601 E Hampden Ave Ste 310. Englewood, CO 80113

303.788.6466

Enhanced Amputation Relief

Performed at the same time as an amputation or at a later time, our surgery for Targeted Muscle Reinnervation in Denver takes about three to four hours to complete. TMR helps relieve pain and may significantly improve your quality of life.

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Do You Suffer from Phantom Limb Pain?

If you have had a limb amputated, you may suffer from pain in the area of the removed limb, residual limb pain, or painful tissue scarring. Phantom limb pain comes about when your nervous system signals become confused following an amputation. After a limb has been removed, your nervous system still sends signals to the area of the removed limb. The nerve signals travel all the way to the amputation site, where they suddenly stop. This results in various pains and uncomfortable sensations known as phantom limb pains. 

Am I a Candidate for TMR?

Two out of three amputees suffer from chronic pain. This can make daily life a struggle. Targeted Muscle Reinnervation can be performed at the same time as an amputation or in a delayed setting. If you will be undergoing a limb amputation, you may be interested in combining it with TMR surgery to prevent the development of phantom pains and painful tissue scarring (known as neuroma). 

If you have had a limb amputated within the last 10 years, a TMR could help relieve chronic pain stemming from your amputation. TMR surgery can help you:

  • Relieve chronic pain after limb amputation
  • Prevent nerve pain from developing
  • Improve your ability to wear and use a prosthetic limb, or allow you to use more advanced prosthetics
  • Achieve a higher quality of life

How Long Does the Surgery Take?

Our Targeted Muscle Reinnervation in Denver is performed under general anesthesia. The surgery typically takes three to four hours to complete. You should expect to stay at the hospital for at least one night after your TMR surgery. Depending on your individual circumstances, you may need to stay for up to five days. Prior to your surgery, your surgeon will go over all the details of your procedure and let you know what to expect in your unique case. 

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How Does it Work?

When a nerve is severed during amputation, it attempts to heal and regenerate. As these severed nerves don’t have a clear target to regenerate toward, they can end up in a painful and disorganized mass of nerves. 

During TMR surgery, your surgeon will connect the ends of amputated nerves to the nerves of nearby muscles. Using advanced microsurgical techniques, your surgeon will reroute the severed nerve endings to new muscles. This encourages the nerves to regenerate in an organized manner, as they now have a clear target. TMR helps relieve pain, or when performed at the time of amputation, helps prevent it from developing in the first place. 

How Long Does the Surgery Take?

Targeted Muscle Reinnervation is performed under general anesthesia. The surgery typically takes three to four hours to complete. You should expect to stay at the hospital for at least one night after your TMR surgery. Depending on your individual circumstances, you may need to stay for up to five days. Prior to your surgery, your surgeon will go over all the details of your procedure and let you know what to expect in your unique case. 

How Long is the Recovery?

You should be able to resume your regular daily activities within about four to six weeks.

If you are getting TMR for nerve pain from a previous amputation, you may be able to return to work in as little as two weeks. If your TMR is being performed at the time of amputation and you plan to have a prosthetic, the fitting process can also be started about four to six weeks after. These are rough timelines that will vary depending on various factors. Your surgeon will be able to give you more precise information for your specific case. 

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When will I Notice Improvements?

Following your Targeted Muscle Reinnervation in Denver, you should expect to experience some surgery-related pain. Your surgeon may prescribe medication to help manage this. Your pain may get worse before it gets better, as the nerve will “wake up” after surgery. Full recovery time varies from patient to patient. If you already suffer from phantom limb pain, it may take six to nine months for this to fully improve. 

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A State-of-the-Art Nerve Center in Denver

The Atlas Institute Peripheral Nerve Care is equipped with the latest in diagnostic and therapeutic technology. With advanced training in nerve specific conditions, we offer the full spectrum of treatments, including surgical and non-surgical procedures. We are here to help you achieve relief from nerve pain or dysfunction with cutting-edge advances in medicine.

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