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brachial (erb's) palsy

brachial (erb's) palsy

i've had brachial palsy since birth.  the nurse who was delivering my pulled my right arm too hard and ripped my nerve.  after about 2weeks i was able to move my arm again but just a little bit.  ive been to the cleveland clinic many times and the results are the same, guess work.  surgery may be an option but it has to be one that will work and do what i need to happen.

i wanted to know if there is a way to increase mobility in my arm.  i cant lift my arm properly because of something blocking in my shoulder.  it feels like a bone that digs into my arm so i can only do an 75 degree "lift".  

my second question was if there was a way to make my arm grow just for a few inches?  its about 4inches shorter than my left arm and its only bothersome because my clothes don't fit my right side.  ive thought about growth hormones but don't have a doctor i can talk to about it.  (im currently not insured for this)  also i only needed my arm to grow, not my whole body like the growth hormones do.
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Avatar_n_tn
Hi,
How are you feeling now?
How is your arm?
Brachial plexus injury is a group of nerves which conduct impulses from spine to shoulder, arm and hand. It causes severe paralysis from avulsion to milder version like loss of sensation of arm from neuropraxia. Many brachial plexus injuries heal without specific treatment. Physical and occupational therapy may be useful in regaining strength and use of the arm and hand.  Pain medicine may be needed to reduce pain and allow more use of the arm.  With severe traumatic injuries, surgery may be indicated. Neurolysis, Nerve grafts, Nerve transfers and Muscle transfers can be done.
When looking at the treatment of limb length discrepancy, each individual has unique characteristics that require specific management.
The first consideration is differentiating between functional and structural deformities. Often the body adapts well to the inequality, and some authors believe that the deformity is best left untreated. However, others believe treatment for the deformity is essential to prevent further complications such as osteoarthritis.
You need to consult a podiatrist and decide on further course of action.
Bye.
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Avatar_n_tn
Hi,
You should now understand the fact that your right upper limb cannot become normal as the leftone. It can only be used as a support. Now the question comes to functionality of the limb. How can we improve the functionality of the upper limb will be priority.
Since you have said it is since birth,  at this stage only secondary reconstructions can be considered at the best.
Before commenting on the status it would require a indepth examination.Hence would require a plastic surgeon evaluation.
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Avatar_f_tn
why would i need a podiatrist?  they deal with legs not arms dont they?

i was told my case is somewhat mild.  sensitivity is gone from my forearm and is spreading to my hand and fingers.  i have very strong deltoids and the muscles that go along the back of my ribs.  my triceps are weak and my shoulder blade pops out of place severely.   physical therapy hasnt helped and ive had it all my life.  that doesnt stop me from attempting to use it anyways but in different ways.  even if surgery wont help i still would like my arm to grow just a bit more.  ill try looking into that plastic surgeon.  i was told only to speak to neurologists before so maybe this person will have new information for me.

thank you all
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Avatar_n_tn
Hi,
I am sorry, you need not see a Podiatrist.
Bye.
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Avatar_n_tn
Hi,
The brachial plexuses injury is dealt by both plastic surgeons and neurologist but ultimately it is plastic surgeons who treat the patients.
The information posted by you looks like there have been a partial recovery in your cases. Weak triceps indicates something to do with radial nerve injury.

Do schedule an appointment and post the advice given to you.
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