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Why Additional Surgery Could Be Your Next Step

Considering another surgery after limb loss can feel overwhelming—but at ARMS, we’re here to help you understand why this step could make all the difference. Advanced surgical interventions like Targeted Muscle Reinnervation (TMR) and  Regenerative Peripheral Nerve Interface (RPNI) are designed to address the real challenges you may be facing, such as:

  • Chronic pain, including phantom limb pain or residual limb pain
  • Difficulty with mobility, limiting your ability to regain independence
  • Prosthetic challenges, where your body and device don’t feel in sync

What Surgical Intervention Can Do for You

Healthcare professional examines wrist mobility with a goniometer for precise assessment at ARMS clinic, ensuring optimal care.
Relieve chronic pain, including phantom limb pain
Physical therapy for hand rehabilitation using mirror therapy at ARMS to enhance motor recovery and function.
Restore nerve function and sensation where possible
Man using a prosthetic arm to engage in therapy exercise, enhancing mobility and rehabilitation at ARMS Facility.
Improve mobility and strength
Healthcare professional applying a shoulder cast on a patient at ARMS, ensuring precision in treatment and care.
Ensure optimal prosthetic fit and performance

Our Specialized Surgical Procedures

We’re proud to offer groundbreaking post-amputation surgery procedures that push the boundaries of recovery.

Illustration of brachial plexus anatomy for ARMS, emphasizing nerve pathways and arm mobility. Essential for surgical planning.

Targeted Muscle Reinnervation (TMR)

Helps restore nerve function and reduce phantom limb pain by rewiring residual nerves.
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Illustration of Golgi tendon organ connected to a muscle, highlighting muscle tension regulation and nerve interaction.

Regenerative Peripheral Nerve Interface (RPNI)

Uses nerve rewiring and muscle grafts to fix the broken power lines causing pain within your residual limb 
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Illustration of a person holding an inflamed arm, signaling pain or injury. Ideal for promoting phantom limb pain management solutions.

Phantom Limb Pain Solutions

Combines surgical and non-surgical approaches to bring relief​​.
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Why Our Specialists Are Different

Our team is what sets ARMS apart. They bring world-class expertise to every patient interaction, ensuring you’re supported by people who understand the science behind recovery and care deeply about your journey.

Proven Expertise

Our surgeons are leaders in advanced techniques like TMR and RPNI, using cutting-edge approaches to achieve exceptional outcomes.

Collaboration Across Disciplines

From surgery to rehabilitation, our multidisciplinary team works together to ensure every aspect of your care is seamless.

Compassionate Care

Our specialists don’t just treat your condition—they listen to your story, respect your goals, and guide you with empathy every step of the way.

Frequently Asked Questions

Is TMR just for reducing pain, or does it help with prosthetic use too?

While TMR is well known for relieving phantom limb pain, it also rewires nerves to improve control of myoelectric prosthetics. Think of it as creating clearer “signal pathways” between your brain and your prosthetic.

How does RPNI actually work inside my body?

RPNI places severed nerves into small muscle grafts, giving them a healthy place to regenerate. This stops painful misfiring and creates more stable connections—like plugging exposed wires into safe outlets.

What happens if I’ve already tried other treatments for phantom limb pain?

Surgical options like TMR and RPNI are often successful even when other treatments (like medication or physical therapy) haven’t worked. They target the source of nerve pain, not just the symptoms.

Can I combine these procedures with future prosthetic upgrades?

Yes. These surgeries are designed to future-proof your recovery—creating better nerve and muscle function so you can benefit from next-gen prosthetics, including those with sensory feedback.

How do I know if I’m a candidate for surgical intervention?

If you’re experiencing ongoing pain, nerve issues, or prosthetic difficulties, it’s worth exploring. Our team offers comprehensive evaluations to determine if procedures like TMR or RPNI align with your goals.

ARMS healthcare team in clinic, showing commitment to patient care and advanced medical solutions for community wellness.

Discover the Right Surgical Path for You

Exploring the best surgical options for limb loss is an important step in your recovery journey. Our team will guide you through the possibilities and help you decide what’s best for your goals and lifestyle.
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ARMS healthcare team in clinic, showing commitment to patient care and advanced medical solutions for community wellness.