Comprehensive Peripheral Nerve Surgery Services
Advanced Surgical Solutions for Pain, Numbness, Weakness, and Loss of Function
At Nerve Plexus Center, Dr. Oren Michaeli offers the full spectrum of peripheral nerve surgery services to patients throughout New Jersey, New York, and Long Island. With over 2,000 successful procedures and a 99% patient satisfaction rate, our practice specializes in treating complex nerve conditions that have failed to respond to conservative treatments.
Specialized Care for Every
Nerve Condition
Peripheral nerve disorders can manifest in countless ways—chronic pain that never subsides, numbness that spreads over time, weakness that limits your daily activities, or complete loss of function in an affected area. These conditions often prove frustrating because they don’t respond to standard medical treatments, leaving patients feeling hopeless and without options.
Dr. Michaeli’s extensive training in peripheral nerve surgery provides solutions where other approaches have failed. Whether your condition stems from trauma, repetitive stress, compression, previous surgery, or disease, we offer advanced surgical techniques specifically designed to address the root cause of your symptoms.
Every patient’s journey is unique, which is why we’ve organized our services into five comprehensive categories based on the primary symptoms and underlying conditions. Explore each category below to learn more about your specific condition and the surgical solutions available.
Our Services
Pain & Numbness
Surgical Relief for Chronic Nerve Pain
Chronic nerve pain can persist long after injury, causing burning, stabbing, or electric sensations. When treatments fail, advanced nerve surgery may offer relief by addressing underlying structural and functional issues responsible for ongoing pain.
Compression Neuropathy
Surgical Release for Trapped Nerves
Compression neuropathies occur when nerves are squeezed by surrounding tissues, worsening from tingling to pain or weakness. When conservative treatments fail, surgical decompression can relieve pressure, prevent permanent damage, and restore function with effective, minimally invasive procedures.
Muscle Paralysis & Weakness
Restoring Movement and Function
Damage to motor nerves can cause paralysis or severe weakness, affecting daily life. Advanced peripheral nerve surgeries – such as nerve repair, grafting, transfers, and tendon transfers-can restore movement and function, offering hope even in cases once considered permanent.
Amputation Pain
Advanced Solutions for Post-Amputation Suffering
Post-amputation pain, including phantom limb pain and neuromas, affects many patients. Advanced peripheral nerve surgery now offers effective solutions by targeting the source of pain, helping reduce discomfort and significantly improve quality of life after amputation.
Spasticity
Spasticity: Surgical Treatment for Excessive Muscle Tone
Spasticity refers to abnormally increased muscle tone resulting in stiff, tight muscles that resist movement. This condition typically results from upper motor neuron damage due to stroke, cerebral palsy, multiple sclerosis, traumatic brain injury, or spinal cord injury. The excessive muscle tone can cause pain, limit mobility, interfere with daily activities, and lead to permanent joint contractures if untreated.
While medications and physical therapy form the first line of treatment for spasticity, many patients don’t achieve adequate control with conservative approaches. Surgical intervention—particularly selective nerve procedures—can provide targeted, lasting reduction in spasticity while preserving voluntary muscle function.
Spasticity
Understanding Spasticity:
Spasticity occurs when the normal feedback loop between muscles and the nervous system is disrupted. Without proper regulation, muscles receive constant signals to contract, resulting in:
- Involuntary muscle spasms
- Sustained muscle contractions
- Resistance to passive movement
- Painful cramping
- Difficulty with voluntary movement
- Joint contractures over time
Surgical Treatment Options:
Selective Denervation: Carefully selected nerve branches that cause excessive muscle tone are surgically divided while preserving branches that maintain useful function. This selective approach reduces spasticity without causing complete paralysis.
Nerve Blocks and Neurotomy: For more severe cases, strategic nerve divisions can dramatically reduce muscle tone while maintaining as much functional movement as possible.
Combined Approaches: Dr. Michaeli often combines nerve procedures with tendon lengthening or release procedures performed by orthopedic colleagues to address both the neurological and musculoskeletal components of spasticity.
Ideal Candidates:
- Patients with focal or regional spasticity
- Those who haven’t responded adequately to medications or botulinum toxin injections
- Patients seeking more permanent solutions than repeated injections
- Cases where spasticity is causing pain, skin breakdown, or hygiene issues
- Progressive contractures despite conservative management
Expected Outcomes:
Selective nerve procedures for spasticity provide significant, lasting reduction in muscle tone. Most patients experience:
- Decreased pain from muscle spasms
- Improved range of motion
- Better ability to participate in therapy
- Enhanced hygiene and positioning
- Prevention of progressive contractures
- Maintained or improved functional movement
Recovery typically involves a period of intensive physical therapy to retrain movement patterns and maximize the functional benefits of reduced spasticity.
Comprehensive Evaluation:
Determining the ideal surgical approach requires thorough evaluation including:
- Detailed physical examination
- Assessment of spasticity severity and distribution
- Evaluation of voluntary muscle function
- Review of previous treatments and responses
- Discussion of patient goals and expectations
- Coordination with rehabilitation specialists
Why Choose Nerve Plexus Center
Experience Expertise and Outcomes That Matter
2,000+ Successful Procedures
Dr. Michaeli's extensive surgical experience across all types of peripheral nerve conditions ensures you receive expert care from a surgeon who has seen and successfully treated cases like yours.
99% Patient Satisfaction
Nearly every patient reports significant improvement in their condition and would recommend Dr. Michaeli to family and friends—a testament to both surgical outcomes and patient care quality.
Board Certified Specialist
Board certification in hand surgery from the American Osteopathic Board of Orthopedic Surgery demonstrates Dr. Michaeli's advanced training and expertise in the precise microsurgical techniques required for nerve surgery.
Professional Society Memberships
Active membership in the American Society for Peripheral Nerve (ASPN) and Peripheral Nerve Society keeps Dr. Michaeli at the forefront of new techniques and research in nerve surgery.
Consultation Process
What to Expect During Your Consultation
Comprehensive Medical History
Dr. Michaeli begins by listening to your complete story—when symptoms began, what makes them better or worse, what treatments you've tried, and how your condition affects daily life.
Detailed Physical Examination
A thorough examination assesses sensation, strength, reflexes, and specific provocative tests for your suspected condition. This hands-on evaluation often provides crucial diagnostic information.
Diagnostic Test Review
Dr. Michaeli reviews any imaging studies (MRI, ultrasound) or nerve testing (EMG/NCS) you've had, and orders additional tests if needed to confirm the diagnosis and plan surgery.
Treatment Discussion
You'll receive a clear explanation of your diagnosis, why you're experiencing symptoms, and all available treatment options with their risks and benefits. Dr. Michaeli believes in informed decision-making and collaborative treatment planning.
Personalized Treatment Plan
Together, you'll develop a treatment plan aligned with your goals, lifestyle, and medical needs. This may include surgery, additional testing, or coordination with other specialists.
Take the First Step Toward Relief
You’ve lived with pain, numbness, or weakness long enough. Advanced peripheral nerve surgery can provide the relief and function you’ve been seeking. Contact Nerve Plexus Center today to schedule your comprehensive consultation with Dr. Oren Michaeli.