The last 18 years of armed conflict, the longest in the nation's history, have resulted in unique challenges to Service members and Veterans in both acute and chronic pain management. The DoD and VHA response to pain management during the war represents a unique opportunity to evaluate how these large federal systems, representing almost 20 million beneficiaries, are improving pain management systems. This program outlines the federal response to the pain management crisis and concurrent opioid epidemic within a high functioning population tasked with defending this country. Federal medicine's adoption of innovative spine procedures, incorporation of integrative health into a stepped collaborative biopsychosocial care model, and new patient reported outcome standards in the management of pain provide opportunities for early civilian adoption of these advances. Civilian systems will benefit from observing how these changes have impacted federal medicine.
Interventional Treatment of Back Pain in Service Members & Veterans
Steven P. Cohen, MD
VA Collaborative Stepped Care Model for Pain
Friedhelm Sandbrink, MD
DoD Pain Patient Reported Outcomes Measures
Chester “Trip” Buckenmaier III, MD COL (Ret.) MC USA
- Identify service members and veterans who may benefit from procedural interventions for spine pain
- Describe how integrative health modalities have complemented and enhanced more standard pain management approaches.
- Discuss the importance of quality patient reported outcomes data to evaluate the success of both individual patient interventions and overall pain management system changes.