Dardia Pain Clinic: Kolkata

Course duration: Two days
Eligibility: Medical graduate (MBBS) 

Schedule: It is arranged on Saturday/Sunday/Holydays, dates are declared well in advance. This course is generally organized 3/4 times per year, in February, May, August and November. 

Next workshop will be announced shortly. 
Course contents:
Day-1
8.00 am to 9.00 am
Reporting, Registration & Breakfast
9am-1pm

·Introduction
·Anatomy, physiology & pathophysiology of pain. 
·Discussion on Acute Pain/Chronic Pain & Nociceptive Pain/Neuropathic Pain.
·Effects of untreated Pain.
·Psychological evaluation and intervention in Pain management.
·Principles of Medical/ Conservative management of Pain.
Lunch: 1-2pm,2-7pm 

Overview of the following problems.
1. Spondylosis / Spondyloarthropathy.
2. Disc Prolapse/ Slipped Disc/ Degenerated disc.
3. Osteo-arthritis & other degenerative arthropathy.
4. Rheumatoid & other inflammatory arthropathy. 
5. Fibromyalgia & Myofascial Pain Syndrome. 

How to evaluate and manage different pain syndromes
a. Low Back Pain
b. Headache & Facial Pain
c. Neck Pain
d. Joint Pain
e. Cancer Pain

Day-2

8am-11am
·Live Demontration Workshop on Interventional Pain Management Procedures.

11.30 am to 1 pm
I. Radio-diagnosis in Pain
1. X-Ray
2. CT scan
3. MRI

Lunch 1-2 

2-5pm 
· I. Acupuncture in Pain management 
· II. Meditation in Pain Management 
· III. Common exercises & rehabilitation of patients suffering from Pain
· IV. Ozone in Pain management

Course Fee & others: 
· Rs. 6,000.00 without accommodation.

• Number of participants: 10-15 per batch
• Medium of instruction: English  

This is a three months fellowship arranged in association with AESCULAP ACADEMY. 

Eligibility: Applicant must be a medical graduate (MBBS) from any recognized university. He/She must have completed post graduate degree/diploma from a recognized Hospital in the following disciplines: Anaesthesiology, Orthopaedics, Physical Medicine & Rehabilitation, Neurosurgery, and General Medicine. He/She should have completed 2 weeks fellowship from Daradia: The Pain Clinic earlier. If not they have to appear for an interview before they are finally selected. Interview is not applicable for andidates who have completed 2 weeks program earlier.

 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.

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 program is arranged at least 6 times per year. 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).

 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, Injection Techniques in the peripheral Joints like shoulder joint, Knee joint, Wrist Joint etc. Trigger point injections)

Day-4
Different types of Epidural Anaesthesia. Combined Spinal Epidural Anaesthesia. Continuous Spirnal Anaesthesia.

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 (live demonstration)

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

 Comments:  Eight – Ten candidates per batch for two weeks. 

• List item one
• List item two
• List item three

This is a refresher's course on pain management for those who are already in pain practice. This course is a blend of selected basic and advanced procedures in interventional pain management very important for daily practice. This course will also help in appearing different examinations on pain management. 

 Course Duration: It is a five days course where stresses have been given to the practical aspects of interventional pain management including hands on practice session on mannequin. 

 Eligibility: Applicant must be a medical graduate (MBBS) from any recognized university. He must be in Pain Practice. He must have completed at least 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 2/3 times per year. The date of commencement, details of course & course fees are announced well in advance. 

 Details of course:

Day-1
· Introduction, Definition & Classification of pain. 
· Anatomy & Physiology of pain, Pharmacotherapy of pain.
· How to examine a patient with pain. 
· Assessment of Pain including psychological assessment. 
· Radiographic imaging in Pain management and Safety measures.
· Equipments in Regional Anesthesia, Common regional anaesthesia techniques.
· Ambulatory infusion Pumps in Regional Anesthesia & Pain Management.

From day-2 -- day-5 there will practical demonstration of cases at Operating Room. Participant doctors can closely observe the procedures, but they are not allowed to perform the procedures. There will be around five procedures daily. At first the cases will be discussed and then doctors will be taken to the Operating Room to observe cases. In the post-lunch session there will discussions and interactions with different patients suffering from pain. 

List of cases those are likely to be demonstrated: 

1. Stellate ganglion block,
2. Trigger Point Injections,
3. Gasserian Ganglion & Branches of Trigeminal Nerve Block,
4. Cervical Epidural Block,
5. Celiac Plexus Block,
6. Lumber Discography,
7. Ganglion Impar block,
8. Caudal Epidural block & Epidurogram,
9. Sacral Nerve Root Block,
10. Radio Frequency Procedures,
11. Suprascapular Nerve Block,
12. Lumber Transforaminal Epidural/ Selective nerve root block,
13. Lumber Facet Joint block,
14. Sacro-Iliac Joint Block,
15. Ozone nucleolysis / Ozone Disectomy / Ozonucleolysis,
16. Prolozone therapy,
17. Different forms of ozone therapy in Pain Management
18. Peripheral Joint injections (like Shoulder/ Knee/ Wrist/ Ankle joint injections)
19. Pyriformis block 
20. Lat. Fem. Cut. Nerve block.

(Live demonstration varies according to availability of cases. All the above mentioned procedures will not be demonstrated live. However all cases will be discussed in details.)


There will be Hands-on Mannequin practice session on many of these procedures

 Highlights: 
**Didactic lectures to cover the above mentioned topics.
**Hands- on mannequin training. Practice on a human simulator (mannequin specially designed with a spine and simulated tissue). 
**Adequate time for all the attendees to gain proper knowledge and hands-on practice. 
**Live demonstration of few important cases.
**How to examine a patient with pain and decide any intervention.
**Plenty of time with faculty to discuss and clear doubts regarding interventional techniques. 

 Course fee:
15,000.00 INR for Indian participants.
750.00 USD for Foreign participants and Non-resident Indians (NRIs).

This is an advanced course on pain management for those who are already in pain practice for more than 2 years. This course is for doctors interested in learning the most modern and advanced procedures in interventional pain management. 

 Course Duration: It is a five days training on pain management where stresses have been given to the practical aspects of advanced interventional pain management procedures, including hands on practice session on mannequin. 

 Eligibility: He must have completed any one of following:
1. Aesculap Academy 2 weeks fellowship on pain management. 

2. Post graduate degree (MD/MS/MCh) in the following disciplines: 
Anaesthesiology, Orthopaedics, Physical Medicine & Rehabilitation, Neurosurgery, Neurology and General Medicine. 

3. Post graduate diploma (DA/DOrtho etc.) in the above disciplines with exposure in pain management. 


 Details of course: 

Following topics will be covered in details:
+Spheno-palatine ganglion block,
+Stellate ganglion block
+Gasserian Ganglion & Branches of Trigeminal Nerve Block,
+Cervical Transforaminal Epidural Block,
+Cervical Discogram and Ozone Disecetomy/ Ozone Nucleolysis,
+Cervical Facet Joint Block,
+Cervical Ozone Nucleolysis
+Cervical Discography
+Thoracic Facet Block
+Supra-Scapular Nerve Block
+Ozone nucleolysis / Ozone Disectomy / Ozonucleolysis,
+Prolotherapy / Prolozone Therapy
+Radio Frequency Procedures (of Gasserian ganglion, Stellate ganglion, Facet joint medial nerve, Splanchnic nerve, Knee joint, Sacro-iliac joint, Lumber Sympathetic plexus, Sup Hypogastric plexus etc.)
+Lumber Discography 
+Percutaneous Disc Decompression (Discectomy),
+Vertebroplasty,
+Spinal cord stimulator / Intrathecal Drug delivery system,
+Epiduroscopy 
(Live demonstration varies according to availability of cases. All the above mentioned procedures will not be demonstrated live. However all cases will be discussed in details.)

There will be Hands-on Mannequin practice session on many of these procedures

 Highlights: 
**Didactic lectures to cover the above mentioned topics.
**Hands- on mannequin training. Practice on a human simulator (mannequin specially designed with a spine and simulated tissue). 
**Adequate time for all the attendees to gain proper knowledge and hands-on practice. 
**Live demonstration of few important cases.
**How to examine a patient with pain and decide any intervention.
**Plenty of time with faculty to discuss and clear doubts regarding interventional techniques. 

 Course fee: 
20,000.00 INR for Indian participants without accommodation;
950.00 USD for Foreign participants without accommodation;