Saturday May 18, 2024
University of Arizona Campus
Tucson AZ
10 CEs
7:30-8:00 (0.5 CE)
Course introduction: Cadaver Lab Safety, Expectations, Getting Started with Cervical NSPM Procedures.
- Examine and illustrate proper cadaver lab safety and requirements while participating in the lab.
- Discuss the specific skill set needed to begin adding cervical procedures to a NSPM service line.
8:00-9:00 (1.0 CE)
Understanding the cervical anatomical region and interpreting Ultrasound and Fluoroscopic imaging of the region.
- Examine and illustrate the fluoroscopic and ultrasound imaging in the cervical region.
- Discuss optimized approaches to patient specific anatomical variances.
9:00-10:00 (1.0 CE)
Cadaver Lab:
Cervical Interlaminar Epidural Steroid Injections
- Verbalize an understanding of the cervical interlaminar trajectory, how to establish a quality fluoroscopic view and determine optimal needle insertion.
- Perform interlaminar injections in the cervical region
11:00-12:00 (1.0 CE)
Cadaver Lab:
Cervical Medial Branch Block and Intraarticular Facet trajectories
- Verbalize an understanding of the cervical region medial branch and intra-articular facet injection trajectory, how to establish a quality fluoroscopic view and determine optimal needle insertion.
- Perform Medial branch and intra-articular injections in the cervical region.
12:00-13:00 (1.0 Pharm CE)
Working Lunch: Discuss current trends in drugs used for NSPM procedures of the cervical region. Focus on local anesthetics, steroids, and adjuncts.
- Examine and discuss the current recommendations for steroid type and composition for epidural steroid injections.
- Discuss the pharmacological considerations of local anesthetic and steroid choice for NSPM procedures
13:00-14:00 (1 CE)
Physical examination of the upper extremities for detecting potential cervical and thoracic pathology.
- Illustrate physical assessment tests for detecting potential cervical pathology
- Demonstrate physical exam tests, reflex assessment, classification, and red flag findings with assessment of the upper extremities.
14:00-15:00 (1 CE)
Cervical hands-on physical exam workshop.
- Illustrate and perform a variety of cervical and thoracic region physical exam tests and reflex assessments.
- Participant explanation of physical exam test purpose and potential pathology intended to detect.
15:00-17:00 (2 CE)
Cadaver Lab
Cervical Radiofrequency Ablative Techniques
- Examine and illustrate cervical facet radiofrequency ablation techniques, optimized needle trajectories and terminal needle placement
- Illustrate and discuss various techniques for achieving optimized terminal trajectories with variable cervical anatomical considerations.
17:00-17:30 (0.5 CE)
Open Discussion with instructors: Physical Exam Review and Cadaver Lab Practice/Review
- Opportunity to discuss topics from the course for all participants.
- Opportunity to follow up with any physical exam, cadaver trajectory questions
Sunday May 19, 2024
University of Arizona Campus
Tucson AZ
7 CEs
8:00-9:00 (1.0 CE)
Cervical Stellate Ganglion Blocks: Fluoroscopy and Ultrasound Guided Approaches
- Examine and verbalize an understanding of the cervical stellate ganglion trajectory with fluoroscopic and ultrasound guided techniques, how to establish a quality fluoroscopic/ultrasound view and determine optimal needle insertion and terminal needle position.
- Discuss cervical stellate ganglion troubleshooting and recommended injectate.
9:00-11:00 (2 CE)
Cadaver Lab
Cervical Stellate Ganglion Blocks with Fluoroscopy and Ultrasound
- Verbalize an understanding of the cervical stellate ganglion anatomy, how to establish a quality fluoroscopic/ultrasound view and determine optimal needle insertion.
- Demonstrate image acquisition and perform cervical stellate ganglion needle placements with fluoroscopy and ultrasound.
11:00-12:00 (1 CE)
Atypical Face Pain
Trigeminal Nerve Blocks, Greater/Lesser Occipital Nerve Blocks, Greater Auricular Nerve Blocks
- Verbalize an understanding of the cervical interlaminar trajectory, how to establish a quality fluoroscopic view and determine optimal needle insertion.
- Perform interlaminar injections in the cervical region
12:00-12:30 (0.5 CEU)
Optimized Radiofrequency Ablation: Local Anesthetics, steroids, post procedural medication considerations and Anesthesia Delarosa (post RFA neuralgia).
- Examine and discuss the current recommendations for local anesthetic, steroid type and composition for optimized radiofrequency ablation.
- Discuss the pharmacological considerations for post procedural management of potential post RFA adverse effects.
12:30:15:00 (2.5 CEU)
Cadaver Lab
Atypical Face Pain: Nerve blocks, testing, and radiofrequency ablative treatment.
Ultrasound and Fluoroscopic Techniques.
- Verbalize an understanding of the anatomy associated with atypical face pain generators.
- Discuss how to establish a quality fluoroscopic/ultrasound view and determine optimal needle insertion and safe terminal needle position.
- Demonstrate image acquisition and perform trigeminal nerve, greater/lesser occipital nerve, needle placements with fluoroscopy and ultrasound for testing and ablative techniques.
Pre-Course Webinars
Dates Subject to change: Full Disclosure, I have 2 teenagers playing sports and the schedules are not finalized. I plan to kick these off at 6pm MST on the dates below. If something changes all webinars will be available for review prior to the course.
Scott Rigdon
April 24
Cervical Region Pain: Identifying likely primary pain generation and optimized procedural pathways.
- Examine and verbalize an understanding of the cervical region pain generators.
- Discuss cervical region interventional strategies, outcomes and optimized procedural pathways.
May 1
Atypical Face Pain: Understanding the complex diagnostic testing, presentation and interventional techniques associated with Atypical Face pain.
- Examine and verbalize an understanding of atypical face pain and common underlying primary pain generators.
- Discuss atypical face pain interventional strategies, outcomes and optimized procedural pathways.
May 8
Cervical Region Ablative Techniques: Optimized pain generation testing and Radiofrequency Ablation of cervical pain generators. Cervical facet syndrome pain, Occipital neuralgia and
Trigeminal neuralgia.
- Examine and verbalize an understanding of the cervical region pain generators, appropriate testing, and radiofrequency ablative techniques
- Discuss cervical region radiofrequency interventional strategies, outcomes and optimized procedural pathways.
May 15
Cervical Stellate Ganglion Blocks: Understanding the appropriate use of stellate ganglion blocks and the utilization of imaging techniques to safely approach the terminal trajectory.
- Examine and verbalize an understanding of the cervical stellate ganglion blocks.
- Discuss cervical stellate ganglion block interventional strategies with fluoroscopy/ultrasound, outcomes and optimized procedural pathways.
