Tissue Regeneration: Biofeedback & Therapeutic Injection

About TRBTI

The Academy of Therapeutic Injection, was established to provide education in injection therapy to Naturopathic Doctors (ND's). Now TNI serves all types of physicians with a training program in interventional pain management in accord with naturopathic principles, as well as workshops in diagnostic musculoskeletal ultrasound, biofeedback, and ultrasound procedure guidance.

 

Tissue Regeneration Procedures

The TNI training program provides in-depth training in tissue regeneration procedures – a variety of methods which regenerate injured and degenerated ligament, tendon, fascia, cartilage, bone, nerve and dermal tissue. Repair of these connective tissues, particularly the reinforcement of lax ligaments, has long been a crucial missing link in the treatment of musculoskeletal pain and disability, and the enhancement of athletic performance. Tissue regeneration procedures taught in this training program include PRP or platelet-rich plasma therapy, the injection of a number of other growth factor recruiting medicines, and tissue repair stimulation via mechanical needle manipulation such as tenotomy and fasciotomy. Our faculty finds repairing, rebuilding, regenerating tissue to be a permanent solution to pain, and a treasured core of our curriculum and of our practices. Tissue regeneration procedures exemplify several naturopathic principles, safely working with nature to permanently reverse the causes of pain and impairment. Tissue regeneration procedures represent a paradigm shift in interventional pain management and sports medicine. Tissue regeneration will be the largest focus of this training program.

Survey of Other Naturally-Oriented Injection Therapy Systems

Doctors enrolling in this training program will also survey a wider array of injection approaches that have clinical utility, and, with proper application, a high safety profile. Our approach to myofascial trigger point injection is distinguished by strategies to regenerate nerve tissue at neuromuscular junctures and to further reduce trigger point re-activation by diagnosis and repair of attachment defects and related articular laxities/dysfunctions. Nerve blocks and regional anesthesia are taught as an adjunct to other procedures in the curriculum, or as a primary approach to pain management, or as a nutritionally-based local transcutaneous anti-neuropathic strategy. Percutaneous neuroplasty methods will be reviewed in this course for pain complaints such as carpal tunnel syndrome, tarsal tunnel syndrome and other peripheral nerve compression syndromes. The German system of neural therapy is a decidedly wholistic/naturopathic system to treat pain, injury and illness in all systems via injection of local anesthetics and homeopathics. Neural therapy blurs borders by transcending the constraints of pain practice to also address internal medicine and neuropsychological issues using shallow intradermal injections, scar therapy, acupuncture point injections, somatic nerve blocks, and autonomic ganglionic injections. French mesotherapy for pain and tissue regeneration applications will be introduced.

A Foundation of Essential Skills and Best Practices

Participants will be guided to develop certain key skills and best practices that make for safe and effective interventional pain management procedures. Much of Module I, and ongoing training, establishes skills that we have found to be basic to develop the kind of practitioners that we seek in TNI: sensitive palpation skills, in-depth anatomical knowledge, ability to apply sonographic anatomy, the skill of palpating with a hypodermic needle, and several more key skills. Skill in orthopedic physical examination is a large field, and that topic will be introduced and referred to throughout the five module program. Best practices, including patient education, aseptic technique, procedure preparation and pre/post treatment patient care will be emphasized. Adjunctive therapies such as nutritional medicine, exercise prescription and taping and bracing will be discussed as well, as they also are part of the foundation that doctors need to best apply injection therapy in an integrated manner.

In many areas of the body, high resolution sonography provides imaging of tendons and ligaments that is at a significantly higher resolution than MRI, providing a superior resource for diagnosis. Secondly, the injection target, hypodermic needle and injectate flow can all be visualized sonographically, significantly augmenting injection precision in many areas when injections are performed under ultrasound guidance. All participants in this two year training will be introduced to musculoskeletal diagnostic ultrasound and ultrasound guidance of procedures. An optional one day ultrasound workshop will follow Modules II through V, providing more systematic didactic and hands-on instruction in ultrasound, all in a manner integrated with material being taught in each three day Module.

This is Hands-On Training

A leader in its commitment to hands-on training. Most Modules are over 50% practicum, usually with an 8:1 or better teacher-student ratio. To our knowledge, this degree of commitment to hands-on training is not matched elsewhere, particularly for the depth of regions treated and the techniques taught. You will inject your fellow participants, and you will be injected. You will be closely supervised. We believe this practical, experiential model gives you the greatest possible assurance of being able to apply these interventional methods in your practice immediately, quickly leveraging your training time and resources into practice revenues.