Pain Management
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Brachial Plexopathy
Brachial plexus injury, or brachial plexopathy, is a chronic pain condition characterized by decreased movement or sensation in the arm and shoulder. 
Brachial plexopathy is caused by impaired function of the brachial plexus, a group of nerves that controls the arm and shoulder. Symptoms include extreme shoulder pain, numbness and weakness of the shoulder, arm, or hand. The location of the pain or numbness will vary according to the part of the brachial plexus that is affected. 
Damage to the brachial plexus can occur in many ways. Direct trauma to the nerve is the most common cause, but the plexopathy can be the result of a stretching injury, such as jerking or severe overextension of the arm, or from pressure on the nerve caused by either a tumor or congenital abnormalities. Damage can also be caused by toxins, chemicals, or drugs, including those used in radiation therapy for lung or breast cancer. The condition may be complicated by ischemia (lack of oxygen to the tissues due to decreased blood flow in the affected area.) 
In general, the standard course of therapy will follow the chronic pain treatment continuum, and may include medications, physical or occupational therapy to build strength and coordination, nerve blocks to reduce pain, and/or surgery to improve function