Presented by: Dr. Norman Hoffman
A 4-part series discussing the neurologic basis and effective treatment protocols for the most common conditions that present to clinicians’ offices – chronic pain conditions. Scholars will master everything from chronic back pain, fibromyalgia, chronic migraines, chronic fatigue syndrome (Myalgic Encephalomyelitis), irritable bowel syndrome, chronic pelvic pain, neurogenic bladder, chronic TMJ, and more. Recognized by the NIH and US Congress and an emerging set of co-aggregate disorders with common central mechanisms, you will gain deep insights into identifying, examining, diagnosing, and treating this diverse but connected group of conditions.
Mastery of Chronic Overlapping Pain Conditions Course Objectives
Provide participants with skills to understand, diagnose, and treat Chronic Overlapping Pain Conditions in clinical practice for improved clinical success.
Establish a compendium of history, examination and assessment tools specific to such conditions, using a combination of lecture, and skill demonstration with supervised, hands-on practicums.
Participants will complete the course with “world-class” knowledge encompassing the depth and breadth of the current research base in this field.
Complete formative and summative evaluations to demonstrate skills and knowledge competence.
Topics:
- Review of Part 1
- Role of the Prefrontal Cortex in Top-Down management of chronic pain
- Compare and contrast with Bottom-Up pain management strategies
- Discuss the use of Cognitive-behavioral therapy (CBT) and Exercise in top-down management of FM and COPCs
- Discuss the role of the corticospinal tract (CST) in regulating and modulating pain perception
- Anatomy of CST with relevance to M1 and S1 origin of fiber
- Discuss transcranial magnetic stimulation and appropriate targets
- Primary Motor Cortex (M1)
- Prefrontal Cortex
- Emerging Biomarkers #2
- Glial activation
- Neuroimmunity and neuroinflammation
- Cytokines involved
- Meningeal regulation of glial activity
- Meningeal anatomy
- Extension through sutures
- Sensory map of the cranium
- Treatment of meningeal-based irritation causing glial activation
- Cranial work
- Upper cervical work
- Techniques and Hands-On
- Dorsal root ganglia (DRG) and FM
- Neuroimmune dysfunction
- Causing global sensory neuropathy
- Skin biopsy and eye study tests
- C-tactile Fibers
- Top-down management of C-tactile
- Vibration effects of Pain Perception
