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Spinal Nerves: Plexus I

Spinal Nerves: Plexus I

Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...

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Updated: Mar 10, 2026

Structured Motor Rehabilitation After Selective Nerve Transfers

Structured Motor Rehabilitation After Selective Nerve Transfers

Published on: August 15, 2019

Upper Trunk Brachial Plexus Palsy Following Chiropractic Manipulation.

John Cunningham¹, Wayne Hoskins², Scott Ferris³

¹Department of Orthopaedic Surgery, Royal Melbourne Hospital , Parkville, VIC , Australia.

Frontiers in Neurology

|December 15, 2016

Summary

Spinal manipulative therapy can cause acute brachial plexus palsy, a rare neurological injury. Further research is needed to understand the risks associated with this therapy.

Keywords:

Erb’s palsy brachial plexus injury chiropractic manipulation upper trunk

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Area of Science:

Neurology
Orthopedics
Physical Therapy

Background:

Upper trunk brachial plexus palsy is typically associated with high-energy trauma.
Spinal manipulative therapy (SMT) is a common treatment for musculoskeletal conditions.
Neurological complications following SMT are rarely reported.

Observation:

A case study details a patient experiencing acute upper trunk brachial plexus palsy after receiving SMT.
The palsy developed subsequent to the spinal manipulation procedure.

Findings:

This case highlights a potential, albeit rare, neurological complication of SMT.
The incidence of serious complications from SMT requires further investigation.

Implications:

Healthcare providers should be aware of the potential neurological risks associated with SMT.
Comprehensive risk assessment and patient monitoring are crucial during SMT.
Rigorous prospective studies are necessary to determine the true benefit:risk ratio of SMT.