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WRIST ARTHRITIS


WHAT YOU SHOULD KNOW

The term arthritis simply refers to the condition of a joint losing its smooth cartilage surface. When this happens the two bones that make up the joint begin to contact each other. This friction and grinding causes pain, swelling, stiffness and further cartilage loss. Osteoarthritis has no special cause other than use of the joint for many years throughout life. Other types of arthritis are special inflammatory conditions such as rheumatoid arthritis or post-traumatic damage to the joint causing arthritis.

MEDICAL HISTORY

The symptoms usually set in slowly over time. Eventually patients complain of lost function, pain, stiffness, swelling, weakness, and sometimes deformity. The doctor will ask questions to determine whether the arthritis is post-traumatic, osteoarthritis, or a special inflammatory arthritis.

EXAMINATION

The wrist joint is tested for range of motion, stability, alignment, and any grinding during movement.

ADDITIONAL TESTS: Plain x-rays show the degree of arthritis and any bone loss or erosion that may have happened.

TREATMENT OPTIONS

  NON-OPERATIVE SURGICAL WRIST JOINT ARTHROPLASTY SURGICAL PARTIAL WRIST FUSION SURGICAL TOTAL WRIST FUSION
CONSISTS OF Oral arthritis medications, cortisone joint injections Removal of 3 of the arthritis bones, allowing new contact surfaces Removal of 1 of the arthritic bones, fusion of the others Fusion of all the wrist bones
FEATURES Limited number of injections is allowed Outpatient surgery, early rehabilitation Outpatient surgery, screws hold the fused bones together Requires bone graft from the hip, plate and screws hold the fusion
ADVANTAGES Avoids surgery Better motion Some motion preserved, durable result Solid, durable, effective for any pattern of arthritis
DISADVANTAGESOnly treats the symptoms not the underlying bone contactTemporary weakness, only effective if cartilage remains on the large central wrist bone, result may worsen over timeLimited motion, need to fuse, pain relief may not be completeNo motion, plate implanted into body

RECOVERY

Sutures are removed in the office at 2 weeks. Splints are used for protection for the first 4 weeks. After this arthroplasty patients begin outpatient rehabilitation to increase motion and strength, a process that takes several months to develop. Fusions take between 8-10 weeks to unite solidly. After this time the outpatient rehabilitation begins. All patients are expected to use the wrist for everyday activities by just after 3 months from surgery. Strength and function continue to improve gradually over time.


  • Everyone here has been awesome. We appreciate everything you all have done. thank you! - 12/05/16
  • 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
  • Very pleased with everyone and the procedures I have had done with Dr. Henry and his staff. - 12/28/16
  • 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 friendly staff - 10/28/16
  • 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
  • Dr. Henry did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • Luis and all the staff have been great each time I've come in. - 09/22/16
  • This was my last visit and I'll miss y'all. - 03/29/17
  • Amazing services and results. Unique experience - 10/31/16
  • 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
  • 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
  • Awesome staff.. - 09/26/16
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • Thank you for the help. - 11/10/16
  • 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
  • I have loved coming here and felt very welcomed by everyone! Thank you so much for all you do! - 03/10/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • Excellent care and service! I would highly recommend Dr Henry and his staff! - 09/14/16
  • 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
  • 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
  • great job! - 03/20/17
  • Very pleased with the staff and Dr Henry during my treatment. - 12/15/16
  • I feel very confident in Dr Henry and the direction I am headed. - 03/10/17
  • 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
  • David, Teresa, Luis, Joel, and Karen have all worked with me. They were all outstanding and I highly recommend them all. - 11/30/16
  • Amazing Doctor and staff. - 11/16/16
  • 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
  • Everyone was kind and efficient. All things were clearly explained to me and I felt confident in doing my dressings. - 03/03/17
  • Wonderful work no issues - 11/17/16
  • Great center with friendly staff and very competent physician. I would definitely recommend to others. - 10/20/16
  • always outstanding service! - 04/12/17
  • 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
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • thank you - 02/09/17
  • thank you, you all were very helpful - 03/03/17
  • Great detailed information. - 11/03/16
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • 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
  • 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
  • Great work. - 02/03/17
  • 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
  • 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
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • 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
  • 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
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • 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
  • 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
  • thank you for helping me - 02/03/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • ;) - 09/08/16
  • very helpful staff - 01/16/17
  • joel was also my assistant but everything was great - 03/07/17
  • Mark is great and so is Luis (I would give Luis a raise!!) - 09/27/16
  • 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
  • Staff exceptional and Dr. Henry is as well. - 11/15/16
  • very impressed with the whole experience. - 02/28/17
  • Thank you so much for all your support and help! I have benefited a lot from this facility! - 10/13/16
  • Everyone is always nice - 12/14/16
  • 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
  • Very professional - 03/30/17
  • Thank you! - 03/08/17
  • I was very pleased with the entire process from first visit to last visit - 09/08/16
  • I enjoyed my visit - 11/14/16
  • 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
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • only wish I would have come here before having surgery done elsewhere. - 11/30/16
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • Excellent treatment by the physician and friendly service by the staff. Will definitely recommend to friends and family. - 09/12/16
  • 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
  • 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
  • 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
  • Great staff and speedy process! - 04/14/17
  • 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
  • Always a pleasure working with Dr. Henry and his awesome staff! - 10/07/16
  • Awesome experience. Luis rocks! - 04/06/17
  • Awesome as always! - 10/11/16
  • great - 10/06/16
  • 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










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