A nerve entrapment is when a nerve becomes compressed between two other structures, often a ligament or bone. This can cause numbness, tingling, weakness, or a burning sensation. The nerve can be compressed after a traumatic injury that causes bone displacement or swelling. Other causes can include tumors, cysts, or arthritis.
Nerve entrapments require surgery when they do not improve with conservative measures, and cause muscle wasting or loss of function. Dr. Azouz will start with a physical exam to assess the nerve entrapment. He may look for Tinel’s sign may indicate carpal tunnel syndrome or cubital tunnel syndrome. X-ray imaging may also be required if the nerve entrapment is due to a mass or fracture.
Dr. Azouz can perform a nerve decompression to relieve the pressure on the nerve. He will remove any tissues that are compressing the nerve.
Dr. Azouz will use sedation with local anesthesia for the majority of hand surgeries. Patients are given sedative medications to help them relax into a deep sleep. Dr. Azouz will then inject an axillary block which numbs the arm and helps with pain for up to 24 hours after the procedure.
Dr. Azouz will place a splint after the procedure to help the affected area heal. Recovery can vary depending on the procedure. Therapy may be recommended to help regain range of motion and strength. Most patients can return to their heavy exercise activities in 4-6 weeks.
The cost of surgery ranges broadly. Dr. Azouz will obtain a medical history and perform a physical examination to help determine the cost. If a nerve entrapment is associated with a work-related injury, workers’ compensation carriers can cover surgical costs.
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