Doctor insights on:
Erb Duchenne Paralysis In Children
...is a corruption of French "paralise" from Latinized Greek "paralysis." In the old days it meant any kind of persistent weakness. To this day Parkinson's disease is also called "paralysis agitans" which is a Latin translation of Dr. Parkinson's original name for it, the "shaking palsy." We've obviously reborrowed the full form "paralysis" into English as well; today ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
Depends: I am assuming that you were born with the erb's palsy? Or did it happen after an accident? If the inury is more than 2 years old, the only realistic options are muscle/tendon transfers. This basically means that they will consider moving some muscle from a functional area of your limb to the place in which you have no movement. So one of your triceps bellies could end up in your shoulder ...Read more
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. ...Read more
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. ...Read more
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 ...Read more
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. ...Read more
Is it right that 60% of erbs palsy cases happened because of congenital problem in pelvic of the mother?
Injury of the: Brachial Plexus, 5 nerves that exit the spinal cord between neck bones & give the arm movement & feeling, can occur at delivery of a breech or large baby or if baby's head delivers normally but 1 shoulder gets stuck under mom's pelvic bones. In 90%, function recovers in 2 wks. Or in 3-6 mos. With physical therapy. Seek treatments for depression/ anxiety, as they can impact infant development. ...Read more
Erb's 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 severed. These injuries arise most commonly, but not exclusively, during a difficult birth. Depending on the nature of the damage, the paralysis can either resolve on its own over a period of months, necessitate rehabilitative therapy, or require surgery. ...Read more
I have erbs palsy, had surgery in 2012, fell down in january this year and the bone they operated on shifted upward, still have had no treatment??
Mgt: It would helpful to have the radiographs uploaded to your virtual appointment records, so that an Orthopedic specialist may view them. ...Read more
0.5-1.6%.: Overall incidence of congenital permanent brachial plexus injury is 0.04-0.2% of us live births. If you have shoulder dystocia, permanent injury to the brachial plexus is anticipated in 0.5-1.6% of cases. ...Read more
3wks baby Erbs palsy. After first exercise she made all movement. But prefer to put hand on chest & had some weaknesses. Will recover completely soon?
Need more info: The recovery from herbs palsy depends on A number of factors, I have seen patients have full recovery but also I have seen some partial recoveries. At three weeks it's too soon to tell. I recommend you ask your doctor and ask if there's any positioning that you should avoid or try to keep the baby in. ...Read more
12wks baby erbs palsy has all movements. Doctors cant determine which hand is palcy, but sometimes has some weakness, is there chance to full recovery?
Erbs palsy since birth. 22 now. Loosing motion in hand slowly, arm locking up more, numbness more. More pain. What do I do!? Splint/brace? Surgery?
Never too late: Erb's affects the upper brachial plexus, and your hand involves lower plexus, so this is new superimposed on the prior. The symptoms raise concern that a complex regional pain syndrome may be evolving, and this needs to be addressed asap. The therapy can wait, as the diagnosis must precede. Believe, your best bet is to see a physiatrist initially and perhaps other specialists later. ...Read more
3month baby suddenly refuses to eat from left breast. Right breast is more productive. Not ear infection& left hand was erbs palsy. Can it be torticollis?
Reason often unknown: Selecting one side only is not unusual but frustrating. If your baby keeps his head tilted or refuses to rotate completely from side to side, this may be reason. If you have a low grade infection in breast or plugged ducts, it may affect the taste of the milk or "let down" may not be as effective on L side. Try football hold, keeping b's head on the R, as if he were still on the R breast. ...Read more
I have hypokalemic periodic paralysis. Should I not marry and have children because my children will inherit it? Thank you.
It's up to you...: BUT...Hypokalemic periodic paralysis is a treatable genetic disorder with a normal life span. Progress in genetics and DNA analysis suggests there may be better treatments and even cures in the future. Unless a patient is so miserable that they would never want to put their child through the same experiences, I would advise against a decision not to marry or have children. That seems extreme! ...Read more
Yes but. . .: Yes, there is no reason that a person with duchenne could not reproduce. However, most people with duchenne elect not to because as they get older their health tends to become more fragile. Also if they have daughters they have a 100% chance that their daughters will carry the disease which means their grandsons would be affected. ...Read more
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 ...Read more