Understanding the procedure
A direct repair joins suitable nerve ends using microsurgical techniques. If a damaged segment must be removed and a gap remains, a graft or another reconstructive option may be needed. Repair does not immediately restore sensation or movement.
When might it be considered?
- A cut or open injury with suspected nerve division.
- A structural nerve injury identified during assessment or exploration.
- A repairable nerve with a realistic target for recovery.
Specialist assessment
Examination establishes which movements and areas of sensation are affected. The wound, associated tendon or vessel injuries and time since injury guide urgency and planning. Exploration may be required to define the damage.
Treatment & recovery
The repair is protected while rehabilitation maintains suitable movement and supports recovery. Nerve regeneration is slow and recovery may be incomplete. Risks include scarring, persistent numbness or weakness, painful neuroma and further surgery.
Common questions
Will feeling return as soon as the nerve is repaired?
No. Regenerating fibres need time to reach the skin or muscle, and useful recovery depends on several factors.
What if the ends cannot be joined directly?
A nerve graft, nerve transfer or other reconstruction may be considered according to the defect and functional goal.
General patient information from London Nerve Injury. Decisions about investigations and treatment require an individual clinical assessment.