Location: UNMC Sorrel Center Rm 1005, Omaha, NE Date/Time: 9/24/2019 7:00-8:00 pm CDT Target Audience: PT's and PTA's; student PT's and PTA's Sponsor: NPTA Eastern District Presenter Bio: Dr. John Massey no CV available Dr. John Massey has over 20 years of diverse experience, especially in pain management and treatment of chronic pain in Nebraska. Dr. Massey is focused on helping patients return to their normal lives by relieving pain with treatments such as epidural steroids, radio-frequency neurotomy for facet joint spondylosis, and kyphoplasty procedure for vertebral fractures. Furthermore, he also has extensive clinical experience with spinal cord stimulation and has taught this procedure to other pain specialists on a national level. Dr. Massey is an adjunct faculty member of the UNMC Department of Family Medicine and has taught residents and medical students in this capacity. Working to better the industry of pain management, Dr. John Massey is the Task Force Chair of the Nebraska HHS Pain Guidance Document working group which has recently published pain guidelines for all state clinicians via a CDC grant. Dr. Massey is also Board Certified as an Independent Medical Examiner. In addition, he is a Lieutenant Colonel in the Nebraska Air National Guard in the 155th Air Refueling Wing Education: Graduate Medical School: University Of Nebraska College Of Medicine Internship: General Surgery at Des Moines Veterans Administration Medical Center Residency: University of Nebraska Medical Center Course related evidence: 1 Hardt J, Jacobsen C, Goldberg J, Nickel R, Buchwald D . Prevalence of chronic pain in a representative sample in the United States . Pain Med 2008;9:803–12 . http://dx .doi .org/10 .1111/j .1526-4637 .20 08 .0 0425 .x . 2 Tsang A, Von Korff M, Lee S, et al. Common chronic pain conditions in developed and developing countries: gender and age differences and comorbidity with depression-anxiety disorders. J Pain 2008;9:883–91. Corrected in: Demytteneare K . J Pain 2009;10:553 . http://dx .doi .org/10 .1016/j .jpain .20 08 .05 .0 05 . 3 Chou R, Deyo R, Devine B, et al. The effectiveness and risks of long-term opioid treatment of chronic pain. Evidence Report/Technology Assessment No . 218 . AHRQ Publication No . 14-E005-EF . Rockville, MD: Agency for Healthcare Research and Quality; 2014 . http://www.eff ctivehealthcare.ahrq.gov/ehc/products/557/1971/chronic-painopioid- treatment-repor t-1410 07 .pdf . 4 CDC — Understanding the Epidemic http://w w w .cdc .gov/drugoverdose/epidemic/ . 5 CDC Guideline for Prescribing Opioids for Chronic Pain http://w w w .cdc .gov/mmwr/volumes/65/rr/rr6501e1 .htm . 6 Washington State Agency Medical Director’s Group (AMDG) Interagency Guideline on Prescribing Opioids for Pain http://w w w .agencymeddirectors .wa .gov/ . 7 TTAC Technical Assistance Guide No. 02-13, MME Calulator 8 Adapted from Von Korff M, Saunders K, Ray GT, et al. Clin J Pain 2008;24:521–7 and Washington State Interagency Guideline on Prescribing Opioids for Pain (http://www.agencymeddirectors.wa.gov/Files/2015AMDGOpioidGuideline.pdf . 9 Chu J, Farmer B, Ginsburg B, Hernandez S, Kenny J, Majlesi N . New York City emergency department discharge opioid prescribing guidelines . New York, NY: New York City Department of Health and Mental Hygiene; 2013 . http://www . nyc .gov/html/doh/html/hcp/drug-opioid-guidelines .shtml . 10 Cheng D, Majlesi N . Clinical practice statement: emergency department opioid prescribing guidelines for the treatment of non-cancer related pain . Milwaukee, WI: American Academy of Emergency Medicine; 2013 . 11 American College of Emergency Physicians . Maryland emergency department and acute care facility guidelines for prescribing opioids . Baltimore, MD: Maryland Chapter, American College of Emergency Physicians; 2014 . http://w w w .mdacep .org/MD%20ACEP%20Pamphlet%20FINAL _ April%202014 .pdf . 12 Paone D, Dowell D, Heller D . Preventing misuse of prescription opioid drugs . City Health Information 2011;30:23–30 . 13 Thorson D, Biewen P, Bonte B, et al . Acute pain assessment and opioid prescribing protocol . Bloomington, MN: Institute for Clinical Systems Improvement; 2014 . https://w w w .icsi .org/_ asset/dyp5wm/Opioids .pdf . 14 Park TW, Saitz R, Ganoczy D, Ilgen MA, Bohnert AS . Benzodiazepine prescribing patterns and deaths from drug overdose among US veterans receiving opioid analgesics: case-cohort study . BMJ 2015;350:h2698 . http://dx .doi . org/10 .1136/bmj .h2698 . 15 SAMHSA CBHSQ Data Review, August 2013 . 16 David Tauben, MD, University of Washington Center for Pain Relief, Relief, see table on page 22 . 17 Relations Between Pain, PTSD Symptoms, and Substance Use in Veterans . Gros DF, Szafranski DD, Brady KT, Back SE. 18 Neuropsychiatr Dis Treat . 2015 Aug 19;11:2109-16 . doi: 10 .2147/NDT .S87703 . eCollection 2015 . 19 Childhood adversities and laboratory pain perception . Pieritz K1, Rief W1, Euteneuer F1 . 20 Clin Exp Rheumatol . 2015 Jan-Feb;33(1 Suppl 88):S86-92 . Epub 2015 Mar 18 . 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Cochrane Database Syst Rev 2015;1:CD004376 . 25 Fransen M, McConnell S, Hernandez-Molina G, Reichenbach S . Exercise for osteoarthritis of the hip . Cochrane Database Syst Rev 2014;4:CD007912 10 .1002/14651858 . 26 Busch AJ, Barber KA, Overend TJ, Peloso PM, Schachter CL. Exercise for treating fibromyalgia syndrome. Cochrane Database Syst Rev 2007;4:CD003786 . 27 Wilbur Fordyce, PhD c 1970 . 28 JAMA . 2009 Aug 5;302(5):550–61 . doi: 10 .1001/jama .2009 .1091 . 29 Sexual abuse and lifetime diagnosis of somatic disorders: a systematic review and meta-analysis . Paras ML, Murad MH, Chen LP, Goranson EN, Sattler AL, Colbenson KM, Elamin MB, Seime RJ, Prokop LJ, Zirakzadeh A . 30 Asmundson, G .J ., Bonin, M .F ., Frombach, I .K ., & Norton, G .R . (2000) . Evidence of a disposition toward fearfulness and vulnerability to posttraumatic stress in dysfunctional pain patients . 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Comprehensive Assessment and Interdisciplinary Treatment Planning: An Integrative Overview . In: Persistent Pain in Older Adults: An Interdisciplinary Guide for Treatment, Weiner DK, Herr K, Rudy T (Eds), Springer Publishing Company, New York 2002 . p .18 . 38 Neuropathic pain: principles of diagnosis and treatment . Gilron I, Baron R, Jensen T Mayo Clin Proc . 2015;90(4):532 . 39 Update on pharmacotherapy guidelines for the treatment of neuropathic pain . Dobecki DA, Schocket SM, Wallace MS Curr Pain Headache Rep . 2006;10(3):185 . 40 A comparative investigation of observational pain assessment tools for older adults with dementia . Lints-Martindale AC, Hadjistavropoulos T, Lix LM, Thorpe L Clin J Pain . 2012 Mar;28(3):226–37 . 41 ACOG Committee on Health Care for Underserved Women; American Society of Addiction Medicine . ACOG Committee Opinion No . 524: Opioid abuse, dependence, and addiction in pregnancy . 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Course evaluation form: none Reference: Mark Sunderman, PT recommended Dr. Massey for speaking opportunity regarding the opioid abuse and the task force he lead creating this document Course Synopsis: Dr. Massey's presentation applied to physical therapy practice with review of anatomy and the role of neuroplasticity of the brain centers with collaboration of counseling, physical therapy and acute and chronic pain physician's referrals of medications.