Paralyzed Diaphragm

What is the Diaphragm?

The diaphragm is a large, dome-shaped muscle located below the lungs and heart. It plays a vital role in breathing by contracting and relaxing to move air in and out of the lungs. Controlled by the phrenic nerve, this muscle is essential for adequate gas exchange in the body.

What Causes a Paralyzed Diaphragm?

Diaphragm paralysis is caused by damage to the phrenic nerve or pressure on it. Common causes include:

  • Idiopathic
  • Post Cardiac Surgery
  • Birth defects (e.g., congenital central hypoventilation syndrome)
  • Neurological diseases like ALS or multiple sclerosis
  • Surgical trauma to the phrenic nerve
  • Cervical spine injuries or arthritis
  • Compression by cancer

Symptoms of A Weak or Paralyzed Diaphragm

Symptoms vary based on whether the condition affects one side (unilateral) or both sides (bilateral):

  • Unilateral Paralysis: Difficulty breathing during activity or when lying down.
  • Bilateral Paralysis: Severe breathing difficulties, fatigue, sleep issues, and recurrent pneumonia.

How is Diaphragm Paralysis Diagnosed?

Diagnosis often involves imaging tests such as X-rays, Fluoroscopy ( sniff test) , Pulmonary function tests and CT scan. Most importantly symptoms of difficulty breathing with objective evidence of a paralyzed diaphragm.

Treatment Options for Paralyzed Diaphragm

Treatment depends on severity and cause. Options include:

  • Observation: For mild cases without significant symptoms.
  • Diaphragm Plication: Surgical plication of the diaphragm to improve lung expansion.

Minimally Invasive Repair of Diaphragm Paralysis

We provide a minimally invasive solution for diaphragm paralysis, utilizing smaller incisions, reducing morbidity, and enabling shorter hospital stays. With robotic-assisted thoracoscopic and laparoscopic techniques, our patients experience less pain and recover more quickly, leading to an improved quality of life.

Contact the New England Diaphragm Center

To learn more, please call the New England Diaphragm Center at 978-775-1428. You can also request a referral from your doctor by calling us or sending a fax to 978-346-3000. We look forward to assisting you!