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… read more
Phone: 832-822-6378

Plastic Surgery

Dr. Nguyen received her undergraduate degree at Baylor University before attaining her medical degree at Texas Tech University Health Sciences Center. She then completed a 6-year integrated plastic surgery residency through Spectrum Health in Grand Rapids, Michigan. After residency, she completed a… read more
Phone: 832-822-3180
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… read more
Phone: 832-822-3180
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… read more
Phone: 832-822-3180
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… read more
Phone: 832-822-3180

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… read more
Phone: 832-227-4263 (West) | 713-839-0164 (Bellaire)

Physical Medicine and Rehabilitation

As a dually-trained rehabilitation medicine physician and pediatrician, my goal is to partner with my patients and their families to work towards achieving the best outcomes possible while working with a multidisciplinary team to assure all their needs are met. Every child has their own unique… read more
Phone: 832-826-6106 (Main) | 832-227-2222 (West) | 281-469-4688 (Cy-Fair)
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… read more
Phone: 832-826-6106 (Main) | 832-227-2222 (West)

Occupational Therapy

Alyssa is an Occupational Therapist working in the outpatient therapy department at Texas Children’s Hospital West Campus.  She earned a BS in Biomedical Science from Texas A&M University in 2014 and an MS in Occupational Therapy from the University of Central Arkansas in 2016.  Alyssa is… read more
Phone: 832-227-1900
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… read more
Phone: 832-227-1900
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… read more
Phone: 832-822-6378
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… read more
Phone: 832-227-1900