Non-Opioid and Alternative Approaches to Pain

This module summarizes evidence on the use of exercise, acupuncture, spinal manipulative therapies, herbs, dietary supplements and other complementary approaches for pain. Discusses how to use NSAIDs most effectively to treat pain and prevent acute pain from becoming chronic pain. 

Target Audience

This activity is intended for physicians, nurses, pharmacists, and other healthcare professionals.

Learning Objectives

Upon completion of this module, the learner should be able to:

  • List 3 dietary supplements that are effective for treating osteoarthritis.
  • Identify 3 CAM modalities that are effective for treating chronic pain.
  • Describe how prophylactic non-opioid treatment can prevent sensitization.
  • Compare and contrast the synergistic effects of COX-1 and COX-2 inhibitors on pain.

Disclaimer 

The material presented in this continuing medical education program is being made available for educational purposes and does not reflect the official views or policies of the DC Department of Health unless explicitly stated.

Course summary
Available credit: 
  • 1.50 AMA PRA Category 1 Credit™
    The George Washington University School of Medicine and Health Sciences is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
  • 1.50 Completion
Course opens: 
04/28/2020
Course expires: 
04/28/2024

Raymond Dionne, DDS, MS, PhD

Research Professor, School of Dental Medicine
Eastern Carolina University
 
Bio
Dr. Dionne received a DDS and MS in pharmacology from Georgetown University and a PhD in pharmacology from the Medical College of Virginia. He spent 34 years conducting clinical research on pain and analgesia in the intramural program at the NIH, where he also held several administrative positions. He currently is a professor in the Department of Pharmacology at the Brody School of Medicine. He has co-authored more than 200 publications, co-edited 5 texts and monographs and served as editor of Anesthesia Progress. His passion and folly is boating which takes up all of his spare time and discretionary income.
 

Adriane Fugh-Berman, MD

Professor, Department of Pharmacology and Physiology and Department of Family Medicine 
Georgetown University Medical Center
 
Bio
Dr. Fugh-Berman teaches courses on medicinal plants and evidence-based medicine at Georgetown University Medical Center. She directs PharmedOut, a GUMC project that advances evidence-based prescribing. Her research focuses on pharmaceutical marketing practices and the culture of medicine.


Susan F. Wood, PhD

Professor, Department of Health Policy and Management
Director, Jacobs Institute of Women's Health
The George Washington University Milken Institute School of Public Health
 
Bio
Dr. Wood's research focuses on women’s health and the use of scientific knowledge in public policy. She teaches courses in health policy and in women’s health at the GWU Milken Institute School of Public Health. She previously was Assistant Commissioner for Women's Health at the U.S. Food and Drug Administration (FDA), and directed the FDA Office of Women's Health from 2000 - 2005. Prior to the FDA, Dr. Wood was the Director of Policy and Program Development at the U.S. Department of Health and Human Services' Office on Women's Health.
 

Faculty Disclosures

In accordance with the Accreditation Council for Continuing Medical Education’s Standards for Commercial Support, The George Washington University Office of CEHP requires that all individuals involved in the development of activity content disclose their relevant financial relationships and that all conflicts of interest be identified, resolved, and communicated to learners prior to delivery of the activity.
 
The following planners, upon submission of a disclosure form, made no disclosures of commercial relationships:
 
  • Susan F. Wood, PhD
The following planners, upon submission of a disclosure form, disclosed the following potential conflicts:
 
  • Dr. Raymond Dionne serves on the scientific advisory board of Charleston Laboratories and the Global Pain Faculty of GlaxoSmithKline. He has consulted with the pharmaceutical industry in the past. He also serves on the editorial board of the Compendium, Applied Clinical Pharmacology and Toxicology, and Clinical Pharmacology and Translational Medicine.
  • Dr. Adriane Fugh-Berman discloses that she is a paid expert witness at the request of plaintiffs in litigation regarding pharmaceutical marketing practices. She is also a subcontractor to George Washington School of Public Health.

Physicians 

The George Washington University School of Medicine and Health Sciences is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
 
The George Washington University School of Medicine and Health Sciences designates this enduring material for a maximum of 1.5 AMA Physician Recognition Award Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 

Pharmacists

The George Washington University Hospital, Department of Pharmacy is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education.

Available Credit

  • 1.50 AMA PRA Category 1 Credit™
    The George Washington University School of Medicine and Health Sciences is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
  • 1.50 Completion
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