Targeted muscle reinnervation (TMR) is a surgical procedure used to treat nerve-related pain following nerve injury or amputation. When nerves are left unconnected, they can cause severe pain, including phantom limb pain. TMR reconnects these nerves to reduce pain and support recovery.
TMR can be performed at the time of amputation or after an amputation. This procedure can be used in the upper extremity, lower extremity, chest and other areas of the body.
Conditions we treat
TMR may be used to treat:
- Amputee patients experiencing nerve pain.
- Nerve injuries that have resulted in nerve-related pain.
- Neuropathic or neuroma pain.
- Phantom limb pain.
What to expect
Your first visit
Your first appointment is a consultation focused on understanding your symptoms and medical history. During this visit, your care team will:
- Review your history.
- Discuss the type of pain you are experiencing.
- Identify which nerve is causing the issue.
- Develop a treatment plan tailored to your needs.
Your care team
Care may involve a multidisciplinary team, including:
- Surgeons.
- Physical and occupational therapists.
- Prosthetists.
- Pain management specialists.
Why choose Nebraska Medicine
TMR was first described in 2008 and has gained more attention in recent years as an option for treating nerve-related pain. Nebraska Medicine providers are currently the only known resource in the state, and in some cases the surrounding region, offering this procedure.
Our team is also involved in research to improve care for patients undergoing TMR. This includes collaboration with the UNO biomechanics laboratory, work with advanced 3D-printed prosthetics, rehabilitation following surgery and studying functional changes within the brain. Additional research areas include TMR following hemipelvectomy, use of TMR for non-amputees for pain control, nerve mapping after TMR and identifying optimal timing for subacute TMR.
Schedule an appointment
To schedule a consultation, call 402.596.4000.