Nerve Injury Treatment in Delhi NCR
Our nervous system is divided into Central nervous system (brain and spinal cord) and Peripheral nerves. Central nervous system is treated by dedicated neurosurgeons and spine surgeons. As plastic surgeons we deal with peripheral nerves and their diseases. These may be tumors related to nerves or injury to nerves (sharp or avulsion injury).
This is a short glimpse of Peripheral nerve treatments offered with us.
1. Obstetric Brachial plexus Injury: This type of injury occurs during difficult childbirth. Baby is stuck in the birth canal during birth and is forcibly taken out of the canal. This leads to excessive traction on the neck and upper brachial plexus is often damaged. These injuries vary from mild traction to total avulsion of spinal nerves. This leads to flail limbs not functioning with handicap.
Patients are monitored for successive weeks for improvement and evaluated with imaging studies if needed. Simple traction injuries improve spontaneously. Avulsion injuries need to be operated.
Children brachial plexus injury respond better than adults when operated. There are various surgical options for patients ranging from primary repairs to never grafts or nerve transfers which vary according to the type of injury.
2. Traumatic Brachial plexus injury: Traumatic brachial plexus injury might occur due to blunt injury or sharp cut injuries. Like obstetric brachial plexus these injuries also lead to flail limbs with severe handicap. Brachial plexus patients are evaluated with MRI and Nerve conduction studies. Most blunt injury patients are observed serially and operated when there is no recovery for 10-12 weeks. Sharp injuries are operated at the same time of injury.
Treatment options are similar like obstetric brachial plexus injury patients.
3. Radial nerve, Ulnar nerve, Median Nerve palsy: These are peripheral nerves of upper limbs. Acute injuries are common after glass cuts or industrial trauma. Any deficit in one or all three nerves can lead to severe handicaps. Treatment options involve primary repairs, Nerve grafts and nerve transfers in immediate and short-term periods. Long standing injuries will need Tendon transfers, Joint arthrodesis and Splintage.
4. Facial nerve palsy: Facial nerve palsy most commonly occurs as Idiopathic which resolves by itself. Facial nerve palsy because of trauma or tumors can lead to facial asymmetry on smiling, inability to close eyes, constant drooling from mouth. This can be very distressing for the patients. Treatment options in such patients involve nerve repairs, nerve grafts, nerve transfers, Cross facial nerve grafting and sling procedures (Dynamic and static).
5. Carpal tunnel and other nerve compression syndromes: Nerve compression can lead to paralysis of various muscles supplied by the nerve. One of the most common such compression syndromes is Carpal tunnel syndrome. Median nerve gets compressed at the wrist in carpal tunnel leading to weakness of the hands. Treatment options include physiotherapy and release of carpal tunnel via small incisions or endoscopes.
Similar compression of Ulnar nerve and brachial plexus may happen at multiple places. All are treated either conservatively with exercise and physiotherapy or release of the compressing bands.
The human body consists of a controlling unit called the nervous system. The nervous system is categorized into two parts; Central Nervous System (CNS) and the Peripheral Nervous System (PNS). The former includes the brain & the spinal cord. And, the later connects all the nerves running from the brain & spinal cord to the rest of the human body. Dr. Deepak Rathore is one of the leading radial nerve repair doctor in Delhi NCR.