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.

1:45–2:45 pm Friday, March 8

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.
1:45–2:45 pm Friday, March 8

I Got Them All: Pathophysiology and Treatment of Overlapping Pain Conditions (207)

Most Complex persistent pain conditions (CPPCs) are heterogeneous with a high degree of overlap. This session will establish the degree of the overlap and explore the common pathophysiological and genetic mechanisms underlying these conditions. A mechanism-based heuristic model will be argued for treatment choices over body site specific approaches.

Molecular Pathophysiology of Overlapping Pain Conditions: The Lesson from UK Biobank

Luda Diatchenko, MD PhD

The Art and the Science of Integrative Health Approach to Management of Comorbid Pain Conditions

Michael Schatman, PhD

Multiple Pain Conditions in Quebec Pain Registry: Their Impact on Treatment Outcomes

Gabrielle Pagé, PhD

Learning Objectives:

  • Learn an evidence for similar genetic pathophysiological mechanisms underlining the high comorbidity among CPPCs and to understand which genetic variants are implicated in this shared genetic mechanism.
  • Review the role of different complementary practices for treatment of overlapping and comorbid pain conditions, and to recognize mechanisms underlying their effects across species.
  • Examine patterns of coexistence of multiple pain conditions among patients seeking tertiary care multidisciplinary pain treatments and determine their impact on treatment response.
1:45–2:45 pm Friday, March 8

Indications and Outcomes of Surgical Treatment of Back Pain: Getting the Right Patient to the Right Provider(s) (206)

A spine surgeon, an interventional pain specialist, and a pain psychologist will discuss factors that contribute to the most efficacious treatment of back pain. Utilizing team based approaches they will present case based scenarios to delineate plans for successful treatment, including cross discipline collaboration to ensure optimal outcomes.

Treating Back Pain Is a Team Sport

Judith Scheman, PhD

To Cut or Not to Cut: That Is the Question

Edward Benzel, MD

Who to Needle, Block, Pump, or Stimulate: The Right Patient for the Right Intervention

Jijun Xu, MD PhD

Learning Objectives:

  • Identify the psychosocial factors most likely to influence the success of surgery or other pain interventions.
  • Formulate a treatment plan most likely to help the patient as well as how to present that plan to the patient.
1:45–2:45 pm Friday, March 8

Addressing Barriers to Effective Pain Care Faced By Special Populations Including Women, Hispanics, and LGBTQ: Clinician, Psychology, and Economic Perspectives (205)

Barriers to effective pain treatment are diverse, undervalued, unidentified and unaddressed, and disproportionately seen in special populations. As a result, chronic-pain remains ineffectively treated and a public-health burden. With evidence and real-world examples, the value of clinicians identifying and addressing the breadth of barriers at the patient level will be presented and discussed from clinical, behavioral-medicine, and health-economic perspectives.

Unrecognized and Undervalued Barriers to Effective Treatment of Chronic Pain: Public Health and Economic Perspectives for Special Populations

Belinda Udeh

Medical and Interventional Spine: The Barriers to Effective Treatment of Chronic Pain in Special Populations from a Spine Specialist's Perspective

Marzena Buzanowska, MD

Adaptation of a Functional Restoration Program for Special Populations: A Focus on Hispanic Patients with Barriers to Effective Care

Sarah Rispinto, PhD

Learning Objectives:

  • Acquire knowledge of the diverse barriers to effective pain treatment faced by special populations, specifically a subset of the Hispanic population, from the physician, psychologist, health economics and public health perspectives.
  • Acquire an understanding of the value in addressing these barriers with an Increased confidence to effectively identify and address the patient-specific barriers to effective treatment of pain, specifically those patients from special populations.
  • Acquire competence in prescribing treatment plans that maximize effectiveness, by identifying and addressing the patient specific barriers to care.
11 am–Noon Friday, March 8

The Pain Clinician’s Diagnostic Armamentarium: Demystifying Appropriate Utilization and Limitations (204)

This session will focus on 1) understanding the role, timing, and limitations of electrodiagnostics, tests for small fiber dysfunction, and tests for immune mediated neuropathic pain; 2) when non-routine spine imaging may be preferable or complementary to routine spine MRI; 3) an approach to uncertain spine MRI findings.

Neuropathic Pain Diagnostic Modalities

James C. Watson, MD

Spine Imaging: When MRI Is Not Enough

Felix E. Diehn, MD

Learning Objectives:

  • Explain the role and limitations of electrodiagnostic testing in the evaluation of neuropathic pain conditions.
  • Interpret the unique, but now widely available studies available to evaluate small fiber nerve dysfunction (sudomotor testing and epidermal nerve fiber density testing through skin biopsy) and immune mediated neuropathic pain syndromes (voltage gated potassium channel, LGI1 and CASPR2 antibodies).
  • Distinguish when non-routine imaging may be preferable or complementary to routine spine MRI.
  • Define a practical approach to uncertain spine MRI findings in a pain medicine practice.
11 am–Noon Friday, March 8

The 'Newish' Skill of Measuring Pain Care in Routine Clinical Practice and Outcomes So Far (203)

Why you should collect patient reported outcomes in your practice, how to do it, and what the collected data in tens of thousands of patients tells us thus far.

Enhancing Patient by Patient Clinical Decision-Making Using Patient Reported Outcomes

Ajay D. Wasan, MD MSc

Overcoming the Challenges to Deploying an Electronic Patient-Reported Outcomes Tracking System

Gwynne Kirchen, MD

Advances In Medical Informatics and Cutting Edge Data Analysis of Registry Data

Sean Mackey, MD

Learning Objectives:

  • Assess the practical mechanics involved in measuring pain care.
  • Explain what the collected registry data tells us thus far.
  • Restate the cutting edge medical informatics and data analysis approaches that are used to analyze such data.
11 am–Noon Friday, March 8

Controversial Topics in Neuromodulation (202)

The session is designed for all pain providers and will evaluate the current evidence on spinal cord stimulation in various pain conditions. These procedures are being critically evaluated by payors, government systems, and physicians due to cost. A clear understanding of the evidence will improve outcomes and function in this vulnerable population.

Can We Predict Success With Spinal Cord Stimulation?

Ameet S. Nagpal, MD MS Med

Not All Waveforms Are Equal: Comparing and Contrasting Different Methods of Stimulation

Brian Boies, MD

Performing the Procedure and Ethical Considerations

Sanjog Sharad Pangarkar, MD

Learning Objectives:

  • Describe situations in which it is appropriate to refer a patient for spinal cord stimulator evaluation.
  • Interpret imaging, historical data, psychological screening, and physical examination to establish a pre-test probability of successful pain relief and functional outcomes with spinal cord stimulation.
  • Adjust your practice patterns to improve overall safety of spinal cord stimulation.
  • Optimize clinical practice management related to billing, malpractice, and collections in an ethical manner.
11 am–Noon Friday, March 8

Oncologic Treatment Related Pain: Updates and Paradigms for Management of Cancer-Treatment Related Pain (201)

Cancer treatment related pain is a small but significant pain population which often present with difficult to treat pain. The treatment algorithms for treating cancer pain are evolving and this session will update the audience to the latest advances in the care of this patient population.

Advanced Therapies for Radiation Induced Neuropathy

Vinay Puttanniah, MD

Treatment Paradigms for Chemotherapy and Immunotherapy Related Pain

Amitabh Gulati, MD

Advanced Treatment Options for Post-Surgical Pain in the Oncologic Population

Thomas Van de Ven, MD PhD

What Constitutes a Cancer Pain Survivor Patient: Identifying and Risk Stratifying Patients for Appropriate Cancer Pain Treatments

Dhanalakshmi Koyyalagunta, MD

Learning Objectives:

  • Describe the mechanisms of how specific cancer treatments can lead to pain syndromes.
  • Recognize the latest advances in treatments for cancer treatment related pain.
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