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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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  • Outstanding customer service! I would highly recommend this office to famly/friends. - 06/08/15
  • 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 pleasant experience thanks for your help. - 12/16/14
  • Had a great experience here with both Doctor and staff. Very friendly and professional. - 04/30/15
  • great place was in and out. - 07/11/14
  • great job to all keep it up,wish more offices were like you all... - 12/01/14
  • It feels nice to be in a big Dr. office and still have that small town feeling. Thank you very much!! - 05/28/15
  • I would recommend Dr. Henry and his staff. - 09/22/14
  • felt confident on the treatment and the outcome of the results - 07/16/14
  • Always looking forward to visits, medical assistants and doctor care a lot about their patients! - 07/25/14
  • great service thanks soooooooo much - 09/30/14
  • Thank you for your professionalism - 05/20/15
  • awesome service and treatment. facility was very nice too - 06/24/14
  • best doctors office - 03/06/15
  • Great job! - 07/11/14
  • Thank you. - 06/11/15
  • This has been a life changing experience! Thank You Dr. Henry. - 08/27/14
  • Great Job! - 06/03/15
  • So glad to have my hand problem diagnosed and solved. Thank you so much. Great outcome. - 02/06/15
  • The entire staff has been more than amazing through this process, I will for sure refer you all. - 06/12/15
  • everyone VERY Professional! - 08/21/14
  • Fantastic Doctor and Staff. I would highly recommend (and often do) refer others to this clinic. Thanks for everything!!! - 07/17/15
  • Have always had a good experience here. I have never had to wait more than 5 min in the waiting room nor more than 5 min in the exam room. Received surgery the same day as I was diagnosed. Best experience with a doctor's office ever! - 08/06/15
  • outstanding. - 07/09/14
  • Awesome facility and staff! - 02/06/15
  • Very thoughough in his examination of my issue and in the explanation of the possible causes. - 07/02/14
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  • A pleasant experience considering the reason for the visit. Couldnt be better - 11/12/14
  • Spot on diagnosis. 90 days later back to doing everything as promised. - 08/20/14
  • 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
  • Thank you! - 05/29/15
  • good - 02/25/15
  • Very impressed with this entire operation and how smoothly everything ran. - 06/18/14
  • Outstanding. Keep up the excellent work. - 05/19/15
  • Thank y'all so much. Looks like im healing well... - 05/21/15
  • Dr. Henry provided good clear explanations of my condition and answered all of my questions. - 08/01/14
  • First visit. Very impressed and very comfortable with wound management decisions. - 06/08/15
  • Great Job - 06/09/14
  • I took some of your cards for my colleagues as well. very pleased. - 07/16/14
  • I cannot say enouhg good things about this place. Thank you all so much!!! - 06/06/14
  • Karen was Outstanding!! - 11/24/14
  • very impressed with the time and care given to me by the doctor and Karen. They each made me feel like I was of their utmost importance! - 06/08/15
  • The doctor spoke to me with a genuine concern and I was able to understand options for treatment. - 06/03/14
  • great customer service!! - 04/29/15
  • Great facility and people - 05/28/15
  • Very outstanding - 06/25/14
  • 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
  • Very good experience and immediate treatment. - 05/27/15
  • Felt informed and heard. - 06/06/14
  • the servcie provided was great. some wait time improvements. overall a good experinece. Thank you - 07/11/14
  • Outstanding experience!!! - 09/19/14
  • Absolutely would reccommend Dr. Henry and staff!Thank you! - 07/30/14
  • The staff is wonderful and Dr. Henry is amazing. - 03/31/15
  • DR Henry and staff have done a great job to get me back on track.Thank you. - 07/16/14
  • I continue to be exceptionally pleased with the doctor and staff at this clinic. Thank you for your professionalism and friendliness. - 05/29/15
  • Great staff, good attitudes. everyone was helpful - 09/29/14
  • Dr Henry saved my broken hand. David and Lois were amazing. Thank you all so much for fixing my hand. - 06/06/14
  • 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
  • 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
  • they exolain everything and are very helpful thnks alot. - 11/14/14
  • I feel privileged to live where I can easily come to such a competent doctor. - 07/16/14
  • Great Doctor. - 05/29/15
  • I don't like the diagnosis but that's not Dr. Henry's fault. - 06/06/14
  • 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 good staff and and excellent Dr. I would recommend this office to friends and family. - 06/06/14
  • dr and staff r kick ass in helping me get my hand better thanks guys!!! - 07/10/14
  • I feel taken care of - 05/27/15
  • David and Luis were also very professional and helpful - 07/11/14
  • I've been treated great by the staf. I think you'll are angels from heaven. - 12/18/14
  • Teresa was very professional. - 07/15/14
  • The staff was very professional and timely. I will recommend Hand and Wrist Clinic to family and friends. Thank you guys - 06/05/15
  • love the friendliness and efficiency of the office - 02/11/15
  • 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
  • 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
  • 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 feel the doctor gave honest and very professional assessment. - 07/23/14
  • Very pleased with doctor & staff. - 10/14/14
  • THE DOCTOR EXPLAINED AND MADE SURE YOU HAD AN UNDERSTANDING OF WHAT WAS HAPPENING. - 10/02/14
  • Thank you all for everything you do! Keep up the good work. - 07/21/14
  • Great Doc - 08/11/14
  • 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
  • He was so thouough and knowledgeable and detailed!! Looking forward to getting this taken care of. Thanks. - 07/18/14
  • 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
  • I am pleased we came to Dr. Henry for my sons long finger fracture. - 06/05/15
  • Doc and staff were awesome!! Thanks a lot. - 02/03/15
  • very prfessional, put my needs and health above everything else! - 08/12/14
  • All medical staff prior to todays visit have been exceptional. Very friendly and helpful in all areas. - 07/10/14
  • Thanks - 02/20/15
  • Thanks to the staff and Dr. Henry for being so helpful and attentive through the healing process. - 06/13/14
  • I loved the service that I received at this facility. - 06/03/14
  • Great visit, I am very pleased. - 07/21/15










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