Peripheral nerves - conditions and treatment options

The nervous system is made up of a central section (brain and spinal cord) and the peripheral section (12 cranial nerves with the exception of the ocular nerve, 33 pairs of spinal nerves, leg nerves, arm nerves, autonomic nerves for the internal organs etc.) which connect the central nervous system with the end organs.

Together, they measure around 75 km in length. Injury or disease of a peripheral nerve causes pain, burning, reduced or loss of sensation, sensory alteration, reduced or loss of power, muscle depletion (atrophy), functional disturbances of the bladder, autonomic changes and more. Every nerve in our body (ocular nerve, ischiadic nerve, tibial nerve) can be affected.

Peripheral nerves can be impaired by the following factors:

  1. Partial or total, open or closed injuries: severing, crushing, bullet wounds, following surgery, during birth, neuroma (nerve nodes);
  2. Tumours: neuroma, neurofibroma;
  3. Pressure: entrapment syndromes such as carpal tunnel syndrome, sulcus ulnaris syndrome, Morton's neuroma, occipital nerve neuralgia, radial nerve compression, meralgia paraesthetica, tarsal tunnel syndrome, peroneal nerve compression, thoracic outlet syndrome, cervical rib, etc.
  4. Polyneuropathy: diabetic, alcohol-induced, vitamin B12 deficiency, Guillain-Barré, endocrine, toxic, infectious, post-radiation, following renal failure, medication-induced, following surgery, etc.

We treat the following conditions affecting the peripheral nervous system:

Diagnosis

The Avicenna Clinic treats the conditions listed above. Following an in-depth examination of your medical history, neurological examination, electrophysiological investigations and following the preparation of the required imaging investigations (X-ray, MRI or CT), a definitive diagnosis is established and targeted treatment is recommended accordingly.

Treatment

Since impairment of the peripheral nervous system leads to nerve degeneration and muscle atrophy (muscle becomes replaced by fatty tissue) and since nerves regenerate at a rate of 1-2 mm per day, we recommend starting suitable treatment as soon as possible.

Treatment comprises microsurgical decompression by dividing the thickened ligament, removal of a neuroma, suturing, removal of a neurinoma etc.