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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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  • Everyone was great and very helpful. Our family really appreciates the medical attention my son received from his injury. Thank you so much. - 11/01/16
  • Very pleased with the staff and Dr Henry during my treatment. - 12/15/16
  • thank you for all you have done! I recommend you foranyone that is having any problems via hand wrist. Amazing surgon and doctor!!! - 02/01/17
  • 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
  • Dr. Henry did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • Thank you so much for all your support and help! I have benefited a lot from this facility! - 10/13/16
  • 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
  • always outstanding service! - 04/12/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • The staff was great. David was very helpful with my surgery scheduling and questions. Luis was fabulous when I needed help with changing my dressing. Joel was nice helping me with the undoing of the dressing. Great group to be a patient of. - 12/13/16
  • Very pleased with the staff and Dr. Henry. Would highly recommend Dr. Henry to my family and friends in the future. Love this place!!! - 09/07/16
  • This was only a consult, but I felt that I was leaving with enough information and a plan on the next step needing to be taken. - 09/26/16
  • I have loved coming here and felt very welcomed by everyone! Thank you so much for all you do! - 03/10/17
  • Thank you! - 03/08/17
  • Awesome staff.. - 09/26/16
  • Wonderful work no issues - 11/17/16
  • Very knowledgeable about the possible procedures the could be preformed! Dr. Henry is a very honest person and I appreciate that in a man more than anything. He gave me truth and not what I wanted to hear! Thanks - 04/04/17
  • This was my last visit and I'll miss y'all. - 03/29/17
  • 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
  • Staff exceptional and Dr. Henry is as well. - 11/15/16
  • Thank you for the hard work and excellent care. If ever I need this type of care again I will be knocking on your door. I've already recommended your services to others. Thanks Again! - 03/07/17
  • Great staff and speedy process! - 04/14/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • The doctor was very informative and provided me with a solution quickly and I really appreciate that in this day and age. This is an awesome institution. - 03/02/17
  • Great center with friendly staff and very competent physician. I would definitely recommend to others. - 10/20/16
  • Everyone is always nice - 12/14/16
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • Very pleased with everyone and the procedures I have had done with Dr. Henry and his staff. - 12/28/16
  • Staff is always friendly and helpful. I will definitely recommend this office. Dr. Henry is a very skilled surgeon and went out of his way to make sure I understood my procedure and the rehabilitation process. - 03/24/17
  • I have enjoyed this facility and Dr. Henry has been more than helplful. All questions answered, as well as answers I didn't even know I had! The staff is always helpful. - 03/03/17
  • Amazing Doctor and staff. - 11/16/16
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • thank you - 02/09/17
  • Great staff, Great Doctor, Great surgery, recovery, and follow up. Thank you for the time and attention with helping me through the entire process. I felt very comfortable and safe with the entire process. - 02/10/17
  • Excellent treatment by the physician and friendly service by the staff. Will definitely recommend to friends and family. - 09/12/16
  • I feel very confident in Dr Henry and the direction I am headed. - 03/10/17
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • I was very pleased with the entire process from first visit to last visit - 09/08/16
  • thank you, you all were very helpful - 03/03/17
  • ;) - 09/08/16
  • great - 10/06/16
  • Everyone was kind and efficient. All things were clearly explained to me and I felt confident in doing my dressings. - 03/03/17
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • great job! - 03/20/17
  • Dr. Henry has the best verbal skills I have witness on a physician; and, I have been a physician myself for decades! - 12/01/16
  • Great friendly staff - 10/28/16
  • Luis and all the staff have been great each time I've come in. - 09/22/16
  • Awesome as always! - 10/11/16
  • Amazing services and results. Unique experience - 10/31/16
  • Great detailed information. - 11/03/16
  • Luis was great as well. - 01/04/17
  • Amazing people. Luis, Joel and Teresa, and Dr. Henry... I appreciate all of you. Your staff is outstanding. - 09/14/16
  • I enjoyed my visit - 11/14/16
  • I have enjoyed this facility and Dr. Henry has been more than helplful. All questions answered, as well as answers I didn't even know I had! The staff is always helpful. - 03/03/17
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • I have never doubted I was in the best possible hands here. I cannot correctly express my gratitude. Thank you all very, very much for everything you've done for me. - 11/09/16
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • 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
  • only wish I would have come here before having surgery done elsewhere. - 11/30/16
  • thank you for helping me - 02/03/17
  • very impressed with the whole experience. - 02/28/17
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • Always a pleasure working with Dr. Henry and his awesome staff! - 10/07/16
  • 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
  • very helpful staff - 01/16/17
  • I was impressed at how fast I was able to get an appointment. The staff was very helpful and the doctor was amazing! - 12/08/16
  • Excellent care and service! I would highly recommend Dr Henry and his staff! - 09/14/16
  • We have had the best experience here. The staff has always accommodated us and since Tyler is only 10, they always go out of their way to make sure we are comfortable. I have and will continue to recommend Dr. Henry and his staff to anyone I know. Thanks! - 02/28/17
  • 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
  • Mark is great and so is Luis (I would give Luis a raise!!) - 09/27/16
  • Love the Doctor and his staff. - 02/08/17
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17
  • Thank you for the help. - 11/10/16
  • Everyone here has been awesome. We appreciate everything you all have done. thank you! - 12/05/16
  • 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
  • very good at explaining how I should take care of my thumbs and always answered any question I had regarding my health issue I was very pleased with my visit and the care I got at both visits - 03/07/17
  • David, Teresa, Luis, Joel, and Karen have all worked with me. They were all outstanding and I highly recommend them all. - 11/30/16
  • Very professional - 03/30/17
  • Awesome experience. Luis rocks! - 04/06/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • joel was also my assistant but everything was great - 03/07/17
  • Great work. - 02/03/17
  • The entire team at the Hand and Wrist Center is outstanding. They made the recovery so smooth and comforting from the courteous receptionists, excellent occupational therapist, attentive medical assistants, and brilliant doctor. Thank you! - 03/31/17










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