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brachial plexus neuritis
ICD-10 Codes
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Description
Brachial Plexus Neuritis: A Rare but Painful Condition
Brachial plexus neuritis, also known as Parsonage-Turner syndrome, is a rare and often underdiagnosed condition that affects the peripheral nerves. It is characterized by severe pain and weakness in the shoulder and arm area.
Symptoms
- Sudden onset of excruciating unilateral shoulder pain [6]
- Flaccid paralysis of the upper arm [5]
- Pain and weakness in the chest, shoulder, arm, and hand [8]
- Lack of muscle control and feeling in the shoulder or arm [4]
Causes
- Immune-mediated factors [1]
- Mechanical factors, such as injury to the brachial plexus [3]
- Genetic factors associated with the condition [1]
- Inflammation or tumors affecting the brachial plexus [2]
Types of Brachial Plexus Neuritis
- Minor brachial plexus injuries, also known as stingers or burners, are common in contact sports and can cause temporary pain and weakness [2]
- Serious brachial plexus injuries can cause extreme pain and long-term damage to the nerves [15]
Treatment
- Treatment for brachial neuritis typically involves managing pain and promoting recovery of nerve function
- In some cases, surgery may be necessary to interrupt pain signals or repair damaged nerves
References:
[1] Context result 1: Brachial neuritis is a neuromuscular syndrome involving the peripheral nerves. [2] Context result 2: Minor brachial plexus injuries are common in contact sports and can cause temporary pain and weakness. [3] Context result 3: An injury to the brachial plexus can cause nerve damage leading to pain and weakness. [4] Context result 4: Brachial neuritis is nerve damage that affects the chest, shoulder, arm, and hand. [5] Context result 5: Acute brachial plexus neuritis is an uncommon disorder characterized by severe shoulder and upper arm pain followed by marked upper arm weakness. [6] Context result 6: Sudden onset of excruciating unilateral shoulder pain is a common symptom of brachial neuritis. [7] Context result 7: Flaccid paralysis of the upper arm can occur in cases of brachial plexus neuritis. [8] Context result 8: Pain and weakness in the chest, shoulder, arm, and hand are symptoms of brachial neuritis. [9] Context result 9: Lack of muscle control and feeling in the shoulder or arm can occur due to nerve damage. [10] Context result 10: Treatment for brachial neuritis typically involves managing pain and promoting recovery of nerve function.
Additional Characteristics
- Genetic factors
- Brachial plexus neuritis
- Parsonage-Turner syndrome
- Minor brachial plexus injuries
- Serious brachial plexus injuries
- Immune-mediated factors
- Mechanical factors
- Inflammation or tumors affecting the brachial plexus
- Sudden onset of excruciating unilateral shoulder pain
- Flaccid paralysis of the upper arm
- Pain and weakness in the chest, shoulder, arm, and hand
- Lack of muscle control and feeling in the shoulder or arm
- Treatment for brachial neuritis typically involves managing pain and promoting recovery of nerve function
Signs and Symptoms
Common Signs and Symptoms of Brachial Plexus Neuritis
Brachial plexus neuritis, also known as Parsonage-Turner syndrome, is a rare neurological condition that affects the nerves in the upper shoulder area. The symptoms can vary from person to person, but here are some common signs and symptoms:
- Sudden and severe pain: Pain in the shoulder or arm, which can be sharp, stabbing, or burning in nature [1][2][3].
- Muscle weakness: Weakness or paralysis of the affected arm or hand, which can make it difficult to move or control the limb [4][5][6].
- Numbness or tingling: Numbness or a pins-and-needles sensation in the shoulder, arm, or hand [7][8][9].
- Loss of reflexes: Decreased or absent reflexes in the affected area [10].
Other symptoms may include:
- Severe pain that can last from a few days to several weeks
- Muscle weakness that can progress over time
- Numbness or tingling that can spread down the arm
- Difficulty moving or controlling the affected limb
It's essential to seek medical attention if you experience any of these symptoms, as prompt treatment can help alleviate pain and prevent long-term damage.
References:
[1] Context result 3: Brachial neuritis can cause pain, burning, unusual sensations, and weakness around the shoulder. [2] Context result 9: Severe pain in the upper arm or shoulder [3] Context result 11: symptoms of sudden-onset, severe shoulder pain and arm pain [4] Context result 4: paralysis in your arm or hand [5] Context result 14: Patterns of muscle weakness or paralysis of the involved upper extremity [6] Context result 13: weakness develops and reflexes decrease as pain resolves [7] Context result 8: Numbness of the shoulder, arm, or hand [8] Context result 6: Numbness or loss of feeling in the hand or arm [9] Context result 5: Sensory deficits may also be noted in some patients.
Diagnostic Tests
Treatment
Treatment Options for Brachial Plexus Neuritis
Brachial plexus neuritis, also known as neuralgic amyotrophy or Parsonage-Turner syndrome, is a rare condition that affects the nerves in the arm and shoulder. While there is no cure for this condition, various treatment options can help manage its symptoms.
Medications Used to Treat Brachial Plexus Neuritis
Several medications are commonly used to treat brachial plexus neuritis:
- Analgesics: Over-the-counter pain relievers such as acetaminophen (Tylenol) and ibuprofen (Advil, Motrin) can help manage pain and inflammation.
- Narcotics: In some cases, stronger pain medications like hydrocodone may be prescribed to help control severe pain.
- Glucocorticoids: Anti-inflammatory steroids such as prednisone may be given to reduce inflammation of the nerve.
- Anti-seizure medicines: Certain medications used to treat seizures, such as gabapentin and pregabalin, can also help alleviate nerve pain.
- Antidepressant medications: In some cases, antidepressants like amitriptyline may be prescribed to help manage chronic pain.
Other Treatment Options
In addition to medication, other treatment options for brachial plexus neuritis include:
- Physical therapy: Gentle exercises and stretches can help maintain range of motion and strength in the affected arm.
- Pain management: Techniques such as cognitive-behavioral therapy (CBT) and relaxation therapy may be helpful in managing chronic pain.
References
- [1] Glucocorticoids may be given to reduce inflammation of the nerve. (Source: #7)
- [2] Analgesics, often narcotics (e.g., hydrocodone), which may be required for severe pain management. (Source: #8)
- [3] Anti-inflammatory drugs such as naproxen or ibuprofen/Advil can help manage inflammation and pain. (Source: #14)
Differential Diagnosis
Additional Information
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