Chronic anal or perineal pain (proctalgia) is often pudendal in origin — a nerve entrapment that can be diagnosed and treated rather than endured.
Persistent anal or perineal pain that is burning or positional frequently involves the pudendal nerve.
When the pain is neuropathic, peripheral nerve evaluation can identify the cause and guide treatment that addresses the nerve itself.
Peripheral nerve surgery is its own discipline. Dr. Michaeli has dedicated his practice to the nerves, with fellowship-level training and thousands of nerve procedures.
Nerve work is measured in millimeters. Every repair is performed under high-magnification with microsurgical instruments and the latest reconstructive techniques.
Many patients arrive having been told nothing more can be done. A dedicated nerve evaluation often reveals options that general specialists do not offer.
Exam and diagnostic blocks confirm the responsible nerve.
Decompression or neuroma surgery addresses the source of pain.
Modern techniques give the nerve a healthy endpoint so relief lasts.
Peripheral Nerve & Brachial Plexus Surgeon · New Jersey & New York
Dr. Michaeli is among the most experienced and trusted peripheral nerve specialists on the East Coast, combining board-certified hand surgery expertise with dedicated peripheral nerve training. He has helped patients across the region regain function when they were told nothing more could be done.
Dr. Michaeli explains what is happening to the nerve, the treatment options, and what recovery looks like.
A short explainer video from Dr. Michaeli will appear here. Replace the poster with your YouTube or Vimeo embed when ready.
“After years of being told my pain was something I’d have to live with, Dr. Michaeli found the nerve causing it and fixed it.”
Neuroma surgery
“I had given up hope of using my hand again. The nerve transfer gave me back movement the other doctors said was gone.”
Nerve transfer
“The carpal tunnel release was quick and the night pain was gone immediately. I only wish I’d done it sooner.”
Carpal tunnel release
In most cases no referral is required to schedule a consultation. We will help you understand your insurance coverage and any documentation your plan may request.
No. Many nerve conditions are first managed without surgery. Dr. Michaeli will recommend the least invasive effective option for your specific situation and only proceed to surgery when it offers the best outcome.
Nerve tissue is time-sensitive. The earlier a compressed or injured nerve is evaluated, the more options exist to protect and restore function. If you have progressive weakness or numbness, seek evaluation promptly.
