Advanced Injection Therapies

A naturopathic physician who is duly qualified and licensed by the College of Naturopathic Physicians of British Columbia may be certified to practice Advanced Injection Therapies provided they have successfully completed all of the requirements for the corresponding certification.

Successful completion of Advanced Injection Therapies – Part A training allows registrants to perform prolotherapy and related injections into the area of peripheral joints e.g. toes, ankles, knees, hips, fingers wrist, elbow, shoulder, using prolotherapy, PRP (Platelet Rich Plasma) solutions, viscosupplement solutions (hyaluronic acid, Synvisc, Hylgan, etc. ), corticosteroids, or any other solutions or therapies approved by the College.

Successful completion of Advanced Injection Therapies – Part B training allows registrants to perform prolotherapy and related advanced injections on the axial skeleton e.g.: cervical, thoracic, lumbar, lumbar-sacral, sacro-iliac, intercostal, and rib using prolotherapy solutions, PRP solutions, viscosupplement solutions, (hyaluronic acid, Synvisc, Hylgan, etc.), corticosteroids and other therapies or solutions approved by the College.

Registrants who hold certification in Advanced Injection Therapy – Part B have met the requirements for certification in Advanced Injection Therapy – Part A and are not required to hold both certifications. The administration of Prolozone requires certification in both Ozone & Oxidative Therapies and Advanced Injection Therapies (Part A or Part B, as appropriate). Other procedures that involve injections, including Aesthetic Procedures (Cosmetic Botulinum Toxin, Injectable Fillers, and PRP injections to the face and other skin areas for aesthetic purposes), require certification in those specified aspects of practice. For more information, review the College’s Certification Requirements and the Standard of Practice: Injection Techniques.

A naturopathic physician certified in Advanced Injection Therapies is not permitted to delegate those acts to any other person, or give an order to any other person to perform the injections on his or her behalf. It is professional misconduct to delegate these injection procedures, or direction to another person to perform them.

Devices used for these procedures must have an active medical device licence from Health Canada (search Health Canada’s Medical Devices Active Licence Listing by “Device name”).

Naturopathic physicians who provide Advanced Injection Therapies are required to complete CNPBC approved education and training prior to performing such procedures, including certification in Prescriptive Authority, and to maintain currency in the practice.

IMPORTANT NOTES: Stromal Vascular Fraction injections, bone marrow injections, and related injections are not currently within the scope of practice. Stellate ganglion blocks may not be performed by any registrants after October 26, 2018. Registrants must not perform intra-vaginal injections for females (also known as “O-Shot”) and intra-cavernous injections for males (also known as “P-Shot”).

Advanced Injection Therapies Certification Requirements

In order to apply for certification in Advanced Injection Therapies Part A or Part B, naturopathic physicians must:

  1. Have the status of full registrant under s. 46 of the College Bylaws;
  2. Be certified in Prescriptive Authority;
  3. Possess a current qualification in NCLS or ACLS; and
  4. Have satisfied the training requirements for the corresponding certification (see below).

Advanced Injection Therapy – Part A Certification*

Approved Part A courses require a minimum of three (3) days of training including both theoretical and practical hands-on components. Registrants may take the following courses to satisfy the training requirements for this certification:

– American Academy of Musculoskeletal Medicine: must successfully complete all four online modules and the Cadaver Intensive Course – Upper Extremity, Cervical and Thoracic Spine

– American Osteopathic Association of Prolotherapy Regenerative Medicine: must successfully complete Prolotherapy workshop (3 days of practical training) Note: Annual conference only qualifies if the registrant has attended the Beginner’s Pre-Conference, and has a certificate of course completion indicating the same, and the certificate of attendance indicates that the annual conference included the requisite hands-on practical training.

– Maui Regenerative Medicine: must successfully complete both Level 1 and Level 2 Prolotherapy Courses, taught by Dr. Kevin Davison, ND

– Comprehensive Injection Training – Module I (three-day) course offered by Trevor Hoffman, ND of Paradigm Health

– Viatrexx: Advanced Injection Course: Module 1 (three-day) course, taught by Dr. Christoph Kind, ND Note: Viatrexx combined elements of their Module 1 and 2 courses in December 2017 to ensure that Module 1 satisfies the requirements for Part A. Registrants who completed the Module 2 course previously will be required to show proof of training in the components that they have not covered.

– Other individualized courses with a minimum of three (3) days of training or equivalent – subject to QAC approval

* Formerly certification in Prolotherapy

Advanced Injection Therapy – Part B Certification

Certification in Advanced Injection Therapy – Part A is a prerequisite for certification in Advanced Injection Therapy – Part B.

Approved Part B courses require an additional three (3) days of training, minimum, focused exclusively on the axial skeleton with both theoretical and practical hands-on components.

– American Academy of Musculoskeletal Medicine: after having successfully completed all four online modules, must successfully complete the Cadaver Intensive Course – Lower extremity including the Sacroiliac Joint

– Maui Regenerative Medicine: must successfully complete both Level 2 and Level 3 Prolotherapy Courses, taught by Dr. Kevin Davison, ND

– Viatrexx: Advanced Injection Course: must successfully complete both Module 2 (three-day), taught by Dr. Christoph Kind, ND Note: Viatrexx combined elements of their Module 2 and 3 courses in December 2017 to ensure that Module 2 satisfies the requirements for Part B. Registrants who completed the Module 2 course previously will be required to show proof of training in the components that they have not covered.

– Comprehensive Injection Training – Module II (three-day) course offered by Trevor Hoffman, ND of Paradigm Health

– Other individualized courses with a minimum of three (3) days of training or equivalent – subject to QAC approval

Co-requisites for Certification:

In order to apply for and maintain certification in Advanced Injection Therapy – Part A or Advanced Injection Therapy – Part B, naturopathic physicians must hold and maintain: