Friday, March 8 (24)

1:45–2:45 pm

I Got Them All: Pathophysiology and Treatment of Overlapping Pain Conditions (207)

Most Complex persistent pain conditions (CPPCs) are heterogeneous with a high degree of overlap. This session will establish the degree of the overlap and explore the common pathophysiological and genetic mechanisms underlying these conditions. A mechanism-based heuristic model will be argued for treatment choices over body site specific approaches.

Molecular Pathophysiology of Overlapping Pain Conditions: The Lesson from UK Biobank

Luda Diatchenko, MD PhD

The Art and the Science of Integrative Health Approach to Management of Comorbid Pain Conditions

Michael Schatman, PhD

Multiple Pain Conditions in Quebec Pain Registry: Their Impact on Treatment Outcomes

Gabrielle Pagé, PhD

Learning Objectives:

  • Learn an evidence for similar genetic pathophysiological mechanisms underlining the high comorbidity among CPPCs and to understand which genetic variants are implicated in this shared genetic mechanism.
  • Review the role of different complementary practices for treatment of overlapping and comorbid pain conditions, and to recognize mechanisms underlying their effects across species.
  • Examine patterns of coexistence of multiple pain conditions among patients seeking tertiary care multidisciplinary pain treatments and determine their impact on treatment response.
1:45–2:45 pm

Indications and Outcomes of Surgical Treatment of Back Pain: Getting the Right Patient to the Right Provider(s) (206)

A spine surgeon, an interventional pain specialist, and a pain psychologist will discuss factors that contribute to the most efficacious treatment of back pain. Utilizing team based approaches they will present case based scenarios to delineate plans for successful treatment, including cross discipline collaboration to ensure optimal outcomes.

Treating Back Pain Is a Team Sport

Judith Scheman, PhD

To Cut or Not to Cut: That Is the Question

Edward Benzel, MD

Who to Needle, Block, Pump, or Stimulate: The Right Patient for the Right Intervention

Jijun Xu, MD PhD

Learning Objectives:

  • Identify the psychosocial factors most likely to influence the success of surgery or other pain interventions.
  • Formulate a treatment plan most likely to help the patient as well as how to present that plan to the patient.
1:45–2:45 pm

Addressing Barriers to Effective Pain Care Faced By Special Populations Including Women, Hispanics, and LGBTQ: Clinician, Psychology, and Economic Perspectives (205)

Barriers to effective pain treatment are diverse, undervalued, unidentified and unaddressed, and disproportionately seen in special populations. As a result, chronic-pain remains ineffectively treated and a public-health burden. With evidence and real-world examples, the value of clinicians identifying and addressing the breadth of barriers at the patient level will be presented and discussed from clinical, behavioral-medicine, and health-economic perspectives.

Unrecognized and Undervalued Barriers to Effective Treatment of Chronic Pain: Public Health and Economic Perspectives for Special Populations

Belinda Udeh

Medical and Interventional Spine: The Barriers to Effective Treatment of Chronic Pain in Special Populations from a Spine Specialist's Perspective

Marzena Buzanowska, MD

Adaptation of a Functional Restoration Program for Special Populations: A Focus on Hispanic Patients with Barriers to Effective Care

Sarah Rispinto, PhD

Learning Objectives:

  • Acquire knowledge of the diverse barriers to effective pain treatment faced by special populations, specifically a subset of the Hispanic population, from the physician, psychologist, health economics and public health perspectives.
  • Acquire an understanding of the value in addressing these barriers with an Increased confidence to effectively identify and address the patient-specific barriers to effective treatment of pain, specifically those patients from special populations.
  • Acquire competence in prescribing treatment plans that maximize effectiveness, by identifying and addressing the patient specific barriers to care.
Noon–1:30 pm

Lunch Non-CME Satellite Symposia

Agenda

Noon-12:30 pm

AAPM Lunch Provided

12:30-1:30 pm

The Long Lasting Impact of a Short Conversation About Opioid Overdose Risks

Educational Objectives

After attending this symposium, participants should be better able to:

  • Identify patients at risk for an opioid overdose.
  • Facilitate brief and impactful conversations with patients and care partners around risk of opioid overdose and the need for take-home naloxone.
  • Implement strategies to incorporate communication about opioid overdose and take-home naloxone into clinical protocols when prescribing opioids.

Description

Despite mounting concern and efforts to address opioid overdose in the United States, death rates involving prescription opioids have not abated. This statistic highlights missed opportunities for clinicians to intervene to help save lives. Numerous government agencies and professional organizations recommend that clinicians co-prescribe take-home naloxone with opioids for at-risk patients as a precaution to help prevent opioid overdose deaths. While it is necessary to first identify patients at risk of an opioid overdose, just as important is engaging in conversations that can help save patients’ lives. The faculty will model a brief and impactful conversation with patients and care partners in a way that facilitates patient acceptance to take-home naloxone being part of their chronic pain treatment plan.

Please see Important Safety Information and full Prescribing Information.

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