8:00 AM–5:00 PM Wednesday, February 26

Pharmacologic Management of Pain: Expanding the Options, Improving Outcomes (001)

The pharmacologic management of acute and chronic pain is an important aspect of most if not all clinicians’ daily practices. However, strategies aimed at optimizing the use of nonopioid analgesics while mitigating the potential risks associated with opioid use can be difficult to implement. This course will provide timely, useful, and practical information about the use of opioid and nonopioid analgesics to treat adults with acute and chronic pain. The growing and evolving controversy of the therapeutic application of cannabis and cannabis-related products is an additional question facing providers.

With pain management-leading faculty for numerous well-regarded institutions, this course will help the learner better integrate various medications from different pharmacologic classes in order to optimize a rational polypharmacy approach to managing chronic pain, including comorbid symptoms of depression, anxiety, and sleep disturbances and implementing evidence-based assessment and treatment strategies supported by recent guidelines to optimize appropriate opioid analgesic use while applying a patient-centered approach to mitigate the risks of abuse, misuse, addiction, and diversion. Strategies to help improve opioid tapering and managing opioid use disorder will be explored.

Learning Objectives:

  • Apply the recent epidemiological evidence related to prescription opioid abuse and misuse, prescription opioid and heroin overdose deaths, and the risks associated with concomitant benzodiazepine use.
  • Review opioid analgesic medications to better understand the potential benefits and short-comings of abuse deterrent formulations.
  • Assess and interpret aberrant drug-related behaviors and integrate risk assessment tools/strategies into clinical practice.
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8:00 AM–3:30 PM Thursday, February 27

Integrating Behavioral Pain Medicine into Patient Care: Science, Practice, and Innovations (003)

Join us for a full-day behavioral pain medicine workshop with some of the most prominent experts in the field. There will be presentations on the state of the science, practice, and innovations. Attendees will acquire actionable assessment skills, knowledge across a range of key topics, practical handouts, resources and tip sheets on behavioral medicine integration. This workshop is suitable for medical professionals who wish to better understand salient factors impacting their patients with pain, as well as for mental health professionals who want more experience in pain treatment. Featured workshop speaker: Dr. Franke Keefe

Welcome

Tim Lamer

Behavioral Pain Medicine: Challenges and Opportunities

Beth Darnall

Placebo and Expectations

Luana Colloca

Measurement of Highest Yield Psychological Factors

Daniel Bruns

Behavioral Interventions for Pain: Where Have We Been and Where Are We Going?

Francis Keefe

Treatment of Depression and Anxiety Disorders

Ajay Wasan

Diagnosing Addiction in Patients on Prescribed Opioids

Edward Covington

Yes, We Do That Too: The Many Roles for Pain Psychologists

Judith Scheman

Learning Objectives:

  • Discuss the role of psychological factors in the experience and treatment of pain.
  • List 3 novel future directions for behavioral pain medicine and list 2 key assessment tools for behavioral specialists who treat pain.
  • Discuss the role of placebo and nocebo in the experience and treatment of pain.
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8:00 AM–3:30 PM Thursday, February 27

Advanced Ultrasound-Guided Pain Medicine Interventions (002)

The field of pain medicine ultrasonography is rapidly evolving with new applications for acute and chronic pain that can be rapidly applied to clinical practice. Ultrasound guidance offers the potential benefits of accuracy, portability, direct visualization of vasculature, absence of radiation exposure and potentially lower cost. With improving technology, emerging applications continue to evolve for pain medicine sonography.

This program provides an overview of the advantages and limitations of ultrasound guidance in the practice of pain medicine and provides hands-on applications for the ultrasound novice. The advantages and disadvantages of ultrasound and fluoroscopy also will be discussed. Attendees will practice real-time techniques for common ultrasound procedures and will review the available literature regarding new indications, safety and outcomes.

Attendees will rotate through live model hands-on stations with a low faculty-to-learner ratios covering treatments listed below. A limited number of reduced-price registrations will be offered for trainees currently enrolled in fellowship programs.

Stations

Head and Neck

Including third occipital nerve, cervical medial branch, cervical facet joint, TMJ, cervical selective nerve root block, stellate ganglion, occipital nerve, V2/V3, and US guidance for nerve ablation

Meredith Barad, MD
David A. Edwards, MD PhD

Lumbar Spine, Sacrum, Pelvis

Including lumbar facet joint injection, lumbar medial branch, SI joint, SI joint denervation (posterior sacral network), caudal epidural, piriformis, iliopsoas bursa, IL/IH nerve, genitofemoral nerve, pudendal nerve, lateral femoral cutaneous nerve, US guidance for nerve ablation

Ming-Chi Kao, MD PhD
Vafi Salmasi, MD

Upper Extremity Musculoskeletal and Nerve

Including AC joint, glenohumeral joint, subacromial/subdeltoid bursa, biceps tendon, suprascapular nerve, cubital tunnel, carpal tunnel, US guidance for nerve ablation and brachial plexus blocks

James Khan, MD MSc
Jee Youn Moon, MD PhD FIPP CIPS

Lower Extremity

Including hip joint, knee joint, trochanteric bursa, saphenous nerve, common peroneal nerve at the fibular head, superficial peroneal nerve, deep peroneal nerve, tibial nerve, sural nerve, US guidance for nerve ablation

Tina Doshi, MD MHS

Ultrasound Guidance for Peripheral Nerve Stimulation

Amitabh Gulati, MD
Eellan Sivanesan, MD

Ultrasound Guidance for Regenerative Medicine

Einar Ottestad, MD FIPP CIPS
Eugene Roh, MD

Learning Objectives:

  • Describe pain sonography spanning the head, neck, spine, pelvis, and upper and lower extremities.
  • Describe the utility of ultrasound guidance in ablation, peripheral nerve stimulation, and regenerative medicine interventions.
  • Recognize the limitations of spine sonography and the process of ultrasound-assisted vs. ultrasound-guided neuraxial injections.

Agenda

8-8:55 am
Rotation 1

8:55-9:50 am
Rotation 2

9:50-10 am
Break

0-10:55 am
Rotation 3

10:55-11:50 am
Rotation 4

11:50 am-Noon
Q&A

Noon-1:30 pm
Lunch

1:30-2:25 pm
Rotation 5

2:25-3:10 pm
Rotation 6

3:10-3:15 pm
Q&A and closing remarks

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