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Improved recovery after Carpal Tunnel Surgery
 with advanced nerve supplement NeuroGen®


                Michael J. Fitzmaurice MD, MS
     Minimally Invasive Hand & Peripheral Nerve Surgery

                       www.Fitz.md
- NeuroGen® is the most advanced nerve
supplement on the market.
- Demonstrated significant improvement with
     Increased nerve regeneration
     Decreased nerve pain
     Decreased risk of infection
     Increased recovery after surgery
All patients of Dr. Fitzmaurice
Fitzmaurice
Institute                          treated for nerve compression
Minimally Invasive Hand Surgery   syndromes such as carpal tunnel
                                   receive NeuroGen® FREE as
                                   part of their surgical treatment
Decreases
                                                                    Improves function of
   oxidative stress
                                                                mitochondria: critical part of
    to nerve cell
                                                                cell which produces energy
                                                                 needed for nerve function



     Improves the
 transmission of nerve                                                 Maintains and rebuilds
       signals                                                            myelin sheath: the
                                                                     protective covering of nerve


   Improves
neurotransmitter
   synthesis                                                           Improves nerve
                                                                      regeneration after
                                                                    compression or injury




                                    Improves blood flow to nerves


                         Mechanism of action
Recent study on NeuroGen®
   and carpal tunnel surgery
 Control group - 90 pts
   Brown procedure ECTR

 ECTR + NeuroGen® - 35 pts.
 NeuroGen® given 5 days prior to ECTR, continued for 1
  month
 2 wk follow up
   Grip strength, CTQ, VAS for pillar pain
Amount of improvement at 2
                       weeks follow up
                   1.8
BCTQ improvement


                   1.6
                   1.4
                   1.2
                     1
                   0.8                         ECTR
                   0.6                         ECTR + NeuroGen®
                   0.4
                   0.2
                     0
                         Symptoms   Function
NeuroGen® significantly
decreases pillar pain to < 50%
       5

       4

       3
Pain




                                ECTR
       2
                                ECTR + NeuroGen®
       1

       0
           Palm (Pillar) Pain
NeuroGen® significantly
                     improves grip strength
                40
                35
Grip strength




                30
                25
                20                        ECTR
                15                        ECTR + NeuroGen®
                10
                 5
                 0
                          Grip strength
Overall benefit from
             NeuroGen®
 Symptoms improved        63%

 Function improved        517%

 Pain decreased           57%

 Grip strength improved   84%
Future research
 We are currently evaluating several other treatment
  options to improve the nerve recovery and maximize
  function and return of sensation.

 We are dedicated to providing the very best and most
  advanced treatment options to patients who suffer from
  nerve injuries, chronic compression syndromes such as
  carpal tunnel and chronic nerve pain issues.
Michael J. Fitzmaurice, MD, MS
                             Minimally Invasive Nerve Surgeon - Double board certified
                             Creator of NeuroGen
                             Founder of Bio-MedRx Nutrition

                             Background in Biomedical Science (MS) with interest in
                             nerve regeneration and stem cell therapy.

Fitzmaurice
                                       For appointment or questions:
Institute                                     480 719-4750
Minimally Invasive Hand Surgery    Or email contact@DrFitzmaurice.com

                   Patients can request appointment online or email and will get
                                     response within 24 hrs.

                              www.Fitz.md        www.DrFitzmaurice.com

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NeuroGen® and benefits for carpal tunnel surgery

  • 1. Improved recovery after Carpal Tunnel Surgery with advanced nerve supplement NeuroGen® Michael J. Fitzmaurice MD, MS Minimally Invasive Hand & Peripheral Nerve Surgery www.Fitz.md
  • 2. - NeuroGen® is the most advanced nerve supplement on the market. - Demonstrated significant improvement with Increased nerve regeneration Decreased nerve pain Decreased risk of infection Increased recovery after surgery
  • 3. All patients of Dr. Fitzmaurice Fitzmaurice Institute treated for nerve compression Minimally Invasive Hand Surgery syndromes such as carpal tunnel receive NeuroGen® FREE as part of their surgical treatment
  • 4. Decreases Improves function of oxidative stress mitochondria: critical part of to nerve cell cell which produces energy needed for nerve function Improves the transmission of nerve Maintains and rebuilds signals myelin sheath: the protective covering of nerve Improves neurotransmitter synthesis Improves nerve regeneration after compression or injury Improves blood flow to nerves Mechanism of action
  • 5. Recent study on NeuroGen® and carpal tunnel surgery  Control group - 90 pts  Brown procedure ECTR  ECTR + NeuroGen® - 35 pts.  NeuroGen® given 5 days prior to ECTR, continued for 1 month  2 wk follow up  Grip strength, CTQ, VAS for pillar pain
  • 6. Amount of improvement at 2 weeks follow up 1.8 BCTQ improvement 1.6 1.4 1.2 1 0.8 ECTR 0.6 ECTR + NeuroGen® 0.4 0.2 0 Symptoms Function
  • 7. NeuroGen® significantly decreases pillar pain to < 50% 5 4 3 Pain ECTR 2 ECTR + NeuroGen® 1 0 Palm (Pillar) Pain
  • 8. NeuroGen® significantly improves grip strength 40 35 Grip strength 30 25 20 ECTR 15 ECTR + NeuroGen® 10 5 0 Grip strength
  • 9. Overall benefit from NeuroGen®  Symptoms improved 63%  Function improved 517%  Pain decreased 57%  Grip strength improved 84%
  • 10. Future research  We are currently evaluating several other treatment options to improve the nerve recovery and maximize function and return of sensation.  We are dedicated to providing the very best and most advanced treatment options to patients who suffer from nerve injuries, chronic compression syndromes such as carpal tunnel and chronic nerve pain issues.
  • 11. Michael J. Fitzmaurice, MD, MS Minimally Invasive Nerve Surgeon - Double board certified Creator of NeuroGen Founder of Bio-MedRx Nutrition Background in Biomedical Science (MS) with interest in nerve regeneration and stem cell therapy. Fitzmaurice For appointment or questions: Institute 480 719-4750 Minimally Invasive Hand Surgery Or email contact@DrFitzmaurice.com Patients can request appointment online or email and will get response within 24 hrs. www.Fitz.md www.DrFitzmaurice.com