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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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  • Quick but well done! - 07/02/13
  • Outstanding Staff - 05/14/13
  • This is a great environment and I would definitely recommmed this place to others. I am very pleased of the outcome of the surgery! - 10/15/13
  • You guys are awesome - 07/03/13
  • I BELIEVE THAT I AM IN GREAT HANDS WITH DR. HENRY AND HIS STAFF AND I APPRECIATE THE CARE HE SHOWED TODAY DURING MY VISIT. THANK YOU - 10/08/13
  • Thank you! - 09/06/13
  • Discussed all of my options. Listened carefully to what I said and suggested different options that would help me to gain satisfaction. - 02/26/14
  • very outstanding visit and the personal all where outstanding. Doctor is very outstanding. thank you for getting me in at the short notice. thank you again - 02/27/14
  • dr henry was extemely thorough luis was very helpful and exceptionally friendly with one hand only david was very friendly as well and very good at placing the splints. - 09/05/13
  • Wish I would have come to Dr. Henry years ago! Staff courteous and helpful. - 04/14/14
  • Everyone was friendly and professional.I would return if needed. The girl at the front desk is an asset to your office. - 08/01/13
  • I AM SO GLAD I CHOSE THIS DR HE IS GREAT AND SO IS ALL STAFF MEMBERS - 04/18/14
  • keep up the great work - 07/10/13
  • If there was a category over outstanding I would have checked that one! - 03/07/14
  • Very happy w/my visits and the care shown to me. I was fit in b/c of cat bite and severe swelling in my primary hand on a week of holiday...THANK YOU! - 11/27/13
  • Thank you so much for taking my concerns and wishes into consideration and allowing me to try the removeable splint. Your staff were all wonderful, and I really appreciate their efforts, kindness and consideration. - 09/05/13
  • Awesome as always :) - 02/24/14
  • Most professional and helpful for a first fracture in my life at 60 years old. Loved all staff and therapy. Thanks - 02/25/14
  • Had I known this process would be as successful and pleasant as it was, I would have done it years ago. - 04/19/13
  • Most organized and efficient doctor visit of my life. Excellent. - 06/12/13
  • Thank you!!! - 10/09/13
  • I was going to therapy here and Courtney was my therapist - she was Great! She was concerned and helpful. - 06/04/13
  • Rock on! - 05/07/13
  • Dr. Henry is excellent! I would recommend him to any one! My experience was very comforting. - 07/18/13
  • This is the best of the BEST! - 01/08/14
  • The Dr took my appointment last minute. I'm very appreciative of that. - 03/04/14
  • Outstanding care throughout my surgery treatment and followup care - 04/14/14
  • Under the circumtances, the staff was excellent, but Teresa was awesome throughout the unpacking and packing of the wound. Thank you Dr. Henry for saving my finger. Leanora - 05/03/13
  • could not be better - 02/19/14
  • First experience with hand trauma and i was well taken care of and information regarding my issue was thouroughly explained! thank you. - 09/10/13
  • Wonderful to find a Doctor who still strives to fulfill his Oath as a healer! Thank You - 07/02/13
  • I look forward to healing. Thank You Doctor and Staff. - 02/20/14
  • ifeelgreat - 07/15/13
  • From the first call everyone I have encountered has been amazing! Thanks - 06/05/13
  • Thanks to the entire staff. Wonderful experience. - 11/22/13
  • Everyone in the office was professional kind and attentive. I would recommend friend/relative to this office. Thank you for your care. - 04/26/13
  • I am very well satisfied with the outcome of this surgery. All involved here at the doctor's office and hospital were very friendly, professional and considerate. Thank You! - 06/21/13
  • Thanks so very much to all of you ..Venanzia Grafton - 05/29/13
  • I had an excellent experience. thank you and your staff. - 09/06/13
  • Ya'll were awesome! I did't mind the waiting length because everyone was helpful, focused and very attentive when they arrived. I"d type more, but I"m mildly incapacitated. - 11/22/13
  • The entire staff was outstanding in assisting me before and during the appointment. I appreciate all they did helping me from out of town. - 07/19/13
  • really glad i chose to come here, every aspect of service was great - 04/01/14
  • I'll like to thanks all the staff,they are very outstanding emlploee very kind ,nice,very patience with me to explaining every thing that is going on and thank you all so much - 05/29/13
  • mine was an excellent experience from appointment desk all the way through surgery and physical therapy. This is an extremely knowledgable and professional doctor and staff. - 10/29/13










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