Question on ERB's Palsy Treatment for infant

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Question on ERB's Palsy Treatment for infant

Postby cnvk » Sat Nov 29, 2008 10:29 am

My daughter, who is 15 DAYS old, has ERB's palsy after a forcep delivery, which affected her left shoulder and elbow.

We had started with passive and active physiotherapy from day 3. Now She can move her fingers and hand well. She could also hold on to my fingers strongly. But her shoulder and elbow are not moving.

Question 1 - Now our Dr has suggested Vitamin-B, Vitamin-E, and Vitamin B12 (mecobalamin) - all syrups - supplements for her. Is it safe to give these to her?. Also would it help?

Question 2 - There is a plan to start Faradic OR Galvanic stimulation for her after 3 weeks. Is this safe and would this help?

Question 3 - She tries to raise her arm (lying on her back) and cries a lot while doing that (tries around 4-5 times a day) and now a days manages to raise her arm by 2 cm (Dr says its because of internal rotation and NOT deltoid/biceps action). Is it because of pain she is crying?

Appreciate your help and guidance.
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Postby JenC » Mon Dec 01, 2008 9:39 am

The best thing to do in my opinion is to email Dr. Nath.
(Dr. Nath's email address has been removed for security reasons. You can contact Dr. Nath through contact us page at
He would know best. My son had left BPI at birth and my first move was contacting Dr. Nath and following his instruction, in my case it was physical therapy and waiting to see what improvement my son made with his arm. For us our son had no movement at first and gradually he started to re-gain some movement. He had his 1st surgery at 15months, and has had two others since then. Now he is 4 years old and doing great and still in physical therapy.
I was never advised to give our son any supplements and I would ask Dr. Nath about the Faradic OR Galvanic stimulation at her age. Every injury is different and alot of Dr.'s have different opinions on this particular injury. Dr. Nath is the expert, I would start there.
Good luck to you and your family.
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Postby cnvk » Tue Dec 02, 2008 2:52 am

Appreciate your response. Thank you!!
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Postby betsy » Tue Dec 09, 2008 3:33 pm

My son is now 16 mos. old. He has a LOBPI. I would also recommend getting ahold of either dr. nath or another brachial plexus clinic. I found that my regular doc did not have a clue about this injury!
James Calvin had the nerve surgery at 3 1/2 months old. He could only move his arm (lying down) up about 1 cm off the ground. No other movement. And that took 2 months to do. It was a good thing they did the surgery because he had a lot of nerves torn from the spinal cord that they had to "rewire". He would never had gained any movement if not for the nerve surgery.
It'd be good for the specialists to see your baby soon so they can track her progress for 3 months and see if she is a candidate for the nerve surgery.
We are now wondering if our son will need the Mod Quad. We'll find out in another 2 weeks as we have an appt.

As for the supplements, I have never heard of that, but who knows.

Good luck. If you have any questions about the nerve surgery, feel free to ask. I hated waiting the 3 months after birth to see if he'd get any movement! You are not alone! (Our son started moving his arm 2 months after his surgery and has been getting more and more).
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Postby cnvk » Wed Dec 10, 2008 12:19 pm

Thanks Betsy!

My daughter is now 26 DAYS old. She has shown some progress in the last 2 weeks. She tries to lift her arm around 5-8 times a day (lying down) and she manages to lift her arm around 8 cms off the ground and even manage to lift her arm up and keep it over her tummy. But elbow is still not bending unless she lie on her side.

Another interesting thing that we have noticed is that she is able to move her arms much much better when she stretch her whole body while sleeping (generally before waking up from sleep) - Eg, From aeroplane position, she lifts her arm fully up and sideways and also place her arm above her chest. Dont know why she doesn't do that much when awake.

Betsy, Thanks again for your suggestions. Wishing James all the very best. I really hope he will have quick and consistent progress coming days
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