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.
 
NERVE LACERATION


WHAT YOU SHOULD KNOW

There are many different nerves within the arm and hand that work together to provide feeling to touch, muscle movement, and numerous other functions including the ability to feel pain. Some nerves do all functions and are called mixed nerves. Other nerves do only a single function and are named after that function (ie: sensory nerve). Lacerations can occur anywhere along the arm to either mixed or single function nerves. After nerve injury function is lost and the nerve ends will separate. Only if the nerve is surgically repaired soon after injury will it be possible to avoid using nerve grafts to span a gap between the cut nerve ends.

MEDICAL HISTORY

Lacerated nerves often cause severe pain of a special type that patients quickly learn to recognize as coming specifically from damaged nerve tissue. Mostly patients will complain of the lost functions of feeling or muscle movement after nerve injury.

EXAMINATION

Specific tests to measure what capabilities have been lost and the amount of damage are performed function-by-function, one at a time.

ADDITIONAL TESTS: Electrical nerve tests will clearly demonstrate which nerves are functioning and which are not along with actual numbers to measure the severity of damage.

TREATMENT OPTIONS

  NON-OPERATIVE SURGICAL NERVE REPAIR OR GRAFTING SURGICAL TENDON TRANSFERS
CONSISTS OF Therapy and medications to control pain Sewing together cut nerve ends or splicing nerve tissue between a gap in the ends Rerouting a tendon to perform another function when it can afford to give up its original function
FEATURES Medications are very sedating Nerve graft harvest comes from the back of the leg The brain must learn to use the tendon for its new function
ADVANTAGES Avoids surgery Regrowth of nerve to the original muscle intended for that function Ready for use within a few months after tendon connections healed
DISADVANTAGES Does nothing to recover nerve function Extremely slow regrowth with only partial function expected to return Transferred tendons must be retrained for a new function which is never quite the same as the original muscle group

RECOVERY

After nerve reconstructive surgery by repair or graft the patient must wait a considerable amount of time, usually years to see the maximum amount of function that can be achieved. Normal function is almost never achieved except in children. After tendon transfer, splints are worn for around 6 weeks to protect the healing of new tendon connections. Once healed, therapy motion exercises and retraining of the brain to use the transferred tendons for their new functions takes several months. No matter which course is taken, this is a medical condition for which the final recovery is not achieved until at least many months later if not years.
 
 
 
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  • I was very impressed with how I was treated by the doctor as well as the Medical assistant. All my questioned were answered and I was treated with care and respect. Luis was Awesome! Doctor Henry was very informative. I will recommend him to friends and family - 06/09/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • 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
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • 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
  • joel was also my assistant but everything was great - 03/07/17
  • Love the Doctor and his staff. - 02/08/17
  • Great staff and speedy process! - 04/14/17
  • thank you for helping me - 02/03/17
  • The staffs here was GREAT!!!! - 06/21/17
  • 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
  • I have loved coming here and felt very welcomed by everyone! Thank you so much for all you do! - 03/10/17
  • Great work. - 02/03/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • 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
  • I feel very confident in Dr Henry and the direction I am headed. - 03/10/17
  • Awesome experience. Luis rocks! - 04/06/17
  • Everyone was kind and efficient. All things were clearly explained to me and I felt confident in doing my dressings. - 03/03/17
  • 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
  • This was my last visit and I'll miss y'all. - 03/29/17
  • Great Appoitnment - 05/11/17
  • thank you, you all were very helpful - 03/03/17
  • some of the most friendly staff and the doctor always explained the information in a manner in which I could understand which always made it very helpful. will definitely recommend this location to family and friends. - 05/31/17
  • 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
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  • :) - 06/01/17
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  • Very happy I came here for the surgery, etc. - 06/09/17
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • very impressed with the whole experience. - 02/28/17
  • excellent! dr & staff! - 06/14/17
  • 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 good team work, best clinic - 06/21/17
  • 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
  • very helpful staff - 01/16/17
  • 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
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • great job! - 03/20/17
  • Thank you! - 03/08/17
  • Great Appoitnment - 05/11/17
  • Luis was great as well. - 01/04/17
  • :) - 05/11/17
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • 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
  • 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
  • always outstanding service! - 04/12/17
  • thank you - 02/09/17
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • 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
  • Really appreciate the education and insight related to my wrist and future athletic training - 05/31/17
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17
  • Very professional - 03/30/17
  • All the staff and Doctor Henry were great! - 05/01/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17










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