Step by Step Pediatric Therapy Center
Formerly Pediatric Physical Therapy Services
Excellence and Experience
About Us.
Diagnoses & Therapy.
Classes .
Professional Development.
21st Century Technology.

Copyright © 2010 Pediatric Physical Therapy Services, PLLC     Contact Us

In a brachial plexus injury (BPI) nerves are damaged which causes muscles supplied by these nerves to be weak or paralysed. There are different types of nerve damage, some requiring surgical repair others that will recover fully or partially.

Nerves that are damaged may grow back but this recovery is very slow and it can take 12-18 months for this recovery to happen. In the meantime it is imperative to take good care of the baby’s joints and muscles.


Having a knowledgeable therapist work with you baby gives you peace of mind in knowing that everything that can be done is done during this critical period of development.


Some babies may need surgery to repair the nerve damage or take care of muscle and joint problems that are caused by the weak muscles. Your therapist can help direct you to surgical consultations as needed.

Information about Brachial Plexus Injury


Anatomy of the Brachial Plexus

The biceps muscle is usually weak after a BPI.  The chief function of the biceps muscle is to bend the elbow to bring the hand towards the mouth.
Be an educated consumer!

The Internet is full of information about BPI, some of which is very good and some of which is not.  As a parent, you have to keep in mind that no two babies are alike, and no two injuries are completely alike.  While there are patterns of injuries that are similar, the patterns of recovery may not.

Align yourself with knowledgeable health care providers to help you make informed decisions about your baby’s therapeutic and surgical needs.
Erb’s Palsy

Earb’s Palsy is the most common BPI. In Earb’s palsy there is damage to nerve roots C5, C6, and sometimes C7. This causes significant weakness to many muscle around the shoulder girdle, to the Biceps muscle and at times to muscles of the forearm.
Pia Stampe, PT, DPT is an expert in the treatment of BPI.

To schedule a consultation please call (585) 427-7610
Facts about brachial plexus injury:
If the baby does not have normal strength in the biceps muscle by the age of 3 months, it is likely that the baby will have long-term problems with the arm.
If nerve repair is needed, it has to be done within the first few months of life in order to be effective.
The shoulder joint must be protected to minimize bone and soft tissue problems.
Hand-out with BPI information for parents