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What are the long-term complications of Erb’s palsy?

On Behalf of | Jun 15, 2026 | Birth Injuries

Erb’s palsy happens when the nerves that control a baby’s arm and shoulder are stretched or torn during birth. While some children recover with treatment, others live with lasting effects that shape daily life.

If your child was affected, you may wonder what the future holds. Knowing the possible long-term complications can help you plan ahead and push for the care your child deserves.

Muscle tightness and contractures

When muscles and soft tissues around the shoulder, elbow or arm stay still for too long, they can tighten. Over time, this makes the joint stiff and hard to move. These contractures can limit how freely your child uses the affected arm.

Muscle weakness and atrophy

Muscles that are not used often begin to shrink and weaken. This loss of strength can make everyday tasks harder, from lifting objects to getting dressed without help.

Reduced range of motion

A limited range of motion can keep your child from reaching, rotating or lifting the arm normally. This affects sports, playground fun and simple daily routines that other children take for granted.

Abnormal arm growth and asymmetry

The injured arm may grow shorter or smaller than the other one. This imbalance can influence posture and balance, and it may change how clothing or supportive devices fit.

Shoulder instability and joint deformity

Some children feel pain, clicking or a sense that the shoulder is not secure during movement. Ongoing muscle imbalance can slowly reshape the shoulder socket or upper arm bone. In serious cases, surgery may be needed to correct the joint.

Chronic pain

Aching, fatigue or sharp pain around the shoulder and neck can follow activity. This discomfort may disturb sleep, interrupt school and limit participation in sports and hobbies.

Lasting loss of movement

In some situations, a child may face partial or complete loss of movement in the shoulder or arm. This kind of paralysis can have a deep and lasting impact.

When birth injuries involving the brachial plexus may have been preventable, you should seek legal guidance to understand your options and protect your child’s future.

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