Our Team

The Brachial Plexus Clinic at Texas Children’s Hospital is comprised of plastic surgeons, orthopedic surgeons, physical medicine and rehabilitation physicians, and occupational therapists. The clinic is coordinated by an occupational therapist who has an advanced certification in hand therapy.

The radiology department provides specialized imaging to evaluate and aid in treatment of shoulder pathology.

Examples of this include:

  • Ultrasound to monitor shoulder integrity in infants, which allows early detection of shoulder pathology for preventative, conservative management and can avoid invasive surgical procedures
  • Ultrasound guided Botox, closed reduction, and casting of the shoulder where PM&R, Radiology, and Orthopedic Surgery all collaborate to treat early humeral head posterior dislocation in young children to avoid more invasive open surgery
  • Intra-operative, evoked potential monitoring to aid in surgical decision making for primary nerve surgery in infants with significant brachial plexus birth palsies 

The therapy team provides evidenced-based evaluation and treatment of children diagnosed with brachial plexus birth palsy.

This includes:

  • AMS (active movement scale)
  • Goniometric measurement of active/passive range of motion
  • Mallet Classification for older children
  • AHA (Assisting Hand Assessment)
    • (Video Assessment of Upper Extremity Function) - Not common for this to be offered within the clinic setting
  • Orthosis fabrication at the time of clinic. This includes the SupER splint, which we fabricate to prevent humeral head posterior dislocation in infants who are developing shoulder contracture
  • Being able to meet all immediate care needs in one appointment sets us apart from a typical clinic appointment

Brachial Plexus Clinic Coordinator

I am an occupational therapist with an advanced certification in hand therapy and also serve as the brachial plexus clinic coordinator. I have spent my career treating pathology of the upper extremity with the majority of time being spent in pediatrics. I am continually impressed with the…
Phone: 832-822-6378

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Plastic Surgery

Dr. Pederson received his medical degree from Southwestern Medical School in Dallas, Texas. He completed his general surgery residency at the University of Texas Health Science Center at San Antonio, and his Plastic Surgery residency at Duke University Medical Center in Durham, North Carolina. He…
Phone: 832-822-3180

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As a father to two children, I strive to provide high quality care and empathy to patients. It was not too long ago that my own child was sick and required an extended stay at Texas Children’s Hospital. Since then, I have always wanted to be the type of physician that parents could put their trust…
Phone: 832-822-3180

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Combining technology and technique, Dr. Reece strives to elevate compassionate care with cutting-edge medical breakthroughs.  He offers advanced hand and reconstructive surgery options to children with injuries and congenital diseases, focusing on nerve surgery, free-tissue transfer and progressive…
Phone: 832-822-3180

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Mervin (Reggie) Nunez, MMS, PA-C is a physician assistant in Department of Pediatric Plastic Surgery at Texas Children’s Hospital.  He began his career in 2006 in Critical Care working in the pediatric ICU at TCH. He joined the Pediatric Plastic Surgery team in 2013 where his responsibilities…
Phone: 832-822-3180

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Lindsey E. White, MPAS, PA-C is a physician assistant in Department of Pediatric Plastic and Reconstructive Surgery at Texas Children’s Hospital.  She is one of several Advanced Practice Providers helping to meet the demands of a high-volume service and her responsibilities include seeing patients…
Phone: 832-822-3180

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Orthopedics

Bryce Bell, MD specializes in treating disorders of the upper extremity. He believes in engaging both patients and their families to develop a comprehensive plan of care that takes into consideration the overall health, development, and well-being of the child.  Critical to this mission is the…
Phone: 832-227-1670 (West) | 713-839-0164 (Bellaire)

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Physical Medicine and Rehabilitation

I believe in a multi-disciplinary, collaborative approach to patients and value input from all members of the treatment team, especially the patient and family. It is my aim to help patients and families achieve their maximum functional potential and obtain their personal goals. Clinical Interests…
Phone: 832-826-6106 (Main) | 832-227-2222 (West)

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Occupational Therapy

Anh Nguyen is an occupational therapist with more than 17 years pediatric experience. She is interested in the care of children with various disabilities including brachial plexus injury, cerebral palsy, CVA, torticollis, arthrogryposis, musculoskeletal disorders, congenital hand difference and…
Phone: 832-227-1999

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I am an occupational therapist with an advanced certification in hand therapy and also serve as the brachial plexus clinic coordinator. I have spent my career treating pathology of the upper extremity with the majority of time being spent in pediatrics. I am continually impressed with the…
Phone: 832-822-6378

Read more

Nicole’s current areas of expertise are children with neurological and upper extremity orthopedic conditions. She has interests in surgical and non-surgical upper extremity rehabilitation for children with orthopedic injuries, cerebral palsy and congenital hand conditions.  Certified…
Phone: 832-227-1825

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