Spasticity is a common problem among individuals who have upper motor neuron disorders. 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

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