SPASTICITY-LOCAL INTERVENTIONS

SUMMARY

1. Diagnostic nerve blocks: local anaesthetic (Lidocaine/Bupivacaine) injected into the perineurium under electro-stimulation guidance; for planning, assessment of benefit and of the functional utility of spasticity.

2. Chemo-neurolysis: using phenol/ethyl alcohol to disrupt fibers within nerve trunks (mixed nerve/motor nerve block/motor point block). Complications: dysaesthesia, pain, injection site reaction.

3. Chemo-denervation: with botulinum type A toxin.

Reference(s)

Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. Get it on Amazon.
Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. Get it on Amazon.
O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. Get it on Amazon.