Mastery of Chronic Overlapping Pain Conditions
Mastery of Chronic Overlapping Pain Conditions
Presented by: Dr. Norman Hoffman, DC, CCSP, DACNB, MScCliniNeuroSci
This 4-part series discusses the multifactorial basis and effective treatment protocols for some of the most common conditions that present to clinicians’ offices – Chronic Overlapping Pain Conditions. Scholars will master everything from fibromyalgia, chronic migraines, chronic fatigue syndrome (Myalgic Encephalomyelitis), irritable bowel syndrome, chronic pelvic pain, neurogenic bladder, chronic TMJ, complex chronic back pain, 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.
Who is this class for?
Mastery of Chronic Overlapping Pain Conditions will appeal to any healthcare practitioner wanting to maximize the treatment options for patients with chronic pain.
The healthcare professionals that can attend this program are MD, DC, DO, PT, OT, ATC, LMT, ND, LAc, PA, NP, and CA (If accompanied by DC).
The Treatment Approach Taught in Mastery of Chronic Overlapping Pain Conditions
This is not just “head knowledge” but rather a comprehensive multidisciplinary technique program including such approaches as manual therapies, electrical nerve stimulation, qEEG neurofeedback, cranial myofascial techniques, TMJ techniques, visceral organ manipulation, nutritional supplementation, exercise therapies, transcranial magnetic stimulation, mindfulness, focused shockwave, patient education and more.
Course Topics:
COPC01. Central Sensitization, Fibromyalgia, and Widespread Pain
COPC02. Cranial Adjusting, TMJ, Neuromodulation and Head Pain
COPC03. IBS, Visceral Manipulation, and Pelvic Pain
COPC04. Chronic Fatigue Syndrome and Complex Chronic LBP
Course Ouline
Mastery of Chronic Overlapping Pain Conditions Course Objectives
1. Attending clinicians will complete the course with world-class knowledge encompassing the depth and breadth of the current research base in this field.
2. 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.
3. Provide clinicians with skills to understand, diagnose, and treat Chronic Overlapping Pain Conditions in real-world clinical practice scenarios for improved clinical outcomes.
4. Become the expert in your community and have certainty in how to approach and treat these complex conditions.
- Define CSDs
- Develop the concept of Chronic Overlapping Pain Syndromes
- Includes: fibromyalgia(FM), myalgic encephalomyelitis/chronic fatigue syndrome(ME/CFS), migraines, Gulf War Illness (GWI), irritable bowel syndrome (IBS), myofascial pain syndrome (MFPS), neurogenic bladder and chronic pelvic pain (CPP).
- Discuss co-morbidities between syndromes:
- Chronic pain, fatigue, digestive symptoms, sleep disturbances, hormonal disturbances, blood sugar imbalances, sensory sensitivities to light, sound, smell and light touch, etc
- Define FM with an emphasis on lack of clinical biomarkers on imaging and bloodwork
- Emerging biomarkers #1
- MRI imaging changes in chronic pain
- fMRI and functional connectivity
- Need to discuss functional brain networks
- Default Mode Network
- Sensorimotor Network
- Salience Network
- Central Executive Network
- others
- Comparison with MSK pain such as osteoarthritis
- Discuss the use of qEEG biofeedback as a mean of network reorganization
- Discuss outcome assessment tools for FM and chronic pain
- Need to discuss functional brain networks
- 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
- Review of Parts 1 and 2
- Discuss the role of the Vagus nerve in neuroimmunity and neuroinflammation
- NRM and NTS
- Neurotransmitters involved
- Clinical applications currently using vagus nerve stimulation in medical practice
- Emerging use of transcutaneous auricular vagal nerve stimulation (tAVNS)
- Anatomy and location
- Devices
- Parameters
- Exhalation as a beneficial treatment mode
- Home exercises for vagal stimulation
- Abdominal vagal stimulation, enteric stimulation, and pelvic nerve stimulation
- Techniques and hands-on
- Esophagus
- Stomach
- Gall bladder
- Small intestine
- Large intestine
- Bladder
- Uterus/Prostate
- Discussion of IBS as a neuroimmune condition
- Enteric glial cells as a target
- IgG diet and probiotics
- tAVNS and migraines
- tAVNS not effective for Gulf War Illness
- Review of Parts 1-3
- Define and discuss ME/CFS
- Conditions to rule out
- Outcome assessment tools
- Focal areas of suspected neuroinflammation
- Triggers for ME/CFS
- Viral
- Stressful Life Events
- Dental
- Treatment of comorbidities
- Digestive
- Dysbiosis
- Chronic infections
- Endocrine
- Sleep
- Supplement recommendations
- Glial targets for laser therapy
- FM
- CFS
- IBS
- Migraine
- CPP
- Music-induced analgesia and dance as therapy in COPCs
- Vestibular rehabilitation of the cerebellar vermis and COPCs
- Review and Q&A
Presenting Faculty
Dr. Hoffman graduated Summa Cum Laude, Valedictorian, and Outstanding Graduate from Palmer College of Chiropractic in 1994 and has since been in private practice for 30 years with a special passion on neurological issues, complex heath problems and challenging cases. In 2014, he completed his Diplomate status for The American Chiropractic Neurology Board and, in 2022, completed his Master of Science Degree in Clinical Neuroscience. He co-authored his first published research paper in 2023.
His teaching style is comprehensive yet engaging. His aim is to always make the information clinically relevant to practitioners in the field, regardless of their experience level. Scholars rave at the ability to learn and apply the information in a lively and entertaining setting.
His academic and clinical focus is complex cases and chronic conditions, in particular Chronic Overlapping Pain Conditions. He has established on of the largest practices of its kind in the country, attracting a large number of patients from hundreds of miles away. His compassionate approach to patient care and drive to learn has been fueled by his desire to improve the lives of his own family members afflicted with various chronic health challenges.
Course Information
UPCOMING DATES & LOCATIONS 2024/2025
VENUE / HOTEL RECOMMENDATIONS
tuition
$1,200.00 Per Module - $3,600.00 Prepay Program Tuition
Included In Your Tuition
25 Neurology Hours Per Module (100 Total Hours) - Approved by the ACNB / ACFN)
Receive any future updates to the course videos or other materials
All-Access to the digital recording of the class
Re-attendance – Retake the class on-site, via Livestream, or via online, self-paced learning as many times as you’d like as an audit.*
3 months of unlimited access to Medline
Re-attendance policy: Scholars who have registered and completed the program have the ability to re-attend the course with no additional fee. When re-attending a course, the scholar will not receive continuing education credits and will receive an audit. Carrick Institute is not responsible for providing new materials for class audits, including but not limited to manuals, shirts, equipment, etc. If manuals have been updated since the original attendance date, the updated materials will be available via PDF on the scholar’s online portal. If the scholar would like to purchase a new paper manual, they may do so before the course start date.
The All-access and re-attendance are part of your tuition and are specific to this program. The re-attendance is considered an audit of the course material and does not yield CE or CEU credits. It does transfer to other programs offered by the Carrick Institute.
To view full Terms & Conditions, click here.
For more information on CE/CME eligibility, visit https://carrickinstitute.com/ceinfo/
Continuing Education
Continuing education requirements to maintain certification status through a professional association are usually separate from the state board’s requirements. In order to maintain your certification status in your state please submit a State Continuing Education Application Form.
*We cannot guarantee approval for individual state CEUS. Each state has different rules and regulations. State Applications need to be submitted at least 90 days prior to the state date of your course*
Recertification / Diplomate Requirements: All Carrick Institute courses are approved by the ACFN & ACNB.
Get Started
JOIN US ONLINE OR AT ONE OF THE LIVE LOCATIONS LISTED BELOW!
Upcoming Course Dates
HOTEL / VENUE INFORMATION
REGISTER HERE
-
Pain(COPCOD) Mastery of Chronic Overlapping Pain Conditions Prepayment Bundle
$3,600.00 Select options This product has multiple variants. The options may be chosen on the product page -
Pain
(782) Mastery of Chronic Overlapping Pain Conditions – Cranial Adjusting, TMJ, Neuromodulation and Head Pain
$1,200.00 Select options This product has multiple variants. The options may be chosen on the product page -
Pain
(783) Mastery of Chronic Overlapping Pain Conditions – IBS, Visceral Manipulation, and Pelvic Pain
$1,200.00 Select options This product has multiple variants. The options may be chosen on the product page -
Pain
(784) Mastery of Chronic Overlapping Pain Conditions – Chronic Fatigue Syndrome and Complex Chronic LBP
$1,200.00 Select options This product has multiple variants. The options may be chosen on the product page