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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  • only wish I would have come here before having surgery done elsewhere. - 11/30/16
  • Awesome as always! - 10/11/16
  • Great staff and speedy process! - 04/14/17
  • 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
  • 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
  • great job! - 03/20/17
  • Excellent treatment by the physician and friendly service by the staff. Will definitely recommend to friends and family. - 09/12/16
  • 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
  • Mark is great and so is Luis (I would give Luis a raise!!) - 09/27/16
  • Great friendly staff - 10/28/16
  • 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
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • very impressed with the whole experience. - 02/28/17
  • 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
  • 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
  • I feel very confident in Dr Henry and the direction I am headed. - 03/10/17
  • 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
  • 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
  • Always a pleasure working with Dr. Henry and his awesome staff! - 10/07/16
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • 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
  • Luis and all the staff have been great each time I've come in. - 09/22/16
  • 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 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
  • Very pleased with the staff and Dr Henry during my treatment. - 12/15/16
  • Very pleased with everyone and the procedures I have had done with Dr. Henry and his staff. - 12/28/16
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • 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
  • Very professional - 03/30/17
  • 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
  • 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
  • Excellent care and service! I would highly recommend Dr Henry and his staff! - 09/14/16
  • Great detailed information. - 11/03/16
  • Great center with friendly staff and very competent physician. I would definitely recommend to others. - 10/20/16
  • 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
  • I have loved coming here and felt very welcomed by everyone! Thank you so much for all you do! - 03/10/17
  • Dr. Henry did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • 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
  • Everyone is always nice - 12/14/16
  • Thank you for the help. - 11/10/16
  • This was my last visit and I'll miss y'all. - 03/29/17
  • 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
  • Amazing Doctor and staff. - 11/16/16
  • 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
  • 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
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • thank you, you all were very helpful - 03/03/17
  • 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
  • Everyone here has been awesome. We appreciate everything you all have done. thank you! - 12/05/16
  • Thank you! - 03/08/17
  • I enjoyed my visit - 11/14/16
  • 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
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • Staff exceptional and Dr. Henry is as well. - 11/15/16
  • Wonderful work no issues - 11/17/16
  • ;) - 09/08/16
  • Great work. - 02/03/17
  • David, Teresa, Luis, Joel, and Karen have all worked with me. They were all outstanding and I highly recommend them all. - 11/30/16
  • Love the Doctor and his staff. - 02/08/17
  • thank you for helping me - 02/03/17
  • I was very pleased with the entire process from first visit to last visit - 09/08/16
  • 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
  • Thank you so much for all your support and help! I have benefited a lot from this facility! - 10/13/16
  • 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
  • Luis was great as well. - 01/04/17
  • joel was also my assistant but everything was great - 03/07/17
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • 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
  • great - 10/06/16
  • Amazing people. Luis, Joel and Teresa, and Dr. Henry... I appreciate all of you. Your staff is outstanding. - 09/14/16
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17
  • Awesome experience. Luis rocks! - 04/06/17
  • Amazing services and results. Unique experience - 10/31/16
  • 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
  • very helpful staff - 01/16/17
  • Everyone was kind and efficient. All things were clearly explained to me and I felt confident in doing my dressings. - 03/03/17
  • always outstanding service! - 04/12/17
  • 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
  • thank you - 02/09/17










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