Lower Extremity Orthopedics and Prolotherapy

The inaugural training event for NOMA will provide an expansive and comprehensive foundation in the art and science of prolotherapy for the lower extremity. This will include a primer on prolotherapy, safety measures, clean technique, palpation skills, diagnostics, and common injection points. Participants will receive credit for 14 hours of CE, fulfilling the requirement in Oregon for therapeutic injections. https://secure.sos.state.or.us/oard/viewSingleRule.action?ruleVrsnRsn=272889

All levels of experience in prolotherapy are encouraged to attend. The hands-on portion of the course will allow for varying levels of experience to break-out and match with an instructor that will further your skills.

There is an ultrasound guided injection track for those physicians with experience looking to go further with their skillset.

Be a part of this much needed community of committed prolotherapy doctors, elevate your practice, and give your patients long-lasting pain relief.

This is the first Module in this Course Series. Modules 2 and 3 will be held in subequent 6-9 months. These will fulfill the level 3 and 4 requirements for the Oregon rule on therapeutic injections.  Ultrasound guided and  advanced specialty procedure courses will begin in 2022.

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Instructors for the course:

• Noel Peterson, ND, DAAPM
• Samuel G Oltman, ND
• Terrance Manning II, ND, RMSK
• Michael Cronin, ND
• Ryan Minarik, ND, LAc
• Adam Geiger, ND, RMSK
• Patrick Chapman, ND

Registration for the course will include a year's membership in NOMA where we are building an organization for NDs, by NDs, to further excellence in the field of musculoskeletal medicine.

Lunch will be provided both days.

Lecture notes will be shared with participants electronically and will not be printed out.

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Full Course Details

Module I: Orthopedics and Prolotherapy

of the Lower Extremity

Course Objectives:

• Review anatomy, biomechanics, DDX and PE of Lower Extremity
• Gain a further understanding of the mechanism of action of Prolotherapy/Regenerative Medicine
• Understand indications and contraindications for Prolotherapy/Regenerative Medicine
• Know the “High Risk” or “Red Zone” areas of injection therapy
• Be familiar with management of adverse reactions/outcomes from injection therapy
• Be comfortable performing basic injection techniques of the lower extremity.

Outline of CME event and hours: OBNM Approved CE: 16 hours.

4 hours didactic, 12 hours practical. Fulfills the Oregon Injection Requirement for the lower extremity.

Schedule:

Friday

6:00-6:10: Welcome to NOMA (Sam Oltman, ND)

6:10-8:00: Intro to Prolotherapy/Regenerative Medicine Lecture (Sam Oltman, ND)

Educational Objectives and Relevance to Medical Practice: Will give the participant an understanding of Prolotherapy/RM and History, safety, indications/contraindications, management of adverse reactions/outcomes relevant to Regenerative Injection Therapy.

6:10-8:00: Intro to Ultrasound Guided Injections Lecture (Terry, Manning, ND, RMSK)

Educational Objectives and Relevance to Medical Practice: Will give the participant an understanding of ultrasound physics, machine operation, indications and contraindications, limitations, and optimal technique for ultrasound guided injections.

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Saturday

8:00-9:00: Foot & Ankle Lecture (Sam Oltman, ND)

Educational Objectives and Relevance to Medical Practice: Will give the participant a basic knowledge of anatomy, PE, DDX, and injection techniques of the Foot & Ankle.

9:00-9:15: Break

9:15-11:30: Hands-on practicum: Evaluation and injection techniques of the Foot & Ankle

Educational Objectives and Relevance to Medical Practice: Will allow participants to evaluate, and observe and perform the most clinically relevant injections of the Foot & Ankle.

11:30-12:30: Knee Lecture (Ryan Minarik, ND, L.Ac)

Educational Objectives and Relevance to Medical Practice: Will give the participant a basic knowledge of anatomy, PE, DDX, and injection techniques of the Knee.

12:30-1:30: Lunch (Provided)

2:30- 5:30: Hands-on practicum: Evaluation and injection techniques of the Knee

Educational Objectives and Relevance to Medical Practice: Will allow participants to evaluate, and observe and perform the most clinically relevant injections of the knee.

Sunday

8-9: Hip Lecture (Terry, Manning, ND, RMSK)

Educational Objectives and Relevance to Medical Practice: Will give the participant a basic knowledge of anatomy, PE, DDX, and injection techniques of the Hip.

9-11: Hands-on practicum: Evaluation and injection techniques of the Hip

Educational Objectives and Relevance to Medical Practice: Will allow participants to evaluate, and observe and perform the most clinically relevant injections of the Hip.

11-11:30 Lunch (Provided)

11:30-2:30 Hands on Review and Ultrasound Demonstration of Guided Injections

Educational Objectives and Relevance to Medical Practice: This will be an Orthopedic Assessment review of the most common conditions seen in clinical practice and specific injection techniques necessary to have good outcomes in clinical practice. This time will give participants an opportunity to ask questions while interacting directly with faculty.

Please Be Aware:

All participants that wish to fully participate and get credit for the hands-on portion involving injections must be willing to be injected themselves. A saline/anesthetic mixture will be used as the default injectate solution as a substitute for hyperosmotic dextrose, eliminating therapeutic action when appropriate. Proper anesthetizing and nerve block techniques will be a part of the curriculum, reducing discomfort for participants and future patients. Participants will be injecting participants and if you aren't willing to be injected, then you will not be allowed to inject.

Cancellation Policy:

Fully refundable less $100 registration fee if written notice more than 30 days from start of conference.  50% refundable if written notice within 7 to 30 days from start of conference. Non-refundable less than 7 days from start of conference.

Recommended/Required

Pre-Conference Study

A System of Orthopaedic Medicine” 3rd Edition, Ludwig Ombregt

Chapters:

The lower leg, ankle, & foot: Section 14, pages 731-789

The knee: Section 13, pages 663-713

The Hip & buttock: Section 12, pages 615-661

Art Of Regenerative Injections Vol. 7, Joel Baumgartner, MD

CDI an online interactive educational platform in Neuromusculoskeletal for Competency in Orthopedic Medicine: https://cdi.edu.au/bridgeport/nd.php

Other Recommended Reading

1. Myofascial pain and dysfunction the trigger point manual Volumes 1 and 2—Travell and Simons
2. Anatomy Trains: Myofascial Meridians for Manual and Movement Therapists—Myers
3. Netter’s Orthopaedic Clinical Examination an evidence based approach—Cleland
4. Orthopedic Physical Assessment—Magee
5. Atlas of Anatomy—Thieme
6. Orthopedics 2.0—Centeno
7. Atlas of Common Pain Syndromes—Waldman
8. Atlas of Uncommon Pain Syndromes—Waldman