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2-Part On Demand Course Features Consensus Practice Guidelines on Interventions for Lumbar Facet Joint Pain

AAPM contributed to a multispecialty, international working group that recently published consensus practice guidelines on interventions for lumbar facet joint pain in Regional Anesthesia & Pain Medicine (RAPM), the official publication of the American Society of Regional Anesthesia and Pain Medicine (ASRA).

There are few conditions as controversial as lumbar facet blocks and radiofrequency ablation (RFA). Wide variation exists between views of pain medicine interventionalists and non-pain physicians on the effectiveness. Furthermore there is a lack of standards reflecting input from multiple pain organizations and other stakeholders for the use of lumbar facet block and RFA. The RAPM consensus practice guidelines are designed to guide clinical care, improve research quality, and assist payers with clinical practice pathways and authorization decisions. 

Authors of the guidelines presented a 2-part symposium on February 28 in National Harbor during AAPM 2020 that is now available as an demand course in the AAPM Education Center.

 Course learning objectives include:

  • Review and improve selection criteria for “diagnostic” facet blocks.
  • Assess how to maximize lesion size and its relationship to RF ablation success rate.
  • Identify the issues surrounding patient selection for clinical practice and clinical trials.

The following recorded presentations and faculty members are covered in the course:

  • Guideline Questions, Methodology and Patient Selection: How Many Blocks, Cutoff for a Positive Block, and Are Medial Branch or Intra-Articular Injections Better? —Steven P. Cohen, MD
  • Imaging and Facet Pain: Evidence for Pre-Block Imaging and Imaging for the Performance Facet Blocks — W. Michael Hooten, MD
  • What is the Evidence for Larger Lesions and Parallel Electrode Orientation? — David A. Provenzano, MD
  • What Volume(s) Should be Used for Medial Branch Blocks and Intra-Articular Injections? — Jee Youn Moon, MD PhD FIPP CIPS
  • Minimizing Complications with Lumbar Facet Blocks — Samer N. Narouze, MD PhD
  • Should Facet Block Patients Routinely Be Sedated? — Robert W. Hurley, MD PhD FASA
  • Differences Between Clinical Practice and Clinical Trials — Mark S. Wallace, MD
  • Should a Trial of Conservative Care Be Mandatory Before Facet Blocks? — David J. Kennedy, MD
  • Should Sensory and Motor Testing Be Used Before Radiofrequency Ablation? — Zirong Zhao, MD, PhD, FACP

​AAPM members receive free access to this 2-part course, and nonmembers can purchase it for $49. Get started by logging into your AAPM account, or by creating an account if you do not yet have one. Contact Member Services for assistance at [email protected] or 847-375-4731.

Members Granted Free Access to Content in the AAPM Education Center

Given the number of in-person conferences being cancelled as a result of the COVID-19 pandemic, now may be an especially useful time to check out the online pain education available in the AAPM Education Center. Free and discounted access to premier online pain medicine education is one of the most highly valued aspects of AAPM membership, and now members have access to even more content.

Members can now access full libraries of 2018 and 2019 AAPM Annual Meeting session recordings for $0 through June 1, 2020.

  • AAPM 2019 Annual Meeting On Demand: includes recordings from the Academy’s 35th Annual Meeting in Denver, CO, that focus on the meeting theme State-of-the-Art Advancements in Pain Medicine.
  • AAPM 2018 Annual Meeting On Demand: includes recordings from the Academy’s 34th Annual Meeting in Vancouver, BC, Canada, that focus on the meeting theme Managing Acute and High-Impact Chronic Pain Through Multidisciplinary Care.

Stream recorded AAPM 2020 sessions and preconference courses at reduced member rates.

It’s hard to believe that AAPM 2020 took place just over a month ago, before social distancing measures were widely in place in the U.S. 2020 Annual Meeting session recordings are now available, along with recordings of the 2020 Pharmacologic Pain Management and Behavioral Medicine preconference courses. AAPM 2020 On Demand is available online and members receive significantly reduced rates. Learn more.

Head to the AAPM Education Center and login to your member account to get started.

If you are not yet an AAPM member or your membership has lapsed. Join or renew to immediately start receiving benefits.

Contact AAPM Member Services with assistance accessing your account or becoming a member at [email protected] or 847-375-4731.

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American Academy of Pain Medicine