KNOWLEDGE

• Sensory and motor innervation of different parts of the extremities, head, neck, trunk, and pelvis.
• Pharmacology, dosing, side effects, contraindications, and general use of opioids, tricyclic antidepressants, NSAIDS, membrane stabilizers, muscle relaxants, and alpha-1 adrenergic agonists
• General applications for spinal cord stimulation, permanent indwelling intrathecal catheters TENS units, pain psychology, and physical therapy.
• Understand the pathophysiology and treatment of postherpetic neuralgia CRPS, low back pain, neuropathic pain, inflammatory pain, musculoskeletal pain

SKILLS

Understand the indications for and performance of several of the following:

1. lumbar posterior primary ramus (facet) block
2. lumbar posterior primary ramus (facet) dennervation
3. lumbar paraventebral nerve root blocks
4. presacral plexus blocks
5. celiac plexus blocks
6. lumbar sympathetic blocks
7. cervical posterior primary ramus (facet) blocks
8. sciatic nerve blocks
9. genitofemoral nerve blocks
10. ilioinguinal and iliohypogastric nerve block
11. trigger point injections
12. radial nerve blocks
13. ulnar nerve blocks
14. median nerve blocks
15. stellate ganglion blocks
16. occipital nerve blocks
17. interlaminer and transforaminal epidural steroid injections
18. intercostal nerve blocks
19. ganglion impar blocks
20. peripheral nerve blocks
21. botulium toxin injections
22. pulsed radiofrequency procedures
23. bursal injections

PERFORMANCE

• Perform a competent history and physical exam with attention to neurologic deficits and pain symptomatology
• Be able to develop a thoughtful and appropriate treatment plan.
• Be able to distinguish between nociceptive and neuropathic pain states.
• Demonstrate reliability at following up with patients, and carrying out treatment plan.
• Develop skills in proper needle placement for treating painful conditions
• Understand basic anatomy under fluoroscopy
• Correlate needle position on the patient with fluoroscopic image