Overview
Our body is anatomically very complex, such as the head, neck, and shoulder, which are the perfect examples of a convoluted amalgamation of nerves, such as the brachial plexus, that sticks to deliver ease in various physical functionalities. The brachial plexus originates from the neck to the axilla and supplies through the upper limp.
Typically, it is a group of nerves that control the movement in the upper limb. Injuries to the brachial plexus are prevalent and can lead to the rise of various vulnerabilities. Weakness and paralysis of the upper limb are the major risk factors that occur in severe conditions. This article has shed light on the brachial plexus surgery cost in India.
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What Occurs When The Brachial Plexus Is Injured?
Damage to the brachial plexus causes the affected area to become sensationless. This condition might break the connection between the hand, wrist, arm, and spinal cord. Furthermore, the risk factors depend on the extent of damage and the intensity of injury. Some patients regain normal function and feeling, while others may be permanently disabled due to the inability to use or feel a portion of their arm.
Common symptoms of a brachial plexus injury may include:
- Paralysis of arm and upper limp
- Absence of command in arm, hand, or wrist
- Lack of sensation or sensibility in the hand or arm
- Sudden pain in the shoulder or arm that may be stinging or burning
What Are The Different Types Of Brachial Plexus Injuries?
The severity of the injury and the extent of nerve damage signifies the types of brachial plexus injuries, such as:
1. Brachial Plexus Neuropraxia: Often referred to as “burner” or “stinger” brachial plexus due to burning or stinging sensation. This condition occurs when the nerves are stretched up to some extent. This condition might affect you as compression and traction neuropraxia.
- In compression neuropraxia, the brachial plexus nerve root is compressed due to the rotation of the head. It is the most frequent type of injury and mainly affects the elderly.
- Traction neuropraxia is less common when the nerve is pulled downward evenly and occurs in adolescents and young adults.
2. Brachial Plexus Rupture: One of the severe forms of brachial plexus injury in which an extreme stretch causes nerve tear. Weakness in the shoulder, arm, or hand is the risk factor for this condition.
3. Brachial Plexus Neuroma: Sometimes, surgery for various nerve injuries may develop scar tissue as the nerve attempts to repair itself. This tissue, often referred to as neuroma, results in a painful knot on either brachial plexus nerves.
4. Brachial Neuritis is a rare form of brachial plexus injury that causes severe shoulder and upper arm pain or lack of sensation. This syndrome typically affects the arm and shoulder, although it can also affect the diaphragm and legs.
5. Brachial Plexus Avulsion: In this situation, the nerve root gets wholly separated from the spinal cord. Avulsions can result in permanent weakening, paralysis, and loss of feeling since it is challenging and frequently impossible to reattach the root to the spinal cord.
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What Are The Causes Of Brachial Plexus Injury?
Brachial plexus injury can occur in several ways, which include:
- Trauma: Blunt trauma, motor vehicle collisions, falls and bullet wounds are the types of trauma that may result in brachial plexus injury.
- Contact sports: While performing any contact sport, such as football, burners or stingers may occur because the brachial plexus gets stretched beyond its limit, which may cause a severe injury.
- Tumors and cancer treatments: The influence of various cancer treatments highly contributes to the development of brachial plexus damage. Sometimes, tumors start growing alongside the brachial plexus, which may result in various fatalities.
- Difficult births: These could be linked to breech presentation, considerable birth weight, or protracted labor. Brachial plexus injury is more likely to occur in a baby whose shoulders become lodged in the birth canal. In these conditions, newborn babies’ upper nerves are most likely injured.
What Are The Treatment Options For Brachial Plexus Injuries?
The injury’s severity and the brachial plexus treatment may vary from physical therapy to high-end surgeries in severe cases. However, in some cases, the nerves that have only been stretched may recover without treatment.
1. Physical Therapies: Your healthcare providers may recommend some physical therapies to maintain the various functionalities of the joints and muscles and the range of motion right after the injury. In this way, your healthcare provider can detect the extent of damage and plan the treatment accordingly.
2. Surgical Procedure: Various surgical procedures relieve the pain and restore sensation and other functionality. The extent of damage may signify the need for surgery and its surgery variations.
Surgical techniques consider the type, location, and severity of nerve damage in addition to your general health and the effect the injury has on your quality of life and capacity to work.
What Are The Different Types Of Brachial Plexus Surgery In India?
1. Nerve Repair: This procedure may involve microsuturing, grafting, and nerve conduits, which help link the gap between nerve segments. This procedure is undertaken whenever the nerves are stretched, torn, or completely detached from the spinal cord. Through the help of this procedure, the nerve end gets reconnected.
2. Nerve Grafting: Whenever the nerve gaps are too large, a nerve graft is transplanted to fill the gap between the two ends of a damaged nerve. There are two types of nerve grafting.
- Nerve Autograft in which the nerve tissue is taken from within the body
- Nerve Allograft in which the nerve tissue is taken from a cadaver
3. Nerve Transfers: In some cases, nearby functional nerves can be redirected (transferred) to restore function to a more critical nerve pathway. This approach can help restore some level of motor control or sensation.
4. Muscle Transfers: If the nerves controlling specific muscles are irreparably damaged, muscle transfers involve moving functional muscles and attaching them to non-functional ones to restore movement and function.
5. Tendon Transfers: Tendon transfers involve rerouting and attaching healthy tendons to muscles that have lost their nerve supply, allowing for improved muscle function and joint movement.
6. Rehabilitation and Therapy: Brachial plexus surgery is often followed by extensive rehabilitation and physical therapy. These therapies are crucial for maximizing the surgery outcomes and helping patients regain strength, mobility, and coordination in the affected limb.
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What Is The Brachial Plexus Surgery Cost In India?
The brachial plexus surgery cost in India lies between USD 4000 and USD 5500 ( INR 340000 – INR 460000 ), depending upon the condition of the patient and the health care facility chosen.
Which Are The Best Hospitals For Brachial Plexus Surgery In India?
Brachial plexus surgery is among the top surgical procedures, where we find a combination of very diverse processes, such as neurology and cosmetology. Thus, combining such vital processes results in a successful brachial plexus surgery. There are a variety of hospital facilities that provide successful medical treatments in India including brachial plexus surgery.
Hospital:
- Jaslok Hospital & Research Centre, Mumbai
- Artemis Hospital Gurgram, Delhi NCR
- MIOT International, Chennai
- Max Super Speciality Hospital, Saket Delhi, Delhi NCR
- Indraprastha Apollo Hospital New Delhi, Delhi NCR
- Blk Super Speciality Hospital Delhi, Delhi NCR
- Medanta The Medicity, Gurugram, Delhi NCR
- Fortis Memorial Research Institute, Gurugram, Delhi NCR
- Nanavati Super Speciality Hospital, Mumbai
- Kokilaben Dhirubhai Ambani Hospital & Research Institute, Mumbai
FAQs Brachial Plexus Surgery Cost In India
Q: What is the recovery time for brachial plexus surgery?
A: As per the observations, the healing factor of tissue is very high as compared to other injuries. Nevertheless, functional recovery may take months depending on the extent of the injury.
Q: What is the rate of brachial plexus injury?
A: High-intensity sports mostly result in the brachial plexus injuries. However, this injury is very common in men and women, but the prevalence is very high in men between the ages of 24 to 64 years. Around 90.5% of men face this difficulty every year.
Q: How to calculate cost per bed in hospital?
A: The total cost per day per bed can be obtained by dividing the total cost per day by the total number of beds in the ward.
Q: How do you sleep with a brachial plexus?
A: It is recommended to rest your arms and legs without tension or compression on the mattress. Do not put your arms under the pillow it may cause the stretching of brachial plexus fibers which may result in pain and discomfort.
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