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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  • great service thanks soooooooo much - 09/30/14
  • Love the Dr and the staff and I do refer everyone that has any complaint about their hands to come see Dr Henry because he is the best in Texas. I even had my mother come here after another "Dr." screwed up her hand. - 07/23/14
  • Thanks - 02/20/15
  • DR Henry and staff have done a great job to get me back on track.Thank you. - 07/16/14
  • dr and staff r kick ass in helping me get my hand better thanks guys!!! - 07/10/14
  • best doctors office - 03/06/15
  • The Dr took my appointment last minute. I'm very appreciative of that. - 03/04/14
  • Great Doc - 08/11/14
  • I enjoy the decore and the attention and the young lady that sits in the front is very proffesional !!!! - 05/15/14
  • Thanks for spending the time to answer many complex questions. - 05/19/14
  • This was the most professional, responsive and ethical evaluation I have received during my 63 years of receiving physician evaluations. - 05/28/14
  • 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
  • Wish I would have come to Dr. Henry years ago! Staff courteous and helpful. - 04/14/14
  • A pleasant experience considering the reason for the visit. Couldnt be better - 11/12/14
  • This is the best of the BEST! - 01/08/14
  • So glad to have my hand problem diagnosed and solved. Thank you so much. Great outcome. - 02/06/15
  • Dr. Henry is an incredible surgeon and would recommend to anyone. His staff (David in particular) was very helpful and made sure I got what I needed. - 05/23/14
  • Awesome facility and staff! - 02/06/15
  • Felt informed and heard. - 06/06/14
  • WE were highly satisfied with the service we received and the friendliness of the entire staff! Thank you!! - 05/09/14
  • Thanks to the staff and Dr. Henry for being so helpful and attentive through the healing process. - 06/13/14
  • As long as he is here i will come to him and even if he move i will follow him and everyone in the office was nice - 05/19/14
  • He was so thouough and knowledgeable and detailed!! Looking forward to getting this taken care of. Thanks. - 07/18/14
  • Overall, my association with the office was a very good experience. - 04/29/14
  • I loved the service that I received at this facility. - 06/03/14
  • Awesome as always. - 05/27/14
  • I feel privileged to live where I can easily come to such a competent doctor. - 07/16/14
  • Luis, Joel, Teresa and all the staff were very professional and helped me when needed. They are all an asset to your staff. - 08/14/14
  • Very thoughough in his examination of my issue and in the explanation of the possible causes. - 07/02/14
  • outstanding experience. - 06/03/14
  • Great Job. I have full confidence in Dr. Henry'a ability to diagnose and take care adequately of the problems on my left hand. - 06/26/14
  • thanks for getting her in so quickly - 05/21/14
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  • Outstanding experience!!! - 09/19/14
  • I've been treated great by the staf. I think you'll are angels from heaven. - 12/18/14
  • This has been a life changing experience! Thank You Dr. Henry. - 08/27/14
  • My first visit was wonderful, and every staff member that I encountered was extremely helpful. - 05/16/14
  • awesome service and treatment. facility was very nice too - 06/24/14
  • Outstanding healthcare staff !!! - 05/19/14
  • 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
  • Very impressed with this entire operation and how smoothly everything ran. - 06/18/14
  • 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 pleased with doctor & staff. - 10/14/14
  • Very good staff and and excellent Dr. I would recommend this office to friends and family. - 06/06/14
  • Thank you all for everything you do! Keep up the good work. - 07/21/14
  • 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
  • could not be better - 02/19/14
  • outstanding. - 07/09/14
  • The staff is wonderful and Dr. Henry is amazing. - 03/31/15
  • love the place and doc!!! - 07/10/14
  • Great staff, good attitudes. everyone was helpful - 09/29/14
  • Always looking forward to visits, medical assistants and doctor care a lot about their patients! - 07/25/14
  • I cannot say enouhg good things about this place. Thank you all so much!!! - 06/06/14
  • I would recommend Dr. Henry and his staff. - 09/22/14
  • Spot on diagnosis. 90 days later back to doing everything as promised. - 08/20/14
  • I took some of your cards for my colleagues as well. very pleased. - 07/16/14
  • Great Job - 06/09/14
  • This was a rare experience - service that was exceedingly competent, and exceedeingly considerate. A combination of the two = grateful patient. Thank you! - 08/15/14
  • the servcie provided was great. some wait time improvements. overall a good experinece. Thank you - 07/11/14
  • I've come here for two separate injuries & have been treated with kindness & respect both times. - 05/08/14
  • everyone VERY Professional! - 08/21/14
  • Outstanding care throughout my surgery treatment and followup care - 04/14/14
  • very prfessional, put my needs and health above everything else! - 08/12/14
  • very professional staff and services - 05/19/14
  • Dr. Henry explained the options in much more detail than the initial orthopedic hand specialist. His questioning, examination, and explantion of my condition was very thorough. - 05/30/14
  • Absolutely would reccommend Dr. Henry and staff!Thank you! - 07/30/14
  • All of the medical assistants have been extremely outstanding during my care. - 05/20/14
  • The doctor spoke to me with a genuine concern and I was able to understand options for treatment. - 06/03/14
  • Dr Henry saved my broken hand. David and Lois were amazing. Thank you all so much for fixing my hand. - 06/06/14
  • felt confident on the treatment and the outcome of the results - 07/16/14
  • good - 02/25/15
  • I don't like the diagnosis but that's not Dr. Henry's fault. - 06/06/14
  • they exolain everything and are very helpful thnks alot. - 11/14/14
  • If there was a category over outstanding I would have checked that one! - 03/07/14
  • Karen was Outstanding!! - 11/24/14
  • Very outstanding - 06/25/14
  • THE DOCTOR EXPLAINED AND MADE SURE YOU HAD AN UNDERSTANDING OF WHAT WAS HAPPENING. - 10/02/14
  • The facifility was able to get me in right away for what seemed liked a minor issue that ultimately required surgery that was done the same day (no waiting). - 09/22/14
  • I feel the doctor gave honest and very professional assessment. - 07/23/14
  • Dr. Henry, as in the past, engendered my confidence and gave me peace of mind as a result of his exam and explanation. - 04/22/14
  • I look forward to healing. Thank You Doctor and Staff. - 02/20/14
  • The care and treatment was exceptional. Staff was always friendly, and helpful. Could not have asked for a more satisfactory medical experience! - 10/31/14
  • good job! - 05/28/14
  • efficient not hurried helpful - 05/19/14
  • great job to all keep it up,wish more offices were like you all... - 12/01/14
  • I AM SO GLAD I CHOSE THIS DR HE IS GREAT AND SO IS ALL STAFF MEMBERS - 04/18/14
  • Awesome as always :) - 02/24/14
  • Doc and staff were awesome!! Thanks a lot. - 02/03/15
  • the office was grate! - 05/08/14
  • Most professional and helpful for a first fracture in my life at 60 years old. Loved all staff and therapy. Thanks - 02/25/14
  • love the friendliness and efficiency of the office - 02/11/15
  • Thanks for saving my wrist! I'm Forever greatful. - 05/23/14
  • Both of my experiences here with Dr. Henry and his staff have been awesome. I appreciate him giving me my life back. Thank you Dr. Henry - 11/03/14
  • All medical staff prior to todays visit have been exceptional. Very friendly and helpful in all areas. - 07/10/14
  • Great staff! - 07/23/14
  • really glad i chose to come here, every aspect of service was great - 04/01/14
  • Great job! - 07/11/14
  • everyone is very professional - 05/23/14
  • Dr. Henry provided good clear explanations of my condition and answered all of my questions. - 08/01/14
  • great place was in and out. - 07/11/14
  • very pleasant experience thanks for your help. - 12/16/14
  • David and Luis were also very professional and helpful - 07/11/14
  • Teresa was very professional. - 07/15/14
  • Great care! Would highly recommend - 09/19/14
  • Great difference from my first doctor. Everything was better. My pain has subsided and I am well aware of the possibility of my recovery being okay. - 07/16/14
  • Overall this is a top 10% medical experience (perhaps top 1%) - 05/27/14
  • I enjoy the decore and the attention and the young lady that sits in the front is very proffesional !!!! - 05/15/14










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