The American Academy of Pain Medicine

Wednesday, January 28

Intrathecal drug delivery (IDD) for the management of intractable cancer and non-cancer pain has been available for nearly 30 years.  Advantages of IDD include effective pain control, fewer side effects compared with systemic medications, ability to easily adjust dosages, and provide a therapy that is reversible.  This course will provide a comprehensive overview of intrathecal therapy including pharmacologic sites of action, emerging  therapies including the most current consensus-based treatment algorithm, advances in medication delivery (equipment and programming), as well as potential complications arising from IDD and strategies to minimize their occurrence.

6:00 - 6:05 am
Moderator
Leonardo Kapural, MD, PhD

6:05 - 6:25 am
Novel Algorithm for Intrathecal Therapy: Rationale for Algorithm Changes
Timothy R. Deer, MD

6:25 - 6:45 am
Current Dilemmas and Future Challenges in Intrathecal Therapies: Opioids Versus Non-Opioids
Leonardo Kapural, MD, PhD

6:45 - 7:05 am
Complications of Intrathecal Therapies Including IT Granulomas
B. Todd Sitzman, MD, MPH

7:05-7:15 am
Question and Answer

This program is supported by an unrestricted educational grant from Elan Pharmaceuticals, Inc.

Thursday, January 29

Norman Doidge, MD
Psychiatry
Columbia University
New York, NY and
University of Toronto
Toronto, Ontario, Canada

8:00 - 8:30am

Plenary Research Highlights (102)

Intro: Ajay D. Wasan, MD MSc
Anesthesiology and Psychiatry
Harvard Medical School/Brigham and Women's Hospital
Pain Management Center
Chestnut Hill, MA

8:30 - 9:00am

AAPM President's Welcome Address (103)
Kenneth Follett, MD PhD

10:00 - 10:45am

American Medical Association Address: Quality Patient Care (104)
J. James Rohack, MD

Friday, January 30

Nikolai Bogduk, MD
Newcastle Bone and Joint Institution
Royal Newcastle Hospital
Newcastle, New South Wales, Australia

8:15 - 9:00am

AAPM Plenary Research Highlights (106)

Intro: Jeffrey Tiede, MD
Columbia Interventional Pain Center
Columbia, MO

10:00 - 11:00am

Acupuncture: Historical Perspectives and Emerging Advances in the Treatment of Pain and Addiction (107)

Jisheng Han, MD
Neuroscience Research Institute
Peking University
Beijing, China

3:15 - 4:15pm

Recent Advances in Complex Regional Pain Syndrome (113)

Objective correlates of CRPS provide utility for diagnostic criteria. Understanding of the small fiber changes that occur change the way we evaluate the syndrome and raise questions about whether there is a difference between CRPS I and CRPS II. Rat models are permitting cellular and molecular investigation. Functional magnetic resonance imaging (fMRI) of the brain of CRPS patients provides insight into the central nature of the syndrome. Ketamine and local anesthetic infusions are being studied on both inpatient and outpatient basis and results will be presented. In recent years the efficacy of spinal cord stimulation for CRPS has been questioned. Relevant literature will be critically reviewed, with the goal of linking some of the pathophysiologic concepts with modern treatment.

Moderator: Joshua P. Prager, MD MS
Director
Center for the Rehabilitation of Pain Syndromes
University of California-Los Angeles
Los Angeles, CA

Objective Correlates in the Diagnosis of CRPS: Small Fiber Changes
Anne Louise Oaklander MD PhD
Associate Professor of Neurology
Harvard Medical School
Neurology and Pathology
Massachusetts General Hospital
Boston, MA

Functional Imaging in CRPS
Sean Mackey, MD PhD
Director - Pain Management Division
Stanford University School of Medicine
Stanford, CA

CRPS and SCS: Evaluating the Evidence
Joshua P. Prager, MD MS

CRPS and Ketamine: A Look at Recent Protocols
Joshua P. Prager, MD MS

This educational program is supported through unrestricted medical education grants from Medtronic, Inc., Boston Scientific and Advanced Neuromodulation Systems, Inc.

4:15 - 5:15pm

The Art of Pain Medicine: When Needles and Drugs Don't Work (108)

Moderator: Perry G. Fine, MD - Program Committee Co-Chair
Professor of Anesthesiology
Pain Research Center
School of Medicine University of Utah Salt Lake City, UT

Panelists:

Kenneth A. Follett, MD PhD
Professor and Chief of Neurosurgery University of Nebraska Medical Center Omaha, NE

Norman Doidge, MD
Research Faculty
Center for Psychoanalytic Training and Research Columbia University New York, NY
Department of Psychiatry
University of Toronto
Toronto, Ontario, Canada

Michael H. Moskowitz, MD
Bay Area Pain Medical Associates Mill Valley, CA

Leonardo Kapural, MD PhD - Interventional Track Chair
Pain Management Department Cleveland Clinic Foundation Cleveland, OH

Saturday, January 31

Intro: Leonardo Kapural, MD PhD
Pain Management Department
Cleveland Clinic Foundation
Cleveland, OH

8:30 - 9:30am

Pain Medicine in Older Adults: Preparing for a Paradigm Shift (110)

Debra Weiner, MD
Director, Older Adult Pain Management Program
Associate Professor of Medicine, Psychiatry and Anesthesiology
University of Pittsburgh
Pittsburgh, PA

10:00 - 11:00am

WAR and PAIN: From Battlefield to Back Home (111)

Chester ‘Trip' Buckenmeier III, MD COL MC USA
Uniformed Services University of the Health Sciences
Bethesda, MD

R. Norman Harden, MD
Center for Pain Studies
Northwestern University Feinberg School of Medicine
Chicago, IL and
Rehabilitation Institute of Chicago
Chicago, IL