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Chronic Pain: Treat or Refer? -FREE NO CME
This monthly session offers a comprehensive review of the transition from acute to chronic pain after surgery. It explores the typical timeframes and various definitions of persistent post-surgical pain (PPSP) and opioid use, providing a deeper understanding of PPSP's distinct features. Participants will learn to recognize its manifestations as neuropathic, nociceptive, mixed, or central sensitization. A significant portion of this session will be dedicated to outlining the diverse treatment options pain specialists offer for PPSP, emphasizing a biopsychosocial approach. This includes a discussion of non-opioid medications, physical therapy, interventional procedures, and the role of pain psychology. Ultimately, this program aims to equip attendees with the knowledge to identify when referral to a pain specialist is most appropriate, which will help improve patient outcomes and lessen the burden of chronic post-surgical pain.
Target Audience
Iowa Surgical providers
Clinical teams
Learning Objectives
Analyze the general time frames for the transition from acute, subacute, to chronic pain after surgery, and the varying definitions of persistent post-surgical pain and opioid use.
Recognize features of persistent post-surgical pain as neuropathic, nociceptive, mixed, or central sensitization.
Describe treatment options that pain specialists can offer for the treatment of persistent post-surgical pain in the context of a biopsychosocial approach including non-opioid medications, physical therapy, interventions, and pain psychology. Specifically, the pathway of interventions for the diagnosis and treatment of neuropathic pain will be discussed in the context of specific operations.
Additional Information
| Attachment | Size |
|---|---|
 Handouts | 1.6 MB |
Jennifer Hah, MD, MS
As an anesthesiologist, pain medicine specialist, and clinical epidemiologist, my research interests span development of novel psychotherapeutic interventions at the intersection of pain, prescription opioid addiction, and psychology. As an NIH-funded researcher I am working to develop novel interventions (behavioral, medical technology, medical device) to prevent continued pain and opioid use after surgery. My clinical interests include treatment of chronic pelvic pain conditions including painful bladder syndrome/interstitial cystitis, endometriosis, pelvic floor myofascial pain, pudendal neuralgia, peripheral nerve entrapments, pelvic adhesions, vulvodynia, and chronic constipation.
No CME is available with this course. To access CME please register for the course titled Chronic Pain- When to Refer, with CME
This material was prepared by Compass Healthcare Collaborative (Compass)
Fees are charged solely for individuals seeking Continuing Medical Education (CME) credits. All educational materials are provided at no cost and are freely accessible regardless of CME participation. This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Iowa Medical Society (IMS). Compass is accredited by the IMS to provide continuing medical education for physicians.