The typical flow of events for a patient will be:
- Upon referral to our center (which can be initiated by your doctor or by yourself), we will determine if you should see one of our neurosurgeons or one of our neurologists.
- Typically, you can be seen within 1 to 2 weeks, but based on the urgency and your level of concern we may be able to see you sooner.
- After seeing our physician and after reviewing your radiologic scans (MRI, CT) or other studies, a treatment plan will be discussed with you. Sometimes, additional studies will be needed.
- If the treatment plan involves neurosurgery, you will be informed of the benefits versus the risks and a date for surgery will be scheduled. Typically, surgeries will be within 7 to 14 days, based on level of urgency. You can also request to think about the options and return with further questions or e-mail your doctor later with questions.
- The day of surgery, you will be admitted to the hospital and brought to the operating room area for your nerve surgery. After the surgery, you will go to the recovery room and, if you are an outpatient, will be discharged within the day.
- After surgery, your family will be able to see you within a few hours.
If surgery is deemed appropriate, you have options:
- Entrapment operations (carpal tunnel/cubital tunnel, etc.) are usually done on an outpatient basis under local or general anesthesia.
- Trauma operations are more involved and may require nerve grafts with resuturing of disrupted nerves. Sometimes, if the trauma causes a painful condition called complex regional pain syndrome 1 (CRPS1), then a peripheral nerve stimulator may be appropriate. (view video)