Doctor insights on:
Medicine For Brachial Plexus Nerve Injury
A complete nerve transection will leave an area totally numb. The distribution of the numbers depends upon where the nerve was cut. A partial nerve injury may leave the area tingly or incompletely numb. Finally even if the nerve is not cut the swelling and bruising to the tea can affect the nerve as well. Usually we consider sharp penetrating injuries as likely having nerve lacerations when sensation is lost. A hand surgeon can examine the hand and pinpoint the site or extent of nerve injury and recommend ...Read more
Nerve damage: A brachial plexus nerve injury is a serious injury and can range just a mild stretch injury to disruption of a nerve which could mean a surgical exploration is necessary to repair it. There is no "first aid" available but in the milder injuries physical therapy is helpful. ...Read more
Physical therapy: Acutely, there is little to do for a closed brachial plexus stretch injury. Most neurosurgeons will watch these for recovery of sensation and/or movement. If there is no improvement after 3-6 months, surgeons may explore these and remove scar and possibly do nerve grafts across the injured part. Acutely with open injuries, some may surgically explore and attempt to repair the nerve. ...Read more
Related: Peripheral nerve damage is damage to both the nerve and the surrounding tissue since the nervous system is characterized by dependence of neurons on their supporting glia. Brachial plexus dysfunction (brachial plexopathy) is a form of peripheral neuropathy. It occurs when there is damage to the brachial plexus, an area where a nerve bundle from the spinal cord splits into each arm nerve. ...Read more
It varies.: Symptoms can include severe pain, numbness, or weakness in the affected arm and shoulder. Make an appointment to see your physician if you're concerned. ...Read more
How is the brachial plexus nerves reconstructed after injury? Is there a timeframe for them to be reconstructed?
Complex: Brachial plexus repair is complex. Repair earlier than 9-12 months is associated with better outcomes, if repair is possible. ...Read more
The brachial plexus injury from my first rib is the left. Would surgery be more complicated? Been there for two years with nerve involvement.
My first rib injury two years ago has caused brachial plexus injury as well. I know there are drugs and took gabapentin. What else besides drugs?
Confirmed first rib injury with brachial plexus involvement. Nerve root C5 and C6 injured at brachial plexus near first rib. Chances of healing?
Brachial plexus: Depends on the length of time since the injury and the extent of the injury. If it involves the insulation of the nerves (myelin) recovery is 3 weeks to 3 months if no further injury. If the wires themselves (axons) are injured it depends on how bad they are injured. Can take 6-12 months if not injured past point of ability to repair. ...Read more
Chronic whiplash injury and luq has malfunctioned. Brachial plexus triggers nerve symptoms but nerves not injured. Starting rehab. Healing possible?
Get diagnosis first: Be efficient, and get answers as to why your injury did not fully heal. Not uncommon is an injury to the brachial plexus from shoulder strap, with eventual scarring, called thoracic outlet syndrome. Therapy does help, but is a specific approach, such as felderkreis work. Both EMG and ultrasound studies could pin down precise mechanism. If you have tos, about 85% success with conservative rx. ...Read more
Could sharp pain between my shoulder blade and spine be attributed to my brachial plexus injury and suprascapular nerve compression.
As the brachial plexus comes from the cervical spine, while the area mentioned (between spine and scapula) is supplied by nerves from the thoracic spine.
One could have both lesions though.
See your spine specialist.
Good luck. ...Read more
First rib injury two years ago and undiagnosed until this week. Brachial plexus injury and sympathetic nerve involvement in face. What treatment?
Does lamictal also help with nerve pain? Take 100 mg daily for seizures but also have nerve pain in hand/wrist related to old brachial plexus injury
Wait for healing: Most brachial plexus injuries from car or motorcycle crashes involve stretching the nerves. Although they are not usually completely torn apart, they can take a long time to heal. In some cases, they do not heal at all. You can see a neurologist, and nerve conduction studies can be performed to document recovery. ...Read more
Brachial plexus: Injury to the nerves that come out of the spine & go to the shoulder, arm, elbow, wrist & hand. ...Read more
Varieble: If acute, might use steroids, but if chronic, analgesics, and physical therapy. If thoracic outlet syndrome, maybe Feldenkries postural therapy, but if unresponsive, perhaps surgical decompression. If rootlets avulsed from spinal cord, no reversibility, and must treat with palliation. ...Read more
If my first son had a brachial plexus injury at birth, what are the chances that my next child will as well?
Variable: In general, brachial plexus injury is not felt to be hereditary. However, depending on the cause of the injury, there may be increased risk with subsequent pregnancies. For example, if the woman has an unusually small pelvis, or tendency to have unusually large babies (e.g., due to diabetes) the chance for difficulty during vaginal delivery, and subsequent brachial plexus injury, is increased. ...Read more
Arm paralysis.: Brachial plexus injuries (usually congenital) are serious morbid conditions resulting from trauma on the nerves travelling from the neck to the arm. They cause permanent paralysis of the affected arm. Physical therapy can help. Fortunately, this complication occurs very rarely even in cases of shoulder dystocia; its overall incidence is 0.04 to 0.2% of live births. ...Read more
EMG/NCS: Electromyography combined with a nerve conduction study is the standard of care test for a brachial plexus injury. However, the test may not abnormal unless the injury occurred 2-3 weeks or more prior to the test. An MRI can detect more severe brachial plexus injuries. Of course, no test is a substitute for a good history and physical exam. ...Read more
Can be bad: Traumatic brachial plexus injuries such as those from motor vehicle accidents cause severe weakness and paralysis of the upper extremity. In it's worst instance, the nerve roots can be avulsed from the spinal cord causing this condition. It can require nerve transfers and complex nerve repair surgery by a specialist in this type of injury. ...Read more
Therapy: Nerves will heal over time but full strength will slowly follow. It can take up to a year for a major nerve injury to heal. Continue to use the affected muscles. This will promote nerve growth and reorganization. Physical therapy does not end when you are discharged. You will need to continue your home program. ...Read more
Neuropraxia is defined as a temporary loss of function of the nerve. Some nerves are purely sensory while others carry both sensory and motor fibers. Traumatic contusion injuries to nerves or nerve compressions can cause Neuropraxia. Sensory nerves like sural nerve in the leg or mixed sensory and motor nerves like the median and ulnar nerves in the forearm & hand ...Read more
The brain and spinal cord communicates with what is occurring in the internal organs and limbs by nerve fibers where are like electrical wires with insulation (myelin) and the "copper" (axon). Within brain and spinal cord these nerves connect to other nerves via synapses on both axons and dendrites. A nerve can carry information regarding sensations, and ...Read more