tmr

The rehabilitation process differs depending on whether or not you have had a bone-anchor inserted into your upper or lower limb.

The process generally involves 3 phases, but you will be given specific information on your own rehabilitation program (after surgery) and will then be guided through the bespoke protocol for your limb that will be created by our rehabilitation partner – Dorset Orthopaedic.

Quick facts

  • Regenerative peripheral nerve interface (RPNI) surgery is a less invasive procedure than targeted muscle reinnervation (TMR). Therefore, it is sometimes called a “mini-TMR”.
  • RPNI is not as effective as TMR for the relief of neuroma or phantom limb pain. It is usually used for patients who have neuromas where there are no suitable muscle targets (such as a fingertip) or after a TMR procedure has already been performed.

At six weeks post-op, you should be ready to commence your loading protocol.  The protocol depends very heavily on what the surgical team finds about the quality of your bone during the surgery to insert the bone-anchor, combined with your pre-operative bone density (DEXA) results.  Therefore, what follows is only an example of the usual loading protocol.  Some patients may load at a slower pace, some will load with different timings, some will need additional physio.  What is described next is only a guide to the process.  Your own (bespoke) protocol will be written out and given to you in table format by the team at Dorset Orthopaedic – during your first loading week.

Upper limb

At six weeks post-op, you should be ready to commence your loading protocol.  The protocol depends very heavily on what the surgical team finds about the quality of your bone during the surgery to insert the bone-anchor, combined with your pre-operative bone density (DEXA) results.  Therefore, what follows is only an example of the usual loading protocol.  Some patients may load at a slower pace, some will load with different timings, some will need additional physio.  What is described next is only a guide to the process.  Your own (bespoke) protocol will be written out and given to you in table format by the team at Dorset Orthopaedic – during your first loading week.

At six weeks post-op, you should be ready to commence your loading protocol.  The protocol depends very heavily on what the surgical team finds about the quality of your bone during the surgery to insert the bone-anchor, combined with your pre-operative bone density (DEXA) results.  Therefore, what follows is only an example of the usual loading protocol.  Some patients may load at a slower pace, some will load with different timings, some will need additional physio.  What is described next is only a guide to the process.  Your own (bespoke) protocol will be written out and given to you in table format by the team at Dorset Orthopaedic – during your first loading week.

Upper limb

At six weeks post-op, you should be ready to commence your loading protocol.  The protocol depends very heavily on what the surgical team finds about the quality of your bone during the surgery to insert the bone-anchor, combined with your pre-operative bone density (DEXA) results.  Therefore, what follows is only an example of the usual loading protocol.  Some patients may load at a slower pace, some will load with different timings, some will need additional physio.  What is described next is only a guide to the process.  Your own (bespoke) protocol will be written out and given to you in table format by the team at Dorset Orthopaedic – during your first loading week.

At six weeks post-op, you should be ready to commence your loading protocol.  The protocol depends very heavily on what the surgical team finds about the quality of your bone during the surgery to insert the bone-anchor, combined with your pre-operative bone density (DEXA) results.  Therefore, what follows is only an example of the usual loading protocol.  Some patients may load at a slower pace, some will load with different timings, some will need additional physio.  What is described next is only a guide to the process.  Your own (bespoke) protocol will be written out and given to you in table format by the team at Dorset Orthopaedic – during your first loading week.

Upper limb

At six weeks post-op, you should be ready to commence your loading protocol.  The protocol depends very heavily on what the surgical team finds about the quality of your bone during the surgery to insert the bone-anchor, combined with your pre-operative bone density (DEXA) results.  Therefore, what follows is only an example of the usual loading protocol.  Some patients may load at a slower pace, some will load with different timings, some will need additional physio.  What is described next is only a guide to the process.  Your own (bespoke) protocol will be written out and given to you in table format by the team at Dorset Orthopaedic – during your first loading week.

Want to find out more our treatment options?

If you have any questions relating to treatment options, please get in touch