Will Delaying Treatment Make Getting Stitches More Painful?

It's important to understand when to seek medical help for wounds, especially if they are deep or large. Delays in treating a wound can potentially lead to more severe issues down the line. This article addresses common concerns about the timing of stitches and the potential pain involved.

The Importance of Immediate Care

Skipping essential medical care for a wound can be risky. Consider a real-life example from the Providence Hospital ER in Anchorage. A man was brought in with a deep cut on his palm after trying to stop his girlfriend from stabbing him. Initially, he was given local anesthesia to numb the area before being sutured. However, out of fear of the injection, the patient fled the treatment, only to return three days later with an infected wound. By then, the injury required surgical intervention rather than simple sutures. This highlights the critical importance of not avoiding medical help due to fear of pain or discomfort.

Is It Too Late for Stitches?

The timing of stitches depends on the condition of the wound. If the wound is clean, not gaping open, and healing properly, you may not need stitches at all. If the wound is still oozing or looks as though it needs something to hold the skin edges together, having it sutured even after 36 hours may still be beneficial. Modern medical practices often use local anesthesia to minimize pain during the suture process. The key is consulting a medical professional who can assess the wound accurately.

Delayed Primary Closure

Delayed primary closure, where sutures are done a few days after the injury, is often used for highly contaminated wounds. Typically, such wounds are treated with antibiotics, debridement (cleaning), and closure after 4-7 days. This approach is more complex but can be necessary to prevent infection and promote healing. Whether your wound qualifies for delayed closure would depend on the surgeon's assessment of the wound's condition.

When to See a Doctor

If you have a wound that you're not sure about, the best approach is to visit your local emergency department (ED) or see a doctor. They can assess the wound and determine whether it needs medical intervention. A doctor can also provide necessary treatments such as antibiotics or a tetanus shot, which might be required for a deep or dirty wound.

Conclusion

While it might seem easier to ignore a wound, doing so can lead to more severe complications and increased pain. It's better to be proactive and seek immediate medical care. Remember, the decision to stitch and pain management will be based on the condition of the wound and the surgeon's expertise, not on your fears or convenience.