Hand & Wrist Center of Houston Home If you suspect broken bones, dislocated joints, lacerated tendons, lacerated nerves, infection, or have an open wound below the elbow, then call us immediately.
 
INFECTIONS


WHAT YOU SHOULD KNOW

Sometimes areas of swelling or masses in the body represent an infection. Infections can be of the acute pus producing type that will rapidly destroy tissue or of the slow chronic type that is hard to permanently eliminate. For the acute type, it is critical that the infection be recognized and treated surgically right away to avoid serious permanent tissue damage. For the chronic type, it is critical that the correct diagnosis be made in the laboratory so that the specific antibiotics needed to eradicate the infection can be administered.

MEDICAL HISTORY

All the circumstances surrounding when the patient first appreciated the mass should be reported. The exact symptoms of pain, swelling, redness, warmth, fluid drainage, and others should be described complete with the exact timing of each.

EXAMINATION

The area will be examined for size of the mass, consistency, tenderness, redness, warmth, and other features that reveal how the lesion is interacting with adjacent joint and tendon movements and the overlying skin.

ADDITIONAL TESTS: Occasionally blood cultures and other blood work will be obtained to track the infectious process. Plain x-rays will reveal any bone destruction from the infectious process.

TREATMENT OPTIONS

  NON-OPERATIVE SURGICAL E DEBRIDEMENT
CONSISTS OF Antibiotics Eliminating from the body all the visibly infected or damaged tissue
FEATURES Intravenous or oral Leave the wound open for acute type
ADVANTAGES Avoids surgery Absolutely essential step for any established infection
DISADVANTAGES Only valid for the very earliest stages of the acute type Damage from infection itself followed by the necessary surgery leaves behind substantial scarring

RECOVERY

After a severe acute type infection, the patient will usually be hospitalized for a number of days until the wound is seen to be improving and the laboratory produces culture results. The patient is then discharged home on antibiotics and wound care. Dressings inside the wound are changed 2-3 times a day until the wound is healed. Spontaneous wound closure by the body requires weeks to complete depending on the wound size. The duration of antibiotic treatment will extend to around 6 weeks if there is bone and joint involvement. Surgery for the chronic type is outpatient, but antibiotic care is measured in months and often requires an intravenous line at home. Permanent elimination of the infection can be difficult for the chronic type or when there is bone involvement.
 
 
 
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  • Very knowledgeable about the possible procedures the could be preformed! Dr. Henry is a very honest person and I appreciate that in a man more than anything. He gave me truth and not what I wanted to hear! Thanks - 04/04/17
  • Everyone was kind and efficient. All things were clearly explained to me and I felt confident in doing my dressings. - 03/03/17
  • We have had the best experience here. The staff has always accommodated us and since Tyler is only 10, they always go out of their way to make sure we are comfortable. I have and will continue to recommend Dr. Henry and his staff to anyone I know. Thanks! - 02/28/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • I enjoyed my visit - 11/14/16
  • Thank you so much for all your support and help! I have benefited a lot from this facility! - 10/13/16
  • The staff was great. David was very helpful with my surgery scheduling and questions. Luis was fabulous when I needed help with changing my dressing. Joel was nice helping me with the undoing of the dressing. Great group to be a patient of. - 12/13/16
  • Staff exceptional and Dr. Henry is as well. - 11/15/16
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • Luis and all the staff have been great each time I've come in. - 09/22/16
  • Everyone here has been awesome. We appreciate everything you all have done. thank you! - 12/05/16
  • joel was also my assistant but everything was great - 03/07/17
  • I will definitely recommend your practice to my friends and family. Thank you very much for seeing me and for the very detailed explanation! - 10/14/16
  • Awesome staff.. - 09/26/16
  • David, Teresa, Luis, Joel, and Karen have all worked with me. They were all outstanding and I highly recommend them all. - 11/30/16
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • Very pleased with everyone and the procedures I have had done with Dr. Henry and his staff. - 12/28/16
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • Staff is always friendly and helpful. I will definitely recommend this office. Dr. Henry is a very skilled surgeon and went out of his way to make sure I understood my procedure and the rehabilitation process. - 03/24/17
  • Luis was great as well. - 01/04/17
  • This was my last visit and I'll miss y'all. - 03/29/17
  • Great friendly staff - 10/28/16
  • I feel very confident in Dr Henry and the direction I am headed. - 03/10/17
  • Very pleased with the staff and Dr Henry during my treatment. - 12/15/16
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17
  • thank you - 02/09/17
  • only wish I would have come here before having surgery done elsewhere. - 11/30/16
  • ;) - 09/08/16
  • Great work. - 02/03/17
  • Great staff and speedy process! - 04/14/17
  • Amazing Doctor and staff. - 11/16/16
  • thank you, you all were very helpful - 03/03/17
  • Thank you for the help. - 11/10/16
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • This was only a consult, but I felt that I was leaving with enough information and a plan on the next step needing to be taken. - 09/26/16
  • great - 10/06/16
  • very good at explaining how I should take care of my thumbs and always answered any question I had regarding my health issue I was very pleased with my visit and the care I got at both visits - 03/07/17
  • Amazing services and results. Unique experience - 10/31/16
  • I was very pleased with the entire process from first visit to last visit - 09/08/16
  • Very professional - 03/30/17
  • great job! - 03/20/17
  • Wonderful work no issues - 11/17/16
  • Thank you! - 03/08/17
  • I have never doubted I was in the best possible hands here. I cannot correctly express my gratitude. Thank you all very, very much for everything you've done for me. - 11/09/16
  • Mark is great and so is Luis (I would give Luis a raise!!) - 09/27/16
  • Thank you for the hard work and excellent care. If ever I need this type of care again I will be knocking on your door. I've already recommended your services to others. Thanks Again! - 03/07/17
  • I have enjoyed this facility and Dr. Henry has been more than helplful. All questions answered, as well as answers I didn't even know I had! The staff is always helpful. - 03/03/17
  • Dr. Henry did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • very helpful staff - 01/16/17
  • The doctor was very informative and provided me with a solution quickly and I really appreciate that in this day and age. This is an awesome institution. - 03/02/17
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • Luis was very kind and helpful with all of my questions and concerns. He also assisted me with obtaining supplies for my brace and hand until I can get to therapy. - 10/21/16
  • Very pleased with the staff and Dr. Henry. Would highly recommend Dr. Henry to my family and friends in the future. Love this place!!! - 09/07/16
  • Love the Doctor and his staff. - 02/08/17
  • Excellent treatment by the physician and friendly service by the staff. Will definitely recommend to friends and family. - 09/12/16
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • Great detailed information. - 11/03/16
  • Amazing people. Luis, Joel and Teresa, and Dr. Henry... I appreciate all of you. Your staff is outstanding. - 09/14/16
  • I am feeling so much better! My hands do not fall asleep and I do not drop things anymore. Yah! Thank you so much! - 09/16/16
  • Great center with friendly staff and very competent physician. I would definitely recommend to others. - 10/20/16
  • The entire team at the Hand and Wrist Center is outstanding. They made the recovery so smooth and comforting from the courteous receptionists, excellent occupational therapist, attentive medical assistants, and brilliant doctor. Thank you! - 03/31/17
  • Everyone is always nice - 12/14/16
  • thank you for helping me - 02/03/17
  • Excellent care and service! I would highly recommend Dr Henry and his staff! - 09/14/16
  • very impressed with the whole experience. - 02/28/17
  • Awesome as always! - 10/11/16
  • Great staff, Great Doctor, Great surgery, recovery, and follow up. Thank you for the time and attention with helping me through the entire process. I felt very comfortable and safe with the entire process. - 02/10/17
  • Dr. Henry and each and every one of the staff we met exhibited a spirit of excellence in every area. From the first visit we were comfortable and confident that we would be well taken care of. - 09/28/16
  • At every interaction with your office: consultation with Dr. Henry, day of surgery, need for prescription refills, all follow-up visits, I felt comfortable, welcome, and well informed. On the day of my last visit, I am very optimistic about the function of my left hand. Thank you. - 09/07/16
  • Always a pleasure working with Dr. Henry and his awesome staff! - 10/07/16
  • I have loved coming here and felt very welcomed by everyone! Thank you so much for all you do! - 03/10/17
  • I have enjoyed this facility and Dr. Henry has been more than helplful. All questions answered, as well as answers I didn't even know I had! The staff is always helpful. - 03/03/17
  • Thank you to everyone here with my surgery and healing process! I really felt comfortable with everyone on the staff and feel as though I came to the best place possible for my surgery. THANK YOU!!!! - 09/09/16
  • Everyone was great and very helpful. Our family really appreciates the medical attention my son received from his injury. Thank you so much. - 11/01/16
  • I was impressed at how fast I was able to get an appointment. The staff was very helpful and the doctor was amazing! - 12/08/16
  • always outstanding service! - 04/12/17
  • Dr. Henry has the best verbal skills I have witness on a physician; and, I have been a physician myself for decades! - 12/01/16
  • Awesome experience. Luis rocks! - 04/06/17
  • thank you for all you have done! I recommend you foranyone that is having any problems via hand wrist. Amazing surgon and doctor!!! - 02/01/17
  • The Doc is awesome and his staff is on their game, the wait can be a little long but you get that when you are dealing with elite care. - 09/19/16










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