Nerve Procedures in Miami, FL

Advanced Neuro and Spine Institute is one of South Florida’s leading neurologic treatment centers providing diagnostic and surgical procedures to effectively treat patients suffering from neurologic conditions. At Advanced Neuro and Spine Institute, our specialists treat tumors, injuries, and other disorders that can affect the network of nerves linking the brain and spinal cord to other parts of the body, also known as the peripheral nervous system. The neurologists and neurosurgeons at our Aventura, Kendall, Hialeah, and Fort Lauderdale offices deliver expert, personalized care in a welcoming environment.

Causes of Nerve Injuries

Peripheral nerves can sustain damage from a number of causes, including injury or trauma. Common causes of nerve injuries include:

  • Cuts and wounds
  • Ballistic trauma and gunshot wounds
  • Mechanical injuries resulting from contraction or stretching
  • Nerve compression or entrapment
  • Damage from a spinal injection
  • Electrical shock or injuries

Our specialists treat the following nerve conditions:

  • Brachial Plexus Injury – Injury to the network of brachial plexus nerves found in the cervical and thoracic regions of the body.
  • Peroneal Nerve Injury – Also known as Foot Drop injury, caused by damage to the peroneal and sciatic nerves, which affects the sufferer’s ability to lift his or her foot.
  • Meralgia paresthetica (MP) – A condition where one or both of the leg’s main sensory nerves, the lateral femoral cutaneous nerve and/or femoral nerve, becomes compressed or entrapped.
  • Spinal accessory nerve palsy (SANP) – A shoulder condition resulting from damage to the spinal accessory nerve and/or cranial nerve.
  • General traumatic nerve injuries

Nerve Injury Diagnostic Criteria – The Sunderland Classification System

At Advanced Neuro and Spine Institute, we use the Sunderland Classification System, a grading system that divides nerve injuries into five separate classifications, to accurately pinpoint the location and severity of nerve damage. The Sunderland classes are as follows:

  1. First-degree injury: A reversible conduction disruption at the site of the injury that will heal within several hours or a few weeks without surgical intervention.
  2. Second-degree injury: Disruption of the axons or electrical wires within the affected nerve. Nonsurgical treatments tend to be effective with an early prognosis.
  3. Third-degree injury: Damaged axons and supportive structures within the affected nerve. Recovery is variable at this stage, and the nerve may be repaired with a simple neurolysis, a nerve cleaning procedure, or a more extensive grafting procedure. Intra-operative nerve conduction studies can determine the exact prognosis and outcome.
  4. Fourth-degree injury: Significant damage to the axons and surrounding connective tissues creates scarring that inhibits the nerve’s ability to regenerate. An intraoperative electrical testing is used to test neural pathways in the injured nerve and confirm an inability to pass electrical energy. A nerve graft is required to repair this level of damage.
  5. Fifth-degree injury: This level of damage is most often found in laceration or severe mechanical (stretching) injuries. The continuity of the nerve is totally disrupted or split in half at this stage, making surgical intervention the only method of repair.

Diagnostic Testing

An Electromyography (EMG) or Nerve Conduction Velocity (NCV) test may be used to determine the severity of damage to the affected nerve. These nerve conduction studies pass electrical energy through the affected nerves at rest and during contraction to measure the amount of electrical activity within the nerve. While these tests are most often performed prior to surgery, they are sometimes conducted during surgery to assist the surgeon throughout the procedure.

Your doctor may also perform a series of the following imaging tests to further diagnose your condition and/or track the progression of your recovery:

  • CT scan
  • MRI
  • Magnetic Resonance Neurography (MRN)

Nerve procedures can include the following:

  • Brachial plexus surgery
  • Hemifacial spasm surgery
  • Peripheral nerve tumor surgery
  • Pinched nerve surgery
  • Trigeminal neuralgia surgery
  • Vagus Nerve Stimulation (VNS)

Book Your Appointment Today

Advanced Neuro and Spine Institute Neurosurgeons are recognized experts in minimally invasive surgical procedures for the brain and spine. Our patients benefit from a faster recovery period, less time in the hospital, and lower risk of complications. We have offices conveniently located in Aventura, Kendall, Hialeah, and Fort Lauderdale. Please call 786-401-4599 today to schedule your initial consultation!

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