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OrthoCarolina's Multidisciplinary Approach to Brachial Plexus Injuries, Limb Paralysis, and Congenital Hand Differences

Uniting Expertise, Compassion, and Innovation to Transform Lives

At OrthoCarolina, we know how brachial plexus injuries, limb paralysis, and birth-hand differences affect people and their families. We are dedicated to giving care that addresses the patient's physical, emotional, and psychological well-being.​

In the specialty clinics at OrthoCarolina, patients are empowered to overcome challenges and lead fulfilling and independent lives. Through compassionate care, groundbreaking treatments, and ongoing research, giving individuals the freedom and ability to lead fulfilling and independent lives.

The OrthoCarolina specialty care clinics are:


​​Our multidisciplinary approach ensures that each patient receives full care from the minute they schedule an appointment to years after their surgery. We bring together an expert team of surgeons, physiatrists, physical therapists, and occupational therapists who collaborate to review each patient's case and determine the best methods for each individual.


The Brachial Plexus is a key network of nerves that control the movement and sensation in the shoulder, arm, and hand. When injuries occur, whether from trauma, illness, or other causes, the outcomes can be life-changing.

Beyond physical changes, individuals may also experience pain, depression, and emotional distress. As one of the only private practice Plexus clinics in the United States and one of the most sought-after in the nation, we are the leaders in brachial plexus and limb paralysis research and innovation.

At the Brachial Plexus and Limb Paralysis Center , we have various treatment options to fit a patient's individual needs. Sometimes, observation and therapy are sufficient for recovery, while in other cases, surgery may be necessary.

Fortunately, research developments and technology have revolutionized the treatment of brachial plexus injuries.

Watch just a few examples of the wonders the Brachial Plexus and Limb Paralysis Center has done in the video below.


The OrthoCarolina Reconstructive Center for Lost Limbs provides state-of-the-art surgical procedures and prosthetic technology. Led by Dr. Glenn Gaston and Dr. Bryan Loeffler, the clinic focuses on restoring maximum limb function and improving quality of life.​

Each patient is provided with a personalized plan that includes tailored treatment, rehabilitation, and pain management, regardless of whether limb loss is due to trauma, chronic infection, tumors, or heart disease.

​From targeted muscle reinnervation to advanced procedures like the STARFISH procedure, the team is committed to expanding the limits of limb loss surgery and prosthetics. Collaborating with prosthetists ensures that patients have access to cutting-edge devices and personalized fitting options.

Dr. Gaston and Dr. Loeffler's creation of the STARFISH Procedure utilizes targeted muscle reinnervation (TMR) surgery to redirect nerves that are used to control the missing limb and connect them to nearby nerves that are working properly. TMR surgery can help people who have lost a limb regain better control over prosthetic devices and reduce pain from the limb that isn't there.

​Learn more about the STARFISH Procedure here.

In addition to the clinic, there has also been a nonprofit established called Arms for All, which ensures that individuals facing hardships due to limb loss can access prosthetics without financial obstacles. They offer affordable medical products.


For children born with Congenital Hand and upper extremity differences, the multidisciplinary approach at OrthoCarolina delivers unique care for each child's needs. When a child experiences a health concern, whether it's a standalone issue or part of a larger condition, a team of caring specialists including hand surgeons, pediatric orthopedists, neurologists, and therapists collaborates to provide creative solutions.

​These health concerns, often caused by fetal development, can be due to genetic factors or can occur spontaneously. Either way, each child's journey is different and requires individualized attention and care.

During each clinic visit, the child will receive comprehensive care from multiple physicians, ensuring that every aspect of their condition is carefully assessed and addressed by a team of best-in-class orthopedic specialists. This collaborative approach allows the care team to tailor state-of-the-art treatment plans that are as unique as the child's needs - setting them up for success and strong recovery.

To learn more about the Congenital Hand clinic, click here.


​At OrthoCarolina, patients are empowered to overcome challenges and lead fulfilling and independent lives. Through compassionate care, groundbreaking treatments, and ongoing research, the goal is to make a positive impact on those affected by hand and limb conditions.

To contact the Hand Specialty Clinics, please email

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