Slides accompanying the Pain Management webinar featuring Cooper University Health Care experts, hosted on NBC10.com

1. Today’s Webinar
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2. PARTICIPATING IN TODAY’S WEBINAR
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3. About Our Experts
MEET DR. MICHAEL SABIA
Division Head, Pain Management
 Fellowship trained in pain management
 Board certified in Anesthesiology and
Pain Medicine
 Special interest in post laminectomy
syndrome, low back pain, and utilizing
dorsal column stimulation

4. About Our Experts
MEET MS. JESSIE DOTSON
Advanced Practice Nurse
Cooper University Health Care
 Education
 Masters of Science in Nursing – Rutgers, The
State University, Camden, NJ
 Bachelors of Science in Nursing – Trenton
State College, Ewing, NJ
 The advanced practice nurse clinicians work
with each patient to reinforce the messages
provided by the physicians and to help
manage each patient’s care. They also teach
individuals how to adopt health behaviors to
foster long term success.

5. ABOUT CHRONIC PAIN

6. About Chronic Pain
About 100 million Americans suffer from chronic pain,
defined as pain that lasts longer than six months
Chronic pain can range from mild to excruciating, episodic
or continuous, merely inconvenient or completely
incapacitating
Chronic pain may originate with an initial trauma/injury or
infection, or there may be an ongoing cause of pain
Some people suffer chronic pain without any precipitating
injury or event
WHAT IS CHRONIC PAIN?

7. About Chronic Pain
TYPICAL AREAS FOR CHRONIC PAIN
The most common sources of pain stem from
headaches, joint pain, pain from an injury, and
spinal nerve inflammation
Additional sources: tendinitis, facial pain, carpal
tunnel syndrome, and pain affecting specific parts
of the body (shoulders, pelvis, and neck)
Generalized muscle or nerve pain can also
develop into a chronic condition

8. SYMPTOMS OF
CHRONIC PAIN

9. Symptoms of Chronic Pain
Mild to severe pain that does not go away
Pain that may be described as shooting, burning, aching, or
electrical
Feeling of discomfort, soreness, tightness, or stiffness
Pain is not a symptom that exists alone. Other problems associated
with pain can include:
Fatigue
Sleeplessness
Withdrawal from activity and increased need to rest
Weakened immune system
Changes in mood including hopelessness, fear, depression,
irritability, anxiety, and stress and sometimes disability
WHAT ARE THE SYMPTOMS OF CHRONIC PAIN?

10. TREATMENTS OF PAIN

11. Treatments of Pain
Multimodal Treatment
Using various treatment options at the same
time to control pain
This has been shown to improve patients’
function, lifestyle, overall mood, and pain
HOW IS PAIN TREATED?

12. Treatments of Pain
Pain Medicine Specialist determines best combination of
therapy
Will most likely include an in interventional injection
therapy to clear out inflammation
Epidural injection
Other types of injections done with mild IV sedation
along with the guidance of an imaging device (like an X-
ray or Ultrasound)
HOW IS PAIN TREATED?

13. Treatments of Pain
Radiofrequency Ablation (burning the nerves) (RFA)
An electrical current produced by a radio wave is used to
heat up a small area of nerve tissue, thereby decreasing pain
signals from that specific area
The degree of pain relief varies, depending on the cause and
location of the pain
Pain relief from RFA can last from six to 12 months
> 70% of patients treated with RFA experience pain relief
Proven to be safe and effective, with few associated
complications
Main side effect is some discomfort
WHAT ARE SOME OF THE MORE TARGETED TREATMENTS?

14. Treatments of Pain
Spinal Cord Stimulation (dorsal column stimulators)
(SCS)
Standard treatment for patients with chronic pain in
their back and/or limbs who have not found pain
relief from other treatments
Most patients who qualify for neurostimulation
therapy report a 50 – 70% reduction in overall pain
as well as an increased ability to participate in
normal family and work activities
WHAT ARE SOME OF THE MORE TARGETED TREATMENTS?

15. Treatments of Pain
Incorporating these interventional injection therapies with
physical therapy, an oral medication, and lifestyle modifications
is your best bet at preventing this from reoccurring
The order/timing of these treatments is crucial. Depending on
your pain, some patients benefit from starting with an injection
while others do extremely well with physical therapy as the
initial treatment
After a thorough evaluation, your pain specialist will be able to
determine where to start.
WHAT ROLE DOES PHYSICAL THERAPY PLAY IN MANAGING
YOUR PAIN?

16. PREVENTION OF PAIN

17. Prevention of Pain
 Change the way you move your body
 Add a daily home exercise/stretching routine
 Avoid certain foods (simple sugars, processed
foods)
 Incorporate other nutritional foods in to your
diet (walnuts, berries, salmon, avocado, leafy
greens)
HOW TO KEEP PAIN FROM COMING BACK

18. Prevention of Pain
Our body responds much better to a routine.
A daily or every other day low impact, stretching, strengthening
exercise routine that takes 15-30 minutes will serve our bodies
much better in the long run
Box jumps for an hour, twenty sets of power cleans and presses, or
two hours of Zumba aren’t the only way to get your heart rate up
and break a sweat
A brief and frequent exercise routine combined with the right diet
can serve you well
THE BEST WAY TO INCORPORATE MOVEMENT

19. Prevention of Pain
The pain from your body trying to heal an injury may be located in
the same area as “normal soreness”, but most of the time the
quality of the pain will be different
Sharp, burning, radiating pain more commonly accompanies an
injury as opposed to the usual achy pain that we feel after a tough
workout
Pain that persists beyond the usual few days or a week after a
workout should start to spark a concern
Pain that occurs spontaneously, without any provoking factors may
be your body telling you there is something wrong
HOW TO DIFFERENTIATE NORMAL POST-WORKOUT
SORENESS FROM YOUR BODY TRYING TO HEAL AN INJURY

20. ABOUT THE COOPER PAIN
MANAGEMENT PROGRAM

21. About the Cooper Pain Management Program
Specialized Team caring for your individual needs
Team Includes: Board Certified Physicians, Advanced
Practice Nurses, Medical Assistants, and Office Staff
Subspecialty Team Located within the Cooper Health
System: Anesthesiology, Physical Therapy, Psychiatry,
Neurology, Spine Surgery, Palliative Care and Physiatry
COOPER PAIN MANAGEMENT PROGRAM

22. Understanding and Managing Chronic Pain
Call to make an
appointment today!
1.800.8.COOPER
1.800.826.6737
Make an appointment today to take advantage of
all that Cooper University Health Care has to offer.

23. Questions
Understanding and Managing Chronic Pain

24. THANKS FOR PARTICIPATING TODAY
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Understanding and Managing Chronic Pain