If you have been injured by a healthcare professional including a doctor, dentist, nurse or technician in a surgery, hospital or clinic in UK you should speak to medical negligence solicitor who will normally give free initial advice and information on how best to preserve your legal right to receive compensation as a result of injuries. Most UK Medical Negligence lawyers operate using a contingency scheme (no win no fee) and you will not have to fund or finance your compensation claim in any respect.
If your medical negligence solicitors are not successful you pay nothing at all. You have nothing to lose in taking up a lawyers offer of free advice and there is usually no further obligation should you decide not to pursue a claim further. Most medical negligence solicitors offer a true professional risk-free service and you should only ever deal with a qualified, specialist.
Erb’s palsy is also called Erb-Duchenne palsy; it is a paralysis of the arm caused by an injury to the brachial plexus, a collection of nerves that exit the neck, mix and match into a plexus, and go out to the arm. The main nerves involved in Erb’s palsy are C5 and C6. These comprise the ventral rami of the spinal nerves C5 to C8 as well as the thoracic nerve T1.
The injury (paralysis) comes from shoulder dystocia in a difficult birth. Shoulder dystocia usually comes when an infant is large, and the head is able to exit the birth canal but the shoulders get stuck. In order to get the shoulders out, the doctor can put too much traction on the infant’s head, stretching the neck and doing damage to the nerves of the brachial plexus. Depending on the type of damage, the paralysis can resolve spontaneously over a few months, might require physical therapy to get better or might require surgery. Some cases of shoulder dystocia happen during a breech delivery when everything but the head is out and pressure is put on the neck to get the head out. It can also affect an infant who suffers from a clavicle fracture at birth that is unrelated to dystocia.
A related injury can be seen at any age when there is a trauma to the head and shoulders that causes the nerves of the brachial plexus to stretch violently, resulting in a form of Erb’s palsy unrelated to shoulder dystocia or infancy. Gunshot wounds or violent traction on the arm can result in paralysis of the arm.
The paralysis in Erb’s palsy can be partial or complete and the damage to each nerve can be as simple as bruising to the nerve or as bad as avulsion of the nerve from the spinal cord. The damage is most likely to the nerve root C5 and one can refer to the union of C5 and C6 nerve roots as “Erb’s point”. This point is the furthest point from the force of traction and is, therefore, the first area affected. Erb’s palsy is a lower motor nerve syndrome so the muscles are weak and there is sensibility disturbance of the affected arm.
The nerves most commonly affected in Erb’s palsy are the musculocutaneous nerve, the suprascapular nerve, and the axillary nerve.
The signs and symptoms of Erb’s palsy include a lack of sensation in the affected arm and atrophy and paralysis of the deltoid muscle, the biceps, and the brachialis muscles. The limb often hangs to the side and is rotated medially with an extended forearm and pronated forearm. Flexion power in the elbow is lost and one can’t supinate the forearm. The arm cannot be raised from its side position. Of all muscles, the biceps muscle causes the greatest problems to the arm.
Whenever the injury occurs as an infant or neonate, it affects muscle development and the limb ends up with stunted growth with all aspects of the arm, including the shoulder and the fingers. The arm is much weaker than the one which is unaffected and nervous and circulatory development is diminished. Many develop contracture of the elbow and cannot raise their arm above the level of the shoulder without help.
The poor development of the circulatory system means that the arm has no ability to regulate its temperature, which is a difficult problem during the winter months as the arm can freeze if not protected against the cold. Healing is reduced in the affected limb and infections are possible if wounds are not protected against infection.
The nerve damage is often the most difficult problem of all. Some patients with Erb’s palsy have no sensation whatsoever of the affected limb while others have full sensory perception. The area most commonly affected by sensory loss is the area between the elbow and the shoulder; these are the first nerves damaged by the initial insult.
The appearance of the arm depends on what nerves are involved. Some situations will have the arm unable to straighten or rotate the arm and the arm will feel stiff and crooked. In other cases, the arm will be loose, and the patient will have little control over the arm. Physical therapy and massage can prevent these unusual appearances and can improve function.
In certain cases, the patient may feel a great deal of pain. There may be cramping pain that may be worse if they have slept on the shoulder. It doesn’t affect all patients with Erb’s palsy, but it can be extremely painful to those who have the problem. Patients can even faint or be sick from severe pain. It usually happens in the latter stages of growth but eventually fades with time.
Treatment of Erb’s palsy is sometimes unnecessary as the infant regains normal function on their own; others need intervention by a specialist. A pediatric surgeon is necessary for avulsion fracture repair. If the repair works well, the lesions will heal, and the function will normalize. Even so, physical therapy is required to strengthen the arm, prevent contractures and maximize sensation. If the child has not regained function after one year, he or she is unlikely to regain any further function without help. Some quickly develop arthritis in the affected extremity.
There are three common surgical treatments for Erb’s palsy including nerve transplants from the opposite limb, subscapularis releases, and latissimus dorsi tendon transfers. Nerve transplants are often done on patients who are younger than age 9 months because the procedure is more successful at that age. Subscapularis releases can be done at any time. A “Z” shaped cut is made into the muscle so that it is able to stretch more.
It can be done repeatedly until the desired effect is achieved. In a latissimus dorsi tendon transfer, the latissimus dorsi muscle is cut in half horizontally so that parts of the muscle is pulled around to attach to the outside of the biceps muscle. It provides some degree of external rotation to the arm if it works at all. There will be increased sensitivity of the biceps because the latissimus dorsi has twice the number of nerve endings as the biceps.
Same Day Dentures – Actually Worth The Investment or Not?
Did you say yes to same-day dentures? If so, then you are already on your way to a brilliant smile. It is one of the most prominent tooth replacement options in the latest dental technology. It has merely allowed streamlining the process and allowed people to come back home with a full set of teeth after just one appointment. Are you wondering how it works?
Mainly, one or more than one implant is inserted into your jaw bone, instead of spending 3-5 months. It clearly means that very minimal time is spent without a visible missing tooth. There are two ways how it differs from the traditional ones.
First of all, same-day implants don’t take much of your time, just a few hours. Whereas, the typical tooth implant procedure takes more than 3 months and that too, with a missing tooth. Secondly, it requires a very less number of visits. But remember, the success rate of this treatment is not that higher as compared to the standard one.
What is the procedure like?
In general, the individual doesn’t have to wait for several months for his gum/tissue to heal. Your dentures are on the spot, ready for the placement. Before the extraction, your expert dentist will take the impressions and images of your dental area. This procedure is applicable for:
- Replacing a single tooth
- Replacing 2-3 missing tooths
- Full set of dental implants
- All on 4 implants or All on 6 implants
Are you the right candidate for a tooth implant procedure?
If you are wondering what makes them different from other procedures. Basically, they don’t differ much, it is just the time that counts, and the lab work that takes almost a week. If you have made your mind to get it done? If yes, then simply head to a certified/licensed dentist near you and get them fitted while ensuring that the dentures satisfy your needs. Once done with the placement, you are good to go! So, what are you waiting for? Say no to those frequent and never-ending visits and the tedious waiting period.
Is the procedure painful?
Generally, same-day dentures are implemented under local anesthesia. If any sort of sedation is required, that is also provided as it blocks the pain trails. After the effect starts to lessen, an individual may begin to feel a slight discomfort. But not to worry as the dentist recommends specific pain relievers.
Taking care of same-day implants
Well, it entirely depends on oral hygiene and how long you maintain it. Check out the tips below:
Most expert dentists recommend using a soft-bristle toothbrush. The gentle bristles are generous to the crowns and tissues. Plus, they quickly adapt to the crown surfaces, which helps in thorough cleaning and removing the plaque. A pro tip to follow here is to use a toothpaste with Fluoride as it will keep the cavity formations and decay at bay.
Hold on, we are not talking here about the alcohol-based mouthwashes. Ask your dentist for any suitable recommendation. Going twice with mouth rinsing helps in lessening the plaque and bacterial load, which eventually leads to better oral hygiene.
An appropriate floss should be used to clean the area of contact for improving gum health. If an individual follows this, then there’s no risk of dental bone loss in the long run.
Remember, the key takeaway is to evaluate and get the treatment done from time to time. It is better to avoid smoking, alcohol intake, tobacco chewing, and consuming processed foods as much as you can.