Management of the Upper Extremity Spasticity with Phenol Neurolysis and Cryoneurolysis-Management of the Upper Extremity Spasticity with Phenol Neurolysis and Cryoneurolysis

Management of the Upper Extremity Spasticity with Phenol Neurolysis and Cryoneurolysis

Video Transcription

Video Summary

Summary 1:<br /><br />Dr. Javier Gonzalez discusses the importance of understanding functional anatomy when performing nerve blocks in the upper extremity. He emphasizes the need to know muscle innervation zones and motor branch locations to avoid complications and ensure precise muscle intervention. Dr. Gonzalez provides detailed descriptions of the anatomy of the median, ulnar, and radial nerves, along with their respective innervated muscles. He includes ultrasound images to aid visualization and mentions the use of electrical stimulation for enhanced accuracy. Dr. Gonzalez concludes by highlighting the importance of considering torsional anatomy and the complexity of distal upper limb anatomy.<br /><br />Summary 2:<br /><br />Dr. Carrie Winston explores cryoneurolysis as a treatment for spasticity and contractures. She explains that cryoneurolysis involves freezing targeted nerves using a cryoprobe, providing longer lasting and more precisely targeted relief than traditional treatments. Dr. Winston emphasizes the importance of precise nerve targeting by combining ultrasound and electrical stimulation. She discusses cases where cryoneurolysis has been effective in treating conditions like post-stroke spasticity, cerebral palsy, and contractures. Dr. Winston also mentions ongoing studies and research in the field, highlighting the benefits of cryoneurolysis in improving range of motion and alleviating pain for patients.

Keywords

functional anatomy

nerve blocks

upper extremity

muscle innervation zones

motor branch locations

ultrasound images

electrical stimulation

cryoneurolysis

spasticity

contractures

precise nerve targeting