ESSENTIAL PAIN CONCEPTS AND THE NEUROSCIENCE OF MANAGING PAIN – via zoom live streaming from 29 May – 15 June 2020.

With Mandy Röscher – BSc Physiotherapy (WITS); Physiotherapy Clinician and Lecturer – Mandy has a passion for teaching and has given a variety of lectures, particularly on Pain Neurophysiology, Pain Neuroscience Education and Communication. Mandy supervises and lectures on the SAOMT Course and is the current national co-ordinator for the Advanced Neuromusculoskeletal Course (previously OMT Course). She is a co-owner of her own private physio practice in KZN

Module 1. Neurophysiology of Acute Pain 29 May 2020 | 9am – 12noon South African time
Module 2. Neurophysiology of Chronic and Neuropathic Pain; 1 June 2020 | 9am – 12noon South African time
Module 3. Assessment of Acute and Chronic Pain; 6 June May 2020 | 9am – 12noon South African time
Module 4. Chronic Pain Conditions; 8 June 2020 | 9am – 12noon South African time
Module 5. Management of Acute and Chronic Pain; 13 June May 2020 | 9am – 12noon South African time
Module 6. Pain Neuroscience Education; 15 June May 2020 | 9am – 12noon South African time

ESSENTIAL PAIN CONCEPTS AND THE NEUROSCIENCE OF MANAGING PAIN – via zoom live streaming from 29 May – 15 June 2020.

With Mandy Röscher

Module 1: Neurophysiology of Acute Pain
Outline
• What is Pain
• Types of Pain
• Pain Classifications
• Purpose of Pain
• Neurophysiology of Acute Pain

Learning Objectives : By the end of this module the learner will be able to:
• Explain the IASP definition of pain
• Discuss the different types of pain
• Discuss the various classification of pain
• Explain the purpose of pain in the body
• Describe the neurophysiology of acute pain

Take Home Message
Once you understand the neurophysiology of acute pain you can begin to apply those concepts to most for your patients and understand why hurt does not equal harm and that pain is not proportional to tissue damage.

Module 2: Neurophysiology of Chronic and Neuropathic Pain
• Neurophysiology of Chronic Pain
• Psychosocial Barriers to Recovery
• Neurophysiology of Neuropathic Pain

Learning Objectives : By the end of this module the learner will be able to:
• Describe the neurophysiology of chronic pain
• List the psychosocial barriers to recovery
• Explain how psychosocial factors relate to chronic pain
• Describe the neurophysiology of neuropathic pain

Take Home Message
Chronic pain and neuropathic is notoriously difficult to manage. Once you understand the neurophysiology and psychosocial factors involved you will be able to understand why pain, which is supposed to be helpful and protective, has become extremely unhelpful

Module 3: Assessment of Acute and Chronic Pain
• What is a patient centered assessment
• Communication Skills for Pain Patients
• Subjective Examination relating to Pain
• Physical Examination relating to Pain
• Clinical Reasoning

Learning Objectives : By the end of third module the learner will be able to:
• Conduct an assessment relevant to a patient with acute and chronic pain
• Communicate effectively to obtain accurate information from a patient
• Clinically reason various hypotheses from assessment findings

Take Home Message
A comprehensive assessment is the cornerstone to an effective management plan. This is especially true in a pain patient as it is necessary to make sure they have the correct diagnosis

Module 4: Chronic Pain Conditions
• The Biopsychosocial Model
• Central Sensitisation Syndromes
• Fibromyalgia
• Irritable Bowel Syndrome
• Chronic Fatigue Syndrome
• Endometriosis
• Chronic Regional Pain Syndrome
• The Gut and Pain
• The Diaphragm and Pain
• Sleep and its relationship to Pain

Learning Objectives : By the end of this module the learner will be able to:
• Describe a brief pathophysiology of the various central sensitisation syndromes
• Describe the guts relationship to pain neurophysiology
• Describe the important role of the diaphragm
• Describe how sleep influences chronic pain
Take Home Messages
There are a multitude of chronic pain conditions with overlapping symptoms. Understanding the specific aetiology of each will help you to develop appropriate management strategies for a patient

Module 5: Management of Acute and Chronic Pain
• Brief look into Pharmacological management of pain
• Active vs passive approaches
• Mechanism based approaches
• Creating a holistic management strategy
• Placebo, Nocebo and Ethical Considerations

Learning Objectives : By the end of this module the learner will be able to:
• Discuss the various management strategies that can be used to manage pain
• Create a holistic management plan for a patient
• Understand the placebo effect and its use in patients with pain
Take Home Messages
Every patient is unique and an individualised management strategy is important to be able to help them the best you can. An active approach is always best in chronic pain patients but passive modalities may be helpful to allow the implementation of active management strategies.

Module 6: Pain Neuroscience Education
• Problems with Anatomical Explanations
• What is PNE
• Aims of PNE
• Efficacy and Benefits of PNE
• Structure of a PNE program
• Indications for PNE
• Content of a PNE Curriculum
• Educational Tools

Learning Objectives : By the end of this module the learner will be able to:
• Explain the background behind pain neuroscience education
• Implement pain neuroscience education with chronic pain patients
Take Home Messages
Pain neuroscience education has come a long way since the original explain pain. It is important to know exactly why pain neuroscience education is important and how to integrate it into your treatment so that patients will better understand their pain and also adopt an active management approach.

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Course times:

9am – 12noon South African time