Lumbar Facet Joint Pain: Consensus Practice Guidelines for Improving Clinical Outcomes

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guidelines lumbar facet

Registration is now closed. 

 


Overview

The past two decades have witnessed a surge in the use of lumbar facet blocks and radiofrequency ablation (RFA) to treat low back pain. Controversy surrounds the treatment of lumbar facet pain with regards to diagnosispatient selectiontreatment, and procedural steps.

In this webinar, attendees will learn firsthand from and interact with international leaders and authors of the Consensus practice guidelines on interventions for lumbar facet joint pain from a multispecialty, international working group just published in April 2020.  This webinar is intended to provide information that can be implemented right away including evaluating recommended practices for identifying facet painand characterizing optimal technique for radiofrequency ablation.

This dynamic 90-minute recorded webinar  with  expert faculty will provide  hot-off-the-press information from the guidelines that will help physicians improve clinical outcomes in the treatment of lumbar facet pain. 


Faculty

Faculty Disclosures

Scientific/Education Planning Committee   

Samer Narouze, MD, PhD; Western Reserve Hospital, Cuyahoga Falls,  OH
David Provenzano, MD; Pain Diagnostics and Interventional Care, Sewickley, PA

Faculty 

Magdalena Anitescu, MD, PhD; University of Chicago Medicine, Chicago, IL
Steven Cohen, MD; Johns Hopkins & Walter Reed, Clarksville, MD
Maxim Eckmann, MD; University of Texas Health Science Center at San Antonio, TX
Lynn Kohan, MD; University of Virginia, Charlottesville, VA
Samer Narouze, MD, PhD; Western Reserve Hospital, Cuyahoga Falls,  OH
David Provenzano, MD; Pain Diagnostics and Interventional Care, Sewickley, PA


Anitescu_Magdalena fv

Magdalena Anitescu, MD, PhD,  is a professor of anesthesia and critical care, program director for the multidisciplinary pain medicine fellowship, and section chief of pain management services at the University of Chicago Medicine in Chicago, IL. She completed a surgical internship at the University of Iowa and an anesthesia residency at the University of Pittsburgh Medical Center. Following a pain medicine fellowship at the Cleveland Clinic, she joined the faculty at the University of Chicago. She is an accomplished national and international educator, author of numerous textbook chapters and scientific papers, and a member of many professional organizations, editorial boards, and scientific committees that review the academic curriculum for various pain medicine meetings. She developed and edited a series of textbooks for anesthesiology subspecialties based on the problem-based mode of learning. Dr. Anitescu focuses research on improving the quality of life of patients with acute, chronic, or cancer pain through multimodal, multifaceted interventions as well as use of infusion pharmacology and neuromodulation.  Dr. Anitescu is the chair of the Scientific/Education Planning Committee for ASRA’s 19th Annual Pain Medicine Meeting in November 2020. In 2020, she was named one of eight ASRA Trailblazers, a one-time award given to women pioneers in pain medicine.


Dr. Steven Cohen

Steven P. Cohen, MD, obtained his medical degree at Mount Sinai, completed an anesthesiology residency at Columbia University, and a pain fellowship at Massachusetts General Hospital. He is professor of anesthesiology and critical care medicine, neurology, and physical medicine and rehabilitation at the Johns Hopkins School of Medicine and Uniformed Services University of the Health Sciences.  He is also chief of Pain Medicine and director of the Blaustein Pain Treatment Center at Johns Hopkins and a retired Army colonel.



Dr. Maxim Eckmann

Maxim Eckmann, MD, is a professor of anesthesiology and pain medicine at the University of Texas Health Science Center at San Antonio (UTHSCSA), where he completed his pain fellowship in 2008 and serves as the Pain Fellowship Program Director and executive director of Pain Medicine.  As a full time academic physician, Dr. Eckmann practices actively in outpatient and hospital-based interventional pain management.  His research interests include radiofrequency ablation dynamics, shoulder/knee/hip joint denervation, peripheral neuromodulation, and intravenous pharmacotherapy for pain.  Dr. Eckmann is active in mentorship, post-graduate medical education, and advocacy as president-elect for the Texas Pain Society and a working member of the American Society of Anesthesiologists and ASRA. 


Kohan_Lynn

Lynn Kohan, MD, is an associate professor of anesthesiology and pain medicine at the University of Virginia in Charlottesville.  She obtained her medical degree from Georgetown University, where she also completed her anesthesia residency.  She completed her pain medicine fellowship at the University of Virginia and stayed on as faculty.  She currently serves as the Pain Management Fellowship Director.  Her research and clinical interests include head and facial pain, novel radiofrequency techniques, medical and interventional treatments for acute and chronic pain, and resident/fellow education. 


Dr. Samer Narouze

Samer Narouze, MD, PhD, is a professor of anesthesiology and surgery at Northeast Ohio Medical University and Ohio University. He is board certified in anesthesiology, pain medicine, headache medicine, and interventional pain management. He is the chairman of the Center for Pain Medicine at Western Reserve Hospital in Cuyahoga Falls, OH. Dr. Narouze is the president-elect for ASRA. He recently founded the American Interventional Headache Society and serves on many committees for national and international headache and pain organizations. He has published about 200 research papers, review articles, book chapters, and abstracts. 


Dr. David Provenzano

David Provenzano, MD, is the president of Pain Diagnostics and Interventional Care in Pittsburgh, PA. He received his undergraduate degree from Colgate University where he graduated Magna Cum Laude and became a Phi Beta Kappa member. He received his medical degree from the University of Rochester School of Medicine and Dentistry. He completed a surgical internship at Thomas Jefferson University Hospital and a residency in anesthesiology at The Western Pennsylvania Hospital. He completed a pain management fellowship at the Dartmouth-Hitchcock Medical Center. He serves as treasurer on the board of directors of ASRA. In addition, he serves on the Educational Track Subcommittee on Pain Medicine for the American Society of Anesthesiologists. He has extensive interests and expertise in the conservative treatment of pain originating from the cervical and lumbar spine, neuromodulation, and the utilization of ultrasound for interventional pain management procedures.

 


CME-CPD

CME Certificates

Educational objectives

After participating in this educational activity, participants should be able to:

  • Describe the methodology utilized for guideline development.
  • Define the seventeen recommendation from the consensus guidelines.
  • Evaluate recommended practices for identifying facet pain.
  • Characterize optimal technique for radiofrequency ablation.

 

Target audience

The educational activity is designed for the physician learner in the specialties of anesthesia, physical medicine, and surgeons who care for individuals with lower back pain.

Accreditation and credit designation statements

 Access the online system via the CME Certificate button above before May 7, 2021. 

Credits by Day

Maximum

Recording- 01:31

1.50

Total Credits:

1.50


Physicians
The American Society of Regional Anesthesia and Pain Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. 

The American Society of Regional Anesthesia and Pain Medicine designates this "internet activity enduring material" for a maximum of 1.50 AMA PRA Category 1 Credits.™ Physicians should claim only the credit commensurate with the extent of their participation in the activity.

PAs (Physicians Assistants): AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 1.50 hours of Category 1 credit for completing this program.

Nurse Practitioners: The American Association of Nurse Practitioners (AANP) accepts AMA PRA Category 1 Credits™ from organizations accredited by the ACCME. This activity has been approved for a maximum of 1.50 AMA PRA Category 1 Credits.

Registered Nurses: Regulations dictate that only physicians may earn CME credits, however, many state Boards of Registered Nursing accept AMA PRA Category 1 Credits™ from organizations accredited by the ACCME. Attendees are responsible for confirming their specific board’s acceptance of ASRA-provided credits. This activity has been approved for a maximum of 1.50 AMA PRA Category 1 Credits.

The American Board of Anesthesiology® MOCA®1

This activity contributes to the CME requirements for Part II: Lifelong Learning and Self-Assessment of the American Board of Anesthesiology’s (ABA) redesigned Maintenance of Certification in Anesthesiology Program® (MOCA®), known as MOCA 2.0.™ Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements. Maintenance of Certification in Anesthesiology Program® and MOCA® are registered certification marks of The American Board of Anesthesiology.®

ASRA is an ABA-approved provider and, as a service to ASRA members and participants, CME credits are reported to the ABA. Participants must include their correctly formatted ABA ID number (34567890) during the online evaluation and credit claim process available at the conclusion of the activity. Once the online evaluation and credit claim process is closed, certificates will be issued and credits reported to the ABA. After this time, participants may request their CME certificate by contacting  asrameetings@asra.com, but ASRA will no longer report credits to the ABA, which will then be the individual participant’s responsibility.

International credits

Royal College of Physicians and Surgeons of Canada: The Royal College of Physicians and Surgeons of Canada has agreements based on the mutual recognition of credit points with the American Medical Association for live and web-based (synchronous or asynchronous) educational events.  You may submit your CME certificate directly for credit recognition of this accredited group learning activity (Section 1) as defined by the Maintenance of Certification program of The Royal College of Physicians and Surgeons of Canada. For more information, visit: www.royalcollege.ca

European Accreditation Council for Continuing Medical Education (UEMS-EACCME): The UEMS-EACCME has agreements based on the mutual recognition of credit points with the American Medical Association for live and e-learning educational events.  Each medical specialist should claim only those hours of credit that he/she actually spent in the educational activity. The EACCME is an institution of the European Union of Medical Specialists (UEMS): www.uems.net

Commercial support disclosure

The internet activity enduring material (on-demand educational activity) is supported, in part, by educational grants from industry. All support is managed in strict accordance with the ACCME’s Standards for Commercial Support. Appropriate acknowledgement of all supporting organizations is made to participants prior to the educational activity on the event website and within slides at the start of the educational activity. View the guidelines for company representative and in-kind support.  

ASRA thanks the following organizations for their generous support:

  • Grants: Medtronic

Disclosure and resolution of personal conflicts of interest

Faculty disclosure. In accordance with the ACCME’s Standards for Commercial Support and related policies, ASRA is committed to ensuring balance, independence, objectivity, and scientific rigor in its CME/CPD activities. Those in control of the educational content disclose all relevant relationships (financial or other) with any commercial interest that they or their spouse/partner have had within the past 12 months. If an individual refuses to disclose, they are disqualified from participating. Disclosure information is evaluated and conflicts of interest resolved. Disclosure is made to participants prior to the activity. Participants are asked to evaluate the objectivity and independence. Off-label or investigational use of a therapeutic product is also disclosed.

1] Maintenance of Certification in Anesthesiology™ program and MOCA® are registered trademarks of The American Board of Anesthesiology™

2] MOCA 2.0® is a trademark of The American Board of Anesthesiology.®

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