Loading Events
DMU Events
  • This event has passed.

The Anatomy, Diagnosis, and Treatment of Chronic Myofascial Pain with Prolotherapy

Wednesday, October 16 at 12:00 AM
The Lowell Inn and Conference Center, Madison, WI, 53703 Show Map

This CME meeting will be held at The Lowell Inn and Conference Center in Madison, WI.


  • $1,400 conference registration
  • $250 Research Symposium

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. Guests may join you for meals – see pricing below.

To register, please contact:

Mary P. Doherty

Planning Committee

  • Mary P. Doherty (Activity Coordinator), Executive Director, Hackett Hemwall Foundation
  • Jeffrey J. Patterson, DO (Activity Director), Professor Emeritus, Department of Family Medicine, University of Wisconsin School of Medicine and Public Health; Director, Hackett Hemwall Foundation
  • David Rabago, MD, Assistant Professor, Department of Family Medicine, University of Wisconsin School of Medicine and Public Health

The planning committee members indicated they have no financial relationships to disclose relevant to the content of this CME activity.

Target audience

This educational activity has been designed to meet the needs of physicians, (MDs, DOs, NDs and Podiatrists) who manage patients through the diagnosis and treatment of chronic pain due to ligament instability.  Specialties that would benefit from this conference are those that care for patients with pain, including Family Medicine, Physical Medicine and Rehabilitation, Sports Medicine, Internal Medicine, Orthopedic Medicine and Surgery, Anesthesiology, Podiatry and Pain Management.


The Anatomy, Diagnosis, and Treatment of Chronic Myofascial Pain with Prolotherapy will be one day of lectures on theory, anatomy and prolotherapy techniques, followed by a day of hands on workshops followed by another half day of lectures and panel discussions. There will also be two Advanced Topics sessions for those attendees that are experienced injectors.   The conference will have a Research Symposium which will entail presentations of research projects, methods to begin new research projects and means to collaborate research among facilities, all in prolotherapy.

Research Symposium purpose:  It has been an active and exciting year in injection medicine. In this year’s symposium, speakers will review recently published clinical research on prolotherapy and related injection therapy and bring you the latest information of studies now in progress. This annual meeting is designed to bring together clinicians, clinical researchers and basic scientists interested in research of prolotherapy and related injection therapies. Each speaker is an active clinician and/or researcher who will present completed or ongoing findings. The overall tone of the conference is participatory and collaborative. 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.

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.


Upon completion of this activity, participants will be able to:

  • Recognize new clinical science research in injection therapy for musculoskeletal conditions including knee osteoarthritis, low back pain and tendinopathies.
  • Review new clinical science research in injection therapy for musculoskeletal conditions.
  • Recognize research being conducted in prolotherapy with suggestions for collaborating in research projects.
  • Gain a thorough acquaintance with the anatomy of ligaments.
  • Participate in C-arm guided cadaver injections.
  • Illustrate complications, and ways to avoid complications, when treating patients with prolotherapy.
  • Observe video of injections with faculty moderating with a model.
  • Obtain insight into the neurophysiology of pain.
  • Identify ways to promote a prolotherapy practice.

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.


Faculty biography’s

Research symposium – Wednesday, October 16

Time Presentation title
7:45 a.m. Growth in Research
Jeffrey J. Patterson, DO and David Rabago, MD
Morning sessions
8 a.m. Prolotherapy for Osteoarthritic Knee Pain: Clinical and Magnetic Resonance Imaging Outcomes
David Rabago, MD
8:30 a.m. Arthroscopically Monitored Effects of Prolotherapy in Knee Osteoarthritis: Update on the Rosario Argentina Knee Osteoarthritis Study
Dean Reeves, MD
9 a.m. A Clinical Trial Assessing Prolotherapy, Neural Prolotherapy, and Therapeutic Ultrasound in the Treatment of Knee Osteoarthritis
9:30 a.m. Prolotherapy for ACL Injuries in the Context of Symptomatic Osteoarthritis: A Case Series
Craig Chappell, DO
10 a.m. Break
Morning sessions continued…
10:15 a.m. A Case Report of Prolotherapy to Treat a Severe Partial Tear of the Anterior Cruciate Ligament
Brian Shiple, DO
11 a.m. A Randomized Controlled Trial of Prolotherapy for the Treatment of Chronic Lateral Epicondylitis
Ronald Glick, MD
11:45 a.m. An Open Label RCT Follow-up; Introduction to the ‘Randomized Clinical Trial of Prolotherapy Injections and an Exercise Program Used Singly and in Combination for Refractory Tennis Elbow’
David Rabago, MD
12:30 p.m. Lunch
Afternoon sessions
1:30 p.m. Finding the Most Effective Barrier Glove for Prevention of Needle Sticks in Musculoskeletal Injection Procedures
Ronald Glick, MD
2 p.m. Update on Prolotherapy in the Treatment of Rotator Cuff Tendinopathy: A Randomized Controlled Trial
Helene Bertrand, MD
2:30 p.m. Treatment of Temporomandibular Dysfunction with Hypertonic Dextrose Injection: A Randomized Clinical Efficacy Trial
Stanley Lam, MD
3 p.m. Break
Afternoon sessions continued…
3:15 p.m. A Randomized Trial of Hypertonic Dextrose Injections (Prolotherapy) for Temporomandibular Dysfunction
Francois Louw, MD
3:45 p.m. Hip and Thigh Pain: The Importance of Gluteal Anatomy in Prolotherapeutic Procedures
Bradley Fullerton, MD
4:15 p.m. Ultrasound Guided Hydrodissection of Common Peroneal Nerves Using 5% Dextrose
Stanley Lam, MD
4:45 p.m. Questions and Answers
Jeffrey J. Patterson, DO and David Rabago, MD
5:15 p.m. Adjourn

Thursday, October 17

Time Presentation title
6:45 a.m. Breakfast
7:45 a.m. Welcome
Jeffrey J. Patterson, DO
8 a.m. Prolotherapy – Safe, Simple, Effective & Elegant Therapy
Jeffrey J. Patterson, DO
8:45 a.m. Anatomy & Injection Techniques: Knee
Annette Zaharoff, MD
9:30 a.m. Anatomy & Injection Techniques: Shoulder
Jeff Ericksen, MD
10:15 a.m. Break
10:30 a.m. Anatomy & Injection Techniques: Low Back
Joel Baumgartner, MD
11:15 a.m. Anatomy & Injection Techniques: Hip & Pelvis
David Wang, DO
12 p.m. Anatomy & Injection Techniques: T-Spine and Ribs
Jeffrey J. Patterson, DO
12:45 Lunch
1 p.m. Lunch Presentation:  HHF Standardization of Prolotherapy Techniques and Teaching
Jeffrey J. Patterson, DO, Jeff Ericksen, MD, Ali Safayan, MD, and David Wang, DO
1:30 p.m. Break
1:45 p.m. Pain: The Destructive Spiral
Michael M. Patterson, PhD
2:30 p.m. Anatomy & Injection Techniques: Elbow and Wrist
Brian Shiple, DO
3:15 p.m. Anatomy & Injection Techniques: C-Spine and TMJ
Paul Johnson, DO
4 p.m. Break
4:30 p.m. Anatomy & Injection Techniques: Foot and Ankle
Lenny Horwitz, DPM
5:15 p.m. Musculoskeletal Bio Tensegrity
Bradley Fullerton, MD
6 p.m. Adjourn

Thursday advanced sessions

For expert injectors that have previously attended the HHF conference.

Time Presentation title
10:30 – 12 p.m. Advanced Cervical and T-Spine Injection Topics
Young Uck Kim, MD
2:30 – 4 p.m. Advanced Low Back and Hip Injection Topics
Martin Gallagher, MD and Paul Johnson, DO

Friday, October 18

Time Presentation title
6:45 a.m. Breakfast
7:45 a.m. Workshop Orientation
Jeffrey J. Patterson, DO
8 a.m. Workshop Session 1
10:15 a.m. Break
10:45 a.m. Workshop Session 2
1 p.m. Lunch
2 p.m. Workshop Session 3
4:15 p.m. Break
4:45 p.m. Observe Faculty Injections
5:45 p.m. Adjourn

Participants will rotate through all three workshops

Anatomy Palpation, Examination and Marking Skills

  • Joel Baumgartner, MD
  • Martin Gallagher, MD, DC

Injection Demonstration of Cadavers, Participant Practice Lab

  • James Nosal, MD
  • David Wang, DO

Injection Demonstrations Utilizing Models & Video

  • Jeffrey J. Patterson, DO
  • Adrian Gretton, MD

Saturday, October 19, 2013

Time Presentation title
6:45 a.m. Breakfast
7:30 a.m. Prolotherapy Pearls: Possible Complications and How to Avoid Them
Jeffrey J. Patterson, DO
8:15 a.m. Recent Advances in Prolotherapy Research: Focus on Knee OA
David Rabago, MD
8:45 a.m. Prolotherapy Case Studies
Young Uck Kim, MD
9:30 a.m. Break
10 a.m. Prolotherapy Billing Guidelines
John Finkenstadt, MD
10:30 a.m. Building a Prolotherapy Practice (No CME Credit)
Martin Gallagher, MD, DC
11 a.m. Prolotherapy Injections: Overview of Solutions and Procedures
Jeffrey J. Patterson, DO
11:45 a.m. Panel Discussion: Unique Prolo Cases
Jeffrey J. Patterson, DO, Brian Shiple, DO, Annette Zaharoff, MD, Jeff Ericksen, MD, and Young Uck Kim, MD
1 p.m. Adjourn

Speaker Disclosures

  • Dr. Helene Bertrand indicated she has received a grant from Work Safe BC.  The relationship has been reviewed by the CME provider and Work BC does not meet the definition of a commercial interest. Dr. Bertrand’s presentation topic was also not directly related to the grant she received from Work Safe BC.
  • The other speakers indicated they have no financial relationships to disclose relevant to the content of this CME activity.

Continuing education credit

MD: This activity has been planned and implemented in accordance with the ACCME® Essential Areas and IMS Policies of the Iowa Medical Society (IMS) through joint sponsorship of Des Moines University (DMU) and the Hackett Hemwall Foundation (University of Wisconsin School of Medicine and Public Health). DMU is accredited by the IMS to provide continuing medical education for physicians. DMU designates this live activity for a maximum of 30.5 IMSLogoAMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

DO:  This activity has been planned and implemented in accordance with the essential areas and policies of the American Osteopathic Association (AOA) through the joint sponsorship of Des Moines University (DMU) and The University of Wisconsin. DMU is accredited by the AOA and approves this activity for a maximum of 28.75 hours of AOA Category 1-A CME credits.

DMU Logo

Continuing Education Units:  The University of Wisconsin-Madison, as a member of the University Continuing Education Association (UCEA) authorizes this program for 3.05 continuing education units (CEUs) or 30.5 hours.

Commercial Support

Educational grants or in-kind support from commercial entities were not accepted for this activity.


  • $1,400 Conference registration
  • $ 250 Research Symposium

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. Guests may join you for meals – see pricing below.

Fee for accompanying guests – meals/receptions:

  • $ 40 Research Symposium, lunch, breaks, reception
  • $100 Conference – 2 lunches, breaks, Thursday dinner, Friday reception
  • $ 50 Conference – Dinner Thursday evening, Friday reception

To register, please contact:

Mary P. Doherty

On-site check-in

New registrations will NOT be accepted on day of conference.

  • October 16, 2013: 7:00 – 7:45 a.m. and 4:30 – 7:00 p.m.
  • October 17, 2013: Starting at 7:00 a.m.

Conference materials

All registered participants will receive an electronic copy (USB drive) of the syllabus at conference Check-in. Please bring your lap top computer to view the presentations. WiFi is available throughout Lowell at no charge to attendees. If there are any concerns regarding the electronic syllabus,
please contact Mary Doherty prior to the conference.

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.

Cancellations/refund policy

All cancellations must be received by October 8, 2013. This will allow wait-listed people to take the place of a cancellation, if one occurs. Cancellations received by October 8, 2013 will receive a refund; cancellations after that time will not receive a refund. All cancellations will be charged a processing fee of $50.

Special dietary needs

Vegetarian selections will be available at all provided meals. If you require additional assistance, contact Mary Doherty at least 1 week before the conference at: mdoherty@wisc.edu.

Hotel reservations

To make hotel room reservations at Lowell, please call: 608-256-2621 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 16, 2013. The room rate is from $89 to $117 per night. The name on the block of rooms is: Prolotherapy.

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 34 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 guests is $8 per day; complimentary parking is available nearby. Lowell Inn has 137 guest rooms which have recently been remodeled and upgraded. Also, there is now a convenient drive up lane on Frances Street, to facilitate easy accessible access to the center. One of Lowell’s greatest assets is their helpful, friendly staff.

Des Moines University (DMU) prohibits discrimination in employment, educational programs, and activities on the basis of race, national origin, color, creed, religion, sex, age, disability, veteran status, sexual orientation, gender identity, or associational preference. The University also affirms its commitment to providing equal opportunities and equal access to University facilities. Individuals with disabilities are encouraged to attend DMU sponsored events. If you are a person with a disability who requires an accommodation in order to participate in this activity, please contact the DMU Continuing Medical Education office at 515-271-1596 or cme@dmu.edu.