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Doctor insights on: Erb Duchenne Paralysis

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Dr. Nader Ajluni
24 Doctors shared insights

Erb Duchenne Paralysis (Overview)

Erb Duchenne paralysis or Erb palsy is the temporary damage of the nerves of the brachial plexus (network of nerves in the shoulder area). It is most often seen as a birth injury due to stretching of nerves during a difficult birth (dystocia). Erb palsy can last for several months after birth.


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My son has erb-duchenne paralysis. Is that something serious?

My son has erb-duchenne paralysis. Is that something serious?

Most are transient: Occasionally the forces of delivery & position of the head & shoulder during the final moments of delivery put stress on the nerves exiting the neck to supply the shoulder & arm. Swelling around these nerves, will lead to changes in the position & movement of the affected arm in a pattern called erbs palsy.Most cases are transient & resolve in < 48hrs. Some will need therapy if persisting.

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Dr. Nader Ajluni
24 Doctors shared insights

Erb Duchenne Paralysis (Overview)

Erb Duchenne paralysis or Erb palsy is the temporary damage of the nerves of the brachial plexus (network of nerves in the shoulder area). It is most often seen as a birth injury due to stretching of nerves during a difficult birth (dystocia). Erb palsy can last for several months after birth.


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How long does treatment for erb duchenne paralysis take?

How long does treatment for erb duchenne paralysis take?

Erb Palsy Recovery: The treatment time depends on the type of recovery. Most erb's palsies will heal with therapy over 6-12 months. If surgery is required to improve function, the final result may take 2-3 years. Continued rehabilitation may be required for a lifetime if continued deficits are present.

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Is there a way to prevent the symptoms of erb-duchenne paralysis?

Difficult to answer: Erb's palsy (erb-duchenne palsy) is a paralysis of the arm caused by injury to the upper group of the arm's main nerves, specifically the upper trunk c5-c6 is functionally severed. The best way to prevent the symptoms is to avoid the injury in the first place.

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What are the tests for erb-duchenne paralysis?

What are the tests for erb-duchenne paralysis?

Thorough exam first.: A thorough physical and neurological exam is a must; radiological and electrodiagnostic tests may also be needed.

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What is the treatment for erb-duchenne paralysis?

What is the treatment for erb-duchenne paralysis?

Lots of PT.: Erb-duchenne paralysis, or neonatal brachial plexus palsy (bpp), usually is treated with extensive physical therapy (including a home regimen) and sometimes electrical muscle stimulation, splinting or taping.

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What are the tests for erb-duchenne paralysis?

Thorough exam first.: A thorough physical and neurological exam is a must; radiological and electrodiagnostic tests may also be needed.

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My son has erb-duchenne paralysis. Is that something serious?

Most are transient: Occasionally the forces of delivery & position of the head & shoulder during the final moments of delivery put stress on the nerves exiting the neck to supply the shoulder & arm. Swelling around these nerves, will lead to changes in the position & movement of the affected arm in a pattern called erbs palsy.Most cases are transient & resolve in < 48hrs. Some will need therapy if persisting.

See 1 more doctor answer
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What is the definition or description of: Erb Duchenne paralysis?

What is the definition or description of: Erb Duchenne paralysis?

Erb Duchenne: Erb Duchenne paralysis or Erb palsy is the temporary damage of the nerves of the brachial plexus (network of nerves in the shoulder area). It is most often seen as a birth injury due to stretching of nerves during a difficult birth (dystocia). Erb palsy can last for several months after birth.

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Is there a way to prevent the symptoms of erb-duchenne paralysis?

Difficult to answer: Erb's palsy (erb-duchenne palsy) is a paralysis of the arm caused by injury to the upper group of the arm's main nerves, specifically the upper trunk c5-c6 is functionally severed. The best way to prevent the symptoms is to avoid the injury in the first place.

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Can you get arm or nerve transplants for erb duchenne paralysis?

Can you get arm or nerve transplants for erb duchenne paralysis?

Yes: About 1 in 10 infants with brachial plexus injuries (cause of erb's palsy) recognized at birth requires surgical intervention, namely brachial plexus reconstruction using nerve graft.

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What is the treatment for erb-duchenne paralysis?

Lots of PT.: Erb-duchenne paralysis, or neonatal brachial plexus palsy (bpp), usually is treated with extensive physical therapy (including a home regimen) and sometimes electrical muscle stimulation, splinting or taping.

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How long does treatment for erb duchenne paralysis take?

Erb Palsy Recovery: The treatment time depends on the type of recovery. Most erb's palsies will heal with therapy over 6-12 months. If surgery is required to improve function, the final result may take 2-3 years. Continued rehabilitation may be required for a lifetime if continued deficits are present.

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Is erb duchenne palsy reversible?

Yes: 80% of cases improve without any help, within 1 week. Otherwise consulting a pediatric neurologist and physiotherapy, after 1 week is recommended.

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Can erb duchenne palsy come and go?

Can erb duchenne palsy come and go?

No: Erb's palsy results from a traction injury to the nerves in the neck. As such, once it presents, it remains present until it slowly resolves, which may take weeks or months. Although it is possible to re-injure those nerves, that is rather unlikely, and recurrent erb's would be quite unusual.

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Are there any good rehab techniques for children with erb duchenne palsy?

Yes: The main goal is to promote muscle lengthening, normal range of motion and hand-eye coordination; these are most effective if performed during infancy. Gentle stretching and passive range of motion exercises can be used. Most compensatory adaptation of movement the child tries to use should be discouraged, and normal movement encouraged. Check w/ a physiatrist or osteopathic doctor for specifics.

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Can unexplained arm paralysis be caused by erb palsy?

Can unexplained arm paralysis be caused by erb palsy?

Erb's palsy: This refers to an injury of the upper part of the brachial plexus, which results in problems with the fifth and sixth nerve roots in the neck. Most commonly, this occurs after birth trauma or motorcycle accidents.

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How long is erb palsy treated?

Erb Palsy: It is really based on how severe the palsy is and age at the time its occur. Erb's palsy is most common in infancy and the physical and occupational therapy is given for at least the first two years and often times even longer. In the adult the pt/ot is usually given up to 18 months to two years and in some cases surgical exploration might be recommended.

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Tell me about bracial plexus. Also known as erbs palsy?

Brachial plexus: The brachial plexus is a collection of nerves in the shoulder region that control the arm. An erbs palsy is a birth injury where this plexus gets stretched leading to injury of the upper group of nerves. The clinical findings are weakness around the shoulder and upper arm.

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Why do some babies recover from erb palsy while others do not?

Why do some babies recover from erb palsy while others do not?

Imaging: Cervical mri's can give a better answer as to the extent of cervical injuries. Those that recover tend to have nerves that are stretched and show inflammatiry responses. These tend to recover with physical therapy. A pediatric neurosurgeon can help delineate what is the best therapy.

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I am 21 and I have erbs palsy and my right shoulder what can I do?

Consult your MD: First step will be to determine the cause, traumatic or non traumatic cause. I will like to suggest that you consult you MD for an evaluation and for coordination of care with a neurologist, rehabilitative medicine and other specialties depending on the determined cause of the injury to the group of nerves termed the brachial plexus

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Dr. William Singer
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