232 episodes

PAINWeek, the largest US pain conference for frontline practitioners, convenes its 13th annual meeting on September 3-7 at The Cosmopolitan of Las Vegas. The 5-day conference presents a diverse curriculum of 120+ hours across multiple course concentrations: acute, behavioral, and interventional pain management; chronic pain syndromes; medical/legal issues; neurology; palliative care; and pharmacotherapy, along with over 30 Special Interest Sessions. Full-day programs will be presented by the American Headache Society, the International Pelvic Pain Society, and the International Myopain Society. The expansive curriculum is geared toward physicians, physician assistants, nurse practitioners, nurses, pharmacists, hospitalists, psychologists, and other healthcare professionals involved in pain management. PAINWeek is provided by Global Education Group.

PAINWeek Podcasts PAINWeek

    • Education

PAINWeek, the largest US pain conference for frontline practitioners, convenes its 13th annual meeting on September 3-7 at The Cosmopolitan of Las Vegas. The 5-day conference presents a diverse curriculum of 120+ hours across multiple course concentrations: acute, behavioral, and interventional pain management; chronic pain syndromes; medical/legal issues; neurology; palliative care; and pharmacotherapy, along with over 30 Special Interest Sessions. Full-day programs will be presented by the American Headache Society, the International Pelvic Pain Society, and the International Myopain Society. The expansive curriculum is geared toward physicians, physician assistants, nurse practitioners, nurses, pharmacists, hospitalists, psychologists, and other healthcare professionals involved in pain management. PAINWeek is provided by Global Education Group.

    How to Live in Your Discomfort Zone Without Opioids

    How to Live in Your Discomfort Zone Without Opioids

    Pain Management Strategies for the Geriatric Population

    This session will examine pain relief options for the elderly population, focusing mainly on the use of spinal orthoses as a way to reduce or eliminate the use of opioids in the elderly. Statistics have shown, in no uncertain terms, the aging of the American population. With this increase in the elderly population comes a substantial rise in the number of patients living in pain due to various spinal afflictions, from fractures to scoliosis to kyphosis, disc issues, and beyond. Due to the aging population plus the widespread opioid epidemic, practitioners need to explore viable alternative methods to assist elderly patients without the use of opioids. Spinal bracing is an effective alternative for relieving pain and providing a better quality of life for the elderly and may reduce the need for opioids. In this program, we will examine advances in spinal bracing as well as the the recent medical literature supporting its safety, efficacy, and pain relieving capabilities. In addition, we will look at the role that bracing can and should play in reducing the need for opioids in your practice. (Recorded at PAINWeek 2018)

    • 42 min
    The Treatment of Neuropathies and Neuropathic Pain

    The Treatment of Neuropathies and Neuropathic Pain

    Clinical Applications of Electronic Signal Treatment and the Combined Electrochemical Treatment: A New Method

    Combined electrochemical treatment (CET) uses local anesthetics and with electronic signal treatment (EST) to mitigate/eliminate pain, allodynia, numbness, and other symptoms of neuropathic and chronic pain. Its physiological actions are understood using the principles of physics, not pharmacology. CET treats all causes of peripheral neuropathy and patients experience reduction of pain, dysesthesias, allodynia, numbness; an increase in strength; improvement in motor function, balance, and improved QoL. EST provides an alternative to steroids due to profound anti-inflammatory effects with evidence showing boosting of immune function. Central pain can be treated utilizing CET and EST. A case report of phantom limb pain illustrates the potential for sophisticated multiplexed electric energy signaling to treat central pain. Sports medicine care includes application of physical modalities to treat acute injuries so patients can remain active and competitive. This course will examine how EST provides risk free and cost effective treatments for the aches and pains of life by reducing muscle spasm, blocking pain, and allowing function to be restored more quickly than with many existing modalities. (Recorded at PAINWeek 2018)

    • 51 min
    Assessing and Managing Comorbidities in Chronic Pain Patients

    Assessing and Managing Comorbidities in Chronic Pain Patients

    Bridges to Babylon

    Individuals who suffer from chronic pain often present with significant medical and psychiatric comorbidities that can exacerbate the pain experience and contribute to a further erosion of quality of life and disability. In this current climate of reducing the reliance on opioids or opioid sparing it is essential that clinicians effectively and efficiently identify and manage these comorbidities. This presentation will provide an overview of the prevalence of common comorbidities, assessment strategies, and pharmacologic and nonpharmacologic interventions in patients with chronic pain. (Recorded at PAINWeek 2018)

    • 47 min
    The Problem of Prolonged Withdrawal Syndrome (PWS)

    The Problem of Prolonged Withdrawal Syndrome (PWS)

    Benzodiazepines and "Z" Drugs for Pain Patients

    Benzodiazepines and ‘Z’ drugs are frequently coprescribed to pain patients. They were developed for legitimate medical needs, but unbridled success and application has led to serious problems, some of which are known. The potential extreme duration of the withdrawal syndrome, however, is virtually unknown by providers and regulators. Patients suffer, not knowing the symptoms have a cause and not having medical professionals to turn to for help. They may become “difficult” patients, marginalized, or told that their symptoms are psychological. Paradoxically, the simplicity and success of GABA-A receptor knowledge has distracted from studying other pharmacology of these drugs. A glaring example is the almost universal lack of awareness of peripheral benzodiazepine receptors. Despite the higher risk, benzodiazepines have not been increased in scheduling per the DEA’s Controlled Substances Act. This course will address the unmet and largely unrecognized medical need of overprescription, dependence, and withdrawal, and discuss actionable change to improve the knowledge, attitudes, preemptions, and practices of stakeholders. (Recorded at PAINWeek 2018)

    • 1 hr 2 min
    IV Naloxone Infusion: A Hidden Gem

    IV Naloxone Infusion: A Hidden Gem

    Despite the current opioid crisis, opioids remain the mainstay of analgesic therapy. They are associated with a multitude of side effects, including respiratory depression, pruritus, nausea, vomiting, urinary retention, ileus, and constipation. Beyond certain doses and duration of intake that vary from patient to patient, opioids can also induce a state of paradoxical hyperalgesia. Among these side effects, opioid induced ileus, urinary retention, and opioid induced hyperalgesia contribute to unnecessary prolongation of hospital length of stay. Naloxone is a well known antagonist used to reverse opioid induced respiratory depression. There is evidence supporting the use of low dose IV naloxone to prevent and reverse all of the above mentioned opioid induced side effects without reversing the analgesia. However, low dose IV naloxone appears to be underutilized. In addition to reviewing the literature, we will share our experience and clinical results from the implementation of low dose IV naloxone protocols at Cedars Sinai Medical Center in Los Angeles. (Recorded at PAINWeek 2018)

    • 46 min
    The Right Drug, the Right Patient, the Right Time

    The Right Drug, the Right Patient, the Right Time

    The content of this presentation will encourage audience participation. The “rights” section—drug, patient, time—will enable participants to reflect on medical malpractice cases where these rights were initiated in less than adequate outcomes and fell below the standard of care. Additionally, attendees will come to understand the pharmacokinetic challenges often reflected in the treatment of the geriatric patient, and there will be discussion of the various opioid metabolism routes of substrate, inducer, and inhibitor pathways. (Recorded at PAINWeek 2018)

    • 1 hr 16 min

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