Wound Healing: Causes of Stiffness and Sensation Loss After Injury - Surgery

Share to:

Wound healing status?


Due to a car accident two months ago, I have a wound on my left calf that does not cause any pain.
However, the skin beneath the wound has become very stiff and has little sensation.
The wound has mostly healed, but the stiffness and lack of sensation have not improved.
When I previously saw a doctor, they mentioned that there was edema in my left calf and that blood circulation was not very good, but they did not explain the causes of the stiffness and poor sensation.
I would like to know what might be causing this.
Additionally, my left ankle was burned during the accident, and although the wound has healed, I occasionally feel a tingling sensation when standing.
Is this normal?

Wen, 10~19 year old female. Ask Date: 2016/03/05

Dr. Li Zhonghuai reply Surgery


Hello! The stiffness may be due to an underlying hematoma that hasn't been absorbed.
It's advisable to see a general surgeon for an ultrasound examination.
As for the wound feeling itchy, it's actually a sign of good healing and is not a concern.

Reply Date: 2016/03/05

More Info


After an injury, particularly one sustained from an accident like a car crash, the body undergoes a complex healing process. The symptoms you are experiencing, such as stiffness and loss of sensation in the area surrounding your wound, can be attributed to several factors related to the injury and the healing process.

Firstly, the stiffness you are feeling in your left calf could be due to a combination of factors including swelling, scar tissue formation, and potential nerve damage. When an injury occurs, the body responds with inflammation, which can lead to swelling (edema). This swelling can restrict movement and contribute to a feeling of stiffness. Additionally, as the wound heals, scar tissue forms. Scar tissue is less flexible than normal tissue, which can also lead to stiffness in the affected area.
Moreover, if there was any damage to the nerves during the injury, this could result in altered sensations, including numbness or a lack of feeling in the area. Nerve injuries can occur even if the skin appears intact, especially if there was significant trauma to the underlying tissues. The loss of sensation may be temporary, but in some cases, it can be permanent depending on the severity of the nerve damage.

The fact that you mentioned your doctor noted poor blood circulation and swelling is also significant. Poor circulation can impede the healing process and contribute to stiffness and discomfort. When blood flow is compromised, it can lead to a lack of oxygen and nutrients reaching the tissues, which can slow down recovery and lead to complications such as chronic pain or stiffness.

As for the occasional tingling sensation in your left ankle, this could be a sign of nerve regeneration or irritation. After an injury, as the nerves begin to heal, they can sometimes misfire, leading to sensations such as tingling or itching. This is often a normal part of the healing process, but if it persists or worsens, it would be wise to consult with a healthcare professional.

In terms of treatment, physical therapy can be highly beneficial for addressing stiffness and improving range of motion. A physical therapist can provide exercises tailored to your specific needs, focusing on stretching and strengthening the affected area. They can also employ techniques to improve circulation and reduce swelling, which may help alleviate some of the stiffness you are experiencing.

It is also essential to monitor your symptoms closely. If you notice any changes, such as increased pain, swelling, or changes in sensation, it is crucial to seek medical attention. Sometimes, further imaging studies or evaluations may be necessary to rule out any underlying issues that were not initially apparent.

In summary, the stiffness and loss of sensation you are experiencing are likely due to a combination of swelling, scar tissue formation, and possibly nerve damage from your injury. While some of these symptoms may improve over time, engaging in physical therapy and closely monitoring your condition will be key to your recovery. If you have any concerns or if your symptoms do not improve, do not hesitate to reach out to your healthcare provider for further evaluation and management.

Similar Q&A

Understanding Wound Healing After a Motorcycle Accident

Hello, doctor. After I fell off my bike on December 10, my knee went from a bleeding wound to a soft pink area with no open wound. However, I still experience a tingling sensation when bending quickly (squatting), walking, or applying slight pressure to the injured area. In a res...


Dr. Chen Bingze reply Surgery
Hello, it sounds like the wound should be okay, but you may still experience some tingling and numbness. This could be due to some peripheral nerve damage, which should improve over time.

[Read More] Understanding Wound Healing After a Motorcycle Accident


Understanding Post-Injury Symptoms: Brain Edema, Numbness, and Bone Pain

Hello, I would like to briefly describe my condition. Four weeks ago, I was involved in a motorcycle accident and was hospitalized for three weeks, being discharged last week. During this time, I underwent debridement surgery twice and a skin graft. Upon arrival at the emergency ...


Dr. Xu Kaixi reply Surgery
1. The symptoms associated with the diagnosis you provided, "cerebral edema and mild concussion," primarily include dizziness and headaches, which are not directly related to the symptoms you mentioned, such as "shortness of breath, palpitations, generalized weakne...

[Read More] Understanding Post-Injury Symptoms: Brain Edema, Numbness, and Bone Pain


Understanding Knee Injury Recovery: Itching and Sensation Issues Explained

I had a car accident at the end of March, resulting in a laceration on my right knee that required two layers of stitches: six internal stitches and seventeen external stitches. I have now fully recovered, but I would like to ask why the skin around the scar itches but I don'...


Dr. Wang Shouji reply Orthopedics
Hello, the superficial sensory nerve network of the skin can also be damaged due to external injuries, which may lead to decreased sensation; however, this is mostly temporary and will gradually recover without causing significant impact. The sensation of heat is likely due to as...

[Read More] Understanding Knee Injury Recovery: Itching and Sensation Issues Explained


Loss of Sensation After Car Accident: Understanding Skin Numbness

At the end of May, I was involved in a car accident where my lower back was impacted. At the time, there were no external injuries, but I developed a large bruise and a hematoma. After about a month, the bruising and swelling mostly subsided. However, in the second month, I sudde...


Dr. Li Zhonghuai reply Surgery
Hello! It is recommended to consult a general surgeon and undergo an ultrasound to check for any residual blood clots that have not been absorbed. Take care! Changhua Hospital cares about you!

[Read More] Loss of Sensation After Car Accident: Understanding Skin Numbness


Related FAQ

Wound

(Surgery)

Post-Hernia Surgery

(Surgery)

Postoperative Care

(Surgery)

Post-Surgery

(Otolaryngology)

Post-Spinal Surgery

(Rehabilitation)

Post-Fistula Surgery

(Surgery)

Wounds From Car Accident

(Surgery)

Head Injury

(Surgery)

Cellulitis

(Surgery)

Post-Tibial Fracture Surgery

(Orthopedics)