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While classically felt to carry a favorable prognosis, updates in research have demonstrated that patients frequently endure delay in diagnosis and continue to experience long term pain, paresis, and fatigue even years after the diagnosis is made. A transition in therapeutic approach is recommended and described by this review, which emphasizes the necessity to target compensatory abnormal motor control and fatigue by focusing on motor coordination, energy conservation strategies, and behavioral change, rather than strength training which may worsen the symptoms. The development of structural hourglass\u2010like constrictions (HGCs) on imaging can help confirm the suspected clinical diagnosis, and in association with persistent weakness and limited recovery on electrodiagnostic testing may be considered for surgical consultation. Given the complex nature of management, a multidisciplinary approach is described, which can provide an optimal level of care and support for patients with persistent symptoms from NA and allow more unified guidance of rehabilitation and surgical referrals.<\/jats:p>","DOI":"10.1002\/mus.28274","type":"journal-article","created":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T06:33:53Z","timestamp":1728974033000},"page":"846-856","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Neuralgic amyotrophy: An update in evaluation, diagnosis, and treatment approaches"],"prefix":"10.1002","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-8637-4509","authenticated-orcid":false,"given":"Joelle M.","family":"Gabet","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, MetroHealth Rehabilitation Institute The MetroHealth System and Case Western Reserve University  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