Course III: Two weeks’ Aesculap Academy Fellowship on Pain Management
It is a two weeks Aesculap Academy Fellowship on pain management where stresses has been given to the practical aspect of interventional pain management and there are hands-on mannequin practice sessions during the course. Syllabus has been designed in such a way so that participants are well trained in Interventionaal Pain Procedures and can start practice after returning back.

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Eligibility: Applicant must be a medical graduate (MBBS/MD) from any recognized university. He must have completed one year residency from a recognized Hospital in the following disciplines: Anaesthesiology, Orthopaedics, Physical Medicine & Rehabilitation, Neurosurgery, and General Medicine. Desirable: Post-graduate degree/diploma in the above disciplines.

Schedule: The training programme is arranged most frequently. The date of commencement, details of course & course fees are announced well in advance.


Course fee:
19,000.00 INR for Indian participants.
900.00 USD for Foreign participants and Non-resident Indians (NRIs).
This course fee does not include food & lodging which has to be arranged by participant. If requested we may assist in arranging accommodation.


Special hands-on-mannequin workshop for 2 weeks course participants:
Hands on practice on mannequin under c-arm are organised on 2 days within this course. This is included for the participants attending 2 weeks course.

Details of course:
Schedule described below is just an outline. Actual schedule is likely to be different according to availability of cases.

Day-1
Introduction, Definition & Classification of pain. Anatomy & Physiology of pain, Pharmacotherapy of pain.

Day-2
How to examine a patient with pain. Assessment of Pain including psychological assessment. Radiographic imaging in Pain management and Safety measures

Day-3
Equipments in Regional Anaesthesia. Common regional anaesthesia techniques. Ambulatory infusion Pumps in Regional Anesthesia & Pain Management Interventions that will be discussed/demonstrated:
Brachial Plexus Block: different approaches. Femoral nerve block. Paravertebral Plexus Block. Sciatic nerve block,
Different types of Epidural Anaesthesia. Combined Spinal Epidural Anaesthesia. Continuous Spirnal Anaesthesia.

Day-4
Acupuncture in different painful conditions.
Injection Techniques in the peripheral Joints like shoulder joint, Knee joint, Wrist Joint etc. Trigger point injections

Day-5
CRPS. Phantom limb pain. Headache & Facial Pain. Fibromyalgia & Myofascial Pain Syndrome.
(Interventions that will be discussed/demonstrated):
Stellate ganglion block,
Trigger Point Injections,
Gasserian Ganglion & Branches of Trigeminal Nerve Block,
Sphenopalatine Ganglion Block,
Cervical Epidural Block,
Cervical Transforaminal Epidural Block,
Cervical Discogram and Ozone Discectomy/ Ozone Nucleolysis,
Cervical Facet Joint Block,
Occipital Nerve Block,
Glossopharyngeal Nerve Block)

Day-6
Management of Cancer Pain –overview
Pharmacotherapy of Cancer Pain.
Interventional Pain Management of Cancer Pain.
(Interventions that will be discussed/demonstrated:
Celiac Plexus Block
Lumber Sympathetic block,
Superior Hypogastric Plexus,
Splanchnic Nerve Block,
Ganglion Impar block
Peripheral nerve block)

Day-7
Holiday.
Day-8
Evaluation of Spinal Pain. Interventions in the management of spinal Pain.
(Interventions that will be discussed/demonstrated:
Caudal Epidural block & Epidurogram,
Sacral Nerve Root Block
Thoracic Epidural Block,
Thoracic Facet Block,
T2/T3 Sympathetic Block,
Suprascapular Nerve Block
Lumber Transforaminal Epidural/ Selective nerve root block,
Lumber Facet Joint block,
Sacro-Iliac Joint Block,
Epidural neuroplasty)

Day-9
Advanced Pain Management procedures
(Interventions that will be discussed/demonstrated:
Radio-Frequency Procedures,
Provocative discography with intra-discal pressure monitoring,
Use of Ozone in Pain Management (ozone in knee joint/ shoulder joint pain, ozone in trigger point injection, prolozone therapy etc.)
Ozone nucleolysis / Ozone Discectomy / Ozonucleolysis,
Percutaneous Disc Decompression (Discectomy),
Vertebroplasty,
Spinal cord stimulator,
Intrathecal Drug delivery system)

Day-10
Visit to Pain Clinic of Thakurpukur Cancer Hospital, Kolkata, India.
Workshop (Acupuncture)

Day-11
Workshop: (Hands-on mannequin workshop under C-arm guidance).

Day-12
Workshop (Hands-on mannequin workshop under C-arm guidance).
Evaluation of participants.

Day-13
How to establish a Pain Clinic.
Situation of Pain Clinics in India.
Feedback, Interactions and doubt clearing.

Workshop (Hands-on mannequin workshop under C-arm guidance to practice of Interventional Pain Management Procedures)
Procedures practiced on mannequin are;
Gasserian Ganglion block,
Sphenopalatine Ganglion Block,
Cervical Epidural Block,
Cervical Transforaminal Epidural Block,
Cervical Disc procedures,
Stellate Ganglion Block,
Cervical Facet Joint Inj/ Medial br. block,
Thoracic Epidural Block,
Thoracic Facet (Medial br.) block,
T2/T3 Sympathetic Block,
Splanchnic Nerve Block,
Suprascapular Nerve Block
Lumber Discography/ Disc Procedures
Lumber Transforaminal Epidural/ Selective nerve root block,
Lumber Facet Joint Inj./ Medial br. block,
Lumber Sympathetic block,
Superior Hypogastric Plexus block,
Ganglion Impar block
Sacral Nerve Root Block
Sacro-Iliac joint Inj.
Caudal Epidural Neuroplasty