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.
ƒƒ Most comprehensive prolotherapy conference teaching of
the whole body
ƒƒ Nationally and internationally recognized faculty of 37
experts
ƒƒ 22 didactic lectures on prolotherapy
ƒƒ 8 hours of hands-on workshops taught by prolotherapists
ƒƒ Cadaver lab where participants will do multiple injections
ƒƒ 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:
ƒƒ Recognize new clinical science research in injection
therapy for musculoskeletal conditions including knee
osteoarthritis, low back pain and tendinopathies
ƒƒ Review new clinical science research in injection therapy
for musculoskeletal conditions
ƒƒ Recognize research being conducted in prolotherapy with
suggestions for collaborating in research projects
ƒƒ Describe the anatomy of ligaments
ƒƒ Participate in C-arm guided cadaver injections
ƒƒ Illustrate complications, and ways to avoid complications,
when treating patients with prolotherapy
ƒƒ Observe video of injections with faculty moderating with
a model
ƒƒ Recognize the relationship of biotensegrity to MSK
function
ƒƒ Relate new advances in the use of several injection
solutions, including PRP and stem cells, for musculoskeletal
diagnosis and treatment
ƒƒ Explain advanced prolotherapy treatment protocols for the
treatment of chronic pain
ƒƒ Identify ways to promote a prolotherapy practice and
successfully submit billing documentation
ƒƒ Participate in discussions with prolotherapy experts
Research Symposium Pre-Conference
Highlights
ƒƒ Will bring active clinicians and researchers together to
present completed & ongoing research in prolotherapy
and related injection therapies for soft tissue pathology
ƒƒ In-depth discussions of new clinical science research in
injection therapies
ƒƒ Review ongoing clinical research on the use of radiologic
guidance and assessment in the context of injection
therapy
ƒƒ 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: Lowell@ecc.uwex.edu 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: mdoherty@wisc.edu
Program Changes
Mary P. Doherty, 608-712-5518, mdoherty@wisc.edu
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 (mdoherty@wisc.edu)
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.