2019 Annual Meeting

& Educational Conference

How to manage chronic pain

without drugs

Becky Curtis Mark Pew Dr. Geralyn Datz

HELLO MARK!

• CONFRONTING OPIOID OVER-PRESCRIBING SINCE 2003

• EDUCATOR & AGITATOR

• VIA THE SPOKEN & WRITTEN WORD

• NOT A CLINICIAN

• OPINIONS ARE BASED ON MULTIPLE SOURCES

• TAKE COURAGE COACHING, FOUNDER AND CEO

• PAIN-MANAGEMENT COACH, NBC-HWC

• INTERNATIONAL PUBLIC SPEAKER, RESEARCHER

• 2016 WORKERS’ INJURY LAW & ADVOCACY GROUP BEACON AWARD

• 2015 MAGNA COMP LAUDE WINNER

• PAINWEEK FACULTY SINCE 2010

HELLO BECKY!

HELLO GERALYN!

• HEALTH & PAIN PSYCHOLOGIST

• RESEARCHER & AUTHOR, PUBLIC SPEAKER

• PRESIDENT, SOUTHERN BEHAVIORAL MEDICINE

• PAST PRESIDENT, SOUTHERN PAIN SOCIETY

• RECIPIENT OF THE HUBERT M. ROSOMOFF

EXCELLENCE IN PAIN MANAGEMENT AWARD

• MY SLIDES ARE NOT OPINION

• WE ARE NOT YET WHERE WE NEED TO BE

FOUNDATIONAL PRINCIPLES

• THE NEUROSCIENCE OF PAIN

• HOW THE MIND AND BODY ARE CONNECTED

FOUNDATIONAL PRINCIPLES

• EARLY INTERVENTION

• R-T-W, S-A-W AND JOB ACCOMMODATION

FOUNDATIONAL PRINCIPLES

• PASSIVE VS. ENGAGED

• NOT SOMEBODY OR SOMETHING ELSE

What we focus on

we empower

and enlarge

FOUNDATIONAL PRINCIPLES

• SELF-MANAGEMENT

• INDIVIDUALIZED

THE CYCLE

Positive Thoughts

Acceptance / Relaxation

Increased movement

Increased functionality

RX OPIOIDS

• RX OPIOIDS OFTEN COMPLICATE THINGS …

• AS SIDE EFFECTS INCREASE THE DRUGS DO TOO

• ESPECIALLY FOR HIGH-RISK POPULATIONS …

• HOW TO IDENTIFY

• BUT THEY CAN BE BENEFICIAL …

• HOW TO KNOW

THE ALTERNATIVE?

COGNITIVE BEHAVIORAL THERAPY

• EVIDENCE BASED, STRUCTURED, FOCUSED & LIMITED

IN DURATION

• HELPS THE PATIENT DEVELOP COPING SKILLS

• EMPOWERS THE PATIENT TO SELF MANAGE SYMPTOMS

ACCEPTANCE & COMMITMENT THERAPY

• EMPHASIZES OBSERVING THOUGHTS AND FEELINGS

AS THEY ARE WITHOUT TRYING TO CHANGE THEM

• THEN BEHAVING IN WAYS CONSISTENT WITH

VALUED GOALS AND LIFE DIRECTIONS

MOTIVATIONAL INTERVIEWING

• HELPS PEOPLE BECOME MOTIVATED TO CHANGE THE BEHAVIORS THAT ARE PREVENTING THEM FROM MAKING HEALTHIER CHOICES

• PREPARE INDIVIDUALS FOR FURTHER, MORE SPECIFIC TYPES OF THERAPIES

MINDFULNESS

• REDUCED SENSATIONS OF PAIN SEVERITY

• DECREASED NEGATIVE THINKING

• IMPROVED COPING

• ENHANCED FEELINGS OF RELAXATION AND WELL-BEING

• REDUCE DEPRESSIVE SYMPTOMS, STRESS, AND MEDICAL SYMPTOMS

PROFESSIONAL APPLICATION

• FUNCTIONAL RESTORATION PROGRAM

• WHAT GERALYN DOES

• COACHING

• WHAT BECKY DOES

DIY

• STRETCHING

• EXERCISE

• NUTRITION

• HYDRATION

• SLEEP

• DEEP DIAPHRAGMATIC BREATHING

RESILIENCE!

WHAT OTHER ALTERNATIVE TREATMENT HAS BEEN

REQUESTED THAT YOU WANT TO “ASK THE EXPERTS”?

2019 Annual Meeting

& Educational Conference