Doctor insights on:
Medicine For Brachial Plexus Sports Injury
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?
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
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
No: The cervical plexus can be stretched during delivery.After the head is out, it is pulled forward & angled up or down to get the shoulders & rest of baby out.If the plexus responds with swelling around the nerves, transient loss of function(dys/wks) may be found.If the nerves are damaged by the stretch, nerves may be permanently damaged.This is birth trauma any kid could get.It is not hereditary. ...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
Nerve damage: The brachial plexus is a complex of nerves arising from the neck and innervating the upper back, and arm. This can be injured by puncture wounds, direct trauma or falling asleep when intoxicated with the arm over the edge of a chair. Many important functions are served by this set of nerves. If you have concerns about this, see your doctor for evaluation and treatment if possible. ...Read more
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
Yes: When there is damage to higher brachial plexuses (involving cervical 4 part of spinal cord), it can cause see-saw breathing from the involvement of one or both sides of the diaphragm; if there is pneumothorax (air leak) because of rupture of pleura (lung cover) from the fracture of collar bone (clavicle), it can cause of severe pain and respiratory difficulty (can be life threatening), also. ...Read more
Brachial plexus: Injury to the nerves that come out of the spine & go to the shoulder, arm, elbow, wrist & hand. ...Read more
MRI: Mri's can better image the cervical area and pinpoint possible injury. ...Read more
I suffered a brachial plexus injury 23 years . How can I get through to my doctors and get something for my pain? It is never going to get better.
Pain specialist: Management of this pain is can be highly specialized fellowship trained interventional pain doctors make sure your dealing with someone who has experience with this problem have you tried spinal cord stimulator thanks for your question. ...Read more
Sure, it can: Brachial plexus injury means an injury to the bundle of nerves called the brachial plexus. It hides up between your neck and into your armpit area. The inure occurs by physically damaging the nerves, usually by stretching. Think a baby's shoulder being yanked oduring delivery. Of course someone could abuse a baby with similar forces and cause a similar injury. ...Read more
Did I do something wrong during the pregnancy to cause my child to have a brachial plexus injury?
Can brachial plexus injuries be repaired a year after injury? Can neck injuries be surgically repaired several months after injury?
No: Generally, injuries to nerves or the spinal cord are more amenable to repair when the intervention occurs very soon after the injury. ...Read more