What is brachial plexus injury?

A brachial plexus injury (BPI) occurs when the network of nerves controlling the shoulder, arm, and hand is damaged, leading to weakness, paralysis, or loss of sensation.

When is brachial plexus surgery needed?

Surgery is recommended when there is no recovery within 3-6 months, nerves are severely damaged, or there is significant loss of arm function.

What is the recovery time after brachial plexus surgery?

Initial healing takes 6-8 weeks; nerve regeneration and functional recovery can take 6 months to 2 years with dedicated physiotherapy.

🏆 Largest Volume BPI Hospital · India

NABH Accredited · Specialized Microsurgery · Jaipur

Brachial Plexus
Injury Treatment

Q: What is nerve transfer surgery?

Nerve transfer (neurotization) redirects a healthy working nerve to restore function to a damaged one. Examples include SAN to SSN transfer for shoulder and Oberlin transfer for elbow movement.

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✓Nerve Transfer, Grafting & FFMT — all under one roof
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$Dr. Amit Mittal — Hand & Microsurgery Specialist$

Dr. Amit Mittal

MBBS · DNB (Ortho) · FNB (Hand & Microsurgery)

Director, Surgenesis Superspeciality Hospital

🏥 Surgenesis Superspeciality Hospital

Where World-Class Care
Meets Compassion

A hospital built around one belief — every patient deserves their best chance.

🏆India's Largest Volume BPI Centre — more cases, more expertise
⚡Quickie Surgery Protocol — minimal downtime, faster return home
🧠Dedicated Rehab Centre for late-presenting BPI patients
📱Remote Physiotherapy — expert guidance from anywhere in India
🌍Patients from 40+ cities · 12+ states · 5+ countries
✈️International Patient Support — airport pickup, hotel, teleconsult

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Surgenesis Superspeciality Hospital Building — Jaipur

📍 B Block, 187 Heeranagar

Ajmer Road, DCM, Jaipur, Rajasthan

📞 +91 70230 63136

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World-Class ICU —
When Every Second Counts

Led by Dr. Vivek Mittal, Critical Care Specialist — because surgery is only safe when recovery is safer.

❤️24×7 Critical Care — round-the-clock monitoring by specialists
🔬NABH Accredited ICU — meets the highest national standards
⚡Rapid Response Team — trained for post-surgical emergencies
🩺Ventilator & Advanced Life Support — fully equipped unit
👨‍👩‍👧Family updates every hour — you'll never be left wondering
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Dr. Vivek Mittal

Critical Care Specialist

ICU Director · Surgenesis Superspeciality Hospital

24×7

Critical Care

NABH

Accredited ICU

Compromise

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Surgenesis Superspeciality Hospital building in Jaipur

International Patients

Trusted by Patients Across India & Abroad

Surgenesis Superspeciality Hospital offers world-class microsurgical care at a fraction of the cost compared to Western countries — without compromising on quality, safety, or expertise.

🏙️ 40+ Cities

🗺️ 12+ States

🌍 5+ Countries

Online consultation & video call with Dr. Mittal before travel
Airport pickup assistance arranged on request
Affordable, transparent treatment packages
Partner hotel support near the hospital
Dedicated international patient coordinator
Post-surgery teleconsultation follow-up

Understanding the Condition

What Is a Brachial Plexus Injury?

The brachial plexus is a network of nerves (C5–T1) running from the spinal cord through the neck and shoulder. It controls every movement and sensation in the shoulder, arm, and hand.

When these nerves are stretched, compressed, or torn — most commonly in road accidents — the consequences range from temporary weakness to complete arm paralysis.

Common Causes

✕Road & motorcycle accidents (most common cause)
✕High-impact sports injuries
✕Birth trauma (neonatal BPI)
✕Falls and direct trauma
✕Tumors or nerve inflammation

Warning Symptoms — Do Not Ignore

If you or someone you know has experienced trauma and shows any of these signs, seek specialist evaluation immediately.

Arm weakness or no movement

Burning / electric-shock pain

Loss of grip strength

Shoulder stiffness

Numbness or loss of sensation

Partial or complete paralysis

Advanced Diagnostics at Surgenesis:

✔MRI Brachial Plexus (high-resolution)
✔EMG (Electromyography)
✔NCV (Nerve Conduction Velocity) Test
✔Detailed Neurological Clinical Evaluation

Classification

Types of Brachial Plexus Injuries

Not all brachial plexus injuries are the same. Correct classification is critical — it determines whether surgery is needed and which procedure will give you the best outcome.

Severe

Root Avulsion (C5–T1)

The nerve root is torn directly from the spinal cord — the most severe form. Direct repair is not possible. Nerve transfer surgery is required to re-route healthy nerves to restore function.

Mild

Neuropraxia

A temporary nerve stretch with no structural damage. The nerve is intact and many patients recover spontaneously without surgery, though close monitoring is essential.

Moderate

Lateral Cord Injury

Affects the musculocutaneous nerve, leading to weak elbow flexion and reduced forearm function. Surgical intervention is often beneficial for functional recovery.

Moderate–Severe

Rupture / Neuroma

The nerve is torn but not from the spinal cord. Scar tissue (neuroma) forms and blocks nerve signals. Nerve grafting or direct repair is typically required.

Advanced Procedures

Treatment Options at Surgenesis

Every treatment plan is personalized based on the injury type, time elapsed since injury, and patient goals. Dr. Amit Mittal uses the latest microsurgical techniques available in India.

Nerve Transfer Surgery

The most effective treatment for root avulsion injuries. A healthy functioning nerve is redirected to restore movement where the original nerve is beyond repair.

SAN → SSN Transfer (shoulder function)
Oberlin Transfer (elbow flexion)
Intercostal nerve transfers

Nerve Grafting

When nerves are torn but not avulsed, a graft bridges the gap between the two ends. The nerve regenerates through the graft over time, restoring signal transmission.

Sural nerve graft
Vascularized nerve graft
Combined graft procedures

FFMT – Free Functioning Muscle Transfer

For long-standing paralysis where muscles have wasted, a healthy muscle from elsewhere in the body is transplanted with its nerve and blood supply to restore movement.

Gracilis muscle transfer
For late-presenting cases
Restores elbow/finger function

Tendon Transfer

Functioning tendons are rerouted to perform the job of paralyzed ones — restoring grip, pinch, and hand movements without waiting for nerve regeneration.

Restores hand function
Faster functional recovery
Combined with nerve procedures

Your Path to Recovery

Your Treatment Journey at Surgenesis

From first consultation to long-term rehabilitation, every step is coordinated by our specialist team.

Initial Consultation

Meet Dr. Amit Mittal in person or via video call. Review your injury history, symptoms, and imaging. Available for international patients online.

Advanced Diagnostics

MRI, EMG, and NCV testing performed at our facility to precisely map nerve damage and plan the optimal surgical approach.

Personalized Treatment Plan

A detailed surgical and rehabilitation plan is created specifically for your injury type, age, and functional goals.

Microsurgery

Procedure performed under high-powered magnification by Dr. Amit Mittal using advanced microsurgical instruments.

Rehabilitation Program

Structured physiotherapy, muscle re-education, and hand training begin as soon as healing allows — critical for maximizing outcomes.

Long-Term Recovery Tracking

Regular follow-up assessments with Dr. Mittal to monitor nerve regeneration and adjust the rehabilitation plan.

What to Expect

Recovery Timeline & Why Timing Matters

Nerve regeneration is a slow process. Understanding the timeline sets realistic expectations and underscores why early treatment is non-negotiable.

Recovery Milestones

6–8
wks

Initial Healing

Surgical wounds close and initial nerve repair consolidates. Gentle mobilization and swelling management begin.

3–6
mo

Early Nerve Signals

First signs of nerve regeneration may appear. Physiotherapy becomes more active. Muscle re-education starts.

6–24
mo

Functional Recovery

Progressive return of movement, strength, and grip. Recovery continues improving for up to two years post-surgery.

⚠️ Consequences of Delayed Treatment

Surgery after 6 months produces significantly worse outcomes. Beyond 12–18 months, some damage becomes irreversible.

Permanent muscle wasting (atrophy)
Irreversible joint stiffness and contracture
Severely reduced surgical options
Chronic nerve pain that is difficult to treat
Permanent partial or complete paralysis

Rehabilitation Includes:

✔Specialist physiotherapy program
✔Progressive muscle strengthening
✔Occupational & hand therapy
✔Long-term neurological monitoring

Why Surgenesis

Why Patients Choose Surgenesis Hospital

🔬

Dedicated Microsurgery Centre

One of Rajasthan's few hospitals exclusively focused on complex nerve and hand reconstruction surgery.

🏆

Proven Expertise

Dr. Amit Mittal brings 15+ years of sub-specialist training in hand surgery and microsurgery to every case.

⚙️

Advanced Technology

High-resolution MRI, EMG, NCV diagnostics, and the latest microsurgical equipment under one roof.

🌍

International Patient Support

End-to-end coordination for patients travelling from abroad — logistics, accommodation, and teleconsultation.

📋

Personalised Treatment Plans

No templated protocols. Each surgical plan is tailored to injury severity, anatomy, and patient goals.

🤝

Comprehensive Rehabilitation

Surgery is only the first step. Our integrated physiotherapy and follow-up programme runs for as long as you need.

Real Surgical Outcomes

Before, During & After Surgery

Actual patient cases treated by Dr. Amit Mittal at Surgenesis Hospital. These images demonstrate the precision of microsurgical intervention and the recovery it enables.

Before Operation

Before Brachial Plexus Surgery — arm deformity

The arm shows characteristic deformity and loss of function due to brachial plexus nerve damage. Limited movement, muscle wasting, and abnormal posture are visible.

Pre-surgical State

During Operation

High-precision microsurgery performed under magnification. Dr. Mittal performs nerve transfer or grafting to re-establish neural pathways for movement and sensation.

Microsurgical Procedure

After Operation

Post-surgery the arm shows restored alignment and the beginning of functional recovery. Rehabilitation begins here and continues over months toward full return of movement.

Post-surgical Recovery

⚕ Clinical images shown with patient consent for educational purposes. Individual results vary based on injury type and timing of treatment.

★★★★★

"After 2 years of no movement, Dr. Mittal restored my hand function. It felt like a miracle."

Rajan Sharma

📍 Delhi

★★★★★

"My son had a birth injury. Surgenesis gave him back his arm. Forever grateful."

Priya Menon

📍 Kerala

★★★★★

"Travelled from Dubai for surgery. World-class care at a fraction of Dubai cost."

Ahmed Al-Farsi

📍 UAE

★★★★★

"Road accident ne haath liya tha. Dr. Mittal ne wapis diya. Shukriya."

Sunita Rawat

📍 Uttarakhand

★★★★★

"The team explained everything clearly. Surgery was smooth, recovery is on track."

Mohammad Raza

📍 Lucknow

★★★★★

"Remote physiotherapy sessions were a lifesaver. No need to travel every week."

Deepika Nair

📍 Bengaluru

★★★★★

"Minimum hospital stay — I was back home in 3 days. Excellent protocol."

Vikram Tiwari

📍 Bhopal

★★★★★

"Best decision of my life to come to Surgenesis. Dr. Mittal is outstanding."

Neha Joshi

📍 Jaipur

★★★★★

"After 2 years of no movement, Dr. Mittal restored my hand function. It felt like a miracle."

Rajan Sharma

📍 Delhi

★★★★★

"My son had a birth injury. Surgenesis gave him back his arm. Forever grateful."

Priya Menon

📍 Kerala

★★★★★

"Travelled from Dubai for surgery. World-class care at a fraction of Dubai cost."

Ahmed Al-Farsi

📍 UAE

★★★★★

"Road accident ne haath liya tha. Dr. Mittal ne wapis diya. Shukriya."

Sunita Rawat

📍 Uttarakhand

★★★★★

"The team explained everything clearly. Surgery was smooth, recovery is on track."

Mohammad Raza

📍 Lucknow

★★★★★

"Remote physiotherapy sessions were a lifesaver. No need to travel every week."

Deepika Nair

📍 Bengaluru

★★★★★

"Minimum hospital stay — I was back home in 3 days. Excellent protocol."

Vikram Tiwari

📍 Bhopal

★★★★★

"Best decision of my life to come to Surgenesis. Dr. Mittal is outstanding."

Neha Joshi

📍 Jaipur

Common Questions

Frequently Asked Questions

Answers to the questions we hear most often from patients and families.

What exactly is a brachial plexus injury? +

The brachial plexus is the network of nerves (C5–T1) that controls movement and sensation in the shoulder, arm, and hand. Injury occurs when these nerves are stretched, compressed, or torn — most commonly in high-speed road accidents. Consequences range from temporary weakness to complete paralysis of the arm, depending on severity.

When is brachial plexus surgery actually needed? +

Surgery is recommended when there is no spontaneous recovery within 3–6 months, when imaging confirms severe nerve damage (rupture or avulsion), or when there is significant loss of arm or hand function. Mild neuropraxia injuries may recover without surgery, but require monitoring. Early specialist evaluation is critical — don't wait to see if it "gets better on its own."

Can brachial plexus injury be fully cured? +

Mild injuries (neuropraxia) often recover completely. Severe injuries — particularly root avulsions — cannot be fully reversed, but advanced procedures like nerve transfer and FFMT can restore significant functional movement and independence. The goal is maximum practical recovery, not theoretical perfection. Most patients achieve meaningful improvement in daily function.

What is nerve transfer surgery and how does it work? +

Nerve transfer (neurotization) takes a healthy, functioning nerve from a nearby region and reroutes it to power a paralysed muscle. For example, the Oberlin transfer uses a branch of the ulnar nerve to restore elbow flexion, while SAN to SSN transfer restores shoulder movement. The brain gradually re-learns to use the repurposed nerve pathway through rehabilitation.

How long does recovery take after surgery? +

Initial wound healing takes 6–8 weeks. Nerves regenerate slowly — roughly 1mm per day — so meaningful functional recovery typically takes 6 months to 2 years. Consistent physiotherapy during this period is not optional; it is what converts nerve regeneration into actual muscle strength and movement.

What does brachial plexus surgery cost in Jaipur? +

Cost depends on injury severity, the procedure required (nerve transfer, grafting, or FFMT), hospital stay duration, and rehabilitation needs. Surgenesis Hospital offers significantly lower costs than equivalent centres in Western countries, while maintaining the same standard of surgical expertise. Contact us for a personalized cost estimate after initial consultation.

Do you treat international patients? +

Yes. Dr. Amit Mittal regularly treats patients from outside India. We offer initial video consultations, help coordinate travel logistics, arrange nearby accommodation, and provide teleconsultation follow-up after patients return home. Contact us to start the process remotely.

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Surgenesis Hospital

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👋 Namaskar! Surgenesis Hospital mein aapka swagat hai.

Brachial Plexus Injury ya kisi bhi nerve surgery ke baare mein baat karne ke liye apna naam, contact number aur message bhejein. Dr. Amit Mittal ki team turant jawab degi.

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Brachial PlexusInjury Treatment

Where World-Class CareMeets Compassion

World-Class ICU —When Every Second Counts

Trusted by Patients Across India & Abroad

What Is a Brachial Plexus Injury?

Common Causes

Warning Symptoms — Do Not Ignore

Types of Brachial Plexus Injuries

Root Avulsion (C5–T1)

Neuropraxia

Lateral Cord Injury

Rupture / Neuroma

Treatment Options at Surgenesis

Nerve Transfer Surgery

Nerve Grafting

FFMT – Free Functioning Muscle Transfer

Tendon Transfer

Your Treatment Journey at Surgenesis

Initial Consultation

Advanced Diagnostics

Personalized Treatment Plan

Microsurgery

Rehabilitation Program

Long-Term Recovery Tracking

Recovery Timeline & Why Timing Matters

Recovery Milestones

Initial Healing

Early Nerve Signals

Functional Recovery

⚠️ Consequences of Delayed Treatment

Rehabilitation Includes:

Why Patients Choose Surgenesis Hospital

Dedicated Microsurgery Centre

Proven Expertise

Advanced Technology

International Patient Support

Personalised Treatment Plans

Comprehensive Rehabilitation

Before, During & After Surgery

Watch: Real Cases & Surgical Outcomes

Frequently Asked Questions

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Brachial Plexus
Injury Treatment

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World-Class ICU —
When Every Second Counts

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