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SEVERE TENDON SWELLING


WHAT YOU SHOULD KNOW

Patients may develop large amounts of swelling around certain tendon groups in the hand and wrist region. The swelling often just keeps slowly getting larger.  The reasons for such swelling are either a special inflammatory condition such as rheumatoid arthritis or a slow growing infection caused by either a fungus or atypical mycobacteria.

MEDICAL HISTORY

Patients may complain of a dull ache or limitation of motion of function in the affected body part. Usually the patient cannot remember any specific event that matches the problem starting.

EXAMINATION

The swollen tissue feels spongy and matches the anatomy of a certain group of tendons. Sometimes, the mass of spongy tissue can be seen to move back and forth when the tendons move.

ADDITIONAL TESTS: In rare cases a Magnetic Resonance Image picture will be taken before surgery. The tissue obtained at the time of surgery is sent to 2 different laboratories: one to make a microscope slide and determine what type of tissue it is, the other is the infection laboratory where cultures will be grown to identify a fungal or atypical mycobacterial species causing infection.

TREATMENT OPTIONS

  NON-OPERATIVE SURGICAL EXCISION
CONSISTS OF Cortisone injection of the swollen tissue Remove all swollen tissue around tendons
FEATURES Designed to limit inflammation Complete excision, outpatient surgery
ADVANTAGES Partially and temporarily effective if due to rheumatoid arthritis Obtains sample for laboratory
DISADVANTAGES No effect if due to infection Laboratory does not always generate a clear answer, recurrence is possible

RECOVERY

Sutures are removed in the office at 2 weeks. The area where the tissue was removed usually becomes quite stiff and needs outpatient rehabilitation exercises under the guidance of a therapist. If the infection laboratory identifies a fungus or atypical mycobacterial species, the patient will need to take antibiotics for many months to kill any remaining microscopic disease too small to be seen at the time of surgery. If the laboratory work does not identify any cause, recurrence becomes more likely. If special arthritis conditions are identified, the patient will consult with a rheumatologist.
 
 
 
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  • 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
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  • Amazing Doctor and staff. - 11/16/16
  • 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
  • Staff exceptional and Dr. Henry is as well. - 11/15/16
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  • I enjoyed my visit - 11/14/16
  • Everyone here has been awesome. We appreciate everything you all have done. thank you! - 12/05/16
  • 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
  • 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
  • Always a pleasure working with Dr. Henry and his awesome staff! - 10/07/16
  • 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 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
  • 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
  • Luis and all the staff have been great each time I've come in. - 09/22/16
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  • I was very pleased with the entire process from first visit to last visit - 09/08/16
  • 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
  • Mark is great and so is Luis (I would give Luis a raise!!) - 09/27/16
  • only wish I would have come here before having surgery done elsewhere. - 11/30/16
  • Excellent care and service! I would highly recommend Dr Henry and his staff! - 09/14/16
  • Great detailed information. - 11/03/16
  • Very pleased with everyone and the procedures I have had done with Dr. Henry and his staff. - 12/28/16
  • 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
  • ;) - 09/08/16
  • very helpful staff - 01/16/17
  • Amazing people. Luis, Joel and Teresa, and Dr. Henry... I appreciate all of you. Your staff is outstanding. - 09/14/16
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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
  • Very pleased with the staff and Dr Henry during my treatment. - 12/15/16
  • 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
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • Thank you for the help. - 11/10/16
  • 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
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  • David, Teresa, Luis, Joel, and Karen have all worked with me. They were all outstanding and I highly recommend them all. - 11/30/16
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  • 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
  • thank you for helping me - 02/03/17
  • Luis was great as well. - 01/04/17
  • Great friendly staff - 10/28/16
  • Wonderful work no issues - 11/17/16
  • Love the Doctor and his staff. - 02/08/17
  • Excellent treatment by the physician and friendly service by the staff. Will definitely recommend to friends and family. - 09/12/16










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