The Nerve Center

Non-Surgical Treatment Of Nerve Disorders

Scottsdale's Nerve Center

Nerve disorders are extremely common & can occur from athletic activity, poor posture or prolonged sitting/typing. We are fulling equipped to diagnose & treat nerve disorders and injuries. Staying true to our commitment to non-surgical treatment, Dr. Singh employs the use of proven therapies for common nerve disorders & injuries.

Expert Diagnosis

Dr. Singh has over 40 years of experience diagnosing & treating nerve disorders

Optimal Recovery

Program designed to restore function & mobility to optimum levels

Non-Invasive Treatment

Commitment to non-surgical treatment to fix issues without creating further complications

Ongoing Treatment

Wellness program available to strengthen & nourish body after treatment

Carpal Tunnel Syndrome

Symptoms, Causes & Diagnosis

The most common symptoms of Carpal Tunnel Syndrome (CTS) are numbness, tingling and pain into the extremities/hands. These symptoms can cause significant concern and anxiety.

Neuropathies, such as pinched nerves/entrapment neuropathies, are the most common cause of symptoms; especially in the hands and feet.

The most common neuropathy in the upper extremities is Carpal Tunnel Syndrome. It is a result of repetitive use brought about especially by texting and typing. Interestingly, it is also more common in patients with low thyroid and diabetes.

Symptoms can be quite disabling and cause painful burning in the hands at night time interrupting the sleep. Diagnosis of Carpal Tunnel Syndrome is established with the use of a nerve conduction test as well as Neuromuscular Ultrasound. The combination of these two tests provides the most accurate diagnosis. The entrapped nerve, along with any other structures which may be compromising the wrist, can be clearly visualized for any inflammation or swelling.

This information gives us the best diagnostic information possible so that we target our approach using a very effective, nonsurgical treatment.

Non-Surgical Treatment Of Carpal Tunnel Syndrome

Surgery should be reserved only for severe cases. Most patients can be treated without surgery. Injecting corticosteroid in the carpal tunnel area has been shown to reduce inflammation, however, the benefit is short-lasting and it can negatively alter the immunity of the tissue.

Crystal formation is another complication of steroid. Repeated steroid injections are not indicated.

There are other various treatment methods. For example, hand therapy, a splint worn at night, a procedure called hydro-dissection or our preferred method of treatment; a biologic such as amniotic fluid or platelet-rich plasma (PRP). This is a material that does not change immunity of the tissue while providing a more potent, longer-lasting anti-inflammatory and regenerative effect.

We take a rather specialized approach. With a small needle, using ultrasound guidance, we place the liquid amnion around the inflamed nerve. The needle guidance ensures highly specific, very accurate needle placement which leads to very successful outcomes for patients.

This procedure is safe and painless and is performed in the office. In most cases, one injection may be all you need but it can be repeated in six months if necessary. If you are experiencing pain, numbness or tingling in your hands especially at night time, please contact us for evaluation.

Ulnar Nerve Injuries

Symptoms, Causes, Diagnosis & Treatment

The second most common neuropathy in the upper extremities is the ulnar nerve. This is the nerve that crosses the inside (funny bone) area at the elbow.

This long nerve can be compressed or injured with repetitive physical activities that involve the elbow including; exercise, weightlifting or overhead use. This type of condition is very common in athletes, especially baseball pitchers and golfers.

This type of neuropathy causes tingling, numbness and pain generally in the last two fingers of the hand and can worsen with activities that require frequent bending of the elbow as well as at night time.

This Neuropathy can be evaluated in great detail with electrical nerve conduction testing and ultrasound. With these technologies, we can precisely locate where the nerve is inflamed or pinched. We can also visualize in real-time if the nerve moves or slips out from its normal position (subluxation). This occurrence can be a source of significant pain in the elbow.

If left untreated, ulnar neuropathy can cause significant pain and weakness involving the very important hand muscles, including loss of hand function.

Surgical intervention is quite extensive and should be avoided if possible.
Our Nerve Center will provide a comprehensive evaluation and the most modern and effective nonsurgical treatment for this important condition.

Thoracic Outlet Syndrome

Symptoms, Causes, Diagnosis & Treatment

This neurological and musculoskeletal problem affects the upper extremities. This is a complex and often difficult to diagnose problem.

This term or diagnosis, Thoracic Outlet Syndrome, is loosely used by different healthcare providers including physicians, physical therapists and chiropractors.

Precise diagnosis is the key to successful treatment. Thoracic Outlet Syndrome (TOS) occurs more often in females. In many cases, it’s related to abnormal or poor posture of the shoulder and neck.

As an example, prolonged sitting or excessive computer use creates abnormal curvature in the cervical and thoracic spine and causes forward rounding up the shoulders.

This abnormal posture causes asymmetrical tightness and shortening of the neck and shoulder blade muscles. An important network of nerves called Brachial Plexus and subclavian blood vessels which are responsible for nerve and blood supply to the upper extremities, ultimately get compressed. This can create severe symptoms including pain, weakness and tingling in the shoulders, arms and hands.

We have the expertise to evaluate this complex area very thoroughly as well as provide a customized, individual treatment plan resulting in very good outcomes.

Peroneal (Fibular) Nerve Irritation/Entrapment

Symptoms, Causes, Diagnosis & Treatment

The Peroneal (Fibular) Nerve is one of the two main branches of the Sciatic Nerve. It travels from the spine through the buttock area and runs down the back of the thigh and then exits just below the knee on the outside. It then courses along the lateral side of the leg to the foot and supplies the skin and several important muscles.

This nerve can be injured and sometimes compressed as it crosses over the bone on the outside of the knee joint.

The main deficit that occurs from this particular nerve entrapment or injury is a foot drop and numbness in the foot. This is a disabling condition causing difficulty walking due to foot drop.

It can easily be diagnosed with electro-diagnostic studies along with neuromuscular ultrasound and should be treated promptly.

If left undiagnosed and untreated, the foot drop deficit can become permanent.

Tarsal Tunnel Syndrome

Symptoms, Causes, Diagnosis & Treatment

The tarsal tunnel is located at the ankle on the inside/medial side. A thick ligament stretches across the ankle to the heel forming a tunnel. Several structures pass through the tarsal tunnel including a large nerve called, the tibial nerve.

Tarsal tunnel syndrome can develop in persons who have flat foot arches. The foot turns inward too much during walking causing overpronation. This posture of the foot causes pressure on the tarsal tunnel area and compresses the nerve and other structures. Injuries and arthritis of the ankle can also create this syndrome.

Patients with this condition can experience pain along the bottom of the foot along with tingling, pins and needles. Symptoms become worse with walking or exercising, especially if the footwear is not supportive. Symptoms can also be more prominent at night just like with carpal tunnel syndrome.

A thick membrane-like structure under the foot called the planter fascia can also become tight and perpetuate even worse symptoms.

Similar to other Neuropathies, Ultrasound and a Nerve conduction study are the best methods of diagnosis.

Treatment options could include; wearing proper supportive footwear, stretching the plantar fascia and calf muscles or a regenerative injection in the tarsal tunnel which has shown to be very effective.

Surgery is rarely necessary and should be avoided. 

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10245 N 92nd St, Scottsdale, AZ 85258

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