Washington, D.C. BPI Specialists/Clinics

Kathrin E. Swoboda, MD


Response to UBPN questionnaire:
NOTE: Only questions answered are included here


When was your Brachial Plexus Injury Clinic established?

Around 1965. Dr. Gloria Eng started the Dept. of PM & R around 35 years ago and initially treated brachial plexus injuries.
Identify what specialties related to brachial plexus injuries are represented by practitioners working in your clinic including physical/occupational therapists, if any.

PT/OT/PM & R. Dr. Semel-Concepcion and Dr. Swoboda. Neurosurgery -- Dr. Robert Keating.
What do you/your clinic specialize in treating?

  • obstetrical brachial plexus injuries
  • trauma or other brachial plexus injuries in children/babies

Indicate the total number of brachial plexus patients you/your clinic has evaluated since your establishment:
Difficult to say.

Number of children (Obstetrical brachial plexus injuries):

many

Number of children (Trauma or other brachial plexus injuries):
few a year at most

Number of adults (Obstetrical brachial plexus injuries):
few

Number of adults (Trauma or other brachial plexus injuries):
few
State your philosophy regarding evaluation, referral and treatment of obstetrical brachial plexus injuries in children.

Recommend evaluation at early age and referral to PT/OT early. Consider EMG at 3 weeks and then again at 3 months if no elbow flexion seen. Consider referral to neurosurgery if no elbow flexion at 3 months depending on results of EMG/clincial exam.
Indicate research efforts (include dates please) conducted by you specific to brachial plexus injuries.

Dr. Semel is conducting a research project including a retrospective review of our data.
Do you accept any national/governmental payment for services or are you enrolled in any state medicaid plans? Please provide information on these plans and include which states you are enrolled in for medicaid services.

Accept medicaid and most insurance.
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