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.
 
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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  • I continue to be exceptionally pleased with the doctor and staff at this clinic. Thank you for your professionalism and friendliness. - 05/29/15
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  • Have always had a good experience here. I have never had to wait more than 5 min in the waiting room nor more than 5 min in the exam room. Received surgery the same day as I was diagnosed. Best experience with a doctor's office ever! - 08/06/15
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  • ALSO OUTSTANDING WORK BY OTHER MEDICAL ASSISTANT LUIS, DAVID, GREAT WORK AND KEPT ME VERY CALM. THANKS TO THE WHOLE TEAM. - 09/30/15
  • I am impressed and happy to see considerate individuals in the health profession. I would recommend this facility to anyone needing hand/wrist evaluation/medical assistance. - 02/06/15
  • very impressed with the time and care given to me by the doctor and Karen. They each made me feel like I was of their utmost importance! - 06/08/15
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  • So glad to have my hand problem diagnosed and solved. Thank you so much. Great outcome. - 02/06/15
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  • COULD NOT BE HAPPIER WITH THE SERVICE PROVIDED. DR HENRY REALLY KNOWS HIS STUFF AND THE STAFF IS INCREDIBLY HELPFUL AND KIND. I WILL DEFINITELY BE RECCOMENDING DR HENRY TO ANYONE I KNOW THAT NEEDS HAND OR WRIST HELP - 02/02/16
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  • GREAT AND FAST TREATMENT FOR A PAINFULL EXPERIENCE - 02/01/16
  • I am pleased we came to Dr. Henry for my sons long finger fracture. - 06/05/15
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  • Great Doctor. - 05/29/15
  • The entire staff has been more than amazing through this process, I will for sure refer you all. - 06/12/15
  • He was excellent! - 10/30/15
  • It feels nice to be in a big Dr. office and still have that small town feeling. Thank you very much!! - 05/28/15
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  • Thank y'all so much. Looks like im healing well... - 05/21/15
  • AWESOME - 10/22/15
  • Awesome facility and staff! - 02/06/15
  • Luis was great at check out as well. Nice to see a friendly face. - 02/04/16
  • THE PROCEDURE WENT VERY VERY WELL AND MY HAND LOOKS AS THOUGH THE ACCIDENT NEVER HAPPENED. I AM VERY HAPPY AND WILL RECOMEND TO ANYONE DR. HENERY - 10/06/15
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  • Absolutely pleased with the results of my carpel tunnel surgeries on both hands. From start to finish my experience was very positive. Dr. Henry is an outstanding hand surgeon. - 12/03/15
  • I truly appreciate Dr. Henry's thorough explanation of everything pertaining to my carpal tunnel in both hands. He is very attentive and is genuinely concerned about his patients. Thanks to him and his great staff. - 02/03/16
  • I knew my son was in good care my sister worked with Dr. Henry before in surgery and recommended this practice stating you all are excellent! - 05/28/15
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  • The attention and the expertize is overwhelming. All I can say is, "I am playing the piano again" and I thank Dr. Henry and his staff for that. - 02/06/15
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