7 am–5:45 pm Thursday, January 11

Certificate of Attendance: Advanced Neuraxial Neuromodulation

The purpose of the Certificate of Attendance course is to provide an educational platform, offered through NANS, to educate and train physician providers on the evidence-based and appropriate utilization of implantable therapies for pain management (spinal cord stimulation and intrathecal drug delivery). The course will consist of 2 educational parts, including a hands-on cadaver lab, where spinal cord stimulation and intrathecal therapy implantation techniques are reviewed. Further, attendees will have scheduled didactics focusing on the core objectives described below.

Target Audience

This course is designed for those who have already completed residency and/or Accreditation Council for Graduate Medical Education (ACGME) fellowship training and are interested in formalizing neuromodulation in their practice.

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8:30 am–4 pm Thursday, January 11

Advanced Practice Provider Course (PAs, NPs, Nurses): A to Z in Neuromodulation

This course will provide advanced practice providers (APPs) an overview of topics in neuromodulation through lectures, case studies, panel discussions, and a Jeopardy board review. The material will be presented by physician and APP faculty and will be relevant for anyone with an interest in neuromodulation or working in a pain management, neurosurgery, neurology, orthopedic, or physical medicine and rehabilitation practice.

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3:30–5 pm Saturday, January 13

Physical Medicine and Rehabilitation Nuances

Physical medicine and rehabilitation encompasses the treatment of neurological and musculoskeletal injuries that have resulted in functional deficits as well as debilitating pain. This session will highlight several common themes faced by the physical medicine and rehabilitation (PM&R) physician.

Learning Objectives

Upon completion of this educational activity, participants should be able to:

  • Describe the pathophysiology and challenges of treating postamputation pain syndromes, including utilization of peripheral nerve stimulation temporary implants.
  • List potential therapies for poststroke shoulder pain and dysfunction, including peripheral nerve stimulation.
  • Develop strategies for rehabilitating the patient who has received a spinal cord stimulation device.
  • Create novel treatment possibilities for a spinal cord injury using prosthetic applications.
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3:30–5 pm Saturday, January 13

Management of Axial Spinal Pain

Treatment of chronic axial spinal pain has always represented a major challenge for the field of neuromodulation. As new techniques in neuromodulation evolve, they show promise for better patient outcomes. This session will review the currently available evidence on spinal cord stimulation (SCS) and intrathecal drug therapy (IDT) for treatment of axial spinal pain.

Learning Objectives

Upon completion of this educational activity, participants should be able to:

  • Discuss the role of SCS in axial spine pain.
  • Recognize the evidence for SCS in nonsurgical spinal pain.
  • Describe the role of IDT vs. SCS for axial spinal pain.
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3:30–5 pm Saturday, January 13

Advances in Pain Neuromodulation

Chronic abdominal pain, pelvic pain and axial low back pain can be very difficult to treat with conventional methods. In this section, we will explore the appropriate uses as well as advances of using neuromodulation to treat this challenging pain.

Learning Objectives

Upon completion of this educational activity, participants should be able to:

  • Discuss the rationale and targets for neuromodulation in chronic abdominal and pelvic pain.
  • Recognize the approach to manage pain with neuromodulation devices.
  • Describe current treatments and advances for hard to capture pain.
  • Identify indications for stimulation
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1:30–3 pm Saturday, January 13

Psychology of Pain

Pain perception involves sensation, emotion, and cognition. This session will discuss how optimal patient care requires inclusion of pain psychology and psychopharmacology in interventional pain management treatment planning.

Learning Objectives

Upon completion of this educational activity, participants should be able to:

  • Explain what is meant by the psychology of pain.
  • Support the utility of presurgical screening for implantable device medical decision making.
  • Review psychological issues related to opioid analgesic and psychopharmacologic regimens.
  • Recognize the range of psychotherapy approaches appropriate for patients with pain.
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1:30–3 pm Saturday, January 13

American Academy of Pain Medicine Session: Management of the Patient on Systemic Opioids

The opioid epidemic has prompted regulatory changes and new guidelines for the management of patients. In this session, we examine alternative strategies to opioids and advise on how to manage these challenging patients.

Learning Objectives

Upon completion of this educational activity, participants should be able to:

  • Discuss the literature on opioid reduction with neuromodulation.
  • Describe risks and benefits of continued opioid management.
  • Strategize management options for the dependent and addicted patient.
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1:30–3 pm Saturday, January 13

NIC Closed Loop Stimulation

In this session geared toward engineers, basic scientists, neurologists, and neurosurgeons, we discuss progress on closing the loop in deep brain stimulation. Further, we explore clinical and research tools to improve programming and our understanding of mechanisms of action to optimize means of feedback.

Learning Objectives

Upon completion of this educational activity, participants should be able to:

  • Recognize how optogenetics can be used to elucidate mechanisms of action of chronic pain in the central nervous system.
  • Explain how functional imaging provides insight into deep brain stimulation network activation.
  • Describe how to most efficiently and effectively deliver deep brain stimulation for Parkinson’s disease.
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Faculty subject to change.