Chronic Pain Syndromes: Current Concepts and Treatment Strategies
Course Overview
Advances in pain science, in turn, have the potential to greatly assist healthcare providers in delivering more effective pain management approaches, in part through greater elucidation of disease-treatment relationships. Equally important is that some of the most established practices of pain management are now being challenged by recent research evidence. This course intends to provide primary care providers with an understanding of neurobiological mechanisms that underlie common chronic pain conditions and the latest recommendations on pain management. Consistent among treatment guidelines for a wide range of chronic pain conditions are recommendations for using a mechanistic-based treatment approach. This strategy matches the analgesic mechanism of action with the likely underlying pain pathophysiology, combining pharmacologic, psychologic, physical rehabilitation, and interventional treatment approaches into a single, multi-modal approach that addresses the sensory, emotional, cognitive, interpersonal, and social contributions to causation and maintenance of pain. The pace of neuroscience discovery and translation into patient care has led to rapid obsolescence of some practice guidelines. Every effort has been made to provide the most updated information on pain and its management for this course.
Learning Outcomes
Upon the completion of this course, the learner should be able to:
- Recall the epidemiology, contributing factors, and personal/societal cost of chronic pain syndromes.
- Outline the pathophysiology of visceral and referred pain and therapeutic implications.
- Describe the management of pain associated with cancer.
- Describe the presentation and evidence-based management of low back pain.
- Apply evidence-based strategies for the management of whiplash-associated disorders.
- Illustrate approaches to the treatment of arthritis-associated pain.
- Analyze the diagnosis and treatment of gout and gout-related pain.
- Discuss the diagnosis and management of headaches of various types.
- Describe key points in the pathophysiology and treatment of endometriosis.
- Evaluate options available for the management of pain associated with sickle cell disease.
- Identify postherpetic neuralgia and available treatment modalities.
- Assess patients' post-amputation pain and identify treatment options.
- Review key points in the diagnosis and treatment of diabetic neuropathy.
- Outline the criteria for the diagnosis and management of complex regional pain syndrome.
- Identify appropriate strategies for the management of fibromyalgia pain.
About the Author/Presenter
Mark Rose, BS, MA, LP, is a licensed psychologist in the State of Minnesota with a private consulting practice and a medical research analyst with a biomedical communications firm. Earlier healthcare technology assessment work led to medical device and pharmaceutical sector experience in new product development involving cancer ablative devices and pain therapeutics. Along with substantial experience in addiction research, Mr. Rose has contributed to the authorship of numerous papers on CNS, oncology, and other medical disorders. He is the lead author of papers published in peer-reviewed addiction, psychiatry, and pain medicine journals and has written books on prescription opioids and alcoholism published by the Hazelden Foundation. He also serves as an Expert Advisor and Expert Witness to law firms that represent disability claimants or criminal defendants on cases related to chronic pain, psychiatric/substance use disorders, and acute pharmacologic/toxicologic effects. Mr. Rose is on the Board of Directors of the Minneapolis-based International Institute of Anti-Aging Medicine and is a member of several professional organizations.
Audience/Accreditations and Approvals
TRC Healthcare/ NetCE
In support of improving patient care, this activity has been planned and implemented by TRC Healthcare/ NetCE. TRC Healthcare/NetCE is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
This course is designed for the following healthcare professions (select your profession for details):
Nursing, Physician
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