24 – 27 OCTOBER 2019

GENERAL CONCEPTS, DIAGNOSTICS AND LUMBAR PAIN PROCEDURES

Day 1
Venue: MedCity Health Centre, 1044 Budapest, Megyeri út 44
.

7.50-8.00 Welcome, introduction, goals and requirements

Andrea Trescot MD, DABIPP, FIPP, CIPS MD, DABIPP, FIPP, CIPS,

Ágnes Stogicza MD, FIPP, CIPS, ASRA-PMUC

8.00-8.20 Multimodal concept in pain medicine

Rubina Ahmad MD, FIPP

8.20-9.20 Workshop/PBLD Antithrombotic therapy-main considerations

Ágnes Stogicza MD, FIPP, CIPS, ASRA-PMUC

9.20-9.40 The role of imaging in chronic low back pain

Andrea Trescot MD, DABIPP, FIPP, CIPS

9.40-10.00 The role of EMG and other diagnostic tools in chronic LBP

Andrea Trescot MD, DABIPP, FIPP, CIPS

10.00-10.30 COFFEE BREAK

10.30-11.30 Workshop/PBLD XRAY/MRI for the pain physician

Andrea Trescot MD, DABIPP, FIPP, CIPS

11.30-12.00 Lumbar spine anatomy, fluoroanatomy

Ágnes Stogicza MD, FIPP, CIPS, ASRA-PMUC

12.00-13.00 LUNCH

13.00-13.30 Workshop: lumbar spine fluoroanatomy and targets for interventional

procedures (images and MCQ discussed)

Andrea Trescot MD, DABIPP, FIPP, CIPS

13.30-13.50 Controlled substance use, abuse and guidelines

Andrea Trescot MD, DABIPP, FIPP, CIPS

13.50-14.10 Introduction to ultrasound in pain medicine, tissue recognition, and

diagnostic use of ultrasound

Ágnes Stogicza MD, FIPP, CIPS, ASRA-PMUC

14.10-15.00 Workshop: Physical examination of the lumbar spine

AndreaTrescot MD, DABIPP, FIPP, CIPS MD, DABIPP, FIPP, CIPS

15.00-15.20 COFFEE BREAK

15.20-15.40 Lumbar facet pain: epidemiology, diagnosis and treatment

Mert Akbas MD, FIPP

15.40-16.10 Lumbar medial branch block (live procedure demo and patient discussion)

Edit Rácz MD, FIPP / Ágnes Stogicza MD, FIPP, CIPS, ASRA-PMUC

16.10-16.30 Workshop/PBLD: Sacroiliac pain: epidemiology, diagnosis and treatment

Rubina Ahmad MD, FIPP

16.30-17.30 SI and/or Lumbar facet denervation (live procedure demo and patient
discussion)

Edit Rácz MD, FIPP / Ágnes Stogicza MD, FIPP, CIPS, ASRA-PMUC
Day 2
Venue: MedCity Health Centre, 1044 Budapest, Megyeri út 44.

8.00-8.30 Principles of radiofrequency (mechanisms and indications)

Andrea Trescot MD, DABIPP, FIPP, CIPS

8.30-9.00 Epidurals of the Lumbar spine (Transforaminal, caudal, interlaminar)

Ágnes Stogicza MD, FIPP, CIPS, ASRA-PMUC

9.00-9.30 Caudal epidural, epidurogram /epidurolysis (live procedure demo and

patient discussion)

Edit Rácz MD, FIPP / Ágnes Stogicza MD, FIPP, CIPS, ASRA-PMUC

9.30-10.00 Discogenic low back pain, discography, intradiscal therapies

Andrea Trescot MD, DABIPP, FIPP, CIPS

10.00-10.30 COFFEE BREAK

10.30-11.30 Discography, intradiscal PRP (live procedure demo)

Edit Rácz MD, FIPP / Ágnes Stogicza MD, FIPP, CIPS, ASRA-PMUC

11.30-12.00 Ultrasound anatomy of the lumbosacral spine and pelvis

Sadiq Bhayani MD, FIPP, CIPS

12.00-13.00 LUNCH
13.00-13.45 Workshop: Ultrasound – Scanning techniques Lumbar spine

Ágnes Stogicza MD, FIPP, CIPS, ASRA-PMUC/ Christ Declerk MD, FIPP,
CIPS, ASRA-PMUC / Sadiq Bhayani MD, FIPP, CIPS

13.45-14.40 Workshop: Ultrasound – Scanning techniques Sacrum and Pelvis

Ágnes Stogicza MD, FIPP, CIPS, ASRA-PMUC/ Christ Declerk MD, FIPP,
CIPS, ASRA-PMUC / Sadiq Bhayani MD, FIPP, CIPS

14.40-15.00 Pulsed RF lumbar DRG

Christ Declerk MD, FIPP, CIPS, ASRA-PMUC

15.00-15.20 COFFEE BREAK

15.20-16.00 Lumbar transforaminal orDRG PRF (live procedure demo and patient
discussion)

Edit Rácz MD, FIPP / Ágnes Stogicza MD, FIPP, CIPS, ASRA-PMUC

16.00-16.30 Abdominal and groin pain

Andrea Trescot MD, DABIPP, FIPP, CIPS

16.30-17.30 Workshop/PBLD: Low back pain, Diagnosis & treatment pseudosciatica

Andrea Trescot MD, DABIPP, FIPP, CIPS

DAY 3-4
Venue: Semmelweis University Labs (H-1091 Budapest, Üllői út 93.)

8:00-16.00 CADAVER HANDS-ON TRAINING

FLUOROSCOPY STATIONS

• NEEDLE GUIDANCE AND TUNNEL VISION TECHNIQUE

• LUMBAR SPINE ANATOMY AND PROCEDURES
• LUMBAR EPIDURAL BLOCK TECHNIQUES: CAUDAL, INTERLAMINAR AND
TRANSFORAMINAL
• LUMBAR DISC PROCEDURES
• LUMBAR FACET JOINT INTERVENTIONS (MBB, RFA/CRYO)
• SI JOINT INTERVENTIONS (Diagnostic and RFA/Cryo)

LUNCH BREAK

ULTRASOUND STATIONS

• ULTRASOUND TISSUE RECOGNITION AND NEEDLE GUIDANCE

• LUMBOSACRAL SPINE, PELVIS ANATOMY AND PROCEDURES
• PERIPHERAL NERVES OF THE LS REGION
• LOWER EXTREMITY
• COMPLICATIONS OF LUMBAR PAIN PROCEDURES, AND HOW TO AVOID THEM
9 – 12 JANUARY 2020

DAY 1
VENUE: MEDCITY Health Centre, Megyeri út 53., Budapest 1044

08:00-08:20 Cervical anatomy and fluoro-anatomy

Ágnes Stogicza MD, FIPP, CIPS, ASRA-PMUC

08:20-09:20 Workshop

09:20-09:30 Cervical interlaminar epidural (live procedure)

Edit Rácz MD, FIPP / Ágnes Stogicza MD, FIPP, CIPS, ASRA PMUC

09:30-10:00 Cervical facet pain: epidemiology, diagnosis and treatment

Andre Mansano MD, PHD, FIPP, CIPS

10:00-10:30 COFFEE BREAK

10:30-11:00 Cervical medial branch block (live procedure)

Edit Rácz MD, FIPP / Ágnes Stogicza MD, FIPP, CIPS, ASRA PMUC

11:00-11:30 Ultrasound anatomy and procedures of the cervicothoracic spine

Andre Mansano MD, PHD, FIPP, CIPS

 11:30-12:00 Pulsed RF of cervical DRG (live procedure)

Edit Rácz MD, FIPP / Ágnes Stogicza MD, FIPP, CIPS, ASRA PMUC

12:00-13:00 LUNCH

13:00-14:00 Workshop

14:00-14:30 Diagnostic evaluation of neck and arm pain

Liong Liem, MD

14:30-15:00 US guided cervical MBB (live procedure)

Edit Rácz MD, FIPP / Ágnes Stogicza MD, FIPP, CIPS, ASRA PMUC

15:00-15:30 COFFEE BREAK

16:00-17:00 Workshops

Cervical interventional targets (images/MCQ)

Thais Vanetti, MD, FIPP

Cervical and thoracic US (live model) -split groups

Ágnes Stogicza MD, FIPP, CIPS, ASRA-PMUC / Andre Mansano MD, PHD,
FIPP, CIPS

Physical exam of the cervical spine

Andrea Trescot, MD, DABIPP, FIPP, CIPS

DAY 2
VENUE: MEDCITY Health Centre, Megyeri út 53., Budapest 1044

08:00-08:30 Biomechanics of LBP

Ágnes Stogicza MD, FIPP, CIPS, ASRA-PMUC

08:30-09:00 Thoracic pain

Laura Demartini, MD

09:00-09:30 Intro to regenerative medicine

Andrea Trescot, MD, DABIPP, FIPP, CIPS

09:30-10:00 Prolotherapy (live procedure)

Edit Rácz MD, FIPP / Ágnes Stogicza MD, FIPP, CIPS, ASRA PMUC

10:00-10:30 COFFEE BREAK

10:30-11:00 Lumbar adhesiolysis

Ágnes Stogicza MD, FIPP, CIPS, ASRA-PMUC

11:00-11:30 Lumbar adhesiolysis (live procedure)

Edit Rácz MD, FIPP / Ágnes Stogicza MD, FIPP, CIPS, ASRA PMUC

11:30-12:00 Current concepts of CPRS

Paul Christo MD, MBA

12:00-13:00 LUNCH

13:00-13:30 Sympathetic blocks 1 - Overview, stellate, T23, LSB

Liong Liem, MD

13:30-14:00 Lumbar sympathetic (fluoro or US) (live procedure)

Edit Rácz MD, FIPP / Ágnes Stogicza MD, FIPP, CIPS, ASRA PMUC

14:00-14:30 Sympathetic block 2 - splanchnic, celiac, hypogastric

Thais Vanetti, MD, FIPP

14:30-15:00 Thoracic, splanchnic OR hypogastric sympathetic (live procedure)

Edit Rácz MD, FIPP / Ágnes Stogicza MD, FIPP, CIPS, ASRA PMUC

15:00-15:30 COFFEE BREAK

15:30-16:30` Workshop -Case discussions

DAY 3-4
VENUE: University Labs Üllői út 93., Budapest 1091

8.00-17.00 CADAVER HANDS-ON TRAINING:

FLUOROSCOPY STATIONS

• CERVICAL AND THORACIC SPINE

• ANATOMY AND PROCEDURES
• C, T MEDIAN BRANCH BLOCK AND RFA
• C FACET INTRAARTICULAR
• CERVICAL INTERLAMINAR EPIDURAL
• CAUDAL ADHESIOLYSIS
• +REVIEW LUMBAR PROCEDURES AS NEEDED

SYMPATHETIC BLOCKS

• STELLATE GANGLION BLOCK

• CELIAC and SPLANCHNIC PLEXUS BLOCK
• LUMBAR SYMP BLOCK
• SUPERIOR HYPOGASTRIC PLEXUS BLOCK
• THORACIC SYMP BLOCK
• GANGLION IMPAR BLOCK

ULTRASOUND STATIONS

• CERVICAL AND THORACIC SPINE ANATOMY AND PROCEDURES

• C, T MEDIAN BRANCH
• C, T FACET INTRAARTICULAR
• INTERCOSTAL NERVE
• C SELECTIVE NERVE ROOT BLOCK
• GREATER OCCIPITAL NERVE BLOCK
• SUPRASCAPULAR
 • OTHER
• +REVIEW LUMBAR PROCEDURES AS NEEDED

12.00-13.00 LUNCH
30 APR 30 – 3 MAY 2020
ADVANCED CERVICAL, CANCER PAIN, US-MSK CRANIOFACIAL PAIN,
NEUROMODULATION
We recommend reviewing the materials we send ahead of time to maximize the benefit of the
course.

DAY 1
VENUE: MEDCITY Health Centre, Megyeri út 53., Budapest 1044

8.00-8.15 Info on FIPP, CIPS Certification and Mock Exam in October PSI

Session (MCQ, ORAL, PRACTICAL)

8.15-8.35 Cancer pain

Epidemiology, pain diagnostics and treatment guidelines

8.35-9.20 1. PBLD: Trigeminal Neuralgia

2. US peripheral nerves (GON, II, IH, genicular, LFCN, median radial, ulnar,
tib, fib sural and more as group allows)

3. US peripheral nerves

4. PBLD: Cancer Pain

9.20-9.45 Trigeminal RFA (live procedure demo)

Fluoroscopy

9.45-10.00 Opioids

10.00-10.30 COFFEE BREAK

10.30-11.00 Thoracic sympathectomy

Fluoroscopy

11.00-11.25 Hip pain and ultrasound anatomy and procedures

11.25-12.20 1. PBLD: Trigeminal Neuralgia

2. US peripheral nerves

3. US peripheral nerves

4. PBLD: Cancer pain

12.20-13.00 LUNCH

13.00-13.20 Disc / shoulder / knee / hip / intraarticular platelet rich plasma injection
(live procedure demo)

13.20-13.40 Shoulder ultrasound anatomy, common pathologies and procedures

13.40-14.30 1. PBLD: Trigeminal Neuralgia

2. US peripheral nerves

3. US peripheral nerves

4. PBLD: Cancer pain

14.30-14.45 Regenerative medicine (PRP) and evidence

14.45-15.10 BMC for discogenic pain (live procedure demo) Fluoroscopy

15.10-15.30 COFFEE BREAK

15.30-16.30 1. PBLD: Trigeminal Neuralgia

2. US peripheral nerves

3. US peripheral nerves

4. PBLD: Cancer pain

16.30-17.00 Cryoablation (mechanisms and indications)

17.00-17.30 Genuculare nerve cryoablation (live procedure demo), Ultrasound

DAY 2
VENUE: MEDCITY Health Centre, Megyeri út 53., Budapest 1044
PBLD=Problem based learning and case discussion

8.00-8.20 Craniofacial Pain and Procedures

8.20-9.40 Workshops:

1. Pain Procedure related emergencies, APLS

2. PRP and clinical applications

3. Low back and neck physical exam and landmarking review (on live
model)

4. Case discussion, cases brought by participants

9.40-10.00 Cervical epidurolysis (live procedure demo) Fluoroscopy

10.00-10.20 COFFEE BREAK

10.20-11.10 Workshops:

1. Pain Procedure related emergencies, APLS

2. PRP and clinical applications

3. PBLD: Cancer pain

4. Case discussion, cases brought by participants

11.10-11.30 Postherpetic neuralgia

11.30-12.00 Sphenopalatine (pulsed?) RFA (live procedure demo) Fluoroscopy

12.00-13.00 LUNCH

13.00-13.15 DRG PRF

13.15-14.20 Workshops:

1. Pain Procedure related emergencies, APLS

2. PRP and clinical applications

3. Low back and neck physical exam and landmarking review (on live
model)

4. Case discussion, cases brought by participants

14.20-14.40 Postamputation pain, Stump pain, Phantom pain

14.40-15.00 Principles of neuromodulation and new trends in neuromodulation (SCS,

DRG, HIGH Frequency)

15.00-15.30 COFFEE BREAK

15.30-15.50 Peripheral nerve stimulation

15.50-16.30 Vertebral augmentation

16.30-17.30 Workshops:

1. Pain Procedure related emergencies, APLS

2. PRP and clinical applications

3. Low back and neck physical exam and landmarking review (on live
model)

4. Case discussion, cases brought by participants

DAY 3 - 4

8:00-17.00

FLUOROSCOPY GUIDED

• CERVICAL TRANSFORAMINAL AND STELLATE

• CAUDAL AND CERVICAL LYSIS OF ADHESIONS
• SCS
• PERIPHERAL NERVE STIMULATION
• TRIGEMINAL
• SPHENOPALATINE GANGLION BLOCK
• VERTEBRAL AUGMENTATION
• +REVIEW PREVIOUS BLOCKS AS NEEDED

US GUIDED

MSK PROCEDURES

• PERIPHERAL NERVES
• LOWER EXTREMITY
• UPPER EXTREMITY
• +REVIEW PREVIOUS BLOCKS AS NEEDED
3 – 5 JULY 2020
REVIEW SESSION, PREPARATION FOR FIPP AND CIPS

DAY 1
VENUE: S e m m e l w e i s U n i v e r s i t y L a b s , Ü l l ő i ú t 9 3 , B u d a p e s t 1 0 9 1

8.00-8.15 FIPP, CIPS Certification and Info on Mock Exam in 5th PSI

Session (MCQ, ORAL, PRACTICAL)

8.15-9.00 Workshop review: caudal, transforaminal and interlaminar epidurals PBLD

9.00-10.00 Workshop review: orofacial procedures PBLD

10.00-10.30 COFFEE BREAK

10.30-11.15 Workshop review: intradiscal procedures PBLD

11.15-12.00 Workshop review: cervical DRG and cervical facet joints/RF PBLD

12.00-13.00 LUNCH

13.00-14.00 Workshop review: sympathetic blocks PBLD

14.00-15.00 Workshop review: epiduroplasty PBLD

15.00-15.30 COFFEE BREAK

15.30-16.30 Workshop review: Lumbar facet joint blocks and medial branch blocks/RF
PBLD

16.00-16.30 Workshop review: SCS and pumps PBLD

DAY 2 – 3
PROCEDURES
VENUE: S e m m e l w e i s U n i v e r s i t y L a b s , Ü l l ő i ú t 9 3 , B u d a p e s t 1 0 9 1

Spine

1. Cervical medial branch block

2. Cervical selective nerve root block

3. Thoracic facet joint block

4. Lumbar medial branch/facet joint block

5. Caudal epidural injection

Musculoskeletal Joints

1. AC joint

2. Glenohumeral Joint (any approach)

3. Hip joint injection

4. Knee joint injection

5. Tibiotalar joint injection

Musculoskeletal Soft Tissue

1. Bicep tendon (peri)

2. Subdeltoid bursa

3. Medial or lateral epicondylosis tendon sheath injection/fenestration

4. Piriformis injection

5. Trochanteric bursa injection, Sub. GMax, Medius and Minimus

Peripheral nerves

1. Suprascapular nerve

2. Ilioinguinal/iliohypogastric nerve

3. Pudendal nerve

4. Ulnar nerve at cubital canal

5. Lateral femoral cutaneous block

Head and neck

1. Sphenopalatine Ganglion Block

2. Stellate Ganglion Block

3. Trigeminal Ganglion Block

4. Midline Interlaminar Cervical Epidural Block

5. Cervical Facet Block

Thorax

1. T2, 3 Sympathetic Block

2. Splanchnic Nerve Block

3. Thoracic Spinal Cord Lead Placement

4. Thoracic Facet Block

5. Intercostal Nerve Block

Lumbar

1. Lumbar Sympathetic Block

2. Lumbar Selective Nerve Root Block

3. Lumbar Discography Procedure

4. Lumbar Facet Block

5. Lumbar Communicating Ramus

Pelvic

1. Hypogastric Plexus Block

2. Caudal Neuroplasty

3. Sacral Nerve Root Block

4. Sacroiliac Joint Injection

5. RF-Sacroiliac Joint
More information

Fellow of Interventional Pain Practice (FIPP)

Practical Exam Topics

Further information on the Oral exam and the MCQs at:

http://www.wip-boe.org/group/2084/Docs/FIPPInfoBulletin.pdf

Certified Interventional Pain Sonologist (CIPS)

Practical Exam Topics

Further information on the Oral exam and the MCQs at:

http://www.wip-boe.org/group/2084/Docs/CIPSInfoBulletin.pdf