Releasing a nerve from the tight tunnel or band squeezing it. For compression neuropathies caught in time, decompression reliably restores normal nerve function.
The pressure
Most cases
Success rate
When a nerve is compressed in a tight anatomical passage, the simplest and most effective solution is to release the structure squeezing it. In carpal tunnel release, for example, the ligament over the median nerve is divided; in cubital tunnel surgery, the nerve is freed at the elbow.
Once the pressure is relieved, blood flow and signal conduction recover. When performed before permanent damage sets in, decompression offers excellent, durable results.
Fig: An entrapped nerve (left), surgical neurolysis releasing it (center), and the freed, healthy nerve (right).
The two most common compressions, both highly responsive to release.
Peroneal, tarsal, and tibial tunnel compressions are released to restore function.
Decompression is offered once nerve studies localize the site of pressure.
Exam and nerve studies confirm exactly where the nerve is compressed.
A precise incision exposes the compressing structure over the nerve.
The tight ligament or band is divided, freeing the nerve completely.
The nerve is used early; symptoms typically improve quickly.
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.
Night symptoms often resolve right away; the limb is used for light activity.
The incision heals and tingling settles as the nerve recovers.
Grip and function rebuild; long-standing cases continue improving for months.
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.
Most peripheral nerve procedures are medically necessary and covered by insurance. Our team will help you understand your benefits and assemble the documentation your plan requires.
How releasing a compressed nerve relieves symptoms, 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
Schedule a consultation with Dr. Michaeli to understand your options and build a plan that fits your life.
