Brachial Plexus Injuries

🧠 What is the Brachial Plexus?

The brachial plexus is a network of nerves that starts in the neck and travels through the shoulder to control the muscles and sensation in the:

  • ðŸĶī Shoulder

  • 💊 Arm

  • ✋ Hand

It’s like the “nerve highway” of your upper limb!


ðŸ’Ĩ What is a Brachial Plexus Injury?

This injury occurs when those nerves are stretched, compressed, or torn, affecting how your arm moves and feels.


🔍 Types of Injuries

From mild to severe:

  1. Neuropraxia (ðŸŸĒ Mild) – nerves stretched, but not torn

  2. Axonotmesis (ðŸŸĄ Moderate) – nerves damaged but outer covering intact

  3. Neurotmesis (ðŸ”ī Severe) – complete tear of the nerve

  4. Avulsion – nerve root pulled out from the spinal cord (very serious)

  5. Rupture – nerve torn but not at the spinal cord


⚠ïļ Causes

  • ðŸĪ• Trauma (car/motorcycle accidents, falls)

  • 🏈 Sports injuries (e.g. “stinger” or “burner” in football)

  • ðŸ‘ķ Birth injuries (shoulder dystocia during delivery)

  • 🔊 Surgical complications or tumors pressing on the nerve


❗ Symptoms

  • 🧊 Numbness or loss of feeling in the arm/hand

  • 💊 Weakness or paralysis in the shoulder, arm, or hand

  • ðŸ”Ĩ Burning, tingling, or electric shock-like pain

  • 🧠 Muscle atrophy (in longer-term cases)

Symptoms can affect just the shoulder, or the whole arm, depending on the location and severity.


ðŸĐš Diagnosis

  • ðŸ‘Ļ‍⚕ïļ Clinical exam and history

  • ⚡ Nerve tests (EMG/NCS)

  • ðŸ§ē MRI or CT myelogram to view nerve damage


🛠ïļ Treatment

For Mild Injuries (Neuropraxia):

  • 🛌 Rest and observation

  • 💊 Pain management

  • 🧘‍♂ïļ Physical therapy

For Severe Injuries (Rupture or Avulsion):

  • 🔧 Nerve graft or transfer surgery

  • ðŸĶū Tendon or muscle transfer (in advanced cases)

  • 🧘 Long-term rehab and strength training


⏱ïļ Recovery

  • âģ Recovery can take weeks to months

  • 🔁 Some mild injuries heal on their own

  • ðŸ’Ą Early diagnosis and treatment improves outcomes significantly


ðŸ›Ąïļ Prevention Tips

  • 🏍ïļ Use proper safety gear (helmets, pads)

  • 🏋ïļ Strengthen neck and shoulder muscles

  • 🧘 Maintain good posture

  • 🚞 Monitor high-risk deliveries carefully

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