Which day after finger suturing is the most painful?

Nov 05, 2025 Source: Cainiu Health
Dr. Liu Wenmin
Introduction
After suturing, local tissues initially become congested and edematous, with increased release of inflammatory factors that stimulate nerve endings and cause pain. The inflammatory response peaks during the first to third days, when tissue edema is most pronounced and nerve compression and irritation are at their greatest, resulting in more noticeable pain. As time progresses, inflammation gradually subsides and edema diminishes, leading to gradual relief of pain.

Generally, there is no specific "most painful day" after suturing, as the timing and intensity of pain vary from person to person. Typically, the first to third days after finger suturing are the most painful, as this period coincides with the peak of the wound's inflammatory response, leading to more noticeable discomfort. If pain worsens abnormally or fails to subside, prompt medical attention is recommended. Detailed explanation is as follows:

In the early phase after suturing, local tissues may become congested and swollen, with increased release of inflammatory factors that stimulate nerve endings and cause pain. The inflammatory response peaks during the first 1–3 days, when tissue edema is most pronounced and nerve compression and irritation are strongest, resulting in significant pain. As time progresses, inflammation gradually subsides and swelling decreases, leading to gradual pain relief. Pain typically begins to noticeably diminish by days 5–7.

If the wound develops a mild infection, has poor local blood circulation, or is strained by finger movement, the duration or severity of pain may increase. Additionally, individuals differ in their pain tolerance; some may perceive pain lasting slightly longer. Overall, however, pain is usually most intense within the first three days after suturing. If pain persists beyond three days or worsens, potential complications should be considered.

After finger suturing, keep the wound clean and dry to prevent infection; minimize movement of the injured finger to avoid pulling on the wound and worsening pain. If pain interferes with rest, appropriate pain relievers may be used under a doctor’s guidance—do not self-medicate.

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