An adult's hands helping a child pull out a plant.

MUSC Brachial Plexus and Peripheral Nerve Injury Center

MUSC Health is home to the only comprehensive Brachial Plexus and Peripheral Nerve Injury Center in the state of South Carolina. Dr. Dane Daley and Dr. Charles Daly, are MUSC’s orthopedic hand and upper extremity surgeons that specialize in the treatment and management of these injuries.

Brachial plexus injuries occur from stretch or severe trauma to the neck and upper arm area resulting in severe pain and varying degrees of sensory and muscle function loss for which the best outcomes occur with early identification and treatment. These treatments can be as simple as careful close monitoring for return of function or as complex as nerve and muscle transfers to restore upper extremity function. The advanced imaging techniques and complex electrodiagnostic testing only available at a large academic medical center along with a team of surgeon leaders in the field allow patients this option within South Carolina.

Peripheral nerve injuries can occur from many causes including neurodegenerative processes, arthritis, trauma, surgical injuries and planned surgical resections. As orthopaedic hand and upper extremity surgeons, we uniquely have the tools to provide care for these patients with reconstruction of the nerve itself, tendon transfer to replace the function of the muscles, joint replacement to ensure joint stability and improve pain, and fusion of joints to allow for stability of those joints that do not require motion. Each peripheral nerve injury is unique and the treatment plan will be patient specific depending on location of injury, chronicity of injury, and type of injury.

The MUSC Health Brachial Plexus and Peripheral Nerve Injury Center streamlines care for patients and allows for early identification of these injuries, completion of preoperative testing, and early communication with physicians in the field accustomed to the care of patients with complex injuries such as these. Surgery, if necessary, is performed with a team approach directed towards the optimal functional recovery of the patient. This team approach allows for an exponential increase in the quality of care and is a unique strength of this program. During recovery, therapists specializing in hand and upper extremity recovery, who have a unique exposure to this complex care, provide an integral part of your recovery. Additionally, mental health professionals, prosthetists, plastic surgeons, and physical therapists help to round out our multi-disciplinary team.

Schedule an appointment today to learn more about how MUSC Health can help you.

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