Skip to main content
14100 Parkway Commons Dr, Suite 100 · Oklahoma City, OK 73134
Facebook Twitter YouTube Patient Portal

Neuroscience Specialists

Peripheral Nerve Surgery

When a nerve is compressed, damaged, or failing — at the wrist, elbow, or anywhere along its course from the spine to the fingertips — surgical decompression can restore what has been lost and protect what remains.

Peripheral Nerve Procedures

We perform surgical decompression of the most common peripheral nerve entrapment syndromes — compression conditions that develop gradually as anatomical structures tighten around a nerve, impairing its function over time. Both procedures are performed on an outpatient basis and are among the most reliably successful operations in peripheral nerve surgery.

Understanding the Conditions

Before deciding on surgery, most patients benefit from understanding the underlying compression syndrome — what is causing the nerve to be compressed, how it progresses, and when conservative care is no longer sufficient.

Our Approach to Peripheral Nerve Surgery

Peripheral nerve compression is a progressive problem. The nerve does not simply become compressed and stay that way — it gradually loses function, and eventually loses the axon fibers that carry signals to muscles and skin. Some of that loss can be recovered after decompression; some of it cannot.

Our goal is accurate diagnosis first — distinguishing wrist compression from elbow compression from cervical root compression from combined problems — and then appropriately timed surgery that addresses the right level before irreversible damage occurs.

1
Electrodiagnostic confirmation
Nerve conduction studies and EMG identify the exact site of compression, its severity, and how much axon loss has occurred. This guides both the decision to operate and the urgency of that decision.
2
Full nerve evaluation — from neck to fingertip
Cervical radiculopathy at C6–C7 (carpal tunnel pattern) or C8–T1 (cubital tunnel pattern) can mimic or coexist with peripheral entrapment. We evaluate the entire nerve pathway, not just the presumed compression site.
3
Conservative care when appropriate — surgery when indicated
Many patients with mild, early compression benefit from a structured trial of splinting and activity modification. We discuss this honestly — and are equally direct when conservative care has failed or when the nerve is at risk of further damage.
4
Technique selection based on your anatomy
Open vs. endoscopic for the wrist; in situ decompression vs. anterior transposition for the elbow. The right approach depends on your anatomy, severity, and whether the nerve subluxates out of its groove during elbow flexion.
Why Neuroscience Specialists
🧠
Spine and nerve in one practice
We manage cervical radiculopathy and peripheral entrapment together — important when the problem involves both levels.
Electrodiagnostic expertise
Nerve conduction studies read in-practice by the same neurosurgeon evaluating you — no referral lag, no misinterpretation.
🏥
Outpatient surgical center
Both procedures performed at SSM Health Oklahoma Spine Hospital as same-day outpatient surgery.
📋
Workers' comp experience
Familiar with Oklahoma workers' compensation documentation, authorization coordination, and return-to-work planning.

Ready to talk to a specialist?

Whether your symptoms are just beginning or you've been dealing with them for years, we can help clarify what's happening and what the right next step is.

Request a Consultation Call (405) 748-3300