Rebuilding the nerve network that powers the arm. Through transfers, grafts, and repair, function can be restored even after severe injury — and timing makes a profound difference.
Re-powered
+ grafts
Critical factor
The brachial plexus is the intricate web of nerves running from the neck into the arm. After a stretch, rupture, or avulsion injury, reconstruction restores movement by combining nerve transfers (rerouting working nerves to paralyzed muscles), grafting across gaps, and direct repair where possible.
Because nerve and muscle tissue degrade over time, early evaluation is critical. The sooner a brachial plexus injury is assessed, the more reconstructive options remain available.
After falls, collisions, or sports trauma that paralyze the arm.
Obstetric brachial plexus palsy in selected pediatric cases.
When spontaneous recovery has plateaued and intervention can still help.
Exam, imaging, and nerve studies define which roots and nerves are involved.
Transfers and grafts are selected to restore priority functions.
The plan is executed microsurgically in a coordinated procedure.
Intensive therapy retrains the arm as reinnervation proceeds.
Peripheral nerve surgery is its own discipline. Dr. Michaeli has dedicated his practice to the nerves, with fellowship-level training and thousands of nerve procedures.
Nerve work is measured in millimeters. Every repair is performed under high-magnification with microsurgical instruments and the latest reconstructive techniques.
Many patients arrive having been told nothing more can be done. A dedicated nerve evaluation often reveals options that general specialists do not offer.
The reconstruction heals; therapy maintains joint motion.
Shoulder and elbow function typically return first.
Function continues to build with sustained rehabilitation.
Peripheral Nerve & Brachial Plexus Surgeon · New Jersey & New York
Dr. Michaeli is among the most experienced and trusted peripheral nerve specialists on the East Coast, combining board-certified hand surgery expertise with dedicated peripheral nerve training. He has helped patients across the region regain function when they were told nothing more could be done.
Most peripheral nerve procedures are medically necessary and covered by insurance. Our team will help you understand your benefits and assemble the documentation your plan requires.
How transfers and grafts rebuild the arm’s nerve supply — and why timing matters so much.
A short explainer video from Dr. Michaeli will appear here. Replace the poster with your YouTube or Vimeo embed when ready.
This patient suffered a brachial plexus injury and underwent a series of nerve transfers with Dr. Michaeli to restore movement and function to the arm. He shares his recovery and what the process was like in his own words.
A real patient shares their experience with Dr. Michaeli, in their own words.
“After years of being told my pain was something I’d have to live with, Dr. Michaeli found the nerve causing it and fixed it.”
Neuroma surgery
“I had given up hope of using my hand again. The nerve transfer gave me back movement the other doctors said was gone.”
Nerve transfer
“The carpal tunnel release was quick and the night pain was gone immediately. I only wish I’d done it sooner.”
Carpal tunnel release
Schedule a consultation with Dr. Michaeli to understand your options and build a plan that fits your life.
