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Mindfulness Based Pain Treatment

Herman & Wallace Pelvic Rehabilitation Institute

Objectives

Upon completion of this program, participants will be able to:
Define mindful awareness and describe 4 mindful awareness training activities
Discuss research examining mindful awareness training in pain treatment
Describe current pain science concepts
Discuss the contributing role of stress and trauma to persistent pain
Discuss the evidence for the cognitive and emotional modulation of pain
Explain the role of mindfulness training in pain treatment to patients
Instruct a patient in the basic qualities of mindful attention
Integrate qualities of mindful attention when instructing patients in body awareness, breathing, exercise and walking
Identify barriers and facilitators to pain self-management
Employ mindfulness listening principles to promote your therapeutic alliance with your patients.
Engage on-the-spot mindful practices to support your well-being and inner calm during a busy workday

Target Audience

This course addresses the topic of mindfulness and pain for all specialties (and the generalist!) dealing with pain and is not limited to the pelvic rehab therapist.

Confirmation Notes

What to bring:
Yoga mat, beach towel, or blanket

Agenda

Day One:
8:00 Introductions, course overview 8:15Experiential Exercise Introduction to Mindfulness 8:30 Introduction to mindfulness 9:00 Experiential Practice: Sitting breath awareness 9:30 Proposed mechanisms for how mindfulness works 10:00 Break 10:15 Mindful body scan 10:35 Pain science concepts 11:20 Stress and pain 11:40 Trauma, PTSD and pain 12:10 Cognitive and emotional modulation of pain 12:30 Lunch 1:30 Mindfulness and pain research 2:00 Mindful movement research 2:15 Experiential Practice: Mindful Movement 3:00 Break 3:15 Mindfulness and the Self-regulation of Reactions to Pain Movement and Stress 3:30 Experiential Practice: Integrate mindfulness into breath, body awareness and exercise instruction 4:00 Walking Meditation 4:30 Case studies 5:00 Experiential practice: Practice reflection exercise 5:15 Q&A 5:30 Adjourn

Day Two:
8:00 Questions, answers, discussion from yesterday 8:15 Experiential practice: Mindful movement, body scan, sitting meditation 9:00 The mindful healthcare provider lecture/experiential exercise 10:00 Break 10:15 Applying mindfulness to pleasant and unpleasant situations 10:40 Pain and positive emotional states research 10:50 Mindfulness and opioid use research 11:05 Mindfulness and sleep, anxiety and depression research 11:20 Mindfulness and special topics research: fibromyalgia, pelvic floor pain, LBP, headache, TBI, cancer 11:45 Kindness meditation and pain research 11:55 Experiential practice: Kindness meditation 12:15 Q & A 12:30 Lunch 1:30 Mindful communication: Lecture 1:40 Experiential practice: Mindful communication 2:10 Self-management barriers and facilitators 2:20 Putting it all together: Treatment protocol, documentation, billing 2:45 Break 3:00 Case Studies 3:30 Questions and Answers 3:45 Evaluations and wrap-up 4:00 Adjourn

Description

Pain is a perception engaging sensory, cognitive and emotional processes. Beliefs, expectations, fear, catastrophizing, childhood stress and trauma, and learning and memory can all modulate a patient’s pain experience. In addition, structural and functional brain changes have been identified in patients with persistent pain that may play a significant role in driving pain chronicity. This multifaceted nature of pain perception requires an equally multifaceted skill set to effectively address the therapeutic needs of patients experiencing pain.
A growing body of medical literature suggests mindfulness training is a treatment strategy that can help address the complexities of pain. Mindfulness training has been shown to reduce pain intensity and unpleasantness, decrease depression and anxiety and improve function and quality of life in patients with persistent pain. These improvements may occur through such means as improved body awareness, stress and emotional regulation, attention control and changes in perspective. In addition, mindfulness training contributes to neuroplastic brain changes including increases in prefrontal cortex and hippocampal activity and decreases in amygdala activity. Such changes can potentially help mitigate neurotoxic effects of stress in these chronic pain-associated brain regions.
This 2-day course provides you with practical, evidence-based treatment strategies to promote your patients’ abilities to self-regulate the stress reaction and self-manage pain. You will learn the science of mindfulness and pain and gain insight into how cognition, emotion and stress impact pain perception. You will practice mindful meditation, body scan and movement and learn skills to apply mindful awareness to teaching patients breathing, body awareness, exercise and the self-regulation of reactions to stress and pain. Experiential exercises help you personally experience the transformative power of mindful awareness. You will return to your clinic with the ability to explain the benefits of mindful awareness to your patients and teach mindfulness-based skills for pain relief that can help both prevent and treat chronic pain conditions. You will be able to draw on mindful listening skills to enhance your therapeutic alliance with your patients. In addition, you will learn mindful self-care practices to avoid burn-out and promote your own well-being.

Date And Locations
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