What management do you recommend in patients with backpack palsy?

Backpack palsy is a well-known brachial plexus injury, often affecting the upper/middle trunks, resulting from carrying heavy loads on the shoulders and upper back. I used to believe that it is typically a stretch injury causing transient neurapraxia (demyelination) with minimal axonal loss and an overall favorable prognosis (i.e., full recovery within weeks to months). Therefore, treatment is mostly through supportive measures like PT/OT and neuropathic pain management.

However, a recent study i...