Peripheral nerve surgery encompasses a broad range of microsurgical procedures designed to restore function to damaged nerves. Whether the problem is compression, traumatic injury, or painful neuroma, Dr. Lakhiani brings fellowship-trained expertise in microsurgery to deliver the most precise and effective interventions available.
The peripheral nervous system connects the brain and spinal cord to every part of the body. When these nerves are damaged — through compression, stretch, laceration, or other injury — the consequences can include pain, numbness, weakness, and loss of function. The type and timing of surgical intervention are critical to achieving the best possible outcomes.
Dr. Lakhiani's approach combines meticulous surgical technique with advanced intraoperative monitoring and a deep understanding of nerve anatomy and physiology. Each case is evaluated individually, and a tailored surgical plan is developed based on the specific nerve, the nature of the injury, and the patient's functional goals.
Procedures
Nerve Decompression
Releasing compressed nerves at known entrapment sites. Success depends on the specific nerve, severity of compression, and duration of symptoms. Common sites include the carpal tunnel, cubital tunnel, and multiple lower extremity locations.
Nerve Repair & Grafting
Microsurgical reconnection of severed nerves using direct end-to-end repair or interposition grafts (typically sural nerve). Best results are achieved when repair is performed early after injury, ideally within the first few months.
Nerve Transfer
Redirecting a less critical functioning nerve to power a more important denervated muscle. This technique is especially valuable for motor recovery when the original nerve cannot be repaired directly.
Neuroma Treatment
Surgical excision of painful neuromas with burial, capping, or targeted muscle reinnervation (TMR/RPNI) to prevent recurrence. These modern techniques significantly reduce the risk of neuroma reformation.
Double Crush Syndrome
Addressing nerve compression at multiple points along the same nerve pathway. When a nerve is compressed at two or more sites, releasing only one may not provide complete relief — both must be addressed.
Schedule a Consultation
If you are experiencing nerve-related pain, numbness, or weakness, Dr. Lakhiani can evaluate your condition and discuss the full range of surgical options available.
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