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Selective Peripheral Neurotomy

Performed under a microscope, a selective peripheral neurotomy is a procedure in which nerves that contribute to spastic and dysfunctional limbs are "cut back." This reduces spasticity and allows more normal functioning of that muscle. 

Cutting a portion of the nerve reduces the “noise” being relayed back to the spinal cord which causes the spasticity. However, during a selective peripheral neurotomy, enough remaining nerve is maintained in order to control the muscle and avoid paralyzing it. Furthermore, the muscle is preserved and there is no need to cut or lengthen the tendon.

Is This Procedure For You?

Depending on the specific patient and their medical history, selective peripheral neurotomy may be appropriate for a brain or spinal cord injury as a result of stroke, tumor or trauma.

People with cerebral palsy, or multiple sclerosis may also benefit from this procedure. 

More Effective Than Botox

Selective peripheral neurotomy is a more effective, longer lasting alternative to Botox injections. Essentially, anyone who gets some benefit from Botox treatments can realize more relief of spasms with selective peripheral neurotomy.

Simple and Safe

Selective peripheral neurotomy is a relatively simple procedure; no special post-operative care is required as the sutures are absorbable.

Rehabilitation can begin 72 hours after the procedure.

Bottom Line

Selective peripheral neurotomy may restore hand and arm movement as well as improve walking in select patients who have brain or spinal cord injury as a result of stroke, tumor or trauma.