Brachial plexus injury care at Mayo Clinic

Your Mayo Clinic care team

Pediatric brachial plexus consult

People with brachial plexus injuries usually see three surgeons during one office visit at Mayo Clinic.

At Mayo Clinic, neurosurgeons, orthopedic surgeons, hand and microvascular surgeons, physical rehabilitation experts, and other specialists collaborate as a team to evaluate and treat each patient.

Everyone on the team, regardless of medical specialty, is focused on brachial plexus injuries. This means that you're getting not just one opinion — you benefit from the knowledge and experience of each specialist on the multidisciplinary team.

Advanced diagnosis and treatment

With state-of-the-art research and laboratory facilities, Mayo Clinic specialists use advanced technology, sophisticated imaging tests and comprehensive examinations to obtain a detailed, accurate diagnosis of your injury. Surgeons, radiologists, physical therapists and other specialists collaborate as a team to evaluate your condition and determine the most appropriate treatment.

At Mayo Clinic's campuses in Minnesota, Arizona and Florida, neurosurgeons and orthopedic surgeons work together to perform needed surgeries simultaneously. One may be operating on your brachial plexus while another is obtaining nerve grafts from your calf or harvesting muscle to transfer to your injured arm. This can shorten the length of time you need to be under anesthesia.

What is the Brachial Plexus?

Shelley Noland, M.D., Department of Plastic and Reconstructive Surgery, Mayo Clinic: My name is Dr. Shelley Noland. I am a hand and peripheral nerve surgeon here at Mayo Clinic in Arizona.

Pelagia Kouloumberis, M.D., Department of Neurosurgery, Mayo Clinic: My name is Dr. Pelagia Kouloumberis and I am a neurosurgeon here at Mayo Clinic in Arizona.

Shelley Noland, M.D.: Dr. Kouloumberis, what is the brachial plexus?

Pelagia Kouloumberis, M.D.: The brachial plexus is a complex of nerves that exit the spinal cord that supply power to the upper extremity or the arm.

Shelley Noland, M.D.: A brachial plexus injury results in injury to these nerves entering the arm, which can cause paralysis or weakness in the upper extremity. Dr. Kouloumberis, what's the most important thing for a patient with a new diagnosis of a brachial plexus injury to understand?

Pelagia Kouloumberis, M.D.: Once you have suffered an injury of your brachial plexus, it is very important that you receive care for that injury in a timely fashion. This is a time sensitive injury and you should be evaluated by somebody who specializes in this field as soon as possible.

Shelley Noland, M.D.: Here at the Mayo Clinic in Arizona, we believe that patients with brachial plexus injuries deserve and require a team-based approach.

Pelagia Kouloumberis, M.D.: When patients come to us with brachial plexus injuries, we realize that their needs are more than just surgical. That is why we have assembled a team to help address the needs of the entire patient.

Shelley Noland, M.D.: Here in the treatment of brachial plexus injuries we offer cutting edge procedures, including nerve transfers and muscle transplantations.

Pelagia Kouloumberis, M.D.: Each treatment plan is individualized, taking into account the patient's need such as degree of injury and type of reconstruction required.

Shelley Noland, M.D.: If you or a loved one has sustained a brachial plexus injury, we encourage you to seek out a brachial plexus specialist as soon as possible.

Research and innovation

Surgeons and scientists collaborate in Mayo Clinic laboratories for microsurgery and regenerative medicine to develop new solutions that improve nerve healing, speed rehabilitation and improve the outcomes for patients with brachial plexus injuries. This constant, enthusiastic search for improvements in the ability to repair nerves, muscles and tendons has made the treatment of brachial plexus injuries progressively more reliable and reproducible for patients at Mayo Clinic.

    The Mayo Clinic experience and patient stories

    Our patients tell us that the quality of their interactions, our attention to detail and the efficiency of their visits mean health care like they've never experienced. See the stories of satisfied Mayo Clinic patients.

    Expertise and rankings

    Orthopedic surgeons, neurosurgeons and rehabilitation specialists are all part of the brachial plexus team at Mayo Clinic.

    Experience

    Mayo Clinic's brachial plexus surgeons are recognized nationally and internationally for their surgical technical excellence and innovative abilities to solve both straightforward and complex brachial plexus problems. Each year, hundreds of people with brachial plexus injuries are treated at Mayo Clinic.

    Treatment expertise

    Brachial plexus surgeons at Mayo Clinic have an extensive depth and breadth of experience with advanced microsurgical techniques. They have developed new muscle and tendon transfers, and are at the forefront in understanding nerve regeneration.

    Mayo Clinic brachial plexus surgeons are recognized for their excellence and innovation.

    Nationally recognized expertise

    Mayo Clinic in Rochester, Minn., and Mayo Clinic in Jacksonville, Fla., are ranked among the Best Hospitals and Mayo Clinic in Phoenix/Scottsdale, Ariz., is ranked highly performing for neurology and neurosurgery by U.S. News & World Report. Mayo Clinic in Rochester, Minn., and Mayo Clinic in Scottsdale, Ariz., are ranked among the Best Hospitals and Mayo Clinic in Jacksonville, Fla., is ranked highly performing for orthopedics by U.S. News & World Report. Mayo Clinic also ranks among the Best Children's Hospitals for neurology and neurosurgery and for orthopedics.

    Locations, travel and lodging

    Mayo Clinic has major campuses in Phoenix and Scottsdale, Arizona; Jacksonville, Florida; and Rochester, Minnesota. The Mayo Clinic Health System has dozens of locations in several states.

    For more information on visiting Mayo Clinic, choose your location below:

    Costs and insurance

    Mayo Clinic works with hundreds of insurance companies and is an in-network provider for millions of people.

    In most cases, Mayo Clinic doesn't require a physician referral. Some insurers require referrals, or may have additional requirements for certain medical care. All appointments are prioritized on the basis of medical need.

    Learn more about appointments at Mayo Clinic.

    Please contact your insurance company to verify medical coverage and to obtain any needed authorization prior to your visit. Often, your insurer's customer service number is printed on the back of your insurance card.

    More information about billing and insurance:

    Mayo Clinic in Arizona, Florida and Minnesota

    Mayo Clinic Health System

    April 15, 2020