When a nerve is squeezed in a tight anatomical tunnel, it can’t conduct properly — producing numbness, tingling, and weakness. Releasing the pressure is often straightforward and highly effective.
Where nerves get trapped
The fix
Success
Nerves travel through narrow passages — tunnels formed by bone, ligament, and muscle. When one of these tunnels tightens or the nerve swells, the nerve gets compressed. Carpal tunnel and cubital tunnel syndromes are the best-known examples.
The hallmark is numbness and tingling in a specific nerve’s territory, often worse at night. Surgical decompression relieves the pressure and, when done before permanent damage, restores normal function.
Fig: An entrapped nerve (left), surgical neurolysis releasing it (center), and the healthy decompressed nerve (right).
Learn about carpal tunnel syndrome — causes, symptoms, and treatment options.
Learn about cubital tunnel syndrome — causes, symptoms, and treatment options.
Learn about radial tunnel syndrome — causes, symptoms, and treatment options.
Learn about pronator syndrome — causes, symptoms, and treatment options.
Learn about piriformis syndrome — causes, symptoms, and treatment options.
Learn about tarsal tunnel syndrome — causes, symptoms, and treatment options.
Learn about tibial tunnel — causes, symptoms, and treatment options.
Learn about peroneal tunnel compression — causes, symptoms, and treatment options.
Learn about thoracic outlet syndrome — causes, symptoms, and treatment options.
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.
Nerve conduction studies pinpoint exactly where along the nerve the pressure is occurring.
The tight tunnel or band is released, freeing the nerve to conduct normally again.
Therapy and follow-up ensure strength and sensation return fully.
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.
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“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.
Schedule a consultation with Dr. Michaeli to understand your options and build a plan that fits your life.
