Peripheral Nerve Surgery in Hyderabad
Expert peripheral nerve surgery for carpal tunnel syndrome, ulnar nerve compression, peroneal neuropathy, nerve tumors, and traumatic nerve injuries. Advanced microsurgical techniques for optimal outcomes.
"Peripheral nerve surgery requires precision and expertise. Our microsurgical approach ensures the best possible outcomes for nerve decompression and repair."
— Dr. Sayuj Krishnan
What is Peripheral Nerve Surgery?
Peripheral nerve surgery involves the surgical treatment of nerves outside the brain and spinal cord. These nerves control movement and sensation in the arms, legs, hands, and feet. Common conditions requiring peripheral nerve surgery include compression syndromes, nerve tumors, and traumatic injuries.
Dr. Sayuj Krishnan specializes in microsurgical techniques for peripheral nerve disorders, offering both open and minimally invasive approaches to achieve optimal outcomes with minimal post-operative discomfort and faster recovery.
Conditions We Treat
Carpal Tunnel Syndrome
Symptoms:
- Numbness in thumb, index, middle fingers
- Night pain and tingling
- Weakness in hand grip
- Pain radiating to forearm
Common Causes:
- Repetitive hand movements
- Diabetes
- Pregnancy
- Arthritis
- Obesity
Cubital Tunnel Syndrome
Symptoms:
- Numbness in ring and little fingers
- Elbow pain
- Weakness in hand
- Claw hand deformity
Common Causes:
- Elbow trauma
- Repetitive elbow bending
- Arthritis
- Previous fractures
Peroneal Neuropathy
Symptoms:
- Foot drop
- Numbness on top of foot
- Difficulty walking
- Weakness in ankle
Common Causes:
- Knee trauma
- Prolonged sitting
- Diabetes
- Compression at fibular head
Surgical Procedures
Carpal Tunnel Release
Surgical decompression of the median nerve at the wrist
Surgical Techniques:
- Open carpal tunnel release
- Endoscopic carpal tunnel release
Indications:
- Severe carpal tunnel syndrome
- Failed conservative treatment
- Muscle wasting
Recovery Time
2-4 weeks
Success Rate
95%
Ulnar Nerve Decompression
Release of ulnar nerve compression at the elbow (cubital tunnel)
Surgical Techniques:
- Cubital tunnel release
- Ulnar nerve transposition
Indications:
- Cubital tunnel syndrome
- Ulnar neuropathy
- Elbow pain and numbness
Recovery Time
4-6 weeks
Success Rate
90%
Peroneal Nerve Decompression
Surgical release of peroneal nerve compression at the knee
Surgical Techniques:
- Peroneal nerve decompression
- Nerve release at fibular head
Indications:
- Foot drop
- Peroneal neuropathy
- Knee trauma
Recovery Time
6-8 weeks
Success Rate
85%
Nerve Tumor Removal
Microsurgical removal of benign nerve tumors
Surgical Techniques:
- Schwannoma excision
- Neurofibroma removal
- Nerve sheath tumor surgery
Indications:
- Schwannomas
- Neurofibromas
- Malignant nerve tumors
Recovery Time
4-8 weeks
Success Rate
95%
Nerve Repair & Grafting
Reconstruction of damaged or severed nerves
Surgical Techniques:
- Direct nerve repair
- Nerve grafting
- Nerve transfer
Indications:
- Nerve injuries
- Traumatic nerve damage
- Nerve gaps
Recovery Time
6-12 months
Success Rate
70-80%
Who Benefits from Peripheral Nerve Surgery?
Good Candidates
- ✓Failed conservative treatment (splinting, therapy, injections)
- ✓Severe symptoms affecting daily activities
- ✓EMG/NCS confirming nerve compression
- ✓Muscle wasting or weakness
- ✓Nerve tumors requiring removal
Conservative Treatment First
- •Mild symptoms with recent onset
- •Pregnancy-related carpal tunnel (often resolves)
- •Diabetes-related neuropathy (medical management)
- •Mild EMG changes without symptoms
Risks and How We Mitigate Them
Potential Risks
- •Infection (rare with proper technique)
- •Nerve injury during surgery
- •Incomplete symptom relief
- •Recurrence of compression
- •Scar tissue formation
Our Safety Measures
- ✓Microsurgical techniques for precision
- ✓Intraoperative nerve monitoring
- ✓Careful tourniquet time management
- ✓Strict sterile technique
- ✓Thorough pre-operative planning
Recovery Timeline by Procedure
Carpal Tunnel Release
Return to desk work: 1-2 weeks
Full activities: 2-4 weeks
Ulnar Nerve Decompression
Return to desk work: 2-3 weeks
Full activities: 4-6 weeks
Peroneal Nerve Surgery
Return to desk work: 3-4 weeks
Full activities: 6-8 weeks
Costs in Hyderabad
Typical Cost Ranges
- Carpal Tunnel Release₹45,000 - ₹75,000
- Ulnar Nerve Decompression₹55,000 - ₹85,000
- Peroneal Nerve Surgery₹60,000 - ₹90,000
- Nerve Tumor Removal₹70,000 - ₹1,20,000
Insurance & Payment
- ✓Most insurance plans cover peripheral nerve surgery
- ✓Cashless treatment available
- ✓Flexible payment options
- ✓Pre-authorization assistance
Why Choose Dr. Sayuj for Peripheral Nerve Surgery?
Microsurgical Expertise
- •Advanced microsurgical training from Germany
- •Precision techniques for nerve preservation
- •Minimally invasive approaches when possible
Outcome Highlights
- •95% success rate for carpal tunnel release
- •90% success rate for ulnar nerve decompression
- •Minimal complications and faster recovery
Frequently Asked Questions
Is endoscopic carpal tunnel release better than open surgery?
Both techniques are effective, but endoscopic carpal tunnel release offers advantages including smaller incisions, less post-operative pain, faster recovery, and reduced scarring. However, open release may be preferred for complex cases or when additional procedures are needed.
How long does numbness take to improve after nerve decompression?
Numbness improvement varies by individual and condition severity. Some patients notice improvement within days to weeks, while others may take 3-6 months for full recovery. Severe cases with long-standing compression may have permanent residual numbness.
Can nerve function fully recover after surgery?
Recovery depends on several factors including the duration of compression, severity of damage, and patient age. Early intervention typically yields better outcomes. While many patients achieve significant improvement, complete recovery may not always be possible in severe cases.
Do I need EMG/NCS (nerve conduction studies) before surgery?
Yes, EMG/NCS are essential for confirming the diagnosis, localizing the problem, and assessing severity. These tests help determine if surgery is indicated and provide baseline measurements for post-operative comparison.
Will insurance cover peripheral nerve decompression surgery?
Most insurance plans cover peripheral nerve surgery when medically necessary. We work with all major insurance providers and TPAs to ensure coverage. Our team will help verify your benefits and handle pre-authorization if required.
What are the risks of peripheral nerve surgery?
While generally safe, potential risks include infection, bleeding, nerve injury, incomplete relief, and recurrence. Dr. Sayuj uses microsurgical techniques, nerve monitoring, and careful patient selection to minimize these risks.
When should I consider surgery for carpal tunnel syndrome?
Surgery is recommended when conservative treatments (splinting, injections, therapy) fail, symptoms are severe, or there is muscle wasting. Early surgical intervention often provides better outcomes than waiting for severe nerve damage.
Schedule Your Peripheral Nerve Consultation
Nerve conduction studies and MRI reviewed • Expert microsurgical treatment available
Medically reviewed by Dr Sayuj Krishnan — MBBS, DNB Neurosurgery (Direct 6 years), Fellowship in Minimally Invasive and Advanced Spine Surgery
Last reviewed: October 1, 2025