Topic: Reversing Rather Than Coping With Chronic Pain and Associated Disorders: Understanding the Evidence for the Role of the Brain by David Kohns DO
End Pain - Dearborn, MI - September 26-28, 2014
Chronic pain and associated disorders of fatigue, insomnia, anxiety, and irritable bowel and bladder syndromes account for the majority of primary care office visits and affect over 100 million people in the U.S. The bio-technological approach to these disorders has not been able to dramatically alleviate suffering and the proportion of individuals with these disorders is rising. Recent evidence-based neurological research has demonstrated that chronic pain can be caused by learned nerve pathways that are triggered by stressful life events and subsequent emotional reactions. This workshop will briefly review these data with a focus on headache, back and neck pain, fibromyalgia and visceral pain syndromes. Two recent studies demonstrating efficacy of an emotional/behavioral intervention will be discussed, as well as the design of an ongoing NIH-funded trial for fibromyalgia. Dr. Schubiner will describe the assessment of patients required to make the diagnosis of psycho-physiologic disorders. Evidence-based intervention techniques will also be described.
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