Neonatal brachial plexus clinic

Birth-related brachial plexus clinic

Neonatal or birth-related brachial plexus injuries occur when there is damage to the brachial plexus, a bundle of nerves between the neck and shoulder, which carry signals to the arm and hand. When these nerves are damaged, a child may experience mild weakness to full paralysis of the affected arm. Our neonatal brachial plexus clinic takes a multidisciplinary approach to evaluating and treating children with a goal of improving function to the affected limb.

Our team includes experts from occupational therapy, neurosurgery and peripheral nerve surgery/plastic surgery in one convenient appointment.

Early intervention is key

Our multidisciplinary clinic is the only of its kind in the region and provides second opinions and quick access to care. Patients are often referred to us by their pediatrician, newborn nursery or NICU. Early therapy can promote nerve recovery, maintenance of range of motion and prevention of joint complications. While many brachial plexus injuries improve with therapy and time, some will require more intensive treatment (such as surgery) to reach their full potential.

Symptoms of a birth-related brachial plexus injury

Birth-related brachial plexus injuries occur in 1-3 of every 1,000 births. Symptoms can include weakness or paralysis of the impacted arm, loss of motor function, abnormal positioning of the impacted arm or reduced reflexes.

What should I expect at the first appointment?

You’ll be seen by multiple specialists in one appointment. We’ll evaluate the movement, sensation and current function of the impacted limbs. We’ll also provide education on home exercises and stretches and potentially information on bracing of the extremity. In some cases, further testing such as MRI and EMG (electromyography) may be recommended to evaluate the extent of the injury.

What treatments are available for birth-related brachial plexus injuries?

We’ll develop a treatment plan that’s specific to your child’s needs. The plan could include:

• Further testing
• Intensive therapy, including home exercise and stretches
• Splinting/bracing
• Surgery, such as neurolysis (nerve decompression surgery), nerve grafting and nerve transfer