Targeted Muscle Reinnervation Surgery (TMR) Specialist

Virginia Foot & Ankle Surgical Associates

Foot & Ankle Surgeons located in Charlottesville, VA & Culpeper, VA

Living with ongoing nerve pain, especially after an amputation can lower your quality of life. But with the help of Joseph R. Disabato, DPM at Virginia Foot and Ankle Surgical Associates in Charlottesville or Culpeper, Virginia, you can undergo targeted muscle reinnervation surgery (TMR) to resolve your discomfort. Find out how TMR surgery can help restore your limb function and eliminate nerve pain by scheduling an appointment today.

Targeted Muscle Reinnervation Surgery (TMR) Q & A

Why do I need targeted muscle reinnervation surgery?

Targeted muscle reinnervation surgery (TMR) is beneficial if you have ongoing nerve pain, burning, or electrical sensations after an amputation, or because of an injury or chronic pain-causing condition. Your foot and ankle surgeon may recommend TMR if you have:


  • Nerve disorders
  • Painful neuromas 
  • Entrapment neuropathy
  • Phantom limb pain after an amputation


TMR procedures are highly successful at resolving agonizing nerve pain and restoring your limb function, even if you have a prosthetic.

How does targeted muscle reinnervation surgery work?

Virginia Foot and Ankle Surgical Associates provides personalized TMR procedures that are tailored to your diagnosis and the severity of your symptoms.  

During your TMR surgery, which is performed under general anesthesia, your dedicated foot and ankle surgeon reroutes nerves and transfers them to targeted muscles. These nerves grow into your muscles in an organized fashion.

This effect enhances individual muscle movements and improves cell signaling, which is especially beneficial for improving motion and control of a prosthetic limb. Because your nerves now have something to do — control muscles and send signals — your symptoms should improve over time.

TMR can be performed at the time of an amputation (primary TMR) or later on if you start experiencing nerve pain (secondary TMR). Virginia Foot and Ankle Surgical Associates can even provide TMR at any time if you’re suffering from nerve pain or damage and you haven’t had relief from other treatments.

What is the recovery like after TMR?

As effective as a TMR procedure can be, it takes time to heal and recover afterward. If you had an amputation, you may need to live without your prosthesis for up to six weeks or until your surgical wounds heal. 

Typically, physical therapy is recommended a few times per week for several months to help you heal. Though a full recovery after TMR can take many months, with each passing week, you should find that your nerve pain decreases and that your overall limb function gradually improves.

Find out how targeted muscle reinnervation surgery can benefit you by scheduling an exam at Virginia Foot and Ankle Surgical Associates.