Brachial Plexus injury, or Erb´s Palsy, can be severe and permanent. Our years of experience allow us to recommend Brachial Plexus management protocols, such as physical therapy and electrical stimulation. Our total experience with primary surgery (surgery of the injured nerves) is thousands of patients. Total experience with all brachial plexus surgeries is several thousand. Generally, if there is continued significant shoulder, elbow or hand weakness at 4 to 6 months after injury, we believe that brachial plexus surgical exploration is sometimes indicated.