2026 ASSH On Demand CME Webinar: Latest Advances in Nerve Surgery-Syllabus

Syllabus

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The 2026 ASSH On Demand CME Webinar titled "Latest Advances in Nerve Surgery: Current Concepts and Future Directions," chaired by Drs. Paige M. Fox and David M. Brogan, provides a comprehensive educational program focused on peripheral nerve surgery innovations. The webinar offers 1.5 AMA PRA Category 1 Credits and will be available from March 2, 2026, through February 23, 2029.<br /><br />Key topics include advanced surgical techniques for peripheral neuropathic pain (NP) management, ultrasound nerve imaging, nerve transfers for tetraplegia, treatment of spasticity, novel nerve repair methods, and the role of biologics in nerve surgery. Experts in the field present data on surgical interventions for neuropathic pain caused by nerve compression, neuroma formation, and phantom limb pain. Diagnosis relies on patient history, physical examination, imaging modalities (ultrasound and MRI), and diagnostic nerve blocks. Treatment strategies range from nerve decompression and reconstructive repair to nerve transfers and implantable neuromodulatory devices. Techniques like targeted muscle reinnervation (TMR) and regenerative peripheral nerve interfaces (RPNI) are highlighted for preventing and treating painful neuromas, especially in amputees.<br /><br />Ultrasound advances are discussed with emphasis on quantitative ultrasound methods that go beyond traditional imaging, enabling better nerve structural assessment through metrics like elastography, spectral analysis, and envelope statistics. Challenges with operator dependency and nerve heterogeneity are addressed alongside recommendations for standardizing imaging protocols.<br /><br />Spasticity management is reviewed through systematic clinical assessments using validated scales like the Modified Ashworth Scale and Tardieu Scale, along with specialized physical exam maneuvers for the upper extremity. These assessments inform surgical decision-making, differentiating between spasticity and contracture and guiding interventions such as hyperselective neurectomies or musculotendinous lengthening.<br /><br />Nerve transfers in spinal cord injury (SCI) patients, particularly those with C6 tetraplegia, are examined. Surgical options aim to restore elbow extension, finger flexion and extension, and hand grasp and release, significantly enhancing patient independence. Emerging technologies such as networked neural prosthetics demonstrate potential future directions.<br /><br />While some presentations lacked handouts, the program collectively underscores growing interdisciplinary approaches, innovative surgical techniques, advanced diagnostics, and focused prevention strategies in peripheral nerve surgery. Participants gain critical knowledge to improve patient outcomes in neuropathic pain, spasticity, and nerve injury reconstruction.

Keywords

Peripheral nerve surgery

Neuropathic pain management

Ultrasound nerve imaging

Nerve transfers

Spasticity treatment

Nerve repair techniques

Biologics in nerve surgery

Targeted muscle reinnervation (TMR)

Regenerative peripheral nerve interfaces (RPNI)

Spinal cord injury rehabilitation