Office Locations
Call: 833-650-6741
Check Candidacy
Restoring What Trauma Took Away

Regain Arm Strength & Sensation

Specialized nerve reconstruction surgery from nationally recognized
experts in brachial plexus repair.

HUES - Arm Paralysis Banner-1
Book My Evaluation
Top Docs 25 badge
nj-docs-award
castel-connolly-top-docs
bergen-countys-top-docs
images (4) (1)

Check Eligibility:


Do Any of These Ring True?



You Might Be a Candidate. Let’s Talk.
*If you checked 2 or more boxes,
request a consultation now—our team
will walk you through your options.

Still Not Sure? Book Your Brachial Plexus Evaluation:

Real People. Life-Changing Results.

{embed_html=, height=113, max_height=113, max_width=200, oembed_response={author_name=The Institute for Advanced Reconstruction, author_url=https://www.youtube.com/@advancedreconstruction, height=113, html=, provider_name=YouTube, provider_url=https://www.youtube.com/, thumbnail_height=360, thumbnail_url=https://i.ytimg.com/vi/s8VWxvWNL2E/hqdefault.jpg, thumbnail_width=480, title=Jet Ski Accident Survivor's Amazing Recovery | Brachial Plexus Surgery Success with Dr. Shah, type=video, version=1.0, width=200}, oembed_url=https://youtu.be/s8VWxvWNL2E, size_type=auto, source_type=oembed, width=200, supported_oembed_types=[video]}

Paul’s Story: Amazing Recovery After Jet Ski Accident

{embed_html=, height=113, max_height=113, max_width=200, oembed_response={author_name=The Institute for Advanced Reconstruction, author_url=https://www.youtube.com/@advancedreconstruction, height=113, html=, provider_name=YouTube, provider_url=https://www.youtube.com/, thumbnail_height=360, thumbnail_url=https://i.ytimg.com/vi/YjXQ4EY4WUw/hqdefault.jpg, thumbnail_width=480, title=Overcoming the Odds: Marlene’s Inspiring Recovery with Brachial Plexus Surgery and Dr. Shah, type=video, version=1.0, width=200}, oembed_url=https://youtu.be/YjXQ4EY4WUw, size_type=auto, source_type=oembed, width=200, supported_oembed_types=[video]}

Marlene’s Story: Overcoming the Odds with Brachial Plexus Surgery

What Are My Treatment Options?

Nerve Repair Surgery

Reconnects injured nerves using fine sutures and grafts to support natural regrowth.


Nerve Transfer Surgery

Redirects healthy nerves to restore function in paralyzed muscles.


Tendon Transfer Surgery

Moves tendons from working muscles to reestablish movement where nerves no longer function.

Feel Again, Live Fully

Brachial plexus surgery can restore critical motion, reduce pain, and return independence. When other treatments fail, expert nerve repair can open a path to healing.
IconLift a cup or utensil again

Lift a cup or utensil again

IconReturn to work or hobbies

Return to work or hobbies

IconHold your child or grandchil

Hold your child or grandchild

IconRegain upper body strength and control

Regain upper body strength and control

Nerve Healing is Time-Sensitive

Nerve Healing is Time-Sensitive

Surgery should occur within 6–12 months of injury for best results.

If left untreated, nerve signals may never reach target muscles again. Early intervention maximizes the chance of nerve regrowth and avoids irreversible muscle atrophy. Don’t wait—delayed treatment can limit what’s possible.

Call: 833-650-6741
Check Candidacy

Why Patients Around the World Trust The Center for Hand and Upper Extremity 

Patients travel from across the globe to The Center for Hand and Upper Extremity Surgery for nerve surgery that few centers in the world can perform. We specialize in the impossible.

Unmatched Nerve Surgery Expertise
Brachial plexus injuries are one of our core specialties, led by surgeons at the forefront of advanced nerve reconstruction and other restorative procedures.

Collaborative, Personalized Care
Multidisciplinary teams build tailored plans that align surgical precision with whole-patient support.

Recognized by Top Medical Authorities
Home to Castle Connolly Top Doctors, NJ Top Docs, and nationally published specialists.

World-Class Hospitals, Local Compassion
Procedures performed at nationally ranked facilities.

Support for Traveling Patients
We help coordinate travel, lodging, and follow-up care for a seamless patient experience.

What Causes Brachial Plexus Injuries?

Most adult brachial plexus injuries are caused by high-energy trauma—often motorcycle or car accidents that stretch or tear the nerves in the neck and shoulder. The mechanism typically involves forceful separation of the head and shoulder, leading to partial or complete disruption of the nerve roots. 

Other causes include falls, athletic injuries, stab or gunshot wounds, radiation treatment to the chest or neck, and traction injuries during surgery. Even prolonged compression or positioning under anesthesia can contribute to plexus damage. In each case, the severity and pattern of nerve disruption guide treatment decisions.

Your Path to Recovery

Consultation & Evaluation

01
Meet with a brachial plexus surgery specialist for a comprehensive review of your injury history, symptoms, and imaging. We’ll assess whether surgical repair can restore movement and sensation based on your specific pattern of nerve damage.

Personalized Surgical Plan

02

If you're a candidate, we’ll build a surgical plan tailored to your needs. Every decision is guided by timing, injury severity, and recovery goals.

Outpatient or Short-Stay Procedure

03

Most procedures are outpatient or require only a brief stay, minimizing disruption while maximizing outcomes.

Recovery & Rehabilitation Support

04
Following surgery, you’ll begin a guided rehabilitation program focused on nerve healing, muscle reactivation, and restoring safe, functional movement. We provide long-term follow-up to track progress and support your return to daily life.
Select a Procedure

Meet Our Team

HUES team smiling in front of desk (1)

Our team of elite surgeons brings deep expertise and innovative approaches to brachial plexus reconstruction, delivering life-changing care for complex nerve injuries.

Ajul Shah, MD, FACS

ajul 640x840-1

Dr. Shah heads Upper Extremity Nerve Surgery at The Center for Hand and Upper Extremity Surgery. With extensive experience in microsurgery, he specializes in nerve transfers, targeted muscle reinnervation, and treating traumatic brachial plexus injuries to restore function to the shoulder, elbow, and hand.

 

 

Hari Iyer, MD, FAAOS

Headshot of Dr. Iyer

Dr. Iyer is a fellowship-trained orthopedic surgeon focusing on upper-extremity nerve injuries. He leads brachial plexus diagnostic and surgical planning at The Center for Hand and Upper Extremity Surgery, employing advanced microsurgical techniques and collaborating in multi-surgeon procedures for optimal outcomes.

David Tsai, MD

TsaiIFAR

Dr. Tsai is a board-certified surgeon with precision in brachial plexus nerve repair and nerve grafting. He frequently manages intricate multi-level injuries and contributes to The Center for Hand and Upper Extremity Surgery’s leading-edge research in nerve regeneration outcomes.

Peter Andrawes, MD

Dr. Peter Andrawes

Dr. Andrawes brings fellowship-level expertise in microsurgical reconstruction to patients with nerve-related conditions like arm paralysis. His precision approach supports functional recovery through tailored surgical techniques that restore movement and improve quality of life.

Sidney Rabinowitz, MD, FACS

Dr. Rabinowitz-1

Dr. Rabinowitz is a board-certified plastic and reconstructive surgeon, fellowship-trained in microsurgery with a focus on nerve reconstruction and complex functional restoration. He plays a critical role in helping patients regain mobility and sensation after nerve injuries, including those resulting in arm paralysis due to brachial plexus injury or chronic nerve compression.

Mark Yazid, MD

MarkYazid

Dr. Yazid brings advanced techniques in nerve compression release, decompression, and brachial plexus repair. He is known for tailoring surgical plans that balance restoration of strength and sensation with patient-specific recovery goals.

Traveling from Abroad?

Our dedicated team helps international patients coordinate travel, lodging, and medical care—ensuring a smooth, stress-free experience from consultation to recovery.

Insurance & Financing

While insurance participation can vary by provider, physician, and procedure, The Center for Hand and Upper Extremity Surgery accepts many major insurance plans—including Aetna, Horizon BCBS, Medicare, and UnitedHealthcare. Our team will verify your benefits and guide you through every step of the process.

HUES - Brachial Plexus- ready to reclaim your mobility (1)

Ready to Move Again?

Take the first step toward regaining arm function and freedom. Complete the form below or call us directly at 833-650-6741 to schedule a consultation.

Frequently Asked Questions

How soon should I get evaluated?
Ideally, within 6–12 months post-injury. Early evaluation improves surgical outcomes and limits long-term damage.
What if my injury happened over a year ago?
We still evaluate chronic injuries. Some procedures may still restore function, even years later.
Do you perform revision surgery?
Yes. We routinely treat patients who have had previous surgeries elsewhere with limited success.
Can nerve surgery help with pain relief?
Yes, especially in cases of nerve entrapment or scarring. Pain reduction is a key outcome for many patients.
Is the surgery outpatient?
Many procedures are outpatient or require only a short stay, depending on complexity and recovery needs.