The Problem of Pain 14th and 15th of April 2018

Dr Mick Thacker

PhD MSc Grad Dip Phys Grad Dip MNMSD FCSP

 *Only Course in 2018*

Mick Thacker Photo

 

Day 1

Session 1 – The Problem of Pain

This session will look at the “folk” perspective of pain as indicative of an unwanted but necessary experience. It will also address pain as a clinical challenge and as a threat to our professional confidence and knowledge base. It will comprise a series of problem statements that the rest of the course will address.

Session 2- Models of Pain

This session assesses and critiques the traditional and existing models of pain and nociception. Including the Pain Gate Theory, Pain Neuromatrix Theory and Homeostatic Emotion models. It will also include an introduction to the Hard Problem, Free Energy Principle and Predictive Processing as a model of Pain.

Session 3 – Top Down before Bottom Up

This session assess the potential for cognitive penetrability on nociception and the emergence of pain. It will focus on how the higher centres are involved in the construction of the perception of nociception and the emergence or not of a pain experience. It will include discussion on

  • Higher Centre Predictive Modeling
  • Mature Organism Model Updated
  • Embodied Cognition and Pain

Session 4 – Somatosensory Error Signalling

This session will concentrate on the nociceptive system from the periphery upwards and propose a re-evaluation of nociception as a source of error rather then as a pure transmission of somatosensory information.

 

Sessions 3&4 combined introduce the challenge to clinicians that physical testing is never a true reflection of tissue states and the day will close with a discussion of the clinical challenge faced, in light of the topics discussed throughout the day.

 

Day 2

Session 5 – Precision Weighting

This session will focus on alterations in sensitivity and processing decisions throughout the neuraxis. It will deal directly with central and peripheral sensitization, nociceptive modulation and the analgesic experience.

Session 6 – Clinical Reasoning

Several models of reasoning will be discussed and ultimately I will demonstrate that at present no model is able to fully integrate the ideas from day 1. I will present a new model of reasoning that integrates predictive processing as a theory into clinical decision-making and management.

Session 7 – Thoughts on Management

This session will consider how we should manage pain based on the content of the previous sessions. It will directly deal with constructs such as hands on/off, physiotherapy as pseudo-psychology. Mindfulness and other emerging treatments will also be discussed.

Session 8 – General Discussion and Summary/Feedback

This session will be an open discussion allowing questions, criticism and banter!

 

Location

Lecture Theatre in the Education Centre of the Royal Bournemouth Hospital

 Price: £220 Student Prices (valid ID required) £150

Refreshments provided. Parking available

Contact:

Owen Mc Caughan

Owen.mccaughan@rbch.nhs.uk

01202 704456

Advertisements

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s