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Peripheral Nerve Surgery 

Peripheral nerve injuries can have a devastating impact on your function and quality of life. Luckily, surgical treatment can often improve your pain and function.  


Dr. Power treats many types of peripheral nerve conditions including: 

  • Carpal tunnel syndrome

  • Cubital tunnel syndrome

  • Femoral neuropathy

  • Guyon's canal compression

  • Median nerve compression in the forearm

  • Nerve lacerations

  • Nerve transfers

  • Nerve tumors (schwannoma, neurofibroma)

  • Neuroma

  • Pain after a nerve injury

  • Peroneal neuropathy

  • Radial tunnel syndrome

  • Traumatic nerve injuries

  • Pain after major limb amputation (phantom limb pain and residual limb pain)

  • Targeted muscle reinnervation (TMR)

  • Regenerative peripheral nerve interfaces (RPNI)

  • Bionic limb reconstruction

  • Myoelectric prosthetics

This is the most common type of nerve compression and occurs because the median nerve gets compressed as it passes through the carpal tunnel, an area in the wrist. Symptoms can include pain, numbness and tingling to the thumb, index, long and half of the ring finger. Initially the symptoms tend to come and go, but if not corrected they may become constant. Patients may wake in the middle of the night due to pain or numbness, and may have difficulty doing up buttons or manipulating small objects. In severe cases carpal tunnel syndrome can progress to weakness of some of the muscles that move your thumb.
Initially, you should try wearing splints at night to keep your wrist in a neutral position (not flexed or extended). This is often effective. You can buy these at any health supply store. Dr. Power may also discuss additional options for non-surgical treatment with you. Nerve testing (nerve conduction study) is commonly ordered to determine the severity of nerve compression. If your symptoms persist you may require surgery to release the ligament that compresses the median nerve. 
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It is the second most common type of nerve compression and results from compression of the ulnar nerve at the elbow. Symptoms include numbness and tingling to the ring and small finger and pain in the forearm. Like carpal tunnel syndrome, initially the symptoms tend to come and go, but may become constant if not corrected.
Initially, you should try wearing a night time ‘splint’ to keep the elbow in an extended (straight) position. You can also try wrapping a towel around your arm and taping it, to prevent your elbows from bending while sleeping. Dr. Power may offer other options for non-surgical treatment. Nerve testing is needed to determine the severity of the compression.
Severe compression can cause weakness of the hand muscles, making it difficult to perform many activities with your hand. If you have weakness or your symptoms don’t go away with non-surgical treatment, you may need surgery to release the compression. 
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