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.
 
 
 
Back to Medical Conditions
 
 


  • Dr. Henry and his staff are phenomenal. Dr. Henry has a gift for not only treating health issues extremely effectively, but he is extremely thorough and very efficient at communication and explaining everything he is doing and all of clearly outlining your options for future procedures. - 05/11/18
  • all excellent care - 07/12/17
  • :) - 06/01/17
  • very helpful. staff was very helpful and outstanding. Dr. Henry explained everything to me - 06/19/18
  • you were very good, thank you very much - 05/17/18
  • Dr. Henry was able to salvage my hand to make it usable again. I have already sent my Father here and he no longer has any pain in his wrist. - 11/13/17
  • Very happy I came here for the surgery, etc. - 06/09/17
  • every body was excelent - 01/09/18
  • I am really happy with my experience. I always knew what was going on and over time got to know the staff based on how many times I've been here. Most importantly, I feel I got the right treatment for my injury. - 10/19/17
  • Great job your staff is the best,thank you &GOD Bless all of you! - 06/15/18
  • I couldn't be more pleased with the level of service I received while in Dr. Henry's care. The level of detail in which my injury was explained and resolved, and the level of competency that was displayed throughout the healing was truly outstanding. - 01/30/18
  • dr henry does an excellent job of explaining the problem and solution, seems extremely competent - 02/07/18
  • very confortable,Dr. Henrry very professional and very friendly staff - 12/05/17
  • very good team work, best clinic - 06/21/17
  • Very efficient practice - 10/19/17
  • Dr. Henry is a tremendous doctor! - 05/22/18
  • The staffs here was GREAT!!!! - 06/21/17
  • 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
  • best place for treatment of hand and wrist problems. Dr. Henry was recommended to me by a friend who is a medical care professional. - 10/06/17
  • The doctor and staff are the best I have ever had. Very professionalism at its best. - 11/15/17
  • outstanding knowledge and gets you into the hospital if needed the same. - 02/09/18
  • Very nice staff and surgeon. Thumb looks good now after surgery, hopefully thumb continues to heal and stays healed. Thank you - 01/30/18
  • Dr. Mark Henry is a true healer; the finest most competent doctor I've ever encountered. I am forever grateful to Dr. Henry and the entire staff for saving my finger and facilitating my complete recovery with grace and seriousness of intent. Thank you. - 01/10/18
  • Dr. Henry was very informative about the treatment and staff was pleasant. - 01/11/18
  • the whole group was very good, I had an excellent experience. - 11/09/17
  • I appreciate the expertise and experience of Dr. Henry!!! I know I had the BEST hand surgeon!!! - 05/02/18
  • Dr. Henry gave me my wrist back!!! Thank you Dr. Henry!!! - 07/10/17
  • Great Doctor and staff. Luis is a wonderful asset to the staff - 12/18/17
  • great doctor - 05/23/18
  • love the circus de sole dvd. everything was amazing. rehab was the best too. - 02/23/18
  • Thank you for sewing me back together and guiding me through my recovery!!! - 05/15/18
  • excellent! dr & staff! - 06/14/17
  • The staff and the Dr. are very helpful and understanding .I have not yet seen a better staff like this office . I will recommend any one here . - 11/06/17
  • MD was very thorough and spent a good amount of time with the patient (me). MD had good bedside manners which you do not see from a lot of doctors nowadays. He also made sure everything was understood and that I was given a chance to ask questions or address any concerns I had. Everyone was courteous and professional. Thank you for making mu visit a pleasant one. - 05/02/18
  • Outstanding service and results - 10/30/17
  • Thank you for repairing my injury and being kind in the process. - 01/10/18
  • With the severity of my injury I am amazed at how functional my wrist is with the amazing team work shown at the office. From the very start the service and care have been outstanding!! I can't thank everyone enough! - 02/23/18
  • an experience beyond expectation - 10/06/17
  • Dr. Henry and his staff are amazing! I was able to get an urgent new patient appointment immediately with surgery that same afternoon. Dr. Henry does an excellent and thorough job explaining my injury and the healing process. Very impressed with his plan of early mobility and physical therapy, which helped restore my function back to normal within 8 weeks of surgery. I would 100% recommend Dr. Henry and his staff! Very pleased and grateful for his help. - 03/23/18
  • thank you - 10/16/17
  • every thing was really great - 10/19/17
  • The staff is nice and everyone is up on the treatment. I feel confident that I am getting the best care and am glad I came here. - 10/30/17
  • no complaints hand is coming along very well - 11/06/17










Site maintained by Dan Cutts© Copyright 2018 Hand and Wrist Center of Houston