Treatment
Comprehensive medical interventions and therapies to help children with birth injuries reach their full potential and achieve the best possible outcomes.
Suspect Your Child Was Injured During Birth?
Early diagnosis and treatment are critical for the best outcomes. If you notice developmental delays, muscle weakness, seizures, or other concerning symptoms, it's important to get a comprehensive medical evaluation immediately.
Many birth injuries result from preventable medical errors. Our team can connect you with specialists who can evaluate your child and help you understand your legal options if negligence occurred.
Available 24/7 for families
Why Early Intervention Matters
When a child experiences a birth injury, the brain and body have remarkable capacity for recovery—especially in the first months and years of life. Research consistently demonstrates that early intervention provides the best opportunity for successful recovery and development.
Modern birth injury treatment involves a comprehensive, multidisciplinary approach that combines medical interventions, various therapies, assistive technologies, and family support. Each treatment plan is customized to address your child's unique needs, symptoms, and developmental goals.
Starting treatment as early as possible—ideally within the first weeks of life—can significantly improve long-term outcomes. The developing brain is most adaptable during this critical window, allowing therapeutic interventions to have maximum impact.
Core Therapy Approaches
Birth injury treatment typically involves multiple therapeutic disciplines working together. Each therapy addresses different aspects of development and recovery.
Medical Interventions & Procedures
Beyond therapy, various medical interventions can manage symptoms, prevent complications, and in some cases restore lost function. Treatment decisions depend on the specific type of injury, severity, and your child's individual response.
Therapeutic Hypothermia (Cooling)
For HIE, cooling therapy within 6 hours of birth lowers body temperature to 33.5°C for 72 hours, significantly reducing brain damage. This is the only proven intervention to improve outcomes in moderate-severe HIE.
Medications
Anti-spasticity drugs (baclofen, botox), muscle relaxants, seizure medications, and pain management help reduce symptoms and improve comfort during therapy and daily activities.
Nerve Surgery
For Erb's palsy and brachial plexus injuries, nerve grafting or nerve transfer surgery performed within 3-9 months can restore arm function when conservative treatment fails to show improvement.
Orthopedic Surgery
Selective dorsal rhizotomy (SDR) for spasticity, tendon lengthening, muscle releases, and bone realignment procedures address musculoskeletal complications as children grow.
Baclofen Pump
Implanted device delivers anti-spasticity medication directly to spinal fluid, providing better symptom control with fewer side effects than oral medications for severe cerebral palsy.
Assistive Technology
Orthotics, braces, wheelchairs, communication devices, adaptive equipment, and positioning systems support mobility, communication, and independence throughout development.
The Multidisciplinary Care Team
Effective birth injury treatment requires coordination among multiple specialists working together to create and implement a comprehensive care plan.
- Pediatric neurologists - diagnose and manage neurological conditions
- Developmental pediatricians - oversee overall development
- Orthopedic surgeons - address musculoskeletal issues
- Physiatrists - coordinate rehabilitation programs
- Neurosurgeons - perform specialized brain/nerve procedures
- Physical therapists - gross motor development
- Occupational therapists - fine motor and daily living skills
- Speech-language pathologists - communication and feeding
- Respiratory therapists - breathing support when needed
- Recreation therapists - adaptive sports and activities
- Social workers - resource coordination and family support
- Care coordinators - manage appointments and services
- Nutritionists - feeding plans and nutritional support
- Psychologists - emotional and behavioral support
- Special educators - educational planning and advocacy
- Vision specialists - assess and treat visual impairments
- Audiologists - evaluate and manage hearing issues
- Orthotists - design and fit braces and orthotics
- Assistive technology specialists - evaluate and recommend devices
- Pain management specialists - address chronic pain
Treatment Approaches by Birth Injury Type
While many treatments are common across birth injuries, each condition has specific considerations and protocols.
Cerebral Palsy Treatment
CP requires lifelong, coordinated care with evolving needs as the child grows.
- Daily physical therapy to improve mobility and prevent contractures
- Anti-spasticity medications (baclofen, botox) for muscle tone management
- Surgical options like SDR to reduce spasticity or orthopedic procedures
- Assistive technology for mobility, communication, and independence
required
Erb's Palsy Treatment
Most children recover with early intervention; surgery reserved for severe cases.
- Gentle range-of-motion exercises starting at 3 weeks of age
- Physical and occupational therapy 2-3 times per week
- Nerve transfer or graft surgery if no improvement by 3-6 months
- Secondary procedures if needed to improve function and appearance
with therapy
HIE Treatment
Time-sensitive intervention can dramatically improve outcomes.
- Therapeutic hypothermia within 6 hours of birth (critical window)
- Intensive NICU monitoring and seizure management
- Early intervention therapy beginning as soon as medically stable
- Long-term management of any resulting developmental delays
for cooling
Treatment Resources in New York
New York State offers extensive programs and specialized centers to support birth injury treatment and family needs.
- Early Intervention Program: Free or low-cost services for children under 3
- Major Medical Centers: NYU Langone, Columbia, HSS, Strong Memorial, SUNY Upstate
- Medicaid Waivers: Home and community-based services for children with disabilities
- Medical Indemnity Fund: Financial support for children with neurological birth injuries
- Special Education Services: IEPs and accommodations through school districts
Free Treatment Resource Guide
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Michael S. Porter
Eric C. Nordby