Nerve Surgery Program

The physicians of The Institute for Advanced Reconstruction have over 50 years of combined experience in the field of nerve reconstruction. Utilizing the latest cutting-edge techniques, we are able to alleviate pain and restore function that has been lost due to nerve damage and disease. Our fellowship-trained experts specialize in everything from nerve surgery following traumatic injury to microsurgical techniques. These techniques treat the nerves, which are the most vital and delicate structures that carry messages from the brain to the rest of the body.

In procedures ranging from hand nerve surgery to relieve disorders such as carpal tunnel syndrome to advanced, highly effective methods of neuropathy treatment, our physicians are among the country’s most respected. We perform nerve repair, nerve graft and nerve transfer or neurolysis (the removal of scar tissue from the nerve).

We offer a wide variety of procedures designed to restore form and function to patients who suffer from disfiguring or disabling diseases and trauma. Among our nerve reconstruction treatments are brachial plexus reconstruction, hand and upper extremity nerve reconstruction, chronic migraine (post-traumatic) nerve decompression, Bell’s palsy, foot drop and neuropathy treatment.

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Diagnosis and Current Deficits

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What We Offer


The Institute for Advanced Reconstruction is on the cutting-edge of headache treatments, and among the few practices offering specialized procedures in the New Jersey/New York regional area. These include treatments for migraine, occipital neuralgia, and cervicogenic headache.

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Some cases of chronic joint pain require innovative treatment solutions. Joint innervation for most of the major joints of the extremities has been documented, and strategies for interrupting the pathways that transmit the painful impulses have been devised. These joint innervations are some of the innovative techniques performed by the surgeons of The Institute for Advanced Reconstruction.

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Piriformis syndrome is characterized by pain, tingling or numbness in the buttocks. The cause of this pain is due to the piriformis muscle compressing the sciatic nerve, and is exacerbated by sitting or sports, such as running. For patients with symptoms resistant to conservative treatments, surgical release of the piriformis muscle is often recommended and has been reported to be effective in relieving the symptoms.

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In radical prostatectomy surgery, nerves that are vital to erectile function are severed. At The Institute for Advanced Reconstruction, our physicians, working in conjunction with a team of skilled urologists, have mastered a revolutionary new procedure that allows men who have undergone a radical prostatectomy to retain normal erectile function.

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Pudendal neuralgia (PN) is a term meaning intense pain in the area in and around the pudendal nerve, which is located in the pelvic region and carries sensory and motor fibers. PN is caused by the entrapment, compression or dysfunction of the pudendal nerve. This uncommon condition is the source of chronic pelvic pain. Using a minimally invasive procedure, Dr. Andrew Elkwood performs pudental nerve decompression.

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If, due to various factors and conditions, a person is unable to lift the front of the foot or the toe is dragging, this is a condition known as foot drop. Just as foot drop can have many causes, foot drop treatment can take many forms. If a person is experiencing foot drop as a result of nerve problems, for example, foot drop treatment would likely take the form of surgery to relieve pressure on the nerve, performed extensively and successfully by experts at The Institute for Advanced Reconstruction.

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Nerve transplantation surgery can help patients who have suffered an injury to the nerve plexuses in the arm or leg. This is a surgery performed by few experts worldwide. Among those experts are the surgeons at The Institute for Advanced Reconstruction who use this procedure to restore function in patients who have nerves so severely damaged that no other treatment options can help.

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Nerves extend from your brain and spinal cord, sending important messages throughout your body. If you have a pinched nerve (nerve compression) your body may send you warning signals such as pain. Damage from a pinched nerve may be minor or severe, causing temporary or long-lasting problems. The earlier you get a diagnosis and treatment for nerve compression, the more quickly you’ll find relief. In some cases, you can’t reverse the damage from a pinched nerve. But treatment usually relieves pain and other symptoms. Our surgeons have many years of experience performing nerve decompression surgery, and have done thousands of procedures, often in our own fully certified outpatient surgical center. Our success rates exceed the national averages and our Institute prides itself on having extremely low complication rates.

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For those who have experienced facial paralysis due to stroke, acoustic neuroma surgery, trauma, or other cause, treatment at The Institute for Advanced Reconstruction may help. Our expert surgeons offer comprehensive treatment options for reversing facial paralysis, including the most advanced microsurgical methods of nerve repair. This includes transplanting nerves and/or muscles to restore facial nerve function to the injured part of the face.

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The Institute for Advanced Reconstruction’s reputation for excellence is such that patients often travel considerable distances to take advantage of our expertise.

The physicians of The Institute for Advanced Reconstruction are recognized as leaders in the field of nerve reconstruction and plastic reconstructive surgery. With over half a century of combined experience, they can bring an impressive body of knowledge to bear on difficult cases. The Institute for Advanced Reconstruction’s team approach to medicine ensures that patients receive the highest possible quality of care, and hence the most functional and natural-looking reconstruction possible.

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Patients Tell Their Stories

Cutting-edge Procedures Transform a Life

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Meet the Nerve Specialists

The Institute for Advanced Reconstruction’s reputation for excellence is such that patients often travel considerable distances to take advantage of our expertise.

The physicians of The Institute for Advanced Reconstruction are recognized as leaders in the field of nerve reconstruction and plastic reconstructive surgery. With over half a century of combined experience, they can bring an impressive body of knowledge to bear on difficult cases. The Institute for Advanced Reconstruction’s team approach to medicine ensures that patients receive the highest possible quality of care, and hence the most functional and natural-looking reconstruction possible.

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The physicians at The Insititute for Advanced Reconstruction are experts in their field.

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