Erb's Palsy


Jump to:    Causes of Erb's Palsy


Erb's Palsy (Erb's-Duchenne Paralysis) is defined as a brachial plexus paralysis, secondary to trauma of the upper trunk (C5-C6) of the brachial plexus. Brachial plexus injuries are most commonly seen in newborns and are usually caused by traction and excessive lateral flexion of the head and neck during delivery.


Chiropractic adjustments and Erb's Palsy: a case study.   Hyman CA,   Journal of Clinical Chiropractic Pediatrics. Oct. 1997;2(2) pp. 157-60..

  • Chiropractic care of a patient presenting to the author's chiropractic office, with obstetrical brachial plexus injury at the level of C5-C6 nerve roots (Erb's Palsy). Brachial plexus injuries are most commonly seen in newborns and are usually caused by traction and excessive lateral flexion of the head and neck during delivery.

  • Patient:   A two-month old black female presented with obstetrical brachial plexus injury (Erb's Palsy). This infant had been under the care of several medical pediatricians without resolution.

  • Conclusion:   The infant had complete resolution of her condition with no complications or residual impairments under chiropractic care.


Resolution of infantile ERB's palsy utilizing chiropractic treatment.   Biedermann H;   J Manipulative Physiol Ther. 1994 (Feb);17 (2): 129-131

  • Seventy five percent of cases of Erb-Duchenne palsy (Erb's palsy) improved markedly, and far quicker than in the three week period waiting period before chiropractic treatment.


Resolution of infantile Erb's palsy utilizing chiropractic treatment.   Harris SL, Wood KW   J Manipulative Physiol Ther. 1993 (Jul-Aug);16 (6): 415-418

  • A 5-wk-old infant boy suffered from a limp left arm. Birth records were obtained to verify the diagnosis.. The patient received specific chiropractic adjustments to the mid-cervical. The Erb's palsy resolved with only a mild residual "waiters tip" deformity within 2 months. In this case, chiropractic adjustment is suggested as an effective treatment for Erb's palsy. Further research is warranted to understand the efficacy of chiropractic care.



Causes of Erb's Palsy:

1)   A retrospective analysis of Erb's palsy cases and their relation to birth weight and trauma at delivery.   Graham EM; Forouzan I; Morgan MA.   J Matern Fetal Med. 1997 (Jan-Feb);6 (1): 1-5

  • The incidence of Erb's palsy in our population is similar to that of other reported studies and has remained unchanged over the past 30 years, even as our cesarean rate has risen from 5% to 20%. In other words, there is as much force used during c-section deliveries as with vaginal deliveries.


2)   Facial nerve palsy in the newborn: incidence and outcome. Falco NA; Eriksson E.     Plast Reconstr Surg. 1990 (Jan);85 (1): 1-4

  • Among 44,292 infants born between October 1, 1982 and July 31, 1987, there were 92 recorded cases of congenital seventh nerve palsy. Of these '81 were acquired' for an incidence of 1.8 per 1,000. Seventy-four of the 81 (91%) were associated with forceps delivery.


3)   Klumpke's birth palsy. Does it really exist?   al-Qattan MM; Clarke HM; Curtis CG.   J Hand Surg [Br]. 1995 (Feb);20 (1): 19-23

  • Erb's palsy is the most common obstetric brachial plexus injury followed by total plexus palsy. The distribution of Klumpke's birth palsy with modern obstetric practice is unknown.


4)   Erb/Duchenne's palsy: a consequence of fetal macrosomia and method of delivery.   JR; Benedetti TJ.   Obstet Gynecol. 1986 (Dec);68 (6): 784-788

  • When birth weight was controlled for in the analysis, midforceps vacuum, and low forceps remained significantly associated with the Erb's palsy. These data demonstrate a high risk for serious birth injury associated with instrumental midpelvic delivery.