Interventional Spasticity Management Applications


Interventional Spasticity Management Applications

July 15-16, 2022
Hilton Rosemont/Chicago O'Hare
Grand Ballroom
Rosemont, IL

This two-day course is an intensive, hands-on program that will elevate the attendee’s knowledge and skills in the evaluation and management of spasticity and other forms of muscle overactivity. Strategies to differentiate and identify patterns of presentation and different focal and regional interventions that include neurolytic agents, neurotoxins and intrathecal medications will be discussed. World class faculty will guide small groups during hands-on training sessions. Upon completion of this course, attendees should be capable of planning and executing these procedures with a higher degree of confidence and efficiency.

Directors and Faculty



Alberto Esquenazi, MD and Michael F. Saulino, MD, PhD


Kristin E. Caldera, DO
Reza Farid, MD
Shivani Gupta, DO
Ryan C. Hafner, MD
Kimberly Heckert, MD
Amy A. Mathews, MD
Daniel Moon, MD, MS
Marilyn S. Pacheco, MD
Andrea P. Toomer, MD
Monica Verduzco-Gutierrez, MD
Thomas K. Watanabe, MD  

Learning Objectives

At the completion of this course, participants will be able to:

  • Identify and apply interventional techniques for management of upper and lower extremity spasticity patterns
  • Utilize ultrasound, EMG and electrical stimulation guidance to perform focal chemodenervation techniques
  • Identify and apply interventional techniques for management of spasticity with intrathecal baclofen therapy
  • Describe various imaging techniques to troubleshoot intrathecal delivery systems

AAPM&R COVID-19 Vaccine Policy Information

AAPM&R mandates full COVID-19 vaccination as defined by the CDC and “up to date” on the vaccine, including booster dose(s) when eligible (as defined by the CDC) and provide documented proof as a condition of in-person participation in all Academy-hosted educational courses and events. Click here to read the full AAPM&R vaccination policy.

Details on how to confidentially record vaccine status will be provided during the course registration process. Failure to provide documentation of full vaccination and booster (when eligible) status will result in cancellation of an attendee’s registration and no refund will be provided.

COVID-19 Safety Protocols

Course participants may be required to test for COVID-19 prior to attendance, verify they are free of COVID-19 symptoms, wear a mask in-doors, and/or adhere to other safety protocols as set by AAPM&R regardless of federal and/or local recommendations and guidelines. COVID-19 tests and masks will be available on-site if needed.

While AAPM&R is taking all steps possible to limit the risk of COVID-19, the risk cannot be eliminated entirely and attendees are making their own decision to register and attend. We ask all attendees to respect the protocols in place and to do their part to comply in minimizing risk to their fellow attendees.



Friday, July 15

7:00am – 8:00am                   Registration / Breakfast Available

8:00am – 8:15am                   Welcome and Introduction
                                                  Alberto Esquenazi, MD and Michael F. Saulino, MD, PhD  

8:15am – 8:45am                   Incidence and Presentation Based on Diagnosis
                                                  Thomas K. Watanabe, MD 

8:45am – 9:15am                   Focal Interventional Treatment Considerations 
                                                   Kimberly Heckert, MD                                                  

9:15am – 9:45am                 Case-based Discussion: Diplegic Cerebral Palsy Leading to Lower
                                                  Extremity Neurolysis
                                                  Reza Farid, MD  

9:45am – 10:15am               Case-based Discussion: Hemiplegic Stroke Leading to Upper Extremity
                                                  Marilyn S. Pacheco, MD                                   

10:15am – 10:30am               Break

10:30am – 11:00am               Case-based Discussion: Paraplegic Spinal Cord Injury Leading to
                                                  Intrathecal Baclofen Therapy 
                                                  Andrea P. Toomer, MD  

11:00am – 11:45pm               Case-based Discussion: Quadriparetic Multiple Sclerosis Leading to
                                                  Intrathecal Baclofen Disruption
                                                  Michael F. Saulino, MD, PhD    

11:45am – 12:00pm                 Review of Morning
                                                  Alberto Esquenazi, MD

12:00pm – 1:00pm                 Lunch

1:00pm – 2:00pm                   Hands-On Skills Training: Session 1

2:00pm – 3:00pm                   Hands-On Skills Training: Session 2 

3:00pm – 3:15pm                   Break

3:15pm – 4:15pm                   Hands-On Skills Training: Session 3

4:15pm – 5:15pm                   Hands-On Skills Training: Session 4

Saturday, July 16

7:15am – 8:00am                   Breakfast Available

8:00am – 9:00am                   Hands-On Skills Training: Session 5

9:00am – 10:00am                 Hands-On Skills Training: Session 6

10:00am – 10:15am               Break

10:15am – 11:15am               Hands-On Skills Training: Session 7

11:15am – 12:15pm               Hands-On Skills Training: Session 8

12:15pm – 1:00pm                 Lunch

1:00pm – 3:00pm                   Focused Skills Training Sessions

3:00pm – 3:15pm                   Break

3:15pm – 5:15pm                   Focused Skills Training Sessions

5:15pm                                  Adjourn

Hands-on Skills Training Sessions

Friday afternoon and Saturday morning will focus on:

  • Pump refill with visual / palpation techniques as well as drug preparation
  • Pump basic and advanced programming
  • Catheter port access with visual / palpation techniques
  • Lumbar puncture on a simulation model 
  • Ultrasound guidance for reservoir and catheter access port
  • Radiographic review of pump troubleshooting techniques
  • Upper and lower limb muscle identification focusing on commonly encountered patterns with simulated injections on simulation models
  • Ultrasound guidance for upper and lower limb muscle and nerve localization
  • Upper and lower limb nerve localization with electrical stimulation

Focused Skills Training

Saturday afternoon will feature a focused training sessions covering unusual chemodenervation and neurolytic techniques when severe deformities are present (toxin dilution and volume adjustment to optimize effect, motor point vs nerve block, individual finger flexor fascicles, and importance of toe flexors on gait improvement) and cervical dystonia treatment with ultrasound guided muscle identification and simulated injections.

Agenda Breakdown

  • Up to 15.25 AMA PRA Category 1 Credits™ — MOC approved! 
  • 6 dynamic lectures and case-based discussions
  • 11 hours of hands-on, diagnostic and interventional procedures


The American Academy of Physical Medicine and Rehabilitation is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation of Credit:

The American Academy of Physical Medicine and Rehabilitation (AAPM&R) designates this live activity for a maximum of 15.25 AMA PRA Category 1 Credits™.  Physicians should only claim credit commensurate with the extent of their participation in the activity. 

This course has been approved by the American Board of Physical Medicine and Rehabilitation (ABPMR) for a maximum of 15.50 Maintenance of Certification® (MOC®) Part II Self-Assessment credits. Attendees must actively participate and complete a self-evaluation at the conclusion of the course to earn MOC Part II credit.

Hotel Information

Hilton Rosemont/Chicago O'Hare
5550 N River Rd, Rosemont, IL 60018

Book before Thursday, June 30th, 2022 to receive a discounted rate of $159 per night (plus tax). You can book by clicking the "Reserve a Room" link below. To book by phone please call 888-452-6943 and reference “the AAPM&R July Spasticity Course, group code AAP

Reserve a Room

Air Travel

As an option, air travel reservations may be made by calling TruTravel Solutions, the official travel partner for AAPM&R.

Jennifer Schaller
Direct line: 312-224-7048

Saira Flores
Direct line: 312-224-8365

TruTravel Solutions hours are Monday – Friday. 8:30am - 5:00pm (Central Time). TruTravel Solutions charges a $25 per ticket transaction fee.

Course Check-In

Course check-in will be July 15 from 7am - 8am where course badges will be provided. 


Breakfast items and lunch will be served on both days of the course.


Attendees are encouraged to dress comfortably. Scrubs are not required.

Cancellation and Change Policy

All cancellations for the Interventional Spasticity Management Applications must be submitted in writing via email to or via mail postmarked by June 3, 2022 to: 

American Academy of Physical Medicine and Rehabilitation
Attention: Education Department
9700 W. Bryn Mawr Avenue, Suite 200
Rosemont, IL 60018

We look forward to your participation! Please contact with any questions.


This course is Step 2 of the STEP Interventional Spasticity Certificate Program. To attend the course you must register for the full STEP program. A la carte registration for this course is not available. Click here to view program details and to register for the STEP program.