2016 Joint & Trigger Point Injection Courses for NPs/PAs and MDs

2016 Joint & Trigger Point Injection Season-Celebrating our 8th year- Locations across the US!

Phoenix, AZ 2/27/16

Atlanta, GA 3/12/16

Chicago, IL 4/23/16

Seattle, WA 5/21/16

Orlando, FL 6/11/16

Denver, CO 7/30/16

Charlotte, NC 8/20/16

Memphis, TN 10/8/16

San Antonio, TX 11/5/16

The Nations leader in Hands On Injection Training.

-30 attendees max class size

-11 Injection approaches discussed ALL with Hands On Practice

-Ready to attend a CE course and really LEARN?

-Syllabus, Dosing guide & Documentation template included

 

Thank you for supporting an independent CE company we do NOT accept pharmaceutical sponsors or grants

www.injectioncourses.com

Trigger Point Injection CE

Want to learn trigger point injections?

Learn from the best- Advanced Practice Education Services uses state of the art interactive lumbar paraspinous trigger point injection models designed specifically for our course. These models offer realistic palpable trigger points that provide an audible tone when needle tip is in correct location. These models are available at our Live & Online Courses that can be sent directly to your office or local NP group. Learn as a group and save!

This allows safe and dependable learning for Nurse Practitioners, Physicians and Physician Assistants- better than cadaver models!

Check site for more info on the incredible models we use to provide medical continuing education courses- http://www.injectioncourses.com/

NP/PA/MD Joint & Trigger Point Injection Course

Our next Live Injection course is November 12, 2011 at the historic Peabody Hotel in Memphis, TN!

12 different injection approaches discussed all with HANDS ON Practice.

Injections techniques discussed:

Glenohumeral Joint
Subacromial Bursa
AC Joint
Trochanteric Bursa
Knee
Elbow
Trigger Point Injections (Lumbar paraspinous)

Only 30 spots available to ensure plenty of HANDS ON practice with each injection.

CE's approved by AANP including pharmacology

Course info & Registeration Online: http://www.injectioncourses.com/

Hip Pain- Trochanteric Bursitis

After a long cold winter- Finally, warmer weather is here. This time of year people become more active- getting outside walking, working in the yard, etc. Now is the time when you will see more complaints of lateral hip & thigh pain with difficulty laying on the painful side.

Trochanteric bursitis is a painful musculoskeletal condition that is found in patients with several precipitating conditions: Deconditioned pelvic/thigh muscles, Degenerative disc dis., Fibromyalgia and leg length discrepencies to name a few. These "flare ups" of trochanteric bursitis is commonly seen after patients have had days of increased activity and "week end warriors". Also, patients can have mild pain chronically with frequent episodes of acute pain from time to time.

Performing a Trochanteric Bursa injection in your office is a very effective method of alleviating the patients pain along with stretching exercises of the Illiotibial bands. Consider short course of PT for some.

With the correct training and Hands on practice, Nurse Practitioners in most states can provide these services to their patients suffering with Trochanteric Bursitis. We can provide this learning experience in our Joint & Trigger Point Injection Course.

Andy Austin FNP-C, FAAPM
www.injectioncourses.com

Responses From Previous Injection Course Attendees

2010 was a fantastic year and was way above our expectations- I would like to say a special Thank you to all the fantastic Nurse Practitioners, Physicians Assistants, Physicians and Registered Nurse First Assistants from across the country who have supported this independent endeavor by attending our online course with Hands On practice..

Our Post Online Course Survey Averages for 2010:
Overall Online Survey Average: 3.77 (Grade scale: 4.0 Excellent- 0.0 Poor)

We also randomly polled over 60 participants from previous courses:
Has attending our Joint & Trigger Point Injection Course had any effect on their practice?

- Over 94% "Definitely" & 4% "Probably" Felt Attending our courses Positively Effected their practice

- 98% Felt More Comfortable in their Injection Skills and have or are likely to perform an injection discussed in our course

- Over 97% Said they were more likely to discuss other conservative treatments for OA with their patients (weight loss, exercise, etc)

We are very excited about these responses. But we aren't satisfied- we are committed to providing the finest learning opportunity available to our colleagues.

What sets us apart is the fact that we want you to learn these skills in a convenient & cost effective manner. We have the technology & resources to provide an online learning format with HANDS ON Practice that best suits you and your clinics needs-to benefit your practice and patients.

So whether your an individual provider or a company with multiple clinics, we can provide an excellent learning opportunity and you will feel confident in your injection skills.

The patient and provider is at the heart of all our decisions- that's why we have never accepted sponsors or advertisements to ensure an unbiased learning opportunity.

Thank you for your support,
Andy Austin FNP-C, FAAPM
http://www.injectioncourses.com/

Triggerpoint Injections

A question that has been asked on several occasions is which medications to use while performing a triggerpoint injection? The combination of medications clinicians use for triggerpoint and joint injections can be quite a complex mixture at times but it boils down to the individual clinicians judgement based on previous experiences from which combinations of short/long acting corticosteroid along with whichever "flavor" of short and/or long acting anesthetic works for them.

As far as my previous experience, I see no difference in sustained analgesic effect using corticosteroids in triggerpoint injections vs. using anesthetic alone. Now, I'm not saying NEVER use corticosteroids along with an anesthetic but one needs to remember why triggerpoints are being performed: 1. to provide relief of pain in the specific muscle and 2. to promote circulation of the triggerpoint area by active needling during the procedure. I know some clinicians that perform triggerpoint with a dry needle (no medications at all) with good results- however, I'm concerned about patients pain level while performing the procedure- especially in those with chronic myofascial pain (Fibro) that would require additional injections in the future.

Including corticosteroids in triggerpoint injections does pose a chance of hypopigmentation of the skin as well as atrophy of surrounding tissues that could cause scarring in that area. If you choose to perform triggerpoint injections with corticosteroids- Please discuss with the patient in rare occasions patients do experience these complications and have this on your consent form.

I'd love to hear from others who perform these procedures and what medication combinations work best for your patients?

All the best,
Andy Austin FNP-C, FAAPM
www.injectioncourses.com

Joint Injections for Arthritic Pain in the Elderly

As I currently work in an interventional pain management- many of my Nurse Practitioner colleagues in Rural Family Practice ask "I have this old patient that has severe arthritic pain, the patient does not want to have replacement surgery, they have been on NSAIDS for a while but now it just not helping their pain as much as it did before. I don't want to start them on opioids right now either due to: NP wanting to avoid treating chronic pain- as in our state NPs cannot prescribe narcotics for chronic pain, potential side effects of opioids (constipation), poly pharmacy or future dependency issues. But, the patient can't drive to another city for a specialist to treat their arthritis pain."

When conservative treatment of arthritic joint pain fails (i.e. weight loss, exercise/PT, NSAIDS, etc.) the nurse practitioner should consider performing corticosteroid joint injection for symptomatic relief, usually in conjunction with previously mentioned treatments. Joint injections have longed been consider an appropriate treatment for arthritic joint pain. My personal experience with joint injections is that these simple in office procedures decrease patients' joint pain and improves their functionality and mobility.

Down and Dirty on Joint Injections:
A patient with less arthritic knee pain as a result of an injection is more likely to increase their activity of daily living- thereby, maintaining or improving lower extremity strength. Improved lower extremity means better stability and hopefully less likely to fall- we all know what happens when they fall.

As the current number of aging patients with mild to moderate OA is staggering with the number only increasing- Learning joint injections is an important skill necessary for the Nurse Practitioner treating our aging population.

Andy Austin FNP-C, FAAPM
www.injectioncourses.com