Refresher Course Programme

Refresher courses will be provided, containing something for everybody interested in the field of pain. Each course covers important fundamentals of pain science ranging from molecular and systems biology to clinical sciences and psychology. The lectures not only provide state of the art material, they are also designed to provide a true refreshing of understanding for the non-expert in the field under review.

The format of the course is designed to be informal enough to allow time for questions and answers. This to ensure maximum benefit from your interaction with lecturers selected not only for their status in the field but also for their proven record of teaching and audience interaction. So seize this chance to learn from –and engage in discussions with – true specialists in their fields of expertise!

In 2019, the courses will explicitly cover the curricula of the European Diplomas in Pain Medicine and Pain Physiotherapy, providing clinicians with the opportunity to prepare for the accompanying examinations in spring 2020.

Headache

HEADACHE AND OROFACIAL PAIN

Date: 4 September 2019
Time:
13:00 – 14:30
Location: Hall G

Description:

1. Introducing the International Classification of Headache Disorders (25 min)
Suggested speaker : Lars bendtsen
• To introduce the overall concepts of the ICHD-III (aligned with ICD-11 which is yet to be published): part 1 primary headache disorders, part 2 secondary headache disorders, part 3 cranial neuropathies/other facial pain
• Epidemiology of headache disorders
• To comment on the main primary headache disorders (including migraine, tension-type headache, cluster headache) using the criteria, including chronic subtypes
• To discuss some secondary headache disorders including medication-overuse headache (how is overuse of acute medication defined?, which patients are at risk?), cervicogenic headache (how to differentiate from migraine) and headache attributed to temporomandibular disorders (refer to diagnostic criteria evolved by the International RDC/TMD Consortium Network and Orofacial Pain Special Interest Group)
• To briefly discuss trigeminal neuralgia (including how to distinguish from cluster headache)

2. Clinical and para-clinical tests in the routine examination of headache patients (25 min)
Suggested speaker: Koen Paemeleire
• Taking the headache history: red flags (when to suspect a serious secondary headache disorder), SNNOOP10
• Some general recommendations in ancillary testing when a secondary headache is suspected, such as ESR (giant cell arteritis), MRI brain + gadolinium (low CSF pressure), fundoscopy/OCT (idiopathic intracranial hypertension)
• Which tests are necessary (if any) in migraine, cluster headache, trigeminal neuralgia ?

3. Therapeutic guidelines for common headache and facial pain disorders (25 min)
Suggested speaker: Pierangelo Geppetti
• Medical treatment of migraine (episodic and chronic), tension-type headache, cluster headache, trigeminal neuralgia
• Management of medication-overuse headache
• Introducing new treatment options in migraine and cluster headache using monoclonal antibodies targeting the CGRP pathway
• (Emerging) interventional/neuromodulation treatment options in primary headache disorders

Q&A (15 min)
Moderated by Koen Paemeleire (Ghent University Hospital, Belgium)

Pain Syndromes

ASSESSMENT OF PAIN

Date: 4 September 2019
Time: 14:30 – 16:00

Location: Hall G

CLINICAL ASSESSMENT
D. Ciampi de Andrade

QUESTIONNAIRES
D. Bouhassira (France)

LABORATORY TESTS
Luis Garcia-Larrea

Description:

The course will treat three sub-topics: (i) clinical diagnosis and physical examination; (ii) questionnaires, and (iii) laboratory tests, each conducted by a speaker leader in the field.

The Clinical diagnosis & physical exam (Daniel Ciampi de Andrade) will be practical and observational. The session will demonstrate the basics of the physical examination of the pain patient, covering the essentials of somatosensory and musculo-skeletal exam, with emphasis on evidence-based manoeuvres and procedures, some of them performed on previously appointed volunteers. The section on pain questionnaires (Didier Bouhassira) will present the state-of-the art of this topic from both historical and practical perspectives. Stress will be put on the importance of questionnaires as epidemiological and screening procedures, and the problems and pitfalls when they are used as diagnostic tools, with examples of good and ill-utilisation of the different scales. The section on laboratory tests (Luis Garcia-Larrea) will explore the different procedures providing objective evidence of abnormality in anatomo-physiological systems relevant for the diagnosis of pain syndromes. Emphasis will be put in differentiating between their use for pathophysiology or screening, and their diagnostic use in the individual patient. The three main procedures discussed will be quantitative sensory testing, neurophysiological approaches, and skin biopsy. The three lectures should NOT be considered as independent parts, but rather as pieces of a whole picture aimed at getting the most relevant information from a patient, using the most proficient and evidence-based examination procedures. Hence, each speaker will be able to comment ‘on line’ on each other’s presentation, to insist on points where synergy of approaches, or redundancy, deserve to be pointed out.

 

 

ACUTE AND POSTSURGICAL PAIN

Date: 5 September 2019
Time: 10:30 – 12:00

Location: Hall G

EPIDEMIOLOGY, ASSESSMENT AND PATHOPHYSIOLOGICAL CONSEQUENCES OF ACUTE PAIN AFTER SURGERY
R. van Boekel (Netherlands)

PHARMACOLOGICAL MANAGEMENT OF ACUTE PAIN AFTER SURGERY
S. Schug (Australia)

INTERVENTIONS FOR MANAGEMENT OF ACUTE AND FOR PREVENTION OF CHRONIC PAIN AFTER SURGERY
Speaker: TBA

 

CANCER (RELATED) PAIN

Date: 5 September 2019
Time: 14:30 – 16:00

Location: Hall G

Chair: M. Bennett (United Kingdom)

THE ROLE OF THE WHO LADDER AFTER 30 YEARS
M. Bennett (United Kingdom)

INVASIVE TREATMENT IN ACUTE CANCER PAIN
Speaker: TBA

PAIN IN CANCER SURVIVORS
J. Paice (United States)
 

Desciption:

This session will describe current management of cancer related pain from leading experts in the field, particularly focusing on drug and interventional management in tumor-related pain. A growing clinical challenge is that of pain in cancer survivors and this important topic will also be covered. Delegates can expect to leave the session with an updated knowledge of evidence based clinical management and an understanding of current research challenges.

 

PAIN DURING AGING

Date: 6 September 2019
Time: 10:30 – 12:00

Location: Hall G

More Information coming soon…

Psychology

PSYCHOSOCIAL ASPECTS OF PAIN

Date: 6 September 2019
Time: 14:30 – 16:00

Location: Hall G

Chair: L. Goubert (Belgium)

FROM BASIC TO APPLIED SCIENCE: PSYCHOSOCIAL MODELS OF PAIN CHRONICITY
Speaker: TBA

FROM CONSTRUCT TO ASSESSMENT: HOW TO AVOID GETTING LOST IN TRANSLATION
D. van Ryckeghem (Belgium)

FROM IDENTIFICATION TO EFFECTIVE TREATMENT: ALTERNATIVES FOR THE TREATMENT OF CHRONIC PAIN
J. Glombievski (Germany)

 

Neuropathic Pain

NEUROPATHIC PAIN

Date: 6 September 2019
Time:
16:30 – 18:00
Location: Hall G

Chair: N.B. Finnerup (Denmark)

CLINICAL EXAMINATION, DIAGNOSIS AND CLINICAL PRESENTATION
P. Hansson (Sweden)

ASSESSMENT

TREATMENT

Description:

In this refresher course, led by Nanna Finnerup, Denmark, Andrea Truini, Italy, Nadine Attal, France, and Per Hannsson, Sweden will discuss neuropathic pain. Topics are the clinical examination, assessment, diagnosis, clinical presentation, and treatment of neuropathic pain.

 

Basic Science

NEUROBIOLOGY OF PAIN

Date: 4 September 2019
Time:
10:30 – 12:00
Location: Hall G

ANATOMY AND PHYSIOLOGY OF THE PAIN SYSTEM
K. Bannister (United Kingdom)

NEUROPHYSIOLOGICAL BASES FOR THE SOMATOSENSORY, COGNITIVE AND AFFECTIVE DIMENSIONS OF PAIN
A. Mouraux (Belgium)

SENSITISATION OF PERIPHERAL AND CENTRAL PAIN MECHANISMS
W. Magerl (Germany)

 

Low Back Pain

AXIAL PAIN

Date: 7 September 2019
Time:
10:30 – 12:00
Location: Hall G

SPINAL PAIN: DEFINITIONS, MECHANISMS AND RISK FACTORS
Speaker: TBA

SPINAL PAIN: CLINICAL ASSESSMENT AND APPROPRIATE IMAGING
T. Maus (United States)

NON-INVASIVE PHYSICAL THERAPIES FOR SPINAL PAIN – CURRENT EVIDENCE
M. O’Keefe (Australia)

 

Visceral Pain

VISCERAL PAIN

Date: 5 September 2019
Time:
16:30 – 18:00
Location: Hall G

Chair: A.M. Drewes (Denmark)

DEFINITION, SYMPTOMS, EPIDEMIOLOGY AND ASSESSMENT OF VISCERAL PAIN
A.M. Drewes (Denmark)

MANAGEMENT AND PROGNOSIS OF FUNCTIONAL GI PAIN
Speaker: TBA

MANAGEMENT AND PROGNOSIS OF ORGANIC VISCERAL PAIN
S. Olesen (Denmark)

Description:

Visceral pain is common and diagnosis and management is often complicated. The learning objectives of the refresher course is to outline the symptoms, epidemiology, assessment and management strategies of visceral pain. This will pave the road for an up-to-date outline of management of functional and organic visceral disorders. In general, treatment of visceral pain follows the guidelines from the somatic counterpart. Hence, management is multi-factorial and combinations of therapy (augmentation), both pharmacologic and non-pharmacologic, is of benefit in a mechanism-orientated approach. 

Patients can frequently become disengaged with healthcare providers leading to a need for repeated consultations. Thus, a key aspect of management is to prevent this from happening by validating patients’ symptoms, adopting an empathic approach and taking time to educate patients. To optimize treatment in patients with chronic visceral pain, we need to move towards by use of more holistic strategies that involves knowledge about alterations in central pain processing. Practical guidelines as well as mechanism based treatment options will be presented and clinical useful take-home-messages will help and stimulate the participants to better diagnosis and management of visceral pain.

 

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