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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  • Karen was Outstanding!! - 11/24/14
  • Very good experience and immediate treatment. - 05/27/15
  • Always looking forward to visits, medical assistants and doctor care a lot about their patients! - 07/25/14
  • Dr. Henry provided good clear explanations of my condition and answered all of my questions. - 08/01/14
  • Thank y'all so much. Looks like im healing well... - 05/21/15
  • This has been a life changing experience! Thank You Dr. Henry. - 08/27/14
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  • Outstanding experience!!! - 09/19/14
  • they exolain everything and are very helpful thnks alot. - 11/14/14
  • Very impressed with this entire operation and how smoothly everything ran. - 06/18/14
  • The doctor spoke to me with a genuine concern and I was able to understand options for treatment. - 06/03/14
  • Very pleased with doctor & staff. - 10/14/14
  • everyone VERY Professional! - 08/21/14
  • Dr. Henry has been has done an excellent job getting my finger back in shape. The staff has been very helpful and attentive to my needs during this recovery. - 07/16/14
  • Absolutely would reccommend Dr. Henry and staff!Thank you! - 07/30/14
  • 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
  • Very good staff and and excellent Dr. I would recommend this office to friends and family. - 06/06/14
  • He was so thouough and knowledgeable and detailed!! Looking forward to getting this taken care of. Thanks. - 07/18/14
  • Spot on diagnosis. 90 days later back to doing everything as promised. - 08/20/14
  • dr and staff r kick ass in helping me get my hand better thanks guys!!! - 07/10/14
  • Thank you all for everything you do! Keep up the good work. - 07/21/14
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  • I would recommend Dr. Henry and his staff. - 09/22/14
  • Felt informed and heard. - 06/06/14
  • David and Luis were also very professional and helpful - 07/11/14
  • 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
  • great place was in and out. - 07/11/14
  • 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
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  • good - 02/25/15
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  • Dr Henry saved my broken hand. David and Lois were amazing. Thank you all so much for fixing my hand. - 06/06/14
  • Thank you for your professionalism - 05/20/15
  • All medical staff prior to todays visit have been exceptional. Very friendly and helpful in all areas. - 07/10/14
  • 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
  • I took some of your cards for my colleagues as well. very pleased. - 07/16/14
  • I don't like the diagnosis but that's not Dr. Henry's fault. - 06/06/14
  • I loved the service that I received at this facility. - 06/03/14
  • 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
  • Great facility and people - 05/28/15
  • great job to all keep it up,wish more offices were like you all... - 12/01/14
  • DR Henry and staff have done a great job to get me back on track.Thank you. - 07/16/14
  • Great care! Would highly recommend - 09/19/14
  • Thanks to the staff and Dr. Henry for being so helpful and attentive through the healing process. - 06/13/14
  • Great staff, good attitudes. everyone was helpful - 09/29/14
  • I feel privileged to live where I can easily come to such a competent doctor. - 07/16/14
  • 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
  • THE DOCTOR EXPLAINED AND MADE SURE YOU HAD AN UNDERSTANDING OF WHAT WAS HAPPENING. - 10/02/14
  • A pleasant experience considering the reason for the visit. Couldnt be better - 11/12/14
  • the servcie provided was great. some wait time improvements. overall a good experinece. Thank you - 07/11/14
  • awesome service and treatment. facility was very nice too - 06/24/14
  • Doc and staff were awesome!! Thanks a lot. - 02/03/15
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  • Thanks - 02/20/15
  • love the friendliness and efficiency of the office - 02/11/15
  • outstanding. - 07/09/14
  • Teresa was very professional. - 07/15/14
  • felt confident on the treatment and the outcome of the results - 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
  • It feels nice to be in a big Dr. office and still have that small town feeling. Thank you very much!! - 05/28/15
  • Great Doc - 08/11/14
  • Very thoughough in his examination of my issue and in the explanation of the possible causes. - 07/02/14
  • very prfessional, put my needs and health above everything else! - 08/12/14
  • I feel taken care of - 05/27/15
  • very pleasant experience thanks for your help. - 12/16/14
  • 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
  • Had a great experience here with both Doctor and staff. Very friendly and professional. - 04/30/15
  • Great job! - 07/11/14
  • best doctors office - 03/06/15
  • Great Job - 06/09/14
  • 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
  • great customer service!! - 04/29/15










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