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Peripheral nerve release
- Rated as ‘very good’ or ‘excellent’ by 97% of our orthopaedic patients
- No.1 in London for private orthopaedic care
- Appointment confirmation within 24 hours
Peripheral nerve release at HCA UK
Why choose us?
To diagnose and access treatment for damaged nerves, we have specialist consultants to restore function and relieve your pain. Whether your symptoms stem from injury or long-term compression, we provide rapid access to advanced imaging, surgical repair and rehabilitation to help you feel like yourself again.
That’s why 97% of patients in our 2024 satisfaction survey said they are likely to recommend HCA UK to friends and family. Our expert orthopaedic consultants span 10 specialist fields, and offer personalised treatment to help restore movement, ease pain and support long-term recovery.
That’s why 97% of patients in our 2024 satisfaction survey said they are likely to recommend HCA UK to friends and family. Our expert orthopaedic consultants span 10 specialist fields, and offer personalised treatment to help restore movement, ease pain and support long-term recovery.
You have two nervous systems in your body: the central nervous system, which includes your brain and spinal cord, and the peripheral nervous system, which consists of all nerves outside these two areas.
There are various causes of peripheral neuropathy, otherwise known as disease or damage to the peripheral nervous system.
There are various causes of peripheral neuropathy, otherwise known as disease or damage to the peripheral nervous system.
The most common peripheral nerve injuries are caused by:
- Nerves becoming trapped and compressed
- Tear or laceration in the nerve tissue
- Traction injuries, such as shoulder dislocation
Common compressed nerves are:
- Carpal tunnel in the wrist
- Ulnar nerve in the elbow or arm
- Peroneal nerve in the knee
- Tarsal tunnel in the ankle
We also see iatrogenic injuries, where nerves can be compressed as a result of surgery, for example, injury to the sciatic nerve following a hip replacement. In such cases, our peripheral nerve consultants work closely alongside our orthopaedic consultants to relieve any compressed nerves.
Peripheral nerve surgery may involve decompression or release of the pinched/trapped nerve from the surrounding tissue that is compressing it. If the nerve is cut or damaged, then surgery may involve a direct end-to-end repair. If the damage is more extensive and the gap between the severed ends is too large, a nerve graft or conduit may be necessary to bridge the defect and facilitate a successful repair.
Trauma such as a car accident, repetitive movement such as weightlifting, and sometimes pregnancy can cause thoracic outlet syndrome (TOS), the compression of nerves and blood vessels located between the neck and shoulder. However, a main cause is cervical rib. This is a rare condition where some people are born with an extra rib growing from the neck. This presses down on the nerves and blood vessels, which causes pain.
Nerve ablation is a treatment which involves damaging a malfunctioning nerve. This damage can help alleviate and reduce chronic pain by preventing the damaged nerve from sending signals to your brain. Basivertebral nerve ablation is a treatment we offer for chronic lower back pain by our spinal neurosurgeons.
Trauma such as a car accident, repetitive movement such as weightlifting, and sometimes pregnancy can cause thoracic outlet syndrome (TOS), the compression of nerves and blood vessels located between the neck and shoulder. However, a main cause is cervical rib. This is a rare condition where some people are born with an extra rib growing from the neck. This presses down on the nerves and blood vessels, which causes pain.
Nerve ablation is a treatment which involves damaging a malfunctioning nerve. This damage can help alleviate and reduce chronic pain by preventing the damaged nerve from sending signals to your brain. Basivertebral nerve ablation is a treatment we offer for chronic lower back pain by our spinal neurosurgeons.
Peripheral nerve surgery may be performed using local or general anaesthetic, depending on the area and complexity of the procedure.
Often, nerve decompression can be done as a minimally invasive treatment, offering relief and faster recovery. Your consultant will recommend the best approach for you.
Often, nerve decompression can be done as a minimally invasive treatment, offering relief and faster recovery. Your consultant will recommend the best approach for you.
No.1
in London for private orthopaedic care
10
specialist orthopaedic fields offering personalised treatment
97%
of our patients are likely to recommend us to family and friends
Fast access to specialists
appointments confirmed within 24 hours
State-of-the-art diagnostics
with results in as little as 48 hours
Multidisciplinary teams
expert treatment with specialist care for complex cases
Peripheral nerve release
What to expect
We know that nerve pain or restricted movement can impact your life. That's why our nerve specialists take the time to understand your concerns and tailor a treatment plan specifically for you. Our expert teams will support you at every stage of your journey, from first consultation to treatment and recovery.
01
Initial consultation
Whether you’ve been referred by your GP or have arranged a consultation directly, during your first appointment, your orthopaedic specialist will assess your symptoms. They’ll also discuss your general health and medical history with you.
02
Imaging and diagnoses
To confirm a diagnosis, your consultant may recommend nerve conduction studies, MRI scans or ultrasound imaging. In some cases, physiotherapy or other non-surgical treatments may be suggested as a first step.
03
Peripheral nerve release procedure
If your test results confirm nerve compression, your consultant will talk through your options. If surgery is suitable, they may recommend a peripheral nerve release procedure. This minimally invasive treatment relieves pressure on the affected nerve, helping reduce pain, numbness or weakness.
04
Recovery and rehabilitation
After your procedure, you may receive physiotherapy with an aftercare plan. Most people experience improved movement and reduced pain within a few weeks. Your care team will be on hand to support your recovery and monitor your progress.
LOCATIONS
Where can I have peripheral nerve release treatment?
Our orthopaedic consultants will be able to diagnose your symptoms, injury or condition. If a nerve-related injury is contributing to your pain, they will collaborate with Mr Marco Sinisi or Miss Anna Panagiotidou, our lead consultants for peripheral nerve injury repair.
The Wellington Hospital
8A Wellington Place St John's Wood NW8 9LE London
The Portland Hospital
205-209 Great Portland Street W1W 5AH London
Accessing private healthcare
Self-pay
You don’t need health insurance to be seen quickly. If you’re looking for a diagnosis or treatment and don’t want to wait, all our private healthcare services – from private GP appointments through to surgery and aftercare – can be paid for as and when you need them.
And to give you peace of mind from the start, we’ll offer you a clear and transparent quote outlining exactly what treatments you’re paying for.
Find out more
Peripheral nerve release FAQs
Our orthopaedic consultants will be able to diagnose your symptoms, injury or condition.
If a nerve-related injury is contributing to your pain, they will collaborate with Mr Marco Sinisi and Miss Anna Panagiotidou, who are our lead consultants for peripheral nerve injuries, based at The Wellington Hospital in North London and at The Portland Hospital for paediatric patients.
They are both dedicated to the treatment of nerve problems from trauma through to sports injuries. They’re also experienced in managing complex nerve conditions for both adults and children, as well as performing complex nerve operations.
If a nerve-related injury is contributing to your pain, they will collaborate with Mr Marco Sinisi and Miss Anna Panagiotidou, who are our lead consultants for peripheral nerve injuries, based at The Wellington Hospital in North London and at The Portland Hospital for paediatric patients.
They are both dedicated to the treatment of nerve problems from trauma through to sports injuries. They’re also experienced in managing complex nerve conditions for both adults and children, as well as performing complex nerve operations.
Your procedure will depend on the cause and type of peripheral nerve condition you have. Common procedures include:
- Ulnar decompression (elbow)
- Peroneal decompression (knee)
- Median nerve decompression (wrist) – also known as carpal tunnel surgery
Your consultant will explain the procedure to you and answer any questions you may have. They'll let you know what you need to do to prepare, including how long you may need to avoid eating or drinking beforehand.
Like all procedures, there may be some risks and side effects involved. Your consultant will explain these to you so that you can make an informed decision.
Like all procedures, there may be some risks and side effects involved. Your consultant will explain these to you so that you can make an informed decision.
Depending on the procedure you've had, your consultant will let you know what to expect. It can take up to a couple of months to fully recover from peripheral nerve release surgery.
Your consultant may recommend physiotherapy exercises to help rebuild your strength and range of movement. They'll also let you know when you can get back to your usual routine, including work or exercise.
Your consultant may recommend physiotherapy exercises to help rebuild your strength and range of movement. They'll also let you know when you can get back to your usual routine, including work or exercise.
“Mr Sinisi is kind, caring, funny, understanding and very knowledgeable. I felt like a part of the team and was involved in treatment options. He knew exactly what needed to be done, and I was very confident in his decisions and abilities.”
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