Brachial Plexus Injuries - Physiotherapy, Hand Therapy and Sports Massage
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Brachial plexus injuries (BPI), are damage to the nerves that make
the brachial plexus.The brachial plexus is a massive network of nerves
that conducts and transmits signals from the spinal cord (C5 – T1)to
the shoulder, arm, hand and fingers. .
happen as a result of direct trauma or injuries, tumors or inflammation.
Most commonly, BPI lesions are either traumatic or mechanical. It can
happen during childbirth where the baby’s shoulder is injured by a
severe twisting motion; fall from a height onto the head and shoulder
causing extreme over-stretching; direct penetrative damage by gunshot or
knife attacls; or by a violent traction of the arm.BPI can be divided into three (3) types:
- Upper brachial plexus lesion
that happens from excessive lateral neck flexion away from the
shoulder. Most common, are forceps delivery or falling on the neck.
- whole brachial plexus lesion but less frequent.
- lower brachial plexus lesion
the least frequent of all, this occurs when there is a sudden upwards
pulling on an abducted arm e.g. when someone breaks a fall by grasping
on a tree branch.
The severity of brachial plexus injuries depends on the types of nerve damaged:
- Neurapraxia which is the mildest and lightest form of nerve injury.
which involves degeneration at an axonal level, loss of continuity of
axon and the myelin, but generally has connective tissue that is
- Neurotmesis which is the most severe,
where the nerve is completely disrupted by traction or laceration –
everything is stopped by a gap in a transection. This one has
Signs and Symptoms
and symptoms of brachial plexus injuries may include but because of its
complexity, it may be a combination of paralysis of the arm and hand,
poor or lack of voluntary control, altered sensation (recurring pain,
Physiotherapy, Occupational Therapy and Hand Therapy Are Required Treatment
of the time, physicians will provide pain relief medication,
nutritional supplements to help with the growth of the nerves and
surgical intervention to reattach damaged nerves. After that, it is
almost imperative for physiotherapy, occupational therapy and hand
therapy to intervene and help the patient with brachial plexus injury.
relief using visual imagery, deep breathing, and exploration of
modalities that provides pain relief for patients (each patient’s
diagnoses differ, as well as preferences differ, so pain relief methods
differ from patients to patients) joint integrity and range of motion management muscle strengthening and movement re-training equipment and aids prescription and training activity modifications and lifestyle changes
Where to next?
- Make An Physiotherapy or Hand Therapy Appointment
- Arrange A CallBack or Make An E-Enquiry Here
- See the list of physiotherapy conditions we treat
- Return to Urbanrehab's Physiotherapy and Hand Therapy Singapore Home Page from our Physiotherapy Brachial Plexus Injuries Page
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Our Physio & Rehab Expertise
Specialist Rehab Group works with specialist physiotherapists and specialist rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.
Areas of specialization
- physiotherapy: back and neck (spine), sports, shoulder, hip, knee, ankle
- hand therapy: forearm, wrist, hand and fingers
- podiatrist: leg, calf, ankle, foot and toes
- read more on our specializations here
All our therapists are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCM). See our entire team here by location and specialization.
Initially, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover. They then provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
To call for inquiries or appointments, please contact us at:
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SPECIALIST REHAB APPOINTMENTS & ENQUIRIES
Please Call/SMS/WhatsApp to xx, thanks!
We are a wholly Singapore Private Limited group of licensed physiotherapists, hand therapists, podiatrists, chiropractors, sports massage therapists, clinical pilates practitioners and TCM physicians practicing in our scope of rehabilitation and its areas of specializations. As listed in our website are the list of services we provide our clients as referred by their medical doctors or by self referrals/word of mouth.
The range of rehabilitation results vary from patients to patients, depending on a variety of factors and reasons such as severity of condition, genetics, gender and age. However, we will still deliver the best evidence-based-practice of physiotherapy, hand therapy, TCM, sports training and deep tissue release therapy that we can deliver.
The information available on this site is for educational purposes only, if you need a full professional advise on physiotherapy, hand therapy and occupational therapy, please schedule an appointment with us by contacting our staff by Call/SMS/WhatsApp at xx, thanks!