Corporate Partners:



Dr. Michael Gofeld discusses his experience and initial exposure to the use of ultrasound, and why he has incorporated its use in all aspects of his practice. He mentions using ultrasound in conjunction with fluoroscopy, how ultrasound is vital for musculoskeletal injections, and how all of these experiences led him to train in using ultrasound in treating spinal pathology.  
Dr. Michael Gofeld explains how the two certifications, FIPP and CIPS, differ, and why a well-rounded pain physician should be obtain both certifications. He discusses the importance to be proficient in the use of both fluoroscopy and ultrasound for any successful practice. He mentions the types of procedures for which each diagnostic modality is better suited.  Dr. Gofeld also encourages those physicians interested in taking the CIPS examination to take at least two CIPS preparation workshops before hand, to ensure complete competency for the CIPS exam.
Dr. Michael Gofeld reviews the progression of ultrasound in pain management over the last decade. This includes the use of ultrasound during pain management procedures, and how ultrasound is becoming an integral component of many training programs and certifications. He emphasizes the rapid improvement in ultrasound technology, including easier visualization of structures, better portability, and the affordability of the latest ultrasound units.
Dr. Michael Gofeld explains why the Certified Interventional Pain Sonologist (CIPS) exam is rapidly becoming just as essential for demonstrating “clinical competency” as the FIPP exam. He advocates that pain physicians be as proficient in the use of ultrasound as fluoroscopy.
Dr. Einar Ottestad discusses the benefits of taking the Certified Interventional Pain Sonologist (CIPS) exam. Becoming a certified pain sonographer, a physician has proven to be skilled in the use of ultrasound to his or her colleagues, patients, and insurance carriers. 

Dr. David Spinner discusses the value of being well trained in the use of ultrasound in pain management. He also discusses the future use of ultrasonography in combination with more advanced peripheral nerve stimulators. Dr. Spinner talks about the importance of training physicians in the use of ultrasound and different certification processes, including becoming a Certified International Pain Sonologist (CIPS). He explains the importance of both fluoroscopy and ultrasound and why the World Academy of Pain Medicine Ultrasonography (WAPMU) and the World Institute of Pain work so well together in educating physicians in the diagnostic aspect of pain medicine.



I recently attended the Miami ultrasound workshop. I attend a fair number of workshops in both Canada and the US.  My biggest gripe with most workshops resides in poor control of group flow between workstations and the rehash of slides and talks. WAPMU has raised the bar in both. Workstation groups are small, flow is fantastic between stations and no hogging of popular presenters is allowed. The level of teaching, in my mind, is comfortably the best on the CME circuit today. Dr. Michael Gofeld has a degree of focus that is astounding and he has managed to recruit brilliant staff. Mr. Sarver and his crew have set the standard for meeting organization. In addition, WAPMU has identified the "neglected" niches in training and filled those admirably. It is refreshing that, in the age of "have slides, will travel", a group has managed to buck the trend and I have to say, magnificently so.
Etienne Prinsloo, M.D., CIPS
Vancouver, BC

In the News:

March 22, 2016- Educational and Credentialing in Pain Medicine Ultrasonography

Ultrasound guidance and diagnostic imaging have established their role in routine practice of the pain medicine. Recent rapid developments of new models of care and the embracing of novel methods developed by ultrasound pioneers have caught educators off guard. Multiple questions remained unanswered for those teaching the various pain medicine ultrasound procedures: What is the evidence supporting the proposed methods? Which technique is best in specific situations and why? How should the experience and credibility of experts be evaluated? What are the best educational models? Perhaps most importantly, how do you evaluate the competency of individuals being trained in ultrasound-guided procedures?

If you are interested in a pioneer expert opinion regarding this topics you are invited to read the full article "Education and Credentialing in Pain Medicine Ultrasonography: Challenges and Optimism"  at

Ultrasonography in Pain Medicine: Opening the Third Eye

Up until the early 2000th pain medicine, orthopedics and other specialties expressed a little interest in ultrasonography. Advanced pain practices usually use fluoroscopy, which is accurate when bony structures are targeted, but cannot be used to identify soft tissue, including nerves and blood vessels. Bony landmarks are thus used as a surrogate target, assuming the nerves or joint spaces are located nearby. Therefore, fluoroscopy is not ideal for procedures that target soft tissue. On the other hand, and even more worrisome, millions of injections intended to treat pain are performed with no imaging at all.

Does ultrasonography offer hope in terms of expanding the use of imaging for pain diagnosis and treatment, or enhancing knowledge of pain conditions?

Read the full article “Ultrasonography in Pain Medicine: Opening the Third Eye” at

StimRouter is indicated for adults with chronic pain of peripheral nerve origin.
Applications may include chronic pain conditions located at or relating to the upper or lower limbs, entrapment syndromes, intercostal neuralgias, and other peripheral injuries or diseases.
February 01, 2016
Bioness Announces the Publication of StimRouterNeuromodulation System Clinical Trial
Read More           



We are excited about our new certification program, the Certified Interventional Pain Sonologist (CIPS)
Examination.  The CIPS Examination is similar to the FIPP Examination, although oriented towards
interventional pain medicine guided by ultrasound imaging.  For comprehensive information about the
CIPS Examination, please review the CIPS Information Bulletin.  To apply for the CIPS Examination,
please complete and submit the PDF application On-Line application.
  Date                                    Description                              Location
February 19, 2018          FIPP & CIPS Examination             Miami, Florida USA- PDF application
                                                                                                                               On-Line Application 

For more information about any of these events, please contact:
D. Mark Tolliver, MA
Certification Program Manager
World Institute of Pain
WAPMU is proud to support the following events:
WAPMU Proudly Supports:

Mission Statement

The World Academy of Pain Medicine Ultrasonography (WAPMU), is dedicated to promote multidisciplinary collaboration to advance evidence-based approaches in procedural intervention techniques related to chronic musculoskeletal pain through education, research, innovation and advocacy. 

ACCME Accreditation Statement

All activities have been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Dannemiller and WAPMU. Dannemiller is accredited by the ACCME to provide continuing medical education and "AMA PRA Category 1 Credit(s)™" for physicians. 


Copyright © 2010-2016 by World Academy of Pain Medicine Ultrasonography (WAPMU)

All rights reserved. No part of this publication or contents of this website and all of it's material may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the WAPMU, except in the case of brief quotations embodied in critical reviews and certain other noncommercial uses permitted by copyright law. For permission requests, write to the WAPMU, addressed “Attention: Permissions Coordinator,” at the address below.

153 Main Street #209
North Reading, MA 01864