Nerve Grafting in the Hand — Bridging Gaps After Severe Injuries

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TL;DR

Nerve injuries and entrapment conditions can cause numbness, tingling, and weakness. Our hand surgeons explain the diagnostic process and latest repair techniques.

Frequently Asked Questions

How long will I need off work? This depends on your occupation and the procedure performed. Office workers typically return within one to two weeks, while manual workers may need four to six weeks or longer.

Will I need physiotherapy? Most patients benefit from hand therapy after surgery. Our specialist hand therapists work closely with our surgeons to provide a tailored rehabilitation programme.

Can the condition come back? Recurrence rates vary by condition and treatment method. Your surgeon will discuss the specific recurrence risk for your situation and strategies to minimise it.

What You Need to Know

This condition is one that our hand surgery specialists at Axiom Aesthetics see regularly in clinical practice. With proper diagnosis and treatment, the majority of patients achieve excellent outcomes and return to their normal activities.

Understanding your condition is the first step towards effective treatment. In this article, we provide comprehensive, evidence-based information to help you make informed decisions about your care.

How We Diagnose This Condition

Accurate diagnosis is fundamental to effective treatment. Our hand surgeons use a combination of detailed clinical examination, specific provocation tests, and advanced imaging to confirm the diagnosis and assess severity.

In many cases, we can provide a definitive diagnosis during your first consultation using our in-clinic high-resolution ultrasound scanner. This allows us to visualise tendons, nerves, ligaments, and other soft tissue structures in real time.

Non-Surgical Treatment Options

We always consider conservative treatment first where appropriate. Non-surgical options may include custom splinting by our hand therapists, targeted exercises, activity modification, oral anti-inflammatory medication, and ultrasound-guided corticosteroid injections.

Our ultrasound-guided injection technique ensures precise delivery of medication to the target structure, improving effectiveness and reducing the risk of complications compared to landmark-guided (blind) injections.

When Surgery Is Recommended

Surgery may be recommended when conservative treatment has not provided adequate relief, when the condition is severe at presentation, or when there is a risk of permanent damage without surgical intervention.

Our hand surgeons will discuss the surgical options with you in detail, including the type of procedure, anaesthesia options, expected recovery, and potential risks. We believe in shared decision-making and will support you in choosing the treatment that best suits your needs and lifestyle.

The Surgical Procedure

Many of our hand surgery procedures are performed under local anaesthetic using the wide-awake approach, which avoids the risks associated with general anaesthesia and allows you to go home shortly after the operation.

Our surgeons use meticulous microsurgical techniques and magnification to ensure precise repair of the delicate structures in the hand. We prioritise minimally invasive approaches where possible to reduce scarring and accelerate recovery.

Book Your Consultation

If you are concerned about a hand or wrist condition, contact our specialist team today. Early assessment and treatment can make a significant difference to your outcome.

Call 020 7946 0958 or email [email protected] to book your consultation with one of our consultant hand surgeons.

Medically reviewed by Mr James Thornton, FRCS(Plast) Plastic & Hand Surgery GMC: 7284561
Medical Disclaimer

This content is provided for informational purposes only and does not constitute medical advice. Individual results may vary. Always consult with a qualified medical professional before undergoing any treatment. All treatments carry potential risks and side effects which will be fully discussed during your consultation.

Ian Duncan
Written by

Medical Disclaimer: This content is provided for informational purposes only and does not constitute medical advice. Individual results may vary. Always consult with a qualified medical professional before undergoing any treatment. All treatments carry potential risks and side effects which will be fully discussed during your consultation.

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