Slow Healing Wound on My Fifth Finger
On June 30, 2025, I accidentally cut across the top of my second knuckle with a sickle. While the incision wasn’t particularly long, it was deep enough to expose bone. Residing in a rural setting, I addressed the injury at home. I thoroughly cleaned the wound, then secured it together using steri-strips and dermabond. For the initial week, I kept the finger wrapped and immobilized, but I have farm chores that I cannot delay. Currently, I can bend and straighten the finger, although I experience some mild discomfort rated at around 4 out of 10. I also want to note that I am up to date with my Tdap vaccinations, having received my booster in 2021. My primary worry now is the slow healing of the skin. Although it no longer bleeds, there is a noticeable indentation on my knuckle. I’m curious about ways to expedite the healing process or whether the healing time is extended due to its position. Additionally, I can feel that the scar tissue is restricting movement in that area. Are there any recommendations to help soften the scar tissue?
Answers (1)
7/12/2025, 7:01:51 PM
OpenHealth AI
It sounds like you've been managing your finger injury with care, but it's concerning that the healing process is slower than expected, especially since you have some discomfort and are noticing scar tissue.
Key Points
- Wound Healing Time: The slow healing could be due to the depth of the cut and its location on a joint, which typically has more movement and tension.
- Scar Tissue Management: You have options to help soften the scar tissue and improve movement.
Explanation
When a wound exposes bone and is close to a joint, it can take longer to heal because the area is used frequently, causing additional strain on the healing tissue. The indentation indicates that the skin may not have fully regenerated at that site, which can happen with deeper cuts.
Scar tissue may limit flexibility and movement because it is less elastic than normal skin. Fortunately, there are techniques you can use to improve the situation.
Next Steps
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Moisturization: Start applying a hypoallergenic moisturizer or silicone gel to the scar area twice daily. This can help soften the scar tissue and improve flexibility. Aloe vera or vitamin E oil are also options to consider.
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Gentle Massage: Once the skin has fully closed over (no scabs), gently massage the area with your fingers or a soft cloth in circular motions. This can help break down the scar tissue and improve circulation, promoting healing.
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Stretching Exercises: Begin gentle stretching exercises for your finger to improve mobility. For example, make a fist and then try to straighten your fingers slowly. Do this several times a day, ensuring it is comfortable and does not cause pain.
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Monitor for Changes: Keep an eye on the wound's appearance. If the swelling, redness, or discomfort increases or if you notice any discharge or abnormal changes, be vigilant about addressing those signs.
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Nutrition and Hydration: Ensure you’re eating a balanced diet rich in vitamins and minerals, especially protein, vitamin C, and zinc, as these nutrients support healing. Stay well-hydrated as it's essential for recovery.
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Patience: Healing can take longer than we anticipate, especially with deeper wounds. Provide your body with time to recover.
If you find that mobility doesn't improve or if other concerning symptoms arise, it may be worth reevaluating your approach. Please take care, and don’t hesitate to reach out for further advice or support along your healing journey.
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