Ultrasonographically guided obturator nerve block for bilateral adductor spasticity in a paraplegic patient

Abstract

Study design:A case report defining an interventional procedure.Objectives: To reveal the role of the ultrasonography in nerve blocks at difficult anatomical locations of the obturator nerve.Setting:The study was conducted in Ankara, Turkey.Methods:A paraplegic patient with lower limb adductor spasticity treated with phenol block using the guidance of ultrasonography.Results:After treatment of the adductor spasticity by obturator nerve block the patient achieved an upright standing position with a walker. Hygienic care was improved and spasticity-related pain was reduced.Conclusion:Ultrasound is a challenging tool for nerve blocks. Ultrasound guidance seems as an essential approach for the blocking of the nerves with variable anatomical courses, such as the obturator nerve. © 2014 International Spinal Cord Society All rights reserved.