Peripheral nerve injury
Also known as: Peripheral neuropathy, Damage to the peripheral nervous system, Traumatic neuropathy
A rehabilitation program for peripheral nerve injury in children aged 1-14 at H&B Neurolife (Shangrao). Systematic work: neuromuscular electrical stimulation, acupuncture, occupational therapy, PT, and TCM methods.
What is Peripheral nerve injury?
Peripheral nerve injuries are a group of lesions of the nerves of the peripheral nervous system, of different localization and etiology. In children, such injuries can be post-traumatic (including birth injuries), post-infectious, metabolic, or a consequence of compression syndromes. The picture depends on which nerves and plexuses are affected and how deeply: weakness and limited movement in the innervation zones, sensory disturbances (numbness, paresthesias, less often - pain), and with long-standing disease - muscle atrophy and asymmetry of posture and movement. In polyneuropathy, the picture may be widespread.
At H&B Neurolife International Rehabilitation Center (Shangrao), the program for peripheral nerve injuries combines instrumental, training, and TCM methods. Neuromuscular electrical stimulation activates the affected muscles, builds strength, regulates tone, and speeds up the recovery of motor functions. Pediatric acupuncture - peripheral nerve injuries are among the key indications at the center; special ultra-thin pediatric needles are used. Occupational therapy works on upper-limb involvement (fine motor skills, hand-eye coordination, using the hand in daily life). PT works on lower-limb involvement (balance, coordination, gait pattern). Pediatric Tui Na massage complements the program. When indicated, neuroregulation and Chinese herbal medicine are added.
What parents should know
The principle of early intervention in neurology is especially important: the younger the child, the better the recovery of nerve function. After the diagnosis is established and the patient is stabilized, systematic work should begin as soon as possible. Parents are taught techniques for daily home practice - Tui Na massage, exercises to restore strength and range of motion, and forming proper posture and movement patterns.
Causes
Result from mechanical damage: cuts, fractures or compression. A common cause in children is birth injury (obstetric brachial plexus palsy).
Symptoms
Muscle weakness or paralysis in the nerve's area, reduced sensation and numbness. Over time muscle atrophy develops and fine motor skills are impaired.
Diagnostics
The key method is electroneuromyography (ENMG), which assesses nerve conduction. Nerve ultrasound, MRI and a neurological exam are also used.
Prognosis and treatment approach
Depends on the level of damage. With timely rehabilitation nerves can regenerate, though it takes months; physiotherapy and electrical stimulation help recovery.
How we treat Peripheral nerve injury
Diagnostics
Comprehensive examination and patient assessment by an international team of specialists
Treatment plan
Development of an individual rehabilitation program considering diagnosis specifics
Therapy
Intensive course of procedures: physical therapy, massage, physiotherapy, acupuncture and other methods
Results
Progress evaluation, home recommendations and maintenance therapy plan
Treatment procedures: Peripheral nerve injury
Frequently asked questions: Peripheral nerve injury
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