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This dynamic clinical track features immersive education sessions over the course of 3 days at the AIHM Annual Conference. The track will provide in-depth reviews and analyses of recent advances in integrative approaches to treating pain. The practice of pain medicine is evolving as a result of therapeutic advances, healthcare reform, and the downstream impact of the opioid crisis. The education sessions within this program will give providers the tools needed to provide comprehensive integrative pain care.

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Michael Kurisu, DO
The Importance of Touch and Connection for Transforming Pain
Sunday, October 13 from 9:15 AM - 10:15 AM

This is a presentation of an introduction to Manual Medicine. It will explore the role that structural and functional anatomy play in manual therapies and will give an appreciation for the pathophysiological foundations. It will also give different clinical applications of manual treatments and give examples of evidence-based therapies. This presentation will also include a brief hands-on learning demonstration for all participants.

Robb Russell, DC
Why One Size Does Not Fit All: How to Individualize Pain Care
Sunday, October 13 from 10:15 AM - 11:00 AM

Usual care for pain in the United States has emphasized medications, all too frequently opioids, rest and often ineffective, yet highly reimbursable, interventions. This approach has translated into a skyrocketing numbers of individuals who have become addicted to opioids, swelled the numbers of people living with significant functional limits and led to large numbers unable to work. The direct and indirect costs of poorly treated pain are enormous and worsening. Numerous studies have pointed to multidisciplinary care including acupuncture, behavioral health, chiropractic, occupational and physical therapy, to name only a few approaches, for treating pain. Current clinical practice guidelines recommend specific non-pharmacological therapies as front-line treatments ahead of pharmacological treatment for the management of low back pain, neck pain, and osteoarthritis of the hip, knee, and hand. Yet guidelines are often deficient at helping healthcare practitioners select optimal management for specific patients. Clinical decision-making processes, including patient sub-classification, related to pain disorders provide knowledge to healthcare practitioners to tailor individualized care improve patient’s outcomes.

Aly Cohen, MD, FACR, ABOIM
Integrative Rheumatology: Western and Eastern Approaches to Prevention and Management
Sunday, October 13 from 1:00 PM - 1:45 PM

This session will focus on the Eastern and Western Approaches to preventing and managing many common rheumatological illnesses. Autoimmune diseases and other chronic musculoskeletal ailments are on the rise, and there is abundant evidence to show that dietary changes, nutritional improvement, gut microbiome interventions, sleep hygiene, stress management, environmental chemical exposure reduction, and evidence-based supplement support can be highly effective in preventing and managing autoimmune disease (SLE, RA, GCA eg.) as well as crystal arthropathy, osteoarthritis, and common musculoskeletal injuries (back pain eg.).

Jeffrey Benton, DC, CTN, ACN, QME
Healing Chronic Physical and Emotional Pain with the Emotional Trauma Release Technique™
Sunday, October 13 from 1:45 PM - 2:30 PM

This presentation will review the basis of Chiropractic medicine and Mind-Body medicine with its application to development of the Emotional Trauma Release Technique. In summary, this technique is the coalescence of Chiropractic theory of the nerve system, Applied Kinesiology muscle testing, specific reflexes related to emotions, the heart chakra, and specific breathing techniques developed by Dr. Benton. Peer reviewed articles are included in this ground-breaking presentation. Live demonstrations of audience participants are included in this interactive presentation.

The Chiropractic medicine review includes how the nervous system is wired, how to identify blocks in the nervous system using muscle testing, and the introduction of Applied Kinesiology muscle testing technology. The mind-body medicine review includes Historical review of genetics, Epigenetics, overview of the origins of endocrinology through psycho-neuro-immunology (PNEI). Evolutionary discussion of mind-body-heart connection, discussion of the ‘startle reflex’ and its involvement in storing traumatic events. The final portion of the presentation involves live demonstration on AIHM participants, provided they give their permission. The technique will be explained and AIHM attendees will be invited to work on their seat mates or on themselves with the easy to learn technique.

Robb Russell, DC
Diet and Pain: Starting Steps to Reverse the Tide
Monday, October 14 from 1:00 PM - 1:45 PM

Persistent pain, particularly that affecting the musculoskeletal system, is a significant contributor to the global burden of disease. Diet plays an important role in general health, the prevention and treatment of various conditions, and promotion of wellness yet is not addressed in published guidelines for non-surgical management of patients with pain. Using the best evidence currently available, clinical decision-making processes that address macro- and micro-nutrient intake, pro- and anti-inflammatory foods, glycemic control and obesity are summarized for clinical application to improve outcomes in appropriately selected patients.

Justin Goehl, DC, MS

Louis Kazal Jr., MD
Primary Spine Care Integration at Dartmouth Hitchcock
Monday, October 14 from 1:45 PM - 2:30 PM

This talk will outline the integration of chiropractic care in a Primary Spine Care Model within an academic medical center. The discussion will focus on the purpose of the Primary Spine Care Model, people involved in department collaboration, benefits and outcomes provided to the health system, barriers in development and growth, and areas for improvement going forward. Attendees will leave with a renewed purpose for integrative medicine in hopes of providing the best care for the health system and population at large.

At the end of this session participants will be able to: (1) Develop strategies for collaborative spine care with primary care providers; (2) Determine areas of need for integration within your clinical system; (3) Describe key features of successful integrative care; and (4) Identify potential barriers to integrative care and approaches to minimize their impact.

Michele Maiers, DC, MPH, PhD
Managing Pain in Older Adults: Supporting Both Needs and Expectations
Monday, October 14 from 3:30 PM - 4:30 PM

By 2050, nearly a quarter of Americans will be age 65 or older. This demographic shift magnifies the need for safe and effective interventions that help maintain functional ability and independence among older adults. Restoring and optimizing musculoskeletal health is central to that effort.

Approximately one third of individuals 65 years of age and older report consistent musculoskeletal pain several years in duration; an additional one third report chronic episodic pain. Generalized musculoskeletal pain has been identified as an independent risk factor for mobility limitations in those over the age of 75. This, coupled with a heightened risk of falls, contributes to a reduced quality of life for older adults. Kinesiophobia and a poor sense of self-efficacy contribute to the negative impact musculoskeletal conditions may have on older adults. Each of these threatens older adults’ ability to live independently, contribute to their communities, participate in paid or unpaid work, and manage other chronic conditions like heart disease, diabetes, and obesity.

Complementary and integrative healthcare providers are uniquely positioned to offer non-drug, non-surgical options for pain management in older adults. This includes the use of both active and passive therapeutic modalities, as well as psycho-social support and lifestyle modification. Importantly, understanding the unique perspectives and expectations of this population can enhance outcomes and support the therapeutic alliance between and individual and their provider.

Adam Blanning, MD

Elizabeth Sustick, RN
Multidisciplinary Pain Treatment for the Levels of Body, Soul, and Spirit
Monday, October 14 from 4:45 PM - 5:30 PM

Alleviating pain stands as a central therapeutic task. Practitioners are often caught with the dilemma of needing to adequately treat pain but wishing to avoid prolonged use of addictive or habituating medications. This is compounded by the fact that patients treated for acute injury may become dependent on narcotic medications for a much broader range of physiologic, emotional, or biographical pain—narcotics are not very specific medications. We need to look beyond the pain scale. Offering patients effective, non-addictive treatment options for a diverse range of medical conditions helps reduce long term dependence on medication. This is aided by learning to see pain on physical, functional, sensory and spiritual levels, and then relating those insights to integrative medical treatments. This session will introduce a fourfold framework commonly used in anthroposophic medicine and nursing, which has been successfully integrated into both inpatient and outpatient settings. After an initial overview and case discussion the session will offer participants the chance to experience, hands on, the way these treatments are included into anthroposophic nursing care.

Robert Bonakdar, MD, FAAFP, FACN, DAAPM
The Gut Brain Connection to Pain: New Hope for Relief
Wednesday, October 16 from 8:00 AM - 9:00 AM

Over the last decade increasing evidence points to the cross communication between the enteric and central nervous system - better known as the gut-brain axis. This understanding helps to better understand how daily choices such as diet can intimately affect pain and overall health. This session will review emerging evidence of therapies such as dietary intervention and stress management that can be recommended to support the gut-brain axis and optimize pain management.

Jake Fleming, DO

Michael Kurisu, DO

Roger Mignosa, DO

The Future of Rehabilitation: Mindfulness-Movement-Manual Therapy*

Wednesday, October 16 from 9:00 AM - 11:30 AM

In this session the osteopathic cohort of Dr. Jake Fleming, Dr. Michael Kurisu, and Dr. Roger Mignosa will provide a comprehensive workshop to address rehabilitation from the lens of mindfulness, movement, and manual therapy. In this workshop osteopathic principals will be actively applied in the formulation of rational therapy that treats an individual as one unit interacting with their environment.

At the end of this session participants will be able to: (1) Explain the nature of dynamic psychotherapy and apply it in their own life; (2) Recognize the foundations of ideal movement patterns identify deviations within themselves and their patients; and (3) Utilize an experience of osteopathic manual therapy to improve upon their physical exam skills and approach to patient care.

*Space is limited in this workshop and pre-registration is required. There is no additional cost to participate.

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