{"key":"op_1074_ES","page":{"url":"https://us-uk.bookimed.com/clinics/country=spain/procedure=surgery-for-klumpke-s-palsy/","procedure":{"id":1074,"slug":"surgery-for-klumpke-s-palsy","name":"Surgery for Klumpke's palsy","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"surgery","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"neurosurgery","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":34,"iso":"ES","name":"Spain"},"currency":"USD","data_date":"2026-03-11"},"pages":{"clinics_url":"https://us-uk.bookimed.com/clinics/country=spain/procedure=surgery-for-klumpke-s-palsy/","cost_url":"https://us-uk.bookimed.com/clinics/country=spain/procedure=surgery-for-klumpke-s-palsy/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":27600,"to":33200,"avg":{"value":33740,"method":"median","source":"offers"},"us":{"from":45000,"to":80000},"uk":{"from":17500,"to":30000},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Barcelona","from":27600},{"city":"Alicante","from":6500},{"city":"Madrid","from":11500}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"source":"offers","items":[{"tier":"standard","min":33740,"max":33740,"median":33740,"count":1}]},"comparison":[{"country_iso":"UA","from":3500,"to":6200},{"country_iso":"FR","from":11500,"to":19500},{"country_iso":"GB","from":17500,"to":30000},{"country_iso":"US","from":45000,"to":80000},{"country_iso":"IL","from":16000,"to":27000},{"country_iso":"TR","from":19600,"to":{"status":"missing","reason":"not_collected"}},{"country_iso":"MX","from":9500,"to":15500},{"country_iso":"DE","from":14000,"to":25000},{"country_iso":"CA","from":14000,"to":30000},{"country_iso":"AE","from":14000,"to":23000},{"country_iso":"TH","from":7500,"to":11000},{"country_iso":"PL","from":7500,"to":12000},{"country_iso":"KR","from":12000,"to":19000},{"country_iso":"CZ","from":6500,"to":10500},{"country_iso":"AT","from":14500,"to":22500},{"country_iso":"IT","from":12500,"to":20000},{"country_iso":"CN","from":7500,"to":14000},{"country_iso":"AU","from":19000,"to":31000},{"country_iso":"IN","from":4800,"to":7800},{"country_iso":"MY","from":6500,"to":8500},{"country_iso":"VN","from":3500,"to":6500},{"country_iso":"BR","from":9500,"to":15000}],"base_country":"US","base_is_fallback":false},"savings":{"pct":39,"variant":">=15%"},"package":{"included":["3D CT scan","Consultation with a neurosurgeon","Consultation with an orthopedist traumatologist","Individual chamber","MRI of one area","Preoperative tests"],"excluded":["Transfer is not included"],"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":2,"items":[{"id":78,"name":"Centro Médico Teknon","city":"Barcelona","rating":4.7,"reviews_count":497,"accreditations":["Joint Commission International","European Foundation for Quality Management","THE IMTJ MEDICAL TRAVEL AWARD WINNER IN 2019","Patient choice in Neurology","Patient choice in Neurosurgery","Patient choice for Epilepsy treatment","World's Best Hospitals 2021 by Newsweek"],"rank":1,"has_procedure":true,"why_ranked":"JCI-accredited facility with specialized nerve surgeons. Dr. Joaquim Casañas Sintes leads orthopedic surgery, focusing on hand and peripheral nerve reconstruction. Offers multidisciplinary approach for complex cases.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":[{"id":"641dd8d857931a7f69044bb3","price":33740,"nights":3,"included":["Preoperative tests","3D CT scan","MRI of one area","Consultation with a neurosurgeon","Consultation with an orthopedist traumatologist","Individual chamber"],"excluded":["Transfer is not included"],"other_services":"About the Condition Klumpke’s palsy is a rare form of brachial plexus injury affecting the lower nerves of the arm (C8–T1), leading to: Weakness or paralysis of the hand and fingers Loss of fine motor skills Sensory deficits in the forearm and hand Early and specialized surgical treatment is essential to restore function and improve quality of life. About the Procedure Surgical treatment may include: Nerve reconstruction or nerve grafting Nerve transfers Tendon transfers to restore hand function The approach is highly personalized, depending on the severity and duration of the injury. What’s Included in the Package ✅ Comprehensive Preoperative Evaluation Consultation with hand surgery specialist Review of MRI, EMG, and previous medical reports Functional assessment of hand and nerve damage Preoperative blood tests Anesthesiology assessment ✅ Surgical Treatment Advanced nerve reconstruction / tendon transfer surgery Microsurgical techniques with high precision Experienced surgical team Operating room & advanced equipment General anesthesia ✅ Hospital Stay 3–5 days hospitalization Private room included Continuous postoperative monitoring ✅ Postoperative Care Pain management and recovery monitoring Initial physiotherapy guidance Functional rehabilitation recommendations Follow-up consultation Long-term recovery plan Duration of Stay Hospital stay: 3–5 days Recommended stay in Barcelona: 10–14 days Expected Results Improvement in hand and finger function Increased strength and mobility Enhanced ability to perform daily activities Note: Functional recovery depends on nerve damage severity and rehabilitation. Who Is This For? Patients with Klumpke’s palsy (lower brachial plexus injury) Individuals with hand paralysis or severe weakness Patients seeking specialized nerve reconstruction Why Choose This Program Highly specialized hand and nerve surgeon Advanced microsurgical techniques Personalized surgical approach Treatment in a leading JCI-accredited hospital Dedicated international patient support Additional Information Early intervention improves outcomes Long-term physiotherapy is essential for recovery Online consultation available before travel Request a Personalized Evaluation Send your medical reports (MRI, EMG, clinical history) to receive a tailored surgical plan within 24–48 hours"}]},{"id":6225,"name":"Hospital Ruber Internacional","city":"Madrid","rating":5,"reviews_count":3,"accreditations":["Joint Commission International","International Organization for Standardization"],"rank":2,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}}]},"doctors":{"count":1,"languages":{"status":"missing","reason":"not_collected"}},"cities":[{"id":98,"slug":"barcelona","name":"Barcelona","clinics_count":1,"price_from":27600,"profile":{"city_type":"Mediterranean coastal city in Spain","access":["Barcelona Airport (BCN), 15 km southwest of city center"],"sources":["https://en.wikipedia.org/wiki/Barcelona","https://en.wikipedia.org/wiki/Barcelona–El_Prat_Airport"],"checked_at":"2026-11-03","status":"ok"}},{"id":441,"slug":"alicante","name":"Alicante","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":6500,"profile":{"city_type":"Mediterranean port city in Spain","access":["Alicante Airport (ALC), 9 km from the city"],"sources":["https://en.wikipedia.org/wiki/Alicante","https://en.wikipedia.org/wiki/Alicante%E2%80%93Elche_Airport"],"checked_at":"2026-11-03","status":"ok"}},{"id":346,"slug":"madrid","name":"Madrid","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":11500,"profile":{"city_type":"Capital and largest city of Spain","access":["Madrid Barajas Airport (MAD), 13 km from Puerta del Sol"],"sources":["https://en.wikipedia.org/wiki/Madrid","https://en.wikipedia.org/wiki/Madrid–Barajas_Airport"],"checked_at":"2026-11-03","status":"ok"}}],"offers":{"active":1,"active_with_related":1,"hospital_nights_median":3,"days_in_country_median":{"status":"missing","reason":"fewer than 10 offers with hotel days"},"top_offers":[{"id":"641dd8d857931a7f69044bb3","clinic_id":78,"clinic_listed":true,"price":33740,"nights":3,"transfer":{"status":"missing","reason":"not_collected"},"tests":{"status":"missing","reason":"not_collected"},"meds":{"status":"missing","reason":"not_collected"},"aftercare":{"status":"missing","reason":"not_collected"},"guarantee":{"status":"missing","reason":"not_collected"},"included":["Preoperative tests","3D CT scan","MRI of one area","Consultation with a neurosurgeon","Consultation with an orthopedist traumatologist","Individual chamber"],"excluded":["Transfer is not included"],"other_services":"About the Condition Klumpke’s palsy is a rare form of brachial plexus injury affecting the lower nerves of the arm (C8–T1), leading to: Weakness or paralysis of the hand and fingers Loss of fine motor skills Sensory deficits in the forearm and hand Early and specialized surgical treatment is essential to restore function and improve quality of life. About the Procedure Surgical treatment may include: Nerve reconstruction or nerve grafting Nerve transfers Tendon transfers to restore hand function The approach is highly personalized, depending on the severity and duration of the injury. What’s Included in the Package ✅ Comprehensive Preoperative Evaluation Consultation with hand surgery specialist Review of MRI, EMG, and previous medical reports Functional assessment of hand and nerve damage Preoperative blood tests Anesthesiology assessment ✅ Surgical Treatment Advanced nerve reconstruction / tendon transfer surgery Microsurgical techniques with high precision Experienced surgical team Operating room & advanced equipment General anesthesia ✅ Hospital Stay 3–5 days hospitalization Private room included Continuous postoperative monitoring ✅ Postoperative Care Pain management and recovery monitoring Initial physiotherapy guidance Functional rehabilitation recommendations Follow-up consultation Long-term recovery plan Duration of Stay Hospital stay: 3–5 days Recommended stay in Barcelona: 10–14 days Expected Results Improvement in hand and finger function Increased strength and mobility Enhanced ability to perform daily activities Note: Functional recovery depends on nerve damage severity and rehabilitation. Who Is This For? Patients with Klumpke’s palsy (lower brachial plexus injury) Individuals with hand paralysis or severe weakness Patients seeking specialized nerve reconstruction Why Choose This Program Highly specialized hand and nerve surgeon Advanced microsurgical techniques Personalized surgical approach Treatment in a leading JCI-accredited hospital Dedicated international patient support Additional Information Early intervention improves outcomes Long-term physiotherapy is essential for recovery Online consultation available before travel Request a Personalized Evaluation Send your medical reports (MRI, EMG, clinical history) to receive a tailored surgical plan within 24–48 hours","is_package":true}],"packages":[{"id":"641dd8d857931a7f69044bb3","clinic_id":78,"clinic_listed":true,"price":33740,"nights":3,"transfer":{"status":"missing","reason":"not_collected"},"tests":{"status":"missing","reason":"not_collected"},"meds":{"status":"missing","reason":"not_collected"},"aftercare":{"status":"missing","reason":"not_collected"},"guarantee":{"status":"missing","reason":"not_collected"},"included":["Preoperative tests","3D CT scan","MRI of one area","Consultation with a neurosurgeon","Consultation with an orthopedist traumatologist","Individual chamber"],"excluded":["Transfer is not included"],"other_services":"About the Condition Klumpke’s palsy is a rare form of brachial plexus injury affecting the lower nerves of the arm (C8–T1), leading to: Weakness or paralysis of the hand and fingers Loss of fine motor skills Sensory deficits in the forearm and hand Early and specialized surgical treatment is essential to restore function and improve quality of life. About the Procedure Surgical treatment may include: Nerve reconstruction or nerve grafting Nerve transfers Tendon transfers to restore hand function The approach is highly personalized, depending on the severity and duration of the injury. What’s Included in the Package ✅ Comprehensive Preoperative Evaluation Consultation with hand surgery specialist Review of MRI, EMG, and previous medical reports Functional assessment of hand and nerve damage Preoperative blood tests Anesthesiology assessment ✅ Surgical Treatment Advanced nerve reconstruction / tendon transfer surgery Microsurgical techniques with high precision Experienced surgical team Operating room & advanced equipment General anesthesia ✅ Hospital Stay 3–5 days hospitalization Private room included Continuous postoperative monitoring ✅ Postoperative Care Pain management and recovery monitoring Initial physiotherapy guidance Functional rehabilitation recommendations Follow-up consultation Long-term recovery plan Duration of Stay Hospital stay: 3–5 days Recommended stay in Barcelona: 10–14 days Expected Results Improvement in hand and finger function Increased strength and mobility Enhanced ability to perform daily activities Note: Functional recovery depends on nerve damage severity and rehabilitation. Who Is This For? Patients with Klumpke’s palsy (lower brachial plexus injury) Individuals with hand paralysis or severe weakness Patients seeking specialized nerve reconstruction Why Choose This Program Highly specialized hand and nerve surgeon Advanced microsurgical techniques Personalized surgical approach Treatment in a leading JCI-accredited hospital Dedicated international patient support Additional Information Early intervention improves outcomes Long-term physiotherapy is essential for recovery Online consultation available before travel Request a Personalized Evaluation Send your medical reports (MRI, EMG, clinical history) to receive a tailored surgical plan within 24–48 hours","is_package":true}],"related_packages":{"status":"missing","reason":"not_collected"},"other_packages":{"status":"missing","reason":"not_classified"}},"medical":{"indications":["Lower brachial plexus injury (C8-T1) with hand and wrist weakness","Obstetric brachial plexus palsy without spontaneous recovery","Traumatic 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surgery."}},"treatment_conditions":["inpatient"],"rehabilitation_days":{"min":180,"max":540,"unit":"days","qualifier":"Ongoing therapy, mostly home-based after initial sessions."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"After wound check and clearance by the surgeon."},"back_to_work_days":{"min":42,"max":120,"unit":"days","qualifier":"Desk work after sling period; depends on nerve procedure and arm immobilisation."},"exercise_resume_weeks":{"min":12,"max":24,"unit":"weeks","qualifier":"Gradual return to sport after nerve healing and therapy; contact sport later."},"final_result_months":{"min":18,"max":36,"unit":"months","qualifier":"Nerve regrowth is slow; hand function recovers last."},"result_longevity":"Nerve repair results are generally permanent once reinnervation is complete; function varies with the degree of injury.","main_risks":["Incomplete or no nerve recovery","Donor nerve weakness or numbness","Infection or wound problems","Bleeding or 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done.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check how you will communicate with the clinician and care team ahead of time","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"If you go to a country where you do not speak the language, determine ahead of time how you will communicate with your clinician and others who will be caring for you.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"New or worsening weakness after surgery","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13005168/","host":"pmc.ncbi.nlm.nih.gov","quote":"When sensory symptoms persist beyond the expected duration of the block, new or worsening motor deficits appear, or severe neuropathic pain develops after block resolution, a focused reassessment is warranted.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Severe pain out of proportion to examination","urgency":"emergency","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13005168/","host":"pmc.ncbi.nlm.nih.gov","quote":"Rapidly progressive deficits, severe pain out of proportion to examination, tense swelling with pain on passive stretch (suggesting compartment syndrome), new bowel or bladder dysfunction, saddle anesthesia, or features concerning for acute spinal cord or cauda equina involvement should prompt immediate escalation.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Tense swelling with pain on passive stretch","urgency":"emergency","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13005168/","host":"pmc.ncbi.nlm.nih.gov","quote":"Rapidly progressive deficits, severe pain out of proportion to examination, tense swelling with pain on passive stretch (suggesting compartment syndrome), new bowel or bladder dysfunction, saddle anesthesia, or features concerning for acute spinal cord or cauda equina involvement should prompt immediate escalation.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"New sensory loss after surgery","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13005168/","host":"pmc.ncbi.nlm.nih.gov","quote":"Any new sensory loss, paresthesia, neuropathic pain, or weakness after surgery or an invasive procedure should be treated as clinically meaningful until proven otherwise.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Gives the home doctor medicine details and any changes made","document":"discharge 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hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T5","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":42,"max":120,"unit":"days","qualifier":"Desk work after sling period; depends on nerve procedure and arm immobilisation."},"complication_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Any surgical complication within 90 days (wound, donor deficit, hematoma, infection); serious ones under 5%."},"contraindications":["Complete untreatable lower root avulsion with no donor options","Unfit for prolonged general anesthesia","Active infection at surgical site"],"days_in_clinic":{"min":2,"max":4,"unit":"nights","qualifier":"Inpatient stay for monitoring and arm positioning after nerve 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by surgeon","Fasting before surgery"],"recovery_timeline":[{"phase":"Weeks 0-3","description":"Immobilisation in sling or brace to protect nerve repair; wound healing.","restrictions":["No lifting","No arm elevation beyond surgeon limits","Keep wound dry"]},{"phase":"Weeks 3-12","description":"Guided physiotherapy to keep joints mobile and maintain muscle tone.","restrictions":["No heavy loading","No forceful stretching"]},{"phase":"Months 3-12","description":"Reinnervation begins; strengthening and sensory retraining.","restrictions":["Avoid heavy lifting","Avoid contact sport"]},{"phase":"Months 12-36","description":"Late functional gains; assess need for secondary tendon transfers.","restrictions":[]}],"rehabilitation_days":{"min":180,"max":540,"unit":"days","qualifier":"Ongoing therapy, mostly home-based after initial sessions."},"result_longevity":"Nerve repair results are generally permanent once reinnervation is complete; function varies with the degree of 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stump","recovery":"Slow regrowth over 1-3 years."},{"name":"Nerve transfer","suits_whom":"Root avulsion; uses donor nerves such as intercostal or ulnar fascicles","recovery":"Reinnervation in 6-18 months."},{"name":"Neurolysis","suits_whom":"Nerve in continuity with scarring","recovery":"Faster, 3-12 months."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":4,"max":8,"unit":"hours","qualifier":"Plexus exploration and reconstruction."},"initial_assessment_documents":["Brachial plexus MRI report","EMG and nerve conduction results","Photos of arm and hand movement","Previous nerve surgery reports (if available)","Neurologist or physiotherapy assessment notes"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single surgery; stay about 10-14 days until wound check, then therapy at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the clinician's qualifications and the facility's credentials before choosing","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check how you will communicate with the clinician and care team ahead of time","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"If you go to a country where you do not speak the language, determine ahead of time how you will communicate with your clinician and others who will be caring for you.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"New or worsening weakness after surgery","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13005168/","host":"pmc.ncbi.nlm.nih.gov","quote":"When sensory symptoms persist beyond the expected duration of the block, new or worsening motor deficits appear, or severe neuropathic pain develops after block resolution, a focused reassessment is warranted.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Severe pain out of proportion to examination","urgency":"emergency","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13005168/","host":"pmc.ncbi.nlm.nih.gov","quote":"Rapidly progressive deficits, severe pain out of proportion to examination, tense swelling with pain on passive stretch (suggesting compartment syndrome), new bowel or bladder dysfunction, saddle anesthesia, or features concerning for acute spinal cord or cauda equina involvement should prompt immediate 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needs.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T3","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T5","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"technique_details":{"status":"ok","items":[{"id":"nerve-grafting","name":"Nerve grafting","how_it_works":{"text":"A nerve bridges the gap after damaged nerve removal","source":{"url":"https://www.chop.edu/conditions-diseases/brachial-plexus-and-peripheral-nerve-injuries","host":"chop.edu","quote":"Nerve grafting (taking a nerve from elsewhere on the body to bridge a gap after cutting away a damaged nerve).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"nerve-transfer","name":"Nerve transfer","how_it_works":{"text":"Working nerves stimulate poorly functioning nerves and muscles","source":{"url":"https://www.chop.edu/conditions-diseases/brachial-plexus-and-peripheral-nerve-injuries","host":"chop.edu","quote":"Nerve transfers (using working nerves to stimulate nerves and muscles that are not functioning well).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"neurolysis","name":"Neurolysis","how_it_works":{"text":"The nerve is released from scar tissue","source":{"url":"https://www.chop.edu/conditions-diseases/brachial-plexus-and-peripheral-nerve-injuries","host":"chop.edu","quote":"Neurolysis (releasing a nerve from scar 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date does not need to be within 10 years of the date of issue)","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"medicines","audience":"all","volatile":false,"text":"Carry prescription medication in its original packaging, along with your doctor's prescription","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Always carry your prescription medication in original packaging, along with your doctor’s prescription.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"prescriptions","audience":"us","volatile":false,"text":"Medications that require a prescription in the United States also require a local doctor's prescription in 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patient","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Private hospitals usually require payment or proof insurance or funds before admitting a patient.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 112 and ask for an ambulance","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/health","host":"gov.uk","quote":"Dial 112 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["israel","poland","turkey"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4.7,"count":500,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"<p>Surgery for Klumpke's palsy in Spain typically costs from _op_1074_price_from_ to _op_1074_price_to_. The final price depends on the injury complexity, necessary nerve grafting, and clinic location in Barcelona or Madrid. In the US, similar procedures cost around _price_compare_US_average_ on average. Spain offers savings of around _price_percent_discount_%. This surgery typically includes consultations, MRI, 3D CT scans, and hospital stay.</p>\n\n<ul>\n<li><strong>Specialized surgical packages:</strong> _op_1074_price_from_ to _op_1074_price_to_ for comprehensive nerve repair protocols.</li>\n<li><strong>Post-surgical rehabilitation:</strong> Intensive 3–4 week orthopedic programs typically add $10,500 to $16,000.</li>\n<li><strong>Advanced diagnostics:</strong> Packages often bundle 3D CT scans and neural mapping for accuracy.</li>\n<li><strong>City variations:</strong> Medical hubs like Barcelona and Madrid often host the most specialized surgeons.</li>\n</ul>\n\n<p><strong>Bookimed Expert Insight:</strong> Choosing a high-volume center like Centro Médico Teknon offers unique value for complex cases. Packages there start around $29,000 and include Dr. Joaquim Casañas, a renowned brachial plexus specialist. The clinic is JCI-accredited and has treated high-profile athletes like Andrés Iniesta. Their use of advanced intraoperative mapping ensures better outcomes for delicate peripheral nerve reconstruction.</p>","faq":[{"q":"When should surgery be considered for Klumpke's palsy?","a":"<p>Surgery for Klumpke's palsy is recommended if functional improvement is not observed within 3 to 6 months. Surgical intervention is necessary for severe injuries like nerve avulsions or ruptures. Specialized centers in Spain utilize intraoperative mapping to restore hand and forearm movement effectively.</p> <ul> <li><strong>Functional timeline:</strong> Surgery is advised if biceps strength remains absent after 3–6 months.</li> <li><strong>Injury severity:</strong> Procedures address preganglionic avulsions where nerves pull from the spinal cord.</li> <li><strong>Clinical indicators:</strong> Persistent claw hand deformity or inability to form an OK sign suggest surgery.</li> <li><strong>Surgical techniques:</strong> Specialized surgeons perform nerve grafts, tendon transfers, and nerve repositioning.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While many centers offer standard nerve repair, clinics like Centro Médico Teknon in Barcelona integrate intraoperative mapping. This advanced monitoring during brachial plexus surgery allows Dr. Joaquim Casañas to identify viable nerve pathways in real-time. This precision is critical for small infants, potentially improving long-term motor outcomes.</p> <p><strong>Patient Consensus:</strong> Parents often monitor for the claw hand sign and worsening joint issues before opting for surgery. Many find that confirming nerve damage via Electromyography provides the necessary clarity to move beyond physical therapy.</p>"},{"q":"What types of surgery are used for Klumpke's palsy?","a":"<p>Surgery for Klumpke's palsy focuses on lower brachial plexus repair through nerve grafting, nerve transfers, and microsurgical neurolysis. Procedures aim to restore hand function and finger flexion. Specialists often use intraoperative mapping during reconstruction to ensure precision in C8 and T1 nerve roots.</p> <ul> <li><strong>Nerve reconstruction:</strong> Surgeons use grafting or transfers to bridge damaged lower plexus nerve pathways.</li> <li><strong>Muscle transfers:</strong> Pectoralis muscle transfer helps restore essential gripping and functional hand movement.</li> <li><strong>Structural stabilization:</strong> Wrist fusion (arthrodesis) stabilizes the joint to create a functional helper hand.</li> <li><strong>Advanced monitoring:</strong> Intraoperative mapping at clinics like Centro Médico Teknon tracks real-time nerve signals.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spanish neurosurgeons like Dr. Nnamdi Elenwoke prioritize minimally invasive approaches combined with intraoperative monitoring. Data indicates that clinics in Barcelona and Madrid often bundle complex diagnostics like 3D CT scans into surgical packages. This comprehensive screening helps doctors decide between nerve repair or corrective wrist fusion early.</p> <p><strong>Patient Consensus:</strong> Many patients recommend getting an EMG or ENMG before meeting a surgeon to map nerve involvement. Families often focus on whether the surgery aims for full movement or a functional helper hand.</p>"},{"q":"What is the success rate of surgery for Klumpke's palsy?","a":"<p>Surgery for Klumpke's palsy achieves an 85-90% efficacy rate in motor function improvement when performed by specialists. Success depends heavily on timing, with interventions within 3 months showing 89.7% muscular recovery. Spain offers advanced brachial plexus centers utilizing Joint Commission International standards.</p> <ul> <li><strong>Early intervention:</strong> Surgery performed within 3 months yields significantly better muscular recovery rates.</li> <li><strong>Functional recovery:</strong> Nerve reconstruction techniques show success rates as high as 90% for mobility.</li> <li><strong>Advanced monitoring:</strong> Specialists like Joaquim Casañas use intraoperative mapping to protect nerve pathways.</li> <li><strong>Spontaneous resolution:</strong> Approximately 66% to 92% of mild cases recover without surgical intervention.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While general neurosurgery is common, Bookimed data shows Spain's top centers like Centro Médico Teknon integrate specific intraoperative monitoring for brachial plexus cases. This technology allows surgeons to test nerve conductivity in real-time. Choosing a facility with this specific equipment is more critical for success than the general hospital rank.</p> <p><strong>Patient Consensus:</strong> Focus on finding specialized hand and upper extremity surgeons rather than generalists. Patients emphasize requesting direct clinical case data from specialists because outcomes for C8-T1 nerve root damage are highly individual.</p>"},{"q":"What does post-operative recovery involve?","a":"<p>Post-operative recovery for Klumpke's palsy surgery in Spain involves an immediate 3 day hospital stay for monitoring and pain management. Patients then undergo a structured 10 day hotel recovery period. Long-term progress relies on intensive physical therapy to restore hand and forearm function after nerve repair.</p> <ul> <li><strong>Hospital monitoring:</strong> Patients stay 3 days for observation after complex brachial plexus nerve mapping.</li> <li><strong>Local recovery:</strong> International packages often include 10 days in a local hotel for stability.</li> <li><strong>Diagnostic follow-up:</strong> Recovery includes postoperative imaging like 3D CT scans or MRI of the area.</li> <li><strong>Specialist coordination:</strong> Care involves synchronized consultations with neurosurgeons and orthopedic traumatologists for functional care.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spanish centers like Centro Médico Teknon utilize intraoperative mapping to protect delicate nerves. Data shows that even with high-level surgeons like Dr. Joaquim Casañas, the physical therapy phase is the true driver of success. Top Spanish clinics integrate neurosurgery and orthopedics because nerve healing requires both structural repair and joint mobility.</p> <p><strong>Patient Consensus:</strong> Recovery is a disciplined process where surgery only provides the foundation. Most patients find that consistent, intensive physical therapy is mandatory for achieving functional gains in hand and arm movement.</p>"},{"q":"What is the difference between Nerve Grafting and Nerve Transfer?","a":"<p>Nerve grafting bridges gaps in damaged nerves using donor tissue. Nerve transfer reroutes a healthy, redundant nerve directly to a paralyzed muscle. While grafting uses the original pathway, transfer bypasses the injury site for faster recovery in severe cases like brachial plexus injuries.</p> <ul> <li><strong>Grafting technique:</strong> Surgeons insert nerve segments to bridge torn ends using microsurgery techniques.</li> <li><strong>Transfer technique:</strong> A functional donor nerve connects directly to the distal recipient nerve.</li> <li><strong>Donor sources:</strong> Grafting uses sensory nerves; transfer utilizes redundant motor or sensory nerves.</li> <li><strong>Recovery distance:</strong> Transfer offers shorter regeneration distances, reducing risks of permanent muscle atrophy.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spanish centers like Centro Médico Teknon integrate intraoperative mapping during these complex microsurgeries. This allows surgeons to test nerve signals in real-time. Knowing exactly which nerve fibers are functional helps them decide between grafting and transfer mid-operation. This precision is vital for cases where MRI results might be inconclusive regarding nerve root integrity.</p> <p><strong>Patient Consensus:</strong> Patients emphasize the importance of early EMG and MRI diagnostics to plan correctly. Most prioritize centers with specialized upper limb microsurgeons to ensure the most effective technique for their specific injury type.</p>"},{"q":"Where can I find specialized surgeons for this condition in Spain?","a":"<p>Specialized surgeons for Klumpke's palsy in Spain practice at JCI-accredited centers in Barcelona and Madrid. These experts focus on complex lower brachial plexus reconstruction using intraoperative mapping. Centers like Centro Médico Teknon and Hospital Ruber Internacional host neurosurgeons and orthopedic traumatologists who treat nerve injuries.</p> <ul> <li><strong>Expert neurosurgeons:</strong> Dr. Joaquim Casañas and Dr. Nnamdi Elenwoke at Teknon lead specialized nerve reconstruction.</li> <li><strong>Interdisciplinary teams:</strong> Top programs combine neurosurgery with orthopedic traumatology for comprehensive C8-T1 nerve repair.</li> <li><strong>Advanced diagnostics:</strong> Leading facilities utilize 3D CT scans and 3-Tesla MRI for precise neurovascular mapping.</li> <li><strong>Facility standards:</strong> Most high-volume nerve surgery units hold European Foundation for Quality Management certifications.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Klumpke's palsy cases require dual-specialty surgical teams rather than a single doctor. Data shows that top-tier Spanish packages, like those at Centro Médico Teknon, automatically include consultations with both neurosurgeons and orthopedists. This combined approach ensures that both nerve function and hand mobility are addressed during the same 3-day hospital stay.</p> <p><strong>Patient Consensus:</strong> Patients emphasize seeking hospitals with dedicated brachial plexus units within neurosurgery departments. Many recommend verifying specialist credentials specifically through the Spanish Society of Hand Surgery for lower plexus injuries.</p>"}],"h2":[{"text":"How it works","kind":"content"},{"text":"How Much Does Surgery for Klumpke's palsy Cost in Spain?","kind":"content"},{"text":"Surgery for Klumpke's palsy Packages in Spain — November 2026","kind":"content"},{"text":"Discover the Best Surgery for Klumpke's palsy Clinics in Spain: 2 Verified Options and Prices","kind":"content"},{"text":"Surgery for Klumpke's palsy Overview in Spain","kind":"content"},{"text":"Our Doctors","kind":"content"},{"text":"Video Stories from Bookimed Patients","kind":"ui"},{"text":"Reviews about Bookimed: Discover Patients' Insights","kind":"ui"},{"text":"Share this content","kind":"ui"},{"text":"FAQ about Surgery for Klumpke's palsy in Spain","kind":"content"},{"text":"Get a free consultation","kind":"ui"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}