Ultrasound and Nerve Stimulator guided nerve block treatment of spasticity practicum

1. Ultrasound and Nerve Stimulator guided nerve block treatment of spasticity practicum Figure 1 Pre-nerve block Figure 2 Post-Nerve block Overview: Spasticity is a common problem among individuals who have upper motor neuron disorders. Botulinum toxin injection is a common interventional procedure done for treatment of Spasticity. Nerve blocks are rarely done yet they have a major role in treatment of spasticity. Nerve blocks are particularly useful as botulinum toxin is expensive and limited by the number of units that can be injected at a given time, it can only be repeated every 3 months. Also, nerve blocks can be done in combination with botulinum toxin when botulinum toxin is not sufficient to control the spasticity. Phenol is the medication used for nerve blocks for spasticity. It works by demyelinating the peripheral nerve thereby decreasing spasticity in the muscle groups supplied by that nerve. Nerve blocks are done better under ultrasound guidance as the nerves and blood vessels can be visualized accurately thereby avoiding the chance of injecting into unwanted structures. The accuracy is also improved with Nerve Stimulator, which will cause visible contractions of the muscles supplied by the nerve that is being stimulated.

2. Goals: The purpose of this workshop is to educate the audience on the 1.Indications for usage of nerve blocks for spasticity 2.Upper and lower extremity peripheral nerves anatomy under ultrasound 3.Usage of ultrasound as a guidance for nerve blocks 4.Usage of nerve stimulator as a guidance for nerve blocks Audience: Trainees and practitioners of Neurology and Physical Medicine and Rehabilitation Objective: The audience will be able to •Identify the indication for nerve blocks •Evaluate peripheral nerves anatomy of upper and lower extremity under ultrasound for the purpose of performing nerve blocks •Understand the usage of Nerve Stimulator as a guidance for nerve blocks Sessions: Registration – 8:30am – 9am Introduction – 9am – 9:15am Basics of neuromuscular ultrasound – 9:15am – 9:45am Indication for phenol nerve blocks in spasticity – 9:45am – 10:15am Review of upper and lower extremity peripheral nerves anatomy and review of surface anatomy landmarks - 10:15am – 11:15am Peripheral nerves anatomy under ultrasound – 11:15am – 12:15pm lunch – 12:15pm – 1pm Review of surface anatomy and ultrasound identification of peripheral nerves practice session – 1pm – 2pm Live demonstration of ultrasound and nerve stimulator guided nerve blocks - 2pm – 3pm Speakers: Dr. Haresh Sampathkumar, MBBS, MD (USA) Physical Medicine and Rehabilitation Brain Injury Medicine Co-founder JH Rehabilitation Dr. E. Ignatius Jacob, MBBS, MD Physical Medicine and Rehabilitation Co-founder JH Rehabilitation Dr. Rishab Mehta, MBBS, MDRD Radiologist Date:

3. December 16 2018 Time: 9am – 3pm Venue: JH Rehabilitation 66, Central Street, Kilpauk Garden Colony, Kilpauk, Chennai – 600010 Price: Rs. 500 Registration: Registration will be confirmed upon receipt of payment. Please contact us for details regarding registration. Contact: Email - contact@jhrehabilitation.com Phone - 72992 25525, 98848 75731