- Brachial Plexus Injuries
- What causes a brachial plexus injury?
- What are the risk factors for a brachial plexus injury?
- What are the symptoms of a brachial plexus injury?
- How are brachial plexus injuries diagnosed?
- How are brachial plexus injuries treated?
- What are the complications of brachial plexus injuries?
- What can I do to prevent brachial plexus injuries?
- When should I call the health care provider?
- Key points
- Next steps
- Brachial Plexus Injury Clinic
- What is a brachial plexus injury?
- How is a brachial plexus injury treated?
- How do I make an appointment?
- Brachial Plexus Injury Symptoms
- Minor Symptoms
- Severe Symptoms
- Outlook for Infants with Brachial Plexus Injuries
- Erb’s Palsy and Brachial Plexus Injuries
- Risk factors for Erb’s palsy and brachial plexus injuries
- Causes of Erb’s palsy and brachial plexus injuries: difficult delivery and shoulder dystocia
- The dangers of forceps and vacuum extractors
- Delivery during instances of dystocia
- Types of brachial plexus injury
- Signs and symptoms of Erb’s palsy and brachial plexus injuries
- Diagnosing Erb’s palsy and brachial plexus injury
- Preventing Erb’s palsy through informed consent and birth planning
- Managing shoulder dystocia: The HELPERR Mnemonic
- Treatment for Erb’s palsy and brachial plexus injuries
- Long-term effects of Erb’s palsy and brachial plexus injuries
- Trusted Erb’s palsy and brachial plexus lawyers
- Corpus Christi Brachial Plexus Injury Attorneys
- A Brief Overview of Tort Law
- Brachial Plexus Injuries & Birth Injury Cases
- Auto Accidents & Brachial Plexus Injuries
- Helping You Seek Fair Compensation for Your Damages
Brachial Plexus Injuries
A bundle of connected nerves in the neck region of your spinal cord sends branches down into your chest, shoulders, arms, and hands. This group of nerves is called the brachial plexus. These nerves control the motions of your wrists, hands, and arms, allowing you to raise your arm, type on your keyboard, or throw a baseball.
The brachial plexus nerves are sensory, too. For instance, they let you know that the pan you just grabbed with your hand is too hot to hold.
The brachial plexus can be injured in many different ways — from pressure, stress, or being stretched too far. The nerves may also be cut or damaged by cancer or radiation treatment. Sometimes, brachial plexus injuries happen to babies during childbirth.
Brachial plexus injuries cut off all or parts of the communication between the spinal cord and the arm, wrist, and hand. This may mean that you can't work your arm or hand. Often, brachial plexus injuries also result in total loss of sensation in the area.
The severity of a brachial plexus injury varies. In some people, function and feeling returns to normal, while others may have lifelong disabilities because they can't use or feel a part of the arm.
Brachial plexus injuries are categorized according to how badly the nerves are damaged:
- Avulsion. The root of the nerve is completely separated from the spinal cord (the most severe type).
- Neuropraxia. The nerves are stretched (the least severe type).
- Rupture. Part of the nerve is actually torn.
- Neuroma. Scar tissue forms on the stretched nerve as it repairs itself.
- Brachial neuritis. This is a rare syndrome for which no cause can be identified. It's also called Parsonage-Turner syndrome.
Brachial plexus birth injury — when the brachial plexus gets stretched during childbirth—is called Erb's palsy. Erb's palsy affects between one and two babies in every 1,000 births.
What causes a brachial plexus injury?
The most common type of injury occurs when the neck is tilted while traction occurs on the other side of the neck. However, injuries are diverse including motor vehicle accidents, falls, gunshot wounds, athletic injuries (especially contact sports), and childbirth.
During childbirth, large babies may be at an increased risk for brachial plexus injuries.
A quick or emergency delivery, when the baby must be forcibly pulled out, can result in a brachial plexus injury because the baby's neck is often flexed severely in one direction.
Babies in breech position (bottom end comes out first) and those whose labor lasts an unusually long time may also suffer brachial plexus injuries.
Cancer and radiation therapy can both cause brachial plexus injury. The tumor itself can invade the brachial plexus and radiation of lymph nodes in the area can also damage the nerves.
What are the risk factors for a brachial plexus injury?
Factors that may increase your risk include:
- Motor vehicle accidents
- Sports activities, especially football
- Childbirth, especially large babies, breech position, or long labor
- Cancer and radiation therapy
What are the symptoms of a brachial plexus injury?
Symptoms depend on where along the length of the brachial plexus the injuries occur and how severe they are.
These are common symptoms of brachial plexus injuries:
- No feeling in the hand or arm
- Inability to control or move the arm, wrist, or hand
- An arm that hangs limply
How are brachial plexus injuries diagnosed?
A health care provider will examine your hand and arm and test for sensation and function to help diagnose a brachial plexus injury.
These are other diagnostic tests often used:
- Imaging tests, such as an MRI scan or CT scan
- Tests to determine nerve function and electrical activity, including a nerve conduction study and electromyogram
- X-ray of the neck and shoulder area
How are brachial plexus injuries treated?
Some brachial plexus injuries require surgery to repair the damage. Physical therapy can help you restore function in your arms and hands and improve range of motion and flexibility in stiff muscles and joints.
Brachial plexus injuries don't always need treatment. Some people, particularly babies with a brachial plexus birth injury, recover without any treatment, but it can take as long as several months for the injury to heal. Certain exercises can help with healing and function.
You may need regular checkups to watch the progress and healing of a brachial plexus injury. Checkups are especially important for babies and may be needed for as long as two years as the injury heals.
What are the complications of brachial plexus injuries?
For severe brachial plexus injuries, prompt surgical treatment could be needed to attempt to regain function. Without it, you might have a permanent disability and be unable to use your arm or hand.
If you have a brachial plexus injury resulting in a lack of feeling, you must take special care when dealing with hot items, razors, knives, or other objects that could harm you. A brachial plexus injury can keep you from feeling any other injury to the affected area, so you may not notice that you're hurt.
- Long term pain or sensory changes in the affected area
- Paralysis of the affected area
What can I do to prevent brachial plexus injuries?
To help prevent brachial plexus injuries:
- Develop safe driving habits
- Maintain good body mechanics during sports activities
When should I call the health care provider?
If you have had an injury to the neck or shoulder area and you can't feel or move your hand or arm, you should call your health care provider to find out what's causing your symptoms
Brachial plexus injuries often heal well if they aren't severe. Many people with minor brachial plexus injuries recover between 90 and 100 % of the normal function of their arms.
Tips to help you get the most from a visit to your health care provider:
- Before your visit, write down questions you want answered.
- Bring someone with you to help you ask questions and remember what your provider tells you.
- At the visit, write down the names of new medicines, treatments, or tests, and any new instructions your provider gives you.
- If you have a follow-up appointment, write down the date, time, and purpose for that visit.
- Know how you can contact your provider if you have questions.
Brachial Plexus Injury Clinic
The brachial plexus is the network of nerves that sends signals from your spinal cord to your shoulder, arm and hand.
What is a brachial plexus injury?
A brachial plexus injury is an injury to the brachial plexus occurs when these nerves have been stretched or even in some cases, torn. These types of injuries are common in contact sports, falls, or auto accidents, but can also occur during an infant’s birth.
Variations of brachial plexus injuries that are treated by the Brachial Plexus Injury Clinic at Kennedy Krieger include:
- Neonatal (birth-related) brachial plexus palsy
- Traumatic brachial plexus palsy in older children or young adults
- Erb's palsy
- Peripheral nerve tumors
- Idiopathic and other nerve conditions
Adults with a history of neonatal brachial plexus palsy can also benefit from our interdisciplinary approach to assess and, in many cases, improve long-term impairments such as stiffness, over-use syndrome and long-standing compensation.
How is a brachial plexus injury treated?
Brachial plexus injuries can result in permanent impairments if not treated as soon as possible; early intervention is the key to regaining function.
Our team of specialists evaluates each patient to determine the extent of the injury. The evaluation could also include diagnostic tests such as x-rays, electro-diagnostic studies, MRIs or CT scans.
No two brachial plexus injuries are exactly a. After evaluations are complete, we provide each patient with a customized treatment and therapy plan designed to maximize nerve and functional recovery. Prognosis is assessed for each patient individually the type and severity of their injury.
Our two treatment options include:
- Non-surgical Treatment Options: Occupational therapy and physical medicine are always part of the recovery process. The Kennedy Krieger Institute not only offers traditional therapies, but also the opportunity to receive intensive activity-based restorative therapies (ABRT) to maximize the recovery and neurodevelopmental processes which lead to function and development of adequate and efficient motor patterns.
- Surgical Treatment Options: The degree of functional impairment and potential for recovery depends on the mechanism, type, complexity of the brachial plexus injury, and time from injury. The most important decision your surgeons will make is determining if and when surgical intervention should occur.
How do I make an appointment?
To make an appointment at the Brachial Plexus Injury Clinic, please reach out to a care specialist by calling 888-554-2080 or requesting an appointment online.
View Our Factsheet (PDF)
“We had a wonderful experience at the Brachial Plexus Clinic at Kennedy Krieger. The doctors were very insightful of our daughter’s injury and guided us in the right direction. They answered all of our questions in great detail and made us more comfortable with the potential outcome.”
“I would recommend Kennedy Krieger to anyone with a brachial plexus injury for occupational therapy as well as the Brachial Plexus Clinic they offer. We had a wonderful experience at Kennedy Krieger Institute.”
Brachial Plexus Injury Symptoms
Page Updated on October 30, 2014
Brachial plexus injury (BPI) is a generic term used to describe several conditions that limit or disrupt the network of nerves that carries neuroelectric signals from the spinal cord.
Most BPI injries suffered by babies are caused by trauma, including injuries before or during delivery. Brachial plexus injuries that affect babies are often referred to as birth related brachial plexus palsy or obstetric brachial palsy.
Since there are several types of BPIs and related conditions, they cause a wide spectrum of symptoms which vary in severity from one patient to another.
Brachial plexus injuries vary in type and severity, depending on the specific location and cause of the injury.
Symptoms range from mild side effects to severe limitations, including total loss of motion and feeling of the shoulder or hand.
According to the Mayo Clinic, brachial plexus injuries and related conditions such as Erb’s palsy only affect one arm, but can happen to either arm.
In cases in which the brachial plexus injury is minor, such as when the nerves are compressed or stretched, signs and symptoms are slight and generally do not last a long time.
While newborns typically experience a brachial plexus injury after a difficult labor and delivery period, children and adults can sustain brachial plexus injuries that result in stretching or compression of the brachial plexus nerves after participating in strenuous sports or other physical activities.
This type of injury is known as neuropraxia, the most common type of brachial plexus injury due to overexertion. The most typical minor symptoms associated with neuropraxia are:
- A sudden burning sensation that resembles an electric shock that travels down the nerves of the arm. These sensations are often referred to as “zingers” or “stingers.”.
- A temporary lack of sensitivity or sudden weakness in the affected arm.
Minor symptoms associated neuropraxia normally vanish within a short time after the initial injury. However, in some people, stingers and temporary numbness of the affected arm may last as long as several days.
Brachial plexus injuries are not limited to neuropraxia. Per the John Hopkins Medicine Peripheral Nerve Surgery Center, there are five other types of injuries that can cause damage to the nerves leading from the spinal cord to the upper body and limbs, including:
- Avulsion, or total disconnection of a nerve from the spinal cord
- Rupture, or partial tearing of the nerve at a location other than the spinal cord
- Axonotmesis, a disruption of a nerve’s axons
- Neurotmesis, a serious condition in which the nerve is completely cut in two
- Neuroma, a growth or tumor of nerve tissue which did not regenerate properly
Since the severity of the injury depends on its cause, location, and amount of nerve damage suffered, symptoms will vary from one person to another. Generally, however, serious BPIs have the following signs and symptoms:
- Loss of feeling in the affected arm, hand, or extremities
- Muscle weakness
- Intense pain
- Muscle paralysis in the shoulder or upper arm (may be partial or total)
- Erb’s palsy
- Klumpke’s palsy
- Horner’s syndrome, which combines a drooping of one eyelid and constriction of the pupil
In severe cases of brachial plexus injuries, infants may experience avulsion pain. Avulsion symptoms are marked by a burning or crushing type of pain centered in the area where the most serious nerve damage is done.
Outlook for Infants with Brachial Plexus Injuries
In cases of obstetric brachial plexus palsy, most of the minor symptoms either go away on their own or respond well to physical therapy. However, brachial plexus injuries which cause severe damage to a baby’s nerves may require surgery and medication.
According to the National Institutes of Health (NIH), mild brachial plexus injuries usually clear up within three to six months. For infants who still haven’t recovered after this time period, the prognosis is generally poor. Even with surgery, there is no guarantee that it will treat severe injuries.
Erb’s Palsy and Brachial Plexus Injuries
Erb’s palsy is a condition characterized by arm weakness or paralysis.
It is often caused by pulling or pushing on the baby’s head during a shoulder dystocia delivery, which is a labor and delivery complication in which one of the baby’s shoulders gets stuck behind the mother’s pelvic bone. This may damage a network of nerves located near the neck, called the brachial plexus, and manifest in Erb’s palsy (1).
With proper medical management, brachial plexus injuries rarely occur. Therefore, the development of Erb’s palsy is often a sign of medical malpractice around the time of birth.
Risk factors for Erb’s palsy and brachial plexus injuries
Risk factors for Erb’s palsy and brachial plexus injuries include the following:
Causes of Erb’s palsy and brachial plexus injuries: difficult delivery and shoulder dystocia
Shoulder dystocia, as well as pulling or twisting of the head during delivery, can cause brachial plexus injuries
Several different forms of birth trauma can cause Erb’s palsy and brachial plexus injuries. The most common cause of Erb’s palsy is birth trauma associated with shoulder dystocia. Shoulder dystocia occurs when the baby’s shoulder gets hinged or stuck on the mother’s pelvic bone during delivery.
It is diagnosed when the shoulders fail to deliver shortly after the head. When shoulder dystocia occurs, the doctor sometimes pulls too hard on the baby’s head, causing excessive strain on the baby’s shoulder and brachial plexus nerves.
This strain can cause the nerves to tear or become severely damaged.
The dangers of forceps and vacuum extractors
Use of forceps and vacuum extractors to deliver babies increases the risk of shoulder dystocia. Doctors often lack the necessary skill and experience to utilize them properly.
Frequently, when these devices are used, too much force is applied to the baby’s head.
Forceps and vacuum extractors also put the baby at an increased risk of having an intracranial hemorrhage (brain bleed) and subgaleal bleeding (between the scalp and the skull).
Delivery during instances of dystocia
Use of excessive force or traction on a baby’s head during delivery is not necessary, and indeed, it is against the standard of care.
If shoulder dystocia occurs, there are different types of gentle maneuvers physicians can perform in order to deliver the baby and prevent injury (click here for more information). Moreover, in many cases, delivery via C-section is safer.
If risk factors for shoulder dystocia and brachial plexus injury are present, a C-section may be necessary.
Types of brachial plexus injury
Erb’s palsy affects the motion of the arm and shoulder more so than that of the hand and fingers, but any part of the upper limb may be involved.
When the lower brachial plexus nerves that control the hand and fingers are injured, it is referred to as total or global brachial plexus palsy. When primarily the hand and lower arm is affected, this is known as Klumpke’s palsy. Brachial plexus nerve injuries are often classified as such (7):
- Avulsion: Avulsion occurs when a nerve has been disconnected from the spinal cord. The connection will not recover.
- Rupture: Rupture occurs when the nerve has been stretched and torn (at least partially), but the damage is not at the spinal cord.
- Neurapraxia: Neurapraxia occurs when a nerve has been significantly compressed or stretched, but is still attached. There is a very good chance of rapid recovery.
- Axonotemesis: Axonotemesis occurs when axons are severed. There is a moderate chance of recovery.
- Neurotemesis: Neurotemesis occurs when an entire nerve is divided. There is a very slim chance of recovery.
- Neuroma: A neuroma is a tumor that grows from divided axons that haven’t regenerated. Prognosis varies.
Signs and symptoms of Erb’s palsy and brachial plexus injuries
The brachial plexus nerves carry signals from the brain to the arm, giving the arm instructions for how to move and perform certain tasks. If there is injury to the brachial plexus, the following signs and symptoms may appear:
- Abnormal arm movement
- Atrophy of muscles in the arm
- Limited sensation in the affected arm (e.g. the individual may be less responsive to temperature and pain in that arm)
- A broken clavicle (collar bone) or humerus (upper arm bone)
- Horner’s syndrome (in which the eyelid droops and the pupil of one eye is slightly smaller) (1)
- Pain in the affected arm (7)
- Absent Moro reflex on the affected side (8)
More specifically, Erb’s palsy is characterized by a ‘waiter’s tip hand’: the affected arm hangs limply from the shoulder, with the hand curled towards their rear.
Klumpke’s palsy is characterized by a “claw hand,” wherein the forearm is supinated (positioned so that the palm is facing outward) and the wrist and fingers are flexed. Klumpke’s palsy is sometimes associated with Horner syndrome (9).
Diagnosing Erb’s palsy and brachial plexus injury
A pediatrician is usually the one to make the diagnosis of Erb’s palsy, the weakness of the arm and physical examination.
The physician may order an x-ray or other imaging studies in order to assess whether there is any damage to the bones and joints of the neck and shoulder.
The physician also may do some tests to learn whether any nerve signals are present in the muscle of the upper arm. These tests may include an electromyogram (EMG) or a nerve conduction study (NCS).
To learn more about evaluation and diagnosis of brachial plexus injuries, click here.
Preventing Erb’s palsy through informed consent and birth planning
A main focus of brachial plexus advocacy groups is to encourage expecting mothers to ask their doctors about the risks of shoulder dystocia.
A lack of informed consent is a major issue; often, doctors do not fully explain the risks of opting for vaginal delivery over cesarean section when shoulder dystocia is ly. The mother has a right to make an informed decision.
This means that the doctor must explain the risks, benefits, and alternatives to every procedure that is considered.
Managing shoulder dystocia: The HELPERR Mnemonic
In vaginal deliveries involving shoulder dystocia, medical personnel must be very careful not to apply excessive force while trying to help the baby out because this can result in brachial plexus injuries and Erb’s palsy.
Instead, physicians should follow the HELPERR mnemonic. These actions can be used in a variety of combinations, and do not have to be attempted in order; optimal management of shoulder dystocia depends on individual circumstances.
HELPERR stands for (10):
H – Help. A doctor can ask for help from other medical professionals.
E – Evaluate for an episiotomy. This is a procedure involving an incision in the mother’s perineum, between the anus and vagina.
L – Legs. A physician may ask the mother to pull her legs toward her stomach. This is known as the McRoberts maneuver.
P – Suprapubic pressure. A doctor may place pressure on a specific part of the mother’s pelvis to rotate the baby’s shoulders.
E – Enter maneuvers. This is another way of rotating the baby’s shoulders, but un suprapubic pressure, enter maneuvers involve internal rotation (the physician reaches the baby through the mother’s vaginal canal).
R – Remove the posterior arm. In this procedure, the doctor attempts to free one of the baby’s arms from the birth canal before the other.
R – Roll the patient. If the mother gets on her hands and knees, vaginal delivery may be more feasible.
Treatment for Erb’s palsy and brachial plexus injuries
Some babies recover on their own from brachial plexus injuries; however, more severe forms require treatment from specialists.
Neonatal or pediatric neurosurgery is often required for certain types of injury Additionally, physical therapy is often required to regain muscle usage. Babies sometimes make a full recovery within 3-9 months.
Patients who do not recover during this timeframe tend to have a lower lihood of regaining function, because this may be indicative of avulsion (separation of the nerve from the spinal cord) (8).
The three most common treatments for Erb’s Palsy are:
- Nerve transplants: Nerve transplants (nerve graft surgery) are most often performed on babies under the age of 9 months since the rapid development of younger babies increases the effectiveness of the procedure. It is not generally done on older infants since it is riskier and may result in nerve damage in the area from which the nerves were taken.
- Subscapularis releases: These procedures involve cutting a “Z” shape into the subscapularis muscle to provide stretch within the arm. It can be done at any age and may be performed repeatedly on the same arm. This procedure, however, compromises the integrity of the muscle.
- Latissimus Dorsi Tendon Transfers: This involves cutting the Latissimus Dorsi in half horizontally. Then, part of the muscle is pulled around and attached to the biceps. This procedure provides external rotation, but may sometimes cause increased sensitivity of the part of the biceps where the muscle will now lie (11).
Long-term effects of Erb’s palsy and brachial plexus injuries
While many Erb’s palsy injuries heal on their own, a baby with Erb’s palsy will require frequent re-examination to confirm that the nerves are recovering. Depending on the injury, recovery can last for an extended period of time. Early in a baby’s life, parents may need to perform rehabilitative exercises, which can limit permanent harm.
In minor cases, full range of motion is often restored. However, children with more severe brachial plexus injuries usually never have a full range of motion.
In the long-term, some children may experience abnormal arm muscle growth as a result of Erb’s palsy. The restriction in growth generally results from comparative lack of use of these body parts and the influence of nerves (unaffected vs. affected) on growth.
The lack of muscular development in areas affected by the brachial plexus may lead to long-term weakness or lack of movement.
Similarly, these areas may experience abnormal circulatory development resulting in an inadequate ability to regulate temperature in these areas as compared to the rest of the body. Lack of circulatory development can also reduce the healing ability of the skin.
Skin may take greater periods of time to heal and infections may easily manifest if open cuts or injuries are not sterilized immediately. Arthritis is another potential long-term effect of Erb’s palsy.
Trusted Erb’s palsy and brachial plexus lawyers
If your child was diagnosed with a birth injury, such as Erb’s palsy, cerebral palsy, a seizure disorder, or hypoxic-ischemic encephalopathy (HIE), the award-winning attorneys at ABC Law Centers can help.
We have helped children throughout the country obtain compensation for lifelong treatment, therapy, and a secure future, and we give personal attention to each child and family we represent.
Please reach out today for a free case evaluation.
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Corpus Christi Brachial Plexus Injury Attorneys
Brachial plexus injuries most often enter the world of tort law in two types of cases: medical malpractice cases and auto accident cases.
In the former case, due to birth injury, a baby can suffer from temporary or permanent nerve damage and/or paralysis in the hands and arms.
In the latter case, brachial nerve damage during a car accident may cause similar temporary or permanent nerve damage.
Contact Bandas Law Firm, P.C. online or by phone at (361) 238-2789 to discuss your options for free with one of our Corpus Christi brachial plexus injury lawyers.
A Brief Overview of Tort Law
Both of the above-mentioned cases come under the heading of tort law. In this civil law category, according to Cornell University Law School, “A civil wrong… can be redressed by awarding damages.
” Tort cases include automobile accidents, medical malpractice, workers compensation, and other personal injury cases, as well.
Though there may be a variety of types of tort law cases, they all have one thing in common and that is that the burden of proof is on the plaintiff.
Brachial Plexus Injuries & Birth Injury Cases
According to Johns Hopkins Medicine, approximately 1% of births will result in obstetric brachial plexus palsy. This occurs when, “During delivery, the baby’s shoulder may become impacted on the mother’s pubic bone causing the brachial plexus nerves to stretch and tear… The prognosis for recovery depends on the pattern, complexity, and severity of injury.”
Depending on which nerves are damaged, the baby may then develop Erb’s palsy, in which case it will have partial or full paralysis in the shoulder and elbow, or it may develop Klumpke’s palsy, in which case the nerve damage will affect the ability to move the wrist or hand.
If you suspect that your infant is suffering from brachial plexus injuries due to negligence or medical misconduct during delivery, you may have a medical malpractice case against your obstetrician.
However, you will need to prove that there was negligent activity at the time and that your obstetrician could have prevented the birth injury, thus preventing your infant’s temporary or permanent nerve damage.
Auto Accidents & Brachial Plexus Injuries
Brachial plexus injuries also often occur in auto accidents, especially in cases in which one driver hits another from behind.
The sudden jerk of the collision can cause the nerves of the brachial plexus to stretch and/or tear, causing temporary or permanent damage.
In cases these, proving fault is generally as simple as proving that the other motorist acted negligently and caused the accident.
However, if you do not seek medical attention immediately and cannot prove that your brachial plexus injuries occurred due to trauma inflicted during the accident, you may not be awarded compensation.
Furthermore, because brachial plexus injuries may or may not have lasting effects, you may not know whether you will need to continue with treatments, need nerve grafts or nerve and/or muscle transfers after the fact.
Helping You Seek Fair Compensation for Your Damages
Whether you have suffered a brachial plexus injury in an auto accident or you’ve recently had a baby who’s suffered trauma during birth, you may have a tort case to pursue.
If you can prove that the nerve damage to yourself or someone you love was caused by a negligent obstetrician or by the other driver’s negligent actions, you will be owed compensation for medical bills, lost wages, pain and suffering, and/or any other damages resulting from the injuries.
If you or someone you love has suffered from a brachial plexus injury due to someone else’s negligence or misconduct, you should speak with a qualified attorney as soon as possible. At Bandas Law Firm, P.C., we are extensively experienced in brachial plexus injury cases; we can help you understand your case and the compensation owed to you.
For a free consultation and case analysis, fill out our online contact form or call our office at (361) 238-2789.