Brachial plexus treatment in Lucknow at Kayakriti is led by Dr. Agarwal, FRCS Edinburgh, with over fourteen years of focused experience in nerve injury surgery. Our team manages adult brachial plexus injuries from the first consultation through diagnostic imaging, nerve repair, nerve transfer and late reconstruction. This page introduces the condition, how it is assessed, and the principles guiding treatment decisions.
Procedure walkthroughs, surgeon Q&A, and patient stories from Dr. Amit Agarwal.
The brachial plexus is a network of nerves that arises from the cervical spine and travels through the neck and armpit to control movement and sensation in the shoulder, arm and hand. Brachial plexus surgery becomes relevant when these nerves are stretched, compressed, torn or avulsed during high-energy trauma, most often road traffic accidents involving young men aged fifteen to twenty-five years.
Patients usually present with sudden weakness or loss of movement in the shoulder, elbow or hand after an accident. Common findings include inability to lift the arm, weak elbow flexion, poor grip or numbness across the limb. Recognising these signs early is essential because nerve injury treatment arm outcomes depend heavily on timely referral to a plastic surgeon experienced in nerve work.
We classify injuries into partial and complete patterns. Upper-type injuries affect C5-C6 with or without C7 and weaken shoulder abduction and elbow flexion. Lower-type injuries involve C8-T1 and impair finger and hand function. Complete (total arm) injuries affect all five roots and produce a flail limb. Knowing the pattern guides arm nerve damage treatment, including the choice of nerve transfer or graft.
If recovery does not begin within three weeks, we recommend specific investigations. Nerve conduction studies and electromyography assess nerve and muscle function. MRI of the cervical spine and brachial plexus identifies root avulsions and pseudomeningoceles. Plain radiographs and CT imaging may be added when associated fractures or vascular injury are suspected, helping us plan nerve repair surgery accurately.
Treatment is staged by time since injury. Within the first year, options include direct nerve repair, nerve grafting or distal nerve transfers that reanimate key muscles. Beyond a year, regenerated nerves often cannot reach distant muscles, so muscle and tendon transfers, free functioning muscle transfer and selective joint procedures become the main tools to restore shoulder, elbow and hand function.
Recovery after brachial plexus surgery is gradual. Patients follow a structured rehabilitation programme with physiotherapy, splinting and electrical stimulation, with reviews every few weeks. Improvement continues over twelve to twenty-four months as nerves regenerate. Our team supports patients throughout this journey with realistic goal-setting, regular progress assessments and timely additional procedures where required.
What people in Lucknow ask us about: nerve injury treatment arm · brachial plexus surgery · arm nerve damage treatment · nerve repair surgery
Nerve repair surgery in Lucknow at Kayakriti is offered for brachial plexus injuries that present within one year of the accident. Within this window, the muscles of the arm remain receptive to reinnervation, so direct nerve repair, nerve grafting and nerve transfer can restore meaningful movement.
When a patient is seen in the first months after injury, we focus on early nerve injury treatment that preserves motor end-plates before they fibrose. Detailed clinical examination, electrical studies and MRI mapping identify which roots are intact, ruptured or avulsed, and guide the choice between direct repair, sural nerve grafting and distal nerve transfer.
Tendon transfer surgery in Lucknow at Kayakriti is offered when brachial plexus injuries present more than a year after the accident. By this stage, nerve repair alone rarely restores useful movement, so we use muscle and tendon transfers and selective joint procedures to rebuild key shoulder, elbow and hand functions.
Late nerve injury treatment focuses on what is still working. We map active muscles, joint range and sensation in detail, then redirect available tendons or transfer free muscles to restore priority functions such as elbow flexion, shoulder stability and basic hand grasp. This is the core of functional reconstruction surgery in chronic brachial plexus injuries.
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"My big brother had a critical accident in August 2025 — his right foot was injured badly. Thanks to Dr Amit, the plastic surgery was a great success and now he is walking on his feet. Dr Amit is polite, humble, and guided us like family."
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