Peripheral Nerve Surgery

Peripheral nerve surgery is a specialized procedure designed to address issues affecting the peripheral nervous system, which includes all the nerves outside the brain and spinal cord. These nerves are crucial for transmitting signals between the central nervous system and the rest of the body, including the arms, legs, and organs. When peripheral nerves are damaged or compressed, it can lead to pain, weakness, numbness, and loss of function. Peripheral nerve surgery aims to repair or relieve these conditions, helping patients regain their quality of life.

Understanding Peripheral Nerve Disorders

Peripheral nerve disorders can arise from various causes, including:

• Nerve Compression: Conditions like carpal tunnel syndrome or cubital tunnel syndrome occur when a nerve is compressed by surrounding tissues, leading to pain and dysfunction.
• Nerve Injury: Trauma or injury, such as cuts or fractures, can damage peripheral nerves, resulting in sensory or motor deficits.
• Nerve Tumors: Benign tumors, such as neurofibromas or schwannomas, can develop on peripheral nerves and cause pain or functional impairment.
• Neuropathy: Conditions like diabetic neuropathy involve nerve damage due to chronic diseases, leading to widespread nerve issues.

Types of Peripheral Nerve Surgery

• Nerve Decompression Surgery:
  • Purpose: To relieve pressure on a nerve that is being compressed by surrounding tissues or structures.
  • Procedure: Surgeons remove or modify the structures causing compression, such as removing a ligament or releasing trapped nerve tissues.
  • Conditions Treated: Carpal tunnel syndrome, cubital tunnel syndrome, and other entrapment neuropathies.
• Nerve Repair and Reconstruction:
  • Purpose: To restore function and sensation to nerves that have been severed or damaged.
  • Procedure: Involves sewing the ends of a damaged nerve together (nerve repair) or using grafts to bridge a gap between severed nerve ends (nerve grafting).
  • Conditions Treated: Traumatic nerve injuries, nerve transections, and nerve defects.
• Nerve Transposition:
  • Purpose: To relocate a nerve that is compressing or being compressed by nearby structures.
  • Procedure: The nerve is surgically moved to a different location to alleviate pressure or prevent further injury.
  • Conditions Treated: Complex cases where direct decompression is not sufficient.
• Tumor Removal:
  • Purpose: To remove benign tumors or growths from peripheral nerves.
  • Procedure: Surgeons excise the tumor while preserving as much healthy nerve tissue as possible.
  • Conditions Treated: Neurofibromas, schwannomas, and other peripheral nerve tumors.

What to Expect During Peripheral Nerve Surgery

• Pre-Surgery Preparation:
  • Evaluation: A thorough examination and imaging studies will help determine the exact nature of the nerve issue and the most appropriate surgical approach.
  • Pre-Operative Instructions: You may receive instructions on fasting, medication adjustments, and other preparations before the surgery.
• During the Procedure:
  • Anesthesia: The procedure is typically performed under local or general anesthesia, depending on the complexity and location of the surgery.
  • Surgical Approach: The surgeon makes a precise incision to access the affected nerve, performs the necessary repairs or decompressions, and then closes the incision.
• Post-Surgery Care:
  • Recovery: Most patients experience some pain and swelling in the area, but this is manageable with medication and proper care.
  • Rehabilitation: Physical therapy may be recommended to restore strength, function, and flexibility in the affected area.
  • Follow-Up: Regular follow-up appointments will help monitor recovery and address any concerns or complications.

Benefits of Peripheral Nerve Surgery

• Pain Relief: Alleviates chronic pain caused by nerve compression or injury.
• Improved Function: Restores movement and sensation to affected areas, enhancing overall quality of life.
• Enhanced Quality of Life: Reduces the impact of nerve disorders on daily activities and improves physical and emotional well-being.

Why Choose Expert Peripheral Nerve Surgery?

Dr. Sameep Koshti specializes in peripheral nerve surgery, offering expert care for a range of nerve-related conditions. With advanced techniques and a focus on individualized treatment, Dr. Koshti aims to provide effective solutions for patients suffering from peripheral nerve issues.

If you’re experiencing symptoms related to peripheral nerve damage or compression, consider consulting with Dr. Koshti. With his expertise in peripheral nerve surgery, you can explore options for relief and regain the function and comfort you deserve.