Pain Rehabilitation

Clinical Practice (assessment, diagnosis, treatment, knowledge translation/EBP, implementation science, program development)

International

Neuroplasticity (includes neuroscience)

Technology (e.g. robotics, assistive technology, mHealth)

IC2A: Emerging Concepts and Evidence Basis Behind Novel Approaches to Managing Chronic Spinal Pain

Moderator(s)

• 

  Thiru Annaswamy, MD, MA

  Staff Physician and Section Chief
  VA North Texas Health Care System and UT Southwestern Medical Center
  Dallas, Texas

  Handouts
• 

  Areerat Suputtitada, MD

  Professor
  Chulalongkorn University & King Chulalongkorn Memorial Hospital
  Bangkok, Thailand, Krung Thep

Presenter(s)

• 

  Thiru Annaswamy, MD, MA

  Staff Physician and Section Chief
  VA North Texas Health Care System and UT Southwestern Medical Center
  Dallas, Texas

  Presentation Slides Presentation + Audio
• 

  Jason Beneciuk, PT, DPT, PhD, MPH

  Clinical Research Scientist (Brooks Rehabilitation)
  Assistant Professor (University of Florida)
  Jacksonville, Florida

  Presentation Slides Presentation + Audio
• 

  Alicia Heapy, PhD

  Associate Professor
  Yale School of Medicine and VA Connecticut Healthcare System

  Presentation Slides Presentation + Audio
• 

  Areerat Suputtitada, MD

  Professor
  Chulalongkorn University & King Chulalongkorn Memorial Hospital
  Bangkok, Thailand, Krung Thep

  Presentation Slides

Body of Abstract: Chronic spinal pain conditions are always challenging to be treated. After a clinical evaluation, a best informed diagnosis is needed before treatment. Peripheral sensitization and central sensitization always need to be considered along with treatment of the "original" sources of pain. Diagnostic ultrasound is a cost effective option that may be used for diagnosis and further treatment with novel therapeutic approaches including prolotherapy, platelet rich plasma, anesthetic, corticosteroids, or even sterile water for improved range of motion and regeneration of joints, tendons, muscles, and nerves. Dry and wet needling, extracorporeal shockwave therapy (ESWT) and high power laser therapy (HPLT) play roles of peripheral desensitization and regeneration of damaged tissues. The novel effect of ESWT is diminishing the calcification and HPLT is used in decreasing the swollen tissue within short period of treatment time. Transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (TDCS) are selected for central desensitization for pain modulation and novel effects for psychotherapy in chronic pain which mostly develop depression, emotional disturbance, or cognitive dysfunction.

Topics to be covered:

• Physiology of pain (neuro and musculoskeletal concepts)
• How to approach pain
• Diagnostic investigations in pain
• Basic pain management (including traction, ultrasound therapy, SWD, TENS, and cold)
• Advanced pain management (including ESWT, HPLT magnetic stimulations (both PMS and TMS), and tDCS)
• Interventional pain management (including ultrasound guidance injections)
• Botulinum toxin
• Platelet rich plasma
• Prolotherapy
• Therapeutic exercises
• Psychotherapy
• Pharmacotherapy

Abbreviated Description: This two-day course in advanced spine pain management focuses primarily on emerging concepts and novel approaches in pain management as well as the current state of evidence.

Learning Objectives:

• Outline the clinical approach to evaluating patients with chronic spinal pain
• Define the basic approaches to treatment of chronic spinal pain
• Describe the novel treatments to chronic spinal pain
• Describe the emerging concepts of chronic spinal pain management
• Outline the evidence basis behind the novel approaches and emerging concepts to treat chronic spinal pain

Presentations:

• 8:30 AM – 5:00 PM EST

  IC2A: Agenda (Emerging Concepts and Evidence Basis Behind Novel Approaches to Managing Chronic Spinal Pain)
• 9:00 AM – 10:00 AM EST

  IC2A: Pre-Exam - NO pre-recorded content. Handout Only (Emerging Concepts and Evidence Basis Behind Novel Approaches to Managing Chronic Spinal Pain)
• 10:30 AM – 12:00 PM EST

  IC2A: Emerging Concepts in Evaluation and Management of Chronic Spinal Pain (Emerging Concepts and Evidence Basis Behind Novel Approaches to Managing Chronic Spinal Pain)
• 1:00 PM – 2:00 PM EST

  IC2A: Approach to Patients with Chronic Spinal Pain with Peripheral Desensitization (Emerging Concepts and Evidence Basis Behind Novel Approaches to Managing Chronic Spinal Pain)
• 2:00 PM – 3:00 PM EST

  IC2A: Approach to Patients with Chronic Spinal Pain with Peripheral Desensitization (Emerging Concepts and Evidence Basis Behind Novel Approaches to Managing Chronic Spinal Pain)
• 3:30 PM – 5:00 PM EST

  IC2A: Basic Spinal Pain Treatments (Emerging Concepts and Evidence Basis Behind Novel Approaches to Managing Chronic Spinal Pain)