Interventional Pain Management: A Pain Control Strategy for the Patient in Treatment (1.5 CME)
The patient in treatment presents in many complex forms, often with a complaint of pain. The pain may have been the origin of the addiction, or might be a process that shares a relationship to the purpose driven seeking of controlled substances, particularly opioids. Pain and addiction are often seen together, and an item of significant risk in both the pain management population, and the substance abuse arena. The overlap of symptoms is common. The practitioner often searches for alternative care strategies, to minimize opioid load, and improve function and quality of life. It is the purpose of this presentation to demonstrate a very powerful therapeutic pathway, with emphasis on pain control, without escalating controlled substances. Many examples of success have eliminated controlled substances and reduced pain. These interventional techniques that are performed are both diagnostic and therapeutic, and assist in an overall strategy of independence from opioid management of pain. Discussed will be spinal procedures, musculoskeletal procedures, and vignettes apply these therapies to a practical world. Interventional procedures are often very cost effective, that enhance positive benchmarks in a timely fashion. Interventional pain medicine is the application of target specific medication therapy to a pain generator. Interventional pain medicine also includes advanced technology such as spinal cord stimulation, and radiofrequency ablation that addresses pain refractory to common therapeutic approaches. An interventional pain physician might come from neurology, anesthesiology, or physical medicine and rehab, as a primary specialty, with added training and credentials to demonstrate proficiency. In proper hands these procedures are safe, cost effective, and afford very specific populations control of one of the most common complaints in American medicine, pain. As new technologies emerge, an exciting emergence of cutting edge thought, even rejuvenative medicine can return an individual to an active and functioning vital member of society. The fragile pain population of those in treatment for addiction can ill afford the setbacks of those suffering from pain with no hope. These techniques and the promise of new advances in development, lend to an important academic discussion that is timely for those who treat addiction.
Sanford M. Silverman
Sanford M. Silverman, MD, is in private practice; Institute of Pain Management, Pompano Beach, Florida. He is board certified in anesthesiology, with added qualifications in Pain Management from the American Board of Anesthesiology and a Diplomate in Pain Medicine from the American Board of Pain Medicine. He is also a Diplomate in Addiction Medicine from the American Board of Addiction Medicine. His practice consists of interventional and medical treatment of chronic pain, the treatment of various addictive disorders, and currently has an interest in treating complex chronic pain, addiction, and hyperalgesia.
After receiving his bachelor and master degrees in Chemical Engineering from Tufts University in Medford, Massachusetts, Dr. Silverman earned his medical degree from New York Medical College. He then entered active duty military service with the US Army and completed a transitional internship at Letterman Army Medical Center in San Francisco, California. He then completed a residency in anesthesiology at Brooke Army Medical Center in San Antonio, Texas.
After completing his training, he served as Major, US Army and Chief of the Anesthesia and Operative Service at William Beaumont Army Medical Center in El Paso, Texas where he also was also the director of the pain clinic.
Dr. Silverman is the director of the Controlled Substance Management course, for the American Society of Interventional Physicians which is a core requirement for board certification in Interventional Pain Medicine. In 2016 he co-authored a text book titled: Controlled Substance Management in Chronic Pain; A Balanced Approach.
Dr. Silverman is also an Affiliate Assistant Professor of Clinical Biomedical Science, Charles E. Schmidt College of Medicine, Florida Atlantic University Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL.,
Dr. Silverman served on the stakeholder committee of the CDC Opioid Guidelines, representing ASIPP.
Hans C. Hansen
Hans C. Hansen, MD
Executive Director, NCSIPP
The Pain Relief Centers, PA
Conover, North Carolina
Hans C. Hansen, M.D. was raised in Denver, Colorado, where he received his Doctorate in Medicine from the University of Colorado Health Sciences Center. He trained and completed his residency in anesthesiology and a subspecialty year in chronic pain management at Yale University School of Medicine. Dr. Hansen is board certified and re-certified by the American Board of Pain Medicine, completed testing for the World Institute of Pain, assisted in administration of the second FIPP exam, and is credentialed with the American Board of Interventional Pain Physicians (ABIPP). He is on the Board of Directors, a past president, and current president-elect of American Society of Interventional Pain Physicians (ASIPP). He is board certified in Addiction Medicine. Dr. Hansen’s practice is located in Central Piedmont North Carolina.