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Advanced MSK Ultrasound Guided Interventional Pain Injection Therapies

The Advanced Interventional Pain sonography course is very specific as to the indications for treatment resulting from sub-acute and chronic pain conditions and the ability to utilize ultrasound for image guidance to perform various nerve blocks and anesthesia options.

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Application of utilizing MSK ultrasound technologies for advanced injections.

Advanced Musculoskeletal ultrasound

Advanced MSK Ultrasound

The advancements in ultrasound technologies allow for intervention pain management injections to be more precise than traditional blind injection techniques. Empire Medical Training’s Advance Musculoskeletal U.S. Guided Injection workshop expands upon the introductory course and 3-Day Pain Management Course in the application of utilizing MSK ultrasound technologies for advanced injections.

The Advanced Interventional Pain sonography course is very specific as to the indications for treatment resulting from sub-acute and chronic pain conditions and the ability to utilize ultrasound for image guidance to perform various nerve blocks and anesthesia options. 

The program is designed for Practitioners who wish to be able to expand their pain management options and learn the “pearls” associated with the injection but also the indications for treatment, pertinent anatomy, needle placement, and patient positioning for injections.

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UPCOMING WORKSHOPS
DATES & LOCATIONS

 

Dr. Kristy-Anne Evelyn, Barbados

Tanya Powell, NP and Kathy Coty, NP

Special to the course are detailed protocols for pre-injection, injection techniques, innervation as well as utilizing blind injection techniques when applicable.  The evidence-based course is complete and utilizes videos of many of the procedures as well as “standard of care” considerations in diagnosing different pain conditions and the various therapeutic options available to the physician.

Empire Medical Training’s faculty instructor for the Empire Advanced Musculoskeletal Ultrasound Guided Injection Therapies course is David Rosenbloom, MD who is the Director of Pain at Maimonides Medical Center in Brooklyn, NY and has over (17) years of experience in Interventional Pain Management Procedures.

 

 

Advanced Ultrasound

Advanced Musculoskeletal Ultrasound

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Dr. Ramtin Kassir - Facial Anatomy Training

rosalind franklin university
columbia university

ADVANCED MSK ULTRASOUND
WORKSHOP OVERVIEW

  • The workshop for Advanced Ultrasound Injection Therapies will touch upon numerous chronic and sub-acute pain conditions common to your practice and the therapeutic options for patients including the following:

    • Suprascapular nerve block
      • Hemiplegic shoulder pain
      • Refractory frozen shoulder
    • Trigger Finger
      • Thickened flexor tendon in distal palm
    • Anterior Approach Hip Injections
      • Iliopsoas Tendon
    • Achilles Tendon Injections
      • Peroneal Tendinitis
      • Compressed Tibial Nerve
    • Plantar Fasciitis
    • Biceps Tendon Injection
    • Genicular Nerve Block
    • Saphenous Nerve Block
    • Intercostal Nerve Block
      • Neurolysis Options
    • Paravertebral Nerve Block
      • Epidural, site locations and multiple symptoms (i.e. MFR)
    • Occipital Nerve Blocks
      • Occipital Headache
    • Sphenopalatine Ganglion Block
      • Multiple Applications (i.e. Zoster, Migraine and Cluster Headaches, CRPS)
    • Supraorbital Nerve Block
    • Superficial Cervical Plexus
    • Stellate Ganglion Block
    • Selective Nerve Root Blocks (Cervical Spine)
    • Caudal Epidural Steroid Injections
    • Lumbar Sympathetic Block
    • Superior Hypogastric Plexus Block
    • Ganglion Impars Block
    • Celiac Plexus Block
    • Trigeminal Nerve Block
      • Trigeminal Neuralgia (Tic doloreux)
    • Transversus Abdominis Plane Block
    • Ilioinguinal Nerve Block
    • Lateral Femoral Cutaneous Nerve Block

In addition to these common types of interventional pain procedures utilizing ultrasound the course includes ASIPP Guidelines for the use of P-PRP plasma injections and L-PRP (PRF) and reviews current regulations, grading of results, and numerous evidence-based studies for:

  • Biologics (PRP and MSC) for lumbar discogenic pain- Level 3
  • PRP for Lumbar Facet pain- Level 4
  • PRP for Lower back pain and lower extremity in the Epidural Space- Level 4
  • PRP in the Sacroiliac joint- Level 4

Billing and Coding for all procedures are discussed as well as the “pearls” associated with the procedures including areas of adherence, contraindications for treatment, and the management of possible post-procedure adverse events or complications. Limited hands-on training is utilized to be able to simulate the procedures discussed and improve injection and ultrasound techniques.

Whether you are looking to expand your present interventional pain procedures or are planning to utilize some or all of the procedures listed this course will prepare you to further your knowledge for a number of pain conditions and increased standard of care for patients.

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ADVANCED MSK ULTRASOUND
WORKSHOP OBJECTIVES

Upon successful completion of the Advanced Musculoskeletal Ultrasound Guided Injections Training all participants should be able to:

  1. Identify Local Anesthetic (LA) toxicity: acute and chronic management (Progressions & Symptoms)
  2. Review various pharmacological solutions used for the various pain procedures including mechanism of action, selection, and side-effects.
  3. Perform various functional tests to form initial diagnosis and utilizing ultrasound for further diagnosis of pain presentations by patients.
  4. Describe various sub-acute and chronic pain conditions affecting patients who would benefit from Interventional Pain procedures.
  5. Review all protocols for the Advanced Interventional Pain Procedures.
  6. Review various nerve blocks and interventions to relieve pain in an array of body part areas, medical conditions and pre-existing conditions.
  7. Utilize image guidance (Ultrasound) to perform Interventional Pain Management Procedures.
  8. Identify various contraindications for interventional pain therapies and be able to explain expected outcomes for patients.
  9. Review current guidelines and “standard of care” considerations for the various pain conditions and treatment therapies outlined including malpractice insurance, patient documentation, and possible
  10. Identify the pertinent anatomy and characteristics associated with various pain conditions with ultrasound guidance and formulate a treatment plan.
  11. Review the billing and coding options for the use of image guidance for the various pain procedures.
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Advanced MusculoSkeletal Ultrasound - Agenda

timedescription
8:30am–9:00amRegistration.
9:00am–9:45amInstructor Introduction, Review the advantages of using sonography (ultrasound) for various interventional pain procedures relating to nerve blocks, ligaments, and tendons. Review other medical indications of use including diagnostic scanning and the pharmacologic agents used for various pain injection therapies.
9:45am-10:30amReview medical indications for treatment, injection techniques, and protocols for Suprascapular Nerve Blocks, Trigger Finger Injection, and hip injections using an anterior approach for the injections. Introduction to lower extremity injections for Achilles Tendon injections and Plantar Fasciitis and related medical conditions associated with both.
10:30am-10:45amBreak
10:45am-12:00pmContinuation of the review of medical indications for treatment, injection techniques, and protocols for Achilles Tendon, Biceps Tendon, Saphenous Nerve Block, and Intercostal Nerve Block including neurolysis options for treatment. Review evidence-based studies associated with injections and alternative treatment options if applicable. Questions and Answers
12:00pm-1:00pmLunch
1:00pm-3:00pmParavertebral Nerve Blocks (incl. Epidurals), Occipital, Sphenopalatine Ganglion, and Supraorbital Nerve Blocks and how to perform these procedures safely and effectively. Cervical spine injections for selective nerve root blocks and Superficial Cervical Plexus blocks and injections. Lumbar sympathetic blocks and less common nerve blocks utilized with ultrasound including abdominal region and specialized blocks (i.e. Celiac Plexus Block).
3:00pm-3:15pmBreak.
3:15pm-4:00pmThe use of biologics (P-PRP, MSC, and L-PRP | PRF) that are FDA Approved including all guidelines, regulations and requirements in order to provide these services to patients.
4:00pm-5:30pmLimited Hands-On Training using MSK ultrasound transducers for various anatomical locations to confirm pertinent anatomy for ultrasound head placement and other sonography pearls for imaging. Anatomical models are used to simulate approach, transducer placement, and needle approach for the various medical indications to simulate and reproduce clinical experience for the injections. The hands-on training is intended for attendees to develop their injection techniques and confirm placement of the needle and innervation.

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