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 including the toes, ankles, knees, hips, fingers wrist, elbow and shoulder. Registrants can use prolotherapy, platelet rich plasma (PRP) solutions, viscosupplement solutions (such as hyaluronic acid, synvisc and hylgan), 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 including the cervical, thoracic, lumbar, lumbar-sacral, sacro-iliac, intercostal, and rib using prolotherapy solutions, PRP solutions, viscosupplement solutions, (hyaluronic acid, synvisc and hylgan), 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. It is professional misconduct to delegate these injection procedures.

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.

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. Registrants must NOT perform intra-vaginal injections and intra-cavernous injections.

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 Naturopathic Advanced Life Support (NALS); and
4. Have satisfied the training requirements for the corresponding certification (see below).

Advanced Injection Therapy – Part A Certification Requirements

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

– Prolotherapy Module 1 and 2 (total of 3 days training) offered by the American Osteopathic Association of Prolotherapy Regenerative Medicine

– Annual Conference offered by the American Osteopathic Association of Prolotherapy Regenerative Medicine. Registrants may only apply for certification if they have completed both the Beginner’s Prolotherapy Course and the Annual Conference which includes practical training.

– Module 1 Prolotherapy Intensive Course offered by Dr. Kevin Davison ND at Maui Regenerative Medicine

– Advanced Injection Therapy Peripheral Skeleton (previously Advanced Injection Therapies – Part A) course offered by West Coast Injection Training Inc.

– Advanced Injections Course: Module 1 offered by Viatrexx

– Advanced Injections Module I offered by the Naturopathic Academy of Regenerative Injection Therapy

• Application for certification in Advanced Injection Therapies – Part A

Advanced Injection Therapy – Part B Certification Requirements

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 minimum three days of training focused exclusively on the axial skeleton with both theoretical and practical components.

– Module 2 Prolotherapy Intensive Course offered by Dr. Kevin Davison ND at Maui Regenerative Medicine

– Advanced Injection Course Module 2 offered by Viatrexx

– Advanced Injections Module II course offered by the Naturopathic Academy of Regenerative Injection Therapy

– Advanced Injection Therapy Axial Skeleton (previously Advanced Injection Therapy: Part B Axial Skeleton) course offered by West Coast Injection Training Inc.

• Application for certification in Advanced Injection Therapies – Part B

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:

• Certification in Prescriptive Authority