Hi my daughter was diagnosed at birth with right erb s palsy and a significant shoulder dystocia after 5weeks old she was reviewed as normal she is now nearly 13yrs old and having major problems with her shoulder when doing intense swim squad and is in the top team for water polo but in alot of pain when she plays and swims when she stops it is fine. She has had a x ray,ultra sound and now waiting for a mri she has been to physios, osteopath is doing a programme at the gym and loves to play sport what else could she do to try and help the pain if it is associated with the problem they thought she had at birth!Not sure if this is related to her birth or maybe just over use of swimming and water polo please help I am at my witts end and so is she and sick of going to several people should she go to physio or should she try accupunture can it cause more damage if she continues to play water polo she has had a rest from everything for 5 weeks and no change so far hurts only when she plays water polo stretching and throwing or freestyle int he shoulder earea!Look forward to your reply thanking you Sarah
Erb palsy at birth usually don't cause problem at this time as recovery is usually complete with time. But as you are saying that it was a case of shoulder dystonia then there is a possibility of maligned shoulder joint which may cause pain. Nerve entrapment during regeneration may also cause pain.  Mri will be helpful. Nerve conduction study will be helpful.