Instructional Course

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

IC2A: Pre-Exam - NO pre-recorded content. Handout Only (Emerging Concepts and Evidence Basis Behind Novel Approaches to Managing Chronic Spinal Pain) (853523)

Monday, October 19, 2020

9:00 AM – 10:00 AM EST

Moderator(s)

Thiru M. 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

*TWO-DAY COURSE* Peripheral sensitization and central sensitization are always considerations that need to be considered along with the treatment of the original sources of “Chronic Spinal Pain’. Diagnostic ultrasound is a cost-effective option that may be used for diagnosis and further Treating with Novel Therapeutic Ultrasound Guidance Injections including Prolotherapy, Platelet Rich Plasma (PRP), Anesthetic, Corticosteroid or even Sterile water only as for improving range of joints motion, regenerative 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 decreasing the swollen tissue within a 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 or emotional disturbance or even cognitive dysfunction.
Day 1
830-900 Introduction
900-1000 Pre-exam (multiple choice): [30 questions]
1000-1030 Coffee Break
1030-1200 Emerging Concepts in Evaluation and Management of Chronic Spinal Pain: AS and TA (45 min each) [AS: Sensitization principles] [TA: Functional Restoration for Fear Avoidance Behaviors, Kinesiophobia]
1200-1300 Lunch break
1300-1400 Approach to Patients with Chronic Spinal Pain with Peripheral Desensitization: [AS: ESWT, Laser and PMS]
1400-1500 Approach to Patients with Chronic Spinal Pain with Peripheral Desensitization: [TA: Electrodiagnosis-Role in Guiding Treatment and Bracing- Recent study results]
1500-1530 Coffee break 30 min
1530-1700 Basic Spinal Pain Treatments: [CBT, psychological approaches, pharmaceutical approaches; evidence-based discussion]

CBT-CP: Dr. Alicia Heapy: 30-min

Psychologically informed PT, Jason M. Beneciuk: 30-min

Novel pharmaceuticals: Evidence-based discussion: TA: 30-min

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