Post-Surgical Hard Lumps and Nerve Sensations - Surgery

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It sounds like you are experiencing some post-surgical complications following your injury and subsequent excision of the tissue growth (often referred to as a "granulation tissue" or "keloid"). The hard lump you feel under the skin, along with the pain and tingling sensations in your finger, can be attributed to several factors related to the healing process and nerve involvement.


Understanding the Hard Lump
After surgery, it is common for the body to form scar tissue as part of the healing process. This scar tissue can sometimes feel firm or hard to the touch, and it may be sensitive or painful, especially if it is still healing. The presence of a hard lump could indicate that the scar tissue is still maturing. In some cases, if the body produces too much collagen during the healing process, it can lead to hypertrophic scars or keloids, which are raised areas of scar tissue that can be itchy or painful.


Nerve Sensations
The tingling or "pins and needles" sensation you are experiencing in your finger could be due to nerve irritation or compression. When you had the initial injury, the surrounding tissues, including nerves, could have been affected. Even after the visible wound has healed, the underlying nerves may still be sensitive or irritated. This can lead to sensations of numbness, tingling, or pain, particularly when you stretch or extend your finger.


What You Can Do
1. Follow-Up with Your Doctor: It is essential to keep your healthcare provider informed about your symptoms. If the hard lump persists or if the pain and tingling sensations worsen, a follow-up appointment may be necessary. Your doctor might recommend imaging studies, such as an ultrasound, to assess the underlying tissue and ensure there are no complications.

2. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can provide exercises to improve mobility and reduce stiffness in your hand and finger. They can also help with scar tissue mobilization techniques to minimize the formation of hard lumps.

3. Pain Management: Over-the-counter pain relief medications, such as ibuprofen or acetaminophen, can help manage pain and inflammation. However, consult your doctor before starting any medication.

4. Nerve Assessment: If the tingling persists, your doctor may suggest nerve conduction studies or electromyography (EMG) to evaluate the function of the nerves in your hand. This can help determine if there is any nerve damage or compression that needs to be addressed.

5. Scar Management: There are various treatments available for managing scars, including silicone gel sheets, pressure garments, or corticosteroid injections. Discuss these options with your doctor to see if they are appropriate for your situation.

6. Monitor Symptoms: Keep track of any changes in your symptoms, such as increased pain, swelling, or changes in sensation. This information can be helpful for your healthcare provider in determining the best course of action.


Conclusion
In summary, the hard lump and the tingling sensations you are experiencing are likely related to the healing process following your injury and surgery. It is crucial to maintain open communication with your healthcare provider and seek further evaluation if your symptoms do not improve. With appropriate management and care, many patients find relief from these post-surgical complications.