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Peripheral Nerve Disorders:
NCS/EMG Diagnosis & Nerve Surgery
KIMS Neuroscience, Secunderabad, Hyderabad — specialist diagnosis and surgical treatment for carpal tunnel, ulnar nerve, thoracic outlet, tarsal tunnel, piriformis, radial nerve, meralgia paresthetica, and brachial plexus injury.
11 Conditions
the KIMS Neuroscience team
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Peripheral nerve disorders are conditions affecting the nerves outside the brain and spinal cord — including entrapment syndromes (carpal tunnel, cubital tunnel, tarsal tunnel, meralgia paresthetica, piriformis), compressive palsies (radial nerve, thoracic outlet), traumatic plexus injuries (brachial plexus), and hereditary polyneuropathies including Charcot-Marie-Tooth disease (hereditary motor and sensory neuropathy), Refsum disease, and hereditary ATTR amyloidosis. Unlike central nerves, peripheral nerves can regenerate after injury at roughly 1 mm per day, making timely surgical decompression or reconstruction both possible and time-sensitive.
- What it covers
- Entrapment syndromes (carpal tunnel, cubital tunnel, tarsal tunnel, meralgia paresthetica, piriformis), compressive palsies (radial, thoracic outlet), and traumatic plexus injuries (brachial plexus).
- Gold-standard diagnosis
- Nerve conduction studies (NCS) and EMG localise the level and grade the severity in minutes — guiding whether splint, injection, or surgery is the right next step.
- Carpal tunnel surgery
- A 15-minute outpatient decompression under local anaesthesia. Nocturnal symptoms resolve within days in the majority of patients.
- Brachial plexus window
- Early specialist referral is essential. Surgical timing is individualised — guided by injury pattern, spontaneous recovery, and serial clinical and EMG assessment — rather than a single rigid 3–6 month deadline.
- Regeneration rate
- Peripheral nerve regenerates at approximately 1 mm per day from the point of repair — earlier surgery means shorter distances and better outcomes.
- BPI imaging
- MRI brachial plexus and CT myelogram distinguish root avulsion (pre-ganglionic, requires nerve transfer) from rupture (post-ganglionic, allows nerve grafting).
- India context
- Manual labour and tailoring drive CTS; smartphone use drives cubital tunnel; tight clothing drives meralgia paresthetica; two-wheeler RTAs drive brachial plexus injury.
| Fact | Details |
|---|---|
| 1mm/day regeneration rule | Peripheral nerves regenerate at approximately 1mm per day from the repair or decompression site to the target muscle. This is why timing of surgery matters: the earlier the decompression, the shorter the distance, the less the muscle wasting, the better the outcome. |
| Entrapment syndromes (6) | Carpal tunnel (median nerve at wrist) · Cubital tunnel (ulnar nerve at elbow) · Guyon canal (ulnar at wrist) · Tarsal tunnel (posterior tibial nerve at ankle) · Inguinal ligament (LFCN = meralgia paresthetica) · Thoracic outlet (brachial plexus lower trunk) |
| Compressive palsies (2) | Saturday night palsy / radial nerve at spiral groove (wrist drop) · Piriformis compression of the sciatic nerve in the deep buttock |
| Brachial plexus injury | The most time-critical peripheral nerve emergency: early specialist referral, with surgical timing individualised to the injury pattern and serial assessment. CT myelography distinguishes avulsion (pre-ganglionic, requires nerve transfer) from rupture (post-ganglionic, allows nerve grafting). Delay beyond 12–18 months causes irreversible muscle fibrosis. |
| NCS/EMG — the essential tool | Nerve conduction studies confirm the diagnosis, localise the level, grade the severity, and guide surgical timing. At KIMS, NCS includes: median vs ulnar comparison for CTS; inching across the elbow for cubital tunnel; MABC nerve study for TOS; plantar nerve latencies for tarsal tunnel. |
| Emergency presentations | Complete arm paralysis after motorcycle RTA (BPI) · Arm swelling and blue discolouration in a young athlete (Paget-Schroetter) · Holstein-Lewis humeral fracture with wrist drop (radial nerve entrapment) · Thenar wasting from severe CTS requiring urgent surgery |
| Contact KIMS | 040-44885000 (Monday to Saturday) · Emergency: 040-46324365 (24 hours, 7 days) · neuroscience@kimshospitals.com · No referral required for NCS/EMG appointment |
What Are Peripheral Nerve Disorders?
The peripheral nervous system is a vast wiring network — thousands of kilometres of nerve fibres carrying motor commands from the spinal cord to every muscle in the body, and sensory signals from every surface and joint back to the brain. Unlike the central nervous system (brain and spinal cord), peripheral nerves have the capacity to regenerate after injury. This makes peripheral nerve disorders both diagnosable with precision and, when treated at the right time, remarkably treatable.
Peripheral nerve disorders affecting the limbs fall into two broad categories. The first is nerve entrapment — where a nerve is compressed at a specific anatomical bottleneck: the carpal tunnel at the wrist (median nerve), the cubital tunnel at the elbow (ulnar nerve), the tarsal tunnel behind the medial ankle (posterior tibial nerve), the inguinal ligament at the hip crease (lateral femoral cutaneous nerve), and the thoracic outlet between the clavicle and first rib (brachial plexus lower trunk). These entrapments are common, diagnosable with nerve conduction studies (NCS), and often curable with decompression surgery. The second category is nerve injury — from traction, laceration, or ischaemia. Brachial plexus injury from road traffic accidents is the paradigm of this group in India, where two-wheeler accidents produce the traction forces needed to avulse nerve roots from the spinal cord.
At KIMS Neuroscience, Secunderabad, Hyderabad, peripheral nerve disorders are diagnosed with dedicated nerve conduction studies and EMG, and treated with the full spectrum of peripheral nerve surgery: carpal tunnel and cubital tunnel decompression; ulnar nerve transposition; brachial plexus exploration, nerve grafting, and nerve transfer (neurotisation); and the less common decompressions (tarsal tunnel, radial tunnel, thoracic outlet, LFCN). The guiding principle: the window for nerve surgery is time-sensitive. Peripheral nerve regeneration proceeds at approximately 1 mm per day from the point of repair to the target muscle. Delayed surgery means longer regeneration distances, more muscle wasting before reinnervation arrives, and worse functional outcomes.
Warning Signs to Watch For
• Tingling that wakes you at 3am
• Weak grip that drops cups or objects
• Ring & little finger numbness with phone use
• Burning outer thigh pain when standing
• Wrist drop after sleep or pressure
• Foot sole burning at night
• Buttock pain radiating down the leg
• Arm paralysis after a motorcycle accident
Conditions We Treat
01
Carpal Tunnel Syndrome
Carpal tunnel syndrome (CTS) is the most common peripheral nerve entrapment, caused by compression of the median nerve within the carpal tunnel — a rigid fibro-osseous canal at the wrist bounded by the carpal bones and the transverse carpal ligament (flexor retinaculum). The median nerve carries sensory fibres to the thumb, index, middle, and radial half of the ring fingers, and motor fibres to the thenar muscles (abductor pollicis brevis, opponens pollicis, flexor pollicis brevis). Compression produces: nocturnal tingling and numbness in the median nerve distribution; symptoms relieved by shaking the hand; weak pinch grip; and in advanced cases, wasting of the thenar eminence. NCS is the gold standard diagnostic test. Treatment: splinting, corticosteroid injection, or surgical decompression.
View Details →02
Ulnar Nerve Compression
Ulnar nerve compression occurs most commonly at the cubital tunnel (behind the medial epicondyle of the elbow), where the ulnar nerve is vulnerable to compression from sustained elbow flexion, direct pressure, or post-fracture deformity. Less commonly, compression occurs at Guyon's canal at the wrist. The ulnar nerve supplies all intrinsic hand muscles except the thenar group (via the median nerve), and sensory fibres to the ring and little fingers. Compression produces: tingling and numbness in the ring and little fingers; weak grip from intrinsic muscle weakness; clawing of the ring and little fingers (more pronounced at the wrist level, where lumbricals of index and middle are spared); and in advanced cases, guttering between the metacarpals from dorsal interosseous wasting. NCS confirms the level and severity.
View Details →03
Thoracic Outlet Syndrome (TOS)
Thoracic outlet syndrome (TOS) is compression of the brachial plexus, subclavian artery, or subclavian vein in the thoracic outlet — the space between the clavicle and first rib. Three forms: neurogenic TOS (90% of cases): compression of the lower trunk of the brachial plexus (C8–T1) producing pain and sensory symptoms in the inner arm and hand; vascular TOS — arterial (subclavian artery compression: arm claudication, distal embolisation) or venous (subclavian vein thrombosis: Paget-Schroetter syndrome: arm swelling and discolouration from effort). Causes include cervical rib, anomalous first rib, scalene muscle hypertrophy, and post-traumatic scarring. Diagnosis is clinical with provocation tests, confirmed by NCS/EMG and CXR for cervical rib.
View Details →04
Tarsal Tunnel Syndrome
Tarsal tunnel syndrome is entrapment of the posterior tibial nerve (and its branches — the medial and lateral plantar nerves) under the flexor retinaculum posterior to the medial malleolus of the ankle. It is the lower-limb analogue of carpal tunnel syndrome. Symptoms: burning, tingling, and numbness on the sole of the foot and toes; symptoms worse after prolonged standing, walking, or at night; and Tinel's sign (tingling provoked by percussion over the nerve behind the medial malleolus). Causes include flat feet (pes planus), ankle swelling, ganglion cysts, lipomas, and post-traumatic scarring in the tarsal tunnel. NCS confirms the diagnosis; MRI ankle identifies structural causes within the tunnel.
View Details →05
Piriformis Syndrome
Piriformis syndrome is entrapment or irritation of the sciatic nerve by the piriformis muscle in the deep gluteal space. The piriformis muscle originates from the anterior sacrum and passes through the greater sciatic foramen to insert on the greater trochanter; in approximately 15–22% of people, the common peroneal division of the sciatic nerve passes through (not below) the piriformis, increasing vulnerability. Symptoms: deep buttock pain radiating down the posterior thigh and leg in a sciatic distribution; aggravated by sitting (particularly on hard surfaces), hip internal rotation, and prolonged driving. It is a diagnosis of exclusion — lumbar disc herniation and sacroiliac joint pathology must be excluded first.
View Details →06
Radial Nerve Palsy
Radial nerve palsy produces wrist drop — the inability to extend the wrist and fingers against gravity. The radial nerve is the motor and sensory nerve of the posterior compartment of the arm and forearm. It winds around the spiral groove of the humerus (where it is compressed in "Saturday night palsy" or "honeymoon palsy" from sustained pressure during sleep or anaesthesia), then divides into the superficial radial nerve (sensory) and the posterior interosseous nerve (PIN, motor). PIN syndrome produces finger drop without wrist drop (the extensor carpi radialis longus, which extends the wrist, is spared). Radial tunnel syndrome produces lateral elbow pain without motor deficit. NCS/EMG localises the lesion level.
View Details →07
Meralgia Paresthetica
Meralgia paresthetica (MP) is entrapment of the lateral femoral cutaneous nerve (LFCN) as it passes under or through the inguinal ligament near the anterior superior iliac spine (ASIS). The LFCN is a purely sensory nerve supplying the lateral and anterior thigh. Entrapment produces: burning, tingling, and numbness on the outer thigh; no muscle weakness or reflex change (purely sensory nerve); symptoms worse on prolonged standing and walking; and relief on sitting (which flexes the hip and reduces inguinal ligament tension). In India, tight clothing, obesity, pregnancy, and prolonged standing are the most common contributing factors. The diagnosis is clinical; nerve conduction of the LFCN and a diagnostic nerve block confirm it.
View Details →08
Brachial Plexus Injury
Brachial plexus injury (BPI) is traumatic damage to the network of nerves (C5, C6, C7, C8, T1) that control the entire arm. In India, the most common cause is road traffic accident (motorcycle fall), producing traction or avulsion injury. Upper plexus injury (C5–C6, Erb's palsy): the arm hangs in the "waiter's tip" position (arm adducted, internally rotated, elbow extended, forearm pronated). Lower plexus injury (C8–T1, Klumpke's palsy): claw hand with intrinsic muscle wasting and Horner syndrome (ptosis, miosis, anhidrosis from T1 sympathetic involvement). Total plexus injury: flail, anaesthetic arm. Pre-ganglionic root avulsion (nerve torn from spinal cord) vs post-ganglionic rupture (nerve torn distal to ganglion) is the critical distinction for surgical planning: avulsions require nerve transfer (neurotisation); ruptures allow nerve grafting.
View Details →09
HSMN / Charcot-Marie-Tooth (CMT)
Most common inherited peripheral neuropathy (1 in 2,500). NCS distinguishes demyelinating from axonal forms. Physiotherapy, orthotics, and selective foot surgery are management pillars.
View Details →10
Phytanic Acid Storage Disease
Spectrum of disorders with abnormal phytanic acid accumulation due to defective alpha-oxidation. Dietary phytanic acid restriction is the primary treatment strategy.
View Details →11
Refsum Disease
Autosomal recessive peroxisomal disorder (PHYH/PEX7). Phytanic acid-restricted diet halts and partially reverses neurological deterioration. Plasma exchange for acute crises.
View Details →Overview — All 8 Peripheral Nerve Conditions
| Condition | Mechanism | Key Features | Diagnosis at KIMS | Treatment |
|---|---|---|---|---|
| Carpal Tunnel Syndrome | Compression of median nerve under the flexor retinaculum at the wrist | Numbness and tingling in thumb, index, middle fingers; nocturnal symptoms; weak pinch grip; thenar wasting (late) | NCS/EMG (gold standard) · Phalen's test · Tinel's sign · Wrist ultrasound | Wrist splinting (neutral) · Corticosteroid injection · Carpal tunnel decompression surgery (definitive) |
| Ulnar Nerve Compression | Compression at the cubital tunnel (elbow, most common) or Guyon's canal (wrist) | Numbness and tingling in ring and little fingers; weak grip; clawing of ring and little fingers; wasting of intrinsic hand muscles | NCS/EMG · Elbow ultrasound · MRI elbow/wrist if structural cause suspected | Elbow padding and posture advice · Cubital tunnel release or ulnar nerve transposition surgery (elbow) · Guyon's canal decompression (wrist) |
| Thoracic Outlet Syndrome | Compression of brachial plexus lower trunk (C8-T1) or subclavian vessels in the thoracic outlet (scalene triangle, costoclavicular space, or retropectoralis minor space) | Pain, numbness, tingling in inner arm, forearm, ring and little fingers · Vascular form: arm swelling, discolouration, pulselessness · Provocation tests (Adson, ROOS) | NCS/EMG · CXR (cervical rib) · CT angiography (vascular TOS) · MRI brachial plexus | Physiotherapy (first line for neurogenic TOS) · First rib resection / scalenectomy (surgical TOS) · Anticoagulation (venous TOS) |
| Tarsal Tunnel Syndrome | Compression of the posterior tibial nerve under the flexor retinaculum behind the medial malleolus | Burning, tingling, numbness in the sole of the foot · Worse at night and after prolonged standing · Tinel's sign behind medial malleolus | NCS/EMG (medial and lateral plantar nerve latencies) · MRI ankle (structural cause: ganglion, lipoma) · Ultrasound | Orthotics and arch support · Corticosteroid injection · Tarsal tunnel decompression surgery |
| Piriformis Syndrome | Entrapment or irritation of the sciatic nerve by the piriformis muscle in the deep gluteal space · Often post-traumatic or from hypertrophy | Buttock pain radiating down the back of the leg · Aggravated by sitting, hip internal rotation · Tender piriformis on palpation · Must exclude lumbar disc pathology | Clinical diagnosis (FAIR test, PACE test) · MRI lumbar spine and pelvis (exclude disc) · EMG | Physiotherapy (piriformis stretching) · Botulinum toxin injection into piriformis · Surgical decompression of sciatic nerve (selected cases) |
| Radial Nerve Palsy | Compression or injury of the radial nerve · Saturday night palsy (spiral groove compression) · Posterior interosseous nerve (PIN) syndrome · Radial tunnel syndrome | Wrist drop (inability to extend wrist and fingers) · Sensory loss dorsal hand and thumb web space · PIN syndrome: finger drop without sensory loss | NCS/EMG · MRI elbow (PIN, radial tunnel) · Clinical: wrist drop with intact brachioradialis = radial groove lesion | Conservative (wrist splint, physiotherapy) for compressive palsy · Surgery (PIN decompression, radial tunnel release) · Tendon transfer for irreversible palsy |
| Meralgia Paresthetica | Compression of the lateral femoral cutaneous nerve (LFCN) under or at the inguinal ligament | Burning, tingling, numbness on the outer thigh · No motor deficit · Worse standing and walking · Belt/waistband pressure worsens symptoms | Clinical diagnosis · NCS (LFCN sensory conduction) · MRI hip/pelvis (exclude structural cause in atypical cases) · Diagnostic nerve block | Weight loss · Loose clothing · Corticosteroid injection at ASIS · LFCN decompression or neurectomy (refractory cases) |
| Brachial Plexus Injury | Traction, stretch, avulsion, or compression of the brachial plexus (C5–T1) · RTA most common in India · Birth injury (obstetric brachial plexus palsy) | Upper plexus (C5–C6 / Erb's): arm hangs in 'waiter's tip' · Lower plexus (C8–T1 / Klumpke's): claw hand + Horner · Total plexus: flail arm | NCS/EMG · MRI brachial plexus (root avulsion vs rupture) · CT myelogram (avulsion) · Chest X-ray (phrenic nerve palsy) | Nerve grafting · Nerve transfer (neurotisation) · Tendon transfer · Obstetric plexopathy: early surgery if no recovery by 3–6 months · Rehabilitation |
The KIMS Treatment Pillars
Electrodiagnostic Precision
Nerve conduction studies (NCS), Electromyography (EMG), sensory and motor latency measurements, F-wave and H-reflex studies, and SSEPs for brachial plexus assessment.
Full-Spectrum Nerve Surgery
Carpal tunnel decompression, cubital tunnel release, ulnar nerve transposition, tarsal tunnel decompression, piriformis release, radial tunnel / PIN decompression, LFCN decompression.
Brachial Plexus Reconstruction
Brachial plexus exploration and nerve grafting; nerve transfer (neurotisation) for root avulsion — a time-critical surgical window of 3–6 months from injury.
Time-Sensitive Care
Peripheral nerve regeneration proceeds at ~1 mm per day. Earlier surgery means shorter regeneration distances, less muscle wasting, and better functional outcomes.
India-Specific Context
CTS and manual labour in India
Carpal tunnel syndrome is significantly more common in India than official statistics suggest, because the Indian workforce includes a large proportion of manual labourers, domestic workers, tailors, weavers, vegetable cutters, and construction workers whose repetitive wrist flexion activities increase CTS risk substantially. Many of these workers assume the tingling and nocturnal hand pain is from "weakness," vitamin deficiency, or "blood circulation problems" and do not seek neurological assessment. At KIMS, CTS is confirmed with NCS and treated with carpal tunnel decompression (a 15-minute outpatient procedure under local anaesthesia) that resolves symptoms in the majority of patients.
Brachial plexus injury and RTA in India
India has one of the highest road traffic accident rates in the world, and brachial plexus injury from motorcycle and two-wheeler accidents is correspondingly more prevalent than in Western countries. The mechanism: the neck and shoulder are forcibly separated (traction injury) when a rider falls and the shoulder strikes the ground while the neck is forced to the opposite side. Root avulsions (where the nerve root is torn from the spinal cord itself — a pre-ganglionic injury that cannot be repaired by direct nerve suture) must be distinguished from ruptures (post-ganglionic, repairable by nerve grafting or nerve transfer). MRI brachial plexus and CT myelogram performed at KIMS within 4–6 weeks of injury guide the surgical decision. The window for nerve transfer surgery is approximately 6 months from injury — after which muscle wasting becomes irreversible.
Ulnar nerve and smartphone / desk habits
Cubital tunnel syndrome (ulnar nerve compression at the elbow) has increased significantly in prevalence with the widespread adoption of smartphones, tablets, and laptop use — all of which involve sustained elbow flexion that compresses the ulnar nerve in the cubital tunnel. The ring and little finger tingling that wakes a person at night, or the weak grip that drops objects, are often attributed to cervical spondylosis or vitamin B12 deficiency in India, delaying the NCS that confirms cubital tunnel syndrome in minutes.
Meralgia paresthetica and tight clothing
Meralgia paresthetica — compression of the lateral femoral cutaneous nerve at the inguinal ligament — is significantly more common in India than recognised because tight traditional clothing (tight salwar waistbands, belt pressure in men wearing formal trousers, waistband compression from sarees tied tightly) is a major contributing factor alongside obesity and prolonged standing. The outer thigh burning and tingling is frequently misdiagnosed as lumbar radiculopathy or hip arthritis.
Expert Consultation
Dedicated nerve conduction studies, EMG, and the full spectrum of peripheral nerve surgery. No referral required.
Why Choose KIMS Neuroscience?
Dedicated NCS, EMG & SSEP suite
Full-spectrum peripheral nerve surgery
Brachial plexus reconstruction expertise
MRI brachial plexus & CT myelogram
15-minute carpal tunnel decompression
Emergency
040-46324365
Common Questions
Yes — nocturnal hand tingling that is relieved by shaking the hand (the "flick sign") is the most specific symptom of carpal tunnel syndrome. The median nerve is compressed in the carpal tunnel at the wrist, and the compression is worst at night because the wrist naturally falls into flexion during sleep, which further narrows the tunnel. Shaking the hand reduces venous congestion and temporarily relieves the pressure on the nerve. At KIMS, nerve conduction studies confirm CTS in 15 minutes. For mild-to-moderate CTS, a wrist splint worn at night often provides significant relief; for severe CTS or when conservative treatment fails, carpal tunnel decompression surgery under local anaesthesia (a 15-minute procedure) is curative. Call 040-44885000.
A complete arm paralysis after a motorcycle accident is a brachial plexus injury until proven otherwise. This is one of the most time-critical peripheral nerve emergencies: the window for nerve reconstruction surgery that can restore useful arm function is approximately 3–6 months from injury. After that, the muscles undergo irreversible fibrosis and cannot be reinnervated even if the nerve is repaired. At KIMS, the priority within the first 4–6 weeks is: MRI brachial plexus and CT myelogram to determine whether the nerve roots are avulsed (torn from the spinal cord — pre-ganglionic, requiring nerve transfer from other donors) or ruptured (torn distal to the ganglion — post-ganglionic, allowing nerve grafting). Surgery is typically planned within 3–6 months of injury. Please call 040-44885000 immediately for an urgent assessment.
The ring and little finger numbness from phone use or laptop typing is most commonly ulnar nerve compression at the elbow (cubital tunnel syndrome). The ulnar nerve runs through the cubital tunnel behind the medial epicondyle at the elbow. Sustained elbow flexion — exactly the position used when holding a phone to the ear or typing on a keyboard — compresses the nerve and reduces blood flow to it, producing the characteristic tingling in the ring and little fingers. This is distinct from carpal tunnel syndrome, which affects the thumb, index, and middle fingers (median nerve). Nerve conduction studies at KIMS confirm which nerve and at which level within minutes. Call 040-44885000.
Yes — burning pain and tingling on the outer thigh (the anterolateral thigh, not the back of the leg) that worsens with prolonged standing is the classic presentation of meralgia paresthetica — entrapment of the lateral femoral cutaneous nerve (LFCN) at the inguinal ligament. It is a purely sensory nerve: there is no muscle weakness and no reflex change. Tight clothing (waistbands, belts, tight jeans), obesity, and prolonged standing are the most common contributing factors in India. The condition is frequently misdiagnosed as hip arthritis (which produces groin and anterior hip pain, not outer thigh burning) or lumbar radiculopathy (which typically involves the leg below the knee and produces reflex changes). At KIMS, the LFCN nerve conduction study and a diagnostic nerve block at the ASIS confirm the diagnosis and provide relief. Call 040-44885000.
What you describe is the classic "Saturday night palsy" — compression of the radial nerve as it winds around the spiral groove of the humerus, caused by sustained pressure during deep sleep. The good news: the underlying injury is usually neurapraxia (transient functional block of the nerve without structural damage), and most patients recover spontaneously over 6–12 weeks. A wrist splint to support the dropped wrist, physiotherapy to maintain finger range of motion, and NCS at 2–3 weeks to confirm the level and prognosis are the standard care. If NCS shows axonal injury or there is no clinical improvement by 3 months, surgical exploration is considered. Call 040-44885000.
Burning on the sole of the foot — particularly worse at night and after prolonged standing — in someone with flat feet (pes planus) raises the possibility of tarsal tunnel syndrome: entrapment of the posterior tibial nerve under the flexor retinaculum behind the medial malleolus. Pes planus increases the stretch on the tibial nerve as it courses around the medial ankle, contributing to compression. The diagnosis is confirmed at KIMS with nerve conduction studies of the medial and lateral plantar nerves, and MRI of the ankle if a structural cause (ganglion, lipoma) is suspected. Treatment ranges from custom orthotics and corticosteroid injection to tarsal tunnel decompression surgery. Call 040-44885000.
Yes — diabetic peripheral neuropathy makes nerves more susceptible to compression (the "double crush" phenomenon), and entrapment syndromes such as carpal tunnel and ulnar neuropathy are more common and more severe in people with diabetes. Conversely, an isolated mononeuropathy in a diabetic patient should not be assumed to be "just diabetes" — NCS distinguishes a focal entrapment (treatable surgically) from generalised diabetic neuropathy. At KIMS, every nerve compression in a diabetic patient is investigated as a treatable entrapment until NCS proves otherwise; surgical outcomes after decompression are good provided blood sugar is well controlled. Call 040-44885000.
From the Carpal Tunnel to the Brachial Plexus — Peripheral Nerves Are Repairable
At KIMS Neuroscience, Secunderabad, Hyderabad, peripheral nerve disorders are confirmed with NCS and EMG, imaged with dedicated MRI nerve sequences, and treated with the full spectrum of peripheral nerve surgery. The earlier the treatment, the better the nerve recovers.
International enquiries: neuroscience@kimshospitals.com · Appointments: 040-44885000