Spasticity is defined as a motor disorder with failure to inhibit velocity sensitive stretch reflexes leading to exaggerated muscle resistance. It is a cardinal feature of upper motor neuron lesions and can affect patients with congenital and acquired brain and spinal cord injuries of variable aetiologies (traumatic, vascular, neoplastic and demyelination).

This article follows that of Moheb Gaid, which appeared in a recent edition of ACNR,1 where phenol nerve block of lower limb spasticity was discussed. Here, attention is given to upper limb procedures…