#upperlimbinjury

Brachial plexus injury is a serious nerve condition that affects the movement and sensation of the shoulder, arm, and hand. The brachial plexus is a complex network of nerves that arises from the neck region of the spinal cord and controls essential upper limb functions such as lifting the arm, bending the elbow, gripping objects, and sensing touch and pain. When these nerves are damaged, everyday activities can become challenging.

In Kerala, brachial plexus injuries are frequently seen after road traffic accidents, falls from height, sports injuries, and occupational trauma. In newborns, this injury may occur during difficult childbirth, especially in cases involving shoulder dystocia or prolonged labor. The severity of symptoms depends on the extent of nerve involvement.

Symptoms and Functional Limitations

Patients with brachial plexus injury may experience weakness in the arm, loss of sensation, tingling, or severe nerve pain described as burning or electric shock–like sensations. In severe cases, partial or complete paralysis of the arm can occur. Without timely treatment, prolonged nerve damage may lead to muscle wasting, joint stiffness, and permanent functional impairment.

Diagnosis and Evaluation

Early and accurate diagnosis is crucial for better recovery. Clinical examination supported by imaging studies such as MRI scans and nerve tests like nerve conduction studies and electromyography helps determine the type and severity of nerve injury. These investigations guide treatment planning and help identify patients who may benefit from early surgical intervention.

Treatment and Rehabilitation in Kerala

Treatment options depend on the severity of the injury. Mild nerve stretch injuries may recover with physiotherapy, pain management, and regular monitoring. Moderate to severe cases often require advanced microsurgical procedures such as nerve repair, nerve grafting, or nerve transfer surgery. Early intervention improves the chances of meaningful nerve recovery.

In Kerala, patients have access to specialized care for nerve injuries. Dr. Pradeep Kumar, a specialist in nerve and reconstructive procedures based in Thrissur, provides comprehensive evaluation and treatment for brachial plexus injuries, with a strong focus on timely intervention and structured rehabilitation.