Erb's Palsy  (Brachial Plexus Palsy)

Erb’s palsy is also known as Erb-Duchenne palsy and is the paralysis of the arm. This occurs from the severing of nerves in the neck area between the C5-C6 nerves while compromising the nerves between C5-C8 into T1. The paralysis can be partial or complete. 

Erb’s palsy Causes:

The most common cause of Erb’s palsy is shoulder dystocia. Shoulder dystocia happens during a difficult birth when the baby has trouble passing through the pubic symphysis, causing a separation of the nerves. Excessive pulling or an injury following trauma to the head or shoulder area can also cause a separation of the nerves. 

Erb’s palsy Symptoms:

  • Loss of feeling in the arm
  • May appear stiff and crooked
  • May appear loose

Erb’s palsy Treatment:

Most Erb’s palsy in babies will recover on their own. Special intervention is rare and might need nerve transfers, sub scapularis release and latissimus dorsi tendon transfers. 

Advanced Soft Tissue Release (ASTR) is a non-invasive way to help relieve paralysis in the arm. 

  • Patient avoided hip surgery.

  • Patient avoided back surgery.

  • This newborn came in unable to move his neck from the side position. He suffered from torticollis, severe neck and back spasms. After just 1 ASTR treatment, he had complete range of motion.

  • Patient came in unable to move his neck from the side position. After 3 ASTR treatments, he regained full range of motion.

  • This young gymnast came in unable to do the splits. After just 1 ASTR treatment, she had full range of motion.


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