Nerve Pathology & Reconstruction

Peripheral nerve problems in the hand and wrist, such as nerve compression, injury, or scarring, can lead to pain, numbness, weakness, and functional impairment. Common conditions include neuromas (painful nerve swellings), traumatic nerve lacerations, or nerve compression such as carpal tunnel syndrome or cubital tunnel syndrome. Careful examination and selected investigations are required to accurately diagnose nerve pathology, and inform treatment choices.

Nerve reconstruction surgery aims to restore sensation and function by releasing compressed nerves, repairing lacerations, or reconstructing damaged nerve pathways using nerve grafts or transfers. In complex cases, nerve conduits or microsurgical techniques may be required. Recovery can take time, as nerve regeneration is a gradual process, but early surgical intervention can greatly improve outcomes and help prevent permanent loss of function.