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Mine is a surgical negative side effect of having surgery a year and a half ago for removal of excess bone that tore my perineal tendon. Less commonly, patients have pain in the area where the nerve graft was taken. To repair a damaged nerve, your surgeon removes a small part of the sural nerve in your leg and implants this nerve at the site of the repair. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2465364/). Double innervation in free-flap surgery for long-standing facial SurgeryIf nonsurgical treatments do not relieve symptoms, your physician may recommend surgery to decompress the nerve and repair or remove the damaged area. Your sural nerve is below your skins surface in the back of your lower leg (calf). Corticosteroid injections to break up scar tissue and calm localized irritation. If foot drop is long-standing, your doctor might suggest surgery that fuses ankle or foot bones or a procedure that transfers a working tendon and attached muscle to a different part of the foot. Peroneal (Fibular) Nerve Injury | What Causes It & How to Treat Plast Reconstr Surg Glob Open. Beyond 5 years, no further improvement is to be expected. government site. desired to decrease surgery cost and intraoperative time and hasten postoperative recovery. There may alsobe localized swelling and tenderness on the outside of the foot and ankle, along the course of the nerve. Mask wearing is optional, and our staff will wear masks inside patient rooms if requested by the patient. As the nerve fibers reach the muscle that lost the nerve supply due to the injury, you may need more physical or occupational therapy to strengthen that muscle as it begins to recover. Removal of the sural nerve . The recovery time to voluntary flap contraction was 3.8 months, and spontaneous flap contraction was achieved within 7.2 months after surgery. You may need a sural nerve biopsy if youre are showing signs of: A nerve graft uses healthy tissue to repair or replace damaged nerves. Other factors such as age, gender, or legal involvement were not found to correlate with satisfaction level. Lance Silverman, MD Purpose: Recovery of nerve function following surgery is very slow, with the nerve regenerating at rate of one millimeter a day. This will stretch out those hamstrings, and you will feel this on your knees or thighs. FOIA If your footwear has straps or seams that press on the Achilles tendon, then its time to replace them.