ChoosePT: Electrotherapy, Effective Alternative for Opioid Reduction?

118 Pages·2017·7.87 MB·English

#ChoosePT: Electrotherapy,
Effective Alternative for
Opioid Reduction?
KELLY CONTRERAS, PT, GCS, CEEAA SEEMA GURNANI, DPT, GCS, CEEAA
COMBINED SECTIONS MEETING, FEBRUARY 21-24, NEW ORLEANS, LA
Disclosures
(cid:1) We have relevant financial associations with some of the modalities
discussed in this presentation as we are employees of Accelerated
Care Plus Inc. (ACP), Reno, NV.
(cid:1) ACP manufactures biophysical agents and provides education,
training, and clinical support services to its customers.
Objectives
(cid:1) Examine the mechanisms of Transcutaneous Electrical Nerve Stimulation
(TENS) as a nonpharmacological intervention for pain management
(cid:1) Examine the evidence regarding TENS efficacy and utilize this to select
appropriate stimulation parameters
(cid:1) Summarize the research with regards to using TENS as an adjunct for pain
management and opioid reduction on acute and chronic pain
conditions.
Agenda
(cid:1) Opioid epidemic statistics and current response to date
(cid:1) Mechanisms of TENS for pain management
(cid:1) Optimizing TENS stimulation parameters for efficacious results
(cid:1) TENS as an adjunct for opioid reduction
(cid:1) Acute Pain (Pregnancy/Labor, Post-Operative)
(cid:1) Chronic Pain (Diabetic Neuropathy, Knee Osteoarthritis, Low Back Pain)
(cid:1) Preliminary results from clinical implementation
(cid:1) Promising avenues for TENS application models
(cid:1) Addiction Recovery
(cid:1) Prehospital Setting
(cid:1) Q & A
The Opioid Epidemic
VIDEO
Road to Crisis
(cid:1) 1990’s – Pain as 5th Vital Sign
(cid:1) Campaign touting the alleged under treatment of pain
(cid:1) Liberalization of laws governing prescription of opioids
(cid:1) Aggressive marketing by pharmaceutical companies
(cid:1) Increase awareness and education on the inherent right of pain relief
Road to Crisis - Timeline
AUGUST 2017:
MARCH 2016:
SEPTEMBER 2016:
President
CDC Guidelines for
National Opioid and
JUNE 2016: declares opioid
Prescribing Opioids
Heroin Epidemic
#ChoosePT crisis a national
for Chronic Pain
Awareness Week
emergency
FEBRUARY 2017:
JUNE 2016: AUGUST 2016:
American College of
FDA announces Surgeon General
Physicians recommends non-
immediate-release Turn the Tide Rx
pharmacological
opioids will carry Campaign
approaches first-line tx for LBP
‘black box’ Warning
Map of Crisis
Prevalence/Consequences - Deaths
>6/10 drug overdose
deaths involve an
opioid
Since 1999, the # of
overdose deaths
involving opioids
QUADRUPLED