Brachial Plexus & Peripheral Nerve Surgery
Dr. Barone is fellowship-trained in the surgical treatment of complex peripheral nerve and brachial plexus injuries, nerve tumors, nerve compression, and thoracic outlet syndrome. The common thread is function: restoring movement and sensation when possible, relieving nerve compression when appropriate, and matching each operation to the patient's goals.
Peripheral nerve pathway
From injury assessment to reconstruction
Diagnosis
Define the injured nerve, severity, timing, and pattern of weakness or pain.
Timing
Determine whether observation, urgent repair, or reconstruction is most appropriate.
Reconstruction plan
Choose repair, grafting, decompression, tumor surgery, or nerve transfer.
Recovery
Track regeneration, therapy progress, pain control, and functional return.
Time-sensitive repair
Early specialist review can preserve options for nerve repair, grafting, or transfer.
Anatomic diagnosis
Exam, imaging, EMG, and surgical history help define the level and severity of injury.
Function-first planning
Treatment is chosen around realistic goals for movement, sensation, pain, and independence.
When should you see a peripheral nerve surgeon?
Nerve injuries are time-sensitive, and the window for successful repair can be limited. Specialist evaluation is appropriate for persistent weakness, numbness, or pain after injury or surgery; brachial plexus injury; foot drop; a painful nerve lump; nerve compression; thoracic outlet symptoms; or a nerve injury that is not improving as expected.
Treatments & procedures
- ✓Brachial plexus injury repair and reconstruction
- ✓Peripheral nerve repair and nerve grafting
- ✓Nerve transfer surgery
- ✓Neurolysis / nerve decompression
- ✓Carpal tunnel and cubital tunnel surgery
- ✓Thoracic outlet syndrome evaluation and surgery
- ✓Nerve tumor (schwannoma, neurofibroma) surgery
- ✓Foot drop / peroneal nerve surgery
- ✓Occipital neuralgia and peripheral nerve pain procedures
Conditions & treatments we cover
Brachial Plexus Injury
Damage to the network of nerves that controls the shoulder, arm, and hand — often after trauma, sports, or birth — causing weakness, numbness, or loss of function that may be improved with timely nerve surgery.
Learn more →Peripheral Nerve Injury
Injury to the nerves outside the brain and spinal cord — from trauma, compression, or surgery — that can cause weakness, numbness, or pain, and which often improves with nerve repair, decompression, or nerve transfer.
Learn more →Nerve Tumors
Growths that arise from or press on peripheral nerves, such as schwannomas and neurofibromas, can cause a lump, pain, numbness, weakness, or progressive nerve symptoms and require careful evaluation to protect nerve function.
Learn more →Nerve Transfer Surgery
Nerve transfer surgery reroutes a healthy, expendable nerve to restore a critical lost function — a powerful technique for recovering movement after brachial plexus and peripheral nerve injuries, especially when time matters.
Learn more →Foot Drop / Peroneal Nerve Surgery
Foot drop — difficulty lifting the front of the foot — often results from injury or compression of the peroneal nerve. When it does not recover on its own, surgery to decompress, repair, or transfer the nerve can restore function.
Learn more →Carpal Tunnel Syndrome
Carpal tunnel syndrome is compression of the median nerve at the wrist, causing hand numbness, tingling, pain, and weakness that may improve with nerve decompression when non-surgical care is not enough.
Learn more →Cubital Tunnel Syndrome
Cubital tunnel syndrome is compression of the ulnar nerve at the elbow, causing ring and small finger numbness, hand weakness, and nerve pain that may require decompression or transposition.
Learn more →Thoracic Outlet Syndrome
Thoracic outlet syndrome can compress nerves or blood vessels between the neck and shoulder, causing arm pain, numbness, weakness, vascular symptoms, or activity-related arm fatigue that requires careful, evidence-informed evaluation.
Learn more →Occipital Neuralgia
Occipital neuralgia causes sharp, shooting, or burning pain from irritated occipital nerves at the back of the head, and selected cases may benefit from targeted peripheral nerve procedures.
Learn more →Request an evaluation with Dr. Barone
New patients and referring physicians are welcome. Patients from outside Houston, across the United States, and internationally are welcome.