Erb's Palsy Physiotherapy in Indirapuram

What happens to the nerves

The brachial plexus is a network of nerves running from the neck into the arm. In Erb's palsy the upper roots, C5 and C6, are stretched during birth, often when the baby's shoulder gets stuck behind the mother's pelvic bone. The shoulder and elbow muscles are affected most. The typical posture is the arm hanging by the side, turned inward, with the wrist bent (sometimes called a waiter's tip position).

Severity varies from a mild stretch that recovers within weeks to more serious injuries where the nerve is torn.

Why early physiotherapy matters

While nerves recover, joints and muscles that aren't moving tighten quickly, especially at the shoulder. A shoulder that's allowed to stiffen can limit function even after the nerves come back. Gentle daily range of motion prevents that.

We teach parents how to move the arm safely, how to position the baby during feeding and sleep, and how to encourage the baby to use the arm through play. Sessions are short, frequent and gentle. Babies tolerate a lot more when it feels like play.

Monitoring recovery

Progress is tracked closely in the first months. Good recovery of elbow bending by around three months is an encouraging sign. If recovery is limited, referral to a specialist brachial plexus surgeon is important, because nerve surgery works best within a certain window. We coordinate with your pediatrician on timing.

Exercises often used for Erb's Palsy

These are exercises our physiotherapists commonly include. Which ones suit you, how many and in what order depends on your assessment and stage of recovery.

All shoulder exercises

Frequently asked questions