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In a brachial plexus injury (BPI) nerves are damaged which causes muscles supplied by these nerves to be weak or paralysed. There are different types of nerve damage, some requiring surgical repair others that will recover fully or partially.
Nerves that are damaged may grow back but this recovery is very slow and it can take 12-18 months for this recovery to happen. In the meantime it is imperative to take good care of the baby’s joints and muscles.
Having a knowledgeable therapist work with you baby gives you peace of mind in knowing that everything that can be done is done during this critical period of development.
Some babies may need surgery to repair the nerve damage or take care of muscle and joint problems that are caused by the weak muscles. Your therapist can help direct you to surgical consultations as needed.

Information about Brachial Plexus Injury
Anatomy of the Brachial Plexus

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If the baby does not have normal strength in the biceps muscle by the age of 3 months, it is likely that the baby will have long-term problems with the arm.
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If nerve repair is needed, it has to be done within the first few months of life in order to be effective.
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The shoulder joint must be protected to minimize bone and soft tissue problems.
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