Treatment for Peripheral Nerve Injuries
The treatment approach to peripheral nerve problems depends upon the nature of the problem. Many injuries, particularly “stretch injuries” will recover without requiring surgery. Some injuries, especially severe stretch injuries or lacerations, will require surgery to repair or reconstruct the affected nerves.
With respect to brachial plexus birth injuries, the majority of babies affected by this condition will make a full recovery with therapy alone, while others may require extensive therapy and possibly surgical intervention. Treatment initially includes:
- Specialized occupational therapy to maintain motion and prevent joint deformity in the affected arm.
- Specialized splints may be required to protect the joints from developing deformities.
In some cases, botulinum toxin (Botox) is used to temporarily weaken “functioning” muscles that are contributing to joint deformity. After the Botox is given, intensive therapy is used to help strengthen the “weakened” muscles and place the shoulder in a better position.
If the injury is severe, surgery may be required to release affected nerves from surrounding scar tissue, repair/reconstruct damaged nerves, or transfer “redundant” nerves to stimulate muscle function.
Additional procedures that may be recommended as children grow, include release of tight muscles or joints, tendon transfers, or joint fusions.