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.


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.


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.


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.


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


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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  • Amazing people. Luis, Joel and Teresa, and Dr. Henry... I appreciate all of you. Your staff is outstanding. - 09/14/16
  • Luis and all the staff have been great each time I've come in. - 09/22/16
  • Always a pleasure working with Dr. Henry and his awesome staff! - 10/07/16
  • Excellent care and service! I would highly recommend Dr Henry and his staff! - 09/14/16
  • Mark is great and so is Luis (I would give Luis a raise!!) - 09/27/16
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  • Great center with friendly staff and very competent physician. I would definitely recommend to others. - 10/20/16
  • I was very pleased with the entire process from first visit to last visit - 09/08/16
  • 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
  • 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
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  • 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
  • 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
  • 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
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  • 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
  • Awesome staff.. - 09/26/16
  • 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
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  • Thank you so much for all your support and help! I have benefited a lot from this facility! - 10/13/16

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