Peripheral nerve surgery offers relief from chronic pain

Tim W. Tollestrup, MD interview in Review Journal in Las Vegas. Dr. Tollestrup is partners with Dr. Dellon in Henderson, Nevada.

Read More

University of Utrecht

One of Dr. Dellon’s peripheral nerve fellows has become the Chief of Plastic Surgery and Professor at Utrecht University in Holland. Dr. Dellon is standing with Dr. Henk Coert, the new Chief at the Big Hand Symposium held the day after the inauguration of Dr.Coert. In the second photo, Dr. Dellon is wearing the academic regalia of the University of Utrecht. He is standing with Steve Moran, MD, on the left, who is Chief of Plastic Surgery at the Mayo Clinic and with Dr. Peter Amadio (center), Professor of Hand and Orthopedic Surgery at the Mayo Clinic. This was April 19 and 2017.

university of utrecht dellon

examviasion dellon

 

Luiann Greer Dellon and Lee Dellon on the “Red Carpet”

Luiann Greer Dellon and Lee Dellon on the “Red Carpet” at the Salome Gala at the Plaza Hotel in New York City March 24 , 2017. They were invited by the Carpenters, Sean, Lauren and David, the principle violinists for the 22 piece Salome Chamber Ensemble.

dellon and dellon wife red carpet

Presidents of the American Society for Peripheral Nerve at the 2017 meeting in Hawaii

Martinj Malessy, MD, PhD, in the center, wears the ASPN Presidential Medal, as the current President. A. Lee Dellon, MD, PhD, on the left, a founding member of ASPN and Past-President, and on the right, Robert Spinner, MD, also a Past-President. Drs. Malessy and Spinner are each Neurosurgeons.

 pr meetinginhaw

Economic Cost Benefits of Nerve Decompression in Diabetics with Nerve Compression

Dr Dellon speaks on the Economic Cost Benefits of Nerve Decompression in Diabetics with Nerve Compression. This is at the combined panel of the American Societies for Surgery of the Hand, Peripheral Nerve, and Reconstructive Microsurgery. At the table are the Moderator, Paul Cederna, MD, Chief of Plastic Surgery from the University of Michigan (on the left), Kevin Chung, MD, MPH, also from U of Michigan, and David Song, MD, the new Chief of Plastic Surgery at Georgetown University (Medstar Hospital System).

economic nerve decompression

A. Lee Dellon’s first Peripheral Nerve Fellow

Ivica Ducic, MD, PhD, on the right in the photo, was A. Lee Dellon’s first Peripheral Nerve Fellow. Dr. Ducic has just been named the Medical Director of Axogen, Inc, the first company in the U.S.A. to be devoted 100% to peripheral nerve problems and their solution. Drs. Dellon and Ducic both are Past Presidents of the American Society for Peripheral Nerve (ASPN), and are both at that ASPN annual meeting in Hawaii (hence those shirts!!).

dellonmeeting

New President of the American Association of Hand Surgery

Peter Murray, MD, on the right, is the new President of the American Association of Hand SurgeryAAHS) . He is with A. Lee Dellon, MD, PhD, a member of the AAHS. Dr. Murray holds in his left hand the announcement of the new Workshop to be held at the Mayo Clinic in August of 2017 to train surgeons to do Partial Joint Denervation of the shoulder, elbow, wrist, knee and ankle. These are surgeries developed by Dr. Dellon and will be first Workshop of this type ever offered. Each registrant will learn to do these surgeries on both an upper and lower extremity cadaver specimen. Dr. Dellon’s Peripheral Nerve partners from Baltimore, Maryland, Dr. Eric Williams, and from Henderson, Nevada, Dr. Tim Tollestrup,will be Instructors in the workshop. Co-directors of the Workshop will be from the Mayo Clinic in Rochester, Minnesota, Dr. Richard Berger, MD, PhD (Orthopedic Hand Surgery) and Dr. Robert Spinner, MD (Chief of Neurosurgery).

new president

 

Presidents of the American Society for Peripheral Nerve

Past, present and future Presidents of the American Society for Peripheral Nerve combine in surgery at Johns Hopkins Hospital to remove surgically a difficult pudendal nerve tumor. From the left, A. Lee Dellon, MD, PhD, Alan Belzberg, MD, Gedge Rosson, MD.

pud presidens

Greg Borschel visited Plastic Surgery Department at Johns Hopkins University

Greg Borschel, MD, center, standing, was the Visiting Professor to the Plastic Surgery Department at Johns Hopkins University on December 8, 2016. His lectures related to Peripheral Nerve Surgery, including facial paralysis in children. Seated, in front of Dr. Borshel, is A. Lee Dellon, MD, PhD, Professor of Plastic Surgery at Johns Hopkins. Raja Mohan, MD, one of the Hopkins Chief Residents in Plastic Surgery is to the far left, the Amir Dorafshar, MD, Associate Professor or Plastic Surgery at Hopkins, then Dr. Borshcel, then Justin Sacks, MD, Assistant Professor of Plastic Surgery at Hopkins, then Zuhaib Ibrahim, MD, PhD, another Chief Resident in Plastic Surgery at Hopkins, and on the right, Luiann Greer, Dr. Dellon’s wife. They are at the Labor & Parts Restaurant in Baltimore. Dr. Borshcel is Associate Professor of Plastic Surgery at the University of Toronto, working at the Sick Kids Hospital.

dr dellon and greg b

New approach to treating craniofacial pain

New approach to treating craniofacial pain is developed by Dr. Dellon, who is shown here working with the Johns Hopkins’ Plastic Surgery Craniofacial Team. From the left: Robin Yang, MD, an Oral Surgeon who is now a Senior Resident in Plastic Surgery, Dr. Dellon, Amir Dorafshar MD, Associate Professor of Plastic Surgery and Craniofacial Surgeon, Alexandra Dunham, MD, Intern in Surgery, and Wora Thurgylu, 3rd year Medical Student. And endoscopic approach through the maxillary sinus is being used to do a neurolysis on the infra-orbital nerve, injured during a facial fracture.

craniofacial pain

Dupuytren's Disease A surgeon's tool kit

Left to right are David Brown, MD, Associate Professor of Plastic Surgery at the University of Michigan, who is in charge of Peripheral Nerve Surgery there, Paul Cederna, MD, who is Chief of Section of Plastic Surgery at the U of M, then Catherine Curtin, MD, who gave the 2017 Dellon Lectureship at the U of M, and then A. Lee Dellon, MD, PhD. Dr Curtin’s lecture in Dupuytren’s Disease was give to the Plastic Surgery residents just before she gave the Dellon Lectureship.

news lectureshiup

A. Lee Dellon Endowed Lectureship in peripheral Nerver Surgery

Second Annual University of Michigan A. Lee Dellon Lectureship in Peripheral Nerve Surgery had Catherine Curtin, Associate Professor of Plastic Surgery at Stanford as the speaker. Dr. Curtin graduated from Wellesley College, then Yale University School of Medicine, then Plastic Surgery training at the University of Michigan, and went on to train in Hand Surgery at Stanford University where she began to work on Peripheral Nerve problems.

dr delon lect

West Cancer Center in Memphis

At the entrance to the West Cancer Center in Memphis, Drs. William West and A.Lee Dellon shake hands. They each graduated from Johns Hopkins School of Medicine. Dr. West had dedicated his life to treating people with cancer, and took Dr. Dellon on a tour of this new facility. Dr. Dellon’s research into treatment of persistent painful neuropathy after chemotherapy may be able to help some of the West Cancer Center survivors.

 west cancer centaer

A. Lee Dellon, MD, PhD was honored to be the Visiting Professor at the University of Tennessee in Memphis

A. Lee Dellon, MD, PhD was honored to be the Visiting Professor at the University of Tennessee in Memphis, October 28 and 29th 2016. He is greeted by Petros Konofoas, MD, an Assistant Professor of Plastic Surgery who has spent time doing a 2-year fellowship in Peripheral Nerve Surgery with Dr. Julia Terzis, and more recently, a “mini-fellowship” with Dr. Dellon. Dr Dellon spoke about decompression of nerves in diabetics with superimposed nerve compressions, as well as participation in Journal Club, and a special lectures to the residents on Joint Denervation.

jhu 2

University of Tennessee in Memphis

A. Lee Dellon, MD, PhD is surrounded by Plastic Surgery Residents at University of Tennessee in Memphis after one of his lectures. From left to right are Robin, Terri, Aimee, Michellene, Steve, Petros Konafoas (faculty), Kyle, Rana, Jim and Alex.

mephis m l

Celebrating the continued tradition of excellence in teaching Anatomy

For 23 years, Anatomy Dissection at the University of Maryland in Baltimore has included an Instructor or two from Austria. Each of these experts in prosection have done research with either Oscar Aszmann, MD, who started this tradition, and who is now a Professor of Plastic Surgery in Vienna, or with Dr. Dellon. Dr Dellon and his wife Luiann are seated, with Johannes Ebmer, MD, in his 21st year of this tradition, seated to Dr. Dellon’s right. Standing, are , Emily and her friend Georg Furtmueller, MD, currently in the Johns Hopkins Plastic Surgery research laboratory, and Florian, a medical student in Vienna. This dinner has occurred yearly in Baltimore celebrating the continued tradition of excellence in teaching Anatomy.

dr dellon wife and c

International Federation of Societies for Surgery of the Hand, Argentina

At the International Federation of Societies for Surgery of the Hand, held in Argentina, October 27, 2016, Dr. Sami Tuffaha, a Plastic Surgery Resident from Johns Hopkin University presented the research of Drs. Dawn LaPorte, Professor of Orthopedics at Johns Hopkins University and of A. Lee Dellon, MD, PhD, Professor of Plastic Surgery at Johns Hopkins University. The research was on the innervation of the joints on the ulnar (little finger side) of the wrist joint and how to relieve that pain by resecting these nerves.Top photo shows hands with world map in the background. Middle photo shows the program. Bottom photo shows the four Peripheral nerve Surgeons honored at th meeting; Drs. Susan Mackinnon (top left), A. Lee Dellon (top right), Mike Jabaley (bottom left) and Julia Terzis, (bottom right)

gmeeting h g

timetale g p

honored guests

International Pelvic Pain Society meeting in Chicago

At the International Pelvic Pain Society meeting in Chicago on October 14, 2016, Dr Dellon presented the outcome results of his new surgical approach to treating women with pain in the labia, vestibule, vagina, and perineum. 93% of the patients received good to excellent results with improvement in female sexual function. Here Dr. Dellon (on the right) reviews the research with Dr. Heller from Illinois.

image002 9

Lectureship in Peripheral Nerve Surgery

announcement

Representing the Dellon Family

Representing the Dellon Family at this event were, from the left, Robert Dellon, Dr. Dellon’s brother, and Robert’s wife, Mercedes, standing with Dr. Tung, then Luiann Greer Dellon, Dr. Dellon’s wife, Gedge Rosson, MD, and Dr. Dellon

dr dellon simp

Brothers of Life project

Omer Levit (on the left), Director of the Brothers for Life group , is shown with an Israeli Wounded Warrier (MN) who has been referred to the Dellon Institutes for treatment of his peripheral nerve injuries. He stands in between Dr. Dellon and Dr. Williams. They have been presented with this book about the Brothers of Life project.

 brothers of life

At the World Institute for Pain faculty dinner in Budapest, Hungary

Sharon and Marshall Devor, PhD are seated to the left. Standing behind them is A. Lee Dellon, MD, PhD with his wife Luiann seated in front of him. Aaron and his wife Ann Kolodny are to the right. At the meeting, Dr. Devor presented his work on the role of the dorsal root ganglion in pain,and Dr. Dellon presented his work on joint denervation. Aaron Kolodny represented one of the exhibitors at the meeting.

faculty dinner

The 3T MRI Radiology conference

The 3T MRI Radiology conference on Friday mornings at Johns Hopkins Musculoskeletal Unit. This CME conference has grown from the collaboration of the Peripheral Nerve Surgeons at Johns Hopkins Hospital in the Neurosurgery and Plastic Surgery Departments. Shown here at the Septemer 9, 2016 conference are, left to right, Allan Belzberg, MD, Professor of Neurosurgery, Zuhaib Ibrahim, MD, Chief Resident in Plastic Surgery, Gedge Rosson, MD, Associate Professor of Plastic Surgery, Shivani Alawat, MD, Assistant Professor of Radiology, and A. Lee Dellon, MD, Professor of Plastic Surgery and Neurosurgery. A 3T MRI of the pelvis is in the background.

 radiology conf

21st World Institute of Pain held in Budapest

A. Lee Dellon, MD, PhD was an invited speaker at the 21st World Institute of Pain held in Budapest, Hungary. This organization trains interventional pain physicians from around the world and doctors from 28 countries were at the meeting. Dr.Dellon spoke about the diagnosis of joint pain related to peripheral nerves, who to do the diagnostic nerve blocks, and then how to surgically denervate the shoulder, elbow, wrist, knee and ankle.

budapest pain conf

"The Budapest Times"

Dr Gabor Racz explains his approach to dorsal ganglia stimulation to A. Lee Dellon, MD, PhD, who was on Dr. Gabor’s faculty at the 21st World Institute for Pain meeting in Budapest September 1, 2016.

pain in their hearts

CLICK HERE TO READ FULL ARTICLE

21st Meeting of the World Institute for Pain meeting in Budapest

During the 21st meeting of the World Institute for Pain meeting in Budapest, Hungary on August 31, Dr. Dellon lectured on knee denervation, as shown in the top slide, and learned ultrasound technique from Thiago Nouer, MD, an Anesthesia Pain physician from Sao Paolo, Brazil while his friend, Lucia Silva, MD, a Neurosurgeon, also from Sao Paolo, observed.

Thiago Nouer   Lucia Silva from Brazil with US at WIP 2016 Hungary IMG 3689

Eric Wan completed 2.5 years of research with Dr. Dellon

Eric Wan completed 2.5 years of research with Dr. Dellon, and is seen here at the Graduation Dinner at Tio Pepe’s Restaurant in Baltimore, with Chef and Owner Emiliano Saenz. Luiann Greer Dellon is seen to the left of Eric Wan, with Dr. Dellon to the right of the group. They are toasting with Sangria, Roja & Blanco, as well as Lobster Emiliano. Eric plans more research, then an MPH and thereafter.

ewananddellon

 

Plastic Surgery Division at Victor Babes University

Luiann Greer stands in front of the poster by Alex Nistor from the Plastic Surgery Division at Victor Babes University in Timisoara, Romania. This poster demonstrates the results of comparing the diagnostic ability of the Pressure-Specified Sensory Device (PSSD) compared to a Computerizes Sensory Evaluation System developed by Neurologists. The results are that the PSSD was more sensitive in being able to identify early diabetic neuropathy. Luiann Greer is married to A. Lee Dellon, MD, PhD. They both visited Timisoara 3 years ago to teach about peripheral nerve decompression in diabetics with neuropathy and superimposed nerve compressions.

IMG 0556

 

American Association of Plastic Surgery meeting in New York City

At the American Association of Plastic Surgery meeting in New York City, on May 22, Dr. Shai Rozen, seen here (middle) with Dr. Scott Lifchez, (on the left) from Johns Hopkins Department of Plastic Surgery, and Dr. A. Lee Dellon (on the right) presented a Randomized Clinical Trial related to people with diabetes and neuropathy. These patients who had nerve compressions in their feet did significantly better after having a “Dellon Triple” nerve decompression, the surgery that Dr. Dellon developed, than did those patients who were in the control group. The American Association of Plastic Surgery is the highest academic group in Plastic Surgery. Dr. Lifchez became a member this year, and is the Director of the Johns Hopkins Plastic Surgery Residency Training Program. The conclusions of Dr. Rozen’s study are listed in the slide he presented (below).

IMG 0589

IMG 0582

Hopkins Plastic Surgery Faculty meet in front of the Johns Hopkins Hospital

Hopkins Plastic Surgery Faculty meet in front of the Johns Hopkins Hospital on May 12 2016 at time of Visiting Professor Joe T. Gruss. From the left, Art Nam, MD, Assistant Professor, Andy W. Lee, MD, Professor and Chief of Plastic Surgery, Paul N. Manson, MD, Professor and former Chief of Plastic Surgery, Joesph T. Gruss MD Professor (from the University of Washington, Seattle), Professor A. Lee Dellon, MD, PhD, Associate Professor Anthony Tufaro, DDS, MD, and Craniofacial Fellow. Y. Gou, MD

Joe Gruess Anthony Tufaro Art Nam Andy Lee  me  craniofacial felloo 5 12 16

50th college reunion

A. Lee Dellon, Johns Hopkins University BS 1966 and MD 1970 at his 50th college reunion is with Dean of the Hopkins Whiting School of Engineering, Ed Schlesinger (on the left) and with President of the Johns Hopkins University Ron Daniels, on the right.

DSC05602

50th Johns Hopkins University reunion for the class of 1966.

Dr Dellon attends his 50th Johns Hopkins University reunion for the class of 1966. Standing with Dr. Dellon (far left next to the Hopkins Lifeline Amublance!!) are Dr. Russell Wright, the Hopkins Bluejay mascot, Dr. Sandy Kuelh, our class President, and Dr. Robert Malachowski, a Pediatrician. In the photo below are Dr. Dellon with other classmates and the 1966 JHU class flag.

DSC05595

DSC05601

FROM PUDENDAL NERVE PAIN & DISABILITY BACK TO NORMAL

After almost 4 years in pain and disability, more than 13 doctors and treatments in different nations that couldnt help much, my pudendal nerve problem was finally accurately diagnosed and solved in Baltimore at The Dellon Institute For Peripheral Nerve Surgery by Dr Lee Dellon himself. I am sharing my succesful story so that other patients suffering from similar conditions might have access to useful information that may also lead them to have their lives back to normal.

Stay tuned with my YouTube Channel and visit my website at: http://www.mylifeback.in


32nd Danish Microsurgery Meeting held in the ancient city of Mittlefart

Christian Bonde, MD, Associate Professor of Plastic Surgery opens the 32nd Danish Microsurgery Meeting held in the ancient city of Mittlefart, directly in the middle of the Denmark, on the Island of Fyen. The meeting was held in an old military fort. Dr. Kare Fugelhoem, Chief of Neurosurgery at the University of Copenhagen discusses the neurosurgical role in peripheral nerve surgery. Dr. Dellon joins these two doctors just before his lectures on Microneurolysis Outcomes in Diabetics with Lower Extremity Nerve Compression, and a second lecture on Nerve Injuries Related to Sports.

DSC05581

DSC05566

DSC05568

Dr. Dellon speaking at the University of Copenhagen Pain Symposium

Dr. Dellon speaking at the University of Copenhagen Pain Symposium. Pictured here with Christian Bonde, MD Associate Professor of Plastic Surgery at the University. Dr. Dellon spoke about Neuropathic Pain, and Surgical Approaches for its Treatment.

DSC05505

DSC05502

 

Dr. Tollestrup and Dr. Dellon in front of the Johns Hopkins Hospital in Baltimore

Tim Tollestrup, MD, Assistant Professor of Surgery at Touro University in Henderson, Nevada, stands with A Lee Dellon, MD, PhD in front of the Johns Hopkins Hospital in Baltimore. Dr. Tollestrup is Dr. Dellon’s partner in their Henderson, Nevada office.

 

john hopkinks hos

Outcome of Nerve Reconstruction in the Foot

Pain Symposium in the Department of Neurosurgery in Copenhagen

A. Lee Dellon, MD, PhD will be the featured speaker at a Pain Symposium in the Department of Neurosurgery in Copenhagen, Denmark on April 5, 2016.

IMG 2780 1

Axogen

Axogen prepares for March launch of the AcroVal Neurosensory Motor Testing System which includes the PSSD, Digit Grip and Pinch Device that was developed initially by Dr Dellon and Nebojska Kovecivic. The AcroVal version of the PSSD is uses the touch screen of the Microsoft Surface. Previous versions used, sequentially from 1989 version I, an IBM lap top, then a PDA in 2007 and finally a small touch screen in the most recent version from 2012. The AcroVal system is seen on the table below. The group pictured here include the Axogen team that on March 3 and 4, 2016, met with Dr. Dellon and Luiann Greer in Henderson, Nevada, for a Neurosensory Training Seminar, the program for which is seen below.

Axogen Acroval Training 3 4 16

DSC05329

DSC05328

Neuroma Clinic

Dr. Shao-min Shi, Distinguished Professor of Orthopedic Surgery at the Medical College of Wisconsin stands in front of the sign for his new clinic. Neuroma Clinic. Dr Shi learned the Dellon Technique for Knee Denervation and has been successful at helping more than 100 patients with knee pain. His research has been submitted for publication.

IMG 3092

Anatomy Dissection Laboratory

Dr Dellon is seen with his partner in Henderson, Nevada, Tim Tollestrup, MD, who is Assistant Professor at Touro University in Henderson. They are seen with a plastic human skeleton in the Anatomy Dissection Laboratory at the University where they were continuing their anatomy dissection and study of the pudendal nerve.

dellon and human skeleton

Third Edition of Dellon’s classic SOMATOSENSORY TESTING & REHABILITATION

Third Edition of Dellon’s classic
SOMATOSENSORY TESTING & REHABILITATION
will be available on our website, Dellon.com, to download
free, soon

Dr Dellon presents treatment of groin pain due to neuromas

On the Clinical Approach to Complex Pain panel, at the American Society for Peripheral Nerve, sitting from the left is Ivan Ducic, MD, PhD, Dr Dellon’s first Peripheral Nerve Fellow, then Ian Carroll, MD, from the Stanford Anesthesia Pain Department, and finally Catherine Curtin, MD, from the Stanford Plastic Surgery Department. Dr Dellon is at the podium.

Lee on panel Catherine Curtin  Ivan  ian

American Society for Plastic Surgery meeting

In the Exhibit Hall, Tim Best, MD, PhD (left) celebrates with Dr Dellon (right) at the American Society for Plastic Surgery meeting where Dr Best’s paper was presented. That paper was a Level I study that proved with a randomized, prospective method that Dr Dellon’s approach to decompressing multiple nerves in diabetics with chronic nerve compression is statistically significantly successful at relieving pain. Luiann Greer is in the center.

Tim Best Luiann  Lee

Eric Lee Wan, BS, WINS BEST RESEARCH PAPER

Eric is a Research Fellow Dellon Institutes for Peripheral Nerve Surgery & Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine. 

Eric is seen here with Ida Fox, MD, the Program Chairwoman for the ASPN meeting and his mentor A Lee Dellon, MD, PhD, who designed the research study.

A co-author on the award was Gedge D. Rosson, MD, Associate Professor of Plastic Surgery at Johns Hopkins University.

Eric Wan wins best paper at ASPN meeting 2016

Erics certificate

American Society for Peripheral Nerve (ASPN) meeting in Scottsdale, Arizona, January 16, 2016.

The Acro Val system

Axogen, Inc, the only company in the world whose products relate just to peripheral nerve problems, exhibits their Acro Val system at the combined American Association for Hand Surgery, the American Society for Peripheral Nerve, and American Society for Reconstructive Microsurgery meeting in Scottsdale, January 13 thru 19, 2016.

The Acro Val system is the next generation of the original PSSD (Pressure-Specified Sensory Device) invented by A. Lee Dellon, MD, PhD, and marketed previously by Sensory Management Services, LLC.

In this photo, Dr Dellon discuses these measurements with Tim Best, MD, PhD from Sault St Marie, Canada, where he is Professor and Chief of Plastic Surgery. Dr Best presented at this meeting the results of his Level I study on neurolysis of compressed nerves in diabetics to relieve pain. Dr Best did use the original PSSD to evaluate his patients.

Monica Tarver, to the left, is the person in charge of the launch of the Acro Val System for Axogen.

axogen  PSSD at ASPN 1

American Society for Peripheral Nerve

Tommy Tung, MD, President of the American Society for Peripheral Nerve, and his wife Toby, at the 25th Annual Meeting, in Scottsdale, with Dr Dellon, a founding member of ASPN and its former President. Dr Dellon is with his wife Luiann. They are going to the President’s Reception in Scottsdale, Arizona

p nerve meeting

DONATE LIFE

The DONATE LIFE float at the 2016 Rosebowl Parade: Donation of human tissues permits others to live and they “treasure life”, the theme of this float. Riding in the first Camel on the float is Mathew Jayroe, a patient of Dr. Dellon’s. Mathew has the nerves to one foot reconstructed with nerve allografts (transplanted nerve from another person, obtained from the company Axogen, Inc.). Mathew is able now to do all activities including basketball and has recovered sensation in his toes. A “sensational” result.

Dr Kimberly Harmon, Chief of the Section of Sports Medicine at the University of Washington, came to Henderson, Nevada, to observe peripheral nerve surgery

Dr Kimberly Harmon, Chief of the Section of Sports Medicine at the University of Washington, came to Henderson, Nevada, to observe peripheral nerve surgery. Dr Dellon is wearing his 3.5 x loupes to best observe the peripheral nerves. Dr Harmon observed a knee denervation in a man who already had had a total knee replacement, an ulnar nerve submuscular transposition in a teen age gymnast, and a resection of the ilioinguinal and iliohypogastric nerve to treat groin pain after a hernia repair. Dr Harmon is team physician to the U. of Washington Huskie football team: go Dawgs!

Kim Harmon at SRSC 11 18 15

University of Washington in Seattle hosted Dr Dellon in Sports Medicine where he evaluated chronic pain patients

University of Washington in Seattle hosted Dr Dellon in Sports Medicine where he evaluated chronic pain patients.

Dr Dellon is reviewing studies with Kim Harmon, MD, Chief of Sports Medicine.

Dr Dellon is in Sports Medicine Clinic with Dr Harmon, to the left, Dr. Agnes Stogicza from Pain Management and Dr Ashwin Rao, also from Sports Medicine.

DSC03827 DSC03829

The Inaugural A. Lee Dellon, M.D., Ph.D. Lecture in Peripheral Nerve Surgery

The initial lecture in the new, yearly, Dellon Peripheral Nerve Lectureship, was given by Oskar Aszmann, MD on September 24, 2015. The Aszmann spent three years working with Dr. Dellon in clinical research from 1994 through 1997, and is now the Director of a Nerve Institute in Vienna, Austria. The announcement and program cover are shown below.

inaugural lecture program wpandrewlee md

Dr Aszmann is in the center with the Certificate of Appreciate given to him by Andrew Lee, MD, The Chief of Plastic Surgery at Johns Hopkins University. To Dr Aszmann’s right is his wife, Celine, and to her right is Gedge D. Rosson, MD, Associate Professor of Plastic Surgery at Johns Hopkins University. Gedge did a Peripheral Nerve fellowship with Dr. Dellon and is the Dellon Lectureship Committee Chairman. Dr Dellon and wise wife Luiann are on the left of Dr Lee.

101615 red-eye-removal

Participating in this inaugural event are Dr. Dellon’s three sons, with Brian to Dr. Dellon’s right, the Evan and Glenn to his left.

Dellon boys  Dad at Inaugural Dellon Lecture 9 24 15

Instructional Course on Joint Denervation

Dr Richard Berger, from the Mayo Clinic and Dr A. Lee Dellon participated in the American Society for Surgery of the Hand¹s Instructional Course program teaching about upper and lower extremity joint denervation. This approach relieves pain, improves joint function and avoids total joint replacement in people whose pain responds to a nerve block of the suspected nerves. This occurred on September 13 in Seattle.

Richard Berger IC AH 2015

Being a Plastic Surgeon in Private Practice

A. Lee Dellon MD, PhD was Visiting Professor for the Division of Plastic Surgery at the University of Michigan September 16 thru 18, 2015. Here he shown in the center at a dinner with some of the Plastic Surgery Residents where they discussed research aspects of being a Plastic Surgeon in Private Practice, and how to translate research into clinical practice.

privace practice3223

Peripheral Nerve Surgery in 2015

A gift from Ray Persia in recognition of the care Dr. Dellon gave his wife Sonya has resulted in an endowed, yearly, lectureship. The inaugural A. Lee Dellon MD PhD Lectureship in Peripheral Nerve Surgery was given on September 17, 2015 at the University of Michigan. Dr Dellon himself had the honor of giving the very first lecture in this series. His lecture was entitled “Peripheral Nerve Surgery in 2015”. In the photo, from the left is Paul Cederna, MD, Chief of Plastic Surgery at the University of Michigan, Ray Persia, David Brown, MD, who is the Plastic Surgeon at University of Michigan who will be doing the types of surgery that Dr Dellon has developed, and then Dr Dellon.

unnamed-gift

Chronic pain experience inspires new surgical offering

U-M physicians work with local couple to bring peripheral nerve surgery to Ann Arbor

SOURCE: http://uofmhealthblogs.org

DellonLctrshp15(17)b

David L. Brown, MD, addresses the attendees and introduces A. Lee Dellon’s lecture, “Peripheral nerve surgery in 2015.”

After an accident, Sonya Persia went through several back, hip and neck surgeries, but new pain in her legs and feet never went away. Once Sonya and her husband Ray realized there are options beyond pain medication to improve her quality of life, they wanted to help others dealing with the same thing.

“Nobody knew what to do,” Ray Persia said, but they finally read an article about a procedure that fixes chronic pain caused by injury and/or compression of nerves.

The Persias traveled out of state for the surgeries, and now the couple from Highland, Mich., are advocates and donors, helping to bring the option of peripheral nerve surgery to patients at the U-M Health System.

Ray Persia watches as A. Lee Dellon, MD, explains the peripheral nerve surgery procedure that Ray helped to bring to U-M.

Ray Persia watches as A. Lee Dellon, MD, explains the peripheral nerve surgery procedure that Ray helped to bring to U-M.

“Basically what they do is decompress the nerves,” Ray Persia said. For his wife’s surgery, they traveled to Baltimore to see A. Lee Dellon, M.D., founder of the Dellon Institutes for Peripheral Nerve Surgery and professor of plastic surgery and neurological surgery at Johns Hopkins University. Sonya had several different surgeries, all successful, with just one problem area left.

Now, U-M’s David L. Brown, M.D., associate professor of plastic surgery, is specially trained in the identification and surgical resolution of these common yet complex challenges, helping patients by relieving pressure on a specific nerve or group of nerves.

“We’re just starting to realize the contribution of nerves to pain, and how to isolate those nerves to operate on them and relieve pain,” Brown said. “We’ve been interested in pushing forward with this surgery for some time, and the Persias gave us the ability to start offering it now.”

Plastic surgeons are uniquely positioned to provide peripheral nerve surgery because they already operate on most soft tissues from the head to the feet.

“We’re always discovering new innovations between surgery of soft tissue and outcomes,” Brown said. “Pain from nerve injuries that aren’t always obvious is becoming a more well-known issue.”

Founding physician visits U-M, gives lecture

To celebrate this peripheral nerve surgery offering at the U-M Health System, Dellon visited Ann Arbor, attending several events that culminated in a lecture about the history and future of peripheral nerve surgery. Dellon discussed how the practice came about and the ideal patients for the procedures, such as those with diabetes, groin or pelvic pain, or those who have had orthopedic procedures.

(left to right) Paul Cederna, MD, section head of Plastic Surgery, Ray Persia, David L. Brown, MD, associate professor of plastic surgery and A. Lee Dellon, MD, founder of the Dellon Institutes for Peripheral Nerve Surgery, celebrate the new offering at U-M.

(left to right) Paul Cederna, MD, section head of plastic surgery, Ray Persia, David L. Brown, MD, associate professor of plastic surgery and A. Lee Dellon, MD, founder of the Dellon Institutes for Peripheral Nerve Surgery, celebrate the new peripheral nerve surgery offering at U-M.

“We had a hypothesis that when symptoms of neuropathy are due to nerve compressions, we might have some hope to change the course for these patients,” Dellon said. “David (Brown)’s been very diligent about getting the U-M education program going, and he’ll be here to continue giving these lessons.”

Dellon showed attendees, including physicians, medical students and residents, a GIF of U-M football coach Jim Harbaugh, getting into the moment on the sidelines of one of the first football games of the 2015 season.

“If we can get you all as excited as he is, that’ll be great,” Dellon said.

Groin & Pelvic Pain of Neural Origin

Dr Dellon is shown here during his Visiting Professorship for Pain Management at the University of Washington, September 10 and 11, 2015, hosted by Agnes Stogizca, MD, Associate Professor of Anesthesia and Pain Management . The lecture was entitled GROIN & PELVIC PAIN of NEURAL ORIGIN.

IMG 9575

IMG 9580

Groin & Pelvic pain of neural origin lecture

Agnes Reka Stogicaz, MD from the The University of Washington’s PAIN MANAGEMENT group, in Seattle, has invited A. Lee Dellon, MD, PhD to lecture on GROIN & PELVIC PAIN OF NEURAL ORIGIN on Friday, September 11, 2015.

UWMC Aerial Summer 2012 97

Charcot Foot Symposium

Justin Broyles,MD, left, a Johns Hopkins Plastic Surgery Resident, attends the Charcot Foot Symposium with A. Lee Dellon, MD, PhD held during the 25th Limb Lengthening Workshop organized by John Herzenberg, MD, of the Rubin Advanced Orthopedic Institute of Baltimore, Maryland. Dr Dellon presented his research on the possibility of early nerve decompression reversing the underlying neuropathophysiology of the destructive Charcot foot condition, which, today, is associated with diabetes.

IMG 0892 plastic surgery

Peripheral Nerve Lectureship

dellon newsss

Panel on the Future of Hand Surgery

Dr Dellon sits between Drs Hoopes, to the left, and Edgerton, to the right. Mark Hendrickson, MD, who spent a year in the research lab with Dr. Dellon is between Dr Edgerton and Dr Michael Jabaley. Dr Hendrickson is at the Cleveland Clinic doing Hand Surgery. Dr Jabaly was Chief of Plastic Surgery at University of Mississippi, and was President of the American Society for Surgery of the Hand. This was a panel on the Future of Hand Surgery. Dr Dellon predicted that in the future, Hand Surgeons would be operating on Lower Extremity Nerves.

hand surgery 11

June 5, 2015 Johns Hopkins Plastic Surgery Reunion

June 5, 2015 Johns Hopkins Plastic Surgery Reunion: The Four Chiefs of Plastic Surgery were all present. Here Dr A. Lee Dellon is with Dr Milton T. Edgerton, who went to Johns Hopkins School of Medicine, as did his father, who graduated there in 1912. Dr Edgerton became the first Chief of Plastic Surgery and was in this position during Dr. Dellon's four years at Johns Hopkins School Medicine. Dr Edgerton inspired Dr Dellon's early research into neurosensory testing and is a co-author with Dr Dellon, and Dr.Curtis, the first Hand Surgeon in Baltimore, on the first papers related to Sensory Re-Education and Sensory Recovery after Nerve Injury, published in the 1970¹s. Dr Edgerton is 95 years old.

DSC03159

Johns Hopkins Plastic Surgery reunion

Also at the Johns Hopkins Plastic Surgery reunion on June 5 was Dr. John (Jack) E. Hoopes. He, too, graduated from the Johns Hopkins School of Medicine, and was the first person with whom Dr. Dellon did Plastic Surgery research during the end of his second year at the School of Medicine, in 1968. That surgery was related to the Cleft Palate Speech, and identified that the muscle that lifts the soft palate, the levator veli palatini, was located too far forward to let the soft palate reach the back wall of the throat, to close it, therefore allowing air to escape through the nose. Dr Dellon's work in this area led to the current operation the moves this muscle backwards, incorporated into all cleft palate closure techniques today. Dr. Hoopes subsequently left Johns Hopkins for a few years, moving to the Washington University School of Medicine to become its Chief of Plastic Surgery. He returned to become the second Chief of Plastic Surgery at Johns Hopkins when Dr. Edgerton moved to form a Department of Plastic Surgery at the University of Virginia. Dr Hoopes therefore trained Dr Dellon during Dr Dellon's Plastic Surgery residency, completed in 1978.

DSC03198

European Association of Plastic Surgery held in Edinburgh

Dr Dellon attended the European Association of Plastic Surgery held in Edinburgh , Scotland Here he and his wife Luiann are entering the Scottish Museum, along with Daniel Kaltenbatten, MD, a Plastic Surgeon from Basal, Switzerland (he is the one in the Kilt on the left). Entry is accompanied by bagpipes!

DSC03105

European Association of Plastic Surgery meeting in Scotland

At the European Association of Plastic Surgery meeting in Scotland, Dr Dellon and his wife Luiann are with Moshe Kon, MD, Chief of Plastic Surgery in Utrecht, and Mirjam. Moshe Kon is President of EURAPS this year.

DSC03107

Dr Dellon and Fabio Santanelli de Pompeo, MD

Dr Dellon and Fabio Santanelli de Pompeo, MD, who is the Secretary General of the European Association of Plastic Surgery, with the number 1 indicating the Table 1 at which we were sitting for the formal dinner.

DSC03124

Pelvic Pain Physical Therapist interviews Dr Dellon

"Here’s an interview I need to sprinkle around like salt and pepper on plain green beans. Dr. Lee Dellon – man, he tells it like he sees it and in regards to treatment for pelvic pain, I’m thankful for that. A few things in here were practice-changing ideas for me. I hope this interview challenges some of your thoughts or your approach to healing from pelvic pain. If you are not familiar with Dr. Dellon’s approach, please check out Chapters 4 and 12 of his free, online book Pain Solutions. This interview is like a Werther’s Original, so sit on the couch and suck on this one for a while – in a good stupor – like I did.”

Read more at  http://www.blogaboutpelvicpain.com

Consensus Conference on Vulvovaginal Pain held in Annapolis

Dr Dellon was invited to present his conception of the role of peripheral nerves in the mechanism of pelvic pain at a Consensus Conference on Vulvovaginal Pain held in Annapolis, Maryland on April 8 and 9, 2015. His position is that pudendal neuralgia should be replace by naming the branch of the pudendal nerve that is involved and whether there is a nerve compression or a nerve injury (neuroma). This distinction has not previously been made, with essentially all pudendal nerve patients being treated as if they had a compression of the main pudendal nerve deep within the buttock at the sacrotuberous ligament. Many patients have their problem more anteriorly where the surgical approach Dr Dellon developed can help them.

DSC019671

Nerve Decompression in Diabetics with Neuropathy.

Dr Dellon speaking at Plastic Surgery Grand Rounds in the Tilghman Auditorium at Johns Hopkins on April 2 on the subject of Peripheral Nerve Surgery related to Nerve Decompression in Diabetics with Neuropathy.

j h med

American Society for Peripheral Nerve Surgery President’s reception

At the American Society for Peripheral Nerve Surgery President’s reception, the President, Nam Nash’s son, Ramez Nam, and Ramez fiancé are with Luiann Greer Dellon and A Lee Dellon.  Ramez gave the Presidential Invited Speaker Lecture. He is a futurist who has written the Trilogy beginning with Nexus, then Crux, and ending with the soon to be released Apex.

presidentel

American Society for Peripheral Nerve Surgery meeting

At the American Society for Peripheral Nerve Surgery meeting in the Bahamas in January,

A Lee Dellon (on the left), a Past-President of ASPN is next to his wife Luiann. Center is Demetrio Aguila, “Kato” as he as called in the Air Force where he finished up as a Lieutenant Colonel. Kato completed Plastic Surgery at Johns Hopkins and has brought Peripheral Nerve Surgery to his new home in Norfolk, Nebraska. Tessa Gordon, PhD, is President-Elect of ASPN, and her basic science research, first in Edmonton, and now in Toronto, Canada, has help advance the understanding of how we think of peripheral nerve injury and regeneration. On the right is Eric Wan, BS, a young Johns Hopkins researcher currently working with surgical rehabilitation of leprous neuropathy in Guayaquil, Ecuador.

aspn123

 

ASPN meeting in the Bahamas

Past Presidents of the American Society for Peripheral Nerve (ASPN), and both Professors of Neurosurgery at Johns Hopkins University, Drs A. Lee Dellon, left, and Allan Belzberg right at the ASPN meeting in the Bahamas, January 2015.

Allan Belzberg and Lee at ASPN 2015

Henderson surgeon decompresses nerves to stop chronic pain

By STEVEN MOORE

LAS VEGAS REVIEW-JOURNAL

Pardon Dr. Tim Tollestrup’s tunnel vision.

The Henderson peripheral nerve surgeon has two fingers inserted into a 53-year-old woman’s left ankle during surgery to correct tarsal tunnel syndrome, the lower extremity equivalent of the more common condition affecting the wrists and hands.

“I spend a lot of time in tunnels,” Tollestrup says as he slices through tissue compressing nerves in the patient’s left ankle.

Most of the time, however, Tollestrup has a broader view, working as he does on the periphery where millions of Americans are plagued with pain, numbness, tingling and motor weakness. He is among a select group of surgeons who can eliminate chronic pain through peripheral nerve decompression, creating space for the nerves to function properly, or segmental denervation, which involves cutting a nerve to interrupt the pain response.

Tollestrup addresses the underlying causes of patients with chronic conditions, freeing them from a reliance on medications, returning them to a life that’s pain free. Use of opioid painkillers has increased dramatically in the past decade, resulting in more overdoses and deaths, and a legion of patients who rely on various medications for relief. A health care provider’s first, best intervention for pain management should be treating the underlying cause, but often such a diagnosis is elusive for even the most skilled and dedicated doctors.

Neuropathy, functional disturbances and pathological changes in the peripheral nervous system, causes nerves that are grossly swollen, infiltrated and encased in fatty tissue, sometimes two or three times the size of a normal nerve.

“The current understanding of peripheral neuropathy calls it a progressive, incurable disease,” Tollestrup said.

The approach of most doctors is to manage such conditions with medications, but the surgery Tollestrup specializes in has been shown to be effective in up to 80 percent of patients.

The central nervous system, the brain and spinal cord, serves as the body’s command center. Nerves that exit the skull or bony spine become part of the peripheral nervous system. More than 100 types of peripheral neuropathy have been identified, each with its own symptoms and prognosis, according to the National Institutes of Health.

Gross anatomy in medical school focuses mainly on the central nervous system, and a doctor in training receives few specifics on peripheral nerves. When medical students receive their first cadaver in medical school, all of the skin and fat is stripped off, eliminating the majority of peripheral nerves.

“You have to know the nerve anatomy very well and know where those compression points are,” he said. “It wasn’t until I did my fellowship that I learned anything at all about peripheral nerves.”

That expertise allows Tollestrup to correct situations where nerves are being compressed or pinched by surrounding tissue. Carpal tunnel release, one of the most common U.S. surgical procedures, involves severing the band of tissue around the wrist to reduce pressure on the median nerve.

“The concept is essentially the same no matter where you do a nerve decompression,” he said. “It’s just a different nerve, a different location, a different set of anatomy where you’re usually altering or removing a different piece of fascia, ligament or other tissue and opening the space around the nerve so it’s not so tightly compressed anymore.”

FIXING A FIREFIGHTER

Ryan Green, a North Las Vegas firefighter injured on the job in November 2011, was cured by Tollestrup after two surgeries failed to resolve pain in his right arm. Green was among the responders to an arson at a house near the intersection of Gowan Road and Valley Drive, an incident during which Capt. David Layton also fell. The smoke was so thick, Green went off a balcony and clutched a fire hose in his right had to break his fall.

Green didn’t feel symptoms from that strain until the next day. His arm had tightened up, but nothing was broken.

“I just felt funny,” he said. “In the beginning, it was like nothing else I had ever felt. It was annoying. It would come and go, sometimes shooting pain, sometimes dull.

“It wasn’t super bad.”

After the pain, numbness and tingling worsened in his entire right upper extremity, and Green opted for surgery. His first operation was on his shoulder in September 2012, 10 months after the injury. A second traditional surgery was performed to relieve numbness and tingling in his right hand.

Not only did the surgeries fail to relieve or even slow the progression of his symptoms, Green eventually began to lose strength in his right arm. In August 2013, nearly two years after his on-the-job fall, Tollestrup operated on Green’s brachial plexus, a complex web of nerves in the side of the neck that travels into the arm. A second surgery on his ulnar nerve near the right elbow in January 2014 was performed, and since he recovered from that procedure, he’s been pain-free.

The entire process has given Green a new appreciation for so-called drug seekers, the term emergency responders and other health care providers use to describe addicts who seek care when they need additional medications. Today, Green can identify with their plight, especially people with chronic pain issues who have lived for years without have the underlying cause addressed.

The only time Green missed from work were the four recovery periods after his surgeries. He was prescribed opioid pain relief to recuperate from surgery, but pushed himself to return to work. That experience gave him insight into why some people with chronic pain might give up and resolve themselves to a life of misery.

“When you get going on these narcotics, you have to detox to come off of them,” he said. “I never wanted to put myself in that position.

“I don’t do drugs at all, but I went through my own addictive phase.”

SUPPLY AND DEMAND

Tollestrup trained at the prestigious Dellon Institutes For Peripheral Nerve Surgery in Baltimore under Dr. A. Lee Dellon, a pioneer who took a more detailed understanding of nerve anatomy to employ surgical techniques to address chronic pain problems in parts of the body never before attempted.

Dr. Thomas Tung, immediate past president of the American Society for Peripheral Nerve, said fewer than 10 programs exist, but the need for such specialists is growing, and existing programs will be expanded and new ones created to meet the demand.

“We have an aging population,” said Tung, a professor at Washington University School of Medicine in St. Louis. “And we have more awareness. Patients are becoming more aware of solutions and treatment options. In the past, patients were told there was nothing that could be done for them, but that new awareness has been very helpful.”

In health care as with other industries, demand will create supply as more people understand how symptoms can be relieved through surgery, Tung said. As patients require more treatment options, doctors eventually will go into those fields to meet the need.

The techniques Tollestrup learned from Dellon are even more specialized than conventional peripheral nerve surgery.

Tollestrup’s patients range in age from as young as 10 to people in their 80s. Neuropathies increase in severity with age, but a person at any age can be affected by injury or repetitive stress.

“With some of these nerve problems, if they’re significant enough, the patients can feel like their lives are basically over,” Tollestrup said. “It’s not something you can give pain medication for.”

For example, patients can undergo multiple knee surgeries, but their pain issues fail to resolve because each operation leaves scarring that eventually results in the nerves becoming squeezed again.

“The reason is the soft tissue envelope surrounding those knees still has all those nerves in it,” Tollestrup said. “Those nerves can become damaged or entrapped in scar tissue, and the person has an ongoing pain generator.

“Each surgery can make that condition worse. If you disconnect those nerves, patients get better.”

WINE & NERVE meeting in Napa over Valentine¹s Day

WINE & NERVE meeting in Napa over Valentine¹s Day was sponsored by the Association of Extremity Nerve Surgeons. In attendance, facing the camera, at the Ehler¹s Winery, were Rick Jacoby, DPM , author of the newly published book Sugar Crush, A Lee Dellon, MD, PhD, and Luiann Greer enjoying the Chenin Blanc.

wine meeting1

At the dinner the first night of the meeting , at Tra Vinga, are seated Rick Jacoby, DPM, Luiann Greer, Robert Parker, DPM, and Mary McDowell , wife of Brian McDowell, DPM. Luiann’s husband, Lee Dellon is the photographer. Both Rick and Robert are Past Presidents of the Association of Extremity Nerve Surgeons.

wine meeting2

At the AENS dinner on Valentine’s Eve, entering the restaurant are Eduardo Sangaris Smith MD and his wife Melanie Smith, MD. Ed is a Trauma Surgeon and Melanie is a Pediatrician working at the University of Illinois in Chicago. Ed did his training at Johns Hopkins Hospital and became interested in nerves working with Dr. Dellon. Luiann and Lee Dellon complete the group.

wine meeting3

What is Dellon Decompression

Dr. Jacoby describes Dellon decompression.

Dr. Jacoby:
The Dellon Decompression–probably the most controversial surgical procedure in medicine today. Lee Dellon, professor of neurosurgery and plastic surgery at Johns Hopkins University Medical School, probably the finest medical school in the world, and he is probably the brightest person in this field.

He developed this procedure. It’s called the triple nerve release, and basically what he came upon in the early 80s and actually in the 70s, it came from a process called the double crush syndrome, and that was a process that two plastic surgeons from Harvard in 1973, two fellows by the name of Upton and McComas, came up with and they were talking about the upper extremity brachial plexus and carpal tunnel.

Carpal tunnel being the most common compressive neuropathy, and they noticed that patients who had carpal tunnel also had brachial plexus, but they also more importantly had diabetes, 16 percent, and they wondered what was the association. They came up with the term double crush.

Lee Dellon out of Johns Hopkins investigated that. He did primates. He did rat studies. He did an interesting study. He made rats diabetic artificially and put them on a piece of paper with ink on their paws and to see if their gate pattern was changed, and it was.

And then he instituted some other studies to see if there was compression causing this, and he took out the tarsal tunnel, which is the same as the carpal tunnel in the wrist. He took out the tunnel to see if they would develop the compression and they didn’t, and he came up with this procedure that is called the Dellon Triple Release.

But he only applied it to the upper extremity, and one of his patients came in one day and said, “Dr. Dellon, you fixed my arm, why don’t you fix my foot?”

He said, “Well, that’s not done.”

Then he thought about it. He said, “Wait a minute, it’s not done; why isn’t it done?” And he came up with this procedure. I trained with him in the year 2001. I drank the Kool-aid the first, and I became enamored by his teachings, by his dedication to this procedure, and I have done over 1500 procedures, not one amputation.

The real dilemma that I have with this procedure is why don’t other doctors understand this disease? Why do they give them medications? Why do they let them go on to amputations? It just doesn’t make sense.

The triple nerve release is really the carpal tunnel of the leg. We have a diagram that will show you where the three tunnels are, and we decompress them. What is a decompression? It basically makes the tunnel where the nerve goes through bigger. We don’t really do anything to the nerve itself, we just make it a larger space so it’s not compressed.

A story that just struck me and made me passionate about this procedure–I worked for a long time and I was one of the co-founders of the Scottsdale Wound Care Center. I worked there for years, and just, not to be crude, but we scraped off a lot of puss. We did a lot of amputations, but we saved a lot of legs too.

But it wasn’t as fulfilling as what I am doing today, and I had a patient early on, and I came back from Dr. Dellon’s course down in Johns Hopkins, and I remember this gal like it was yesterday. And I won’t use her real name, but her first name was Janet; I won’t use her real name, and I said, “Janet.”

She had a twin sister who had just had an amputation. I must have seen her in the hospital every year for ten years. We had this piece of toe taken off, and she had infections. It is the typical sad story. She was in a wheelchair. She was in braces. She didn’t go anywhere. I said, “Janet, you are facing an amputation. Why don’t we try this procedure? I don’t know if it will work, but what do we have to lose?” And she said, “Let’s do it.”

I did the procedure, my very first one, probably the worst patient I could even select to do it on, and it worked. But then I didn’t see her for four months, maybe five months, and I thought, ”I killed her.” I didn’t know what happened to her.

She comes in one day - walking, by the way, without a wheelchair, without braces - and I said, “This is amazing.” I said, “What happened?” She said, “I couldn’t walk, and my husband took me to Hawaii. And I was walking in Hawaii on the lava rocks, and I fell and I broke my arm. I just wanted to come in and thank you.”

About Dr. Jacoby, D.P.M.:
Dr. Richard Jacoby, D.P.M., graduated from the Pennsylvania College of Podiatric Medicine. He completed his residency at Parkview Hospital, Philadelphia, specializing in foot and ankle surgery. Board certified by the American Board of Podiatric Foot and Ankle Surgeons, he is currently president of Valley Foot Surgeons in Scottsdale, Arizona. In addition, Dr. Jacoby is chairman of the board of Healthcare Networks of America.

Dr. Jacoby has been named the 2010 President of The Association of Extremity Nerve Surgeons.

http://www.empowher.com/diabetic-neuropathy/content/what-dellon-decompression-dr-jacoby-video

The 26 annual meeting of the American Society for Peripheral Nerve

The 26 annual meeting of the American Society for Peripheral Nerve, of which Dr Dellon is a Founding Member, met in Paradise Island, in the Bahamas.

intro slide 2015

Dr Dellon along with Amy Moore, MD, from Washington University and Gedge Rosson, MD, from Johns Hopkins University gave an Instructional Course on Upper and Lower Extremity Joint Denervation.

IC 126 Amy Moore  Gedge Rosson

One of the many international guests, Alexander Georganescu, MD, from Rumania, is with Dr Dellon in front of the schedule of events at the meeting.

Alexander Georganescu Romania

Listening to the Invited Guest Speaker, Ramez Nam, a futurist, are, from the left, Tim Tollestrup MD and his son Max, Luiann Greer, and Eric Williams. Tim is partners with Dr Dellon in the Henderson, Nevada office, and Eric Williams is partners with Dr Dellon in the Baltimore, Maryland office.

Tim  Max Luiann Eric at Ramez Lecture

Niall Tuohy (lane 3 green vest) winning the Irish National Senior Mens 800m title 2014

I am up high-altitude training in the mountains in South Africa near Johannesburg at the moment prepping for my 2015 defence of my title and hopefully be racing at the European Athletics champs in Prague in March.

Dr. Dellon, I would not have been able to do this without your doing the tarsal tunnel on each of my feet. Thanks again.

EVALUATION OF SENSIBILITY AND RE-EDUCATION OF SENSATION IN THE HAND

book44th printing of the classic book Evaluation of Sensibility and Re-Education of Sensation in the Hand is now available at Dellon.com. This book was written 35 years ago by Dr Dellon, and the principles and examination techniques outlined in this book have become the foundation for doctors and therapists measuring sensibility in the hand. This book began the field of Sensory Rehabilitation, now used throughout the world. Sections of the book can be downloaded free. (Hard copies can be ordered from Amazon.com, just in time for the Holidays!!)

 

Teaching Anatomy at the Mid-Western University in Phoenix

Teaching Anatomy at the Mid-Western University in Phoenix, Arizona, as part of the Association of Extremity Nerve Surgeons, are Plastic Surgeons, from left to right, JB Moore from University of Kansas, A Lee Dellon, from Johns Hopkins University, and David Brown, from the University of Michigan.

teaching1

Fundamental Lower Extremity Nerve Workshop

Dr Steve Barrett, President of the Association of Extremity Nerve Surgeons, reviews skeletal anatomy of the foot with Dr Dellon at that society¹s Fundamental Lower Extremity Nerve Workshop, held in the Anatomy Department of Mid-Western University where Dr. Barrett is an Assistant Professor. Dr Barrett and Dr Dellon have been teaching workshops like this together since 2002.

teaching2

 

 

International Pelvic Pain Society meeting

The long term outcomes of Dr Dellon¹s site-specific pudendal nerve surgery were presented at the International Pelvic Pain Society meeting October 25 in Chicago. Viewing the poster with Dr. Dellon is Stacy Sheib, MD, from the Johns Hopkins Gynecology Department in Baltimore, Maryland. The results from the most recent group of patients, including both men and women have 100% good to excellent results, representing the current understanding from learning to solve these difficult pain problems over the last 4 years.

pelvic pain

International Pelvic Pain Society for the 2014 meeting

Dr Dellon (left) with Drs Frank Tu and Sarah Fox, both Gynecologists, who were part of the Program Committee for the International Pelvic Pain Society for the 2014 meeting held in Chicago.

int pelvic pain

Pudendal Neuralgia Association meeting held in Boston

Drs Richard Howard, an Interventional Radiologist from the University of Marland (on the left), Richard Marvel, MD, a Gyneclogist from Johns Hopkins University, and A. Lee Dellon, MD, PhD, from Johns Hopkins University (on the right), faculty at the inaugural Pudendal Neuralgia Association meeting held in Boston on September 27, 2014.

IMG 3493

Pudendal Neuralgia Association meeting

Ann Modest, of the National Vulvodynia Association, & A Lee Dellon MD, PhD at Pudendal Neuralgia Association meeting, Boston 9/27/14.

bst meet

Pudendal Neuropathy Association meeting

Dr Dellon spoke on the successful outcomes of his pudendal nerve surgery at the Pudendal Neuropathy Association meeting in Boston on Sept 27, 2014.

pdund nerve

Department of Orthopedic Surgery at University of Alabama

Visiting Professor, A Lee Dellon, MD, PhD, is seen holding plaque presented to him by Department of Orthopedic Surgery at University of Alabama, Birmingham (UAB), September 9, 2014. To the left are Gina Oates, MD, Chief of Hand Surgery in the Department of Orthopedic Surgery, Richard Meyer, MD, a member of the American Society for Peripheral Nerve and the surgeon doing Peripheral Nerve Surgery at UAB, and Luis Vasconez, MD, Chief of Plastic Surgery at UAB.

IMG 3306

Joint Denervation today

Dr. Richard Morris, Orthopedic Surgeon at University of Alabama in Birmingham, picked up Dr A Lee Dellon in this vintage Fire Truck, to bring Dr. Dellon safely to the University Medical Center for his lecture on Joint Denervation today. Dr. Meyer belongs to a group dedicated to preserving the history of Fire Fighting. The ride in that vehicle was "spectacular and inspiring" said Dr. Dellon

IMG 3310

After his lecture at the University of Alabama, Birmingham, Dr Dellon received a plaque in thanks. Standing, from the left are Dr Steve Theis, Chief of Orthopedic Surgery, Dr John Gould, Professor of Orthopedic Surgery and former Chief of Hand Surgery, and Dr Luis Vasconez, Chief of Plastic Surgery

IMG 3308

Complex Regional Pain Syndrome

"Complex Regional Pain Syndrome" will be the title of the Instructional Course given on September 20 in Boston at the American Society for Surgery of the Hand. A. Lee Dellon, MD, PhD, will be the Course Chairman and speak on "Central Sensitization" and "Surgical Treatment of RSD of the Lower Extremity, Long-Term Results". Other course Surgical Faculty will include David Ring, MD, PhD, an Orthopedic Hand Surgeon from Harvard, speaking on "Disproportionate Pain & Disability", a non-surgical psychological approach, Catherine Curtin, MD, a Plastic Surgeon and Hand Surgeon from Stanford, speaking on "Surgical Approaches to RSD in the Upper Extremity", and Leta Jones, BS, PT, a Hand Therapist from Stanford speaking on non-surgical approaches to RSD.

ASSHLogo Clinical

Joint Pain of Neural Origin; A Peripheral Nerve Solution

On September 9, A. Lee Dellon, MD, PhD, will be Visiting Professor for the Department of Orthopedic Surgery at the University of Alabama School of Medicine in Birmingham. He will speak on "JOINT PAIN OF NEURAL ORIGIN; A PERIPHERAL NERVE SOLUTION

uab som

Dr Dellon to speak at the American Sports Medicine Institute in Birmingham, Alabama.

On September 8, Dr Dellon will speak on "Nerve Injuries Related to Sports" to the group developed and directed by James R. Andrews, MD, one of the leading Sports Medicine Orthopedic Surgeons in the World.

revised2 ASMI team coverage map

American Society for Peripheral Nerve meeting

Dr Dellon (3rd from the left) responding to a question on the Complex Peripheral Nerve Problems during the Past President's Panel at the American Society for Peripheral Nerve meeting in January in Hawaii. Check out the shirt!!! With him on the Panel are, from the left, Raj Mihta, Maria Siemionow, David Chiu, Greg Evans and Keith Brandt.

Spring2014 AM 13

Pudendal Neuropathy Association meeting in Boston

Dr Dellon one of two surgeons invited to speak on surgical approach for PELVIC PAIN at the Pudendal Neuropathy Association meeting in Boston in October. Dr Dellon will present the results and surgical technique for his research-defined anterior approach for this problem, in contrast to the commonly used transgluteal (buttock) approach. Dr Dellon's approach is helpful particularly for people with pain in the penis/clitoris, perineum, scrotum/vagina, and women who have been told they have "vulvodynia". Dr Dellon does use the transgluteal approach for patients whose symptoms also include rectal pain.

pelvic pain meeting

Dr Dellon arrives at the University of Vienna as visiting professor

Dr Dellon arrives at the University of Vienna as visiting professor. He is greeted by his former student, Oskar Aszmann, MD, now Professor of Plastic Surgery at this University. They will discus their research on Pudendal Nerve Surgery during this visit.

IMG 1713

Nervous in Vienna

"Nervous in Vienna" shirts are worn by A Lee Dellon, MD, PhD (to the left of the three black shirts), Luiann O. Greer, his wife, and Oskar C. Aszmann, MD, who hosted the Dellon's at a "Garden Party" at his home in Vienna at the occasion of Dr Dellon's visiting professorship at the University of Vienna. Also in the photo, Dr. Aszmann's laboratory team.Dr Aszmann's daughter Leontyne is to the left with blowing bubbles, while Celine, his wife, stands next to Sarith Lee, his eldest daughter in the front of the group.

IMG 1722

Transgluteal pudendal nerve decompression

Dr. Dellon, left, observing Dr. Oskar Aszmann, his former Peripheral Nerve Fellow, and now Professor of Plastic Surgery, doing a transgluteal pudendal nerve decompression. Dr Dellon and Aszmann first described, in 2005, the anterior approach for this nerve for those patients who do not have rectal symptoms.Dr Dellon's approach can be downloaded from at Dellon.com, from his book PAIN SOLUTIONS, chapter 12.

IMG 9540

Plastic Surgery meeting on the Island of Ischia, in the Bay of Naples

IMG 1614At the European Association of Plastic Surgery meeting on the Island of Ischia, in the Bay of Naples, Dr Lee Dellon (left) is seen with Dr Ricardo Mazola, from MIlan, Italy, one of the EURAPS founding members. They are with the night time view of the "Fungo" the mushroom shaped volcanic rock in the harbor of the Laco Ameno, the town where the meeting was held. Dr Dellon presented a paper entitled "Sitting is a Pain in the Ischia".

Dr. Dellon with Esther Vogelin

IMG 1609

Dr Dellon with Esther Vogelin, MD, Professor of Plastic Surgery in Berne, Switzerland, moderating the session on Nerve and Hand Problems at the European Association of Plastic Surgery meeting, held May 28 through 30, 2014 at the Hotel Regina Isabella, on the Island of Ischia in the Bay of Naples in Italy.

Dr. Cong Rui & Dr. Dellon

Cong Rui, MD, Chief of Hand Surgery in the Orthopedic Surgery Department at the 4th People's Hospital in X'ian, China visits with A. Lee Dellon, MD, PhD at the Dellon Institute in Baltimore. Dr Cong was part of the team that translated Dr. Dellon's book, PAIN SOLUTIONS into Chinese.

IMG 0537

Dr. John Cameron & Dr. A Lee Dellon

Dr. John Cameron, Past-President of the American College of Surgeons, and the William Stewart Halsted Professor of Surgery at Johns Hopkins Hospital is with Dr A Lee Dellon, in Hurd Hall of the Johns Hopkins Hospital just after Dr Cameron gave a lecture on Harvey Cushing, MD. Cushing is the Father of Neurosurgery, and did his surgery residency (1896 to 1900) under Halsted and first faculty position (1901-1912) at Johns Hopkins Hospital. It was in this very Hurd Hall that Cushing gave his historic lecture on the Pituitary Gland, establishing the field of Endocrinology. Dr. Dellon is a Professor of Neurosurgery in addition to Professor Plastic Surgery at Johns Hopkins University.

John Cameron  ALD at Cushing Lecture Hurd Hall May 2014

Annual meeting of the Association of Extremity Nerve Surgeons

The Hotel Zaza in Houston , Texas, has its car identified with this long-horn Texas bull skull. On the left, Dr Rick Jacoby, from Scottsdale, author of the new book Sugar Crush, is standing next to Luiann Greer, Dr Dellon's wife, and CEO of Sensory Management Services, LLC. Dr Dellon is standing next to Dr. Maria Siemionow, who did the first full human face transplant, and who is now at the University of Illinois in Chicago, and her husband Vladimir, an expert in cortical electrophysiology. All were attending the annual meeting of the Association of Extremity Nerve Surgeons held at Hotel Zaza.

AENS Houston 2013 Horney Hotel car

American Association of Plastic Surgery meeting in Miami

Dr Marcus Castro Ferreira, Chief of Plastic Surgery at University of Sao Paolo, Brazil, and his wife Nora, on the left , dine with Dr Dellon and his wife Luiann at the American Association of Plastic Surgery meeting in Miami, where Dr Dellon was invited to present his work on treating painful neuromas. Dr Ferreira has introduced Dr Dellon's work on nerve decompression for diabetics with neuropathy and with nerve compression into practice in Brazil, and will host a meeting there in December as part of his Wound Healing initiative in Brazil.

Sao Paolo

Recommended Links

 

Main Location

THE EXCHANGE BUILDING
1122 KENILWORTH DRIVE SUITE 18
TOWSON, MARYLAND, 21204

OFFICE: 410-337-5400
FAX: 410-337-0040
TOLL FREE
: 1-877-335-5661