Dr.Rahul K. Nath is a peripheral nerve surgeon and director of Texas Nerve and Paralysis Institute. He treats the largest number of patients with traumatic and obstetric injuries involving nerve damage surgery and plastic surgery.
Brachial Plexus Injury
The Texas Nerve and Paralysis Institute treats patients with brachial plexus injury.The brachial plexus is comprised of five spinal nerves that exit the spinal cord through the neck. The nerves split into the final nerve branches that supply the muscles and skin of the shoulder, arm, elbow and hand. Injury to the upper spinal nerves (the most common injury) is known as Erb's palsy.Our total experience with primary surgery (surgery of the injured nerves) is over thousands of patients. Generally, if there is continued significant shoulder, elbow or hand weakness at 4 to 6 months after injury, we believe that Erbs Palsy surgical exploration is indicated.
Foot Drop Surgery
"Foot drop" describes the loss of the ability to raise your foot at the ankle, which contributes to difficulties with walking. There are many casues for this condition and the appearance of a "floppy" foot, but an injured peroneal nerve is a common cause. (The peroneal nerve feeds the tibialis anterior muscle, which is responsible for lifting the foot.)A complete injury to the peroneal nerve high up in the thigh or spine area is usually permanent and surgery at the level of the injury does not help. However, a new treatment using nerve transfers from the adjacent tibial nerve has the potential to correct the problem.Dr. Nath has pioneered the use of this surgical procedure for foot drop caused by hip replacement surgery and other injuries. The nerve transfer must be done within one year of the onset of the foot drop for best results.
Nerve Tumor Surgery
Neurofibromatosis is a genetic disorder in which many soft, fleshy growths of nerve tissue (neurofibromas) grow under the skin and in other parts of the body. Neurofibromas are growths of Schwann cells (which form a wrapping around peripheral nerve fibers) and other cells that support peripheral nerves.Schwannomatosis is a rare form of NF that has only recently been recognized. People with schwannomatosis develop multiple schwannomas on cranial, spinal and peripheral nerves--but they do not develop vestibular tumors and do not go deaf.Affected individuals usually have much greater problems with pain than with neurological disability, although as with all forms of NF, a schwannoma tumor may vary greatly between patients.
Winging Scapula Injury
The Texas Nerve and Paralysis Institute specializes in winging scapula injury due to long thoracic nerve palsy.Winging scapula occurs when the nerve that holds the shoulder blade down becomes damaged, leaving that area to hang free like a wing.Risk factors for winging scapula injury include a history of vigorous athletic maneuvers with the affected extremity, lifting of heavy weights and direct external pressure on the area, such as that which occurs during deep massage.