Once we have a clear understanding the type and severity of your child's brachial plexus injury, our team will work closely with you determine the best plan of care. Depending on your child's diagnose, he or she will either heal on their own with the support of physical and occupational therapy to assure that they regain the fullest use possible of their arm, wrist and hand. If the damage is more serious, we will likely recommend surgery.
Therapy
Our therapy team will create a plan that is custom fit to your child's needs. They will also work with you and other family members so that you can help your child with stretches at home and to help keep them from getting discouraged. Your child's therapy may include, but is in no way limited to:
- Stretching to keep joints loose
- Developing motor skills
- Movement exercises
- Arm and hand exercises
Surgery
If your child's injury is serious and does require surgery your doctor and a team of specialists will carefully go over all of the details with you, including what to expect before, during and after surgery. For most children who undergo surgery, therapy will also be required to assure the best possible recovery. Depending on your child's injury, our highly skilled, experienced neurosurgical team will perform one of the following procedures:
- Neurolysis
- Nerve graft
- Nerve transfer
- Free muscle transfer
- Capsule release
- Tendon transfer
For infants undergoing surgery, the typical stay is two to three days. Your baby's arm will be placed in a soft sling for approximately three to four weeks. Range of motion therapy will typically begin at this time.
For children, teens, and young adults, the length of time of surgery and the hospital stay will depend on the complexity of the surgery.