By Dr. Kakoulides
Peripheral nerve syndromes are often silent disruptors of daily life—overlooked, underdiagnosed, and deeply life-altering. In our surgical practice, we frequently encounter patients whose lives have been upended by these injuries, often caused by traumatic incidents at work or on the road. From debilitating pain to muscle weakness and sensory loss, the toll can be profound.
THE INVISIBLE DAMAGE: WHAT ARE PERIPHERAL NERVE SYNDROMES?
Peripheral nerve syndromes involve damage to the nerves that connect the brain and spinal cord to the rest of the body. This can occur suddenly, especially after trauma, or develop gradually due to repetitive stress. The consequences often include burning pain, numbness, muscle wasting, and even paralysis.
BRACHIAL PLEXUS INJURIES: HIGH-SPEED TRAUMA WITH LASTING EFFECTS
Among the most severe nerve injuries we treat is the brachial plexus injury—commonly seen in motorcycle accidents. The brachial plexus is a network of nerves that controls the shoulder, arm, and hand. When a motorcyclist is thrown from a bike at high speeds, the resulting force can stretch or tear these nerves. Patients often awaken unable to move or feel their arm. In the worst cases, it can resemble complete paralysis. These injuries are complex and require early, skilled intervention to maximize recovery.
CRUSH INJURIES IN THE WORKPLACE: WHEN PRESSURE TRAPS THE NERVES
In construction and industrial environments, crush injuries often result in nerve entrapments. Falling beams, heavy machinery, or structural collapses can compress the nerves, leading to inflammation and scar tissue buildup. A frequent example is ulnar nerve compression, typically at the elbow or wrist. This can cause weakness in the hand and numbness in the ring and pinky fingers. Without surgical relief, the entrapment can lead to long-term disability.
REPETITIVE TRAUMA AND DELAYED SYMPTOMS: THE CUMULATIVE COST OF LABOR
Not all nerve injuries are instant. Many workers—especially NYC police officers, electricians, plumbers, and heavy equipment operators—suffer from repetitive strain injuries that worsen over time. Conditions like carpal tunnel syndrome and radial tunnel syndrome are common in these professions. Years of mechanical stress may be compounded by a single acute event, resulting in pain or dysfunction that slowly creeps in before suddenly becoming debilitating.
BEYOND THE PHYSICAL: THE PSYCHOLOGICAL TOLL OF NERVE INJURY
Peripheral nerve damage doesn’t just affect mobility—it shakes the foundation of a person’s independence, self-confidence, and livelihood. As neurosurgeons, our mission is not only to relieve pressure or repair nerves but to restore dignity and functionality wherever possible.
WHY TIMING MATTERS: EARLY INTERVENTION IS KEY
Peripheral nerve surgery is intricate and time-sensitive. Delaying evaluation can mean the difference between temporary dysfunction and permanent disability.
If you or a loved one has experienced a traumatic or repetitive injury and is now dealing with numbness, weakness, or pain, don’t wait. Early diagnosis and treatment could significantly alter the outcome.
YOU’RE NOT ALONE—AND YOU DON’T HAVE TO LIVE WITH THE PAIN
Recovery is possible. There are solutions beyond enduring chronic pain or losing mobility. If you’re navigating the aftermath of a serious injury and unsure of your next steps, know that help is available, and there are paths forward.
— Dr. George Kakoulides
Board-certified Neurosurgeon – Specialist in Peripheral Nerve and Neurosurgical Care
