Sunday, May 5, 2024

Shoulder slings, Brachial Plexus, Pain

Shane Jansen

Dear Colleagues.
I have the following case;
L) brachial plexus with chronic neuralgic pain which periodically
becomes very intense. Radiates form neck to fingers.
No sensation to touch or pressure from shoulder to fingers apart from a
little in the 4th and 5th fingers.
Weak grip (can hold pen but poor sensation means unable to manipulate
it).
Active elbow flexion to 90 deg against gravity.
Shoulder and humeral atrophy. ?Some subluxation of shoulder.
Primary need is for pain relief by reducing strain on shoulder. Some
function may be possible.

I have trialled the patient with an Omotrain which was initially
promising but proved unsuitable due to intolerance to compression around
shoulder.
I am now considering the GivMohr sling or the Shoulder Saddle Sling but
have to purchase as non returnable items.
Please advise on your experience with these.

Many Thanks

Shane Jansen

Clinical Orthotist

Orthotic Service

Whangarei Hospital

Northland District Health Board

New Zealand

( Ph +64 9 4304100 – #7451 | 7 Fax +64 9 470 0020| +
[email protected]

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