Treatment for Erb's Palsy
Erbs Palsy/Brachial Plexus Palsy that does not spontaneously heal can require exercise, therapy, and possibly surgery. In 80 percent of the babies born with Brachial Plexus Palsy, recovery occurs without surgical intervention. Often times, though, the function of a child's arm can benefit from surgical procedures. Researchers find surgery most effective in children between the ages of 5 and 12 months that suffer from brachial plexus palsy. The surgery has been less effective in children over the age of one.
The determination of whether or not to perform surgery depends on the individual child with brachial plexus palsy. The brachial plexus palsy surgical procedure requires a pediatric neurosurgeon, a special anesthesia, an operating microscope, monitoring equipment, and specialists to expose and identify each of the nerves of the brachial plexus and surrounding structures.
Most children with brachial plexus palsy injury have damage to multiple nerves so more than one procedure must be performed. Younger children recover faster from brachial plexus palsy surgery. Injuries that involve nerves below the elbow have a lower rate of improvement because of the location of the nerves and the distance that they need to regenerate.
A physical therapist may also work with children suffering from Brachial Plexus Palsy to help increase range of movement. Performing daily exercise to keep the muscle and joints limber and moving may also help Brachial Plexus Palsy, and may prevent the joints from freezing in place. If the child with brachial plexus palsy does not exercise and use the muscles in the arm and hand, the muscles will remain weak and may not grow normally. This may also lead to additional tightness in the muscles and joints.
The long-term goals for a child with brachial plexus palsy are to realize at least partial use of the affected arm or hand. Having the ability to feed one's self or to use the affected arm or hand to help the other arm lift and carry things is often a realistic goal. Most of the mild cases of brachial plexus palsy injuries recover in three to four months. More severe cases improve slowly over 18 to 24 months. In general, by the age of two a child will make no further improvement or recovery with regard to Brachial Plexus Palsy.
Adjusting to life with a brachial plexus injury can challenge children as they grow up. Things like driving a car can be difficult without the full use of the arm or hand. Finding lifestyle modifications can help. Occupational therapists can often suggest special modifications to aid in performing everyday activities. For example, when purchasing a vehicle a person suffering from Brachial Plexus Palsy should have an assessment done at a driver assessment facility or by his or her occupational therapist so that he or she can acquire a prescription detailing the modifications needed to make the vehicle drivable. An adaptive equipment dealer can make the required modifications.
Children are born with birth complications every day. But it's possible that some of those birth complications, like Erbs Palsy , could have been prevented. You deserve to know if your child's disability is due to negligence. Contact us here to find out about your legal options
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