SESSION I.  
GENERAL CONCEPTS, DIAGNOSTICS AND LUMBAR PAIN PROCEDURES


DAY 1: February 22, 2019, Friday

7.50-8.00 Welcome, introduction, goals and requirements
8.00-8.20 Multimodal concept in pain medicine
8.20-9.20 WORKSHOP/PBLD: History taking and multimodal approach to pain treatment (cancer and non cancer pain)
The role of imaging in chronic low back pain
9.20-9.40 To order or not to order and how to evaluate?
9.40-10.00 The role of EMG and other diagnostic tools in chronic low back pain
To order or not to order and how to evaluate? Abdominal and groin pain
10.00-10.30
COFFEE BREAK
10.30-11.30 WORKSHOP/PBLD XRAY/MRI for the pain physician
11.30-12.00 Lumbar spine anatomy, fluoroanatomy
12.00-13.00
LUNCH
13.00-13.30 WORKSHOP: Lumbar spine fluoroanatomy and targets for interventional procedures (images and MCQ discussed)
13.30-13.50 Antithrombotic therapy-main considerations
13.50-14.10 Introduction to ultrasound in pain medicine, tissue recognition, and diagnostic use of ultrasound
14.10-15.00 WORKSHOP: Physical Examination of the Lumbar Spine
15.00-15.30
COFFEE BREAK
15.30-15.50 Lumbar facet pain: epidemiology, diagnosis and treatment
15.50-16.10 LUMBAR MEDIAL BRANCH BLOCK (live procedure demo and patient discussion)
16.10-16.30 Sacroiliac pain: epidemiology, diagnosis and treatment
16.30-17.30 SI AND LUMBAR FACET DENERVATION (live procedure demo and patient discussion)
GENERAL CONCEPTS, DIAGNOSTICS AND LUMBAR PAIN PROCEDURES


DAY 2: February 23, 2019, Saturday

8.00-8.30Principles of radiofrequency (mechanisms and indications)
8.30-9.00Epidurals of the Lumbar spine (Transforaminal, caudal, interlaminar)
9.00-9.30CAUDAL EPIDURAL, epidurogram /epidurolysis (live procedure demo and patient discussion)
9.30-10.00Pulsed RF lumbar DRG
10.00-10.30
COFFEE BREAK
10.30-11.30LUMBAR TRANSFORAMINAL OR DRG PRF (live procedure demo and patient discussion)
11.30-12.00Ultrasound anatomy of the lumbosacral spine and pelvis
12.00-13.00
LUNCH
13.00-13.50WORKSHOP: ULTRASOUND – Scanning techniques
Lumbar spine
13.50-14.10Discogenic low back pain, discography, intradiscal therapies
14.10-15.00WORKSHOP: ULTRASOUND – Scanning techniques
Sacrum and Pelvis
15.00-15.30
COFFEE BREAK
15.30-16.00DISCOGRAPHY, intradiscal PRP (live procedure demo)
16.00-16.30Complications of lumbar pain procedures, and how to avoid them
16.30-17.30WORKSHOP/PBLD: Low back pain, Diagnosis & Treatment- Pseudosciatica
GENERAL CONCEPTS, DIAGNOSTICS AND LUMBAR PAIN PROCEDURES


DAY 3: February 24, 2019, Sunday

Trainee - Faculty Ratio 4:1 Maximum
8:00-16:00 CADAVER HANDS-ON TRAINING:
8.00-16.00 FLUOROSCOPY STATIONS

NEEDLE GUIDANCE AND TUNNEL VISION TECHNIQUE

LUMBAR SPINE ANATOMY AND PROCEDURES

LUMBAR EPIDURAL BLOCK TECHNIQUES: CAUDAL, INTERLAMINAR AND TRANSFORAMINAL

LUMBAR DISC PROCEDURES
10:00-10:30
COFFEE BREAK
10.30-12.30 ULTRASOUND STATIONS

ULTRASOUND TISSUE RECOGNITION AND NEEDLE GUIDANCE

LUMBOSACRAL SPINE, PELVIS ANATOMY AND PROCEDURES
12:30-13:30
LUNCH
13:30-16:00 FLUOROSCOPY STATIONS

LUMBAR FACET JOINT INTERVENTIONS (MBB, RF/CRYO)

SI JOINT INTERVENTIONS (Diagnostic and RF/Cryo)