A nerve injury can be life changing. It can come with functional problems and debilitating pain which have a profound impact on your quality of life.
A nerve injury can be life changing. It can come with functional problems and debilitating pain which have a profound impact on your quality of life.
The first requirement is a careful assessment of the cause of the nerve problem and how it can be improved. This might involve MRI scans or a detailed electrical study of the affected nerve.
The surgical management of nerve injuries can involve a number of techniques. The approach is unique to each patient and each problem.
Botox in some cases can help manage nerve injury-related pain, particularly neuropathic pain. It works by blocking certain nerve signals and can help improve quality of life, with effects lasting for several months.
A neuroma (a benign growth on a nerve) can cause pain and numbness. Excising the neuroma can help alleviate the symptoms.
TMR is a surgical procedure to reroute severed nerve endings in amputated limbs to nearby motor nerves, aiming to reduce pain, risk of phantom limb sensation and potentially improve control of electrical prosthetics. It can be performed at the time of amputation or later to treat existing pain.
RPNI is a surgical procedure used to treat and prevent painful neuromas, particularly in amputees, by implanting the end of a damaged nerve into a free muscle graft, encouraging regeneration. This procedure is often used in major limb amputations but can also be used for other nerve injuries and pain conditions.
Nerve injuries can be treated by redirecting a healthy nerve to replace a damaged one, restoring function in the affected area. It involves a "donor" nerve being rerouted to a "recipient" nerve, allowing nerve fibres to regenerate and regain movement or sensation
Vascularised nerve grafting is a surgical procedure using a nerve graft with its own blood supply to repair nerve injuries, particularly those with large gaps or in areas with poor vascularisation.
Any patient with a nerve problem or experiencing nerve pain, or problems with function could benefit from nerve repair surgery, in particular if you:
Have suffered an injury whether large (a traumatic injury to the leg) or small (a damaged finger).
Have issues with your hands e.g. carpal tunnel syndrome.
Have had an amputation and are experience nerve issues.
All surgery involves some degree of scarring but this is always kept to an absolute minimum.
In terms of how the scars will heal and fade over time, everyone is different and the appearance will depend on skin tone, elasticity and how your skin heals.
I perform all of my operations at leading London hospitals with full emergency care available. As with any surgical procedure, it's essential we discuss the risks together so you are fully informed of what you are undertaking.
While most patients experience no significant complications, potential risks include:
Post-operative infection is rare but generally treated easily with antibiotics.
Bleeding after surgery can lead to a haematoma which might need further surgery to manage.
All surgery causes scarring. Scars generally fade to a thin white line but rarely patients can develop raised red scars, such as hypertrophic or keloid scars.
Nerve surgery will always carry the risk of worsening the pain and discomfort you are trying to treat.
Rarely, when managing nerve problems, you can develop a reduction in function of the nerve you are trying to improve.
Working at top teaching hospitals and private hospitals across London, easily accessible from Waterloo, Victoria and London Bridge stations, including a new clinic at Battersea Power Station.
Westminster Bridge Consulting Rooms
Westminster Bridge Rd
Lambeth, London
SE1 7EH
Cleveland Clinic London
33 Grosvenor Pl
London
SW1X 7HY
HCA Healthcare UK,
The Shard, 32 St Thomas St,
London
SE1 9BS
1st Floor,
Turbine Hall B,
Battersea Power Station,
London
SW11 8DD
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