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Regenerating thumb tip

Hi. I cut my thumb tip in July 2014. Cut was big, but bone was not harmed. It became into a scar, in November 2014 I saw it was changing the shape. But after a year and 3 months from cut I still feel pain while touching something with this thumb. Is that normal? Is that possible I will not feel pain in this thumb while touching? Greetings.
Poster
  • Male | 21 years old
  • Complaint duration: 90 days
  • Ethnicity: Caucasian / White
  • Medications: Thiobitum (for wound)

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Featured Answer

7 UpVoted this answer
Two great responses to your question. When dealing with nerves time can heal but not always. There are many treatments for chronic nerve injury pain including therapy, topical or oral medications and surgery. Don't let it get to a point it is affecting your lifestyle, seek professional help.
4 UpVoted this answer
Sorry to hear that this is giving you so much trouble. The reason you are having this pain is because your nerve was also injured and did not heal correctly. This is called a Neuroma and these are well-known to be very painful. You can try nonsurgical treatment but may ultimately require surgery for a definitive results. In either case, you will need to see a board-certified hand surgeon to do so.
4 UpVoted this answer
Thank you for the question and you may have formed a neuroma secondary to the initial injury so see a hand specialist in your area

Dr Corbin www.drcorbin.com
Frederic H. Corbin
4 UpVoted this answer
You have healed very nicely but your symptoms suggest that something could be happening from neuroma to poor 'rewiring' of your thumb as you healed and the scar formed. Best to see a hand surgeon for further information, an examination, and recommendations on how best to manage your problem.
4 UpVoted this answer
Hello Regenerating,

Because of the many nerve endings as well as sweat and oil producing glands, cuts that involve the surfaces of the fingers and palm can act this way, even over a year later. No way to tell from the picture but if the area becomes red and angry at times and the pain comes and goes it is more likely a skin glad trapped in the soft tissue. If the area is numb, it may be the abnormal recovery of the cut nerve endings, or just a thickened, dense scar. In any case I would recommend you see a local hand specialist. If it interferes with your use of the thumb... and since it is your thumb, you have some options from therapy to surgical management. Take care, Greg Balourdas, MD TheHandDoctor.com
4 UpVoted this answer
Unfortunately you cut some nerve endings and have a painful neuroma. You need to find a hand surgeon to put you in therapy to desensitize. If this doesn't work you made need surgery to bury the neuroma
Daniel Mass
3 UpVoted this answer
You have a neuroma. This is when small nerve ending get trapped in scar during the healing process. When you put pressure on the scar, the nerve ending trapped within the scar are hyperstimulated causing the pain. These symptoms are not likely to improve at this point. A simple spindle shaped excision of this area encompassing the scar and trapped nerve endings with a fine repair could solve your issue.

I would recommend a hand surgeon certified by the America Board of Plastic Surgery.
3 UpVoted this answer
I agree with the answers you have received so far. The final scar seems quite small relative to the rest of the thumb pulp, so it might be possible to remove the scar and the underlying nerves and have it heal a little better next time. However, like the other opinions that have been offered, you should have a hand surgeon examine you and decide whether or not you have to live with the discomfort, even though time has a habit of improving most scars.
Louis Mes
3 UpVoted this answer
You probably have digital nerve injury with creation of scar around it or neuroma. You should seek consult by a board certified hand or plastic surgeon in your area. Good luck.
Zoran Potparic
3 UpVoted this answer
After a year and 3 months; the chances are that you have now the end result of healing and probably it is not going to get any better.

There is probably a neuroma or sensitive scar causing the pain. If the symptoms are interfering with your work or quality of life see a hand surgeon.
Mohammad S. Amawi