Brachial plexus injury - Gillespie Approach–Craniosacral Fascial Therapy

Brachial Plexus Injury and Shoulder Dystocia

We believe that CFT/IDM can be effective in correcting some infants with brachial plexus injury. The brachial plexus consists of nerves originating from the cervical spine that control the motor and sensory functions of the shoulder, arm, and hand. This injury often arises if the infant has experienced shoulder dystocia. This specific condition can occur after the head is delivered and the infant’s anterior shoulder cannot pass below the mother’s pubic symphysis. Even though many birth maneuvers can help free up the shoulder, an intentional clavicular fracture may be necessary for the more severe cases.

We would expect that CFT/IDM would be most effective where the tissues have been stretched or compressed causing a craniosacral fascial strain pattern(s). If the damage is more extensive with soft tissue ripping and tearing, we would expect that CFT/IDM may be somewhat palliative but not corrective. Respecting the golden hour is always important in these types of injuries. As the untreated newborn ages, complete correction may be more difficult to attain with systemic compensation and adaptation.

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