Welcome to CANOSC

Overall Learning Objectives

At the end of the conference, participants will be able to:

  • Describe and provide direct awareness and knowledge of surgical approaches to spasticity.
  • Develop the skill set to perform diagnostic nerve blocks for spasticity.
  • Develop the skills to provide casting for spasticity.
  • Describe novel neurotomy procedures and other novel techniques such as: laser tenotomy, cryotherapy, novel tenotomy procedures.
  • Discuss how an interdisciplinary approach can be of benefit to patient care.

Casting Workshop

At the end of the workshop, participants will be able to:

  • Develop an approach to identifying patients requiring serial casting for spasticity.
  • Develop an approach to avoid skin breakdown and complications of casting.
  • Develop and strengthen interdisciplinary care for casting.

Diagnostic Blocks and Novel Neurotomy Techniques

At the end of the workshop, participants will be able to:

  • Enhance knowledge base regarding nerve blocks and novel neurotomy procedures.
  • Develop the right neurotomy technique due to patient specific goals.
  • Develop skills to use ultrasound guidance and stimulation to guide injection.

Canadian Advances in Neuro-Orthopedics for Spasticity Congress (CANOSC)

We are inviting Canada’s leading hand and peripheral nerve surgeons to join spasticity experts to participate in a groundbreaking approach to spasticity.

Focused on improving spasticity outcomes, with novel approaches,  with an national and international experts.  We encourage all spasticity and peripheral nerve experts to collaborate and learn.

We are inspired to redefine your definition of contracture and maximal and plateaued outcomes.  Using a simple technique of performing nerve blocks with US guidance, we have been able to demonstrate the potential length of spastic muscles.  Blocking the musculocutaneous to brachialis, radial to brachioradialis, tibial to the branches of the triceps surae, pectoral nerves, ulnar to FCU, and fascicular branches of the median nerve, the potential for a greater active or passive range of motion can be demonstrated.

Once further range and function are determined then both traditional approaches with botulinum toxin and novel interventions are proposed. These include:

  • Neurotomy with cryoablation for a long-term, but a reversible technique that causes Wallerian Degeneration but the preservation of the epineurium.
  • Neurotomy and microsurgical tendon lengthening with laser.
  • World experts will show bedside needle tenotomy for long-term care patients with clenched fists.
  • Surgical neurectomy for the lower extremity.
  • key peripheral nerves that can selectively be targeted to improve function and quality of life.
  • Importance of adjunctive serial casting

We hope with collaborative care to build a National Canadian Strategy for Neuro-Orthopedics.