Joint / Extremity / Non-Spinal Injection Course

Objectives for Joint / Extremities Non-Spinal Injections Training

Upon the successful completion of the Interventional Pain Injection Course for Joint / Extremities, and Non-Spinal class, attendees should be able to perform the following:

• Evaluate patient conditions, perform functional testing, and review image studies to formulate an initial diagnosis and workup for patients. Identify and communicate results for acute, sub-acute, and chronic pain conditions and discuss treatment options with patients.
• Observe and perform safely small, medium, and large bursa injections for patients suffering from joint pain indications including HA viscosupplementation for arthritis of the shoulder and knee.
• Observe and perform safely soft tissue injections (trigger points) for various tendinopathies and pain conditions including referred pain injection points and the prolotherapy (proliferation therapy) injections.
• Learn the various techniques and injection approaches for a variety of the most common pain pathologies that can be treated with injection therapies (i.e. Golfer’s Elbow, Tennis Elbow, Plantar Fasciitis, Carpal Tunnel, and Bursitis for knee, shoulder, foot, and hip).
• Gain a full understanding of the guidelines and requirements in performing interventional pain management injections including review of ICD-10(s) and CPT Coding of the procedures as well as “cash basis” services for PRP, amniotic products, and other biologics.

DAY 1 - 8:30am–8:45am

Registration

8:45am–9:00am

Speaker Introduction

9:00am–9:45pm

Relevance of Interventional Pain Management Injections for the Primary Practice. Overview of and review of Common Pain Diagnosis of various acute, sub-acute, and chronic pain for joints and tendinopathies associated with patients. Classifications of Pain and functional tests for common pain presentations of patients. Introduction to Small, Medium, and Large Bursa Injections including viscosupplementation, Trigger Point Injections for Soft Tissue, and the increasing use of biologics (amniotic products, prp, and umbilical cord blood).

9:45am–11:00am

Pain assessment and diagnosis for musculoskeletal disorders, referred neurological pain, myofascial disorders, joints and bursas. Absolute contraindications for treatment, medications utilized in the procedures, possible need for imaging, benefits of image guidance, and other supplies needed to perform these procedures.

11:00am–11:15am

Break

11:15am–12:30pm

Interventional Pain Injections & Viscosupplementation for large joints and bursas. The indications for use of corticoid steroids, anti-inflammatories, and analgesics for the various pain conditions. Detail on the pre and post-treatment requirements, frequency of treatments, and possible adverse events and complications from the procedure. Detailed training in injection techniques and protocols for all major joint injections as well as other standard of care considerations (i.e. contraindications).

12:30pm–1:30pm

Lunch (on your own)

1:30pm–2:15pm

Indications for use of prolotherapy Injections (proliferant therapy), biologics, and neurotoxins for various pain conditions. Review of the various amniotic products, platelet rich plasma, proliferant therapy medications, and mechanism of action. Review the most common types of injections used for non-insurance, cash basis procedure as well as detailed protocols, packaging and pricing, and setting patient expectations.

2:15pm–3:00pm

Trigger Point Injection Training for all body part areas as well as referred pain associated with various soft tissue pain. Review injection techniques, anatomy, and the supplies and medications (i.e. Anti-inflammatory Medications) used for these injections. Detailed protocols for dosing, frequency of treatments, image guidance, and possible complications and adverse events are given. Absolute and relative contraindications for the procedure, pre and post-treatment requirements, and expected outcomes (setting patient expectations) are discussed for each of the injections.

3:00pm–3:15pm

Break

3:15pm–3:45pm

Quick review of Billing & Coding and the requirements for documentation, ICD-10(s) and CPT Billing codes including within the manual. Questions and Answers

3:45pm–5:00pm

Small group breakout into Hands-On Practical Session utilizing anatomical models for the various small, medium, and large joints. Demonstration of injection techniques by Instructors for trigger point injections and general questions and answers concerning the course materials.

DISCLAIMER: The following is a summary of the course agenda. The full course agenda will be emailed to you a few days prior to the course. If you have any questions or need additional information, please contact our office.