InternationalNeural Prolotherapy

World Workshop

May 9-12, 2014Ferrara,Italy

PROGRAMAll sessions taught by Dr. John Lyftogt unless otherwise stated

DAY ONE: FRIDAY, MAY 9 FERRARA (Hotel Ferrara)07,30 - 08,00Registration (continued from previous day)08,30 - 09,00WELCOME - INTRODUCTIONS - HOUSEKEEPING09,00 - 10,30 NEUROPATHIC PAIN AND NEUROSCIENCE • IASP defi nition of Neuropathic pain• A short history of Neuropathic pain • Latest neuroscientifi c fi ndings underlying neuropathic pain concept • Peptidergic Nociceptors • Neuro anatomy peptidergic small fi bers • Neuro physiology peptidergic small fi bers • Nervi Nervorum • Chronic Constriction Injury • Axon Refl ex • Dorsal Root Ganglion refl ex • Spinal refl ex • Axoplasmic fl ow • Hiltons Law • Postulated effects of Dextrose and Mannitol • Introduction into Neurogenic Infl ammation • Pro-infl ammatory Neuropeptides CGRP and SP

10,30 - 11,00 MORNING COFFEE BREAK11,00 - 12,30 INTRODUCTION INTO THE MACRO ANATOMY OF LOWER LIMB NEUROPATHIC PAINIncluding demonstration of palpation, drawing and treatment of relevant nerves and CCIs of Knee-lower leg-ankle-achilles-foot

12,30 - 13,30 LUNCH13,30 - 14,00 QUESTION & ANSWER SESSION: Dr. John Lyftogt and Teaching Team14,00 - 15,30 LIVE PATIENTS BREAK-OUT SESSION:PALPATION, DRAWING AND TREATMENT OF LOWER LIMB NEUROPATHIC PAINClinical patient-based small group session led by teaching team (2 rotations per group; 40’ per patient)

15,30 - 15,45 BREAK15,45 - 16,30INTERACTIVE DEMONSTRATION Of palpation, drawing and treatment of lower limb neuropathic pain led by Dr John Lyftogt 16,30 - 17,00The use os silicon in natural injection therapy in many anatomical areas - Dr Ezio Abbiati

17,00 - 17,45QUESTION AND & ANSWER SESSION HOUSEKEEPING

close of day

20,00 SIPRO WELCOME DINNER - Hotel Ferrara

DAY TWO: SATURDAY, MAY 10 FERRARA (Hotel Ferrara)08,30 - 09,00QUESTION & ANSWER SESSION: Dr. John Lyftogt and Teaching Team HOUSEKEEPING09,00 - 10,30 NEUROGENIC INFLAMMATION AND SCIENCE • Revision Day One• Defi nition Neurogenic Infl ammation• TRPV1 central role in Neuropathic pain and Neurogenic Infl ammation• Pro-infl ammatory neuropeptides CGRP and SP• Anti-infl ammatory neuropeptides Somatostatin and Galanin• Introduction of the TRPV1 ‘gating’ mechanism concept• Dextrose/Mannitol proposed ‘closing of the TRPV1 gate’ theory• Introduction into the role of Biofi lm infections in Neurogenic Infl ammation and Neuropathic pain

10,30 - 11,00 MORNING COFFEE BREAK

11,00 - 12,30 INTRODUCTION INTO THE MACRO-ANATOMY OF LOW BACK, GROIN AND HIP NEUROPATHIC PAINIncluding demonstration of palpation, drawing and treatment of relevant nerves and CCIs of the low back-groin and hipOutline of Caudal Epidural with D5W

12,30 - 13,30 LUNCH13,30 - 14,00 QUESTION & ANSWER SESSION: Dr. John Lyftogt and Teaching Team14,00 - 15,30 LIVE PATIENTS BREAK-OUT SESSION:PALPATION, DRAWING AND TREATMENT OF LOW BACK, GROIN AND HIP NEUROPATHIC PAINClinical patient-based small group session led by teaching team (2 rotations per group; 40’ per patient)

15,30 - 16,00 BREAK16,00 - 16,45INTERACTIVE DEMONSTRATION Of palpation, drawing and treatment of low back, groin and hip neuropathic pain led by Dr. John Lyftogt 16,45 - 17,15QUESTION AND & ANSWER SESSION HOUSEKEEPING

close of day

SATURDAY NIGHT FREE

DAY THREE: SUNDAY, MAY 11 FERRARA (Hotel Ferrara)08,30 - 09,00QUESTION & ANSWER SESSION: Dr. John Lyftogt and Teaching Team HOUSEKEEPING09,00 - 10,30 OVERVIEW NEUROPATHIC PAIN AND SCIENCE • Revision Day Two• Nerve injury and regeneration• The role of Schwann cells in nerve injury• Topical treatment modalities (Dextrose, Mannitol, Vit D)• Transdermal treatment modalities (Sonophoresis, Iontophoresis, Low Level Laser)• Biofi lm cont.• Scientifi c publications and results with Dextrose and NPT

10,30 - 11,00 MORNING COFFEE BREAK

11,00 - 12,30 INTRODUCTION INTO THE MACRO-ANATOMY OF SHOULDER, NECK, ARM & WRIST NEUROPATHIC PAINIncluding demonstration of palpation, drawing and treatment of relevant nerves and CCIs of the shoulder-neck-arm-wrist

12,30 - 13,30 LUNCH13,30 - 14,00 QUESTION & ANSWER SESSION: Dr. John Lyftogt and Teaching Team14,00 - 15,30 LIVE PATIENTS BREAK-OUT SESSION:PALPATION, DRAWING AND TREATMENT OF SHOULDER, NECK, ARM & WRIST NEUROPATHIC PAINClinical patient-based small group session led by Teaching Team (2 rotations per group; 40’ per patient)

15,30 - 16,00 BREAK16,00 - 16,45INTERACTIVE DEMONSTRATION Of palpation, drawing and treatment of shoulder, neck, arm & wrist pain neuropathic pain led by Dr. John Lyftogt16,45 - 17,15QUESTION AND & ANSWER SESSIONHOUSEKEEPING - EVALUATION - FINAL SIGN-UP FOR TREATMENT FOR TOMORROW’S SESSION

close of day

20,00 GALA DINNER - "Ca' d' Frara" Restaurant

DAY FOUR: MONDAY, MAY 12 Bondeno*08,30 - 09,00QUESTION & ANSWER SESSION - HOUSEKEEPING INTRODUCTION TO THE PLAN FOR THE DAY09,00 - 10,30 “DOCTORS TREAT DOCTORS” - LOWER LIMB NEUROPATHIC PAINSmall group session: 3-4 doctors per group including at least one “patient”. Rotate as required. Palpate and draw if no treatment required, or join another group to observe.Overseen by Dr. John Lyftogt and Teaching Team.

10,30 - 11,00 MORNING COFFEE BREAK

11,00 - 12,30 “DOCTORS TREAT DOCTORS” - LOW BACK, GROIN AND HIP NEUROPATHIC PAINSmall group session: 3-4 doctors per group including at least one “patient”. Rotate as required. Palpate and draw if no treatment required, or join another group to observe.Overseen by Dr. John Lyftogt and Teaching Team.

12,30 - 13,30 LUNCH13,30 - 14,00 QUESTION & ANSWER SESSION: Dr. John Lyftogt and Teaching TeamEVALUATION OF MORNING SESSION14,00 - 15,30 “DOCTORS TREAT DOCTORS” - LOWER LIMB NEUROPATHIC PAINSmall group session: 3-4 doctors per group including at least one “patient”. Rotate as required. Palpate and draw if no treatment required, or join another group to observe.Overseen by Dr. John Lyftogt and Teaching Team.13,30 - 14,00 QUESTION & ANSWER SESSION: Dr. John Lyftogt and Teaching TeamEVALUATION OF MORNING SESSION

15,30 - 16,00 BREAKClose Of The Workshop

16,00 - 16,45QUESTION AND & ANSWER SESSIONHOUSEKEEPING - EVALUATION - FINAL SIGN-UP FOR TREATMENT FOR TOMORROW’S SESSION

close of day

*BONDENO: Società di mutuo soccorso, Via della Repubblica 26 - Bondeno (FERRARA).

The FACULTY

Dr. Lyftogt was born in the Neatherlands and graduated from Leiden Univerity Madical faculty in 1973. In 1975 he moved to the New Zealand and established a Family Medicine practice. He ha s always had an interest in Sports Medicine and chronic injuries and he undertook post graduate training in Musculoskeletal Medicine. In 2003 he was trained in Adelaide, Australia, in Prolotherapy by Dr. Margaret Taylor. He developed a new type of Prolotherapy, wich is now called Neural Prolotherapy (NPT) but he also known as Perineural Subcutaneous Injections (PSI) or Perineural Injection Treatment (PIT).

Dr. Lyftogt has published seven papers and is co-author of a RCT on the treatment of Achilles tendinosis, wich was published in The British Journal of Sports Medicine in June 2009 and reprin-ted in April 2011.

Dr. Lyftogt is currently working as a sole practitioner at a fi tness centre in Christchurch, New Zealand after the large multi disciplinary centre for sports injuries and rehabilitation he was working in severaly damaged by the devasting 2011 earthquakes in Christchurch.

Dr. Lyftogt has conducted fi fteen 2-3 day Introductory Workshops in Neural Prolotherapy over the past 4 years in New Zealand, Australia, Italy, Neatherlands, USA and Mexico. Over 500 Health Practitioners from twelve different countries have attended these worshops. Dr. Lyftogt is at the forefront of major developments and discoveries into the treatment of neuropathic pain with Transdermal Drug Delivery modalities like Neural Prolotherapy, Prolophoresis and Transdermal condiments. These tratments are effective, hrmless and economical. They are based on the latest developments in the neurosciences and understanding of the neurobio-logy of the Peripheral Nervous System.

John Lyftogt, M.D.Main Lecturer

Was born in New York, and attended Bologna Medical School in Italy at 19 year old. He graduated with a MD in medicine end surgery in 1989 and returned to the United States for his National Boards of Medicine Exam. Afterward, Dr Cavallino returned to Italy and speciali-zed in Emergency Medicine in Ferrara, Itlay from 1990-1994.

His professional career is vast and varied giving him a wealth of knowledge and experience. He continues to work full time as an Emergency room physician. He is the the team physician for Italian National Flag Football, Eagles of Ferrara and other local sports team in Italy. He has great interest in providing nutritional education to his patients and emplyees of corporations.

He incorporates alternative medicine in his practice, as well. His membership with Hacket Hemwall Foundation has taken him to Guadalajara, Mexico, Honduras, Philippines and many places in Italy providing prolotherapy to the indigent but also teaching prolotherapy to physi-cian from all over the world.

More importantly, after attending Dr. John Lyftogt's maiden teaching conference in New Ze-aland, Dr. Cavallino has used neural prolotherapy as the mainstay of his pain management treatment.. his great interest in neural prolotherapy is refl ected not only in his patient care but also by becoming one of the speakers and clinical instructors in many of Dr. Lyftogt's neural prolotherapy workshops around the world.

Stephen Cavallino, M.D.Program Director

1977, University of Padova, Italy graduate with a degree in Medicine and Surgery. Specialized in the following: 1984, “Rihabilitation and Functional Medicine” (Pavia, Italy) 1980, “ Anesthesiology” (Padova , Italy)1990, “ Sports Medicine” (Verona, Italy)1984 “International Clinical Instructor for Cyriax Etgom”Currently active doing Cyriax Prolotherapy, active since 1994Neuralprolotherapy, active since 2012

Giuseppe Ridulfo, M.D.

2007, University of Trieste, Italy graduate with a degree in Medicine and Surgery. Specialized in: 2012 “Rihabilitation and Functional Medicine Degree” (Udine, Italy) 2010 “ Clinical Medicine in Rihab Medicine (Udine , Italy)2012 “ Clinical Medicine and Rihabilitation” (Cortina, Italy)Prolotherapy, active since 2010Neuralprolotherapy, active since 2012

Andrea Piccozzi, M.D.

The Faculty

Received his Bachelor degree from Universidad de Guadalajara as a Public Health technician and graduated from the Universidad de Gua-ladajara College of Medicine in México.He has been a member of The Chrostian Medical Society of Jalisco for 11 years, travelling to the poo-rest areas in his country and other Latin American countries giving free medical consultation and medicine to people in need. He is currently part of the Hackett-Hemwall Foundation México Chapter. In addition to Hackett-Hemwall Prolotherapy, he learned subcutaneous Prolotherapy from Dr. Lyftogt in New Zealand 2010 and since then has been pineering this new modality in his practice. He is now one of most respected instruc-tor of neural prolotherapy.

David De La Mora, M.D.