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.

11 am–Noon Sunday, March 10

Neuropathic Pain Pharmacologic Management: Maximizing Success with Available Agents and Emerging Therapies (411)

Efficacy is often limited with currently available neuropathic pain adjuvants. This session will focus on mitigating the failure of currently available pharmacologic agents, recognizing the limitation of current neuropathic pain algorithms, understanding the role of pharmacogenomics in neuropathic pain treatment choice, and the status of novel agents in development.

Mitigating Neuropathic Pain Pharmacologic Failures

James C. Watson, MD

Emerging Therapies in the Treatment of Neuropathic Pain

Charles E. Argoff, MD

Learning Objectives:

  • Identify common reasons patients fail first line neuropathic pain adjuvants and practical approaches to maximize the chance of success with currently available agents.
  • Examine the limitations of evidence based neuropathic pharmacologic treatment algorithms.
  • Identify where novel or re-emerging treatments fit within current evidence based treatment algorithms.
  • Analyze how advances in pharmacogenomics may influence neuropathic pain pharmacologic treatment choices currently and in the future.
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11 am–Noon Sunday, March 10

Lumbar Medial Branch Radiofrequency Neurotomy: How Understanding Anatomy, Patient Selection, and Technique Affect Outcomes (410)

A successful outcome of lumbar medial branch radiofrequency neurotomy (LMBRFN) is dependent on careful attention to principles of facet join pain diagnosis and elements LMBRFN procedure technique. This session will present in depth discussion of these multiple, intricate factors. The relevant anatomy, diagnostic standards, and physics of radiofrequency lesions as applied to LMBRFN will be detailed, as supported by the current medical literature.

Lumbar Medial Branch Blocks to Accurately Diagnose Lumbar Zygaphophyseal Joint Pain: False Positives, Disease Prevalence, and Diagnostic Confidence

Byron Schneider, MD

Anatomy of the Lumbar Medial Branch Block and How This Relates To Ideal Procedural Technique

Zachary McCormick, MD

Evidence-Based Review of Lumbar Medial Branch Radiofrequency Neurotomy Outcomes

David J. Kennedy, MD

Learning Objectives:

  • Recognize the exact anatomy of the lumbar medial branch nerves and how they can be best accessed.
  • Define the diagnostic principles of medial branch nerve blocks and how they can be interpreted to define a 'positive' for patient selection, based on the best medical evidence.
  • Summarize the physics the lesioning the medial branch nerves via radiofrequency technology, in a manner that is most likely to achieve effective coagulation of the nerve, based on the medical literature.
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9:45–10:45 am Sunday, March 10

Mobile-Assisted Treatment: Health-Tech Innovations to Enhance Pain Care and Addiction Treatment (408)

Combining Pain Treatment with Community Based Support Enhanced by Wearable Technology in Patients with Dual Diagnosis. Mobile applications hold the promise of improving chronic pain care in patients with dual diagnosis by facilitating access to resources that minimize unnecessary readmission and relapse of substance use.

Taming the Two-Headed Monster: Managing the Patient with Dual Diagnoses of Chronic Pain and Substance Use Disorder

Vitaly Gordin

Connecting the Disconnected: Online Support Networks For Addiction Recovery

Thomas Simpatico

Enhancing Hub & Spoke Medication-Assisted Treatment with Mobile Applications and Biosensors

Eric Dentler

Learning Objectives:

  • Discuss the incidence of chronic pain in patients with SUD.
  • Demonstrate the appropriate approach to pain management in this patient population.
  • Identify emerging community based approaches including wearable technologies that help monitoring these patient and potentially prevent a relapse.
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9:45–10:45 am Sunday, March 10

Immediate Adverse Events Associated with Epidural Injections, Particulate Versus Non-Particulate Steroid Use During Epidural Injections (406)

New evidence has come to light regarding best safety practices during interventional pain procedures. This session highlights the most current high quality literature that investigates safety considerations related to anticoagulation management during interventional pain procedures, adverse event risk mitigation during epidural steroid injections, and preventing long-term disc degeneration following lumbar provocation discography.

The Risks and Benefits of Ceasing Versus Maintaining Anticoagulation Medications During Interventional Pain Procedures

Byron Schneider, MD

Immediate and Early Adverse Events of Epidural Steroid Injections: What Does the Most Rigorous Evidence Teach Us?

David J. Kennedy, MD

An Evidence-Based Update on Particulate vs. Non-Particulate Steroid Use During Epidural Injections

David J. Kennedy, MD

Learning Objectives:

  • Analyze the body of literature and best evidence regarding anticoagulation management during interventional pain procedures.
  • Define the adverse event rates in the immediate and early post-procedure time period following epidural steroid injection according to clinical practice guidelines and how to mitigate these risks.
  • Interpret new data that addresses the longterm effects of lumbar provocation discography performed according to modern techniques not used in prior studies.
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9:45–10:45 am Sunday, March 10

Managing Complex Chronic Pelvic Pain: An Interdisciplinary Approach (405)

Chronic pelvic pain (CPP) affects as many as 30% of people worldwide. The co-occurence of complex CPP in patients with multiple other common chronic pain conditions is under recognized. A multidisciplinary faculty will describe the assessment and treatment of complex CPP and present new insights into its pathophysiology as well as new treatment modalities.

New Insights into Neurological Disorders Associated with Complex Pelvic Pain: Impact on Assessment and Treatment

Charles E. Argoff, MD

How Can Neuromodulation Be Effectively Incorporated into the Treatment of the Person with Complex Chronic Pelvic Pain

Julie Pilitsis, MD PhD

Complex Chronic Pelvic Pain: Principles of Assessment and Treatment

Elise De, MD PhD

Learning Objectives:

  • Evaluate the person presenting with CPP in general as well specifically for the management of their painful symptoms upon completion of this session.
  • Treat the person with CPP in a multidisciplinary manner upon completion of this session.
  • Evaluate the person with CPP for specific underlying diagnoses that may assist in their improving treatment outcome upon completion of this session.
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8:30–9:30 am Sunday, March 10

The Power of Groups: How, Why, When, and Where to Start a Pain Psychology Group (403)

These sessions will equip participants with knowledge on the efficacy of pain psychology interventions in light of the changing healthcare environment. The session will highlight special applications of pain psychology such as brief interventions and group based treatments.

Where the Past Meets the Future: Pain Psychology in a Changing World

Judith Scheman, PhD

The Power of Groups: How, Why, When and Where to Start a Pain Psychology Group

Sara Davin, PhD

Learning Objectives:

  • Demonstrate increased knowledge of the evidence supporting pain psychology interventions.
  • Acquire skills to deliver brief interventions based in the science of pain psychology.
  • Acquire skills to develop, implement and deliver group interventions that can be tailored for various complexities and types of pain.
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Moderator:

Judith Scheman, PhD

Speakers:

Sara Davin, PhD

8:30–9:30 am Sunday, March 10

New Safety Considerations for Interventional Pain: Risks Associated with Cumulative use of Steroid Injections, Short and Long-Term Complications of Disc Puncture and Provocation Discography (402)

The safety of interventional spine procedures: adverse events of spine injections, long-term complications of discography, and risks and benefits of stopping of continuing anticoagulation medications.

An Update on Cumulative Steroid Risk with Spinal Injections

Byron Schneider, MD

Short-Term Risks of Disc Puncture and Provocation Discography

Zachary McCormick

Long-Term Risks of Provocation Discography

Zachary McCormick, MD

Learning Objectives:

  • Quantify the indications, effectiveness, and common complications of epidural steroid injections.
  • Discuss the most up to date information regarding long term outcomes following discography.
  • Discuss the risk and benefits of maintaining versus ceasing anticoagulation medications for spine interventions.
Read more...
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