Neurolysis of peripheral motor nerves can be performed to treat regional spasticity. A neurolytic agent such as alcohol (60-65% ethyl alcohol or 6-10% phenol) can be used to mobilize joints negatively affected by spasticity. Chemoneurolysis with Botulinum toxin injections to unusual spastic muscles can be done under ultrasound guide when alcohol neurolysis is impossible.This workshop will start with an overview of alcohol neurolysis and diagnostic lidocaine nerve blocks for upper and lower extremity spasticity management as well as botulinum toxin injections to unusual spastic head/hip muscles. Then, each presenter will give a short presentation describing the technique of finding a nerve or unusual muscles and describing their utility. After each presentation, the attendees will divide into groups led by each presenter, to practice the technique on a live person. Attendees will practice ultrasound-guided injections on Blue Phantom ultrasound training models.

Learning Objectives

  • Learn to delineate the indications of relevant rare nerve blocks for spasticity of the upper and lower extremities.
  • Attain the detailed knowledge of anatomy and sonoanatomy for relevant nerve blocks for spasticity control.
  • Outline the pearls and pitfalls of ultrasound-guided injection for nerve blocks, used in treating spasticity.

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