About Reinnervation
Key Highlights
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Restores voluntary muscle movement and function in paralyzed areas.Can significantly reduce chronic neuropathic pain and improve sensory perception.Helps prevent long-term muscle atrophy by re-establishing neural input.Offers a potential solution when direct nerve repair or grafting is not feasible.Minimally invasive techniques often lead to smaller incisions and reduced scarring.Can improve facial symmetry and expression in cases of facial nerve palsy./ul
Who is this surgery for?
- Facial paralysis (e.g., from Bell's palsy, trauma, or tumor resection).
- Brachial plexus injuries resulting in arm or hand weakness or paralysis.
- Peripheral nerve injuries that have not healed spontaneously or with primary repair.
- Chronic neuropathic pain conditions unresponsive to conservative management.
- Muscle denervation following spinal cord injury (in select cases).
- To restore function after surgical removal of tumors affecting nerves.
- Certain cases of vocal cord paralysis to improve voice and swallowing.
How to prepare
- Comprehensive neurological examination and imaging (MRI, CT, or ultrasound) to map the nerve damage.
- Electromyography (EMG) and nerve conduction studies to assess the extent of nerve and muscle function.
- Detailed discussion with the neurosurgeon about surgical goals, risks, and expected outcomes.
- Pre-operative blood tests and a general health assessment to ensure fitness for surgery.
- Discontinuation of certain medications (e.g., blood thinners) as advised by the medical team.
- Fasting for 8-12 hours prior to the procedure if performed under general anesthesia.
Risks & possible complications
- Infection at the surgical site.
- Bleeding or hematoma formation.
- Damage to surrounding nerves, blood vessels, or tissues during surgery.
- Failure of the nerve transfer to successfully reinnervate the target muscle.
- Donor site morbidity, such as weakness or numbness in the area supplied by the donor nerve.
- Adverse reactions to anesthesia.
- Scarring or poor wound healing.
- Persistent pain or the development of complex regional pain syndrome (CRPS).
Recovery & hospital stay
- Initial hospital stay for monitoring of the surgical site and pain management.
- The limb or surgical area may be immobilized with a splint or sling for several weeks to protect the nerve repair.
- Pain and swelling are common initially and managed with prescribed medications.
- Physical and/or occupational therapy is crucial, starting with gentle exercises and progressing to strengthen reinnervated muscles.
- Follow-up appointments for wound checks and to monitor nerve regeneration via clinical exams and possibly repeat EMG studies.
- Signs of nerve regeneration (like tingling or flickers of movement) may take several months to appear; full functional recovery can take 6-18 months.
- Avoidance of strenuous activity and heavy lifting as advised by the surgeon.
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Typical hospital stay: 2-5 days
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Expected recovery time: 6-18 months for full functional recovery
Frequently Asked Questions
If you are considering reinnervation in India, these questions and answers can help you make a confident, informed decision.
Popular choices for reinnervation in India include Miot Hospital Chennai, Cytecare Hospital, Kamineni Hospital LB Nagar, Kamineni Hospital, King Koti, Manipal Hospital Old Airport Road, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform reinnervation. MediFyr helps you compare neurosurgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for reinnervation compare across other countries where we have data.
Top hospitals for Reinnervation in India
These partner hospitals in India have dedicated neurosurgery teams and experience managing patients undergoing reinnervation.
Pari Shah, a 42-year-old graphic designer...
Pari Shah, a 42-year-old graphic designer and avid painter, began experiencing progressive weakness and muscle wasting in her right hand and forearm two years ago. Initially dismissed as overuse, it worsened until she could barely hold a brush. Diagnoses of carpal tunnel and cubital tunnel syndrome failed to explain the severity. Finally, an EMG and MRI revealed severe, chronic compression of her right ulnar nerve at the elbow, with significant axonal loss. Her hand was cold, clawed, and numb. Her neurosurgeon explained that a simple decompression wouldn't be enough; the nerve's motor fibers were too damaged. He recommended an ulnar nerve reinnervation procedure, using a healthy donor nerve from her arm to 're-wire' the dying muscles of her hand. Pari was terrified of losing her creative identity. The surgery was complex but successful. She wore a splint for weeks, then began months of agonizingly slow rehabilitation, relearning minute movements. A year later, while she doesn't have full strength, she has regained functional grip, can hold utensils, write legibly, and, most importantly, can paint again with adapted techniques. The emotional journey was from despair and grief over her lost abilities to a hard-won acceptance and profound gratitude for the function she regained, redefining her resilience.
Neurosurgeons for Reinnervation
Explore experienced neurosurgeons who regularly perform reinnervation and provide pre- and post-operative care in India.
- 18 Years Experience
- Neurosurgeon
Miot Hospital Chennai, Chennai
- 22 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 13 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 10 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 9 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 9 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 11 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 9 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 21 Years Experience
- Neurosurgeon
Manipal Hospital Whitefield, Bangalore
- 29 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 21 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 19 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 20 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 17 Years Experience
- Neurosurgeon
Manipal Hospital Patiala, Patiala
- 13 Years Experience
- Neurosurgeon
Manipal Hospital Patiala, Patiala
- 17 Years Experience
- Neurosurgeon
Manipal Hospital Mysore, Mysore
- 15 Years Experience
- Neurosurgeon
Manipal Hospital Vijayawada, vijayawada
- 14 Years Experience
- Neurosurgeon
Manipal Hospital Vijayawada, vijayawada