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Q: Wound healing and diabetics
asked by: DoctorQuestion on June 25th, 2008
I have a deep laceration to my right thumb. I cut off a quater of my nail and thumb. I had to have 7 stitches. They were able to sew the peice of skin I cut off back on but of course its dead so it will fall off. I wanted to know how long do you think it will take for the skin to grow back and what is the best treatment for it? The doctor told me to change the dressing every night. When I take the dressing off it swells up so tight. Is putting ice directly on it a good idea? It does relieve the pain of swelling.


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Dr. Nikola Gjuzelov , MD
replied on June 26th, 2008
General Q and A Answer A4326
If there are no complications (usually infection) healing will take at least 2 weeks. If the wound gets infected healing will take much longer. Diabetic patients, like you, have weaker local immunity and their wounds are susceptible to infection and to slower healing.








It doesn't seem likely that you should change the bandage every night by yourself. Bandage changing and wound toilette should be done every 2-3 days by the doctor who put the stitches on. This is especially important in cases when the patient has diabetes. Diabetic patients have greater risk for wound infections and slower healing so they require more frequent control checkups.













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