Document 597201
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Document 597201
The Anatomy, Diagnosis, and Treatment of Chronic Myofascial Pain with Prolotherapy OCTOBER 20-22, 2016 Research Symposium OCTOBER 19, 2016 The Lowell Inn and Conference Center The Fluno Center for Executive Education Madison, Wisconsin Jointly Provided by University of Wisconsin School of Medicine and Public Health Department of Family Medicine and Community Health Office of Continuing Professional Development in Medicine and Public Health and The Hackett Hemwall Patterson Foundation HHP Hackett Hemwall Patterson Foundation Overview Statement of Need Conference Highlights 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. Most comprehensive prolotherapy conference teaching of the whole body Nationally and internationally recognized faculty of 37 experts 22 didactic lectures on prolotherapy 8 hours of hands-on workshops taught by prolotherapists Cadaver lab where participants will do multiple injections 21 AMA PRA Category 1 Credits™ Target Audience and Scope of Practice This educational activity has been designed to meet the needs of physicians, (MD & DO only) who manage patients through the diagnosis and treatment of chronic pain due to ligament instability. Elements of Competence This CME 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. 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. 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 new clinical science research in injection therapy for musculoskeletal conditions Recognize research being conducted in prolotherapy with suggestions for collaborating in research projects Describe the anatomy of ligaments Participate in C-arm guided cadaver injections Illustrate complications, and ways to avoid complications, when treating patients with prolotherapy Observe video of injections with faculty moderating with a model Recognize the relationship of biotensegrity to MSK function Relate new advances in the use of several injection solutions, including PRP and stem cells, for musculoskeletal diagnosis and treatment Explain advanced prolotherapy treatment protocols for the treatment of chronic pain Identify ways to promote a prolotherapy practice and successfully submit billing documentation Participate in discussions with prolotherapy experts Research Symposium Pre-Conference Highlights Will bring active clinicians and researchers together to present completed & ongoing research in prolotherapy and related injection therapies for soft tissue pathology In-depth discussions of new clinical science research in injection therapies Review ongoing clinical research on the use of radiologic guidance and assessment in the context of injection therapy 8 AMA PRA Category 1 Credits™ Madison At A Glance A progressive and cosmopolitan city of 250,000, Madison is home to the world-class University of Wisconsin, the seat of state government, and an eclectic, electric atmosphere that energizes any visitor’s stay. Built on a narrow isthmus between Lakes Monona and Mendota, Madison is one of the nation’s most scenic cities. Five area lakes and more than 200 parks provide countless recreational activities, from swimming, sailing and fishing to biking, hiking, inline skating and more. Madison offers both small town charm and a range of cultural and recreational opportunities usually found in much larger cities. Very convenient for visitors to Madison are 40 bike rental “stations” with 350 bikes that can be rented by the half hour or longer. This is a great way to explore Madison with its 275 miles of bike paths and lanes! (Bring your own helmet) Conference Venue The Lowell Inn and Conference Center is a University of Wisconsin facility located in the heart of the UW campus at 610 Langdon Street. The center has conference rooms, dining facilities, lounges and a swimming pool with sauna. On-site parking for hotel guests is $10 per day or complimentary parking is available nearby. Lowell Inn has 137 guest rooms which have recently been remodeled and upgraded. One of Lowell’s greatest assets is their helpful, friendly staff. This year we will also be using the state of the art lecture facilities at the Fluno Center located 3 blocks from Lowell. Conference Attire On Friday, for our hands-on workshops, comfortable casual clothing is suggested. Since meeting room temperatures and personal comfort levels vary, it is recommended that you bring a sweater or jacket for the lecture days. Casual clothing is appropriate for the entire conference. Research Symposium Pre-Conference Session October 19, 2016 (Wednesday); 7:45 am–5:15 pm Conference October 20–22, 2016 (Thursday–Saturday) Fees 1,800– Conference registration (October 20-22, 2016) $ $400– Research Symposium (October 19, 2016) The fees include the cost of tuition, course materials; breakfasts; lunches 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: $50– Research Symposium, Lunch & Reception $110– Conference - 2 Lunches, Thursday Dinner, Friday Reception $65– Conference - Thursday Dinner, Friday Reception Conference Location and Accommodations Lowell Inn and Conference Center 610 Langdon Street Madison, WI 53703 To make hotel room reservations at Lowell, please call: 608256-2621 or 866-301-1753. Email: [email protected] A block of rooms has been reserved. These rooms will be held for our conference until September 19, 2016. The room rate is from $94 to $155 per night (standard room to deluxe room). The name on the block of rooms is: Prolotherapy. Cancellations/Refund Policy All cancellations must be received on or before October 5, 2016. This will allow wait-listed people to take the place of a cancellation, if one occurs. Cancellations received on or before October 5, 2016 will receive a refund; cancellations after that time will not receive a refund. All cancellations will be charged a processing fee of $75. Credit Accreditation Statement This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the University of Wisconsin School of Medicine and Public Health and The Hackett Hemwall Patterson Foundation. The University of Wisconsin School of Medicine and Public Health is accredited by the ACCME to provide continuing medical education for physicians. Credit Designation Statement The University of Wisconsin School of Medicine and Public Health designates this live activity for a maximum of 29 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Research Symposium = 8 AMA PRA Category 1 Credits™ Conference = 21 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 2.9 continuing education units (CEUs) or 29 hours. This year we will also be using the state of the art lecture facilities at the Fluno Center for Executive Education on Thursday and Saturday. Policy on Disclosure On-site Check-in (Lowell) Special Dietary Needs New registrations will NOT be accepted on day of conference October 19, 2016: 7:00 - 7:45 AM and 4:30 - 7:00 PM October 20, 2016: Starting at 7:00 AM Vegetarian selections will be available at all provided meals. If you require additional assistance, contact Mary Doherty at least 2 weeks before the conference at: [email protected] Program Changes Mary P. Doherty, 608-712-5518, [email protected] Emergency situations occasionally occur and may necessitate topic or speaker change. The University of Wisconsin School of Medicine and Public Health 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). Wi-Fi is available at Lowell and Fluno. Detailed disclosures will be made in the activity materials. For Further Information Jeffrey J. Patterson, DO June 13, 1946 ~ January 24, 2014 UW Professor Emeritus School of Medicine and Public Health This conference is dedicated to Jeff Patterson for his years of teaching prolotherapy in the US and Internationally. General Information Dates Symposium Schedule Overview Research Symposium Greetings! Welcome to the 12th annual UW Hackett Hemwall Patterson Foundation Prolotherapy Research Symposium. 2016 has been an active and exciting year in prolotherapy research and regenerative injection medicine, and this year’s speakers will review the latest research and share information about studies now in progress. This meeting is designed as a collaborative and participatory event to bring together clinicians, clinical researchers, and basic scientists interested in research of prolotherapy and related injection therapies. Our primary goal is to facilitate a high level of understanding of current research and to stimulate further work among and between researchers and interested clinicians. We hope you enjoy the day. WEDNESDAY, OCTOBER 19, 2016 – Lowell Inn & Conference Center, Isthmus North & South Room AM 7:45 Growth in Research David Rabago, MD Morning Sessions 8:00 10:00 10:15 Beyond Reproduction: Sex Hormones Affecting Growth Repair and Metabolism and Their Impact for Prolotherapy George Yu, MD Fascia in the Context of Prolotherapy: Clinical and Research Considerations Bobby Nourani, DO Chondrogenic Effect of Intra-articular Hypertonic Dextrose (Prolotherapy) in Severe Knee Osteoarthritis K. Dean Reeves, MD Prolotherapy for Symptomatic Knee Osteoarthritis: The UW Research Experience David Rabago, MD Refreshment Break Prolotherapy for Knee OA: Functional and Clinical Outcomes in a Quality Improvement Project Margaret Smith, BS Stephanie Lakritz, BS Treatment of Temporomandibular Dysfunction with Hypertonic Dextrose Injection: A Randomized Clinical Efficacy Trial Francois Louw, MD Randomized Clinical Trial of Prolotherapy Injections and an Exercise Program Used Singly and in Combination for Refractory Tennis Elbow: Primary and Secondary Outcomes Michael Ryan, PhD Testosterone Injections for Chronic Symptomatic Knee Osteoarthritis: Report of a Prospective Open Label Trial Tom Ravin, MD PM 12:30 Lunch – Dining Room Afternoon Sessions 1:30 3:00 3:15 Dextrose Epidural Injection for Low Back Pain Radiating to Buttock or Leg: Results of a Randomized Trial Liza Maniquis-Smigel, MD Dextrose Injections for Migraine Headache Pain: A Case Series Robert Schulman, MD Platelet Rich Plasma: Report on an In-office Quantification of Platelet Yield and Consideration of a Dose-Response Curve for Platelets Using a Standardized PRP Preparation Process Theodore Harrison, MD, MBA Refreshment Break Adipose Stem Cells for Rotator Cuff Repair: Animal Model and Human Trial Data Victor Ibrahim, MD The Use of Multiple Regenerative Injection Techniques in a Case Series Involving Paravertebral Muscle Dysfunction Brian Shiple, DO Dextrose Prolotherapy in the Context of Regenerative Medicine: New Clinical and Research Frontiers—Panel Discussion Andrew Kochan, MD Brian Shiple, DO David Wang, DO Tom Ravin, MD Annette Zaharoff, MD Martin Gallagher, MD, DC Concluding Remarks David Rabago, MD 5:15–6:45 Reception – Wisconsin Idea Lounge 7:00 Optional Dinner at a local restaurant THURSDAY, OCTOBER 20, 2016 AM 6:45 7:15–8:15 Breakfast – Dining Room (Lower Level) Lowell Inn & Conference Center Shuttle to The Fluno Center at lobby main entrance of Lowell Center Welcome, Administrative Remarks David Rabago, MD Mary Doherty 8:00–8:30 Introduction to Prolotherapy: Safe, Simple, Effective, Elegant Annette Zaharoff, MD 8:30–9:00 Clinical Biotensegrity Gary Clark, MD 9:00–9:30 Anatomy & Injection Techniques: Knee Annette Zaharoff, MD 9:30–10:00 Anatomy & Injection Techniques: Foot & Ankle Leonard Horwitz, DPM 10:00–10:30 Anatomy Demonstration of Knee, Ankle & Foot Ali Safayan, MD 10:30–11:00 Refreshment Break – Lobby 11:00 –11:30 Anatomy & Injection Techniques: Shoulder Ripal Parikh, DO 11:30–12:00 Anatomy & Injection Techniques: Elbow, Wrist, Hand Craig Chappell, DO 12:00–12:30 Anatomy Demonstration of Shoulder, Elbow/Hand/Wrist Ali Safayan, MD 12:30–1:30 Lunch – Dining Room 1:30–2:00 Anatomy & Injection Techniques: L/S Spine, Posterior Pelvis Joel Baumgartner, MD 2:00–2:30 Anatomy & Injection Techniques: Hip & Anterior Pelvis Brian Ralston, MD 2:30–3:00 Anatomy Demonstration: L/S Spine, Hip, Pelvis Ali Safayan, MD 3:00–3:30 Refreshment Break – Lobby 3:30–4:00 Anatomy & Injection Techniques: Thoracic Spine & Ribs Bobby Nourani, DO 3:30–4:30 ADVANCED SESSION – Room 201 Advanced Topics: Cervical Spine Andrew Kochan, MD 4:00–4:30 Anatomy & Basic Injection Techniques: Cervical Spine Paul Johnson, DO 4:30–5:00 Anatomy Demonstration: Cervical & Thoracic Spine Ali Safayan, MD 7:45 PM 5:00 5:00–5:45 7:00 Adjourn Shuttle to Lowell – leaving from Frances Street entrance x Dinner Presentation: HHPF/UW International Treating & Training Trips Mary Doherty; David de la Mora, MD; John Whiting, MD FRIDAY, OCTOBER 21, 2016 – Lowell Conference Center WORKSHOP SESSIONS: Each participant will rotate through all four workshops. Each rotation is indicated by the color coding on participant’s name badge. WORKSHOPS WORKSHOP DIRECTORS Anatomy Palpation, Examination and Marking Skills – Langdon Room Joel Baumgartner, MD Martin Gallagher, MD, DC Injection Demonstration of Cadavers, Participant Practice Lab – Mendota Room James Nosal, MD; David Wang, DO Michael Weber, MD Injection Demonstrations Utilizing Models & Video – Isthmus South Jon Trister, MD Discussion with Prolotherapy Experts – Wisconsin Idea Lounge Adrian Gretton, MD AM 6:45 Breakfast – Dining Room 7:45 Orientation to Workshops – Isthmus North & South 8:00 Session 1 10:00 Refreshment Break 10:20 Session 2 Mary Doherty General Information Conference Schedule Conference Schedule 2016 Conference Schedule Conference Schedule 2016 (continued) PM 12:20 Lunch 1:20 Session 3 3:20 Refreshment Break 3:50 Session 4 5:50 Adjourn SATURDAY, OCTOBER 22, 2016 AM 6:45 Breakfast – Dining Room (Lower Level) Lowell Inn & Conference Center 7:00-8:00 Shuttle to The Fluno Center at lobby main entrance of Lowell Center 7:30-7:50 First, Do No Harm: Prolotherapy Injection Safety Deborah Raehl, DO 7:50-8:20 Prolotherapy: Solutions in Regenerative Medicine Annette Zaharoff, MD 8:20-9:10 Prolotherapy Pearls: Possible Complications & How to Avoid Them Craig Chappell, DO David Rabago, MD 9:10-9:45 Review of Prolotherapy Clinical Research 9:45-10:15 Break – Lobby 10:15-10:45 Building a Prolotherapy Practice & Billing Guidelines Martin Gallagher, MD, DC 10:45-11:30 Advanced Prolotherapy Case Studies Young Uck Kim, MD 11:30-12:00 Standardization Update Annette Zaharoff, MD Unique Prolotherapy Cases - Panel Discussion Annette Zaharoff, MD Martin Gallagher, MD, DC Young Uck Kim, MD David Wang, DO Joel Baumgartner, MD 12:00 12:45-1:45 1:00 PM Shuttle to Lowell – leaving from Frances Street entrance Adjourn Registration The Anatomy, Diagnosis, and Treatment of Chronic Myofascial Pain with Prolotherapy and Research Symposium Day (Pre-Conference Session) October 19-22, 2016 Two Easy Ways to Register Registration Fees On Line: http://www.ocpd.wisc.edu/CourseCatalog.aspx By Phone: 608-262-1397. Please call and give your credit card information (MasterCard, VISA) 1,800– Conference (October 20-22, 2016) $ $400 – Research Symposium (October 19, 2016) Please specify course number: 4017 Please Note: Your registration will not be confirmed until payment is made in full and you have submitted your MD or DO License number and the state/province that issued the license. Please direct questions to: Mary Doherty ([email protected]) 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. Please Note: Refreshment Breaks, Lunches, Thursday evening Dinner and Receptions are included for registered attendees only. If you would like your guest join the group for any of these events, please pay the fee listed below. Fee for accompanying guest meals/receptions: $50 – Research Symposium - Lunch & Reception $110– Conference - 2 Lunches, Thursday Dinner, Friday Reception $60 – Conference - Thursday Dinner, Friday Reception Mary Doherty, Activity Coordinator David Rabago, MD, Conference & Research Day Director, Faculty-UW School of Medicine & Public Health Annette Zaharoff, MD Ali Safayan, MD Laura Cruz, BA Terese Bailey, BS Faculty * = Research Symposium faculty † = Conference faculty Joel Baumgartner, MD† Dr. Baumgartner is board certified in family medicine and sports medicine. He specializes in Non-Surgical orthopedics, sports medicine, and regenerative medicine. 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 has also authored a book on prolotherapy and PRP technique. Stephen Cavallino, MD† Dr. Cavallino was born in New York and attended Bologna Medical School in Italy where he graduated with an MD in medicine and surgery. He is currently working in the ER at the Hospital of Correggio, maintains a private prolotherapy practice, and is the leading expert in Italy on prolotherapy. 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 six 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 Clark, MD† Dr. Clark is board certified in anatomical/clinical pathology and neuropathology. He has specialized in orthopedic medicine for last 25 years with a special interest in regenerative medicine, including prolotherapy and PRP. He has served the HHPF as faculty on many trips to Honduras and Mexico as well as at the Madison conference. He has a busy practice in Boulder, CO, where he runs a solo musculoskeletal clinic. He is currently writing a book on orthopedic medicine with special focus on clinical biotensegrity. 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 13 years, both as a participant and faculty member, and also serves as a clinic director on the HHPF Honduras trips. Dr. De La Mora has a full time prolotherapy practice in Mexico. John Finkenstadt, MD† 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. Martin Gallagher, MD, DC† Dr. Gallagher is uniquely triple 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, acupuncture, chiropractic, and IV nutritional protocols to reverse chronic disease. Dr. Gallagher is actively involved with HHPF conferences and training physicians in Honduras. 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 15 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. 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 México and Honduras and has taught at the Madison conference for over 8 years. 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. 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 served with the HHPF as a volunteer and faculty in Honduras and at the Madison conference. Theodore Harrison, MD, MBA* 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 anti-aging. Dr. Harrison trained in prolotherapy at the University of Wisconsin and also trained at the Ageless Regenerative Institute in Florida in the techniques of stem cell extraction and fat transfer graft. He is currently in practice at Rejuvacare PC in Port Angeles, WA. Leonard Horwitz, DPM† Dr. Horwitz has lectured and taught extensively both nationally and internationally. He is retired from his very busy podiatry practice, The Foot Pain Center, in Bluefield, VA. Dr. Horwitz has many published articles and several books on podiatry, ligamentous injury and treatment with prolotherapy. Dr. Horwitz will continue teaching on a limited basis and plans to spend his retirement in Israel and Florida. Victor Ibrahim, MD* Dr. Ibrahim is a board certified specialist in physical medicine and rehabilitation. He is the director of the Performance and Musculoskeletal Regeneration Center, Washington, DC, and is the team physiatrist for DC United, a professional soccer club. As part of his residency training at New York Presbyterian Hospital, he participated in diagnostic ultrasound and orthopedic interventions at the Hospital for Special Surgery. Merle Janes, MD† Dr. Janes is board certified in physical medicine and rehabilitation and is in practice in Spokane, WA. He has traveled with the HHPF to both Honduras and Mexico where his prolotherapy skills and knowledge have been utilized in not only treating hundreds of patients but also in teaching local doctors prolotherapy. Paul Johnson, DO† Dr. Johnson is a specialist in the non-surgical management of acute and over-use musculoskeletal injuries, osteopathic manual medicine, concussion management, and ultrasound guided regenerative injections. He completed an Internal Medicine residency at Rush University and Primary Care Sports Medicine Fellowship at the University of Pittsburgh. Dr. Johnson is in practice at Pursuit Sports Medicine in Portland, OR. He has served with the HHPF as a volunteer and faculty in Honduras. Andrew Kochan, MD† Dr. Kochan is the director of Institute for Healing Arts Research and is in private practice in Los Angeles, CA. He is board certified in physical medicine and rehabilitation and is an international authority in apitherapy, particularly bee venom. Dr. Kochan has been treating patients with prolotherapy for over 30 years. He annually travels with the HHPF to Honduras and teaches at the Madison conference. Robert Krasnick, MD† Dr. Krasnick has been in practice for 20 years in Michigan. He is board certified in physical medicine and rehabilitation, electrodiagnostic medicine, and pain management. Dr. Krasnick has been involved with the HHPF since 2003, first as a conference participant, then as an instructor and now as faculty on our international trips and at the UW Madison conference. Stephanie Lakritz, BS* Ms. Lakritz is a second year medical student at UW School of Medicine and Public Health. She has an interest in pursuing a career as a primary care physician with a focus in public health. Francois Louw, MD * Dr. Louw is trained in anesthesia and critical services. He is in general practice in Invermere, BC, Canada, and a clinical instructor at the University of British Columbia. His practice includes rural critical care, sports medicine, ultrasound, and prolotherapy. His current research is in TMJ dysfunction treated with prolotherapy. Liza Maniquis-Smigel, MD*† Dr. Maniquis-Smigel is a board certified physiatrist in practice in Hawaii. She has been treating patient’s chronic pain with prolotherapy for over 10 years. Her special interests include treatment of musculoskeletal injuries with a non-surgical approach including prolotherapy and neural prolotherapy. Dr. Maniquis-Smigel has served with the HHPF in Honduras and Mexico, and she has often lectured at the Madison conference. Paras Mehta, MD† Dr. Mehta is a graduate of the University of Michigan Medical School and completed a preliminary year in Internal Medicine, followed by a residency in Physical Medicine and Rehabilitation at Charlotte Medical Center. He blends his decades of experience in acupuncture, allopathic medicine, and prolotherapy/PRP to specialize in treating complex patients. William Mora, MD† Dr. Mora is board certified in family medicine. He is also certified by the American Board of Integrative Holistic Medicine and learned acupuncture with the Helms Medical Institute. Dr. Mora trained in prolotherapy with Dr. Jeff Patterson at the UW School of Medicine and Public Health. He currently works in a purely integrative holistic functional medical practice in Sacramento, CA. Faculty Planning Committee Faculty James Nosal, MD† (HHPF BOD) Dr. Nosal is board certified in family medicine. His practice in Sun Prairie, WI, was comprised of a broad array of patients including those with chronic pain. Dr. Nosal has taught prolotherapy at the HHPF conferences for many years. Bobby Nourani, DO*† Dr. Nourani is board certified in both family medicine and neuromusculoskeletal medicine. He recently joined the faculty of the UW School of Medicine and Public Health in Madison. He is an assistant clinical professor and his practice includes prolotherapy, osteopathic manipulation therapy (OMT), and research. He has served with the HHPF in Honduras and Mexico since 2010 and has taught at the Madison conference. Richard Owens, MD† Dr. Owens is board certified in emergency medicine. He is the medical director of Vein Care Plus in Madison where he does a wide variety of office surgical procedures including therapies for varicose veins. Dr. Owens also has many chronic pain and injury patients that he successfully treats with prolotherapy. He is the director of the HHPF Vein Treatment team serving in Honduras and Mexico. Ripal Parikh, DO† Dr. Parikh is board certified in physical medicine and rehabilitation and pain medicine. He works at the Avita Pain Management Center in Galion, OH, focusing on regenerative medicine techniques including prolotherapy and PRP as well as medically directed fitness. He has been involved with HHPF since 2010 and has served in Honduras and Mexico. David Rabago, MD*† (HHPF BOD, president) Dr. Rabago is board certified in family medicine and is an associate professor with tenure at the UW School of Medicine and Public Health. He maintains a clinical practice in Madison, WI, while focusing his research endeavors on the assessment of prolotherapy for chronic musculoskeletal conditions including knee osteoarthritis. Dr. Rabago also mentors clinicians, fellows, and students 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 practice at the University of Wisconsin Eau Claire Family Medicine Residency for over 20 years. Her special interests include treatment of the citizen athlete, prolotherapy, and osteopathic manipulative medicine. Dr. Raehl has served and taught with the HHPF in Honduras and Mexico and at the Madison conference. Brian Ralston, MD† Dr. Ralston is a board certified family medicine physician with a CAQ 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. Thomas Ravin, MD* Dr. Ravin has been practicing musculoskeletal medicine and prolotherapy for 24 years in Denver, CO. Between 1984 and 1990, Dr. Ravin completed 2,000 hours of postgraduate training in prolotherapy, manipulation, neural therapy, strength and conditioning, muscle biology, metabolism, and hormone replacement. He is the lead author of Principles of Prolotherapy, the first major textbook on prolotherapy. K. Dean Reeves, MD* Dr. Reeves is an internationally recognized researcher on prolotherapy. He is board certified in physical medicine and rehabilitation and pain management. He has a busy PM&R/prolotherapy practice in Shawnee Mission, KS. Dr. Reeves has lectured at the Madison conference since 2004. Michael Ryan, PhD* Dr. Ryan is a certified pedorthist in Canada with 8 years of experience working in outpatient settings within private practice in Canada and through the University of British Columbia (UBC). He received his PhD from the Experimental Medicine Program at UBC. His research at the University of Wisconsin-Madison led to the introduction of a novel ultrasound-based method for estimating localized tendon strain using digital-image correlation (DIC). Ali Safayan, MD† Dr. Safayan has been in practice at Restorative Health Center for Integrative Medicine in Washington, DC, since 1990. He is board certified in internal medicine and has taught prolotherapy during the Honduras and Mexico HHPF trips. Dr. Safayan is 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, he utilizes conventional and complementary therapies including prolotherapy. Robert Schulman, MD*† Dr. Schulman graduated from the Medical College of Wisconsin, Milwaukee, WI, in 1991. He has a private practice at West County Integrative Medicine in Sonoma County, CA. Dr. Schulman’s many specialties include prolotherapy, platelet rich plasma injections, and ultrasound guided injections. 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 serves with the HHPF as an instructor in Honduras and Mexico and at the Madison conference. Dr. Shim is also a member and faculty of the Seoul MSK Ultrasound Society. Brian Shiple, DO* Dr. Shiple is board certified in family medicine and sports medicine. He has been in private practice since 2006 after completing thirteen years as the division chief of Sports Medicine and founder and director of the Sports Medicine Fellowship program at Crozer-Keystone Health System in Philadelphia. Dr. Shiple has served and taught with the HHPF in Honduras seven times. Margaret Smith, BS* Margaret Smith is a second year medical student at University of Wisconsin School of Medicine and Public Health. She began her prolotherapy research under the mentorship of Dr. David Rabago, as part of the Student Summer Research Clinical Apprenticeship program. Before entering medical school, she researched platelet rich plasma, adipose-derived stem cells, and surgical techniques to treat sports injuries of the knee at Midwest Orthopedics at Rush in Chicago, IL. Jon Trister, MD† Dr. Trister is board certified in internal medicine. In his private practice in Massachusetts, he specializes in internal medicine, skin cancer out-patient surgery, orthopedic medicine, spinal cord injury medicine, and acupuncture. After completing his residencies, first in Orthopedic Surgery and then in Internal Medicine, Dr. Trister completed a fellowship in Spinal Cord Injury Medicine at Harvard Medical School. Prior to coming to the USA, Dr. Trister was a general and orthopedic surgeon in Ukraine from 1975-1989. Linh Vuong, MD† Dr. Vuong is board certified in family medicine and sports medicine with extensive training in complementary and alternative practices. Dr. Vuong believes in an integrated approach to health and combines her unique skills to maximize the body’s natural healing capacity, reduce pain, and improve function and quality of life. She works in urgent care for Providence Medical Institute in Torrance, CA, seeing patients of all ages with diverse medical conditions. Tinh Vuong, DO† Dr. Tinh 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 currently is practicing in Silver Spring, MD, and Washington, DC, specializing in MSK ultrasound, spine and regenerative medicine including prolotherapy and PRP injections. 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 and acupuncture services at the UW Arboretum Clinic in Madison. John Whiting, MD† Dr. Whiting is board certified in both interventional radiology and phlebology, the medical specialty that treats veins. He attended the University of Utah School of Medicine and was one of the first physicians to be nationally certified in phlebology. Dr. Whiting treats veins with minimally invasive techniques at his practice in Blackfoot, ID. George Yu, MD*† Dr. Yu has more than a quarter of a century of experience in surgery, missionary, academic and private medicine. He believes that the art of medicine is to know when to use the right tools for individual health needs. Dr. Yu is a member of the faculty of George Washington University Medical Center in Washington, DC, where he specializes in urology. In his private practice, Totally Yu, he uses an integrative approach to health, aging, and disease. Annette Zaharoff, MD*† (HHPF BOD) Dr. Zaharoff is a sports medicine physician in private practice in San Antonio, TX. Her practice, The NonSurgical Center of Texas, is a comprehensive center for the evaluation and non-surgical treatment of MSK injuries. She is board certified in physical medicine and rehabilitation and sports medicine. Her practice includes prolotherapy, PRP, and stem cell injections. She has taught with the HHPF in Honduras and Mexico and at the Madison conference. A former professional tennis player, she serves as a tournament physician for national and international events.
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