• Fellow of interventional pain practice from world institue of pain - FIBB, Miami, USA.
• The European Diploma in Medicine - EDPM, Valencia.

- The first to introduce the Disc FX technology for the treatment of herniated disc in Egypt and the Middle East

- The first to use the Epiduoroscope technique to treat herniated discs in Egypt and the Middle East

- Training a number of newly graduated doctors to perform interventions and use modern techniques for interventional therapy, and prepare them for the labor market

- Opening another branch for us in Dubai - UAE

- Consultant of interventional Pain management and Founder at Dr koura pain management & spine Clinic, Egypt.

- Resident of anaesthesia and pain management at Neurosurgery hospital, Egypt.

- Pain Management and Anaesthesia Resident at Al-Azhar University Hospital, Cairo, Egypt.

- INTENSIVE training course - Lumbar spine (Munich - Germany).

- Certificate of attending the knee roughness conference (Spain).

- Certificate of attendance at the Conference on Rough Knee (Marrakech - Morocco)

- Certificate of the lower extremities and pelvic interventions conference under the supervision of the International Institute for Pain Management.

- Certificate of Joint Pain Management Conference (Budapest, Romania)

- Certificate of the General Conference of the Institute for International Pain Therapy in New York