1007 – The Role of Medical Devices in Opioid-Free Pain Management
Case managers have multiple touch points for chronic pain patients and have no doubt seen first-hand the cumulative effects of the opioid epidemic. Because of this case managers will always maintain objectivity in their relationships with clients. Further, case managers will maintain their competency at a level that ensures their clients will receive the highest quality of service while maintaining the Code of Professional Conduct for Case Managers.
Opioids are associated with high societal and healthcare burden which may include opioid-related adverse drug events, addiction and death. Furthermore, there is significant economic impact associated with the higher incidence of care for those patients chronically using opioids. Efforts across a number of organizations, including NICE, Medicare, as well as professional medical associations (AAOS, ASRA, SIS and WIP) have resulted in new recommendations and practice guidelines with respect to opioids and chronic pain patients. Many chronic pain patients suffer from pain related to musculoskeletal disorders. Which include, but not limited to osteoarthritis, chronic pain of the back, hip and Knee. These chronic pain patients need special consideration in the continuum of care. Safe and effective non-opioid treatments are needed for this patient demographic. Current treatments for chronic pain musculoskeletal patients include weight loss, physical therapy, non-opioid analgesics and NSAIDs, injections (including steroid and hyaluronic acid). Surgery is indicated for these patients in many cases and unfortunately some, not all, will never be a good candidate for surgery. Opioids come with specific indications as well as contraindications with severe side effects. There are several medical device treatments meant to treat chronic pain. These treatments include TENS, spinal cord stimulations, intrathecal pumps, external infusions, cryogenic ablations and percutaneous stimulation. Recently, radiofrequency ablation has emerged as a safe and effective procedure that is able to treat chronic pain. Standard radiofrequency ablation and cooled radiofrequency ablation are two commonly used techniques both in the orthopedic space as well as the pain management space that represent advancements in patient care.
1. Describe the unique burden of disease for chronic pain patients and the significant impact of the opioid epidemic on healthcare and society as well as the ethical implications on treatment.
2. Summarize an overview of opioid-free pain management treatments for patients with pain related to musculoskeletal disorders
3. Identify improvements in medical device technology that enable better patient outcomes