Concern Over Carpal Tunnel Surgery Incision
41 years old. Here are some health details that may be relevant for assessing my recovery: - I have Type 2 diabetes with my most recent A1C level at 6.6, managed with the help of Mounjaro, Farxiga, and Metformin. - My high blood pressure is regulated through 20mg Lisinopril. - Cholesterol levels are under control thanks to 5mg of Crestor. - I take Seroquel, Lamictal, Buspar, and Gabapentin for mental health management. - I do use nicotine in the form of vaping. I underwent surgery on July 10th, with stitches being removed on July 24th. As a reference for this post, the images were taken on July 26th. I have been applying a significant amount of Vaseline on the incision and keeping it covered with a bandage when I’m more active than just watching TV. Today, I mentioned to my mother that I noticed some blood on the bandage periodically and I still feel a slight sting when I clean the area. Having worked in healthcare (though not as an RN or Doctor), she examined it and remarked that it appeared to be slightly separating. I then sent a photo to a nurse friend who confirmed that it seemed like it might be separating but added that they haven’t encountered incisions on the palm before. I am hopeful that someone here has experienced something similar and can offer their opinion. If the incision is indeed separating, I would prefer to avoid having more stitches applied while I'm awake. I can tolerate a cortisone injection quite well, but I doubt I could endure the experience of receiving stitches in my palm while conscious.
Answers (1)
7/27/2025, 3:30:55 AM
OpenHealth AI
It's understandable to be concerned about your incision after carpal tunnel surgery, especially with your diabetes and the medications you are taking. Based on your description, it sounds like there might be some separation at the incision site, along with bleeding and discomfort. Here’s a structured overview of what you need to consider and actions to take.
Key Points:
- Incision Separation Concern: Slight separation at the incision may indicate healing issues, which can be more common in patients with diabetes.
- Ongoing Care: Bleeding and stinging sensations could suggest irritation or infection.
- Practical Next Steps: Focus on proper wound care and monitoring.
Explanation:
Your body’s ability to heal can be affected by diabetes, as it can reduce blood flow and slow the healing process. The combination of using nicotine (through vaping) and your medications can also impact healing. The fact that you're experiencing blood on the bandage and discomfort suggests that the incision may need more monitoring or potentially further evaluation.
Prioritized Next Steps:
-
Keep the Area Clean and Dry:
- Continue to gently clean the incision with mild soap and water, patting it dry.
- Apply a thin layer of Vaseline to keep it moist but avoid excessive application which might cause maceration (softening or breaking down of skin due to moisture).
-
Observe for Signs of Infection:
- Monitor for increased redness, warmth, swelling, or pus discharge, which could indicate an infection.
- If you notice any of these symptoms, it’s essential to seek attention right away.
-
Rest and Protect the Area:
- Limit activities that stress the incision site (like heavy lifting or strenuous hand movements) to promote healing.
- Keep the area covered with a bandage to protect it from dirt and further irritation.
-
Consider Over-the-Counter Pain Relief, If Needed:
- If you are experiencing significant discomfort, consult product guidelines or your healthcare provider for appropriate pain relief options, taking care to avoid interactions with your current medications.
-
Evaluate the Need for Medical Assessment:
- Given your concerns, plan to reach out to your healthcare provider about the incision status. If it worsens or fails to improve, they may suggest further evaluation, potentially with a follow-up appointment.
It's completely reasonable to feel apprehensive about further procedures. If the healing doesn't progress or worsens, speak candidly with your healthcare provider about your concerns regarding stitches. They can discuss pain management options to ensure your comfort should further intervention be necessary. Stay proactive about monitoring your recovery, and don’t hesitate to seek help if needed.
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