Peripheral
Nerve Surgery

Welcome to Cosmetic and Reconstructive Surgery Associates of Connecticut. We appreciate your interest, in the many procedures we perform, that will allow you to look and feel better.  Dr. Melendez, his associates and staff, will take the time to get to know you personally and to develop a holistic treatment plan based upon your specific needs. They will also explain, in detail, all pre- and post-surgical instructions, what you may realistically expect in terms of outcome, and answer any questions you have about your care.
On this page, we will provide you with a brief explanation of the most common and popular surgeries available.  All cosmetic and reconstructive surgeries should first be carefully considered and discussed with a doctor. Please call us at 203-935-8160 or click here to schedule your consultation.

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Migraine surgery – A migraine is a form of vascular headache, characterized by severe pain on one or both sides of the head, nausea, and, sometimes, disturbed vision.  Migraines occur when the sensory nerves, in the face or neck, become stimulated or irritated. Women are more likely than men to suffer from migraines. The vast majority of patients, who suffer from migraines, can find relief through medication, or other intervention treatments.

For those who do not have nerve decompression, migraine surgery can offer relief. Migraine surgery is a relatively short out-patient procedure, using minimally invasive techniques, to decompress nerves irritated by surrounding tissue. Depending on where the pain is triggered, nerves may be released in the region of the eyes and forehead, as well as on the back of the head.  Occasionally, nasal trigger points may be released by performing a septoplasty. A septoplasty is the same surgical procedure used for repairing a deviated septum.  Most candidates, for migraine surgery, are referred by their neurologist to a plastic surgeon after non-invasive methods have been tried. You can expect that the surgeon will have detailed questions about your lifestyle, medications, and any information about supplements or other products you ingest.

Dr. Melendez will explain all aspects of the procedure, to you, and guide you through the pre- and post-operative care instructions.

Please call us at 203-935-8160 or click here to schedule your consultation.

Carpal tunnel release – Carpel tunnel syndrome is numbness, tingling, weakness, and other problems in your hand, caused by pressure on the median nerve in your wrist. The median nerve runs from your forearm to your hand, through a small space in your wrist called the carpal tunnel. The median nerve controls movement and feeling your thumb and first three fingers.

Carpal tunnel syndrome can be caused by illnesses like hypothyroidism, arthritis, or diabetes, by pregnancy, or by injury. However, the most common cases occur due to repetitive motions done on the job. Carpal tunnel release surgery is recommended when all other forms of conservative treatment have failed.

The severity of your carpal tunnel, your symptoms, your overall health, and the anatomy of your hand, will impact the type of surgery your doctor wishes to perform. In this procedure, the surgeon cuts through the ligament that is pressing down on the carpal tunnel, providing more room for the median nerve and tendons passing through the tunnel, eliminating pain and improving function.

Carpal tunnel release surgery is an out-patient procedure using local or general anesthesia. Your doctor will inform you about routine pre- and post-operative instructions and he will arrange for after-care which will include a period of physical therapy.

Dr. Melendez will explain all aspects of the procedure, to you, and guide you through the pre- and post-operative care instructions.

Please call us at 203-935-8160 or click here to schedule your consultation.

Cubital tunnel release – Cubital tunnel syndrome is numbness and/or tingling, in the hand, ring finger, or little finger, pain in the hand, or generalized clumsiness of the hand or fingers, due to muscle weakness. It occurs when the ulnar nerve, which passes through the cubital tunnel, (a tunnel of muscle, ligament, and bone), on the inside of the elbow, becomes compressed due to chronic irritation, injury, or pressure. The condition may occur when a person frequently bends the elbows constantly, leans on the elbow, or sustains a direct injury to the area.

As is in the case with carpal tunnel, physicians will elect to perform cubital tunnel release surgery when other treatment courses have failed to produce the desired relief. The goal of cubital tunnel release is to ease the pressure on the ulnar nerve where it passes through the cubital tunnel. The most common technique, performed by Dr. Melendez, is ulnar nerve
sub-muscular transposition, where a completely new tunnel is formed from the flexor muscles of the forearm. The ulnar nerve is then moved, or transposed out of the cubital tunnel, and placed in the new tunnel under the muscle. Cubital tunnel release is an out-patient surgery, taking two to three hours, using a regional anesthesia.

Dr. Melendez will instruct you, regarding pre- and post-operative instructions, and arrange for after-care treatment, like physical therapy, to provide you with the best results .

Please call us at 203-935-8160 or click here to schedule your consultation.

Tarsal tunnel release – Tarsal tunnel syndrome is also called posterior tibial neuralgia and occurs when the tarsal nerve becomes compressed. The tarsal nerve provides sensation to the bottom of the foot. The tarsal nerve is one of many nerves inside the tarsal tunnel. Inside of the tarsal tunnel are the nerves, arteries, and tendons that provide movement and flexibility to the foot.  The tarsal tunnel canal is formed between the medial malleolus (the bump on the inside of the ankle) and the flexor retinaculum (a band of ligaments that stretches across the foot).

Symptoms of tarsal tunnel can include pain, tingling and/or numbness. Causes can include flat feet, fallen arches, ankle sprain, disease, or enlarged or abnormal structure. As in the case with carpal tunnel and cubital tunnel, non-surgical treatments are tried first. If the desired outcome is not achieved, tarsal tunnel release surgery becomes an option. This procedure requires an incision, behind your ankle, extending down to the arch of your foot. The ligament over the posterior tibial nerve, in the region of the tarsal tunnel, is released. The nerve is followed in the foot, and the tunnels for the medial and lateral plantar nerves also are released. Tarsal tunnel release is an out-patient surgery.

Dr. Melendez will advise you regarding pre- and post-operative instructions and arrange physical therapy, as required.

Please call us at 203-935-8160 or click here to schedule your consultation. 

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Sources:  Dr. Mark Melendez, American Society of Plastic Surgeons, Cleveland Clinic, Johns Hopkins Medicine, Mayo Clinic, & Web MD.

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