[AJA 2021 LECTURE 6] An Osteopathic approach to pain management

This lecture introduces an Osteopathic manual medicine approach to chronic pain, including other various treatments and supplements that can be used for chronic pain including acupuncture, glucosamine/chondroitin, vitamin D, and platelet-rich plasma (PRP).
Format

Recorded Video

Starting date

November 21, 2021 

Faculty

Dr.  Gautam Desai

Credits

0.5 CPD

Duration

30 minutes

Price

$ 20

Overview

Learning Objectives

CME Credits

This lecture introduces an Osteopathic manual medicine approach to chronic pain, including other various treatments and supplements that can be used for chronic pain including acupuncture, glucosamine/chondroitin, vitamin D, and platelet-rich plasma (PRP). It first looks at the statistics regarding use of complementary and alternative medicine (CAM) and integrative medicine in the US and Korea, which gives us a general idea as to why it is necessary to understand and consider use of integrative medicine in patient management.
Further, prevalence of chronic pain in the US and Korea is high. Considering the risks of medication including addiction, CAM or integrative medicine such as Osteopathic manual medicine can be used with analgesics for chronic pain, and a summary of the existing literature and data on contraindications, effects and safety on various supplements and treatments is given.

[Osteopathic manual therapy (OMT)] Four types of OMT treatments are described with demonstration videos, including myofascial release (MFR) and soft tissue techniques for the neck, muscle energy technique (MET) for the piriformis muscle, carpal spread, and high velocity low amplitude (HVLA) technique for the thoracic spine.
[Other supplements/treatments for chronic pain] The rationale for use of acupuncture, anti-inflammatory diets, food supplements, and PRP therapy for chronic pain are examined.
[Fibromyalgia] This lecture also covers the diagnostic criteria, contributing factors, prognosis, and treatments for fibromyalgia which accounts for 2-3% of chronic pain worldwide.
* Review the prevalence of CAM use and understand the need for discussion of integrative therapies
* Understand the basics of OMT including use for low back pain, safety, and contraindications
* Review the evidence for acupuncture use for knee osteoarthritis (OA), neck disorders, post-operative pain, and chronic pain
* Examine use of glucosamine/chondroitin supplements for OA, vitamin D supplementation for chronic widespread pain
* Review the basics of fibromyalgia, including epidemiology, ACR diagnostic criteria, symptoms, diagnosis and treatments
The following is activity is accredited to provide the following credits: 
  • 0.5 APHRA CPD hours

Faculty and disclosure

Dr. Gautam Desai

D.O., F.A.C.O.F.P, CPI, Professor
  • Riverside Osteopathic Hospital/Henry Ford - Residency, Family Medicine
  • COGMET Participation - Consortium for Osteopathic Graduation, Medical Education and Training, Michigan State University College of Osteopathic Medicine

    Member Task Force on CME American Osteopathic Association
  • Reviewer Mosby’s Drug Reference for Health Professionals 3rd Edition
  • Chair, Osteopathic Clinical Research Committee American College of Osteopathic Family Physicians
  • Procedural Medicine Committee American College of Osteopathic Family Physicians
  • Chair, Clinical Skills Testing Advisory Committee National Board of Osteopathic Medical Examiners
  • SOAP Note Fabrication Sub-Committee National Board of Osteopathic Medical Examiners
  • Council on Minority Health Issues American Osteopathic Association
  • Council on Continuing Medical Education American Osteopathic Association
  • Vice – President, DOCARE International, NFP
  • Kansas City Free Health Clinic Kansas City, MO
  • Volunteering medical services

  • Helms Medical Institute Los Angeles, CA Medical Acupuncture 300-hour coursework completed
  • Michigan State University College of E. Lansing, MI Osteopathic Medicine Doctor of Osteopathic Medicine

  • Certified Physician Investigator Academy of Pharmaceutical Physicians and Investigators and Association of Clinical Research Professionals
  • Board Certified, Family Medicine and Osteopathic Manipulative Treatment by the American Osteopathic Board of Family Physicians
  • Basic Disaster Life Support (2009 - 2012)
Dr. Gautam Desai has disclosed no relevant financial relationships to this activity.


Planners, Reviewers and Editors

Jinho Lee, KMD

In-Hyuk Ha, KMD
Meriong Kim, KMD
Seungmin Kathy Lee, KMD

Young-suk Yoon, KMD
Jinhun Park, KMD

Andrew Jang, L.Ac

Ju Seok Lee

The planners, reviewers, and editors have disclosed no relevant financial relationships to this activity.

Disclosures

Jaseng Hospital of Korean Medicine requires every individual in a position to control educational content to disclose all financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

All relevant financial relationships for anyone with the ability to control the content of this educational activity are listed below and have been mitigated according to Jaseng Hospital of Korean Medicine policies. Others involved in the planning of this activity have no relevant financial relationships. 

Disclaimer

The opinions and ideas expressed in this educational activity are solely those of the faculty and are not necessarily endorsed by, nor do they necessarily reflect, those of their affiliated institution(s) or Jaseng Medical Academy. Clinical judgment must guide each physician in weighing the possible risks and benefits of any diagnostics, interventions, or treatments discussed. Physicians should review manufacturers’ product information and consider these along with the recommendations of other authorities when applying the assessment and/or clinical management strategies discussed in this activity to their patients.

CME Information

CME Accreditation Statement

Jaseng Hospital of Korean Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Jaseng Hospital of Korean Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit™. Physicians should claim only the credit(s) commensurate with the extent of their participation in the activity.

Discussion of Off-Label Uses and Investigational Products

During the course of their presentation(s), the faculty may mention the use of the product(s) that have not been approved for the indication(s) being discussed. All faculty are instructed to notify when they are discussing unapproved uses or investigational agents. In addition, relevant slides will include notation of the off-label use or investigational agent being discussed. Views presented related to unapproved uses of products are solely those of the faculty and are not endorsed by, nor do they reflect, those of Jaseng Medical Academy.

Statement of Independence

CME activities of Jaseng Medical Academy are developed and conducted in accordance with the ACCME's Essential Areas and Policies. It is the mission of Jaseng Medical Academy to develop and present CME and other educational activities in the field of Complementary and Alternative Medicine that are timely, balanced, scientifically rigorous, and that serve to improve competency, performance, and patient outcomes. To that end, we welcome your comments on areas of needs and/or gaps in your medical practice and how to better serve your needs.

Questions? If you have questions about this activity, please email jaseng.education@jaseng.co.kr or call us at +82-2-2222-2792.

Refunds and Cancelations

Refunds

If you paid for an individual course and it is not what you were expecting, you can request a refund within 14 days of your payment. You are not eligible for a refund if you’ve completed 50% or more of the course, earned a course certificate, or 14 days have passed since your payment. However, if a course you purchased is disabled for legal or policy reasons, or in cases of system error, you are entitled to request a refund beyond the 14-day limit.

This activity is designed to be completed within the time designated on the title page; physicians should claim only those credits that reflect the time spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period that is noted on the title page. 

Cancelations

During the course of their presentation(s), the faculty may mention the use of the product(s) that have not been approved for the indication(s) being discussed. All faculty are instructed to notify when they are discussing unapproved uses or investigational agents. In addition, relevant slides will include notation of the off-label use or investigational agent being discussed. Views presented related to unapproved uses of products are solely those of the faculty and are not endorsed by, nor do they reflect, those of Jaseng Medical Academy.

CME Instructions

There is a variable fee for participating in or receiving credit for this online educational activity. 

This activity is designed to be completed within the time designated on the title page; physicians should claim only those credits that reflect the time spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period that is noted on the title page. 

Follow the steps to earn CME/CE Credits:

1. Read the title page, overview and description, learning objectives, and author disclosure

2. Complete and view all education content

3. Complete the pre-test, post-test, and evaluation survey to provide feedback on the program. (Tests are not graded)

4. You may view, print, and download your certificate on your dashboard.


Credits will be tallied in your CME/CE Tracker and archived for 6 years; at any point within this time period, you can print out the tally as well as the certificates from the CME/CE Tracker.