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.
 
OCCUPATIONAL MEDICINE


The Steps Involved
  • Returning to Work
  • Maximum Medical Improvement
  • Impairment Rating
  • Functional Capacity Evaluation
The People Involved
  • Adjusters
  • Case Managers
  • Safety Officers
  • Occupational Doctors and Nurses
  • The Treating Doctor
Returning to Work

Our goal is to rehabilitate patients well enough to allow them to return to a productive earning capacity for themselves and their families. Some patients will be able to return to their original jobs. Other patients may require vocational retraining or the assistance of the Texas Rehabilitation Commission. At the end of each office visit the doctor must fill out a work status form putting the patient either off work, on restricted duty, or back to full duty. The choice of work status is based foremost on what is safe for the patient's medical condition, but in most cases some form of work is possible even if it is only clerical. One exception to this general rule is post-surgical patients who must be off work specifically to perform an intensive every-hour-on-the-hour motion therapy program to prevent permanent stiffness and loss of function. Otherwise, the work status is advanced as the patient's medical condition permits with a goal of reaching full duty status as soon as possible. Most injuries and surgeries set in motion a typical three month cycle of the body repairing itself with only strength and endurance conditioning remaining after that.

Maximum Medical Improvement

Maximum Medical Improvement (MMI) is a time that is reached near the end of treatment for work related injuries. The doctor usually declares that MMI has been reached when there is no surgery planned, the therapy techniques are not going to be changed, and the tissues are not expected to heal any further. MMI does not mean that the patient is expected to feel fully cured, and patients may still have a number of symptoms.

Impairment Rating

The impairment rating is a required process at the end of treatment for some work related conditions. The rating is a percentage number. The number is meant to measure how much the worker as a whole person has been permanently damaged by the result of the medical condition. The rating does not measure symptoms such as pain; it only counts abnormalities in the patient that can be physically measured with numbers. These numbers come strictly from a national set of charts and tables published by the American Medical Association and cannot be influenced in any way by your doctor or therapist.

Functional Capacity Evaluation

A functional capacity evaluation (FCE) is a test of the patient's capabilities to do specific types of movements using various amounts of force for periods of time. After the FCE is completed, a report is generated on how well the patient performed. This report is useful as a guide to help the doctor and employer determine what type of work activities the patient may be capable of doing at that moment in time. An FCE is usually performed at the beginning and end of a conditioning program.

Adjusters

The adjuster is a person employed by the insurance company who is responsible for overseeing that the proper care is given to an injured worker. The adjuster also monitors the patient's work status and follows the rules set by the Texas Workers Compensation Commission. If the adjuster is concerned about something, he or she has the authority to send the patient to another doctor for a one time required medical examination or a second opinion regarding the ongoing treatment. The adjuster also has the authority to deny certain aspects of the treatment that do not relate directly to the specific condition being treated. Workers' compensation medicine is different than group health coverage. Only specific body areas or conditions are authorized for treatment. Even if other problems exist, they cannot be addressed under the work related insurance plan.

Case Managers

The case manager is a representative assigned to the patient to ensure that the appropriate care is given. The workers' compensation system is confusing to many patients. Case managers are able to answer many but not all questions. They help in the transition back to work, in vocational rehabilitation decisions, and in coordination of various diagnostic and treatment services.

Safety Officers

Safety officers work to prevent injuries form occurring in the first place. When an injury does occur, the safety officer ensures that the worker receives prompt and complete medical attention. Once treatment for the injury is underway, the safety officer will coordinate with the doctor to determine a safe job position for the worker to return to at each stage of healing.

Occupational Doctors and Nurses

Occupational doctors and nurses are experts in occupational injuries and conditions. They are often both the first and the last medical professionals to treat the patient. They have an excellent understanding of how the stresses of the job duties interact with the healing of the medical condition. They give valuable guidance to the surgeon in determining a safe work status and in the timing of return to work.

The Treating Doctor

Each patient in the workers' compensation system must have an assigned treating doctor after 60 days. The treating doctor can be changed later by filling out a form for approval by the commission. The treating doctor is ultimately in charge of determining work status, maximum medical improvement, the impairment rating, and what treatments will be administered or withheld. The surgeon will not always be the treating doctor.
 
 
 
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  • 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
  • outstanding knowledge and gets you into the hospital if needed the same. - 02/09/18
  • Dr. Henry gave me my wrist back!!! Thank you Dr. Henry!!! - 07/10/17
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • I am really happy with my experience. I always knew what was going on and over time got to know the staff based on how many times I've been here. Most importantly, I feel I got the right treatment for my injury. - 10/19/17
  • 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
  • Awesome experience. Luis rocks! - 04/06/17
  • Dr. Henry was very informative about the treatment and staff was pleasant. - 01/11/18
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • With the severity of my injury I am amazed at how functional my wrist is with the amazing team work shown at the office. From the very start the service and care have been outstanding!! I can't thank everyone enough! - 02/23/18
  • thank you - 10/16/17
  • very good team work, best clinic - 06/21/17
  • Dr. Henry did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • Love the Doctor and his staff. - 02/08/17
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • 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
  • Very happy I came here for the surgery, etc. - 06/09/17
  • Dr. Henry and his staff are amazing! I was able to get an urgent new patient appointment immediately with surgery that same afternoon. Dr. Henry does an excellent and thorough job explaining my injury and the healing process. Very impressed with his plan of early mobility and physical therapy, which helped restore my function back to normal within 8 weeks of surgery. I would 100% recommend Dr. Henry and his staff! Very pleased and grateful for his help. - 03/23/18
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • Great work. - 02/03/17
  • This was my last visit and I'll miss y'all. - 03/29/17
  • Thank you for repairing my injury and being kind in the process. - 01/10/18
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • Great staff. - 05/02/17
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • the whole group was very good, I had an excellent experience. - 11/09/17
  • very confortable,Dr. Henrry very professional and very friendly staff - 12/05/17
  • thank you for helping me - 02/03/17
  • I couldn't be more pleased with the level of service I received while in Dr. Henry's care. The level of detail in which my injury was explained and resolved, and the level of competency that was displayed throughout the healing was truly outstanding. - 01/30/18
  • Great staff and speedy process! - 04/14/17
  • best place for treatment of hand and wrist problems. Dr. Henry was recommended to me by a friend who is a medical care professional. - 10/06/17
  • :) - 06/01/17
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • Outstanding service and results - 10/30/17
  • every body was excelent - 01/09/18
  • 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
  • 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
  • The staff is nice and everyone is up on the treatment. I feel confident that I am getting the best care and am glad I came here. - 10/30/17
  • some of the most friendly staff and the doctor always explained the information in a manner in which I could understand which always made it very helpful. will definitely recommend this location to family and friends. - 05/31/17
  • Dr. Henry was able to salvage my hand to make it usable again. I have already sent my Father here and he no longer has any pain in his wrist. - 11/13/17
  • love the circus de sole dvd. everything was amazing. rehab was the best too. - 02/23/18
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17
  • Great Appoitnment - 05/11/17
  • The staffs here was GREAT!!!! - 06/21/17
  • excellent! dr & staff! - 06/14/17
  • 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
  • I was very impressed with how I was treated by the doctor as well as the Medical assistant. All my questioned were answered and I was treated with care and respect. Luis was Awesome! Doctor Henry was very informative. I will recommend him to friends and family - 06/09/17
  • 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 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
  • Very nice staff and surgeon. Thumb looks good now after surgery, hopefully thumb continues to heal and stays healed. Thank you - 01/30/18
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • all excellent care - 07/12/17
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • joel was also my assistant but everything was great - 03/07/17
  • The doctor and staff are the best I have ever had. Very professionalism at its best. - 11/15/17
  • no complaints hand is coming along very well - 11/06/17
  • I have loved coming here and felt very welcomed by everyone! Thank you so much for all you do! - 03/10/17
  • great job! - 03/20/17
  • Very professional - 03/30/17
  • always outstanding service! - 04/12/17
  • Had a wonderful experience overall. Breaking my arm was tough but the staff here was always very, kind and helpful. Especially Dr. Henry, Mary, Karen, Luis, Joel, Teresa and David. I'll miss them all but hopeful won't have to see them any time soon :)Thank you! - 05/04/17
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • 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 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
  • Thank you! - 03/08/17
  • 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
  • every thing was really great - 10/19/17
  • The staff and the Dr. are very helpful and understanding .I have not yet seen a better staff like this office . I will recommend any one here . - 11/06/17
  • Everyone was kind and efficient. All things were clearly explained to me and I felt confident in doing my dressings. - 03/03/17
  • an experience beyond expectation - 10/06/17
  • All the staff and Doctor Henry were great! - 05/01/17
  • dr henry does an excellent job of explaining the problem and solution, seems extremely competent - 02/07/18
  • I feel very confident in Dr Henry and the direction I am headed. - 03/10/17
  • Dr. Mark Henry is a true healer; the finest most competent doctor I've ever encountered. I am forever grateful to Dr. Henry and the entire staff for saving my finger and facilitating my complete recovery with grace and seriousness of intent. Thank you. - 01/10/18
  • :) - 05/11/17
  • Great Doctor and staff. Luis is a wonderful asset to the staff - 12/18/17
  • Really appreciate the education and insight related to my wrist and future athletic training - 05/31/17
  • thank you, you all were very helpful - 03/03/17
  • Very efficient practice - 10/19/17
  • very impressed with the whole experience. - 02/28/17










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