Complex nerve injuries often require a combination of techniques — repair, grafting, and transfers — orchestrated into a single reconstructive plan to restore the most function possible.
Techniques
To the injury
Function
Severe or long-standing nerve injuries rarely fit a single technique. Peripheral nerve reconstruction is the strategic combination of direct repair, grafting, nerve transfers, and — where helpful — tendon transfers, sequenced to restore the highest-value functions first.
Dr. Michaeli builds a personalized reconstructive plan based on which nerves are injured, how long ago, and what matters most to the patient’s life and work.
Multi-level or multi-nerve injuries requiring more than one technique.
Older injuries where a combined strategy maximizes recovery.
When specific high-value functions must be prioritized and rebuilt.
The full pattern of injury and the patient's goals are mapped.
Repair, graft, and transfer options are combined into one strategy.
The techniques are executed in a single coordinated plan.
Therapy and follow-up guide the staged return of function.
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.
The reconstruction heals; therapy preserves motion.
Functions return progressively in order of priority.
Strength and coordination continue to build with retraining.
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 multiple techniques are combined into one plan to restore the most function.
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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.
