Causative and risk factors
Brachial plexopathy can be caused as a result of direct injury to the brachial plexus. Injury to the brachial plexus caused as a result of radiation therapy or pressure produced by a tumor near the brachial plexus can also produce neuropathy. Birth defects such as breech presentation or prolonged labor are known to produce brachial plexopathy.
Clinical presentation
Brachial plexopathy can affect shoulder, arm and hand depending upon which part of the plexus is injured. Burning or electric shock like pain shooting down the arm is a commonly occurring symptom of brachial plexopathy. Other symptoms include tingling, numbness and weakness of the affected region.
Clinical presentation
Based upon your symptoms your doctor will examine your shoulder area and check for reflexes and muscle strength. Your doctor will order certain tests to diagnose the condition. Electromyography is done to test the function of muscles and nerves. Nerve conduction studies are done to determine the flow of impulses through nerves. MRI scan is advised to see structures in the affected area.
Treatment
Treatment for brachial plexopathy primarily consists of pain-relieving medications. Braces and splints are advised to help increase the range of motion. Physical therapy is advocated to maintain muscle strength. Surgery is suggested if there is compression of the nerves.
