{"id":2150,"date":"2026-01-12T22:40:07","date_gmt":"2026-01-12T22:40:07","guid":{"rendered":"https:\/\/www.bcchr.ca\/brachial-plexus\/?page_id=2150"},"modified":"2026-03-12T21:42:06","modified_gmt":"2026-03-12T21:42:06","slug":"faqs","status":"publish","type":"page","link":"https:\/\/www.bcchr.ca\/brachial-plexus\/families\/faqs\/","title":{"rendered":"FAQs"},"content":{"rendered":"<div  class=\"fndry-container fndry-responsive-bg fndry-responsive-border fndry-container--full fndry-pt--md-3 fndry-pr--md-3 fndry-pl--md-3 fndry-pb--md-6 fndry-pr--sm-2 fndry-pl--sm-2 fndry-pb--sm-3\" style=\"--fndry-bg:var(--fndry-color-tertiaryLight)\">\n\t<div  class=\"fndry-container fndry-responsive-bg fndry-responsive-border\">\n\t<div class=\"fndry-row fndry-align--center fndry-justify--sm-center fndry-justify--between\">\n\t<div  class=\"fndry-col fndry-responsive-bg fndry-col--6 fndry-col--md-10 fndry-col--sm-12 fndry-pl--2 fndry-pb--5 fndry-pt--5 fndry-pt--md-2 fndry-pb--md-2 fndry-pr--md-0 fndry-pl--md-0\">\n\t<div class=\"breadcrumbs align fndry-pb--2 wp-block-bcn-breadcrumb-trail has-text-color has-background\" vocab=\"https:\/\/schema.org\/\" typeof=\"BreadcrumbList\">\n\t<span><\/span>\n\t<span property=\"itemListElement\" typeof=\"ListItem\"><a property=\"item\" typeof=\"WebPage\" title=\"Go to Treatment of Brachial Plexus Palsy.\" href=\"https:\/\/www.bcchr.ca\/brachial-plexus\" class=\"home\" aria-current=\"page\"><span property=\"name\">Treatment of Brachial Plexus Palsy<\/span><\/a><meta property=\"position\" content=\"1\"><\/span><\/div>\n<h1 class=\"fndry-post-title\" style=\"color:var(--fndry-color-secondary)\">FAQs<\/h1><p class=\"fndry-paragraph fndry-text-bannerIntro20\">Learn more about wearing a splint or cast.<\/p><\/div>\n<div  class=\"fndry-col fndry-responsive-bg fndry-col--5 fndry-col--md-12\">\n\t<figure  class=\"fndry-image fndry-mb--2\" style=\"--imageWidth:100%;--img-height-all:100%\" aria-labelledby=\"img-\">\n\t<\/figure>\n<\/div>\n<\/div><\/div>\n<\/div>\n\n\n<div  class=\"fndry-container fndry-responsive-bg fndry-responsive-border fndry-pt--5 fndry-pb--5 fndry-pr--md-3 fndry-pl--md-3 fndry-pt--md-2 fndry-pr--sm-2 fndry-pl--sm-2 fndry-pb--sm-0 fndry-mt--sm-3 fndry-mb--sm-3\">\n\t<div class=\"fndry-row fndry-justify--center\">\n\t<div  class=\"fndry-col fndry-responsive-bg fndry-col--10 fndry-col--sm-12 fndry-col--md-12 fndry-pr--sm-1 fndry-pl--sm-1 fndry-pt--sm-0 fndry-pt--md-4 fndry-pb--md-4 fndry-pr--md-1 fndry-pl--md-1 fndry-d--flex fndry-flex--col fndry-align--start fndry-justify--center\">\n\t<h2 class=\"fndry-heading\">Splint<\/h2>\n<details class=\"wp-block-details is-layout-flow wp-block-details-is-layout-flow\"><summary><strong>How do I know how much a splint should be worn?<\/strong><\/summary>\n<p class=\"wp-block-paragraph\">Your treatment team will guide you in the recommended splint wear schedule, which will depend your child\u2019s individual abilities and stage of treatment, such as age, active arm movements, ease of stretching exercises at specific joints, and developmental progress.<\/p>\n<\/details>\n\n<details class=\"wp-block-details is-layout-flow wp-block-details-is-layout-flow\"><summary><strong>Will this injury and\/or splinting affect my child\u2019s development?<\/strong><\/summary>\n<p class=\"wp-block-paragraph\">Developmental progress is individual for each child. In general, children with an isolated brachial plexus injury do not experience a delay in their gross motor development skills. However, we encourage such skills as crawling and weight bearing on the arms for as long as possible, as this supports strengthening of the arm joints.<br><br>Prolonged splinting or a period of casting, throughout most of the day, may be necessary to maximize the recovery of your child\u2019s shoulder positioning. While any immobilization protocol may result in a temporary delay in achieving gross motor milestones, such as independent sitting and crawling, we have found these children catch up to their peers very quickly once the cast or splint is tapered from the daytime hours \u2013 typically by 10 to 12 months of age.<\/p>\n<\/details>\n\n<details class=\"wp-block-details is-layout-flow wp-block-details-is-layout-flow\"><summary><strong>Do I need to get special clothing to accommodate a splint?<\/strong><\/summary>\n<p class=\"wp-block-paragraph\">No specialized clothing is required to accommodate the splint, but parents have offered the following modification recommendations:<br><br>\u2022  Cut off the sleeve of the involved side<br>\u2022  Cut slits in the sleeve for the Velcro straps to come through<br>\u2022  Wear larger size clothing<br><br><a href=\"https:\/\/www.bcchr.ca\/brachial-plexus\/files\/2026\/01\/modified-jacket-pattern.pdf\">Modified jacket pattern<\/a><\/p>\n<\/details>\n\n<details class=\"wp-block-details is-layout-flow wp-block-details-is-layout-flow\"><summary><strong>How do I get my child in a car seat with a splint on?<\/strong><\/summary>\n<p class=\"wp-block-paragraph\">No modifications are required. Not having the ER straps on in the car seat is part of the wear schedule.<\/p>\n<\/details>\n\n<details class=\"wp-block-details is-layout-flow wp-block-details-is-layout-flow\"><summary><strong>How do children tolerate wearing a splint?<\/strong><\/summary>\n<p class=\"wp-block-paragraph\">We find children tolerate the splinting very well, especially when started at an early age. Successful parents tell us that establishing a routine and discipline around use of the splint is key and becomes as natural as brushing your teeth.<\/p>\n<\/details>\n<h2 class=\"fndry-heading\"><br>Cast<\/h2>\n<details class=\"wp-block-details is-layout-flow wp-block-details-is-layout-flow\"><summary><strong>Do I need to get special clothing to accommodate a cast?<\/strong><\/summary>\n<ul class=\"wp-block-list\">\n<li>Your child will likely need larger size clothing to fit over the cast. We estimate that the cast takes up approximately and extra six inches all the way around. Clothing that secures at the front is also easier to get off and on.<\/li>\n\n\n\n<li>Some parents have split the sleeve on the involved side and secured closed with Velcro tabs to make clothing easier to get off and on.<\/li>\n<\/ul>\n<\/details>\n\n<details class=\"wp-block-details is-layout-flow wp-block-details-is-layout-flow\"><summary><strong>How do I get my child in a car seat with a cast on?<\/strong><\/summary>\n<p class=\"wp-block-paragraph\">You may require a bigger car seat or stroller depending on the age of your child and design of your car seat\/stroller (for example, if you have a car seat with high sides). Please review the sample image below of the cast position and consider whether you will need a larger car seat.<\/p>\n\n\n<figure  class=\"fndry-image fndry-mb--2\" style=\"--imageWidth:50%\" aria-labelledby=\"img-2231\">\n\t<img decoding=\"async\" fetchpriority=\"low\" width=\"900\" height=\"596\" src=\"https:\/\/www.bcchr.ca\/brachial-plexus\/files\/2026\/01\/shoulder-cast.jpg\" class=\"fndry-image__img\" aria-hidden=\"true\" role=\"presentation\" style=\"--borderRadius:0px;--objectFit:cover;--imagePosX:50%;--imagePosY:50%\" srcset=\"https:\/\/www.bcchr.ca\/brachial-plexus\/files\/2026\/01\/shoulder-cast.jpg 900w, https:\/\/www.bcchr.ca\/brachial-plexus\/files\/2026\/01\/shoulder-cast-300x199.jpg 300w, https:\/\/www.bcchr.ca\/brachial-plexus\/files\/2026\/01\/shoulder-cast-768x509.jpg 768w\" sizes=\"(max-width: 900px) 100vw, 900px\" \/><\/figure>\n<\/details>\n\n<details class=\"wp-block-details is-layout-flow wp-block-details-is-layout-flow\"><summary><strong>How do I look after the cast?<\/strong><\/summary>\n<ul class=\"wp-block-list\">\n<li>Ensure that nothing is stuck down inside the cast.<\/li>\n\n\n\n<li>Monitor cast edges for any signs of skin rubbing which can result with active movement. Let your doctor know if this occurs and in what location, and they will guide you as to what to do.<\/li>\n\n\n\n<li>Ask your doctor if you can bath your child with the cast on. This will depend on the type of under-padding used in the cast.<\/li>\n\n\n\n<li>Unless instructed otherwise, keep the cast dry at all times \u2013 this means sponge baths.<\/li>\n\n\n\n<li>It\u2019s a good idea to gently clean around the edges of the splint (i.e. hand and torso) with a damp cloth, on a daily basis. Make sure to dry well afterwards.<\/li>\n\n\n\n<li>Keep your child cool as best possible.<\/li>\n\n\n\n<li>Monitor the color of the finger tips a few times a day. While children typically experience no problems with the cast, as a child grows the fit of the cast may become snug \u2013 white or dark purple finger tips may indicate that the cast needs to come off \u2013 see your doctor.<\/li>\n\n\n\n<li>Try to pick up and support your child from the hips, NOT from the bottom of the cast, or arm. Frequent tugging at the cast may cause it to shift positions and change the fit.<\/li>\n\n\n\n<li><a href=\"https:\/\/www.bcchr.ca\/brachial-plexus\/files\/2026\/01\/Caring-for-Your-Childs-Cast.pdf\">Caring for your child&#8217;s cast<\/a><\/li>\n<\/ul>\n<\/details>\n\n<details class=\"wp-block-details is-layout-flow wp-block-details-is-layout-flow\"><summary><strong>How might my child respond to the cast?<\/strong><\/summary>\n<ul class=\"wp-block-list\">\n<li>Your child should not be in any pain following the botox injection and cast application. However, they may be frustrated with their arm being \u2018stuck\u2019 in a certain position. Each child\u2019s response is different, but for the most part, children adjust very well.&nbsp;<\/li>\n\n\n\n<li>By maintaining a calm and reassuring approach with your child you can help them to adjust. Offer lots of different activities like books, games and music to help pass the time.<\/li>\n\n\n\n<li>If you are concerned that your child is uncomfortable after the procedure, you can give them a bit of children\u2019s Advil or Tylenol.<\/li>\n\n\n\n<li>Your child will resume their normal daily activities over a period of 1 to 2 days as they get used to their new positioning and weight.<\/li>\n<\/ul>\n<\/details>\n\n<details class=\"wp-block-details is-layout-flow wp-block-details-is-layout-flow\"><summary><strong>How will the cast be removed?<\/strong><\/summary>\n<p class=\"wp-block-paragraph\">The cast is removed by cutting it with an oscillating saw, which does not spin, but vibrates rapidly back and forth. The cast saw does make a lot of noise, so can be scary for children, but it is not painful. It is very important to tell your cast technician if your child has picked out some of the padding, or placed anything inside the cast.<\/p>\n<\/details>\n\n<details class=\"wp-block-details is-layout-flow wp-block-details-is-layout-flow\"><summary><strong>What happens after the cast is removed?<\/strong><\/summary>\n<ul class=\"wp-block-list\">\n<li>Your child\u2019s arm movements will be a little stiff and over-corrected at first, but this will gradually improve with time out of the cast.<\/li>\n\n\n\n<li>We encourage you to gently re-initiate your range of motion (stretching) exercises, the day following cast removal.<\/li>\n\n\n\n<li>Positioning post cast removal is highly dependent on your child\u2019s individualized treatment plan. However, it is very likely that your child will continue with some kind of splint. They may be able to fit into a pre-existing splint, or may require a new splint which can take up to 2 hours to make and fit, following the cast removal.<\/li>\n\n\n\n<li>Positional splinting will continue for several months post the cast removal.<\/li>\n<\/ul>\n<\/details>\n<\/div>\n<\/div><\/div>\n\n\n<div  class=\"fndry-container fndry-responsive-bg fndry-responsive-border fndry-container--full fndry-pt--md-3 fndry-pr--md-3 fndry-pl--md-3 fndry-pb--md-6 fndry-pr--sm-2 fndry-pl--sm-2\" style=\"--fndry-bg:var(--fndry-color-light)\">\n\t<div  class=\"fndry-container fndry-responsive-bg fndry-responsive-border\">\n\t<div class=\"fndry-row fndry-align--center fndry-justify--sm-center fndry-justify--between\">\n\t<div  class=\"fndry-col fndry-responsive-bg fndry-col--6 fndry-col--md-10 fndry-col--sm-12 fndry-pl--2 fndry-pb--5 fndry-pt--5 fndry-pt--md-2 fndry-pb--md-2\">\n\t<h2 class=\"fndry-heading\" style=\"color:var(--fndry-color-secondary)\">Contact Us<\/h2><p class=\"fndry-paragraph fndry-text-intro18\">Contact us with your inquiries.<\/p><a  href=\"https:\/\/www.bcchr.ca\/brachial-plexus\/contact\/\" rel=\"\" id=\"fndry-block-64b55330e7323\" class=\"fndry-btn fndry-btn-secondaryButtonWArrow\">Contact<\/a><\/div>\n<div  class=\"fndry-col fndry-responsive-bg fndry-col--5 fndry-d--md-none\">\n\t<figure  class=\"fndry-image fndry-mb--0\" style=\"--imageWidth:100%;--img-height-all:100%\" aria-labelledby=\"img-2513\">\n\t<img loading=\"lazy\" decoding=\"async\" width=\"960\" height=\"814\" src=\"https:\/\/www.bcchr.ca\/brachial-plexus\/files\/2026\/03\/bc-childrens-hospital-research-institute.jpg\" class=\"fndry-image__img\" aria-hidden=\"true\" role=\"presentation\" style=\"--borderRadius:0px;--objectFit:cover;--imagePosX:50%;--imagePosY:50%\" srcset=\"https:\/\/www.bcchr.ca\/brachial-plexus\/files\/2026\/03\/bc-childrens-hospital-research-institute.jpg 960w, https:\/\/www.bcchr.ca\/brachial-plexus\/files\/2026\/03\/bc-childrens-hospital-research-institute-300x254.jpg 300w, https:\/\/www.bcchr.ca\/brachial-plexus\/files\/2026\/03\/bc-childrens-hospital-research-institute-768x651.jpg 768w\" sizes=\"(max-width: 960px) 100vw, 960px\" \/><\/figure>\n<\/div>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":0,"parent":1228,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_lmt_disableupdate":"no","_lmt_disable":"","inline_featured_image":false,"footnotes":"","fndry_alternate_title":""},"class_list":["post-2150","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.bcchr.ca\/brachial-plexus\/wp-json\/wp\/v2\/pages\/2150","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.bcchr.ca\/brachial-plexus\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.bcchr.ca\/brachial-plexus\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.bcchr.ca\/brachial-plexus\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bcchr.ca\/brachial-plexus\/wp-json\/wp\/v2\/comments?post=2150"}],"version-history":[{"count":9,"href":"https:\/\/www.bcchr.ca\/brachial-plexus\/wp-json\/wp\/v2\/pages\/2150\/revisions"}],"predecessor-version":[{"id":2537,"href":"https:\/\/www.bcchr.ca\/brachial-plexus\/wp-json\/wp\/v2\/pages\/2150\/revisions\/2537"}],"up":[{"embeddable":true,"href":"https:\/\/www.bcchr.ca\/brachial-plexus\/wp-json\/wp\/v2\/pages\/1228"}],"wp:attachment":[{"href":"https:\/\/www.bcchr.ca\/brachial-plexus\/wp-json\/wp\/v2\/media?parent=2150"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}