Nerve Damage

Nerve Damage Repair

Enhancing the Way You Function with Nerve Damage Repair

You don’t have to worry about the nerves in your body until something goes wrong, most commonly in the form of extreme pain and the difficulty or inability of performing the basic, daily tasks that get taken for granted. Your arms contain a network of nerves that helps you to control movements from your shoulders all the way down to your fingers. An injury to any nerve can affect everything from the ability to bend your wrist to be able to pick a pen or use a toothbrush, the importance of normally functioning hands in our daily lives is no secret. At Cosmeticoplasty, we perform nerve damage repair surgery and reconnect the torn nerves or release the trapped or compressed nerves to restore the normal functions of your hand.

Nerve Damage Repair

Symptoms of Nerve
Damage to Your Hands

Some common symptoms of nerve damage are;

  • Numbness in the fingers or hand
  • Burning, cold or electrical pain
  • Ants crawling’ sensation in fingers or hand
  • Problems positioning the hand correctly
  • Tingling, crushing, squeezing sensations
  • Sensitivity to touch
  • The abnormal posture of fingers or hand
  • Loss of muscle bulk in hand causing the hollow appearance

Causes of Your Sagging Skin

When you go through any nerve damage in your hand due to the intricate and complex nature of your nerves, it is essential that the nerve is efficiently and immediately repaired so that the normal function is restored. Nerve regeneration does not occur immediately after surgery; it takes a month for nerve regeneration or depending upon the extent of your injury, the growth rate of nerve regeneration is one inch per month.

We perform the following procedures for nerve damage repair;

Direct Repair

If your nerve has been cut sharply, we perform nerve damage repair by sewing together the two ends of your torn nerve to promote healing and nerve regeneration.

Nerve graft for nerve damage repair

In case of crushing injury, when a part of your nerve is damaged badly, we have to cut away the damaged section, and a nerve graft is needed. At Cosmeticoplasty, we carefully use a nerve graft to bridge the gap between the two torn nerves to provide recovery. We use a small piece of donor nerve taken from other areas of your body, most commonly from the back of your leg or your inner upper arm, depending upon how much nerve graft is required. Then we place it between the torn ends of your damaged nerve to help it regenerate.

Nerve transfer for nerve damage repair

When a long part of your nerve has sustained severe damage or in stretching injuries, we use a healthy nerve to bypass the damaged section to promote regeneration in the damaged nerve. Nerve transfer is a procedure in which we transfer one end of a healthy nerve to the site of the injured nerve with the aim of restoring the lost movement or sensation.

Neurolysis for nerve damage treatment

We perform neurolysis to free up a trapped or compressed nerve with the goal of pain relief and functional recovery. Your nerve can get trapped in joints or local tissue restrictions or adhesions due to a variety of reasons and cause numbness, pain and loss of functions or sensations. We meticulously release any scar or constricting tissue that is entrapping your nerve to relieve you of the painful symptoms.

Wide awake hand surgery for nerve damage repair

At Cosmeticoplasty, we perform wide-awake local anesthesia no tourniquet (WALANT) procedure for nerve damage repair when general anesthesia is not needed. With the help of local anesthesia and adrenaline in your hand, we can perform the procedure while you are awake. It is pretty beneficial in patients who cannot undergo general anesthesia due to other medical conditions. It is instrumental in nerve damage repair procedures, where we can test the nerve repair with your participation to get it just right.

Nerves of your hands

Your nerves convey messages from your brain to your body and vice versa about movements and sensations in the form of electrical impulses, and as a result, you are able to move your muscles and feel all kinds of sensations on your skin.
Many small fibers are bundled inside each nerve to carry these messages. The three main nerves of your hands are:

Nerve Damage Repair

Radial Nerve

The radial nerve runs at the back of your arm, forearm and hand, controlling the muscle that straightens your wrist, fingers and thumb and provides sensation to the back of your thumb, forefinger finger, middle finger and half of the ring finger.

It can get injured during the fracture of the humerus, i.e. upper arm bone, or when pressure is applied on it for too long, for instance, if you sleep on your arm for a long period, known as Saturday night palsy. If you have a damaged radial nerve, it can cause a ‘dropped hand’ or dropped fingers’ where you are unable to lift or straighten your fingers or wrist. It can cause numbness in your hand and is an extremely painful condition.

Ulnar Nerve

This nerve runs on the inner side of your arm, forearm, wrist and hand, and it controls the muscles that bend your wrist, little finger, all the small muscles in your hand for fine finger movements and provides sensation to the inner part of your palm and little finger.

Injury to your ulnar nerve can cause a claw hand where your fingers are curled or bent tightly with having difficulty straightening them. With ulnar nerve damage, your gripping and pinching are weakened, and you face difficulty in performing fine movements with your fingers, causing clumsiness and frequently droppings things.

Nerve Damage Repair
Nerve Damage Repair

Median Nerve

Your median nerve goes along the front of your elbow down in the middle of your forearm, wrist and into your hand. It is responsible for the muscles that bend your fingers, wrist and the muscles that control the movement of your thumb.

Injury to your median nerve can cause numbness in most of your hand and difficulty in picking up things. Compression to this nerve can cause carpal tunnel syndrome.

Bringing hope for the ones in
need with nerve damage repair

Your hands are a delicate and essential part of your being that is required to perform all of your manual tasks. At Cosmeticoplasty, we understand how even a minor impairment of your hands can cause a hindrance in your daily living. Dr Mustehsan Bashir fully understands the complex and intricate anatomy of your hands and offers his competent and skilfull services to provide you with a comprehensive nerve repair treatment in order to restore the sensations and movements of your hands and help you move forward.

Common Injures and Causes
of Nerve Damage in Your Hand.

Some of the most common nerve injuries of your hand include:

  • Carpal tunnel syndrome
  • Trigger finger
  • Cubital tunnel syndrome
  • Dupuytren’s contracture
  • De Quervain’s Disease

The most common causes of your nerve damage are;

  • Cutting, crushing injury
  • Thermal injuries
  • Chronic diseases
  • Traumatic injuries
  • Metabolic issues
  • Deep burns
  • Infections
  • Toxin exposure
  • Electrical injuries
  • Sudden excessive stretching

FAQs

Why is nerve repair surgery needed?

Nerve damage can cause an inability to perform your normal functions and feel various sensations. It is because of your nerves that you are able to tell whether something is soft or hard, cold or hot, smooth or rough, etc., and carry out the right response. The goal of nerve repair surgery is to repair the damaged nerve and restore normal function.

What happens if nerve damage is not treated?

When left untreated, nerve damage can worsen over time. Motor nerves that are responsible for carrying out movements; have a time limit for regenerating. The surgical repair for motor nerves needs to happen within 12-18 months of the injury; otherwise, the nerve dies away, and muscles wither. Damage to sensory nerves, which helps you feel different sensations, can induce further injuries as you don’t get any protective sensations.

What is overuse or repetitive nerve injury of the hands?

Overuse injury, also called repetitive strain injury, occurs when you do the same movement over and over again for a long time.

How is it possible to damage the nerves of your hands?

A nerve injury of the hand can occur when the finger, hand, or wrist is overstretched, crushed, cut, or burned.

Can the effects of nerve injury go away on their own?

Mild nerve injuries are capable of healing themselves. But the majority of nerve injuries require medical intervention. Nerves are delicate threads, and they carry very important information, so leaving them untreated without a doctor’s supervision can be a dangerous oversight.

What kinds of treatments are there to treat nerve injuries?

Non-surgical treatments for mild nerve injuries can include rest, splinting, icing, medicines, and physical therapy. For severe nerve injuries, a nerve repair surgery is necessary for rejoining the disconnected ends of your nerves to restore the functions and sensations of the hand.

When is there surgery for nerve damage?

If some kind of accident has caused a wound, and there are signs of nerve injury, then operation becomes necessary to look at the nerves and repair the damage. In other cases, symptoms are analyzed, and different tests are done to verify nerve injury and its severity.

How is nerve injury diagnosed?

To fully determine the extent of nerve damage, electromyography (EMG) is performed to test the electrical conduction activity of nerves. You may also need to get imaging tests i.e.

  • CT scan
  • MRI

What to expect during a nerve repair surgery?

During a nerve repair surgery, you can be asleep or awake depending upon which type of anesthesia is being used, which is based on your preference and the type and length of surgery. Your surgeon makes an incision on the affected area and trims damaged tissue from the nerve. Then the nerve is repaired using the suitable technique according to your condition to reattach the nerve, and then the incisions are closed.

When are nerve grafts needed?

Nerve grafts are used when a significant amount of tissue from the nerve is damaged, leaving a gap so that the two ends of the nerve cannot be reconnected.

When is the direct repair method used in nerve repair surgery?

The direct nerve repair method is used when there is enough length on the ends of your nerve so that it can be reconnected without stretching.

What are nerve conduits, and when are they used?

If you have certain health conditions that exclude using nerve grafts, a nerve conduit can be used. It is a tube made up of biological or synthetic materials that span the gap and connects the nerve endings.

What is the recovery period of nerve repair surgery?

Your wrist is likely to be in a splint or bandage for 1 to 2 weeks. You might experience some discomfort or pain, which is easily managed by pain killers. As your nerve heals, you will feel unpleasant tingly sensations accompanied by electric shock feelings over the affected area, and the location of these sensations moves as your nerve heals and grows. Over time these sensations subside, and the area feels more normal. Complete nerve recovery can take anywhere from a few days to a few months, depending upon the type and severity of the damage to your nerve.

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