Walk, Move, and Live Without Pain

Chronic Leg, Foot, Ankle & Knee Pain Relief — Restore Strength, Stability, and Comfort

Find lasting relief from chronic lower extremity pain with the nation’s leading experts in advanced nerve and reconstructive surgery.

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Chronic Leg, Foot, Ankle & Knee Pain Relief — Restore Strength, Stability, and Comfort.

Check Eligibility:
Do Any of These Ring True?

  • “My leg or foot pain hasn’t improved after therapy, injections, or medication.”
  • “I have burning, tingling, or numbness that makes it hard to move comfortably.”
  • “My knee pain limits how far I can walk or stand.”
  • “I’ve had multiple surgeries or treatments with no lasting relief.”
  • “Pain or weakness affects my ability to work, exercise, or sleep". 

Show My Results

(2+ might qualify)

Still Not Sure? Book Your Evaluation:

Takes < 60 seconds, HIPAA-Secure.

25+ Years
experience in advanced nerve reconstruction
98+%
patient satisfaction score

Real People. Life-Changing Results.

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Megan’s Journey from Ecuador for Life-Changing Foot Drop Surgery with Dr. Rose

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Jennifer’s Journey: Overcoming Compartment Syndrome with Dr. Usal

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Lacey’s Life-Changing Journey: Overcoming Lumbosacral Plexopathy with Dr. Elkwood

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Janki's Life-Changing Nerve Neuroma Surgery with Dr. Ibrahim

What Are My Treatment Options?

Our team offers advanced microsurgical and reconstructive procedures designed to relieve pain at its source so you can regain strength, stability, and comfort.

  • Targeted Muscle Reinnervation (TMR): Redirects injured nerves into nearby muscles to prevent neuroma pain and improve control after amputation or trauma.
  • Regenerative Peripheral Nerve Interface (RPNI): Uses muscle grafts to stabilize nerves and prevent chronic nerve pain.
  • Knee Denervation: Interrupts pain-transmitting nerves around the knee joint while preserving natural motion.

  • Nerve Decompression Surgery: Relieves pressure on compressed nerves in the leg, foot, or ankle to restore sensation and mobility.
  • Reconstructive Surgery: Combines nerve repair, tendon or muscle transfer, and bone stabilization to rebuild alignment and movement.
  • Limb Salvage: Preserves function and prevents amputation after trauma, tumors, or chronic wounds.

Imagine Moving Without Pain

Visualize walking up stairs, standing at work, or exercising again without hesitation or discomfort.
IFAR - ICON Regain mobility and balance copy
Regain mobility and balance
IFAR - ICON -Enjoy, daily activities & hobbies copy
Enjoy hobbies and daily activities again
IFAR - ICON - Sleep through the night without aching joints-2 copy
Sleep comfortably without throbbing pain
IFAR - ICON - Regain your independence and confidence-2 copy
Reclaim independence and confidence

The Sooner You Act, the Better You Heal

When nerve or joint pain persists for months, scar tissue and degeneration can worsen over time. Early evaluation gives you the best chance for full recovery.

Why Patients Around the World Trust The Institute

When other treatments fail, patients trust The Institute for Advanced Reconstruction for advanced surgical expertise and proven outcomes.

Unmatched Surgery Expertise
Our surgeons are pioneers in nerve, reconstructive, and limb restoration procedures, helping patients worldwide.

Collaborative, Personalized Care
We combine diagnostic precision, microsurgical innovation, and rehabilitative support to guide every patient’s recovery.

Recognized by Top Medical Authorities
Our specialists are nationally honored by Castle Connolly, NJ Top Docs, and peer-reviewed publications.

World-Class Hospitals, Local Compassion
Procedures performed at nationally ranked facilities.

Support for Traveling Patients
Thousands of patients travel from across the country and around the world for our advanced nerve-based solutions.

Your Path to Recovery

Consultation & Evaluation

01

Discuss your symptoms, medical history, and prior treatments with a nerve and reconstruction expert.

Precision Diagnostics

02
Advanced imaging and nerve testing pinpoint the cause of your pain.

Advanced Surgery

03
Microsurgical procedures relieve nerve compression or reconstruct damaged structures.

Guided Rehab

04
Our specialists support your rehabilitation every step of the way.

Meet the Experts in Lower Extremity Reconstruction

Our surgical team is among the world’s most experienced in relieving chronic leg, foot, ankle, and knee pain through advanced microsurgery. When others say it can’t be fixed, this is where patients find hope.


Chris Lakhiani, MD, FACS

Dr. Chris Lakhiani is a board-certified plastic and reconstructive surgeon specializing in functional extremity restoration and microsurgery, offering advanced nerve and reconstructive procedures to relieve chronic lower extremity pain and improve mobility.

Michael Rose, MD, FACS

Dr. Michael Rose is a board-certified plastic and reconstructive surgeon and a leader in complex nerve decompression and reconstruction for patients with chronic leg and foot pain that has not responded to other treatments.
Dr. Michael Rose is a board-certified plastic and reconstructive surgeon and a recognized leader in complex nerve decompression and lower extremity nerve reconstruction, helping patients with chronic leg and foot pain who have not found relief elsewhere.

Peter Andrawes, MD

Dr. Peter Andrawes is a fellowship-trained hand and peripheral nerve surgeon whose microsurgical expertise extends to advanced nerve decompression and reconstruction for lower extremity pain, weakness, and neuropathy.

Adam Feintisch, MD

Dr. Adam Feintisch is a board-certified plastic and reconstructive surgeon who uses innovative microsurgical techniques to restore strength, stability, and comfort after lower extremity trauma and chronic leg and foot pain.

Rodion Erenburg, MD

Dr. Rodion Erenburg is a fellowship-trained interventional pain specialist who focuses on minimally invasive, non-opioid treatments to reduce chronic leg, knee, and foot pain and to support patients before and after lower extremity surgery.

Nicole Ferro, DO

Dr. Nicole Ferro is an interventional physiatrist dedicated to helping patients reclaim function through targeted, image-guided treatments that may reduce or even eliminate the need for surgery for persistent lower extremity pain.

Ali Seckin, MD, MBA

Dr. Ali Seckin is an interventional pain specialist known for advanced, non-surgical options—including targeted nerve blocks and neuromodulation—to manage chronic knee, hip, and leg pain and preserve lower extremity function.

Zuhaib Ibrahim, MD, FACS

Dr. Zuhaib Ibrahim is a board-certified plastic and reconstructive surgeon with extensive microsurgical training, providing limb salvage and complex nerve reconstruction to relieve severe lower extremity pain and restore stability.

Robert Nevitt, MD

Dr. Robert Nevitt is a plastic and reconstructive surgeon who applies his expertise in soft-tissue and structural reconstruction to help patients regain comfort and function after lower extremity trauma or oncologic surgery.

Hamid Abdollahi, MD, FACS

Dr. Hamid Abdollahi is a reconstructive microsurgeon specializing in complex nerve and soft-tissue reconstruction, offering advanced surgical options for chronic leg, foot, and ankle pain that has not improved with conservative care.

Eric Chang, MD, FACS

Dr. Eric Chang is a double board-certified plastic and general surgeon recognized for reconstructive microsurgery and limb salvage, including sophisticated solutions for lower extremity wounds, nerve injury, and lymphedema-related pain.

Ritwik Grover, MD, FACS

Dr. Ritwik Grover is a board-certified plastic and reconstructive surgeon whose advanced training in microsurgery and body reconstruction supports complex solutions for lower extremity pain, including lymphedema and soft-tissue deficits.

Lauren Otaguro, MD

Dr. Lauren Otaguro is a peripheral nerve surgeon with advanced microsurgical training who treats chronic neuropathic pain, including challenging lower extremity nerve pain that persists after injuries or prior procedures.

Hakan Usal, MD

Dr. Hakan Usal is a plastic and reconstructive microsurgeon with extensive experience in peripheral nerve surgery, helping patients with complex nerve-related lower extremity pain when standard therapies have failed.

Hear From the Experts

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Neuromodulation Explained How It Turns Down Chronic Pain | Dr. Nicole Ferro

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When Does Surgery Become an Option for Foot Drop? | Dr. Michael Rose

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Peripheral Nerve Surgery: Transforming Chronic Pain into Life Without Limits | Dr. Joseph Dayan

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What is Neuromodulation? | Dr. Seckin

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How Nerve Grafts Are Used in Peripheral Nerve Surgery | Dr. Otaguro

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Understanding Peripheral Nerve Pain with Dr. Otaguro

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Dr. Otaguro Explains Microsurgery in Lower Extremity Reconstruction

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Knee Denervation Surgery at The Institute for Advanced Reconstruction | Dr. Michael Rose Explains

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Lower Extremity Reconstruction Surgery: Reasons, Procedure, and Recovery with Dr. Usal

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Dr. Rose Explains Nerve Pain: Causes, Symptoms, and Treatments

Traveling from Abroad?

Our team helps coordinate travel, lodging, and follow-up appointments for a seamless experience.

Insurance & Financing

We accept many major insurers, including Aetna, Horizon BCBS, Medicare, and UnitedHealthcare. Our team verifies benefits and guides you each step.

Ready to Reclaim Your Comfort?

You don’t have to live with chronic pain in your legs, feet, or knees. Relief may be closer than you think. Complete the form below or call us directly at 833-495-6643 to schedule your consultation.

Frequently Asked Questions

Who is a candidate for surgery?
Anyone with chronic leg, foot, ankle, or knee pain unresponsive to therapy, injections, or medication.
What if I’ve already had surgery that didn’t work?
Our specialists evaluate prior procedures and offer advanced reconstructive options to restore function and comfort.
Can surgery help with phantom or nerve-related pain after amputation?

Yes. Procedures like TMR and RPNI are specifically designed for phantom limb and neuroma pain.

Is surgery covered by insurance?
Most of our procedures are medically necessary and covered. Our coordinators confirm benefits before scheduling.
Do I need a referral?
No. Patients may contact us directly, though we collaborate closely with other physicians and specialists.
What makes The Institute different?
We’re one of the few programs worldwide dedicated to advanced surgical treatment for chronic lower extremity pain.