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25.25 AMA PRA Category 1 Credit™

Pain Management Training

During our 3-day, most comprehensive Pain Management Training program you will learn, amongst other things, how to differentiate facet pathology as the source of your patient's pain.

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3-Day Integrative Pain Management Training and Pain Management Certification Program for Primary Care Physicians and Other Specialties

Pain Management Accreditation and Board Certification: Physicians and other healthcare practitioners need qualifications to perform Pain Management techniques and expect reimbursement from Medicare and other insurers. Empire stands as one of the few—perhaps THE only—advanced, hands-on training program in Interventional Pain Management recognized for over 15 years, offering Accredited Training in Pain Management. Empire Medical Training provides AMA PRA Category 1 Credits™ for physicians and surgeons, as well as CE/CUE for physician assistants, nurse practitioners, podiatrists, dentists, chiropractors, and physical therapists. Board Certification pathways in Pain Management are also available.

Empire's Pain Management Certification Course remains highly sought-after among our attendees. We continuously revise our curriculum in response to requests for additional procedures and topics from our students. Attendees will also have ample time to visit exhibitor booths and learn about valuable new products for a pain management practice. This Pain Management Certification program is open to physicians, nurses, dentists, and other licensed healthcare professionals, offering continuing medical education credits through certification.

Graduates of the pain management training are eligible to pursue Board Certification in Pain Management through the American Academy of Procedural Medicine (AAOPM). If you are interested or wish to receive additional information, please speak with an Empire representative today or at the workshop.

3 Days of Pain Management Education

Physician teaches students pain management through powerpoint

Day 1: Foundational Techniques and Advanced Pain Management Strategies

The first day of the seminar begins with a focus on essential supplies and solutions used in pain management, discussing what to purchase and how to tailor approaches to different patients and problems. Attendees immerse themselves in anatomical presentations, specifically focusing on the lumbosacral osteology of the lower spine region and neuroanatomy. This is crucial for understanding correct needle placement and safety considerations in procedures like diagnostic lumbar facet joint injections and arthrocentesis. The afternoon sessions expand into exploring various therapies like prolotherapy, platelet-rich plasma, and botulinum toxin-A, culminating in discussions about lower lumbar pathologies and their treatments.

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Physician uses ultrasound-guided device to examine patient shoulder

Day 2: Hands-On Experience On Cadaver Specimen and Fluoroscopic Techniques

The second day provides a blend of theoretical knowledge and practical experience. The morning sessions include discussions on non-ablative interventional therapies, with a particular emphasis on lumbar facet joint procedures. Participants engage in hands-on practice with volunteer patients, enhancing their skills in various injection techniques. A significant portion of the day is dedicated to understanding the intricacies of fluoroscopy in pain management, including equipment usage, safety considerations, and correct needle placement. The day concludes with practical training on cadavers or anatomical models, allowing attendees to apply fluoroscopic techniques in various spinal injections.

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Person holds medication bottle with two blue pills in hand

Day 3: Chronic Pain and Certification & Additional Hands-On

The final day shifts focus to the management of chronic pain, emphasizing the safe and responsible administration of pain medications from a clinical perspective. This includes patient evaluation, understanding acute versus chronic ailments, and legal considerations. The session also revisits proper coding and reimbursement practices for various injections, ensuring attendees are well-versed in the administrative aspects of pain management. The seminar concludes with a trigger point and joint instruction demonstration, followed by an open lab session for additional hands-on practice. Participants receive their final pain management certification, marking the culmination of an intensive, educational three-day journey.

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Physician stands in front of cadaver specimen and teaches students pain management

Dr. Stall, one of the Pain Management Directors, teaches students about the lumbar region.

Our Most Comprehensive Training Program with Pearls of Wisdom

During our programs, we dedicate considerable time to teaching you the 'Pearls' of Pain Management. Perfecting your techniques in Pain Management requires more than a thorough understanding of performing these techniques. These 'Pearls' result from years of experience in Pain Management, and providing this information is an integral part of The Pain Management Programs.

The Pain Management Show is our most comprehensive Pain Management Certification Training program, covering spinal injections in the lumbosacral spine, large and small joint injections, trigger points, and regenerative modalities such as PRP and prolotherapy. It also addresses common entrapment neuropathies like carpal tunnel, ulnar nerve, and tarsal tunnel syndrome. The course is highly detailed, offering a complete explanation of each technique, including information on patient selection, evaluation, historical and physical examination, and the use of imaging for proper diagnosis of associated pathology.

The Pain Show provides both hands-on and didactic training in using Fluoroscopy and ultrasound for image-guided procedures. In addition to lectures, hands-on workshops are provided using custom models specifically designed for learning interventional techniques.

A Workshop Covering Procedures, Compliance, Protocols, Insurance, Medicare, and More

Physicians, nurses, dentists, and other licensed healthcare professionals will receive hands on training during the workshop on all injection procedures as well as use of Fluoroscopy and other instrumentation needed in Pain Management.

Course didactics include the proper documentation of medical necessity and coding criteria. Although Pain Management and the associated interventional techniques are still generously reimbursed by Medicare and most insurance companies, it is of the utmost importance to follow correct medical necessity and documentation protocols which are essential for correct reimbursement. We urge every physician to become familiar with their local Medicare Review Policy (LCD).

The Pain Management Show is typically offered several times throughout the year, normally starting on Friday and ending on Sunday. Related courses in Pain Management, such as the Advanced Pain Management Training, PRP, and others are offered around the same time as the Pain Management course for physicians, nurses, dentists, and other licensed healthcare professionals. Please check local listings for additional scheduling information.

Pain Management physicians stand around cadaver specimen with instructor.

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Workshop Includes

Hands-On with Cadaver Specimen

Perform techniques on a cadaver specimen during your practice session.

Specialized Group Training

Practice stations are organized into groups to facilitate peer-to-peer technique exchange.

Pre-Course Videos

Explore didactic training covering anatomy, product expertise, prevention of complications, and more.

Live Q&A

Receive answers to your medical questions from our faculty of board-certified industry experts.

Workbook

Get your vibrant, full-color workbook with ample space for note-taking throughout the course.

Empire Certificate

Receive a certificate of achievement to signal your completion of the course material.

Medicines*

Injection training products are included in course (e.g., botulinum toxins, dermal fillers, etc.)

Coffee & Tea

Awaken gracefully with these complimentary brews.

*Based on course requirements.

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Pain Management Show Workshop Topics

Empire instructor, Dr. Stall performs a fluoroscopy on physician attendee.

Treatment Areas Covered

Low Back Injections - sacroiliac joint injections, paravertebral facet joint injections (lumbar) - diagnostic and destructive, and epidural injections.
Large Joint Injections - shoulder, hip, knee, SI joint.
Small Joint Injections
Trigger Point Injections
Specialty Injections - for medial and lateral epicondylitis, (golfers, tennis elbow), and carpal tunnel syndrome.
Prolotherapy
Viscosupplementation Therapy (knee)
Medication Safety Concerns in chronic pain patients

Develop a Precise Diagnosis
and Treatment Plan

You will learn to perform a comprehensive lumbar examination. In order to develop an accurate treatment plan, your Diagnosis must be well formulated using modern day technology as well as by performing a comprehensive History and Physical Exam.

Pain Management students stand around cadaver specimen with C-arm machine.

A Highly Lucrative Specialty

Our pain management seminars provide education for physicians in the latest pain management injections techniques. Pain management continues to rank among the highest paying sub specialty services. Our usual physician attendees are specialists in Family Practice, Internal Medicine, General Surgery and other Primary Care Physicians.

The lead instructors for our pain management courses are Board Certified Specialists in Pain Management.

Our faculty enjoys teaching and have encouraged primary care physicians to learn these new pain management injection procedures. Medical students have said that Empire Medical Training has made learning procedures easy for them because of the faculty's patience and exceptional teaching skills. Your leading instructor will be joined by additional Empire Faculty of Specialists during the clinical, hands on portion of the class.

Learn Hands-on Injection Techniques and More from Pain Management Physicians

This pain management program includes landmark-based palpatory peripheral joint injection techniques and ultrasound-guided peripheral joint injections, as well as fluoroscopically-guided spine injections and ultrasound-guided lumbosacral spine injections where feasible. It is a very comprehensive, detailed hands-on workshop. Following the initial didactic-lecture portion of the program, physicians will receive extensive hands-on training. This is accomplished using custom-made proprietary injection models specifically designed for learning facet and spinal injections. Empire Medical has provided this type of hands-on pain management training for the past 11 years and is one of the most recognized workshops for learning injection procedures. Our instructors are top pain management physicians with extensive day-to-day experience in Pain Management Injections. Additionally, advanced preceptorship with an instructor can be arranged after completing the initial workshop.

Image guidance is typically an integral part of performing spinal injections. Besides the precision it adds, there's also an increase in reimbursement. The value of image guidance will be discussed during the coding and reimbursement segment of the program. While these procedures are generously reimbursed by most insurance companies, it's crucial that physicians adhere strictly to medical necessity criteria and comply with their local insurance carrier and Medicare guidelines. This adherence is essential to avoid incorrect coding and overutilization.

Dr. Stephen Cosentino and Dr. Robert Stall stand around cadaver specimen and C-arm medical device in a pain management course

Dr. Cosentino and Dr. Stall teach students lumbar facet injections.

Spinal manipulation booklet showing full color

University-Style Curriculum

The pain management seminar begins with didactic material covering the specific principles of various medical procedures. Later in the day, physicians will engage in a hands-on workshop to gain proficiency in various injection techniques.

You'll specifically learn the Palpatory Method and the latest Fluoroscopic techniques for performing different injections. This practical learning involves working with volunteer patients and injection models.

Physicians will grasp specific methods to ensure appropriate reimbursement for these high-paying procedures and understand the business principles necessary to successfully integrate these new services into their practice. Learning to access local Medicare policies for your geographic area is emphasized. Attendees are urged to follow their local Medicare and insurance carrier's guidelines.

Moreover, upon successful completion and demonstration of the various injection procedures, you'll receive your Pain Management Certification and Certificate of Achievement.

Pain Management Show Workshop Objectives

Upon completion of this Pain Management Certification program, physicians should be able to:

Expand current practice to include the subspecialty services of pain management and attract new and existing patients using proven business and marketing methods.
Confidently and correctly perform all the injection procedures described above.
Demonstrate needle placement techniques on volunteer patients or injection models, including techniques under image guidance.
Evaluate the patient with chronic lumbosacral pain and develop a treatment plans using injection techniques.
Evaluate the patient with pain in large joints and develop a treatment plan using injection therapy.
Submit claims for each procedure to the carriers following specific guidelines and protocols.
Identify the specific supplies and solutions needed, including appropriate dosages and where to order them.
Implement methods to ensure appropriate and consistent reimbursement for each high-paying procedure.
Accurately code each procedure by adhering to strict medical necessity and patient selection criteria.
Utilize specific compliance methods to ensure correct procedures and prevent overutilization of services.

Dr. Robert Stall teaches students how to understand c-arm image in relation to pain management technique

Dr. Stall teaches students how to understand c-arm image in relation to pain management.

Differentiate Facet Pathology as the Source of Your Patient’s Pain

During the course, you will learn, among other things, how to differentiate facet pathology as the source of your patient's pain. This has been the focus of numerous discussions with Medicare and various insurance carriers due to reimbursement issues. Physicians must be cautious not to overutilize facet joint injections and must initially confirm the area and cause of the patients' pain. Several steps and tests are involved in confirming the nature of pain. Facet joint pathology is diagnosed using an injection procedure, which remains the gold standard for diagnosis. It's essential to check your local Medicare review policy (LCD) as they outline the specific physical tests and imaging studies they expect in your process of diagnosing facet joint pathology. We will naturally review this topic in detail.

Frequently Asked Questions

This training caters to MDs, DOs, DMDs, DDS, NPs, RNs and other licensed healthcare professionals.

A board-certified physician expert will teach this course, with other licensed healthcare professionals assisting where needed.

This course is accredited for 25.25 AMA PRA Category 1 Credit™. This activity is jointly provided by AKH, Inc, and Empire Medical Training. View accreditation details here.

Certainly! For those outside the United States, injections on anatomical models are an option; however, you will not be allowed to inject on a live patient.

Each state has its own regulations concerning live patient injections. Kindly consult your licensing board to determine if you’re permitted to administer injections.

Pain Management Show Agenda

Time	Description
Day 1
7:00am–7:30am	Registration.
7:30am–8:00am	Supplies and Solutions used in Pain Management. What and where to purchase. Correct approach for each patient and each problem in relation to pharmacologics and steroid formularies.
8:00am-8:45am	Anatomical presentation lumbosacral osteology of lower spine region, sacroiliac joint, and anatomical landmarks for correct needle placement. Neuroanatomy and stereotyped organizations of nervous systems including precautions, depth of injections, and safety considerations.
8:45am–9:00am	Break.
9:00am-11:30am	Diagnostic Lumbar Facet Joint Injections, Destructive Lumbar Facet Joint Injections. Utilizing “palpatory approach” (without image guidance) and image guidance techniques using ultrasound and fluoroscopically guidance for lumbar facet joint injections.
11:30am-12:30pm	Lunch
12:30pm-2:30pm	Arthrocentesis/Injection; sacroiliac, shoulder, AC joint, hip, knee, and small digits. Introduction to ultrasound guided and image guidance for injections including safety, administrative, and environmental concerns.
2:30pm-3:30pm	Prolotherapy, Platelet Rich Plasma, Botulinum Toxin-A, and other biologics as alternatives for soft tissue neuropathies, ischemic scarring, and spasticity for soft tissues.
3:30pm-3:45pm	Break.
3:45pm-4:45pm	Viscosupplementation therapies, Trigger Point Injections.
4:45pm-6:00pm	Lower lumbar pathologies and treatments, identification, symptoms, testing, and treatment options available for; herniated nucleus pulposus (HNP), spinal stenosis, segmental instability, Spondylolysis (with or without spondylolisthesis), degenerative disk disorder/disease (facet arthritis, osteophytes, and unspecified discogenic pain). Alternatives for treatment including fusion and total disk replacement (TDR).
Day 2
7:30am–8:00am	Registration. Group Breakout A & B
8:00am–9:00am	Indications for non-ablative interventional therapies - Lumbar Facet Joint procedures - Diagnostic, Therapeutic, and Neurolytic Interventional Therapy. Hands on Volunteer Patients and/or Injection Models utilizing "palpatory approach" without image guidance.
8:30am-10:00am	Proper Coding/ Reimbursement of Facet Joint Injections. Proper Coding/ Reimbursement of Arthrocentesis. Proper Coding/ Reimbursement of Trigger Point Injections. Proper Coding/ Reimbursement of Prolotherapy.
9:00am–10:30am	Introduction to Fluoroscopy (Image Guidance); review of pathologies, fluoroscopic images, and correct needle placement. Image Guidance Intervention for Regional Anesthesia and Pain Medicine. Fluoroscopic Equipment – physics, fluoroscopy setup, risks/benefits to patients, how to use safely (optimal/sub-optimal dosage), safety considerations, and indications for various approaches, and techniques using the National Council on Radiation Protection and Measurements as a standard of care.
10:30am-10:45am	Break
10:45am-12:00pm	Review of FDA Approved radiographic contrast agents used for pain management under fluoroscopy. Various treatment approaches including indications for transforaminal approach for epidural injections, nerve root block, and medial branch block including physical findings as well as the use of imaging with and without contrast. Needle approach, depth of injection, formularies, and oblique views for diagnosis and treatments for various pain disorders including patient positioning.
12:00pm-1:00pm	Lunch.
1:00pm-3:00pm	Indications for Interventional Therapy - Facet Joint procedures - Diagnostic, Therapeutic and Neurolytic Interventional Therapy and techniques; Transforaminal Epidural procedure, Translaminar epidural (lecture only).
3:00pm-3:15pm	Break.
3:15pm-6:00pm	Hands-On Cadaver or Anatomical Model Training. Image Guided Lumbar Facet Joint Injections - Fluoroscopic Techniques for various types of injections for lower lumbar, and sacroiliac joint.
Day 3
8:30am-9:00am	Registration
9:00am–10:30am	Chronic Pain Considerations and the possible need to administer pain medications in a safe and responsible manner from a clinical (primary care) perspective. Patient evaluation, acute versus chronic ailments, general principles, legal and administrative considerations, types of medications and alternatives including drug contracts, testing of patients, and re-evaluation.
10:30am-10:45am	Break
10:45am-12:00pm	Proper Coding/ Reimbursement of Facet Joint Injections. Proper Coding/ Reimbursement of Arthrocentesis. Proper Coding/ Reimbursement of Trigger Point Injections. Proper Coding/ Reimbursement of Prolotherapy.
12:00pm-1:00pm	Lunch Break
1:00pm-2:00pm	Trigger Point and Joint Instruction demonstration and extended didactic. Final Pain Management Certification awarded.
2:00pm-5:00pm	Open Lab: Additional Hands On Cadaver or Anatomical Model Training. Image Guided Lumbar Facet Joint Injections - Fluoroscopic Techniques for various types of injections for lower lumbar facets, and sacroiliac joint. Additional hands on training for Trigger Point and Joint injections using anatomical models.

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Pain Management Training

3-Day Integrative Pain Management Training and Pain Management Certification Program for Primary Care Physicians and Other Specialties

3 Days of Pain Management Education

Workshop Includes

Success Stories

Pain Management Show Workshop Topics

Develop a Precise Diagnosis and Treatment Plan

Pain Management Show Workshop Objectives

Frequently Asked Questions

Pain Management Show Agenda

Explore Our Optional Memberships

Most Popular Courses

Board Certification Pathways

Develop a Precise Diagnosis
and Treatment Plan