Dear Colleagues,

The Steering Committee and Ipsen cordially invite you to register for the upcoming 2nd Baltic Toxins Meeting.

This year’s event will feature the latest research developments and clinical applications of botulinum toxins, along with hands-on training workshops. The program will offer valuable insights for both new and experienced professionals in the fields of neurology, physical medicine and rehabilitation, and physiotherapy.

Information

Date: October 3 - 4, 2025.

Venue: Radisson Blu Latvija (Elizabetes street 55) in Rīga, Latvia

Program

October 3 (Friday)

12:30 – 13:00

Registration

13:00 – 13:10

Opening

13:10 – 13:40

Botulinum toxin. History and pathophysiology
Ramona Valante (Latvia)

13:40 – 14:20

Neurophysiological insights into muscle hypertonia: dystonia vs. spasticity
Donatas Zailskas (Lithuania)

14:20 – 15:00

Patient orientated post-stroke spasticity care – goal setting, patient 
expectation and involvement

Jūratė Kesienė (Lithuania)

15:00 – 15:20

Discussion

15:20 – 16:00

Break

16:00 – 16:30

Clinical cases: US guided injections into small muscles with additional
control of EMG /STIM device

Ingrid Lembit (Estonia)

16:30 – 17:00

Clinical case: Spasticity and pain
Anneli Teder- Braschinski (Estonia)

17:00 – 17:30

Clinical case: Tardive cervical dystonia
Ramona Valante (Latvia)

18:00 – 18:30

Solutions for patients with face asymetries
Zaiga Kalnbērza - Ribule (Latvia)

18:30 – 19:00

Panel discussion: challenges in patient treatment with Botulin toxin in 
Baltic states
Latvia (Valante, Kalnbērza), Lithuania (Zailskas, Kesiene), Estonia (Lembit, 
Teder- Braschinski                                                                                                        

19:00

Dinner

October 4 (Saturday)

09:00 – 09:10

Introduction, Wrap Up

09:10 – 09:50

Terminology in Spastic Movement Disorders
Bo Biering-Sørensen (Denmark)

09:50 – 10:10

Cervical dystonia Col-Caput concept
Bo Biering-Sørensen (Denmark)

10:10 – 10:30

Discussion

10:30 – 11:10

WORKSHOP I
Physiotherapy for Dystonia patient

Johanna Blom (Sweden)

.

WORKSHOP III 

Hands-on training – USG of cervical muscles (group with experience)
Bo Biering-Sørensen (Denmark)

.

WORKSHOP VI

Practical injection technique training

Anna Petrovska (Latvia)

.

WORKSHOP IV 

Hands-on training – USG of arm muscles
Matīss Mežals (Latvia).

11:10 – 11:50

WORKSHOP II 

Biomechanics of upper limb spasticity.
Spasticity patterns and choice of muscles for injection 

Sara Vive (Sweden)

.

WORKSHOP III 

Hands-on training – USG of cervical muscles (no experience group)

Ramona Valante (Latvia)

.

WORKSHOP IV 

Hands-on training – USG of arm muscles

Anna Petrovska (Latvia)

.

WORKSHOP

Hands-on training – USG of leg muscles

Matīss Mežals (Latvija)

11:50 – 12:30

Break

12:30 – 13:10

WORKSHOP I

Physiotherapy for Dystonia patient

Johanna Blom (Sweden)

.

WORKSHOP III

USG of cervical muscles (no experience group)

Ramona Valante (Latvia)

.

WORKSHOP IV

Hands-on training – USG of arm muscles

Anna Petrovska (Latvia)

.

WORKSHOP V

Hands-on training – USG of leg muscles

Matīss Mežals (Latvija)

13:10 – 13:50

WORKSHOP II

Biomechanics of upper limb spasticity.

Spasticity patterns and choice of muscles for injection

Sara Vive (Sweden)

.

Workshop Room for personal USG practice

.

WORKSHOP VI

Practical injection technique training

Ramona Valante (Latvia)

.

Workshop Room for personal USG practice

13:50 – 14:00

Closing remarks

.