Is a laceration on the middle finger from a plastic hook still painful after two weeks despite apparent healing?

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From the Research

If your middle finger cut is still painful after two weeks despite being healed, you can manage this pain with over-the-counter pain relievers like acetaminophen (Tylenol) at 500-1000mg every 6 hours or ibuprofen (Advil, Motrin) at 400-600mg every 6-8 hours with food, as recommended by the American family physician 1. This lingering pain is likely due to nerve irritation or inflammation that persists after the skin has closed. Some key points to consider when managing this pain include:

  • Applying a moisturizing lotion to the healed area twice daily to keep the skin supple
  • Gentle massage around the healed cut may help desensitize the area and improve circulation
  • This pain is normal and typically resolves within 3-4 weeks as nerve endings continue to heal However, if the pain is severe, worsening, or accompanied by redness, swelling, or warmth, you should see a doctor as this could indicate infection or other complications, as highlighted in the study on pain and pain management the first two weeks after trauma 2. It's also important to note that nerve healing takes longer than skin healing, which explains why pain can persist after a cut appears visually healed, and a guide to pain assessment and management in adults can provide valuable insights into the complexities of pain management 3. In terms of pharmacologic management, a stepwise approach with acetaminophen as first-line therapy is supported by the evidence, with careful surveillance to monitor for toxicity and efficacy 4. Ultimately, the goal is to effectively manage the pain while minimizing the risk of complications, and a combination of pharmacologic and nonpharmacologic treatments, such as exercise therapy and education, can be an effective approach to managing pain, as seen in the evaluation and treatment of knee pain 5.

References

Research

Pharmacologic Therapy for Acute Pain.

American family physician, 2021

Research

Pain and pain management the first two weeks after trauma.

Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke, 2021

Research

A guide to pain assessment and management in adults.

British journal of nursing (Mark Allen Publishing), 2024

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This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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