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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  • 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
  • Amazing Doctor and staff. - 11/16/16
  • Great detailed information. - 11/03/16
  • I feel very confident in Dr Henry and the direction I am headed. - 03/10/17
  • joel was also my assistant but everything was great - 03/07/17
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • very helpful staff - 01/16/17
  • Wonderful work no issues - 11/17/16
  • Great Appoitnment - 05/11/17
  • I have loved coming here and felt very welcomed by everyone! Thank you so much for all you do! - 03/10/17
  • Very pleased with everyone and the procedures I have had done with Dr. Henry and his staff. - 12/28/16
  • 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
  • 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
  • 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
  • Luis and all the staff have been great each time I've come in. - 09/22/16
  • Everyone is always nice - 12/14/16
  • 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
  • Love the Doctor and his staff. - 02/08/17
  • Excellent care and service! I would highly recommend Dr Henry and his staff! - 09/14/16
  • Mark is great and so is Luis (I would give Luis a raise!!) - 09/27/16
  • thank you, you all were very helpful - 03/03/17
  • Great work. - 02/03/17
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • Always a pleasure working with Dr. Henry and his awesome staff! - 10/07/16
  • 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
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • only wish I would have come here before having surgery done elsewhere. - 11/30/16
  • I was very pleased with the entire process from first visit to last visit - 09/08/16
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17
  • 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
  • This was my last visit and I'll miss y'all. - 03/29/17
  • Had a wonderful experience overall. Breaking my arm was tough but the staff here was always very, kind and helpful. Especially Dr. Henry, Mary, Karen, Luis, Joel, Teresa and David. I'll miss them all but hopeful won't have to see them any time soon :)Thank you! - 05/04/17
  • very impressed with the whole experience. - 02/28/17
  • Awesome as always! - 10/11/16
  • Dr. Henry did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • thank you for helping me - 02/03/17
  • great - 10/06/16
  • 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
  • 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 here has been awesome. We appreciate everything you all have done. thank you! - 12/05/16
  • 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
  • Excellent treatment by the physician and friendly service by the staff. Will definitely recommend to friends and family. - 09/12/16
  • Amazing services and results. Unique experience - 10/31/16
  • 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 friendly staff - 10/28/16
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • ;) - 09/08/16
  • Great staff. - 05/02/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • Thank you so much for all your support and help! I have benefited a lot from this facility! - 10/13/16
  • 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
  • Awesome experience. Luis rocks! - 04/06/17
  • 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
  • Staff exceptional and Dr. Henry is as well. - 11/15/16
  • Luis was great as well. - 01/04/17
  • 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
  • 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
  • Great center with friendly staff and very competent physician. I would definitely recommend to others. - 10/20/16
  • Thank you! - 03/08/17
  • :) - 05/11/17
  • 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
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • 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
  • 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
  • Thank you for the help. - 11/10/16
  • 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
  • All the staff and Doctor Henry were great! - 05/01/17
  • 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
  • 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
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • 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
  • Great Appoitnment - 05/11/17
  • thank you - 02/09/17
  • always outstanding service! - 04/12/17
  • 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
  • Great staff and speedy process! - 04/14/17
  • 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
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • Very pleased with the staff and Dr Henry during my treatment. - 12/15/16
  • Very professional - 03/30/17
  • 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
  • Everyone was kind and efficient. All things were clearly explained to me and I felt confident in doing my dressings. - 03/03/17
  • 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
  • Amazing people. Luis, Joel and Teresa, and Dr. Henry... I appreciate all of you. Your staff is outstanding. - 09/14/16
  • 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
  • great job! - 03/20/17










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