Friday, March 8 (24)

3:34–4:45 pm

Chronic Post-Surgical Pain: Which Patients? Why? What Can Be Done? (211)

Chronic post-surgical pain (CPSP) is increasingly recognized as a serious chronic pain entity that is challenging to manage. CPSP often severely affects quality of life, contributes to chronic opioid use and increasing health care costs. This session will examine the epidemiology and pathophysiology of CPSP. We will also address risk factors associated, evidence-based preventative strategies and multimodal approaches that may help prevent or mitigate CPSP.

Epidemiology and Pathophysiology

David Clark

Risk Factors: Preventative Strategies with Ketamine and Lidocaine Infusions

May L. Chin, MD

Multimodal Management of Chronic Post-Surgical Pain

Neel D. Mehta, MD

Learning Objectives:

  • Review epidemiology and pathophysiology of CPSP.
  • Review risk factors and preventative strategies including ketamine and lidocaine infusions for CPSP.
  • Discuss evidence-based multimodal approach to management of CPSP.
3:45–4:45 pm

Peripheral Nerve Stimulation: A New Paradigm for Treatment of Neuropathic Pain (210)

Historically, the options for treating peripheral neuropathic pain mainly focused on targeting the central nervous system. Peripheral nerve stimulation (PNS) was limited in its availability and usefulness. High-resolution ultrasound and new technology have transformed PNS from an open surgery to a minor percutaneous procedure. This session aims to identify the most common nerve targets, pitfalls, and the ultrasound considerations for PNS implants.

Peripheral Nerve Stimulation: History and Basic Principles

Amitabh Gulati, MD

Peripheral Nerve Stimulation: Patient Selection and Nerve Targets

Scott Pritzlaff, MD

Lessons from the Experienced Implanter: PNS Pitfalls and Pearls

Einar Ottestad, MD FIPP CIPS

Learning Objectives:

  • Identify appropriate conditions and nerve targets that would best respond to peripheral nerve stimulation.
  • Develop a simple PNS algorithm to successfully treat peripheral neuropathic pain and minimize complications.
  • Review the evidence-based literature for the current, commercially-available percutaneous PNS systems.
3:45–4:45 pm

Pain Management in Athletes: Neurophysiological, Biomechanical, and Psychosocial Considerations (209) Featured

Although pain is common in sport, it is not synonymous with injury. This session will present salient features of the first-ever consensus statement on pain management in athletes. The moderator is first author of this paper and serves as Chief Medical Officer of the National Collegiate Athletic Association.

Pain Management in Athletes Should be Based on the Physiological, Anatomical and Psychosocial Influences on the Individual’s Pain

Brian Hainline, MD

Rollin M. Gallagher, MD MPH

Ilya Igolnikov, MS MN

Learning Objectives:

  • Identify neurophysiologic, anatomic and psychosocial influencers of pain in athletes.
  • Distinguish pain from injury in sport.
  • Prescribe appropriate non-pharmacologic and pharmacologic strategies for managing pain in athletes.
1:45–2:45 pm

Updates in Pain Medicine Ultrasonography: Evidence-Base, Safety, and Emerging Applications (208)

An overview of the evidence-base for ultrasound-guided pain procedures compared to other imaging modalities. The diagnostic utility of sonography, approach to incidental findings, and point-of-care assessments for procedure complications will be presented. Emerging applications including peripheral nerve stimulation, regenerative medicine, and percutaneous needle tenotomy will be discussed.

State of the Evidence Base: Ultrasound-Guidance in Pain Procedures

Jennifer Hah, MD MS

Diagnostic Ultrasonography in Pain Medicine, Incidental Findings, and Point-of Care Assessment

Amitabh Gulati, MD

Innovations in Ultrasound Therapeutics and Emerging Applications

Einar Ottestad, MD FIPP CIPS

Learning Objectives:

  • Identify the evidence based benefits of choosing ultrasound-guidance compared to other imaging modalities in terms of comparable efficacy, safety, and treatment setting.
  • Demonstrate knowledge regarding the diagnostic utility of pain medicine sonography for specific clinical conditions, approach to incidental findings, and use of point-of-care assessments during procedures.
  • Recognize emerging applications of pain medicine sonography spanning peripheral nerve stimulation, regenerative medicine, cryotherapy, radiofrequency, and percutaneous needle tenotomy.
Subscribe to this RSS feed