Peripheral Nerve Surgery at Ajuda Hospitals

Microscope-assisted decompression, repair and transfers with nerve monitoring

Book Peripheral Nerve Consultation

85–90%

Symptom Relief (carpal tunnel)

Numbness/tingling reduction after release in suitable cases

1–3 mm/day

Nerve Regeneration Rate

Guides recovery timeline after repair or transfer

1–2 weeks

Typical Return to Desk Work

For straightforward decompressions

When to Consult

•Hand numbness/tingling (worse at night), dropping objects or weak grip
•Elbow pain with ring/little finger numbness; worsening with flexion
•Foot drop, ankle weakness or shin numbness after weight loss or cast
•Knife/glass cut with numb area or inability to move a finger
•Painful lump along a scar with electric shock sensations (neuroma)
•Shoulder/arm weakness after accident suggesting brachial plexus injury

Understanding Peripheral Nerve Problems in the Indian Context

Long desk hours, two-wheeler vibrations and metabolic risks (diabetes, thyroid) make nerve entrapments common across Hyderabad—HITEC City, Banjara Hills, Kukatpally and Secunderabad—with referrals from Warangal, Karimnagar and Nalgonda. Early electrodiagnostics and timely decompression or repair protect function and reduce chronic pain.

When to Consult Our Peripheral Nerve Specialists

Seek urgent care if you notice:

✓ Knife/cut injury with numbness or finger not moving
✓ New foot drop or sudden hand weakness
✓ Painful lump with electric-shock sensations along a scar

Book a routine consult if you have:

✓ Night numbness/tingling or weak grip
✓ Worsening ring/little finger numbness at the elbow
✓ Persistent limb pain/numbness despite therapy

Our Diagnostic Approach

Focused Exam

Phalen/Tinel, Froment, two-point discrimination, intrinsic power and sensory mapping.

NCS/EMG

Quantifies severity and localises injury; sets baseline for recovery.

Imaging

Ultrasound for continuity/neuroma; MRI neurography for plexus/deep sites.

Surgical Planning

Microscope/IONM setup, repair vs transfer decisions, rehab timeline, TPA/Aarogyasri approvals.

Treatment Pathways

Conservative & Injection Therapy
Carpal Tunnel Release (Endoscopic/Open)
Cubital/Peroneal/Tarsal Tunnel Decompression
Primary Nerve Repair & Grafting
Nerve Transfers (Brachial Plexus/High Lesions)
Neurolysis & Neuroma Surgery

What to Expect: Your Care Journey

First Visit (30–60 min): Exam, NCS/EMG script and counselling.
Pre-Op (Same day–1 week): Fitness, imaging, authorisation.
Surgery Day: WHO/NABH checklists; microscope-assisted repair/decompression.
Discharge (Day-care–48 hrs): Splint care, pain control and red flags.
Follow-Up (2–3 weeks): Sutures out; physio plan.
Long-Term (3–12 months): Nerve regeneration monitoring; job-specific conditioning.

Technology & Innovation

Operating microscope and microsurgical instruments
IONM for safe decompression/repair
Ultrasound-guided injections and intra-op localisation

Preventing Complications

We minimise infection, stiffness and CRPS through ERAS bundles, hand therapy and early desensitisation. Diabetes/thyroid optimisation and smoking cessation improve healing and outcomes.

Why Ajuda for Peripheral Nerve Care?

🧠 Microsurgical Precision

High-quality coaptation and safer decompressions.

🏥 ICU-Backed Safety

24/7 neuro ICU, rapid imaging and structured pathways.

📲 Rehab That Fits Work

Therapy aligned to Hyderabad’s desk and field jobs, with WhatsApp follow-ups.

Take the First Step

Call or WhatsApp 9010550550 to plan a safe, effective path back to pain-free function at Ajuda Hospitals, Hyderabad.

Diagnosis Approach

Focused Neuro-Ortho Exam

Phalen/Tinel, Froment, intrinsic power, two-point discrimination and sensory map.

NCS/EMG

Quantifies entrapment severity and localises nerve injury; helps prognosticate.

Imaging

Ultrasound for nerve continuity/neuroma; MRI neurography for plexus or deep entrapments.

Plan & Consent

Decompression vs repair/transfer; microscope setup, IONM strategy and post-op physiotherapy roadmap.

Treatment Options

Conservative & Injection Therapy

Splints, ergonomics, vitamin D/diabetes optimisation; ultrasound-guided steroid for select entrapments.

Improves pain/paresthesia in mild-to-moderate compression

2–8 weeks then reassess

Carpal Tunnel Release (Endoscopic/Open)

Division of transverse carpal ligament via small incision; rapid symptom improvement.

High relief rates with low recurrence when risk factors managed

20–40 minutes; day-care

Cubital/Peroneal/Tarsal Tunnel Decompression

Ulnar nerve release ± transposition; common peroneal or tarsal tunnel decompressions for limb symptoms.

Strength and sensation improve as nerve recovers

45–90 minutes; short stay

Primary Nerve Repair & Grafting

Microscope-assisted epineural/coaptation repair; autologous sural grafts for gaps.

Best within weeks of injury for timely reinnervation

1–3 hours; splint then therapy

Nerve Transfers (Brachial Plexus/High Lesions)

Donor nerve fascicles re-route to restore critical functions (e.g., shoulder abduction, elbow flexion).

Enables function despite proximal loss when performed early

2–4 hours; intensive rehab

Neurolysis & Neuroma Surgery

Release scar tethering or excise neuroma with graft/targeted muscle reinnervation where indicated.

Reduces neuropathic pain and improves function

1–2 hours; structured desensitisation

Expected Outcomes

Treatment Timeline

24–72 Hours

Pain control, limb elevation, basic hand/foot movements with splint care

2–3 Weeks

Suture removal; light desk work for decompressions; begin guided physio

3–6 Months

Nerve remyelination/regeneration; strength and dexterity gains

6–12 Months

Functional plateau for many repairs/transfers; plan secondary procedures if needed

Success Metrics

Meaningful DASH/QuickDASH improvement
NCS amplitude/latency improvement
Return-to-work within planned window without new deficits

Take Control of Nerve Pain or Weakness

Emergency

9010550550

contact@ajudahospitals.in

Related Services

Spinal Surgeries

Cervical/lumbar root issues can mimic or add to peripheral neuropathies

Spinal Injury Repairs & Fixation

Brachial plexus/peripheral nerve injuries often accompany trauma