Non-recovering obstetric brachial plexus lesion is a type of birth injury that occurs when the nerves of the brachial plexus are stretched or torn during delivery. This can cause permanent damage to the nerves, resulting in weakness or paralysis of the arm and hand. Treatment typically involves physical therapy and/or surgery to restore function.

Symptoms of non-recovering obstetric brachial plexus lesion include:

-Loss of movement in the affected arm
-Weakness in the affected arm
-Lack of sensation in the affected arm
-Loss of reflexes in the affected arm
-Muscle Atrophy in the affected arm
-Pain in the affected arm
-Decreased range of motion in the affected arm
-Decreased grip strength in the affected arm
-Decreased ability to perform fine motor tasks with the affected arm

Non-recovering obstetric brachial plexus lesions are caused by excessive stretching of the brachial plexus nerves during delivery. This can occur when the baby's shoulder is pulled or pushed during delivery, or when the baby's head is pulled or pushed in an awkward position. Other causes include a large baby, a difficult delivery, or a breech delivery.

1. Physical therapy: Physical therapy is the most common treatment for non-recovering obstetric brachial plexus lesions. Physical therapy can help to improve range of motion, strength, and coordination of the affected arm.

2. Surgery: Surgery may be recommended for some cases of non-recovering obstetric brachial plexus lesions. Surgery can help to improve range of motion, strength, and coordination of the affected arm.

3. Occupational therapy: Occupational therapy can help to improve the ability to perform daily activities with the affected arm.

4. Splinting: Splinting can help to improve range of motion and strength of the affected arm.

5. Botox injections: Botox injections can help to reduce spasticity in the affected arm.

6. Electrical stimulation

1. Difficult delivery, including shoulder dystocia, breech delivery, and prolonged labor.
2. Large baby size.
3. Prolonged use of forceps or vacuum during delivery.
4. Maternal diabetes.
5. Maternal obesity.
6. Maternal smoking.
7. Maternal age over 35.
8. Multiple births.
9. Premature birth.
10. Prolonged labor.

There is no cure for non-recovering obstetric brachial plexus lesions. However, there are medications and treatments that can help manage the symptoms. These include physical therapy, occupational therapy, and medications such as muscle relaxants, pain relievers, and anti-inflammatory drugs. Surgery may also be an option for some patients.