Current through Register Vol. 35, No. 18, September 24, 2024
The injection therapy educational course curriculum shall
provide the doctor of oriental medicine, who successfully completes the course,
with the educational course general curriculum knowledge and skills defined in
16.2.18.11
and
16.2.18.14
NMAC and the following specific knowledge and skills in:
A. regenerative injection therapy (RIT or
prolotherapy):
(1) understanding of the
scientific principles of prolotherapy, its application, alternatives, risks and
consequences;
(2) recognizing the
most common pain patterns generated from injured and lax ligaments of the
joints of the extremities, lumbar and sacral regions;
(3) the concept of tissue regeneration and
proliferation and how it can be promoted in the body;
(4) injecting some of the most commonly
treated ligamentous, tendonous, and cartilaginous and intra-articular
structures of the joints of the extremities, lumbar and sacral
regions;
(5) how to perform
regional anesthesia or a nerve block for pain relief; and
(6) the use of diagnostic musculoskeletal
ultrasound and ultrasound guided procedures;
B. orthopedic and neurological physical exam
and differential diagnosis:
(1)anatomy of the
regions to be examined and treated;
(2) selecting and performing orthopedic and
neurologic physical examination methods including but not limited to reflex
testing, motor power testing, sensory exam, common orthopedic provocations,
ligament stretch testing, accurate palpation and marking of anatomic landmarks,
ligament and tendon compression testing;
(3) interpreting physical exam signs in
context as evidence for or against the differential diagnoses;
(4) most common orthopedic pain differential
diagnoses for these areas as well as other medical differential diagnoses that
should be ruled out; and
(5) the
most important treatment options for these differential diagnoses;
C. how to generate and carry out a
comprehensive treatment plan that addresses the causative factors leading to
pain and dysfunction from the perspective of the understanding of each style of
injection therapy, offers post treatment palliation and provides post therapy
recommendations to support rehabilitation and prevent recurrence:
(1) how to explain to the patient the purpose
of the therapy, the expected outcome and possible complications of the therapy
that could occur; and
(2)
anatomical locations that are relatively safe for injection therapy, as well as
those locations that should be avoided for injection therapy;
D. perform phlebotomy and collect
and centrifuge blood to be used for platelet rich plasma injection; knowledge
of diagnostic and physical exam findings which indicate the need for platelet
rich plasma as a treatment modality;
E. advanced neural therapy techniques;
knowledge and skills as described in 16.2.18.14 NMAC of basic
injection;
F. advanced mesotherapy;
(1) how to evaluate and treat the patient
with cellulite including determination of a treatment plan, utilizing
appropriate substance(s) and dosing to accomplish treatment goals;
(2) how to evaluate and treat fat;
(3) technique of injections to reduce fat or
cellulite; and
(4) mechanisms of
action of substances used for cellulite and fat reduction;
G. apitherapy;
(1) knowledge of and skill in performing
apitherapy; and
(2) understanding
theory and application of apitherapy, expected outcomes, benefits and potential
risks and complications.
