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Non-Acute Work Injury

Non-Acute Work Injury treatment: Dallas Fort Worth Hand Surgeons explain options

Dallas Plastic and Hand Surgeons Dr. David and Solomon Azouz review non-acute work injury:
symptoms, surgical, non-surgical treatment, cost, insurance, and recovery.

Work Injury Treatment (Non-Acute) – Dallas Plastic Surgeon Dr. Azouz treats a variety of work injuries which are both elective non-acute injuries and acute traumatic injuries. A non-acute work injury refers to an injury that occurs at work either once or as the result of a repetitive injury but does not necessarily require care on an emergency basis.  Common non-emergent injuries include carpal tunnel syndrome, ganglion cyst, trigger finger, De Quervain’s tenosynovitis, tendonitis, Guyon’s canal syndrome, cubital tunnel syndrome, wrist sprains or strains, and non-displaced hand or finger fractures. In cases of acute injuries such as tendon laceration (flexor or extensor), Nail bed injury, hand and finger fractures Dr. Azouz is commonly able to arrange same-day or next-day care at a variety of hospitals and emergency rooms. 

For non-urgent work injuries, Dr. Azouz is able to work with referring physicians, employers, adjusters, nurse case managers, and patients to arrange pre-authorization to diagnose and treat work injuries.

Common non-acute work injuries: Acute traumatic injuries include lacerations, hand fractures, cut tendons arteries, and nerves, puncture injuries, and nail bed lacerations.

Symptoms of nerve compression such as cubital tunnel, Guyon’s canal, or carpal tunnel syndrome include: Numbness in the hand or finger. Sharp pains with an “electric shock” sensation or feeling of “pins and needles”.

Symptoms of a ganglion cyst include: History of a wrist or finger strain with a resultant soft mass.

Symptoms of tendonitis: Inability to flex (flexor tendon laceration) or extend (extensor tendon laceration) the thumb, finger, or wrist properly.

Symptoms of a wrist or finger sprain/strain: Bruising or swelling of the finger or wrist, pain, and poor range of motion of the wrist or finger.

Symptoms of a non-displaced hand fracture include: Bruising, swelling, and pain in the fingers, hand, and wrist.

Non Emergency Work Injury Surgery

Surgery for a non-emergency work injury can be arranged at a variety of hospitals throughout the Dallas, Fort Worth, and Plano areas.  Dr. Azouz is able to coordinate the approval of surgery with worker’s compensation carriers, adjusters, physicians, and nurse case managers.

Work Injury

It is critical for patients with hand injuries from work to follow up at post-operative appointments. In the post-operative appointment, Dr. Azouz will arrange hand therapy as necessary. Dr. Azouz will guide the return to work and his office arranges paperwork for the patient’s company or employer.

Frequently asked questions

Work Injury treatment cost

The Texas Workers compensation board provides guidelines for insurance companies to provide care to injured workers. Dr. Azouz’s office works closely with adjusters, insurance companies and patients to arrange visits and surgery for work injuries. With workers compensation in Texas the patient is not responsible for bills related to a work injury. Dr. Azouz is able to coordinate with companies who are texas workers compensation insurance nonsubscribers or wish to provide care to their patients with non-insurance out of pocket pricing.

Non Work Injuries

If the condition is diagnosed early, nonsurgical methods may help improve Work Injury Non-Surgical Treatment syndrome, including:

Wrist splinting:

A splint that holds your wrist still while you sleep can help relieve nighttime symptoms of tingling and numbness. Nighttime splinting may be a good option if you’re pregnant. Dr. Azouz will avoid operating during pregnancy if at all possible.

Nonsteroidal anti-inflammatory drugs (NSAIDs):

NSAIDs, such as ibuprofen (Advil, Motrin IB, others), may help relieve pain from carpal tunnel syndrome in the short term but do not change the anatomy of a compressed Work Injury Non-Surgical Treatment.


There is no evidence that steroid injections or oral steroids improve Work Injury Non-Surgical Treatment permanently. A steroid injection can temporarily improve carpal tunnel syndrome and can be diagnostic. Steroid injections are some times ultrasound-guided.

Corticosteroids decrease inflammation and swelling, which relieves pressure on the median nerve. Oral corticosteroids aren’t considered as effective as corticosteroid injections for temporarily treating or diagnosing Work Injury Non-Surgical Treatmentsyndrome.

If Work Injury Non-Surgical Treatment syndrome is caused by rheumatoid arthritis or other inflammatory arthritis, then treating arthritis may reduce symptoms of Work Injury Non-Surgical Treatment syndrome. However, Work Injury Non-Surgical Treatment syndrome is an anatomic problem as an anatomic problem surgery remains the gold standard (best) for treatment.

Surgical Management

Surgery is the gold standard (best) for treatment and is definitive in treating median nerve compression (Work Injury Non-Surgical Treatment Syndrome).

Dr. Azouz Locations

Dr. Azouz has privileges at a variety of hospitals and emergency rooms throughout the DFW metroplex including Dallas, Fort Worth, Richardson, Plano, Flower Mound, Addison. Patients frequently travel to see Dr. Azouz from Frisco, Allen, Mckinney, Arlington and Rockwall. It is not uncommon for patients to even travel from across Texas including East Texas (Tyler, longview), West Texas (midland odessa) and central Texas (waco, austin) to see Dr. Azouz.

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