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Erbs Palsy

I have 8 years old daughter Niveditha born on 29th Feb 2008 , forceps assisted vaginal delivery was performed. Both mother and baby were healthy following the delivery. Later, we noticed that the baby was not using her right upper limb completely, with gradual progressive deformity. It was diagnosed as Erb's palsy by a pediatrician and we took her to hosmat hospital at Bangalore when she was 7 days old and we were advised physiotherapy and we wanted to take secondary opinion we met Dr. Saji , Hod at St.Johns hospital and we were readviced same.,it's been 8 years we have been getting physiotherapy at regular intervals by physiotherapist . We would wish to know is this the only option or do we have advanced or better way forward
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Doctor Answers (5) on Erbs Palsy

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Dr. Anantha Lakshmi Hyderabad | Cardiovascular And Pulmonary Physiotherapist
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If there is no change over the 3 to 6 months, your doctor may suggest surgery on nerves to improve potential outcome.
Depends upon nerve injury nerve grafting can be done by using another nerve from another muscle of the child.
In some cases nerve transfer may be possible to restore some function.
Remember nerves recover very slowly, it may take several months and even years.
After surgery physical therapist will provide rehabilitation exercises can be performed even at home.  Thereby slowly and gradually improves your baby's strength range of motion (movement)
Hope she will get well soon.
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Dr. Chaitanya Ulhas Mantri Mumbai | Occupational Therapist
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Occupational Therapy is the best option...ask your Paediatrician and neurologist for the same...If any help required feel free to contact
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Dr. Raviraj Francis Mumbai | Physiotherapist
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Hello there.....i can very well understand your concern regarding your dear child....i would like to know weather your daughter can open and close her fingers in affected arm?? Infantile erbs results during injury while birth...also it cannot be easily identified early on... 70% cases usually get resolved by the time the child is 1 year with consistant physiotherapy....however regarding surgery there are different opinions weather the outcome will be favourable or otherwise(considering the childs age).
It is best for you to take a specialist paediatric neurologist opinion.

Regards & take care.

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Dr. Vishwas Virmani Noida | Physiotherapist
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Gentle Shoulder Stretching. Core Strengthening Exercises. Gentle Neck Exercises.
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Dr. Nidhi Saxena (PT) Bhopal | Physiotherapist
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Hey dear parent. Besides physical therapy,  surgical procedures such as nerve transfer,  nerve graft n tendon transplant r available.

However it is d severity of injury that affects both the treatment decision n the extent of recovery possible. Kindly get her evaluated by a pediatrician n a physical therapist to empower u to make an informed decision.  Best wishes. 

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