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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  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17
  • always outstanding service! - 04/12/17
  • Dr. Henry did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • 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
  • Staff exceptional and Dr. Henry is as well. - 11/15/16
  • 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
  • Awesome staff.. - 09/26/16
  • Great center with friendly staff and very competent physician. I would definitely recommend to others. - 10/20/16
  • 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
  • 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
  • Excellent treatment by the physician and friendly service by the staff. Will definitely recommend to friends and family. - 09/12/16
  • Amazing Doctor and staff. - 11/16/16
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • Great staff and speedy process! - 04/14/17
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • 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
  • 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
  • Everyone here has been awesome. We appreciate everything you all have done. thank you! - 12/05/16
  • great job! - 03/20/17
  • 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
  • Thank you for the help. - 11/10/16
  • All the staff and Doctor Henry were great! - 05/01/17
  • I was very pleased with the entire process from first visit to last visit - 09/08/16
  • Great Appoitnment - 05/11/17
  • 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
  • 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
  • thank you for helping me - 02/03/17
  • Wonderful work no issues - 11/17/16
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • 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
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • This was my last visit and I'll miss y'all. - 03/29/17
  • only wish I would have come here before having surgery done elsewhere. - 11/30/16
  • :) - 05/11/17
  • I enjoyed my visit - 11/14/16
  • great - 10/06/16
  • Awesome as always! - 10/11/16
  • 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
  • Great Appoitnment - 05/11/17
  • I feel very confident in Dr Henry and the direction I am headed. - 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
  • very helpful staff - 01/16/17
  • I have loved coming here and felt very welcomed by everyone! Thank you so much for all you do! - 03/10/17
  • 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
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • Thank you! - 03/08/17
  • thank you - 02/09/17
  • Very professional - 03/30/17
  • 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
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • 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
  • Mark is great and so is Luis (I would give Luis a raise!!) - 09/27/16
  • 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
  • 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
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • 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
  • 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
  • joel was also my assistant but everything was great - 03/07/17
  • 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 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 has the best verbal skills I have witness on a physician; and, I have been a physician myself for decades! - 12/01/16
  • 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
  • Everyone is always nice - 12/14/16
  • Always a pleasure working with Dr. Henry and his awesome staff! - 10/07/16
  • David, Teresa, Luis, Joel, and Karen have all worked with me. They were all outstanding and I highly recommend them all. - 11/30/16
  • Great work. - 02/03/17
  • Great friendly staff - 10/28/16
  • Luis was great as well. - 01/04/17
  • Very pleased with the staff and Dr Henry during my treatment. - 12/15/16
  • Amazing people. Luis, Joel and Teresa, and Dr. Henry... I appreciate all of you. Your staff is outstanding. - 09/14/16
  • ;) - 09/08/16
  • 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
  • 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
  • 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
  • thank you, you all were very helpful - 03/03/17
  • very impressed with the whole experience. - 02/28/17
  • 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
  • Amazing services and results. Unique experience - 10/31/16
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • Luis and all the staff have been great each time I've come in. - 09/22/16
  • Great detailed information. - 11/03/16
  • 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
  • Thank you so much for all your support and help! I have benefited a lot from this facility! - 10/13/16
  • Great staff. - 05/02/17
  • 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
  • FIRST CLASS!!!!!!!!!! - 03/03/17










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