The Anatomy, Diagnosis, and Treatment of Chronic Myofascial Pain with Prolotherapy, Dextrose Perineural Injection Therapy for Lower Extremity Neuropathies, & Research Symposium

Madison, WI US
October 15, 2019 to October 19, 2019

Activity Overview

The needs will be addressed by the use of lectures, extensive anatomy review, discussion, demonstrations and practice injections on cadavers with C-arm guidance, and viewing of injection videos with a faculty member and model. The hands-on workshops will enable the conferee to have practical training in palpation and marking for prolotherapy. Discussions of prolotherapy indications and complications along with a panel discussion of complicated cases will enhance the participant’s learning.

Elements of Comptence

This CE activity has been designed to change learner competence and focuses on the American Board of Medical Specialties areas of patient care and procedural skills, medical knowledge, and practice-based learning and improvement. 

Statement of Need

The treatment of chronic pain is a complex, multifaceted problem. The faculty of this activity offer participants detailed instruction in the use of prolotherapy, with basic and advanced techniques, to treat laxity of ligaments that often cause chronic myofascial pain. Due to more active lifestyles, an aging patient population, and patient desire for relief of chronic pain, prolotherapy is an elegant, effective and safe treatment.

 

 

Target Audience

This educational activity has been designed to meet the needs of physicians. and those practitioners who manage patients through the diagnosis and treatment of chronic pain due to ligament instability.

Learning Objectives

At the conclusion of this activity, participants will be able to:

  • Recognize new clinical science research in injection therapy for musculoskeletal conditions including knee osteoarthritis, low back pain and tendinopathies
  • Review ongoing clinical research on the use of other regenerative injection techniques including platelet rich plasma
  • Identify the role of dextrose perineural therapy in the treatment of neuropathic pain
  • Identify the anatomy of ligaments
  • Participate in C-arm guided cadaver injections
  • Identify the role of ultrasound imaging in prolotherapy treatments
  • Illustrate complications, and ways to avoid complications, when treating patients with prolotherapy
  • Observe video of injections with faculty moderating with a model
  • Obtain insight into bio-tensegrity
  • Recall new advances in the use of several injection solutions, including PRP and stem cells for musculoskeletal diagnosis and treatment
  • Describe advanced prolotherapy treatment protocols for the treatment of chronic pain
  • Identify ways to promote a prolotherapy practice

Additional Information

AttachmentSize
ProlotherapyBooklet2019_F.pdf845.9 KB
Course summary
Available credit: 
  • 37.00 AMA PRA Category 1 Credit
  • 37.00 University of Wisconsin–Madison Continuing Education Hours
Registration opens: 
10/15/2019
Course expires: 
12/31/2020
Event starts: 
10/15/2019 - 7:45am
Event ends: 
10/19/2019 - 12:30pm
Cost:
$0.00
Rating: 
0

PRE-CONFERENCE SESSION

Tuesday, October 15, 2019

 

Dextrose Perineural Injection Therapy for Lower Extremity Neuropathies

Liza Maniquis-Smigel, MD

Eric Phillippi, MD

 

AM

 

 

8:00

Welcome and Administrative Remarks

Liza Maniquis-Smigel, MD

Eric Phillippi, MD

 

8:10

The Evolution of Dextrose Perineural Injection Treatment:  How it has Revolutionized the Approach to Pain Treatment

 

 

8:30

Nerve Neurodynamics and Pathology: How it Goes Wrong?  Neuropathic Pain and Entrapment Syndromes

 

 

9:00

The Basic Science of Dextrose Nerve Blocks

 

 

9:30

Pre and Post Care Instructions for Perineural Injection Treatments

 

 

9:45

BREAK

 

 

10:00

Nerve Anatomy of Anterior Pelvis and Hip

 

 

11:00

Marking and Injection Demonstration of Anterior Pelvis and Hip

 

 

PM

 

 

12:30

Lunch

 

 

1:30

Nerve Anatomy of Posterior Pelvis and Hip

 

 

2:00

Marking and Injection Demonstration of Posterior Pelvis and Hip

 

 

2:30

Nerve Anatomy of Knee

 

 

3:00

Marking and Injection Demonstration of the Knee Region

 

 

3:45

BREAK

 

 

4:00

Nerve Anatomy of the Ankle and Foot

 

 

4:30

Marking and Injection Demonstration of Ankle and Foot Region

 

 

5:00

Ultrasound Guided Hydro-Dissection: A Targeted Ultrasound Guided Nerve Block and Hydro-Dissection to Deeper Nerves Involved in Nerve Entrapment Syndromes

 

 

5:30

Adjourn

 

 

 

 

 

Research Symposium

Wednesday, October 16, 2019

 

AM

 

 

8:00

Growth in Research

David Rabago, MD

 

8:30

Morning Sessions

 

 

 

Prolotherapy for Knee Osteoarthritis:  A Translational Perspective

 

David Rabago, MD

 

Intra-articular Prolotherapy for Knee Osteoarthritis: A One Year Blinded RCT

 

Regina Sit, MD

 

Cytokine Changes after Knee Intra-articular Dextrose Injection

 

Ines Guerrero Pestardo, MD

10:00

REFRESHMENT BREAK

 

 

10:30

 

From Registry-Based Studies to Randomized Controlled Trials: What's Next for Stem Cells

 

Christopher Centeno, MD

 

Platelet Rich Plasma (PRP) for Tendinopathy: The Wisconsin Studies

 

Kenneth Lee, MD

 

Innovative Orthobiologic Treatments for Advanced Osteoarthritis

 

Danielle Aufiero, MD

 

In-Office PRP Preparation: Clinical and Biological Characteristics

 

Theodore Harrison, MD, MBA

PM

 

 

12:30

Lunch

 

 

1:30

Afternoon Sessions

 

 

 

There and Back Again: Update on International Prolotherapy Collaborations

 

K. Dean Reeves, MD

 

Effectiveness of Regenerative Injection Therapy in Tendinopathy: Does Anatomical Location Matter

 

Chueh-Hung Wu, MD

 

Results of an RCT Assessing Hypertonic Dextrose for Temporomandibular Disorder: Implications for General Practice

 

Miguel Zarate, MD

Ricardo Frusso, MD

3:15

REFRESHMENT BREAK

 

 

3:30

Pushing Dextrose: Epidural Injection for Low Back Pain in a 3-part Mixed Methods Study

 

Liza Maniquis-Smigel, MD

 

Common Areas of Myofascial Laxity in Chronic Low Back Pain: A Pilot Study

 

Emily Molina, MD

 

Multiple Modality Care for Chronic Low Back Pain: A Quality Improvement Project

 

Bobby Nourani, DO

 

Concluding Remarks: Collegiality, Collaboration and Continuing Way Forward

 

David Rabago, MD

5:30

Adjourn

 

 

 

 

Main Clinical Conference, October 17-19, 2019

Thursday, October 17, 2019

 

AM

 

 

7:45

Welcome

Brian Ralston, MD

Annette Zaharoff, MD

Mary Doherty

 

8:00

Introduction to Prolotherapy: Safe, Simple, Effective, Elegant

 

Annette Zaharoff, MD

8:30

Anatomy & Injection Techniques: Knee

 

Tricia Croake-Uleman, MD

9:15

Anatomy & Injection Techniques: Hip & Anterior Pelvis

 

Brian Ralston, MD

9:45

Anatomy & Injection Techniques: L/S spine, Posterior Pelvis

 

Joel Baumgartner, MD

10:15

Anatomy & Injection Techniques: Foot & Ankle

 

Linh Vuong, MD

10:45

REFESHMENT BREAK – LOBBY

 

 

11:10

Anatomy Demonstration: Knee

 

Tricia Croake-Uleman, MD

11:30

Anatomy Demonstration: Hip & Anterior Pelvis

 

Brian Ralston, MD

11:50

Anatomy Demonstration: L/S, Posterior Pelvis

 

Joel Baumgartner, MD

PM

 

 

12:10

Anatomy Demonstration: Foot & Ankle

 

Linh Vuong, MD

12:30

Lunch: Dining Room – Pyle Center

 

 

1:30-3:30

Optional Advanced Session for Experienced Prolotherapists

 

Andrew Kochan, MD

Adrian Gretton, MD

1:30

Anatomy & Injection Techniques: Shoulder

 

Ripal Parikh, DO

2:00

Anatomy & Injection Techniques: Elbow, Wrist, Hand

 

Deborah Raehl, DO

2:30

Anatomy & Injection Techniques: Cervical Spine

 

Martin Gallagher, MD, DC

3:00

Anatomy & Injection Techniques: Thoracic Spine & Ribs

 

Bobby Nourani, DO

3:30

REFRESHMENT BREAK: LOBBY

 

 

4:00

Anatomy Demonstration:  Shoulder

 

Ripal Parikh, DO

4:20

Anatomy Demonstration: Elbow, Wrist Hand

 

Deborah Raehl, DO

4:40

Anatomy Demonstration: Cervical Spine

 

Martin Gallagher, MD, DC

5:00

Anatomy Demonstration: Thoracic & Ribs

 

Bobby Nourani, DO

5:20

IART/HHPF Update

Brian Ralston, MD

Annette Zaharoff, MD

 

5:50

Summary & Wrap-up

 

Annette Zaharoff, MD

Mary Doherty

 

6:00

Adjourn

 

 

7:00Dinner Presentation: HHPF/UW International Treating & Training TripsMary Doherty
David de la Mora
Parker Hoerz, MD
 

 

 

 

Friday, October 18, 2019

 

Lowell Conference Center

 

WORKSHOPS

 

The Art of Prolotherapy, Anatomical Relationships             Isthmus - North               Jon Trister, MD

 

ProloSound: Utilizing Diagnostic Ultrasound to                   Isthmus – South               David Wang, DO
Complement Your Prolotherapy Skills                                                                              Craig Chappel, DO

Your Prolotherapy Skills

                                                                                                                                                                               

Anatomy Palpation, Examination and Marking Skills          Langdon Room                 Joel Baumgartner, MD

                                                                                                                                                                Ali Safayan, MD

                        

Injection Demonstration of Cadavers, Participant                Mendota Room                James Nosal, MD
Practice Lab                                                                                                                           Michael Weber, MD
                                                                                                                                                 Young Uck Kim, MD

 

AM

 

 

8:00-10:00

Session 1

 

10:00

REFRESHMENT BREAK

 

10:20-12:20

Session 2

 

PM

 

 

12:20-1:20

Lunch: Dining Room, Lowell Lower Level

 

1:20-3:20

Session 3

 

3:20-3:50

REFRSHMENT BREAK

 

3:50-5:50

Session 4

 

5:50

Adjourn

 

 

 

 

Saturday, October 19, 2019

Lectures & Breaks will take place at the Pyle Center

 

AM

 

 

7:25

Welcome

Annette Zaharoff, MD

 

7:30

First Do No Harm: Prolotherapy Injection Safety

 

Deborah Raehl, DO

8:00

Injectant Solutions in Regenerative Medicine

 

Annette Zaharoff, MD

 

8:30

Prolotherapy Pearls: Possible Complications and How to Avoid Them

 

Craig Chappel, DO

9:00

Clinical Biotensegrity

Gary Clark, MD

 

9:40

REFRESHMENT BREAK:  LOBBY

 

 

10:10

Review of Prolotherapy Clinical Research

 

Linh Vuong, MD

10:30

Building a Prolotherapy Practice

 

Joel Baumgartner, MD

11:00

Advanced Prolotherapy Case Studies

 

Young Uck Kim, MD

11:45

Panel: Prolotherapy Practices Around the World

Moderator: Annette Zaharoff, MD

 

Joel Baumgartner, MD

Martin Gallagher, MD, DC

Young Uck Kim, MD

Andrew Kochan, MD

Liza Maniquis-Smigel, MD

David Wang, DO

12:30

Adjourn

 

 

Lowell Inn and Conference Center & The Pyle Center
610 Langdon St
Madison, WI 53703
United States
+1 (608) 256-2621

Conference Location and Accommodations

Lowell Inn and Conference Center
610 Langdon Street
Madison, WI 53703

To make hotel room reservations at Lowell, please call:  608-256-2621 or 866-301-1753.  Email: Lowell@ecc.uwex.edu   A block of rooms has been reserved.  These rooms will be held for our conference until September 15, 2019 or until block is sold out.  The room rate is from $115 to $124 per night (standard room to deluxe room).  The name on the block of rooms is:  Prolotherapy.

 

Program Changes

Emergency situations occasionally occur and may necessitate topic or speaker change. The University of Wisconsin–Madison ICEP reserves the right to alter or substitute a topic or speaker without prior notification.

 

Course Materials

The conference syllabus will be posted online (the link will be sent to registered participants approximately one week before the conference).  WiFi is available at both Lowell and Pyle Center.

 

Cancellations/Refund Policy

All cancellations must be received on or before October 7, 2019.  This will allow wait-listed people to take the place of a cancellation, if one occurs.  Cancellations received on or before October 7, 2019 will receive a refund; cancellations after that time will not receive a refund.  All cancellations will be charged a processing fee of $100.

 

Things to Do in Madison

Capitol Tour - Tour the Wisconsin Capitol on your own or with a group. www.tours.wisconsin.gov

Art Museums - Both Madison Museum of Contemporary Art and the Chazen Museum of Art are within walking distance of the conference hotels. The Wisconsin Historical Museum and the Wisconsin Veterans Museum are both located on the capitol square. www.mmoca.org, www.wisconsinhistory.org, www.vetsmuseum.com

Around Campus - The University of Wisconsin-Madison campus is beautiful in the summer. It's home to dozens of attractions, including the Geology Museum, Allen Centennial Gardens, D.C. Smith Greenhouse, Babcock Hall Dairy Store, and Wisconsin Institutes for Discovery. A visit to campus would be incomplete without a stop at the Memorial Union Terrace on Lake Mondota, a gathering place where campus and community meet to enjoy the outdoors, music, ice cream, farmers' markets, Bucky on Parade, food, and beverages. www.wisc.edu

Planning Committee & Course Directors

David Rabago, MD, Associate Professor, Department of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health

Annette Zaharoff, MD, Medical Director, The Non-Surgical Center of Texas

Mary P. Doherty, Vice President, Hackett Hemwall Patterson Foundation

Laura Cruz, Administrative Specialist, Hackett Hemwall Patterson Foundation

Terese Bailey, Accreditation Specialist, University of Wisconsin–Madison ICEP

 

Faculty

* = Research Symposium faculty
† = Conference faculty

 

Danielle Aufiero, MD*
Dr. Aufiero is a board-certified physical medicine and rehabilitation physician, an assistant clinical professor of medicine at David Geffen School of Medicine at UCLA and at Western University of Health Sciences, and an adjunct assistant professor at Touro University.  She is a partner at the Orthohealing Center in Los Angeles, CA, and co-founder of the Orthohealing Method, advocating a standardized approach to orthobiologics with registry data collection.  Dr. Aufiero has published multiple peer reviewed articles and frequently lectures on orthobiologics to advance the field.

Joel Baumgartner, MD†
Dr. Baumgartner is board certified in family medicine and sports medicine. He specializes in non-surgical orthopedics, sports medicine, and regenerative orthopedics. As the founder of Rejuv Medical in Waite Park, MN, he utilizes the latest in diagnostic and treatment technology to better treat musculoskeletal injury and pain. Dr. Baumgartner's new ultrasound guided Regenerative Injection Manual is now complete. He also recently authored a book for the general public entitled Regenerate: Body Heal Thyself without Drugs or Surgery. It explains how lifestyle changes can augment the body’s ability to heal and regenerate. He has a passion for training and helping other physicians create a practice model that will thrive in our competitive markets.

Christopher Centeno, MD*
Dr. Centeno is the medical director of the Centeno-Schultz clinic in Colorado, the world’s largest interventional orthobiologics practice. He is involved in active clinical and bench science research on the use of bone marrow concentrate and other stem cell therapies and has published more than 25 peer-reviewed papers on the topic. He was a founder of the Interventional Orthopedics Foundation and his clinic runs a fellowship in interventional orthobiologics.

Craig Chappell, DO†
Dr. Chappell is board certified in sports medicine, family medicine, and osteopathic manipulative medicine (OMM).  He has been performing regenerative injections with the use of ultrasound guidance for the past 10 years and has taught regenerative injection technique nationally and internationally. Dr. Chappell specializes in non-surgical orthopedic, sports medicine, and regenerative medicine at
in2itMedical in Pleasant Grove, UT. He has served with the HHPF in Honduras and Mexico and lectured at the Madison conference.

Gary Bruce Clark, MD†
Dr. Clark is board certified in anatomical/clinical pathology and neuropathology. As a “recovering pathologist” he has morphed, specializing in orthopedic medicine over the last 25 years with special interest in regenerative medicine, including prolotherapy and PRP.  He has participated in 10 HHPF Honduran trips, four Mexico trips, and several Madison conferences, serving as faculty on many occasions.  He has contributed to the HHPF Procedure Standardization Program. He has a busy practice in Boulder, Colorado, where he runs a solo musculoskeletal clinic.  He is currently writing a book on orthopedic medicine with special focus on clinical biotensegrity as illustrated by sacroiliac joint displacement.

Tricia Croake-Uleman, MD†
Dr. Croake-Uleman is a board-certified family medicine physician in Mason, Ohio. She owns Southwest Ohio Health Partners and Southwest Ohio Pain Management. Her practice involves treating pain and musculoskeletal injuries using interventional pain management techniques, prolotherapy/ PRP, perineural therapy, physical therapy, counseling and nutrition. Dr. Croake-Uleman has served with HHPF in Mexico and Honduras.

David de la Mora, MD†
Dr. de la Mora is the director of the HHPF Guadalajara chapter and organizes the annual HHPF Prolotherapy and Vein Medical Brigade trip to Mexico. He has attended the Madison conference for 15 years, both as a participant and faculty member, and has also served as a clinic director on the HHPF Honduras trips. Dr. de la Mora has a full time prolotherapy practice in Mexico.

John Finkenstadt, MD† (HHPF BOD)
Dr. Finkenstadt’s medical practice in Syracuse, NY, is devoted solely to the treatment of musculoskeletal pain.  He is board certified in family medicine with a CAQ in sports medicine. He is also certified in acupuncture and has completed a five-year course of study at the Canadian College of Osteopathy. Dr. Finkenstadt has served as faculty on HHPF trips to Honduras and at the Madison conference.

Ricardo Frusso, MD*
Dr. Frusso is a certified family medicine physician and pain doctor. He is certified by AAOM in prolotherapy, has a master’s degree in Lyftogt Perineural Inyection Therapy (PIT) and is a sports medicine physician in the Hospital Italiano de Buenos Aires, Argentina (HIBA).  In addition to his clinical practice, he does research and teaches prolotherapy and Lyftogt PIT.  Dr. Frusso is one of the directors of the University Workshop of Myofascial Pain in the HIBA and coordinates a group of family physicians who treat chronic pain.

Martin Gallagher, MD, DC, ABOIM†
Dr. Gallagher is uniquely licensed as a board-certified family physician, chiropractor, and medical acupuncturist. He is the director of Integrative Medicine at Medical Wellness Associates, where he combines prolotherapy, ozone, acupuncture, chiropractic, and IV nutritional protocols to reverse chronic disease. Dr. Gallagher is on the faculty in the Department of Family Medicine at West Virginia University. He established the first family medicine residency in the US where select residents graduate double boarded in family medicine and medical acupuncture. Dr. Gallagher is a board member of IART, AAOM and a frequent participant at the HHPF conferences.

Adrian Gretton, MD†
Dr. Gretton trained as a family physician in Calgary, AB, Canada and has developed an active interest in pain and injury management. He has more than a decade of experience in prolotherapy at the Advanced Spinal Care Center in Calgary. Dr. Gretton leads a multidisciplinary team at the Calgary Chronic Pain Centre. He has served with the HHPF in Mexico and Honduras and has taught at the Madison conference for over 10 years.

Ines Guerrero Pestalardo, MD*
Dr. Ines Guerrero Pestalardo obtained his MD from Austral University of Buenos Aires, Argentina, and PM&R residency at Graduate Hospital de Rehabilitacion Manuel Rocca in Buenos Aires, Argentina. Her continuity clinical practice in Interventional Regenerative Orthopedic Medicine is in Buenos Aires and Rosario, Argentina. Dr. Guerrero is currently serving as the president of the Latin-American Association of Orthopaedic Medicine (AAOM), an international non-profit organization of physicians dedicated to the promotion of regenerative medicine education around Latin America. Since last year, she has been investigating changes in cytokines after prolotherapy with Dr. Gaston Topol.

Jay Harms, MD†
Dr. Harms is in practice in Peoria, IL, and is board certified in family medicine. In his medical practice, he cares for the entire range of family medicine patients, including chronic pain patients. Dr. Harms has been an active member of the HHPF since 2003, serving in the capacity of volunteer and faculty in Honduras and at the Madison conference.

Theodore Harrison, MD, MBA* (HHPF BOD)
Dr. Harrison is board certified in emergency medicine and anti-aging and regenerative medicine. He practiced emergency and critical care medicine in the Baltimore area for 20+ years before focusing on regenerative medicine. Dr. Harrison trained in prolotherapy at the University of Wisconsin/HHPF and also trained at the Ageless Regenerative Institute in Florida in the techniques of stem cell extraction and fat transfer graft. He has written a book for the lay public on regenerative medicine and is currently in practice at Rejuvacare PC in Port Angeles, WA.

Aeneas Janze, MD† (HHPF BOD)
Dr. Janze is a board-certified physical medicine and rehabilitation physician and Director of Integrative Services at the William Beaumont Army Medical Center.  Dr. Janze has spent the last 14 years working in Army Medicine bringing interventional regenerative orthopedic medicine techniques to injured soldiers to include dextrose prolotherapy, PRP, prolozone and perineural injection therapy.  Dr. Janze blends these regenerative medicine techniques with acupuncture, manipulation, and movement pattern analysis to address both the structural and functional aspects of chronic pain. 

Young Uck Kim, MD†
Dr. Kim is an orthopedic surgeon in Seoul, South Korea. His clinic, Rapha Medience Orthopaedic Clinic, is a busy orthopedic surgery and prolotherapy practice. Over the past 19 years, he has observed the benefits of prolotherapy for his patients, and his practice performs more non-surgical procedures than orthopedic surgery. Dr. Kim utilizes ultrasound, mainly for academic purposes and research.

William Knight, DO†
Dr. Knight is in practice in Metairie, LA, caring for patients with chronic pain and with other rehabilitation needs. He is board certified in physical medicine and rehabilitation. Dr. Knight has served with the HHPF as an instructor in Honduras and Mexico and at the Madison conference.

Andrew Kochan, MD†
Dr. Andrew Kochan practices prolotherapy and other regenerative medical techniques in Los Angeles, CA, and near Monterey, CA. He is board certified in physical medicine and rehabilitation and is internationally recognized as an expert in apitherapy. He has been doing prolotherapy for 35 years and has taught prolotherapy in Honduras since 2003 and in Guadalajara and Madison for many years. 

Susan Lanza, MD†
Dr. Susan Lanza graduated in medicine and surgery from the University of Palermo, Italy, in 2003 and earned her second medicine and surgery degrees from the University of Caracas (UCV), Venezuela, in 2008. She is board certified in Italy with a specialization in sports medicine, has a master’s in aesthetic medicine and is an instructor in neuralprolotherapy. Dr. Lanza has served as a prolotherapy instructor with the HHPF in Honduras, Mexico, and Madison for many years. She is also an instructor for SIPRO (Italian Prolotherapy Association) and for the European Mission of Prolotherapy in Italy and Greece. She has a private practice in various cities in Italy specializing in sports medicine, prolotherapy, ultrasound management and aesthetic medicine. 

Kenneth Lee, MD*
Dr. Lee is a musculoskeletal radiologist in the Department of Radiology at the University of Wisconsin School of Medicine and Public Health (UW SMPH). His research and clinical interests include MSK US and minimally invasive therapies of sports injuries, quantitative ultrasound elastography, and regenerative medicine therapies for overuse tendon injuries. He has received multiple peer-reviewed grant awards for team science research studies in tendon elastography and PRP therapies. He has published 45 peer-reviewed manuscripts and given over 170 national and international presentations.

Liza Maniquis-Smigel, MD†
Dr. Maniquis-Smigel is a diplomate of American Academy of Physical Medicine & Rehabilitation and of the American Academy of Regenerative Medicine.  She is in private practice in Hawaii. Her special interests include treatment of musculoskeletal injuries with regenerative approach including prolotherapy, perineural injection treatment, prolozone, PRP and stem cell therapy. Dr. Maniquis-Smigel published three research articles on dextrose caudal epidural. She has served with the HHPF in Honduras and Mexico since 2003 and has often lectured at the Madison conference.

Emily Molina, MD*
Emily Molina is a first year internal medicine resident at Johns Hopkins Hospital. Prior to receiving her medical degree from Texas A&M College of Medicine, she pursued research in a cohort of rheumatoid
arthritis patients in south Texas focusing on clinical outcomes. Her current research interests include myofascial pain, musculoskeletal anatomy, social determinants of health and quality patient care.

William Mora, MD†
Dr. Mora is board certified in family medicine, and he received a CAQ in sports medicine. He also received certification by the American Board of Integrative Holistic Medicine and the American Board of Medical Acupuncture. Dr. Mora trained in prolotherapy with Dr. Jeff Patterson at the UW School of Medicine and Public Health. He currently works in an integrative holistic functional medical practice in Sacramento, CA, with a focus on prolotherapy and regenerative injection therapy.

Jim Nosal, MD†
Dr. Nosal practices family medicine in Crandon, WI.  He has been involved with prolotherapy at the HHPF conferences for many years.

Bobby Nourani, DO*†
Dr. Nourani is an associate clinical professor at the University of California Irvine, Susan Samueli Integrative Health Center. He is the Inpatient Integrative Health medical director. He is board certified in family medicine, neuromusculoskeletal medicine, and pain medicine. He is also certified in medical acupuncture. Dr. Nourani has enjoyed serving with HHPF in Honduras and Mexico since 2010 and has lectured at the annual conference in Madison since 2014.

Ripal Parikh, DO†
Dr. Parikh is board certified in physical medicine and rehabilitation and pain management. He works in private practice, Regen Medical, focusing on regenerative medicine techniques including prolotherapy and PRP. He has been involved with HHPF since 2010 and has served in Honduras and Mexico.

Eric Phillippi, MD†
Dr. Phillippi operates a private practice procedure clinic in Madison, WI.  At his practice, Medical Procedures of Wisconsin, he provides regenerative injections including prolotherapy, perineural injection therapy, PRP, and stem cell therapy.  He also offers many outpatient surgical procedures including varicose vein treatments, vasectomy, and minor skin surgery.  Board-certified in family medicine, he received his medical degree and completed residency training at the University of Wisconsin - Madison.  He serves as an adjunct clinical faculty at the UW School of Medicine and Public Health teaching medical students in his course: Office-Based Procedures in Family Medicine.

David Rabago, MD*† (HHPF BOD)
Dr. Rabago is a board-certified family medicine physician and associate professor at the UW School of Medicine and Public Health, and immediate past president of the HHPF. His clinical practice is in Madison, WI; his research endeavors include assessment of prolotherapy for chronic musculoskeletal conditions including knee osteoarthritis. Dr. Rabago also mentors others in the design, conduct and publication of research devoted to prolotherapy and other injection therapies. He lectures nationally and internationally on these topics.

Deborah Raehl, DO†
Dr. Raehl is a board-certified family physician who has been teaching and practicing full-scope family medicine for over 20 years at Prevea Eau Claire Family Medicine Residency. Her special interests include treatment of the citizen athlete, prolotherapy, and osteopathic manipulative medicine. Dr. Raehl has served and taught with HHPF in Honduras, Mexico and at the Madison conference since 2009. She also serves as adjunct clinical faculty for University of Wisconsin Department of Family Medicine and Community Health and associate clinical professor for the Medical College of Wisconsin.

Brian Ralston, MD† (President HHHF BOD)
Dr. Ralston is a board-certified family medicine physician with a certificate of added qualifications in sports medicine, practicing in the Chicago area. Dr. Ralston is a faculty member of the MacNeal Family Medicine Residency Program, and clinical associate professor of medicine at the University of Chicago.  Dr. Ralston has worked with the HHPF as a prolotherapy provider and instructor since 1995.

K. Dean Reeves, MD*
Dr. Reeves has served as either primary investigator or research designer and facilitator for studies of the clinical effects and basic science of dextrose prolotherapy and perineural injection in osteoarthritis, tendinosis and chronic widespread pain since 1994.  In recent years, he has enjoyed participation in a team approach to research in cooperation with Dr. David Rabago and in support of the goals of the UW Prolotherapy Education and Research Lab. 

Ali Safayan, MD†
Dr. Safayan has been in practice at Restorative Health Center for Integrative Medicine in Washington, DC, since 1990. Board certified in internal medicine (2000-2010), he has taught prolotherapy during our Madison conference as well as on HHPF trips to Honduras and Mexico. He is also a senior faculty member and the preceptor in charge of the Helms Medical Institute (HMI) which provides medical acupuncture training for both civilian and military physicians. In his practice, Dr. Safayan utilizes conventional and complementary therapies including prolotherapy, PRP, medical acupuncture, and functional and nutritional medicine. 

Jaehyun Shim, MD†
Dr. Shim is a neurosurgeon in Seoul, South Korea.  After learning prolotherapy from the HHPF, his medical practice in Seoul now includes prolotherapy for chronic pain.  Dr. Shim is active in the HHPF, instructing physicians in Honduras, Mexico and at the annual HHPF Madison conference.  Dr. Shim is also a member and faculty of the Seoul MKS Ultrasound Society.

Regina Sit, MBBS(HK), FRACGP, FHKCFP, FHKAM*
Dr. Regina Sit is the associate professor in family medicine, the Jockey Club School of Public Health and Primary Care, the Chinese University of Hong Kong. In addition to her family medicine specialist training, she also carries qualifications in pediatrics, dermatology, geriatric and internal medicine. As a family physician, she develops her special skills in pain management and is a Certified Interventional Pain Sonologist by the World Institute of Pain. Her clinical and research interests focus on the study of musculoskeletal pain in primary care. Currently, she is the director of the CUHK-Jockey Club Pain Relief Project for the Seniors, and is leading an interdisciplinary

Jon Trister, MD†
Dr. Trister is board certified in internal medicine. In his private practice in Massachusetts, he specializes in internal medicine, skin cancer outpatient surgery, orthopedic medicine, spinal cord injury medicine, osteopathy, and functional medicine. After completing his residencies in general and orthopedic surgery in the USSR and internal medicine in the US, Dr. Trister completed a fellowship in spinal cord injury medicine at Harvard Medical School. Prior to coming to the US, Dr. Trister was a general and orthopedic surgeon in Ukraine from 1975-1989.

Linh Vuong, MD†
Dr. Vuong is board certified in family medicine with a CAQ in sports medicine and extensive training in complementary and alternative practices. She has an integrative practice with her sister, Dr. Tinh Vuong, in the Los Angeles area that offers prolotherapy, PRP, PIT, MSK ultrasound, osteopathy and acupuncture. She enjoys teaching and is an attending physician at Harbor UCLA Family Medicine & Sports Medicine Department.  Dr. Vuong has been with HHPF since 2009 and has served in Honduras and Mexico.

Tinh Vuong, DO†
Dr. Vuong is board certified in family medicine, a licensed acupuncturist and herbalist, and a prolotherapist. She received her Doctor of Osteopathy (DO) degree from Touro University College of Osteopathic Medicine in Vallejo, CA, and completed her family medicine internship and residency at Harbor UCLA Medical Center.

David Wang, DO*†
Dr. Wang is board certified in physical medicine and rehabilitation. He specializes in musculoskeletal ultrasound, osteopathic manipulation, spine, and regenerative medicine including prolotherapy and PRP. He is a founding partner and director of education and training of Regenerative Orthopedics and Sports Medicine, with offices throughout the Metropolitan DC area. Dr. Wang has been active in the HHPF for over 10 years, teaching at the Madison conference and in Honduras and Mexico.

Michael Weber, MD†
Dr. Weber received his medical degree from the University of Virginia School of Medicine, completed a residency in family medicine at the University of Wisconsin-Madison, and a fellowship in integrative medicine through the UW Academic Integrative Medicine Fellowship/ Arizona Center for Integrative Medicine Fellowship. A member of the UW faculty, he provides integrative primary care including acupuncture and prolotherapy.

Chueh-Hung Wu, MD, CIPS*
Dr. Chueh-Hung Wu is a board-certified physiatrist (specialist in physical medicine and rehabilitation) and assistant professor at National Taiwan University College of Medicine. He has published over 50 articles in SCI-indexed journals, including two original articles in Radiology. He acts as a reviewer for 17 SCI-indexed journals. He is actively involved in teaching diagnostic and interventional musculoskeletal ultrasound and has been invited as a speaker and an instructor for more than 30 international conferences and workshops. He is currently conducting studies to investigate mechanisms of hydrodissection for nerves.

Annette Zaharoff, MD† (HHPF BOD)
Dr. Zaharoff is a sports medicine physician in private practice in San Antonio, TX. Her practice, The Non-Surgical Center of Texas, is a comprehensive center for the evaluation and nonsurgical treatment of MSK injuries.  Her practice includes prolotherapy, PRP, and stem cell injections and she is board certified in physical medicine and rehabilitation.  She is the current president and a founding member of the International Association for Regenerative Therapy (IART) and serves on the board of directors for HHPF.  She has been involved in strategic planning and educational trainings for IART and HHPF.    

Miguel Zárate, MD*
Dr. Miguel Zárate is a certified family medicine physician and pain doctor at Hospital Italiano de Buenos Aires, Argentina. He has an AAOM certification in prolotherapy, a master’s degree in Lyftogt Perineural Injection Therapy (PIT), and MSc degree in books edition. In addition to his clinical practice and research, Dr. Zárate teaches prolotherapy and Lyftogt PIT.  He is one of the directors of the University Workshop of Myofascial Pain in the Hospital Italiano de Buenos Aires, Argentina (HIBA). He coordinates a group of family physicians who treat chronic pain in HIBA and has published chapters and edited several family medicine books. 

Discloser List CME Internal Report

 

Joint Accreditation Provider LogoAccreditation Statement
In support of improving patient care, this activity has been planned and implemented by the University of Wisconsin–Madison Interprofessional Continuing Education Partnership (ICEP) and The Hackett Hemwall Patterson Foundation. The University of Wisconsin–ICEP is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

 

Credit Designation Statement

The University of Wisconsin–Madison ICEP designates this live activity for a maximum of 37 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Dextrose Perineural Injection Therapies for Lower Extremity Neuropathies = 7.75 AMA PRA Category 1 Credits

Research Symposium = 7.75 AMA PRA Category 1 Credits

Conference = 21.5 AMA PRA Category 1 Credits


Continuing Education Units

The University of Wisconsin-Madison, as a member of the University Continuing Education Association (UCEA) authorizes this program for 3.7 continuing education units (CEUs) or 37 hours.

 

Policy on Disclosure

It is the policy of the University of Wisconsin–Madison ICEP that the faculty, authors, planners, and other persons who may influence content of this CE activity disclose all relevant financial relationships with commercial interests in order to allow CE staff to identify and resolve any potential conflicts of interest. Faculty must also disclose any planned discussion of unlabeled/unapproved uses of drugs or devices during their presentation(s). Detailed disclosures will be made in the activity materials.

Available Credit

  • 37.00 AMA PRA Category 1 Credit
  • 37.00 University of Wisconsin–Madison Continuing Education Hours

Price

Cost:
$0.00
Please login or register to take this course.

Registration

The Anatomy, Diagnosis, and Treatment of Chronic Myofascial Pain with Prolotherapy, Dextrose Perineural Injection Therapies for Lower Extremity Neuropathies, & Research Symposium

October 15-19, 2019

 

Two Easy Ways to Register

On Line: https://bit.ly/2TirPEW

By Phone: 608-262-1397. Please call and give your credit card information (MasterCard, VISA)

Please specify course number: 4017

 

Please Note:  Your registration will not be confirmed until payment is made in full.  Please direct questions to: Mary Doherty (mdoherty@wisc.edu)

Please register early. Enrollment will be limited. We anticipate that the conference will be filled to capacity. All registrations will be confirmed via email.  If you do not receive a confirmation, please call 608-262-1397.

 

 

Registration Fees

$2,300 Conference registration (October 17-19, 2019)

$   400 Research Symposium (October 16, 2019)

$   450 Dextrose Perineural Injection Therapy (October 15, 2019)

The fees include the cost of tuition, course materials; breakfasts; lunches Tuesday, Wednesday, Thursday and Friday; breaks all days, and dinner on Thursday evening.  Meals and breaks are for registered attendees only.  Guests may join you for meals - see pricing below.

 

Fee for accompanying guests - meals/receptions:  Prices subject to change

                $  42.20 ($40 plus tax)    Dextrose PIT Session - Tuesday lunch and breaks
                $  52.75 ($50 plus tax)    Research Symposium, lunch & reception

                $105.50 ($100 plus tax) Conference - 2 lunches, Thursday dinner, Friday reception

                $  63.30 ($60 plus tax)    Conference - Dinner Thursday evening, Friday reception