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Brachial Plexus Clinic Description and Educational Info

Brachial plexus injuries are severe life-changing events.  The impact of these injuries is far beyond the loss of function of the shoulder, elbow, wrist and hand.  Patients also deal with pain, depression, loss of sensation and the emotional impact of these injuries. The OrthoCarolina Brachial Plexus team recognizes the importance of treating the entire patient and not just the affected limb.  This is a multidisciplinary clinic intended to help brachial plexus patients by offering evaluations, the latest in surgical innovations, and a course of treatment for babies and adults with all types of brachial plexus and peripheral nerve injuries.

The Brachial Plexus Clinic, led by Drs. Glenn Gaston, Bryan Loeffler, and Daniel Lewis includes several healthcare providers attending each monthly clinic. This team of physicians specializes in all elements of brachial plexus reconstruction including muscle transfers, nerve transfers, nerve grafting, intercostal nerve transfers, free tissue transfers and non-operative treatment. They treat both neonatal brachial plexus palsies and adult traumatic brachial plexus palsies.  In addition, Dr. Bobby Alexander is an on-site physiatrist at the Brachial Plexus Clinic who specializes in performing complex nerve conduction studies and electromyography.  These studies are coordinated so that they can  be performed on the same day as the patient’s office visit.

As with other OrthoCarolina Hand Clinics, the Brachial Plexus Clinic takes a strategic, team-oriented approach to individual treatment plans. All three physicians are part of the decision-making for each treatment plan, and all patients are followed to assess their outcomes with validated measures. As a multidisciplinary clinic, they work closely with other regional physical therapists, occupational therapists, psychologists, psychiatrists, and pain management physicians.  The Brachial Plexus Clinic receives multistate referrals and sees patients from many regions.

Brachial plexus research by this clinical team has been presented at national meetings including the American Society Surgery for of the Hand.


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