The AAPM 2020 educational program will be available in fall 2019. In the meantime browse 2019 meeting sessions and speakers to get a sense of the premier pain education offered during the AAPM Annual Meeting & Preconferences. Access recordings of past meeting sessions on demand.

5–6 pm Friday, March 8

Poster Research Highlights #1 (216)

Increasing both the quality and quantity of scientific pain research is a primary goal of the AAPM Annual Meeting. The Scientific Poster Abstract Committee has selected three of the highest ranking, most novel 2019 poster submissions for live presentation in this session.

Geographical Variation in Opioid-Related Hospital Use for Year 2015: A National Study

Sahil Gupta, MD

Virtual Reality Distraction for Anxiety and Pain Reductions during Trigger Pont Injection Procedures

Manila Shrestha

A Comprehensive Protocol for Postoperative Pain Control in Elective Total Joint Arthroplasty Drastically Reduces Opioid Prescriptions: A review of prescribing practices and outcomes

André Boezaart, MD PhD

Learning Objectives:

  • Discuss areas of current interest in pain research.
  • Describe heterogeneous clinical trial design methods used to study patients with chronic pain.
5–6 pm Friday, March 8

Cutting Edge Science and Clinical Practice: Buprenorphine/Naloxone for Pain and Opioid Use Disorder (215)

Opioid use disorder (OUD) and pain often co-occur, complicating the treatment of each condition. Research relevant to the use of buprenorphine/naloxone for treatment of patients with opioid use disorder and chronic pain will be presented. Participants will learn about approaches for managing patients with OUD while effectively treating pain.

Opioid Use Disorder Cascade of Care and Adoption of Evidence-Based Practices

Kristen Huntley, PhD

The Role of Buprenorphine When Benefit No Longer Outweighs Harm of Long-Term Opioid Therapy for Chronic Pain

William Becker

Acute and Perioperative Pain Management in Patients Taking Buprenorphine

Andrew A. Herring, MD

Learning Objectives:

  • Express the complexity of diagnosing OUD in the setting of long-term opioid therapy for pain.
  • Describe appropriate treatment approaches for patients with pain and OUD.
  • Apply best practice strategies for the management of acute and perioperative pain for patients on buprenorphine/naloxone and demonstrate the uses of intravenous buprenorphine for acute and perioperative pain.
5–6 pm Friday, March 8

The Use of Anesthetic Blocks to Select Patients for Joint Denervation: An Update on the Best Evidence (214)

A discussion of the evidence-base for anesthetic nerve blocks as a tool to predict clinical outcomes following radiofrequency neurotomy for joint pain. The impact of nerve versus intra-articular block, number of blocks, anesthetic volume used, use of contrast agent, and variations in needle tip position will be reviewed.

Medial Branch Nerve Blocks: Evidence-Based Best Practices

Steven P. Cohen, MD

Lateral Branch Nerve Blocks: The Foundational Science and Elements Yet to be Defined

Byron Schneider, MD

Genicular Nerve Blocks: Developments Toward a More Accurate Protoco

Zachary McCormick, MD

Learning Objectives:

  • Review the current diagnostic and clinical outcome literature that addresses medial branch nerve blocks in order to selection patients for radiofrequency neurotomy in the treatment of refractory spinal pain of facet joint origin.
  • Describe the foundational literature that defined an anesthetic block paradigm of the lateral branch nerves in order to anesthetize the posterior sacroiliac joint/dorsal ligaments, and discuss the need for a prognostic studies of lateral branch nerve blocks to determine if such block predict a positive outcome of radiofrequency denervation.
  • Summarize the current state of the evidence for anesthetic genicular nerve blocks and the evolution in protocol optimization that is needed given a recently published anatomic study.
5–6 pm Friday, March 8

Obesity and Chronic Pain (213)

Obese patients frequently present with pain complaints and comorbidities that challenge the scope of practice of any single medical specialty. Although the infrastructure for obesity treatment already exists in the realm of pain medicine, the simultaneous management of obesity and chronic pain requires additional office staff and physician training.

Treatment of Chronic Pain in Obese Individuals: Challenges and Solutions

Dmitri Souza, MD PhD

The Aching Fat: Obesity and Chronic Pain

Samer N. Narouze, MD PhD

Learning Objectives:

  • Assess fundamental relationships between the obesity and chronic pain.
  • Examine the specifics of interventional and pharmacological management as it applies to obesity and chronic pain.
3:45–4:45 pm Friday, March 8

Pain Education: Innovative Solutions (212)

Three novel approaches to providing advanced pain education will be discussed. These educational 'cases' will provide a platform for the exploration of other approaches for educating the broader clinical world in pain management.

Online, Advanced Pain Education for All Clinicians

Steven Richeimer, MD

Primary Care Pain Fellowships

Scott M. Fishman

Project ECHO for Pain Education

Joanna G. Katzman

Learning Objectives:

  • Identify and describe 3 novel programs that provide advanced pain education.
  • Discuss the need for additional pain education that exists throughout the clinical world.
3:34–4:45 pm Friday, March 8

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 Friday, March 8

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 Friday, March 8

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

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.
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