The Brachial Plexus Clinic at Kennedy Krieger Institute is one of the few clinics in the country that offers multidisciplinary services and innovative techniques for brachial plexus injury treatment and peripheral nerve problems affecting infants, children and adults. We see patients who may have either birth-related or traumatic brachial plexus injuries.
What is the brachial plexus?
The brachial plexus is the network of nerves that sends signals from your spinal cord to your shoulder, arm and hand.
What is a brachial plexus injury?
A brachial plexus injury is an injury to the brachial plexus occurs when these nerves have been stretched or even in some cases, torn. These types of injuries are common in contact sports, falls, or auto accidents, but can also occur during an infant’s birth.
Variations of brachial plexus injuries that are treated by the Brachial Plexus Injury Clinic at Kennedy Krieger include:
- Neonatal (birth-related) brachial plexus palsy
- Traumatic brachial plexus palsy in older children or young adults
- Erb's palsy
- Peripheral nerve tumors
- Idiopathic and other nerve conditions
Adults with a history of neonatal brachial plexus palsy can also benefit from our interdisciplinary approach to assess and, in many cases, improve long-term impairments such as stiffness, over-use syndrome and long-standing compensation.
How is a brachial plexus injury treated?
Brachial plexus injuries can result in permanent impairments if not treated as soon as possible; early intervention is the key to regaining function.
Our team of specialists evaluates each patient to determine the extent of the injury. The evaluation could also include diagnostic tests such as x-rays, electro-diagnostic studies, MRIs or CT scans.
No two brachial plexus injuries are exactly alike. After evaluations are complete, we provide each patient with a customized treatment and therapy plan designed to maximize nerve and functional recovery. Prognosis is assessed for each patient individually based on the type and severity of their injury.
Our two treatment options include:
- Non-surgical Treatment Options: Occupational therapy and physical medicine are always part of the recovery process. The Kennedy Krieger Institute not only offers traditional therapies, but also the opportunity to receive intensive activity-based restorative therapies (ABRT) to maximize the recovery and neurodevelopmental processes which lead to function and development of adequate and efficient motor patterns.
- Surgical Treatment Options: The degree of functional impairment and potential for recovery depends on the mechanism, type, complexity of the brachial plexus injury, and time from injury. The most important decision your surgeons will make is determining if and when surgical intervention should occur.
“We had a wonderful experience at the Brachial Plexus Clinic at Kennedy Krieger. The doctors were very insightful of our daughter’s injury and guided us in the right direction. They answered all of our questions in great detail and made us more comfortable with the potential outcome.”
“I would recommend Kennedy Krieger to anyone with a brachial plexus injury for occupational therapy as well as the Brachial Plexus Clinic they offer. We had a wonderful experience at Kennedy Krieger Institute.”