Cadaver Musculoskeletal Anatomy EMG/MSKUS Guided Injections, Dystonia and Spasticity

Houston, TX US
March 7, 2024 to March 9, 2024

Needs Statement

Spasticity is a significant problem after TBI/stroke/spinal cord injury (SCI) and other UMN syndromes. Urban et. al. predicted spasticity after ischemic stroke was present in 42.6% of patients. Adams and Hicks describe 65-78% of patients with chronic SCI has symptoms of spasticity. Hibbard described 23.4 % of patients with traumatic brain injury have spasticity. Education and training specialists in all the treatment options of spasticity including therapy, medications, injection with botulinum toxins, and baclofen pumps is imperative in restoration of the individual back to health, function, and potentially employment.

Target Audience

This activity is intended for physical medicine and rehabilitation residents, fellows, faculty, and private practice physiatrists.

Learning Objectives

At the conclusion of the conference, participants should be able to:

  • Describe the musculoskeletal anatomy of the neck, arm and leg as it relates to limb spasticity injection.
  • Compare two types of guided injections that can be used for spasticity/dystonia.
  • Discuss suspension and injection strategies for botulinum toxin.
  • Demonstrate how to inject at least two of the 8 new muscles FDA approved for spasticity injection.
  • Describe pain management of spasticity.

Educational Methods

Lecture ▪ Hands-on Workshop ▪ Question & Answer


Evaluation by questionnaire will address program content, presentation, and possible bias.

Course summary
Available credit: 
  • 9.50 AMA PRA Category 1 Credit™
  • 9.50 Attendance
Course opens: 
Course expires: 
Event starts: 
03/07/2024 - 7:00pm CST
Event ends: 
03/09/2024 - 12:00pm CST

Part I:  March 7, 2024 Thursday: CME = 4.5 hours (in person and virtual McNair conference room)

 7:00 AM           Overview with breakfast – Moderator : Dr. Faye Tan

7:15 AM            Botulinum toxin, yesterday, today, tomorrow – Dr. Joseph Jankovic (by Zoom)

8:15 AM            MSK anatomy of the neck/arm – Dr. Han Zhang

9:00 AM            MSK anatomy of the leg – Dr. Han Zhang

9:45 AM            Break

10:00 AM          MSKUS anatomy/injection strategies of the arm/neck – Dr. Jeff Strakowski

11:00 AM          MSKUS anatomy/injection strategies of the leg – Dr. Jeff Strakowski

12:00 AM          Lunch box and adjourn



Part II: March 8, 2024 Friday : CME = 1.00 hour (virtual by Zoom only)

 8:00 AM            Injection strategies for 8 new muscles & torsional anatomy updates – Dr. Faye Tan (Virtual by Zoom)   



Part III: March 9, 2024 Saturday : CME = 4.0 hours per learner (in person UT cadaver lab)

 7:30 AM           Breakfast

8 AM to 12 Noon 

Cadaver lab:  (rotate to each station, pick 4)

Station 1: Prosectional anatomy of the cadaver neck/arm/leg – Dr. Han Zhang

Station 2: Guided injections neck / arm / leg – Dr. Jeff Strakowski

Station 3: Dr. Faye Tan

MSKUS guided injection practice on phantoms– 8 new muscles

Resuspension of toxin/spasticity injection of anatomic models

Station 4: Practice using ultrasound machines—Dr. YH Lee

Station 5: Mastering ultrasound injection techniques – Dr. Angela Cortez


McNair Conference Rooms A&B
7200 Cambridge Street
Houston, TX 77030
United States

Thursday, March 7, 2024

McNair Conf. A&B,

7200 Cambridge Street,

Houston, TX 77030


Friday Mar 8, 2024

Virtual Zoom


Saturday, March 9, 2024:

UT Health Medical School, Cadaver lab

6431 Fannin St., Rm B230

Houston, TX 77030 






Key Note Speakers:


Joseph Jankovic, MD—Professor Neurology, Baylor Coll Med.


Jeffrey A. Strakowski, MD—  Professor, PMR, The Ohio State University, Associate Director Medical Education, PMR, Ohio Health Riverside Methodist Hospital




Han Zhang, MD— Professor,  Department of Neurobiology and Anatomy, UTHealth, Houston, TX,


Angela Cortez, MD, Asst. Professor PMR, Baylor College of Medicine, McNair Campus, Houston, Texas


Yonghoon Lee, MD, Asst. Professor PMR, Baylor College of Medicine, McNair Campus, Houston, Texas


Course Director:

Faye Chiou Tan, MD— Professor, PMR, Baylor College of Medicine, Chief PMR, Dir EDX, Harris Health System, Houston, Texas





Baylor College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Baylor College of Medicine designates this live activity for a maximum of 9.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Available Credit

  • 9.50 AMA PRA Category 1 Credit™
  • 9.50 Attendance
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