Evaluation of interadductor approach in neurolytic blockade of obturator nerve in spastic patients

Spasticity, a condition marked by increased muscle reflex activity, often complicates spinal cord and brain injuries, particularly affecting adductor muscles. This can hinder daily activities and self-care. The obturator neurolytic blockade offers a cost-effective solution for managing adductor muscle spasticity. This study evaluates the effectiveness of the interadductor approach in alleviating spasticity. The interadductor approach to obturator nerve blockade with phenol is accurate, fast, and has a high success rate, leading to decreased spasticity and pain and increased hip range of motion for about 3 months.

• 1
  The interadductor approach for obturator nerve block achieved a 100% success rate with a mean time of 4.9 minutes to accurately locate the nerve.
• 2
  All studied parameters, including pain, spasticity, hip abduction range of motion, number of spasms, gait, and hygiene, significantly improved following the intervention.
• 3
  The efficacy of the phenol blockade lasted for about 3 months, providing a decrease in spasticity and pain, an increase in hip range of motion, and better hygiene.