Sunday, March 1 (10)

9:45–10:45 AM

Moving from Patient-Reported Outcomes to Medical Informatics Approaches to Help Your Practice (407)

This session will discuss how patient-reported outcomes, advanced analytics, and medical informatics can help your pain practice.

Combining PRO's and Medical Record Information to Predict Patient Outcomes in Your Practice

Ajay Wasan

Medical Informatics Approaches to Pain Management Beyond Patient-Reported Outcomes

Meredith Adams

Latest Advances in CHOIR, Results, and Practice Lessons Learned

Sean Mackey

Learning Objectives:

  • Identify cutting-edge approaches to collecting patient-reported outcomes.
  • Interpret the role of advanced medical informatics and their approaches to pain management.
  • Examine how the combination of PRO collection plus medical informatics, AI, and predictive analytics will revolutionize the approach to assessing and treating chronic pain.
Co-Presenters:

Meredith Adams

Sean Mackey

Moderator:

Ajay Wasan

9:45–10:45 AM

Applying Lessons Learned from the DoD and VA in the Prevention and Treatment of Chronic Pain (406)

Leaders in military and VA medicine discuss unique aspects of the treatment of pain in active duty service members and veterans to include the role of integrative medicine, halting the transition from acute to chronic pain after injury, and the stepped care model of pain management. The generalizability of these issues to civilian pain care, and the challenges faced by federal medicine providers, are discussed.

Stepped Care Model for Pain Management: Relevance for Civilian Care

Friedhelm Sandbrink

Integrative Pain Medicine

Eric Schoomaker

Preventing Chronic Pain After Trauma

Chester Buckenmaier

Learning Objectives:

  • Identify the role aggressive acute pain treatment has in preventing the chronification of pain after injury.
  • Develop an appreciation of the unique features of service—and combat-related wounds, injuries, and illnesses and comorbidities that have led to chronic pain problems—including chronic opioid problems after more than a decade and a half of armed conflict.
  • Discuss the benefits and possible shortcomings of the stepped care model for pain management.
9:45–10:45 AM

Neuropathic Pain: Pharmacological Trends and Interventional Techniques in Challenging Patients (405)

Patients with intractable neuropathic pain are challenging. This session will discuss the evidence-based use of current pharmacotherpeutic agents that target underlying pain mechanisms. We will also review the evidence-based uses of regional and interventional techniques including neural blockade, neuromodulation (spinal cord stimulation and peripheral stimulation), and targeted drug delivery and guidelines for use of some of these modalities.

Update on Pharmacotherapy

Andrea Nicol

Regional and Interventional Techniques

May Chin

Neurostimulation and Targeted Drug Delivery

Eellan Sivansen

Learning Objectives:

  • Review current evidence-based uses of pharmacological agents that target neuropathic pain.
  • Discuss evidence-based uses of interventional techniques in patients with severe neuropathic pain refractory to conventional treatment.
  • Review current guidelines and concepts in neuromodulation (spinal cord stimulation, peripheral stimulation) and targeted drug delivery for intractable neuropathic pain.
Co-Presenters:

Andrea Nicol

Eellan Sivansen

Moderator:

May Chin

8:30–9:30 AM

Brain Imaging (404)

This session will describe the advances and utility of neuroimaging for pain. Specifically, it will provide a contemporary overview of neuroimaging of the brain, brainstem and spinal cord. It will outline how neuroimaging has advanced the understanding of acute and chronic pain, as well as how cognitive and emotional factors contribute to the magnification and persistence of pain. The neuroscience of placebo and expectations and how this knowledge can translate into better understanding of our patient’s response to treatment will also be discussed. Finally, current efforts and results in development of objective brain/spinal cord biomarkers to (1) predict treatment responses; (2) prognose course of pain; (3) identify those susceptible to the development of chronic pain after injury will be discussed. The session will conclude with an interactive Q&A session to address the current and future uses of neuroimaging in pain.

Neuroimaging of Pain: Overview and Impressions

Katherine Martucci, PhD

Placebos and Painkillers: Is Mind as Real as Matter

Luana Collaca, PhD

Brain-Based Biomarkers of Pain: Advancing the Goal of Precision Pain Medicine

Sean Mackey, MD PhD

Learning Objectives

  • Discuss the role of neuroimaging in elucidating the central mechanisms involved in pain processing, perception and plasticity.
  • Recognize the cognitive and emotional factors that modulate our experience of pain, our individual differences in pain perception and analgesia, and the central neural correlates of these phenomena.
  • Discuss the neuroimaging results that have advanced our understanding of placebo and nocebo in the experience and treatment of pain.
  • Describe the role of brain neuroimaging in the detection and classification of acute and chronic pain
  • Review the validity requirements for a neuroimaging based measurement of pain to be clinically useful as a tool for precision pain medicine.
  • Review the ethical, privacy, and legal implications of a brain imaging-based objective measure of pain.

 

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