2021 Topic: The Mysteries of Pain
At our 2021 annual conference, we’ll explore the mysteries of pain as they pertain to the conditions and comorbidities we look for in a patient experiencing pain. This is a chance to connect with fellow providers in the field as we seek to do the best work we can for our chronic pain patients. Let’s compare notes, share what we know, and push the boundaries of the possible in pain treatment.
DATE: OCTOBER 9, 2021 7AM- 5PM
LOCATION: BRIGHTWATER CENTER 22505 SR-9 S,
WOODINVILLE, WA 98072
COST: $200 WITH CME | $100 WITHOUT CME
THE 6TH VITAL SIGN
What we look for? Think flexibly about pain in every patient.
“Pain is distributed dimensionally in the population: “Fibromyalgia arose in the late 1970s and early 1980s from a need to better characterize and understand patients with pain. At the time, almost all rheumatology illness was described in mechanistic, immunological, or anatomic terms.The idea that fatigue, sleep disturbance, and pain alone could represent illness was new to rheumatology, as was the idea of what is referred to in the breach as the bio-psychosocial model of illness….Such symptoms are distributed broadly across rheumatic and nonrheumatic illnesses of all types. We do patients a disservice to ignore such data and only look for a defined extreme, fibromyalgia.”
– Frederick Wolfe 2003
Autism is distributed dimensionally in the population and presents comorbidly with increased rates of pain.
After correction for multiple comparisons, autism parents were found to be significantly more likely to be aloof (23% vs. 3%), rigid (49% vs. 5%), anxious (26% vs. 5 %) and hypersensitive to criticism (28% vs. 3%) than parents of Down’s syndrome probands.” Joseph Piven 2002
“After adjusting for age, sex, race, and household poverty status the odds of pain increased for children with autism spectrum disorder (OR2.19)and autism spectrum disorder and at least one developmental comorbidity(OR2.96).” Daniel Whitney and Danielle Shapiro 2019
Obesity is distributed dimensionally in the population, the treatment of which reduces chronic pain.
Among subjects who reported symptoms at baseline, the recovery rate after gastric bypass surgery for pain in the knee and ankle joints in men and pain in the neck and back and in the hip, knee and ankle joints in women improved in the surgical group compared with the control group after 2 years(ORs1.4?4.8). On average, obese subjects have more problems with work-restricting musculoskeletal pain than the general population. Surgical obesity treatment reduces the long-term risk of developing work-restricting musculoskeletal pain and increases the likelihood of recovering from such pain.” – Peltonenet. al., 2003
8:00 am -10:00 am | Mechanisms of Chronic Pain:
Measurement and treatment of pain hypersensitivity: achievements and challenges.
Michele Curatolo MD PHD,
Director UW Interventional Pain Program, EndowedProfessor for Medical Education and Research
Global gene expression profiling in fibromyalgia
Sunil Kurian PhD,
Research Scientist, Scripps Clinic Bio-Repository and Bio-Informatics Core
10:15 am -12:15 pm | Women’s Pain Issues
Pelvic floor physical therapy for incontinence and vaginismus
Hilary Pentz, DPT OCSOMT FAAOMPT,
Advanced Manual TherapyUW
Pelvic pain treatment algorithms: “a sex doc and a urologist walk into a bar”
Serena McKenzie ND, Karny Jacoby MD
Overlake Urology and Urogynecology
1:00 pm – 3:00 pm | Weight Management in Chronic Pain Patients
Judy Chen MD, FACS, FASMBS,
Diplomate of Obesity Medicine
Medical and dietary interventions for patients with restricted movement
Laura Montour MD, FAAFP, Dipl. ABOM
3:15 pm – 4:45 pm | Clinical Humility and Hospitality
Five exercises to maintain the therapeutic alliance when working with the so-called “difficult” patients. What if you are a”difficult” provider ?
Jon Berner MD PhD, Psychiatry,
Woodinville Psychiatric Associates
Catastrophic reactions in pain patients with comorbid autism spectrum: patient interview
To be announced