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Skills Lab/Hands-On Demonstration Proposals

Session Name: Skills Lab: Ultrasound-Guided Extremity Nerve Blocks with Alcohol and Botulinum Toxin Injections in Head, Neck and Paraspinal Muscles for Spasticity Management

Skills Lab: Ultrasound-guided Extremity Nerve Blocks with Alcohol and Botulinum Toxin Injections in Head, Neck and Paraspinal Muscles for Spasticity Management

Friday, October 21, 2022

2:00 PM – 5:00 PM ET

Location: Hilton Key 10

Skills Lab Director(s)

YC

Yuxi Chen, MD

Montefiore Med Center
Bronx, New York

Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Skills Lab Faculty(s)

Heakyung Kim, MD

Professor
University of Texas Southwestern Medical Center
New York, New York

Disclosure: AiCME (Honorarium)Allergan (Consultant/Advisory Board)Catalyst (Honorarium)ipsen (Consultant/Advisory Board, Research Grant includes principal investigator, collaborator or consultant and pending grants as well as grants already received)Merz (Consultant/Advisory Board)
Karen Morice, MD

Program Director, Sports Medicine Fellowship
Montefiore Medical Center
Bronx, New York

Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.
Dara Jones, MD

Assistant Professor of Clinical Rehabilitation Medicine
Weill Cornell Medical College / Hospital for Special Surgery
New York, New York

Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.
MD

Monika Desai, MD

Montefiore Medical Center/Albert Einstein College of Medicine
Bronx, New York

Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.
Jinpu Li, MD

Pediatric Rehabilitation Medicine Fellow
Montefiore Medical Center
Bronx, New York

Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.

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. This hand on session will teach alcohol neurolysis and diagnostic lidocaine nerve blocks for upper and lower extremity spasticity management as well as botulinum toxin injections to unusual spastic head/neck/paraspinals /hip muscles. Each presenter will give a short (5 minute) demonstration describing the technique of finding a nerve or unusual muscles and describing their utility. The attendees will divide into groups led by each presenter, to practice the technique on a live person.
A hands-on training is vital for strengthening the clinical skills. Unfortunately it has been interrupted by pandemic during past 2 years. This session will provide needed opportunity for in-depth training on spasticity management skills.

Learning Objectives:

Participants will learn to delineate the indications of nerve blocks for spasticity of the upper and lower extremities.
Participants will be able to attain the detailed knowledge of anatomy and sonoanatomy for relevant nerve blocks and will be able to outline the pearls and pitfalls of ultrasound-guided injection.
Participants will be able to demonstrate the Botulinum toxin injections to unusual spastic muscles of head/neck/paraspinals/hip, such as pterygoid, psoas, temporalis or master muscles.
Upon completion, participants will have attained skills, knoweldge, and received hands-on ultrasound practice for chemodenervation injections to unusual head and neck muscles.