Nerve disorders · Tarzana · Los Angeles

Nerve Disorder Treatment in Los Angeles

Feel Your Hands Again

At Foundation Hand Surgery Institute, Dr. Rob Viswanath and Dr. Ryan Tantone treat nerve conditions of the hand, wrist, elbow, and arm every week. Our practice is devoted solely to the upper extremity, so we identify exactly which nerve is involved before developing any treatment plan.

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Same day

Home after most procedures

One to two weeks

Back to light activity

An inch per month

How nerves regenerate

When Nerve Problems Start Affecting Your Hand

It usually starts small. A tingling ring finger, a thumb that falls asleep on the drive home, a grip that gives out on a jar you opened without thinking last year.

Then it stops being small. Sleep breaks up because your arm goes numb, buttons and zippers take twice as long, and dropping your phone in front of other people no longer feels like an accident.

Compressed and injured nerves rarely settle down on their own. The longer the pressure lasts, the more the muscles those nerves feed begin to shrink, and numbness that once came and went becomes the way your hand always feels.

What we treat

Nerve Conditions We Treat

Nerve symptoms in the hand can come from several different places along the arm, and the pattern of numbness tells us a great deal. Our surgeons care for:

Cubital tunnel syndrome, ulnar nerve compression at the elbow that causes numbness in the ring and small fingers
Ulnar tunnel syndrome at the wrist, common in cyclists and anyone who leans on the heel of the hand
Radial nerve compression, which can weaken wrist and finger extension
Nerve lacerations and stretch injuries following cuts, fractures, or dislocations
Painful neuromas and nerve pain that lingers after an injury or a previous surgery
Carpal tunnel syndrome, including cases where more than one nerve is compressed at the same time

The treatment

What Nerve Treatment Can Do for You

The goal is straightforward: take pressure off the nerve, or restore its continuity, before lasting damage sets in. Patients who come in early often recover full sensation and strength.

Nights without the numbness and burning

That pull you out of sleep.

Grip and pinch strength

Preservation once the nerve is no longer pinched.

A clear answer

Backed by physical exam and nerve conduction testing when it is warranted.

Here is what our care typically gives you:

Conservative treatment first

Including bracing, activity adjustments, hand therapy, and targeted injections.

Surgical release or nerve repair

When non-surgical care has been exhausted, most often as a same-day outpatient procedure.

A recovery plan

Shaped around your job, your sport, and your hands.

Candidacy

Who Is a Good Candidate for Nerve Disorder Treatment?

Most people with hand or arm nerve symptoms benefit from an evaluation, especially if the problem has lasted more than a few weeks. You are likely a strong candidate if you notice:

Numbness or tingling in specific fingers rather than the whole hand
Symptoms that wake you at night or flare when your elbow stays bent
Weakness, clumsiness, or dropping small objects
Visible thinning of the muscles at the base of the thumb or between the fingers
Shooting pain, electric shocks, or a tender spot that reproduces symptoms when tapped
A past cut, fracture, or dislocation followed by numbness that never fully resolved

Patients managing diabetes or thyroid conditions face higher nerve compression risk, and we factor that into every plan we build.

What to expect

Your Path From Numbness Back to Normal

Step 01

Listening to the Pattern

We start by mapping exactly which fingers are affected, when symptoms hit, and what makes them worse. That pattern narrows the source before a single test is ordered.

Step 02

Pinpointing the Nerve

A focused exam and nerve conduction studies, when they add value, confirm where the nerve is being compressed or injured. Guesswork has no place in nerve care.

Step 03

Starting Where Recovery Is Easiest

Night splinting, ergonomic changes, hand therapy, and injections resolve many cases without the need for surgery. We give these approaches a fair and monitored trial.

Step 04

Precision Release or Repair

If surgery becomes the right call, we release the tight structures compressing the nerve or repair damaged fibers using magnification and meticulous technique. Most patients go home the same day.

Step 05

Rebuilding Sensation and Strength

Nerves heal slowly and steadily, so we track progress at set intervals and coordinate therapy to bring back feeling, coordination, and grip.

Your Questions Answered

FAQs About Nerve Disorders in LA

The fingers involved tell us most of the story. Carpal tunnel affects the thumb, index, and middle fingers, while ulnar nerve compression at the elbow hits the ring and small fingers. Radial nerve issues present as weakness when lifting the wrist. An exam at our Los Angeles office sorts this out quickly and accurately.
Many early cases improve with bracing, activity changes, hand therapy, and sometimes an injection. Mild compression caught within a few months often responds well to this approach. Once weakness or muscle thinning appears, the window for full recovery narrows, and surgical release usually yields better long-term results.
Most patients go home the same day and return to light activity within one to two weeks. Night symptoms often settle within days. Sensation and strength return gradually because nerves regenerate about an inch per month, so we schedule follow-ups over several months to track your progress.
The procedure itself is done under local or regional anesthesia, so you feel nothing during it. Afterward, most patients describe soreness at the incision rather than significant pain, and it is generally well managed with over-the-counter medication. We review a comfort plan with you before you leave.
Sooner is genuinely better. If numbness has persisted beyond a few weeks, wakes you at night, or comes with any weakness, book an evaluation now. Nerve compression treated early is often fully reversible, while long-standing compression can leave permanent numbness even after successful surgery.
Yes. We repair lacerated nerves, address nerves injured alongside fractures and dislocations, and treat painful neuromas from prior injuries or surgeries. Timing matters greatly in these cases, so contact our Tarzana office promptly if a wound or break has left you with numbness or weakness.

What Our Customers Say

Don't Wait for the Feeling to Come Back on Its Own

Nerve tissue is patient with you for a while, then it is not. Every month of untreated compression makes a complete recovery less certain, and muscle that has already wasted is far harder to rebuild than muscle you protect today.

Our schedule is open to new patients across Los Angeles, the San Fernando Valley, and the West Side. Call 818-578-3152 or request an appointment online, and let us determine which nerve is causing your symptoms while still offering you every option.

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