Advanced Ultrasound Procedures Level II for Chiropractors

This training caters to MDs, DOs, DMDs, DDS, NPs, RNs and other licensed healthcare professionals. It is specifically designed for physicians, pain management specialists, family care practitioners, physiatrists, physical medicine and rehabilitation professionals, and neurologists looking to expand their ultrasound-guided pain management skills.

The course covers suprascapular nerve block, glenohumeral joint hydrodilation, calcific tendonitis treatment, carpal tunnel syndrome injection, meralgia paresthetica injection, trigger finger injection, fascia iliaca block, caudal epidural, and genicular nerve block. Each procedure is taught with both didactic instruction and hands-on practice on live patients.

This is a Level II course designed for practitioners who want to advance their ultrasound-guided pain management capabilities. Foundational ultrasound knowledge is helpful, though the program includes comprehensive anatomical instruction and needle guidance principles to ensure all participants develop the skills needed for safe and effective interventions.

Local anesthetic systemic toxicity (LAST) is a potentially life-threatening complication that can occur during nerve block procedures when local anesthetic enters the bloodstream. The course provides comprehensive education on LAST recognition, prevention, and emergency management, which is a critical safety component of performing any nerve block or regional anesthesia procedure.

Yes, the course includes hands-on practice on live patients supervised by physician faculty. Training is conducted in specialized small groups with one-on-one instruction to ensure each participant receives direct mentorship and develops procedural confidence.

A board-certified physician expert will teach this course, with other licensed healthcare professionals assisting where needed. Faculty provide direct supervision during all live-patient hands-on procedures.

The Advanced Ultrasound for Pain Management Level II is an 8-hour, single-day program. It is fully CME accredited through Empire Medical Training, and participants receive certification documenting their advanced-level ultrasound-guided pain management training along with earned CME credits.

Certainly! For those outside the United States, injections on anatomical models are an option; however, you will not be allowed to inject on a live patient. Each state has its own regulations concerning live patient injections, so kindly consult your licensing board.

Level II ultrasound capability transforms your chiropractic practice into a comprehensive musculoskeletal diagnostic and treatment center. Dynamic assessment reveals pathology other practitioners miss, advanced guided procedures treat conditions beyond the reach of standard injection techniques, and the combination of expert-level imaging with chiropractic care creates a practice model that attracts referrals and patients seeking the most advanced musculoskeletal care available.

For chiropractors, the most impactful Level II skills include dynamic musculoskeletal assessment (evaluating structures during movement), advanced guided regenerative medicine injections (precise PRP delivery under visualization), complex peripheral nerve guided procedures, and deep-structure guided injections for areas like the hip and sacroiliac joint. These capabilities address the most challenging cases in musculoskeletal practice.

Dynamic ultrasound assessment reveals musculoskeletal pathology that only becomes apparent during movement — tendon subluxation, impingement syndromes, and joint instability patterns. When combined with your highly developed palpation skills, dynamic ultrasound creates the most comprehensive musculoskeletal assessment available in any clinical setting. This combined approach produces diagnostic accuracy that exceeds either modality alone.

Chiropractic scope of practice regarding injection procedures varies significantly by state. A growing number of states authorize chiropractors to perform trigger point injections, joint injections, PRP treatments, and other injection-based therapies with proper training and certification. It's essential to verify your state chiropractic board's specific regulations before adding injection services. Empire's certification documents your hands-on training competency for credentialing purposes.

Interventional pain management techniques like trigger point injections, joint injections, and PRP therapy directly complement chiropractic adjustments by addressing soft tissue and joint inflammation, promoting healing, and providing pain relief that enhances the effectiveness of manual therapies. Functional medicine services expand your ability to address root causes of chronic conditions. Together, these integrated approaches deliver superior patient outcomes compared to any single modality alone.

Empire's course provides comprehensive hands-on training and certification in the specific procedures covered. Depending on your state's requirements, you may also need to complete additional hours of injection-related continuing education, obtain specific state certifications, or establish a practice protocol review with a medical director. Empire's team can help you understand the requirements in your specific state and practice context.