Peripheral Nerve Treatment
Specialists in Tyler, Texas


Peripheral nerves are situated outside the brain and the spinal cord. Peripheral nerve conditions, like Carpal Tunnel Syndrome and Ulnar Nerve Compression, interfere with the messages between brain and the body. Risk factors include diabetes, exposure to toxic chemicals, malnutrition, alcoholism, injury, inflammation, and nerve compression. Symptoms of peripheral nerve disorders include muscle weakness, numbness, burning or tingling, and sensitivity to touch.

Tyler Neurosurgical Associates, P.A. specializes in peripheral nerve disorder treatments. Our center is located in Tyler. We serve East Texas, Oklahoma, and Louisiana.

Carpal Tunnel Syndrome

Carpal Tunnel is characterized by the firmness of nerves in the wrist. It affects one’s capability of using their wrist and hand. The median nerve is pressed as it passes through the carpal tunnel. Median nerve is responsible for sensitivity and motorized functions in the palm.

The condition has no particular cause although there are risk factors that could lead to it. They include:

  • Metabolic and hormonal changes such as thyroid imbalance, pregnancy, or menopause
  • Bone and joint diseases like osteoarthritis, arthritis, and rheumatoid arthritis
  • High or low blood sugar levels
  • Wrist injuries
  • Numbness or pain that worsens at night
  • Inability to grip objects and difficulty to manipulate small objects such as buttoning
  • Tingling and burning sensation in the thumb, index, and the middle finger
Carpal Tunnel is diagnosed through a physical exam, an electrodiagnostic study may be recommended to test the nerves. The test stimulates the muscles and the nerves to prove how well they work. Treatment is determined by overall health and medical history: age, the condition of the wrist and the stage of the disease, tolerance of medication, procedures, and available treatments.

Tyler Neurosurgical offers two types of surgeries: endoscopic and open surgery. During open surgery, a specialist incisions the wrist and cuts the tissue pressing the nerve. An elongated, thin rod is inserted in a tiny cut during endoscopic surgery.

Ulnar Nerve Compression

The ulnar nerve is a division of brachial plexus nerve system. Ulnar nerve works together with the median nerve to bring responsiveness to the flexor muscles of the feet and hand, which allows bending. Ulnar nerve compression is caused by pressure on the nerve in the arm.

Surgery is recommended in case non-surgical treatments fail.

Symptoms include:

  • Tenderness or weakness in the hand
  • A tingling feeling
  • Elbow joint tenderness
  • Sensitivity to cold

A proper diagnosis requires a comprehensive clinical exam, also including an electrodiagnostic study to check conduction of the nerves in hand and wrist. Ulnar nerve treatment recommendations depend on the severity of the compression:

  • Physiotherapy to strengthen ligaments and tendons
  • Wear splints to immobilize elbow
  • Use anti-inflammatory drugs and other pain relievers

We offer instructional videos so you can learn more about peripheral nerve disorders and other topics.

  • Carpal Tunnel Syndrome
  • Radial Tunnel Syndrome (Entrapment of the Radial Nerve)

Surgical Procedures:

  • Carpal Tunnel Release (Open Technique)
  • Cubital Tunnel Release at the Elbow
  • Endoscopic Carpal Tunnel Release
  • Ulnar Nerve Transposition at the Elbow