2024 Spasticity Management 101 - Treatment Modalities-Neurolysis

Video Transcription

Video Summary

Phenol neurolysis is a treatment option for managing focal spasticity. It works by denaturing nerves and can be used in motor and mixed sensory-motor nerves. Phenol has a quick onset and a long duration of action, with effects lasting from 3 to 12 months. It is a cost-effective option and can be used in combination with other interventions. However, there are risks of dysthesias, prolonged neuropathic pain, and tissue necrosis. The procedure requires technical skill, and nerve blocks can be used for diagnostic purposes. Common nerves injected include the obturator, pectoralis, musculocutaneous, tibial, sciatic, median, and ulnar nerves. Overall, phenol neurolysis is useful for managing focal spasticity but has associated risks and limitations.

Keywords

Phenol neurolysis

focal spasticity

nerve denaturation

neuropathic pain

nerve blocks