Upper Extremity Orthopedics and Prolotherapy

NOMA trainings provide an expansive and comprehensive foundation in the art and science of prolotherapy. This includes 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 for the upper extremity. 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.

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

There will not be ultrasound guidance instruction at the course. Ultrasound will be freely available as a teaching tool and aide.

NOMA’s stance on ultrasound is that it is an extremely valuable tool when mastered. Learning ultrasound guided injection technique requires mastery of ultrasound physics, anatomy, and pathology– all of which are beyond the scope of this workshop. Ultrasound expertise is a completely separate skill set from injecting and this workshop will be focused on injecting. We do not want to give attendees the sense that they are competent in ultrasound guided injection technique if they do not have the prerequisite diagnostic ultrasound training. There are many great resources for diagnostic ultrasound training and future NOMA workshops will be 100% ultrasound focused.

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 II: Upper Extremity Orthopedics and Prolotherapy

Course Objectives:

• Review anatomy, biomechanics, DDX and PE of the Upper 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 upper extremity.

Outline of CME event and hours: OBNM Approved CE: 14 hours.

4 hours didactic, 10 hours practical. Fulfills the Oregon Injection Requirement for the upper extremity.

Schedule:

Intro to Prolotherapy Lecture will be available online prior to the course or offered via Zoom a week before the course date.

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Saturday

9:00-10:00: Lecture: Shoulder, Rotator Cuff (Patrick Chapman, ND)

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

10:00-12:30: Hands-on practicum: Evaluation and injection techniques

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

12:30-1:30: Lunch

1:30-2:30: Lecture: Shoulder, Beyond the Rotator Cuff (Joanne Gordon, ND)

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

2:30- 5:00: Hands-on practicum: Evaluation and injection techniques

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

Sunday

9:00-10:00: Lecture: Elbow (Angela Cortal, ND)

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

10:00-12:30: Hands-on practicum: Evaluation and injection techniques

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

12:30-1:30: Lunch

1:30-2:30: Lecture: Hand & Wrist (Sam Russo, ND, LAc, RMSK)

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

2:30- 5:00: Hands-on practicum: Evaluation and injection techniques

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

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. 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/RequiredPre-Conference Study

• A System of Orthopaedic Medicine 3rd Edition, Ludwig Ombregt
• Art Of Regenerative Injections Vol. 7, Joel Baumgartner, MD

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