Therapy

In the therapy of brachial plexus paralysis, a complete relief of the affected arm is usually attempted first. In many cases, this improves the symptoms again, as the nerves are given time to regenerate.Stretching or other manipulation of the damaged nerve plexus must be avoided at all costs. The healing of a plexus lesion is often a lengthy process.

If the relieving procedure does not bring any improvement after half a year at the latest, a surgical intervention must be considered. In some cases the operation is performed earlier. Torn nerves can be sutured, and in the case of long-distance tears it may also be necessary to perform a nerve transplantation.

These operations are very difficult and require a lot of experience from the surgeon. A complete regression of the symptoms often does not occur even after surgical measures. Targeted physiotherapeutic exercises are very important for the treatment of brachial plexus paralysis.

They serve to maintain and promote the function of the now less activated musculature and thus prevent the breakdown of the musculature. The exercises are also intended to prevent shortening of the muscles (contractures). Since the one-sided regression of the muscles can also lead to unpleasant incorrect posture, which in turn can also cause consequential damage, physiotherapy also focuses on maintaining the symmetry of the body.

The exercises often have to be carried out several times a day by the patient at home in order to achieve an optimal activation of the musculature. For children who are affected by plexus paralysis immediately after birth, there are special, very intensive therapy procedures (for example according to Vojta and Bobath) that require a lot of discipline from both parents and child. If the therapy concept is adhered to, however, the results are often very good.

Prognosis

The prognosis for brachial plexus paralysis varies greatly depending on the extent of the damage. In general, healing of the nerves takes a long time. In the case of extensive injuries, which also require surgery, not all symptoms will completely disappear in many cases. Overall, there is always a certain risk of permanent neurological deficits.