Brachial Plexus Nerve Surgery
Overview
The brachial plexus is a bundle of nerves that originates in the neck region of the spinal cord and creates a network that connects to the nerves in the shoulder, arm and hand. It controls function and sensation in the wrist, arms, and hands. Injuries to this network can result in partial or complete loss of function and feeling, leading to significant disability and numbness in the arm and hand.
Brachial plexus injuries happen when these nerves are stretched or torn away from the spinal cord. These may occur during child birth, trauma, tumor, inflammation, athletic injury, or compression.
In extreme cases, brachial plexus injury can leave the arm paralyzed, but physiotherapy and surgery may help.
Symptoms
Common symptoms of brachial plexus nerve injuries include:
- Numbness and weakness in the wrist, arm or shoulder.
- Unable to move the shoulder, arm, wrist or hand.
- An arm that hangs limply.
- Severe and sudden pain in the shoulder or arm.
Diagnosis
To know how serious your brachial plexus injury is, you may need one or more of the following tests:
- Physical exam to assess muscle strength, sensation, and functional limitations.
- X-ray of the shoulder and arm area to rule out fractures or other injuries.
- Electrophysiological tests such as Nerve Conduction Studies (NCS) and Electromyography (EMG)
- MRI scan to visualize injury to nerves of the brachial plexus.
Treatment
The goal of the brachial plexus nerve injury treatment is to restore lost function, manage pain, and prevent long-term disability. While, in mild cases, conservative treatment options such as medications, physical therapy, and regular monitoring may help, however, in severe injuries, especially the ones that fail to heal on their own, patients may require surgery to repair the damage.
The surgical approach is tailored to the type and extent of injury and may include one of the following procedures:
- Nerve repair in case of torn nerves injured by sharp objects.
- Neurolysis, a procedure that involves removal of scar tissue from the injured nerve to improve function.
- Nerve transfer to create a framework for new growth by attaching a less important but functional nerve to the damaged nerve.
- Nerve graft, where a healthy nerve from another part of the body is connected to two ends of a separated nerve.
Postoperative Care and Rehabilitation:
- Regular follow-up post surgery.
- A gradual return to regular activities.
- Comprehensive rehabilitation program combining physiotherapy, occupational therapy, and neuromuscular retraining to strengthen muscles and restore joint mobility.
Why Choose Us?
- Highly experienced team of pediatric neurosurgeons specialize in nerve surgeries
- Multidisciplinary team works closely with neurosurgeons, neurologists and orthopedic surgeons.
- Child-centric compassionate approach inspires us to create a child-friendly environment that helps young patients feel at ease throughout their treatment journey.
- Rehabilitation approach includes well-trained physiotherapists and rehabilitation specialists to provide a complete spectrum of spine care.
- 24/7 Emergency Care ensures immediate and expert intervention when needed.
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Overview
The brachial plexus is a bundle of nerves that originates in the neck region of the spinal cord and creates a network that connects to the nerves in the shoulder, arm and hand. It controls function and sensation in the wrist, arms, and hands. Injuries to this network can result in partial or complete loss of function and feeling, leading to significant disability and numbness in the arm and hand.
Brachial plexus injuries happen when these nerves are stretched or torn away from the spinal cord. These may occur during child birth, trauma, tumor, inflammation, athletic injury, or compression.
In extreme cases, brachial plexus injury can leave the arm paralyzed, but physiotherapy and surgery may help.
Symptoms
Common symptoms of brachial plexus nerve injuries include:
- Numbness and weakness in the wrist, arm or shoulder.
- Unable to move the shoulder, arm, wrist or hand.
- An arm that hangs limply.
- Severe and sudden pain in the shoulder or arm.
Diagnosis
To know how serious your brachial plexus injury is, you may need one or more of the following tests:
- Physical exam to assess muscle strength, sensation, and functional limitations.
- X-ray of the shoulder and arm area to rule out fractures or other injuries.
- Electrophysiological tests such as Nerve Conduction Studies (NCS) and Electromyography (EMG)
- MRI scan to visualize injury to nerves of the brachial plexus.
Treatment
The goal of the brachial plexus nerve injury treatment is to restore lost function, manage pain, and prevent long-term disability. While, in mild cases, conservative treatment options such as medications, physical therapy, and regular monitoring may help, however, in severe injuries, especially the ones that fail to heal on their own, patients may require surgery to repair the damage.
The surgical approach is tailored to the type and extent of injury and may include one of the following procedures:
- Nerve repair in case of torn nerves injured by sharp objects.
- Neurolysis, a procedure that involves removal of scar tissue from the injured nerve to improve function.
- Nerve transfer to create a framework for new growth by attaching a less important but functional nerve to the damaged nerve.
- Nerve graft, where a healthy nerve from another part of the body is connected to two ends of a separated nerve.
Postoperative Care and Rehabilitation:
- Regular follow-up post surgery.
- A gradual return to regular activities.
- Comprehensive rehabilitation program combining physiotherapy, occupational therapy, and neuromuscular retraining to strengthen muscles and restore joint mobility.
Why Choose Us?
- Highly experienced team of pediatric neurosurgeons specialize in nerve surgeries
- Multidisciplinary team works closely with neurosurgeons, neurologists and orthopedic surgeons.
- Child-centric compassionate approach inspires us to create a child-friendly environment that helps young patients feel at ease throughout their treatment journey.
- Rehabilitation approach includes well-trained physiotherapists and rehabilitation specialists to provide a complete spectrum of spine care.
- 24/7 Emergency Care ensures immediate and expert intervention when needed.