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)

IC2B: LIVE DISCUSSION: Chronic Spinal Pain management: Case Discussions (Emerging Concepts and Evidence Basis Behind Novel Approaches to Managing Chronic Spinal Pain) (853523)

Presenter(s)

• 

  Areerat Suputtitada, MD

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

  Thiru M. Annaswamy, MD, MA

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

  Denise D. Lester, MD, Assistant Professor

  Anesthesiologist Interventional Pain Physician
  Central Virginia VA Health Services Center Department PMR
  Richmond, Virginia

  Presentation Slides Handouts Presentation + Audio
• 

  Jason M. Beneciuk, PT, DPT, PhD, MPH

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

  Robert Trainer, DO,MBA

  Pain Management Physician
  Richmond VA Medical Center
  Richmond, Virginia
• 

  Alicia Heapy, PhD

  Associate Professor
  Yale School of Medicine and VA Connecticut Healthcare System

  Presentation Slides

*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.
0900-1000 Novel Ultrasound Guided Injections for Spinal Stenosis [AS: PRP; Prolotherapy; Sterile water; Corticosteroid risk-benefit]
1000-1030 Coffee break
1030-1200 Chronic Spinal Pain management: Case Discussions [All speakers]
1200-1300 Lunch break
1300-1430
Interventional Pain management: Neurostimulation [Denise Lester and Robert Trainer]
Central stimulation: [RT]
Peripheral Nerve stimulation [DL]
1430-1500 Coffee break
1500-1600 Post-test [30 questions]
1600-1630 Conclusions, Q&A [AS & TA]

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