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Peripheral Nerve Surgery

medical tourism Peripheral Nerve Surgery

Medical tourism for peripheral nerve surgery offers patients access to world-class specialists and advanced microsurgical techniques at significantly lower costs, with top destinations like India, Germany, South Korea, and Turkey providing cutting-edge treatments for carpal tunnel syndrome, brachial plexus injuries, and traumatic nerve damage at 40-60% of Western prices. These JCI-accredited centers feature fellowship-trained peripheral nerve surgeons equipped with state-of-the-art operating microscopes, nerve conduction monitoring systems, and bioengineered nerve grafts, performing procedures ranging from minimally endoscopic decompressions to complex nerve transfers and targeted muscle reinnervation (TMR) for amputee pain.

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Peripheral Nerve Surgery

Peripheral nerve surgery is a specialized field addressing nerve injuries, entrapments, and tumors affecting the body’s network of nerves outside the brain and spinal cord. This comprehensive guide covers surgical techniques, conditions treated, and what patients can expect from diagnosis through recovery.

When is Peripheral Nerve Surgery Needed?

1. Nerve Compression Syndromes

Carpal tunnel syndrome (median nerve)
Cubital tunnel syndrome (ulnar nerve)
Peroneal nerve entrapment (foot drop)

2. Traumatic Nerve Injuries

Lacerations (sharp nerve cuts)
Stretch injuries (brachial plexus)
Neuromas (painful nerve scars)

3. Nerve Tumors

Schwannomas (benign)
Neurofibromas (associated with NF1)

4. Chronic Pain Conditions

CRPS (Complex Regional Pain Syndrome)
Phantom limb pain

Types of Peripheral Nerve Procedures

1. Nerve Decompression

  • Carpal tunnel release (open or endoscopic)
  • Ulnar nerve transposition

2. Nerve Repair

  • Direct coaptation (for clean cuts)
  • Nerve grafts (using sural nerve)
  • Nerve transfers (for brachial plexus injuries)

3. Neuroma Treatment

  • Resection with burial
  • Targeted muscle reinnervation (TMR)

4. Advanced Techniques

  • Nerve allografts
  • Artificial nerve conduits

Surgical Approaches Compared

TechniqueBest ForRecovery Time
EndoscopicCarpal tunnel2-4 weeks
Open MicrosurgeryComplex reconstructions3-6 months
Nerve TransferSevere plexus injuries6-12 months

Recovery Process & Rehabilitation

Immediate Post-Op (0-2 weeks)

  • Wound care
  • Pain management
  • Splint immobilization

Early Recovery (2-6 weeks)

  • Gentle range-of-motion
  • Desensitization therapy
  • Scar massage

Long-Term Rehabilitation (3-12 months)

  • Progressive strengthening
  • Sensory re-education
  • Functional electrical stimulation

Success Rates & Outcomes

  • 85-95% success for carpal tunnel release
  • 60-80% meaningful recovery after nerve grafts
  • 50-70% pain reduction in neuroma cases

1. How long until I feel improvement after nerve surgery?

  • Sensory nerves: 1mm/day regeneration (≈1 inch/month)
  • Motor nerves: 3-6 months for initial movement

2. Will I need physical therapy?

Yes – essential for optimal recovery in most cases

3. Can nerve damage be completely cured?

Depends on injury type/location – some residual deficits common

4. What’s new in nerve surgery?

Nerve ultrasound-guided procedures
Bioengineered nerve conduits
Advanced neuromonitoring

Conclusion

Peripheral nerve surgery offers life-changing restoration of function and pain relief. With microsurgical advances, outcomes continue to improve. Early intervention maximizes recovery potential.