Agenda Friday, May 7

9 a.m. to 4 p.m., EST, Virtual Conference & Enduring Material

8:30-9:00 AM

Tech Tutorial and Meet & Greet

9:00-9:10 AM

Welcome:

 Integrative Pain Management Committee Members
9:10-9:55 AM

Keynote:

 How Healing Works: Implications for Providers,
Wayne Jonas, MD, Executive Director, Samueli Integrative Health Programs, @DrWayneJonas
9:55-10:35 AM

Plenary:

 

Lessons learned from the UVM Medical Center Comprehensive Pain Program

Jon Porter, MD, Medical Director, Comprehensive Pain Program, Josh Plavin MD, MPH, MB, Vice President, and Chief Medical Officer Blue Cross® and Blue Shield® of Vermont and Two Comprehensive Pain Program Participants will review the program design, barriers, lessons learned, payor perspective and participant perspective.

10:35-10:40 AMTransition

10:40-11:20 AM

Breakout Session 1 (choose one)

Trauma and Pain: Matching the Type of Bodywork to a Client's Pain or Trauma; Janet Kahn, Ph.D., LMT

Description coming soon

About the Speaker:

Janet Kahn, Ph.D., LMT is a massage and craniosacral therapist at the UVMMC Comprehensive Pain Program, a research scientist whose interests include equitable health care delivery models and massage therapy for chronic pain, co-creator of the mobile app Mission Reconnect- Wellness Training for Veterans and Their Partners, and an advocate for sane health care policy, appointed by President Obama to the Advisory Board on Prevention, Health Promotion and Integrative and Public Health.

PHARMACOLOGY & THERAPEUTICS: An Overview of Herbal Medicine in Pain Management, Katherine Elmer, Herbalist

Review the evidence, safety, and mechanisms of action of herbal medicines for the management of chronic pain. Introduce available dosing and delivery formats.

About the speaker:

Katherine Elmer grew up in the green hills of Central Vermont and revels in the opportunity to connect with clients around a shared love of place and nature through whole foods nutrition and herbal medicine via her clinical work at the Burlington Herb Clinic and her community education efforts at Spoonful Herbals (spoonfulherbals.org). Although Katherine welcomes clients of all genders, she specializes in supporting clients who identify as women to access their highest potential and quality of life through their healing journey. Katherine is co-founder of Burlington Herb Clinic and RAILYARD Apothecary (railyardapothecary.com). Katherine teaches Herbal Medicine and advises the Student Herbalism Club at the University of Vermont.

PAIN CONDITIONS:  Integrative Approaches for Headaches, Allyson Bazarsky, DO, Katherine Wayman, MD

Review the types of headaches, acute and preventative treatment, and safe adjunct therapies.

About the speakers:

Dr. Allyson Bazarsky is a neurologist at the University of Vermont Medical Center and a clinical assistant professor at the Larner College of Medicine at UVM in Burlington, VT. She specializes in pediatric, adolescent, young adult, and adult headache, both acute and chronic, as well as concussion and post-traumatic headache. Her research interest includes the transition of care from pediatric to adult medicine.

Dr. Katherine Wayman is a neurologist at the University of Vermont Medical Center and a clinical assistant professor at the Larner College of Medicine at UVM in Burlington, VT.

PATIENT ENGAGEMENT:  Pain Neuroscience: Understanding and Teaching People About Pain, Parminder Padgett, PT, DPT, NCS

Examine pain neuroscience and the complex interaction between tissues and neural structures. Discuss benefits of pain neuroscience education for patients in chronic pain and practice teaching pain neuroscience using stories, metaphors, and examples.

About the speaker

Parminder Padgett is a physical therapist at The Rehabilitation Therapy Center and Acute Therapy Center at UVM Medical Center. Padgett’s expertise includes the treatment of neurologic movement disorders and degenerative diseases. Specialty areas include vestibular rehabilitation and working with the geriatric population, Parkinson’s disease, multiple sclerosis, and stroke.
 

11:20-11:25 AMTransition
11:25-12:05 PM

Breakout Session 2 (choose one)

TRAUMA & PAIN: Chronic Pain and Post Traumatic Stress: Clinical Neurology and the Need for Co-treatment with Manual Medicine, Sarah Paquette, DC

Investigate the overlapping neurology of chronic pain and post-traumatic stress disorder as complicated by traumatic brain injury and explore the role of manual medicine as a safe and effective treatment.

About the Speaker
Sarah Paquette, D.C., has advanced training in sports medicine and rehabilitation, ROCK Taping, veterans’ health, women’s health, pregnancy, pediatric care and soft tissue therapies. Paquette trains athletes, medical providers, agricultural workers, and corrections officers on occupational injury prevention.

PHARMACOLOGY & THERAPEUTICS: Opioid Tapering Context and Considerations, Jon Porter, MD

About the Speaker:
Dr. Jon Porter is the medical director and division chief of the Comprehensive Pain Program at the University of Vermont Medical Center and assistant professor at the Larner College of Medicine at UVM. In his work with individuals suffering from chronic pain conditions, Dr. Porter is aware that the experience of chronic pain affects every aspect of an individual's life. The work of the Comprehensive Pain Program is to understand each person's story as fully as possible and to use the expertise of traditional medical and integrative clinicians to support them in achieving optimal comfort, function, wellness, and empowerment in managing their condition.

PAIN CONDITIONS: Fibromyalgia: Opportunities for Healing, Andrea Fossati, MD

Explore an integrative approach in the workup and treatment of fibromyalgia patients, including the association with adverse childhood events, disruption of sleep wakes cycles, changes in the microbiome, the impact of exercise and movement, and targeted use of mind-body therapies.

About the Speaker:

Andréa Fossati, M.D., is an instructor at UVM Larner College of Medicine and College of Nursing and Health Sciences, with expertise in nutrition, stress management, resiliency training and herbal medicines. Fossati established UVM’s Integrative Medicine Consult service and sees patients at Appletree Bay Primary Care.

PATIENT ENGAGEMENT:  Little Bites: Talking to Your Patients About Nutrition and Pain, Emily Clairmont, RD

Learn how to deliver the important message of nutritional health and its relationship to chronic pain and inflammation through storytelling, infographics, demonstration, and sensory experience.

About the Speaker:
Emily Clairmont, MS, RD, CD, is a Registered Dietitian with UVMMC working in Adult Primary Care and Family Medicine, the Comprehensive Pain Program and Culinary Medicine. Specific interests include relationship with food and eating, chronic pain and inflammation management, chronic disease management, auto-immune disorders, food allergies and irritable bowel.

12:05-12:10 PMTransition
12:10-12:55 PM

Plenary:

 Reconnecting the Brain with the Rest of the Body in Pain Research
Helene Langevin, MD, Director of the National Center for Complementary and Integrative Health (NCCIH), @NCCIH_Director
12:55-1:25 PMLunch on your own
1:25-2:05 PM

Breakout Session 3 (choose one)

Trauma and Pain Somatic Manifestations of Trauma in Rehabilitation, Marcus Kurek, PT, MA, SEP

Consider the effects of trauma on neurophysiology and how it impairs the delivery of manual therapeutic interventions. Learn techniques to identify these maladaptations to minimize retraumatization.

About the Speaker
A dynamic clinician with thirty-seven years of successful experience in blending state-of-the-art manual therapeutic methodologies, Neurotherapy, and psychological principles in the treatment of chronic/sustained pain, PTSD, traumatic stress, and substance abuse/addiction.  One of the very few clinicians nationwide to simultaneously hold degrees in physical therapy and contemplative psychotherapy.  Lectured nationally with Dr. Robert Scaer, author of "The Body Bears the Burden" and "The Trauma Spectrum", on the neurophysiological aspect of PTSD and traumatic stress.
 

PHARMACOLOGY & THERAPEUTICS: Cannabis - The Literature and Lessons Learned in the Field, Karen Lounsbury, PhD

This presentation provides information regarding the benefits, risks, and therapeutic potential associated with medical cannabis. Topics will include the history of medical uses for cannabis, the compounds and medicinal products derived from cannabis, the interactions of cannabinoids with the endogenous cannabinoid system, the evidence for therapeutic effects, and the associated risks of medical and adult use. The emphasis will be on the management of pain and movement disorders. Time for questions and open discussion will follow the interactive session.

About the Speaker
Dr. Lounsbury is a Professor of Pharmacology and the Director of the Foundations Curriculum for the Larner College of Medicine at the University of Vermont. She received her B.S. in Biochemistry from Penn State and her Ph.D. in Pharmacology from the University of Pennsylvania. Dr. Lounsbury has an active cancer research lab and is also highly involved in undergraduate, graduate, and medical education. She instructs medical students in neuropharmacology topics including motor disorders, depressive disorders, opioid use for pain and treatment of substance use disorders. She is also a co-director for the Medical Cannabis course.

PAIN CONDITIONS: Intestinal Hyperpermeability, Inflammation, and Pain, Michael Stadtmauer, ND, Lac 

Analyze pathological changes that occur in intestinal hyperpermeability (IH), or 'Leaky Gut.’ Learn to identify patients where IH may play a role in their pain and explore ways to present patients with options for improving intestinal wall function.

About the Speaker

Michael Stadtmauer, ND, LAc specializes in gastrointestinal disorders, thyroid and adrenal imbalance, chronic fatigue, fibromyalgia, auto-immune diseases, chronic skin conditions, metabolic and blood sugar issues, and insomnia. He focuses on uncovering the root causes of conditions and educating patients in preventive measures.

PATIENT ENGAGEMENT: At the end of the yellow brick road: Using Acceptance and Commitment Therapy to Align with Patients Suffering with Chronic Pain; Heather Finley, Ph.D.

Discuss empirical evidence supporting the efficacy of Acceptance and Commitment Therapy (ACT) to treat chronic pain. Observe how ACT is implemented at UVMCC’s Comprehensive Pain Program and learn to apply ACT to foster a greater alliance with patients.

About the Speaker
Heather Finley, Ph.D., is a counseling psychologist at UVM Medical Center and a professor at Larner College of Medicine. Finley’s treatment approaches include Acceptance and Commitment Therapy, cognitive-behavioral therapy, positive psychology, mindfulness, clinical hypnosis and eye movement desensitization and reprocessing (EMDR).

2:05-2:10 PMTransition
2:10-2:50 PM

Breakout Session 4 (choose one)

TRAUMA & PAIN: Treating Chronic Pain with EMDR, Naya Pyskacek, LICSW, LADC

Investigate basic neurobiological information about eye movement desensitization and reprocessing (EMDR. Discover how to provide psychoeducation and learn strategies using EMDR and Bilateral Stimulation to help patients manage their chronic pain.

About the Speaker

Naya Pyskacek, LICSW, LADC, LCS, provides eye movement desensitization and reprocessing (EMDR) and other trauma therapies for medical phobias, depression, anxiety, addiction, and chronic pain. Pyskacek’s expertise also includes psychotherapy and behavioral health for substance abuse disorder.

PHARMACOLOGY & THERAPEUTICS: Sleep Medications, Benefits, and Drawbacks, Clayton English, PharmD

Insomnia is a difficult clinical conundrum impacted by multiple conditions, including anxiety, depression, and chronic pain. Review the benefits, evidence, and risks of using sleep medications for the treatment of insomnia in patients with comorbid chronic pain.

About the Speaker
Clayton D. English, Pharm.D., BCPS, BCPP, BCGP is an associate professor at Albany College of Pharmacy & Health Sciences, adjunct assistant professor at UVM Larner College of Medicine psychiatry department and a practicing psychiatric pharmacist at UVMMC.


PAIN CONDITIONS: Empowering our EDS and Chronic Pain Patients, Lesli Bell, PT, DPT, CLT-LANA, Jennifer Simpson, PT, OCS

Ehlers Danlos Syndrome can be a confusing and frustrating diagnosis with many aspects contributing to pain. Discuss the role of exercise, support, bracing, and how postural control plays a role in pain control.

About the Speakers
Lesli Bell is a physical therapist specializing in orthopedics, cancer rehabilitation, swelling disorders and chronic pain. She enjoys working with patients who have diagnostic challenges including Ehlers Danlos Syndrome with special focus on self-management strategies. Bell owns Timberlane Physical Therapy in Winooski, Vermont.

Jennifer Simpson is a physical therapist at Timberlane Physical Therapy in Winooski, VT.  Simpson’s expertise includes Ehlers Danlos Syndrome/hypermobility, chronic pain, acute and chronic orthopedic injuries, gait and postural dysfunction, bracing/orthotics/taping for function and support, and functional movement strategies and adaptations.


PATIENT ENGAGEMENT: The Importance of Diet and Lifestyle in Treating Pain: A Chinese Medicine Approach, Brendan Kelly, L.Ac., M.Ac., Herbalist, NCCAOM

Consider the direct connection between the smaller, microcosm issues of inflammation and pain and the larger, macrocosm issue of climate change, drawing knowledge from the Chinese medicine School of Heat tradition (Wen Bing Xue).

About the Speaker

Brendan Kelly, L.Ac., M.Ac., Herbalist, NCCAOM, is the author of The Yin and Yang of Climate Crisis, which examines climate change through the lens of Chinese medicine. Kelly co-founded and co-owns Jade Mountain Wellness, where he currently practices acupuncture and herbalism.

2:50-2:55 PMTransition
2:55-3:40 PM

Plenary:

 

National Landscape in Comprehensive Pain Management

Christine Goertz, D.C., Ph.D. is a Professor in Musculoskeletal Research at the Duke Clinical Research Institute and Director of System Development and Coordination for Spine Health in the Department of Orthopaedic Surgery at Duke University. She is also CEO of the Spine Institute for Quality and an Adjunct Professor in the Department of Epidemiology at the University of Iowa College of Public Health. Formerly she was Vice-Chancellor of Research and Health Policy at Palmer College of Chiropractic. Dr. Goertz received her Doctor of Chiropractic (D.C.) degree from Northwestern Health Sciences University in 1991 and her Ph.D. in Health Services Research, Policy and Administration from the School of Public Health at the University of Minnesota in 1999. Her 30-year research career has focused on working with multi-disciplinary teams to increase knowledge regarding the effectiveness and cost of patient-centered, non-pharmacological treatments for spine-related disorders. Dr. Goertz has received nearly $32M in federal funding as either principal investigator or co-principal investigator and co-authored over 100 peer-reviewed papers. She currently serves as a Member of the Interagency Pain Research Coordinating Committee (IPRCC), the CDC Opioid Workgroup and is Chairperson of the Board of Governors for the Patient-Centered Outcomes Research Institute (PCORI). @ChristineGoertz

Amy Goldstein, M.S.W., Amy Goldstein, MSW, has been in the healthcare field for more than 20 years, advocating for people living with kidney failure, cancer, chronic pain and multiple sclerosis.  She has developed and is currently directing the grant-funded initiative and multi-stakeholder collaborative, Alliance to Advance Comprehensive Integrative Pain Management.  Ms. Goldstein previously worked for the Academy of Integrative Pain Management, as its first Director of State Pain Policy Advocacy Network and later Alliance Development Director.  She was responsible for the creation, growth and sustainability of this national state-based and federal network to improve person-centered pain policy.
Prior to that role, Ms. Goldstein was Senior Director for the National MS Society Mid America Chapter where she oversaw Programs, Services & Advocacy initiatives for people affected by MS in the states of Kansas, Nebraska and Western Missouri.   She also spent eight years at the American Cancer Society, beginning as the Director of Quality Hill Hope Lodge, a free lodging facility for people traveling for cancer treatment, and then overseeing Pain Initiatives for the New England Region. @aacipm

Samantha Simmons, M.P.H., President of the Oregon Collaborative for Integrative Medicine and the Director of The Whole Health in the States Initiative. Ms. Simmons is an accomplished leader in the field of integrative medicine with an extensive background in many facets of driving transformation in healthcare through collaborative initiatives and strategic partnerships. She is passionate about health policy advocacy and driving utilization of models of whole-person care for underserved populations through innovative initiatives and partnerships. Ms. Simmons received her Bachelor of Science and Master of Public Health degrees from Portland State University and has dedicated her entire career to removing barriers to healthcare that is interprofessional and focused on a person's whole health and wellbeing. Her strategies towards these ends center around health policy advocacy and education, program development, interprofessional and inter-institutional collaboration, strategic planning, public speaking, fundraising, conferences/events, and marketing and outreach. Ms. Simmons serves on numerous committees, boards, and workgroups in partnership with organizations working towards the goal of healthcare that looks like health. @OregonCIM

3:40 -4:00 PM

Closing Remarks

 

EXPERIENTIAL WORKSHOPS

The learning continues! Join us for experiential workshops after the conference.
All workshops are from 6-7:30 PM, EST
Limited spots, first come, first served

May 11, 2021

Overview and Applications of Feldenkrais

Participants will receive an introduction to the Feldenkrais-Method® and experience how it can be applied for people with acute or chronic pain. Practitioners apply the Feldenkrais Method® in many fields: Pain management, therapy, rehabilitation, training of artists/musicians, injury prevention, and business. Clients include infants and children, medical providers, elders, people with severe handicaps, as well as top performers in sports and arts.

About the Speaker
Uwe Mester, Feldenkrais® Practitioner, took his first Feldenkrais® lesson in 1997 after recovering from lower back surgery. After unsuccessful rehabilitation attempts with both traditional and non-traditional methods, Uwe explored the Feldenkrais Method®. His pain symptoms immediately decreased, and he developed a deeper interest in this form of somatic education. In 2001, Uwe began a four-year training in Germany with Dr. Chava Shelhav, an original student of Moshe Feldenkrais, the method’s founder and a pioneer in somatic education.

May 13, 2021

Health coaching for Chronic Pain

In this workshop, we will explore the ways in which people with health challenges get caught in a debilitating mindset.  We will dig deep into explaining how coaching works as a powerful tool in meeting people where they are and empowering them to choose and make lasting change in their lives. To help set people free from disease we must also set them free to choose and change what they do. As we work through this session you will:

  • Identify how using Motivational Interviewing with patients who are resistant to change breaks down barriers and leads to lifestyle changes.
  • Understand how coaching builds trust and motivation and creates a bridge for the client to master self-management strategies.
  • Understand the role change theory plays in reshaping the learned phenomenon of chronic pain.
  • Learn how group-coached clients acquire knowledge and implement effective lifestyle strategies with the guidance of a coach.

About the Speaker
After a near-fatal accident left her in chronic pain, Becky Curtis, CPMC NBC-HWC, turned her energy to helping others. She launched Take Courage Coaching, which has trained more than 300 Chronic Pain Management Coaches and helped nearly 600 people get back to their lives.

 

May 18, 2021

Applying Motivational Interviewing:  Nociceptive Pathways, Sensitivity, and Self-Perception

This session will examine the theoretical framework, strategies and techniques of Motivational Interviewing (MI) in the context of pain management. Dr. Tomasi will discuss the connection between the neural underpinnings of behavioral change and pain perception and the evidence-based practice of the MI-based approach.

About the Speaker
David Låg Tomasi, Ph.D., Ed.D.- Ph.D., M.A., MCS, AAT, is a licensed psychologist, psychotherapist and inpatient psychiatry group therapist at the UVM Medical Center and lecturer at the University of Vermont and the Community College of Vermont. Tomasi’s research focuses on mind-body connection health improvement strategies.

May 20, 2021

The Kaiut Yoga Method: a Differential Approach to Pain and Restrictions in the Body

The Kaiut Yoga Method is a biomecahnical style of yoga that focuses on improving neurological connections while accessing a relaxed state to allow the student to explore areas that may carry tension, restrictions or pain. This method utilizes yoga poses in a specific way with the use of gravity, the floor, and walls, thus increasing adaptability. Presentation includes lecture and practice of the Kaiut Yoga Method.

About the Speaker
Julia O'Shea, RRT, KYM-400, CWHC, teaches Kaiut yoga, a biomechanical yoga practice, for chronic conditions at the UVM Medical Center and private yoga studios. Julia connects with people in a safe gentle way which comes from her work as a respiratory therapist.

May 25, 2021

Therapeutic Yoga for Calming the Nervous System

Participants will learn how to integrate therapeutic yoga principles into treatment for patients who experience chronic pain. Evidence for the use of yoga to reduce pain and improve the function of individuals with persistent pain will be presented. Participants will receive instruction in restorative yoga, chair yoga, breathing exercises, guided relaxation and meditation techniques.

About the Speaker:
Michelle Downing, DPT, OCS, CFMT, RYT, is a Certified Functional Manual Therapist and board-certified Orthopedic Clinical Specialist. Downing’s specialties include pelvic floor physical therapy and neural and visceral mobilization. Downing incorporates yoga into treatment programs addressing musculoskeletal injuries, sleep disturbance, and pain.

May 27, 2021

Myofascial Release for Back, Neck, and Hips

Practitioners will be able to safely practice and teach at least two Myofascial Release techniques in each of these common pain areas: neck, back, hips.

About the Speaker:
Jessie Owens, CMT, is a dancer and a certified yoga instructor, and certified massage therapist. Owens specializes in myofascial release for treating chronic or acute musculoskeletal pain and tension, increasing mobility and fluidity of movement, and facilitating healing.

June 1, 2021

The Nourish Bowl: Building Balance with Foods for Chronic Pain

Nutrition is an important non-pharmacologic approach to pain management that has been previously underutilized. Individuals with chronic pain require higher amounts of dietary protein to restore strength, build muscle, stabilize blood glucose, and promote endogenous production of anti-inflammatory compounds. These individuals can also intake excessive pro-inflammatory refined carbohydrates and saturated fat. By the end of this session, you will be able to define the role of nutrition and inflammation in chronic pain and apply knowldege of nutrition education to chronic pain management.

About the Speakers:
Emily Clairmont, MS, RD, CD, is a Registered Dietitian with UVMMC working in Adult Primary Care and Family Medicine, the Comprehensive Pain Program and Culinary Medicine. Specific interests include relationship with food and eating, chronic pain and inflammation management, chronic disease management, auto-immune disorders, food allergies and irritable bowel.

R. Leah Pryor, Executive Chef Manager at UVMMC, Chef Leah graduated the Culinary Institute of America with her AOS in culinary arts in 2000. She promptly took the chef position at Fog Island Café where she ran the kitchen and externship program teaching young cooks the ways of from scratch, high volume breakfast and lunch cookery. She followed her passion for food to Vermont and took the chef position at Mary’s Restaurant Inn at Baldwin Creek. She worked closely with chef/owner Doug Mack who started the Vermont Fresh Network in 1996. In 2010 she went to work for the University of Vermont Medical Center. In 2017 she was awarded a UVMMC Foundation grant where she has been able to create the Chef Educator role and expand Culinary Medicine at UVMMC. 

June 3, 2021

Mindfulness Interventions in Clinical Practice: Trials, Tribulations & Solutions

Often thought of as a harmless intervention, mindfulness techniques can evoke unforeseen negative consequences in the clinic.  Myoclonic discharge, emotional abreaction, anxiety, panic, dissociation, depression, nausea,and an increase in pain can manifest as a result of mindfulness interventions. This is especially observed with patient’s whose nervous system has been compromised by previous traumatic experiences.
Through experience and guidance, the seasoned practitioner can create a safe container for this negative expression, give insight as to its origin and provide guidance to allow integration of the experience.  Topics of somatic dissociation, parasympathetic dominance, encapsulation, over coupling and therapeutic presence will be explored. Techniques of titration, nonverbal assessment, pacing, somatic integration, visualization and graded exposure will be discussed for immediate clinical applications.

About the Speaker:
Marcus Kurek, PT, MA, SEP, is a clinician with 37 years' experience blending manual therapeutic methodologies, neurotherapy and psychological principles in the treatment of chronic pain, traumatic stress, substance abuse and addiction.  Kurek holds degrees in physical therapy and contemplative psychotherapy and lectured nationally with Dr. Robert Scaer, author of "The Body Bears the Burden" and "The Trauma Spectrum" on the neurophysiological aspect of PTSD and traumatic stress.