Best PAINWeek Podcasts Pain Management Podcast Podcasts (2024)

1
Improving Safety of Chronic Opioid Prescribing by Incorporating Clinical Pharmacists on Teams 47:23

2+ y ago47:23

47:23

The management of chronic noncancer pain with opioid medications is controversial. The negative consequences have been described as a public health emergency and the efficacy of chronic opioid therapy remains a subject of significant debate. Despite recommendations that chronic opioid therapy not be utilized until other methods fail, there remains …

1
Buprenorphine: A Molecule for All Seasons 44:10

3y ago44:10

44:10

Buprenorphine was developed by UK based Reckitt & Colman Products and released in the United Kingdom in 1978. That same year, a clinical study determined that buprenorphine could be helpful in reducing cravings of pure opioids in patients with an opioid abuse disorder. Then, a separate study published in 1982 demonstrated that buprenorphine offered…

1
That’s Debatable! Does Cannabis Reduce Opioid Death, and Does Gabapentin Increase It? 43:26

3y ago43:26

43:26

The use of opioids to treat chronic pain has become quite contentious in recent years. Things get even more confusing when we consider adding an adjuvant analgesic in the mix. Does this reduce or heighten risk? The audience can decide where to throw spitballs when 2 practitioners debate 2 separate topics. First, is the use of cannabis plus an opioi…

1
When Darkness Falls: Managing Pain in Fibromyalgia and Restless Leg Syndrome 49:50

3y ago49:50

49:50

In previous presentations, Dr. Jay has discussed the pathophysiology, neuroanatomical, and other aspects of fibromyalgia. In this activity, all of that will NOT be discussed, so the focus can be only on the diagnosis and treatment of fibromyalgia and restless leg syndrome. Treatment will be covered in depth, not the phenomenology that is the comple…

1
Back Pain: It's All About the Diagnosis 2:12:58

3y ago2:12:58

2:12:58

The prevalence of back pain continues despite the many treatments available, without any single treatment being a panacea. In routine clinical practice there has been a tendency of clinical examinations to become more cursory, largely influenced by increasing demands of time and arguably an overreliance upon technology. It has been suggested that t…

1
Icebergs, Oceans, and the Experience of Pain 48:22

3y ago48:22

48:22

Today’s providers are limited by time and must work with extreme efficiency. And yet for many, 100% of their time is used trying to treat 20% of their patients’ problems. This presentation will address the problem of chronic pain, provide simple tools to use during any office visit, and explain the power of positive and negative thoughts on the chr…

1
No Guts, No Glory: Mystery of the Microbiome 51:25

3y ago51:25

51:25

Several recent studies have found intriguing links between gut microbes, rheumatoid arthritis, and other diseases. Additional studies have shown the interactions between the central nervous system, enteric nervous system, and the gastrointestinal tract, suggestive that gut microbiota appears to influence the development of emotional behavior, and s…

1
Better With Age? Pain Management of the Older Adult 54:35

3y ago54:35

54:35

Pain is common in the aging population. Findings from an NIH funded study looking at the impact on pain in the older adult found that over 50% of people surveyed had pain within the last month, often in more than one location. Despite the high prevalence of pain, pain often remains undertreated, resulting in impaired cognition, decreased socializat…

1
Opioid Therapy and Opioid Tapering: Guidance for Clinicians to Improve Outcomes. 49:15

3y ago49:15

49:15

This course will review the scientific evidence for/against opioid therapy, risk mitigation, and different methods of opioid tapering. Providers need guidance to determine which patients may or may not benefit from opioids. While most pain patients on opioid therapy manage opioids safely, the risks are detrimental to some patients and society. Clin…

1
Applying Mechanism-Based Classification to Clinical Reasoning for Complex Persistent Pain 1:47:45

3y ago1:47:45

1:47:45

Understanding the mechanisms that drive a persistent pain process is critical for effectively treating pain in any patient. While it is common to treat pain from a primary nociceptive perspective, this approach often fails in patients with central sensitization. Pain mechanism based classifications can help clinicians make recommendations that may …

1
A Modest Proposal: Addressing the Components and Complexities of Coordinated Care 1:07:06

3y ago1:07:06

1:07:06

Course DescriptionWhen we practitioners approach complex medical problems (whether pain, depression, or even GERD) that have psychological and lifestyle components and we do so with minimally monitored drug-only therapies, we may bounce from one “wonder drug” to another and end up bewildered or worse. These problems need complex approaches that add…

1
The Visible Few: An Imperfect Burden on Patients and Providers 47:47

3y ago47:47

47:47

Forced downward titration has been broadly implemented throughout the country as a direct result of the CDC Guideline for Prescribing Opioids for Chronic Pain. Prescribing clinicians feel pressured to follow the CDC’s recommendations of dose limits to avoid regulatory sanctions, and pharmacists feel a corresponding obligation to intervene in accord…

1
Status Traumaticus: A Trauma Informed Approach to Chronic Pain Management 54:26

3y ago54:26

54:26

This session is designed to familiarize learners with the principles of the neurobiology of the traumatized patient and illuminate the salient concepts that are germane to the presentations and treatment of patients with chronic pain. At the conclusion of this activity, practitioners should be able to identify several key aspects of behavior and pr…

1
Understanding Analgesic Trials 1:32:19

3y ago1:32:19

1:32:19

There are various types of studies that are necessary to perform in order to determine their clinical relevance. The process extends from benchtop to bedside side and includes various special populations like pediatrics and geriatrics. This course addresses various elements related to the study of analgesics. Novel improved preclinical animal model…

1
Psych Twister: Using Metaphors, Mindfulness, and Values to Promote Behavioral Change 48:08

3y ago48:08

48:08

Chronic pain is much more than a physical sensation. It can be all-encompassing and often impacts an individual in a multitude of ways, spawning discouraging, painful, or unwanted psychological experiences such as thoughts, feelings, and memories as well as functional limitations. The natural approach might be to dedicate time and expend energy and…

1
An Elusive Villain: Pain Associated With Lyme Disease and Other Spirochetal Infections 50:01

3y ago50:01

50:01

Spirochetal infection symptoms include muscle pain, nausea, vomiting, abdominal pain, and many others. Lyme disease can cause joint pain and stiffness, fatigue, flu-like symptoms, and sleep problems, among others. Depending on the species of bacteria involved, symptoms may be quite painful and range from acute to chronic. How are patients infected?…

1
Enhancing Recovery After Surgery: How Certified Nurse Anesthetists Are Improving Outcomes 56:31

3y ago56:31

56:31

The healthcare community is at a crossroads as the opioid crisis rages in America – how to provide effective pain management while preventing opioid abuse and addiction. This session will explore evidence-based opioid-sparing pain management techniques and how they are improving patient outcomes and quality of life while also reducing overall costs…

1
VA's Stepped Care Model for Pain Management and Whole Health 48:43

3y ago48:43

48:43

The Pain Management Best Practices Inter-Agency Task Force identified inconsistencies and fragmentation of pain care as gaps in US healthcare that limit best practices and patient outcomes. The report encourages coordinated care and cites the collaborative stepped model of pain care, as adopted by the Department of Veterans Affairs and the Departme…

1
Let’s Get on the Same Prescribing Page: Standardizing Opioid Prescribing Practices 42:27

3y ago42:27

42:27

This presentation will focus on the development of a clinical decision tool to standardize opioid prescribing for patients with sickle cell disease. Pain is the hallmark symptom of sickle cell disease, which is often managed by hematologists or primary care physicians. Currently, there is no clinical decision tool or any type of standardization reg…

1
Alcohol as Analgesia: Does It Really Numb the Pain? 48:44

3+ y ago48:44

48:44

Chronic pain and alcohol consumption are both very common in the general population, and alcohol is often used to numb both physical and emotional pain. The epidemiology of co-occurring pain and alcohol use will be discussed in this presentation. In addition, we will review the latest evidence surrounding the interaction between alcohol consumption…

1
Chapter None: Patient-Centered or Paper-Centered Pain Management? 59:13

3+ y ago59:13

59:13

Virtually all healthcare professionals have some degree of altruism and a strong desire to help patients in need. As healthcare continues to evolve, the burdens on clinicians change as well. While most of us have been taught that providing a “medical home” to patients along with shared decision-making is the most ethical way to provide effective he…

1
Neck and Upper Extremity Pain Syndromes 59:22

3+ y ago59:22

59:22

There are many potential underlying causes for neck and upper extremity pain. All too often, only the most common conditions such as a disk herniation or carpal tunnel syndrome are explored.The purpose of this course is to review other common problems (such as radiculitis), and not so common (such as rib arthropathy pain syndromes) that can affect …

1
Pain Catastrophizing: Making a Mountain Out of a Mole Hill 48:57

3+ y ago48:57

48:57

Psychosocial factors have become increasingly recognized as important moderators and determinants of the pain experience. One such factor that has garnered great empirical attention is pain catastrophizing. Pain catastrophizing has been described for more than half a century, yet many frontline practitioners continue to be unfamiliar with the const…

1
Pain Therapeutics 1:52:01

3+ y ago1:52:01

1:52:01

Therapy of pain is a challenge and requires special approaches. This course, as part of the Pain Educators Forum (PEF), will build on information provided in other PEF sessions and focus on the prevalence and impact of unrelieved pain, pathogenesis, and treatments of pain. Participants will learn about approaches and advances in therapy of common a…

1
Eyes Without a Face: Music Therapy and Pain Management in Alzheimer’s Disease 1:24:33

3+ y ago1:24:33

1:24:33

This session is designed to familiarize learners with the principles of the neurobiology of the traumatized patient and illuminate the salient concepts that are germane to the presentations and treatment of patients with chronic pain. At the conclusion of this activity, practitioners should be able to identify several key aspects of behavior and pr…

1
Interventional Pain Management: Opioid-Sparing Technologies 44:16

3+ y ago44:16

44:16

The ancient Sumerians first cultivated the poppy plant for its opium in 3000 BC. The analgesic properties of opium were formalized into morphine and later commercialized by Merck Pharmaceuticals in 1827. To this date, morphine and its derivatives are effectively used for treating acute pain. In recent years, however, the overuse of opioids to treat…

1
The Global Legalization of Marijuana: A Reasonable Solution to Treat Pain… Or a Pipe Dream? 40:44

3+ y ago40:44

40:44

The United States is struggling with how to deal with two competing problems: the undertreatment of pain and the abuse of opioids. At the same time, millions of people in third-world countries are dying without access to any opioids, even liquid morphine, due in large part to a variety of barriers relating to distance, regulation, and knowledge. Co…

1
Achieving Change from Within: Use of Motivational Interviewing 49:48

3+ y ago49:48

49:48

Motivational interviewing (MI) is a counseling approach that was initially applied to address drinking behavior. At its core, it helps reduce patients’ ambivalence and move them toward action through use of their own intrinsic motivation. Over the years, MI has been applied broadly across different health domains to help shape outcomes. The approac…

1
Medication Assisted Therapy: New Opportunities in Treatment 43:31

3+ y ago43:31

43:31

Medication assisted therapy (MAT) for addiction has been available since 2000. Up until 2016, physicians have been the only healthcare providers able to prescribe buprenorphine for opioid addiction. On July 22, 2016, President Obama signed into law the Comprehensive Addiction and Recovery Act (CARA). This is the first major federal addiction legisl…

1
The Death of Caesar: Psychological Stages of Grief and Chronic Pain 45:07

3+ y ago45:07

45:07

Individuals with chronic pain may lack awareness that they are feeling grief. People who suffer from chronic pain may experience losses in several areas: comfort, sexual function, career, income, self-efficacy, cognitive function, intimacy, pride, joy, self-esteem, self-control, independence, mental health, hope, dignity, and certainty. Providers m…

1
Part 2: Transformative Care for Myopain: Enhancing Long-Term Success in Myofascial Pain 1:26:31

3+ y ago1:26:31

1:26:31

Myopain conditions including myofascial pain and fibromyalgia are among the most common disorders causing chronic pain and are a significant cause of suffering, addiction, disability, and healthcare utilization. More than half of the persons seeking care for these pain conditions at 1 month still have pain 5 years later despite treatment. The good …

1
Transformative Care for Myopain: Enhancing Long-Term Success in Myofascial Pain and Fibromyalgia 1:13:46

3+ y ago1:13:46

1:13:46

Myopain conditions including myofascial pain and fibromyalgia¬ are among the most common disorders causing chronic pain and are a significant cause of suffering, addiction, disability, and healthcare utilization. More than half of the persons seeking care for these pain conditions at 1 month still have pain 5 years later despite treatment. The good…

1
Get Your Specimens in Order: The Importance of Individualized Test Orders 1:13:51

3+ y ago1:13:51

1:13:51

2018 was not a good year to be on the wrong side of medical necessity when it came to drug testing and ongoing prescribing of controlled medication or substance abuse treatment programs. 2019 is likely to be an expensive year for those who do not proactively take steps to understand medical necessity for drug testing, prescribing controlled medicat…

1
Nutritional Pain Management 54:08

3+ y ago54:08

54:08

Multiple guidelines have recently emphasized nonpharmacologic interventions for chronic pain, with the role of nutrition strikingly absent.Given pain’s potential coexistence with metabolic dysregulation, including obesity, metabolic syndrome, and nutrient deficiency, nutrition-based interventions hold promise as an approach for improving pain statu…

1
Manual Therapies for Pain Management 43:40

3+ y ago43:40

43:40

This course will provide the principals and practiceof osteopathic medicine, showing anatomical unity,structure, and function, and pathways to innate healing.We will provide exam skills to incorporate kinetic chainsof motion with movement restrictions. If time permits,there will be demonstrations of counterstrain techniquesfor the spine and extremi…

1
Neurogenic Thoracic Outlet Syndrome 42:46

3+ y ago42:46

42:46

Pain represents a foremost feature of neurogenic thoracic outlet syndrome (NTOS). Symptoms include ipsilateral upper extremity pain, sensory loss, shoulder and neck discomfort, arm paresis or edema, headache, and even sympathetic nervous system impairment. This presentation will cover an evidence-based review of the classification, etiology, clinic…

1
Blinded by the Light: The Danger of Idiopathic Intracranial Hypertension 56:16

3+ y ago56:16

56:16

Idiopathic intracranial hypertension (formerly called pseudotumor cerebri) is a cause of headache, along with optic nerve edema, and can lead to permanent visual loss. This course will address how to diagnose it, how best to treat it, and other topics including subgroups and issues of “outliers.” This is a frequently missed diagnosis, and important…

1
Let’s Get Physical! Musculoskeletal Pelvic Pain 53:07

3+ y ago53:07

53:07

Pelvic floor muscle dysfunction is associated with pelvic pain, physical disability, and sexual dysfunction. Prevalence estimates of musculoskeletal dysfunction in various pelvic pain conditions, including endometriosis, vulvodynia, and painful bladder syndrome, range from 21% to 80%. In addition to being associated with other painful conditions, p…

1
La Femme Migraneur 51:59

3+ y ago51:59

51:59

Despite being one of the more frequently noted triggers for migraine, estrogen and its role in the pathology of migraine is still unknown. This talk discusses the current understanding of the role of estrogen in the headache experience. We will start by touching on the clinical experience the field has gathered and then dig into the fledging scienc…

1
Acute Pain in Patients With Active Substance Use Disorder 51:22

3+ y ago51:22

51:22

Opioid use and addiction have soared in the United States over the past 20 years, and drug overdoses have become the leading cause of injury death. Persons with opioid use disorder (OUD), particularly those injecting opioids, frequently require hospitalization and encounter need of acute opioid analgesia for trauma, surgery, infection, and other me…

1
I'm Not a Doctor, But I Play One in DC 57:11

3+ y ago57:11

57:11

At the 2018 Department of Justice (DOJ) Opioid Summit, then-Attorney General Jeff Sessions remarked that opioid prescribing had reached its lowest point in 18 years. Still, the DOJ is committed to reducing opioid analgesic prescriptions an additional 30% to 33% within the next 3 years. More than ever, prescribers of controlled prescription medicati…

1
Causalytics – You’re in Pain, and it’s All Your Fault 51:54

3+ y ago51:54

51:54

Assessment, diagnosis, treatment plan formulation, implementation, and follow-up are processes familiar to clinicians and are the main drivers of safe and effective chronic pain treatment. However, many other things influence our clinical decision-making, including the continuing controversies about the role of opioid analgesics in the management o…

1
Lost in the Weeds: The Past, Present, and Future of Hemp in Pain Management 47:46

4y ago47:46

47:46

Marijuana and hemp are genetically distinct cousins of the genus Cannabis sativa L., yet they have been erroneously associated with each other for the past 80 years. That all changed in December 2018 when Congress removed hemp from the federal Controlled Substances Act and legalized the plant and its derivatives such as cannabidiol (CBD), a substan…

1
Putting the FUN in Dysfunctional: Pain Management Options in Renal and Hepatic Dysfunction 38:38

4y ago38:38

38:38

It’s your worst clinical nightmare: providing dosing recommendations for opioid and/or nonopioid pain medication treatment for a patient with renal or hepatic impairment. Even scarier, a patient with end-stage renal or hepatic disease! Put your panic aside and learn about the INs and OUT of managing opioid and/or nonopioid pain medications, and why…

1
Insight into Preclinical Drug Discovery and Translational Medicine 54:15

4y ago54:15

54:15

It is becoming increasingly common to hear a new analgesic drug molecule described as a “biased ligand,” being “peripherally restricted,” or as having been “engineered.” What do these terms mean? How are such drugs designed or discovered, and how do you even know that you have one when you have one? For that matter, how are any modern analgesic dru…

1
Moving Mountains: Shifting the Pain Management Paradigm 51:42

4y ago51:42

51:42

In 2010, the Captain James A. Lovell Federal Healthcare Center became the first fully integrated facility caring for active duty, veterans, retirees, and dependents in the US. This presented healthcare professionals with unique challenges including how to address pain management in such a diverse population. In 2017, a core team was tasked with the…

1
Stem Cells and Regenerative Medicine for Nonresolving Inflammation 1:12:35

4y ago1:12:35

1:12:35

Humans have been searching for the Fountain of Youth for millennia, from Herodotus to Ponce de León. Some people feel that regenerative medicine, a field that encompasses stem cells, growth factors, and other cell mediating proteins, is that magical fountain, while others, including some physicians, members of various regulatory committees, and som…

1
The World According to Cannabinoids: Clinical and Research Updates 1:24:39

4y ago1:24:39

1:24:39

Despite the widespread acceptance of medicinal and recreational cannabis use internationally and domestically, marijuana remains federally illegal in the United States. For this reason, there are significant legal implications to clinical practice. Clinicians are unprepared to answer questions regarding legality or safety of cannabis use, and unpre…

1
Opioid Math Calculations: Conversions, Titrations, and Breakthroughs 46:51

4y ago46:51

46:51

Ah… drug math. Those 2 little words can make a strong healthcare provider want their mommy. But no fear. Armed with an understanding of conversion calculations, some semisolid facts about equivalencies, and a healthy sense of “Does that LOOK right?”—you’ll be just fine! This lively session will review new and emerging data on opioid conversion calc…

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