Dr. Abhinav Singhal is a highly skilled Orthopedic Surgeon in Ghaziabad with over 10 years of experience, specializing in joint arthroscopy, joint replacement, and complex trauma care.

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Nerve Repair & Nerve Releases

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Nerve Repair & Nerve Releases

📍 What Is It?

Nerve repair and nerve release are surgical procedures aimed at restoring nerve function after injury or compression.

  • 🪡 Nerve Repair: Reconnecting or grafting a cut or severed nerve.

  • 🔓 Nerve Release: Decompressing a nerve that is trapped, pinched, or compressed (e.g., in a tight tunnel or scar tissue).


🧵 1. Nerve Repair

✂️ When is it Needed ?

  • Lacerations (knife cuts, accidents)

  • Sharp trauma (glass injury, surgery mishaps)

  • Stretch injuries (brachial plexus injury)

  • Avulsion or crush injuries


🛠️ Surgical Techniques

  • Direct Neurorrhaphy: End-to-end suture of the nerve ends (if gap is small and tension-free)

  • Nerve Grafting: Using a donor nerve (e.g., sural nerve) if there’s a gap between nerve ends

  • Conduits: Synthetic or biological tubes to bridge small nerve gaps

🔓 2. Nerve Release (Neurolysis)

🚨 When is it Needed ?

  • Entrapment neuropathies, like:

    • Carpal Tunnel Syndrome (median nerve)

    • Cubital Tunnel Syndrome (ulnar nerve)

    • Tarsal Tunnel Syndrome (posterior tibial nerve)

    • Radial Tunnel Syndrome

  • Scar tissue compressing a nerve

  • Post-surgical adhesions


🏥 Surgical Techniques

  • External Neurolysis :- Removing scar tissue or compressive structures around a nerve

  • Internal Neurolysis :- Releasing fascicles within the nerve if tightly bound

  • Decompression :- Enlarging the anatomical tunnel (e.g., cutting flexor retinaculum in carpal tunnel)


🔬 Diagnosis Before Surgery

  • Clinical exam :- Weakness, numbness, atrophy

  • Nerve conduction studies / EMG :- Confirms site & severity

  • Ultrasound or MRI neurography :- Shows compression or scarring


Expected Outcomes

  • Repair :- Sensory nerves tend to recover better than motor nerves

  • Release :- Good symptom relief if caught early (before muscle wasting or permanent damage)


⚠️ Complications

  • Neuroma (painful nerve swelling)

  • Scar tissue formation

  • Incomplete recovery

  • Persistent numbness or weakness

  • Infection or wound complications

ShapeF&Q's

Nerve Repair & Nerve Releases

Nerve repair and nerve release are surgical procedures aimed at restoring nerve function after injury or compression.

  • 🪡 Nerve Repair: Reconnecting or grafting a cut or severed nerve.

  • 🔓 Nerve Release: Decompressing a nerve that is trapped, pinched, or compressed (e.g., in a tight tunnel or scar tissue).

  • Lacerations (knife cuts, accidents)

  • Sharp trauma (glass injury, surgery mishaps)

  • Stretch injuries (brachial plexus injury)

  • Avulsion or crush injuries

About 1 mm per day—so a nerve 10 cm away from its target may take 100+ days to regenerate.

Surgery itself is usually done under regional or general anesthesia. Some post-op soreness is expected but manageable.

Yes, especially sensory nerves. Motor nerve recovery is more time-sensitive and may be incomplete if delayed.

Options include tendon transfers, nerve transfers, or functional bracing.