8:45 AM-10:00 AM Friday, February 28

General Session II

Pain Management in Special Populations (103A)

 

Pain Management in Athletes

Brian Hainline

Pain is a common problem in athletes and often results from sport injury. Both pain and injury interfere with athletic performance and quality of life. Injury is too often pre-supposed as the causal mechanism of pain, but pain in athletes often results from a breakdown in periodization and the kinetic chain continuum, and is influenced by psychosocial stressors. This session will focus on the relationships and differences between pain and injury in athletes, and will provide a broad management strategy, the foundation of which includes defining the nature of pain, assessing the kinetic chain continuum and training schedule, and appreciating the role of psychosocial influencers. Non-pharmacologic and pharmacologic strategies will be described.

Pain Management in Dogs and Cats: Implications for Treating People

Mark Epstein

This session will also examine the One Pain concept, including the translational impact (and prospects) of animal pain as encountered in veterinary medicine and the relationship to its human counterpart in the research and clinical settings. Discussions will include recognition and assessment of pain in animals; an emerging focus on natural models of painful conditions in animals to analogous conditions in humans, the impact of the opioid crisis in veterinary medicine, veterinary organizations, initiatives, and guidelines focused on animal pain, a snapshot of pain management strategies that can be found in primary care veterinary settings, and emerging directions.

AAPM Awards Presentation (103B)

Tim Lamer

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11:15 AM–12:15 PM Saturday, February 29

Innovative Approaches to Providing Quality Pain Care to Under-Served Populations (308)

This session will outline the needs of under-served and under-resourced patients with chronic pain and provide specific assessment and treatment implications for working with three under-served groups: older African Americans, LGBTQ patients, and rural-dwelling patients. Experts will offer research-based evidence to guide clinical practice for these high-risk patients.

Access to Self-Management Interventions Among Rural-Dwelling Patients with Chronic Pain

Katie Hadlandsmyth

'Dealin’ with Pain: What Older African Americans with Multi-Joint Osteoarthritis Want from Healthcare Providers

Staja Booker

Providing LGBTQ Informed Medical Care

Emily Silverman

Learning Objectives:

  • Describe the unique needs and preferences for chronic pain treatments in older African American patients.
  • Identify approaches to providing optimal and gender-congruent care to LGBTQ patients.
  • Apply an innovative clinical framework for considerations related to providing pain care to rural-dwelling patients.
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9:15 AM–10:15 AM Saturday, February 29

Current State: Treatment of Cancer Associated Pain (303)

Presentations from three clinicians who provide interventional and medical cancer pain management. Discussion will include novel approaches: including neurosurgical and cryotherapeutic approaches.

Approaches to Cancer Associated Pain

Halena Gazelka

Neurosurgical Approaches to Cancer Associate Pain

Zaman Mirzadeh

Novel Approaches: Cryotherapy and Cancer

Jonathan Morris

Learning Objectives:

  • Describe currently available neurosurgical approaches to cancer associated pain.
  • Determine when cryotherapy may be appropriate for the management of cancer associated pain.
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Moderator:

Halena Gazelka

Co-Presenters:

Zaman Mirzadeh

Jonathan Morris

11:00 AM–12:00 PM Sunday, March 1

Pain and Addiction: Which Came First? (409)

Rigid implementation of the 2016 Center for Disease Control and Prevention guidelines caused the physical and psychological suffering of chronic pain patients. The speakers in this session are experts in ethical tapering of opioids based on patients' quality of life (QOL), ability to function, and opioid-related side effects. The panelists will address both the pharmacological and behavioral aspects of managing these patients.

Chronic Pain and SUD: The Multimorbidity Underneath

Vitaly Gordin

Ethical Opioid Tapering: Patient Comes First

W. Michael Hooten, MD

The Role of Psychologist in Managing Opioid Use Disorder

Joseph Hobelmann, MD MPH

Learning Objectives:

  • Examine ethical patient-centered opioid tapering aimed at improving QOL and decreasing opioid-related side effects.
  • Examine behavioral approaches to patients using chronic opioids and how a psychologist can help reduce opioid dose while empowering the patient.
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8:30–9:30 AM Sunday, March 1

Advancing Pain Care for Veterans: Innovations in Interdisciplinary Pain Management, Telehealth, and Opioid Safety (402)

The session will highlight innovations in pain care to expand access to pain specialty care and improve outcomes in the Veterans Health Administration. We will present strategies to improve collaboration between pain specialists and primary care providers including telehealth. We will also highlight the technological innovations that can assist pain providers to improve outcomes including dashboards and clinical decision support tools.

Interdisciplinary Pain Care for Veterans: The VA Stepped Care Model That Integrates Pain Specialty and Primary Care

Friedhelm Sandbrink

Telehealth for Pain: Bringing Pain Care to Veterans Everywhere

Timothy Dawson

Big Data and Predictive Analytics: Using Dashboards and Decision Support Tools to Advance Opioid Safety and Suicide Prevention

Elizabeth Oliva

Learning Objectives:

  • Review at least two strategies to coordinate care between specialty and primary care in an integrated stepped care model for pain.
  • Describe how to efficiently utilize telehealth for pain.
  • Discuss how dashboards and clinical decision support tools based on predictive analytics improve outcomes for patients with severe chronic pain and reduce risks such as opioid overdose and suicide.
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