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    Nerve surgery

    The arm and hand are essentially supplied by three main nerves: the median nerve, ulnar nerve and radial nerve. On their way from the cervical spine and the brachial plexus to the fingers, they have to pass through several so-called anatomical constrictions. For a variety of reasons – including inflammation, swelling of the surrounding tissue, or tumors – the main nerves at the constriction sites can become constricted and irritated. This irritation and increase in pressure can damage the nerve, resulting in nerve constriction syndrome of the hand. Consequences are pain, numbness or tingling of the affected fingers up to a loss of muscle strength of the innervated muscle.

    Common nerve congestion syndromes include:

    • Narrow place: wrist inner side
      • Complaints: Burning pain and numbness of the thumb, index finger and middle finger
      • Loge-de-Guyon syndrome:
      • Affected nerve: ulnar nerve
    • Narrow place: Inside of the wrist
      • Affected nerve: ulnar nerve
      • Complaints: Burning pain and numbness of the little finger and one side of the ring finger
      • Narrow place: elbow/musical bone
    • Sulcus ulnaris syndrome:
      • Affected nerve: ulnar nerve
      • Narrow place: elbow/musical bone
      • Narrow place: elbow/musical bone

    At CenterPlast Hand Surgery Saarbrücken, the specialists select the most effective and gentle treatment individually depending on the type and severity of the problem. If a splint is not sufficient and damage to the nerve has been proven by special measurements, the following surgical techniques are used:

    • Open relief

    Peripheral Nerve Surgery

    The peripheral nervous system comprises the nerves outside the brain and spinal cord. Peripheral nerve surgery treats the consequences of accidents such as bruising or severing of nerves as well as tumor diseases originating from nerves or constricting nerves. Many years of experience in microsurgery are a prerequisite in this area as well. The range of services offered by CenterPlast includes:

    • Pressure relief of nerve bottleneck syndromes also on the lower leg
    • Nerve reconstruction including nerve transplantation
    • Motor replacement plastics due to tendon rearrangements

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    The author

    Dr. med. Stéphane Stahl

    “We provide you with extensive expert knowledge so that we can work with you to select the best possible treatment path.”

    Dr. med. Stéphane steel is the former director of the Clinic for Plastic, Reconstructive and Aesthetic Surgery / Hand Surgery at the Lüdenscheid Clinic. Dr. Stahl studied medicine at the Universities of Freiburg and Berlin. In 2011 he passed the European and 2012 the German specialist examination for plastic and aesthetic surgery. Further specialist qualifications and additional qualifications followed (including quality management, medical didactics, physical therapy, emergency medicine, laser protection officers, hand surgery) as well as prizes and awards. In 2015 he completed his habilitation in plastic and aesthetic surgery in Tübingen. He is an experienced microsurgeon, a sought-after expert and a regular speaker at specialist congresses. After a multi-stage selection process, Stéphane Stahl became a member of the American Society for Aesthetic Plastic Surgery (ASAPS), one of the world’s largest and most influential specialist societies for aesthetic surgery. His authorship includes numerous articles in respected peer review journals and standard surgical textbooks.

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