Find Relief From Chronic Pain Through Advanced Surgical Solutions

Chronic pain can affect every aspect of your life. The Institute for Advanced Reconstruction specializes in diagnosing and surgically treating nerve-related pain through advanced procedures that restore comfort, strength, and quality of life when other treatments have failed.

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Management Specialist

Explore Life-Changing Stories

Is Chronic Pain Controlling Your Life?

Pain isn’t just a symptom, it’s a barrier to living fully. Many patients come to The Institute after years of unsuccessful therapies or being told there are no further options. Our mission is to change that. Using advanced diagnostics and microsurgical precision, we identify the root cause of your pain and develop targeted solutions that improve function and provide lasting relief.

You don’t have to live this way. Here’s who we help:

Patients with pain that persists after surgery, trauma, or cancer treatment.

Individuals with chronic nerve pain that radiates through the arms, legs, or torso.

Patients with numbness, weakness, or nerve damage that limits daily activity.

Those who have been told their pain is “non-surgical” but continue to seek answers.

People living with widespread, multi-region pain that hasn’t responded to medication or therapy.

""I'm very grateful for the experience, to be able to have some relief, especially after going to multiple doctors and feeling frustrated, but then finally finding the right place. I'm very excited to be on this road of recovery…the results are just incredible and beyond what I imagined them to be." "

— David, Patient of Dr. Small for Pudendal Neuralgia Surgery

Hear How We’ve Helped Patients Like You

Conditions We Treat

Our team specializes in diagnosing and treating conditions that are often overlooked or considered untreatable:

Arm, Wrist, Shoulder, & Elbow Pain

Leg, Foot, and Knee Pain

Neck & Back Pain

Chest Wall Pain

Groin and Pelvic Pain

Headache & Facial Pain

Multisite & Systemic Pain

Arm, Wrist, Shoulder, & Elbow Pain

When pain in the hand, wrist, or arm limits motion or grip strength, it may indicate nerve compression or soft tissue injury.

Common conditions include:

Carpal Tunnel Syndrome, Cubital Tunnel Syndrome, and Radial Tunnel Syndrome
Nerve injuries or lacerations following trauma or prior surgery
Arthritis and joint degeneration of the wrist, elbow, or thumb (CMC arthritis)
Tendon injuries and chronic inflammation (Trigger Finger, De Quervain’s Tenosynovitis, Tennis & Golfer’s Elbow)
Chronic post-surgical or trauma-related pain

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Leg, Foot, and Knee Pain

Lower extremity pain can stem from nerve damage, poor healing, or musculoskeletal imbalance that makes walking painful or unstable.

Common conditions include:

Neuropathy or nerve compression in the legs or feet
Complex Regional Pain Syndrome (CRPS)
Non-healing fractures or bone non-unions
Arthritis of the ankle, knee, or hip
Tendon and ligament injuries
Chronic pain following joint surgery or trauma

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Neck & Back Pain

Neck and spine pain can radiate into the shoulders, arms, or legs, often caused by nerve compression, scar tissue, or structural weakness.

Common conditions include:

Cervicogenic headaches and occipital neuralgia
Nerve compression or injury following neck or back surgery
Radiation-induced nerve injury or post-cancer treatment pain
Thoracic Outlet Syndrome and upper extremity weakness
Brachial plexus injury or paralysis

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Chest Wall Pain

When chest pain worsens with movement or breathing, it may result from nerve damage, diaphragm dysfunction, or post-surgical scarring.

Common conditions include:

Phrenic nerve injury or diaphragm paralysis affecting breathing control
Chest wall instability or trauma
Post-mastectomy pain and radiation-related nerve injury
Chronic pain following thoracic or reconstructive surgery
Lymphedema or swelling after cancer treatment

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Groin and Pelvic Pain

Groin or pelvic pain can affect mobility, intimacy, and quality of life. Often, the pain results from nerve entrapment, hernia repair, or trauma.

Common conditions include:

Pudendal neuralgia or entrapment
Femoral or obturator neuropathy
Post-hernia repair pain and chronic hernias
Erectile dysfunction and post-prostate surgical pain
Pelvic trauma, testicular pain, or perineal nerve injury

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Headache & Facial Pain

Headache and facial pain often involve compressed or injured nerves that cause constant headaches or scalp tenderness.

Common conditions include:

Occipital neuralgia and chronic migraine syndromes
Post-traumatic headaches after concussion or facial injury
Trigeminal or facial nerve compression
Nerve damage following facial, eye, or sinus surgery

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Multisite & Systemic Pain

When pain affects multiple regions of the body, it may involve widespread nerve injury, systemic inflammation, or treatment complications.

Common conditions include:

Complex Regional Pain Syndrome (CRPS) involving multiple limbs
Chemotherapy-induced peripheral neuropathy
Radiation-induced nerve or soft tissue damage
Chronic post-cancer treatment pain
Post-stroke or spinal cord injury pain

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Advanced Surgical Solutions for Chronic Pain

Our surgeons specialize in advanced microsurgical and reconstructive techniques that target damaged or compressed nerves, structural weakness, or scar tissue that can cause chronic pain. Every treatment plan is customized to restore comfort, mobility, and long-term function.

Procedures commonly performed across our regional centers include: