Thursday, February 27 (3)

8:00 AM–3:30 PM

Integrating Behavioral Pain Medicine into Patient Care: Science, Practice, and Innovations (003) Featured

Join us for a full-day behavioral pain medicine workshop with some of the most prominent experts in the field. There will be presentations on the state of the science, practice, and innovations. Attendees will acquire actionable assessment skills, knowledge across a range of key topics, practical handouts, resources and tip sheets on behavioral medicine integration. This workshop is suitable for medical professionals who wish to better understand salient factors impacting their patients with pain, as well as for mental health professionals who want more experience in pain treatment. Featured workshop speaker: Dr. Franke Keefe

Welcome

Tim Lamer

Behavioral Pain Medicine: Challenges and Opportunities

Beth Darnall

Placebo and Expectations

Luana Colloca

Measurement of Highest Yield Psychological Factors

Daniel Bruns

Behavioral Interventions for Pain: Where Have We Been and Where Are We Going?

Francis Keefe

Treatment of Depression and Anxiety Disorders

Ajay Wasan

Diagnosing Addiction in Patients on Prescribed Opioids

Edward Covington

Yes, We Do That Too: The Many Roles for Pain Psychologists

Judith Scheman

Learning Objectives:

  • Discuss the role of psychological factors in the experience and treatment of pain.
  • List 3 novel future directions for behavioral pain medicine and list 2 key assessment tools for behavioral specialists who treat pain.
  • Discuss the role of placebo and nocebo in the experience and treatment of pain.
8:00 AM–3:30 PM

Advanced Ultrasound-Guided Pain Medicine Interventions (002) Featured

The field of pain medicine ultrasonography is rapidly evolving with new applications for acute and chronic pain that can be rapidly applied to clinical practice. Ultrasound guidance offers the potential benefits of accuracy, portability, direct visualization of vasculature, absence of radiation exposure and potentially lower cost. With improving technology, emerging applications continue to evolve for pain medicine sonography.

This program provides an overview of the advantages and limitations of ultrasound guidance in the practice of pain medicine and provides hands-on applications for the ultrasound novice. The advantages and disadvantages of ultrasound and fluoroscopy also will be discussed. Attendees will practice real-time techniques for common ultrasound procedures and will review the available literature regarding new indications, safety and outcomes.

Attendees will rotate through live model hands-on stations with a low faculty-to-learner ratios covering treatments listed below. A limited number of reduced-price registrations will be offered for trainees currently enrolled in fellowship programs.

Stations

Head and Neck

Including third occipital nerve, cervical medial branch, cervical facet joint, TMJ, cervical selective nerve root block, stellate ganglion, occipital nerve, V2/V3, and US guidance for nerve ablation

Meredith Barad, MD
David A. Edwards, MD PhD

Lumbar Spine, Sacrum, Pelvis

Including lumbar facet joint injection, lumbar medial branch, SI joint, SI joint denervation (posterior sacral network), caudal epidural, piriformis, iliopsoas bursa, IL/IH nerve, genitofemoral nerve, pudendal nerve, lateral femoral cutaneous nerve, US guidance for nerve ablation

Ming-Chi Kao, MD PhD
Vafi Salmasi, MD

Upper Extremity Musculoskeletal and Nerve

Including AC joint, glenohumeral joint, subacromial/subdeltoid bursa, biceps tendon, suprascapular nerve, cubital tunnel, carpal tunnel, US guidance for nerve ablation and brachial plexus blocks

James Khan, MD MSc
Jee Youn Moon, MD PhD FIPP CIPS

Lower Extremity

Including hip joint, knee joint, trochanteric bursa, saphenous nerve, common peroneal nerve at the fibular head, superficial peroneal nerve, deep peroneal nerve, tibial nerve, sural nerve, US guidance for nerve ablation

Tina Doshi, MD MHS

Ultrasound Guidance for Peripheral Nerve Stimulation

Amitabh Gulati, MD
Eellan Sivanesan, MD

Ultrasound Guidance for Regenerative Medicine

Einar Ottestad, MD FIPP CIPS
Eugene Roh, MD

Learning Objectives:

  • Describe pain sonography spanning the head, neck, spine, pelvis, and upper and lower extremities.
  • Describe the utility of ultrasound guidance in ablation, peripheral nerve stimulation, and regenerative medicine interventions.
  • Recognize the limitations of spine sonography and the process of ultrasound-assisted vs. ultrasound-guided neuraxial injections.

Agenda

8-8:55 am
Rotation 1

8:55-9:50 am
Rotation 2

9:50-10 am
Break

0-10:55 am
Rotation 3

10:55-11:50 am
Rotation 4

11:50 am-Noon
Q&A

Noon-1:30 pm
Lunch

1:30-2:25 pm
Rotation 5

2:25-3:10 pm
Rotation 6

3:10-3:15 pm
Q&A and closing remarks

3:45 PM-5:00 PM

General Session I Featured

Annual Meeting Opening & Presidential Remarks (101A)

Tim Lamer

Coping with Persistent Pain: Current State of the Science (101B)

Francis Keefe

When pain persists there are many opportunities for it to affect and be affected by cognitive-behavioral and social factors. The goal of this presentation is to highlight the state-of-the-science in this emerging research area by highlighting key concepts and research studies. The presentation is divided into four sections. The first section provides a conceptual background on coping with persistent pain and provides an update on developments in models of pain coping. The second section highlights key domains that have been shown to be helpful in understanding variations in how people cope with pain. These include both the cognitive-behavioral domain (e.g. self-efficacy, pain acceptance, fear of pain, pain catastrophizing, the meaning of pain) and social domain (e.g. social support, invalidation, pain communication). The third section describes and analyzes psychosocial protocols focused on enhancing patients’ abilities to cope with and deal with pain (e.g. training in pain coping skills, mindfulness training, acceptance-based approaches, partner-assisted approaches, and couples-based interventions). The final section highlights important directions for future research in this area, e.g. novel ways of disseminating behavioral treatments and strategies for training non-psychology professionals in delivering psychosocial treatment.

Learning Objectives:

  • Define advances in stress and coping theory and research that inform current perspectives on the behavioral assessment and treatment of pain.
  • Examine the role that key psychosocial variables play in shaping how individuals adjust to persistent pain.
  • Discuss the rationale and key treatment components of a variety of behavioral treatment protocols for managing pain.
  • Discuss research avenues that promise to extend the reach and impact of behavioral pain management approaches.
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