Saturday, February 29 (21)

11:15 AM–12:15 PM

The Promise and Reality of Regenerative Medicine in Pain Management (307)

Regenerative medicine (RM) in pain management provides new hope for not only reducing pain as a symptom but also for modifying the disease processes that underlie the mechanisms of pain, whether it is degenerative or neuropathic in nature. However, there are conspicuous gaps between the current clinical practice and the science/clinical evidence for the application of RM in pain management. This session specifically was designed by internationally recognized experts in basic science, translational science, and clinical practice of RM to bridge these gaps.

Emerging MSC Therapy to Combat Opioid Tolerance

Jianguo Cheng

The Science of MSCs and MSC Therapies

Arnold Caplan

The Pivotal Evidence or the Lack of it for Regenerative Medicine in Clinical Practice

Wenchun Qu

Learning Objectives:

  • Describe the scientific rationale of RM in pain management.
  • Describe the future direction of RM in pain management by presenting emerging and translational research.
  • Describe the pivotal evidence of RM for specific clinical indications in pain management in terms of metrics, data, and outcomes.
Co-Presenters:

Arnold Caplan

Wenchun Qu

Moderator:

Jianguo Cheng

11:15 AM–12:15 PM

Opioid Therapy 2020: Past, Present, and Future (306)

This session will discuss the challenges surrounding the safe and effective use of opioids in chronic noncancer and cancer pain populations. An update on current evidence on opioid efficacy for chronic noncancer pain will be provided. Opioid treatment guidelines will be reviewed. Additional methods to mitigate risk will be described.

Opioid Safety: Defining and Mitigating Risks

ToNhu Vu

The Role of Opioids in Chronic Pain Management: Assessing the Evidence

David Provenzano

Learning Objectives:

  • Define opioid guidelines for cancer and chronic pain.
  • Employ methods to mitigate risk when using opioids.
  • Characterize current evidence for opioid efficacy in noncancer chronic pain.
Co-Presenters:

ToNhu Vu

Moderator:

David Provenzano

11:15 AM–12:15 PM

Neuromodulation Review 2 (305)

With the fact that chronic pain afflicts more than 100 million Americans and amid the current opioid crisis, there is great unmet need for innovative alternatives for the treatment of chronic pain.

This session will report on a multicenter, prospective, randomized, double-blind study of this novel SCS system and will also focus on the value of ECAP monitoring to understand the mechanism of action of SCS as well provide neurophysiologic monitoring of spinal cord function.

Advances in using SCS for the management of cancer-related pain with emphasis on recognizing and mitigating possible complications will also be addressed.

Outcomes of Clinical Trials of SCS using ECAPS to Provide Closed-Loop Control

Nagy Mekhail, MD PhD

ECAPS for Neuro-Monitoring

Steven Falowski, MD

Advances in the Use of Spinal Cord Stimulation in the Treatment of Cancer-Related Pain

Lisa Stearns, MD

Learning Objectives:

  • Review the shortfalls of the current ‘fixed output' spinal cord stimulation technology.
  • Appraise the value of measuring the Evoked Compound Action Potential ‘ECAP’ as indicator/monitor of spinal cord activation.
  • Discuss the value and long-term outcomes of spinal cord stimulation for cancer-related pain.
9:15 AM–10:15 AM

Deconstructing Pelvic Pain: Differential Diagnosis and Interdisciplinary Treatment (304)

Chronic pelvic pain affects 15% of women ages 18 to 50 years old. An interactive problem-based learning discussion with multidisciplinary speakers will review the broad differential diagnoses of pelvic pain, discuss appropriate specialist referral, and identify evidence-based strategies for pelvic pain management.

Diagnosing and Treating Pelvic Pain: Pain Medicine Perspectives

Jennifer Hah

Diagnosing and Treating Pelvic Pain: Urogynecologic Perspectives

Marian G. Acevedo Alvarez

Treating Pelvic Pain: Psychosocial Perspectives

Ravi Prasad

Learning Objectives:

  • Differentiate bladder pain syndrome/interstitial cystitis from a myriad of other pelvic pain conditions including endometriosis, vulvodynia, and peripheral nerve entrapments.
  • Identify the role(s) of various specialists (e.g., pain medicine specialist, urologist, pain psychologist, and physical therapist) in the evidence-based interdisciplinary treatment of pelvic pain.
Co-Presenters:

Jennifer Hah

Marian G. Acevedo Alvarez

Moderator:

Ravi Prasad

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