Non-Pharmacological Modulation of Chronic Pain
Chronic pain has consequences that go far beyond the pain itself, with patients showing anxiety, depression, and cognitive deficits. Longitudinal studies in rodent models show similar changes. Brain imaging studies in both pain patients and rodents show alterations in brain anatomy and function. Nevertheless, we now see that these effects can be prevented or reversed by environmental factors. In pain patients, lifestyle choices, such as yoga or meditation, reduce pain perception and counter age-related decreases in brain gray matter. Rodent models show that increased stress alters pain behaviors, whereas enriched environments reduce such behavior and brain changes. Together, these data indicate that the far-reaching adverse effects of chronic pain may be reduced or prevented by environmental factors that could affect pain modulatory systems in the brain.
Faculty: M. Catherine Bushnell, PhD
This 1-hour CME activity is designed for all clinicians who treat chronic pain.
Upon completion of this activity, participants should be better able to:
- Describe how chronic pain can change the brain.
- Discuss how yoga can alter pain perception and change the brain.
- Explain how environmental enrichment in rodents alters nociceptive processing.
M. Catherine Bushnell, PhD, holds a doctorate in experimental psychology from American University and received postdoctoral training in neurophysiology at the National Institutes of Health (NIH). She then spent 12 years at the University of Montreal and 16 years as the Harold Griffith Professor of Anesthesia at McGill University before returning to NIH in 2012. She has been president of the Canadian Pain Society, treasurer and press editor-in-chief of the International Association for the Study of Pain, and is currently a councilor for the Society for Neuroscience. Among her honors are the Lifetime Achievement Award from the Canadian Pain Society and the Frederick Kerr Basic Science Research Award from the American Pain Society. Her research interests include forebrain mechanisms of pain processing, psychological modulation of pain, and neural alternations in chronic pain patients.
Staff and Content Validation Reviewer Disclosures
The staff involved with this activity and any content validation reviewers of this activity have reported no relevant financial relationships with commercial interests.
Planning Committee/Faculty Disclosure
Dr. Bushnell reports that she has nothing to disclose.
Debra Nelson-Hogan, Director of Education for the Academy of Integrative Pain Management, reports that she has nothing to disclose.
Cathleen Coneghen, Assistant Director of Education for the Academy of Integrative Pain Management, reports that she has nothing to disclose.
The information provided at this activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a health care provider relative to diagnostic and treatment options of a specific patient’s medical condition.
For questions regarding CME for this activity, you may reach the department of education at the Academy of Integrative Pain Management at firstname.lastname@example.org.
For successful completion of this activity, please complete a pre-test; utilize the audio recordings synched with the presentation slides to review the content, providing answers to your questions as necessary; and complete a post-test and evaluation following the activity. You will then be prompted to print your certificate. This activity should take approximately 60 minutes to complete.
This program is accredited for physicians, nurses, pharmacists, and psychologists. All other clinicians can submit the certificate of attendance upon completion of the program to their licensing boards for consideration of credit.
The Academy of Integrative Pain Management is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The Academy of Integrative Pain Management designates this educational activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Amedco is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.
This enduring course is co-provided by Amedco and the Academy of Integrative Pain Management. Maximum of 1 contact hour(s).
The Academy of Integrative Pain Management is approved by the American Psychological Association to sponsor continuing education for psychologists. The American Academy of Pain Management maintains responsibility for this program and its content.
The Academy designates this activity for a maximum of 1 CE credit.
Amedco is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. Amedco designates this enduring activity for a maximum of 1 contact hour(s). Full attendance is required. No partial contact hours will be awarded for partial attedance.
- 1.00 ACPE
- 1.00 AMA PRA Category 1 Credit(s)™
- 1.00 ANCC
- 1.00 APA
- 1.00 Document of Attendance