision site, even four months post-operation.
Firstly, it is important to recognize that healing from surgery can vary significantly from person to person. Factors such as the type of surgery, the individual’s overall health, age, and even their pain tolerance can influence the healing process. In general, after a surgical procedure, it is normal to experience some level of pain and discomfort as the body heals. This is particularly true in the initial weeks following surgery, but it can persist for several months, especially if the area is subjected to stress or strain.

In your specific situation, experiencing pain when the skin around the incision is pulled or stretched is not uncommon. The skin and underlying tissues may still be sensitive as they heal, and any sudden movement or pressure can trigger discomfort. This sensitivity can be attributed to several factors:
1. Nerve Regeneration: After surgery, nerves that were cut or disturbed during the procedure may take time to heal. As they regenerate, they can cause sensations of pain or discomfort, especially when the area is manipulated.

2. Scar Tissue Formation: The body forms scar tissue as part of the healing process. This tissue can be less flexible than normal skin and may cause discomfort when stretched. Scar tissue can also adhere to surrounding tissues, leading to sensations of tightness or pulling.

3. Inflammation: Even months after surgery, some degree of inflammation can persist in the area surrounding the incision. This can lead to increased sensitivity and pain, particularly if the area is aggravated.

4. Muscle and Joint Strain: If the surgery involved the shoulder or upper arm, it is possible that the surrounding muscles and joints are still adjusting to the changes post-surgery. Strain from everyday activities can lead to discomfort that may be perceived as pain near the incision site.

While some discomfort can be expected, it is crucial to monitor the pain for any changes. If the pain worsens, becomes persistent, or is accompanied by other symptoms such as swelling, redness, warmth, or discharge from the incision site, it is advisable to consult with your healthcare provider. These could be signs of infection or other complications that may require medical attention.

In conclusion, while some pain around your incision site four months after surgery can be considered normal, it is essential to listen to your body. If the pain is affecting your daily activities or causing significant concern, do not hesitate to reach out to your doctor for further evaluation. They may recommend physical therapy, pain management strategies, or other interventions to help facilitate your recovery and improve your quality of life. Remember, effective communication with your healthcare provider is key to ensuring a smooth healing process.

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