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Thank you for your interest in the Washington University Center for Nerve Injury and Paralysis. We are dedicated to providing the best possible care and service to patients with peripheral nerve injuries and disorders and to their physicians.

As you may know, injuries to the shoulder, arms, legs and other extremities are commonplace. Yet specialists who treat these regions of the body often are focused on other types of injuries and have limited expertise with the peripheral nervous system.

At the Center for Nerve Injury and Paralysis, our multidisciplinary group of specialists — including plastic and reconstructive surgeons, physical therapists and neurologists — is specially trained in the care of patients with peripheral nerve conditions. Treatments range from advanced nerve transfer procedures for nerve injury to surgical treatment of common nerve-compression injuries and pain therapy for headaches and trigeminal neuralgia.

The center is one of the few in the country dedicated to treating peripheral nervous system injuries and contributes to research in the field. This includes studies of MRI techniques to improve evaluation of nerve injuries, efforts to advance the surgical management of "irreparable" nerve injuries, and standardizing methods for measuring movement in the extremities after nerve repair.

Our specialists see both adult and pediatric patients at facilities at the Washington University Medical Center. Adult patients are seen at the Center for Advanced Medicine, while pediatric patients go to clinics at St. Louis Children’s Hospital.

If you would like to refer a patient to one of our surgeons in the Center for Nerve Injury and Paralysis, the following medical records/forms need to be faxed to our office at (314) 367-0225:

  • A letter of referral detailing the nature of your patient’s nerve condition or injury, including symptoms and functional use of the affected extremity (-ities).
  • Reports of any diagnostic studies including EMG/nerve conduction studies, MRI, CT scans, ultrasounds.
  • Operative notes from previous surgeries to the affected extremity (-ities).
  • Your patient’s demographics (address, phone number, date of birth, etc.) and health insurance information
  • Completion of the New Patient Forms including the General Health Questionnaire for Patients with a Nerve Injury/Condition, Pain Questionnaire, and SF-8 Health Survey.

Alternatively, materials may be mailed to:

Washington University School of Medicine
Division of Plastics & Reconstructive Surgery
ATTN: Peggy Wehking, MSN, ANP-BC
660 S. Euclid Ave.
Campus Box 8238
St. Louis, MO 63110

Once all of the required records are received, they will be reviewed within 30 days of receipt. Marci Bailey, RN, MSN, our clinical nurse coordinator, will contact your office and your patient directly.

For more information on our specialists, please see our faculty page.

Susan E. Mackinnon, MD
Director