Peripheral Nerve Injury (PNI) Unit

The PNI Unit at The Wellington Hospital , Wellington Place , London, NW8 9LE
Request an appointment 020 7483 5232

Caring for all kinds of peripheral nerve injuries

Consultant Marco Sinisi

 

The peripheral nerve injury unit at The Wellington Hospital is led by Mr Marco Sinisi, who has dedicated his life in understanding the peripheral nerve system. He treats patients every day from all over the world and draws on their ground-breaking research and uses the very latest diagnostic technology and surgical techniques - to ensure you receive the right treatment and the best possible outcome. 

Our rehabilitation centre offer personalised rehabilitation programmes, tailored to support each individual and their family. Mr Marco Sinisi works with a team of rehabilitation specialists that includes physiotherapists, occupational therapists, hand therapists, neuropsychologists, and specialist rehabilitative nurses.

Mr Marco Sinisi offers consultations in Elstree, St John's Wood, and for younger patients at The Portland Hospital. If you would like to make an appointment we'll be happy to help.

About our peripheral nerve consultant

Mr Marco Sinisi neurosurgeon

Mr Marco M Sinisi

Consultant Neurosurgeon

Specialties

Peripheral Nerve Care,Private Neurosurgery in London: Peripheral Nerve

Works at

The Portland Hospital

The Wellington Hospital

The Wellington Hospital Elstree Waterfront

Peripheral Nerve Injury (PNI) Unit

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The peripheral nervous system

The peripheral nervous system consists of all the nerves outside of the brain and the spinal cord. Whether caused by injury, surgery, or conditions such as diabetic neuropathy, damage to the peripheral nerves can lead to debilitating chronic pain that is often very difficult to diagnose and therefore treat.

We help you with life-changing procedures, including nerve transplant surgery for those who have suffered traumatic injuries to the brachial plexus or other types of paralysis.

Peripheral nerve conditions we treat

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    Adult brachial plexus injury

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    Neuropathic pain

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    Nerve tumours

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    Bone fractures

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    Birth brachial plexus injury

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    Lumbosacral plexus injury

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    Thoracic outlet syndrome

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    Persistent pain after a sports injury

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    Nerve injury

    following many types of surgery

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    Nerve damage

    following a road traffic accident or work related accident

Show more specialist areas

Identifying and treating nerve injuries and conditions

Brachial plexus injury

Symptoms can include loss of sensation or partial or complete paralysis in all or parts of the arm and hand becoming paralysed and numb. Most common after an impact to the shoulder or neck, usually following a motorbike accident or sporting injury.

Lumbosacral plexus injury

Usually injury received after a severe trauma to the lower part of the body with pelvic or hip fractures or dislocation leaving you with sensation loss and/or movement in the hip, knee, ankle, foot or toes.

Nerve compression

A number of different peripheral nerves may have their normal function impaired by entrapment with abnormal compression causing loss of sensation and pain. Most common is carpal tunnel syndrome.

Nerve tumours

Benign and malignant tumours can be removed without any added neurological problems by working inside the nerve.

Restoring limb function with surgical reconstruction

We use several methods to restore limb function following a nerve injury, these include:

  • muscle transfers
  • nerve transfers
  • joint fusions
 

Peripheral nerve services

PNI Diagnostics
Latest diagnostic technology

Diagnostic imaging is fundamental for peripheral nerve damage and injury. Identifying the cause of your pain is not always clear and many of our patients have seen several other clinicians without finding the right diagnosis and relief for their pain. This is why we always invest in the latest and most accurate diagnostic equipment. To get the right diagnosis first time we use MRI, nuclear medicine (SPECT CT and PET CT), CT, neurophysiology (EMG, nerve conduction studies) and nerve blocks. Our technicians, physiologists, reporting clinicians and radiologists are all specialists in their field — using our machines to get the most precise information possible.

PNI caring for family
Caring for you like family

We treat patients from across the UK and internationally. We fully understand staying in hospital can be an anxious time which is why we surround you with an experienced team to support you fully throughout your treatment with us.

PNI MDT
A multi-disciplinary approach

The units globally recognised consultants also work together at the Royal National Orthopaedic Hospital. It’s by working together again and again they can innovate – improving a technique, or developing an approach – to transform care for you. The unit is supported by a multi-disciplinary team of specialists including oncologists, neurophysiologists, anaesthetists, radiologists and specialist physicians using the very latest endoscopic and diagnostic technology. Our specialist nurses are chosen for their high level of training and experience. We have everything we need to care for our patients – including the highest level intensive care units (ICU).

Treating patients from birth

Infant brachial plexus injury is one of the most common types of birth injuries affecting thousands of infants each year.

A brachial plexus injury received during a complicated birth can affect newborn babies causing weakness in the baby's hand, arm and shoulder.

At The Portland Hospital we regularly treat infants providing them with the best possible outcomes.

I have dedicated my career to advancing peripheral nerve surgery. For my patients who have been told that nothing can be done or there’s no other treatment options, I take great pride in finding a resolution and returning them to the best quality of life possible

Mr Marco Sinisi, Consultant Neurosurgeon

Rehabilitation following peripheral nerve injury

The Acute Neurological Rehabilitation Centre at The Wellington Hospital is home to the only CARF-accredited hospital based unit in London and the largest private acute unit of its kind in the UK.

Our rehabilitation centre offer personalised rehabilitation programmes, tailored to support each individual and their family. Mr Marco Sinisi works with a team of rehabilitation specialists that includes physiotherapists, occupational therapists, hand therapists, neuropsychologists, and specialist rehabilitative nurses.

 

More information about peripheral nerve injuries

Whether you're experiencing pain from a previous nerve injury, have lost sensation, or you've experienced a traumatic injury to a nerve, we can offer the highest levels of care.

  • Function loss from old nerve injury

    Need to know

    When a nerve has been damaged many years before and has left the patient with permanent loss of function. in selected cases, the function can be partially restored by detaching muscles that perform another movement and redirecting them onto the paralysed muscles through surgery.

    Read more

  • Nerve pain

    Need to know

    Nerves branch out from the spinal cord to other parts of your body. These enable messages to travel from your brain to other parts of your body; it's down to this that we're able to run and walk. The nerves in your back carry messages about sensations and muscle controls to your brain. When these nerves...

    Read more

  • Peripheral neuropathy

    Need to know

    The peripheral nervous system is a network of nerves in your body. It controls your hands, feet and arms. Sometimes, these nerves can be damaged, leading to pain, weakness and numbness. This condition is known as peripheral nephropathy. It affects 1 in 10 people over the age of 55. If you're experiencing...

    Read more

  • Peripheral nerve tumours

    Need to know

    Nerve tumours can develop within your nerves. As the nerves carry vital signals from your brain to the muscles in your body (allowing you to move and feel sensations), tumours can lead to loss of movement and pain if malignant. In most cases, the tumours are benign and can be removed with surgery.

    Read more

  • Brachial plexus injury

    Need to know

    The brachial plexus is a group of five nerves which stem from the spinal cord in the neck. It connects the brain and spinal cord to the upper limb, allowing us movement and sensation. Brachial plexus injuries happen when the arm is forcefully pulled or stretched. Falls, motorbike and car accidents and...

    Read more

  • Correction of brachial plexus injuries in children

    Need to know

    This procedure aims to correct shoulder deformities in children caused by brachial plexus palsy — muscle weakness in the shoulder, arm and hand. This condition is caused by injury to the brachial plexus during birth. The brachial plexus is a group of nerve fibres stemming from the spine...

    Read more

  • Decompression and neurolysis of nerves

    Need to know

    Peripheral nerves serve the upper and lower parts of your body. Carpal tunnel syndrome (trapped nerve in the wrist) is a common example in the upper body and tarsal tunnel (trapped nerve in the ankle) is an example of the lower body. There are many causes of peripheral nerve damage. Traumatic impact,...

    Read more

  • Nerve repair

    Need to know

    Nerve repair surgery aims to restore feeling and muscle use in a damaged area — it's a complex and delicate surgery. Our nerves are like special cables which carry messages to our brain and other parts of the body. When a nerve becomes damaged or injured, it may stop sending these signals,...

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  • Resection of nerve tumours

    Need to know

    This procedure aims to remove peripheral nerve tumours as completely as possible, without damaging the nerve. Certain types of tumour (schwannomas) can be removed from the surface of a nerve, while others grow within a nerve (neurofibroma). In these cases, the nerve may be opened up so that the tumour...

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  • Repair of brachial plexus injury

    Need to know

    This procedure aims to reattach or repair one of of your brachial plexus nerves. The brachial plexus is a group of five nerves stemming from the spinal cord in the neck. It connects the brain and spinal cord to nerves in the shoulder and arms, allowing movement and sensation. You have one brachial...

    Read more

  • Nerve conduction studies

    Need to know

    Nerve conduction studies help measure the speed at which nerves send messages to the brain. This is done by placing electrodes on your skin. Your consultant then uses electrical activity to record how fast impulse moves along a nerve. The tests normally lasts no longer than one hour.

    Read more

  • Peripheral nerve release

    Need to know

    Peripheral nerves run from your central nervous system (brain and spinal cord) to control movement and sensation in your muscles and limbs. If a nerve becomes pinched due to an injury or condition, it can cause pain, tingling or a lack of sensation. A surgical procedure can relieve these symptoms.

    Read more

  • Lumbosacral plexus injury

    Need to know

    The lumbosacral plexus is a network of nerve fibres supplying the muscles of your lower limbs. It's located in your lower back, and forks into branches in front of the hip joint and down your legs. Damage, at birth or due to a trauma, to the lumbosacral plexus causes pain and weakness in the lower back....

    Read more

  • Lumbosacral plexus surgery

    Need to know

    The lumbosacral plexus is located in your lower back and pelvis, and forks into branches in front of the hip joint and down the front and back of your thighs and legs. This procedure repairs the lumbosacral plexus — a network of nerve fibres supplying the muscles of your lower limbs. Damage...

    Read more

  • Thoracic nerve decompression

    Need to know

    This procedure treats thoracic outlet syndrome (TOS) — where compressed nerves and blood vessels between your collarbone and first rib cause neck and back pain and neurological problems such as numbness in the hand. Trauma such as a car accident, repetitive movement such as weight-lifting...

    Read more

Contact us

Mr Marco Sinisi offers consultations in, Elstree, St John's Wood, and for younger patients at The Portland Hospital. If you would like to make an appointment we'll be happy to help.

0207 483 5232
Email us
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