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Intensive Update in Pain Management

  • Earn up to 14.5 CME credits | ANCC | AAPA

Intensive Update in Pain Management


Quick Facts


Pain Management CME: Learn the Latest Strategies for Optimal Care

The practice of pain medicine is undergoing tremendous changes as a result of therapeutic advances, healthcare reform, and the impact of the opioid crisis and COVID-19. Cleveland Clinic’s Intensive Update in Pain Management features in-depth reviews and analyses of recent advances in pain medicine and regional anesthesia/analgesia.


In this online CME course, a renowned faculty provide insightful assessment and clinical practice evaluation of key topics to:

  • Promote a better understanding of the pathophysiology of acute and chronic pain
  • Enhance knowledge regarding various chronic somatic and neuropathic pain conditions
  • Critically review novel state-of-the-art interventional and non-interventional techniques in diagnosis and management of chronic pain

Topics / Speakers

The Fundamentals

Anatomic Basis for Treating Joint Pain - Maxim Eckmann, MD

Interventional Approaches to Managing Chronic Musculoskeletal Joint Pain - Maxim Eckmann, MD

Complex Regional Pain Syndrome: Essentials of Our Current Understanding - Magdalena Anitescu, MD, PhD

Surgical Approaches for Low Back Pain and Spinal Stenosis - Michael P. Steinmetz, MD

Panel Discussion – Question and Answer - Session Faculty

Regulatory, Billing and Ethical Challenges in Pain Practice

State Medical Boards and Opioid Prescribing - Damean Freas, DO

Medicare Billing Changes – Impact on Practice - Sharon Merrick, MS, CCS-P

Challenges in Utilizing Digital Medicine for Chronic Pain Management - Kevin Vorenkamp, MD

Solutions to Problematic Billing and Coding Situations - Sharon Merrick, MS, CCS-P

Emerging Pharmacological and Interventional Treatment

TDD vs SCS: Conventional Wisdom vs Science - Nagy Mekhail, MD, PhD

Basi-vertebral Nerve Ablation - Magdalena Anitescu, MD, PhD

Shoulder Radiofrequency Ablation - Maxim Eckmann, MD

Interspinous Spacers for Spinal Stenosis - Timothy R. Deer, MD

What is the Role of Evoked Compound Action Potential (ECAP) Monitoring in Neuromodulation Outcomes? - Erika A. Petersen, MD

Panel Discussion – Question and Answer - Session Faculty

Neuromodulation: Effective Utilization of Targets, Techniques, and Devices

What are the Unmet Needs in Neuromodulation in 2022? - Nagy Mekhail, MD, PhD

High Frequency Stimulation - Erika A. Petersen, MD

Burst Stimulation - Timothy R. Deer, MD

Peripheral Nerve Stimulation - Vafi Salmasi, MD

Feedback Modified Stimulation - Erika A. Petersen, MD

Do Multiple Waveforms Diminish SCS Tolerance? - Timothy R. Deer, MD

Intrathecal Drug Delivery - Shrif Costandi, MD

Neuromodulation – Effective Utilization of Targets, Techniques, and Devices DRG Stimulation - Lynn R. Kohan, MD

Neuromodulation – Changing Paradigms and Devices: How Do I Choose the Best One For My Patient?

Matching the Diagnosis and the Technique/Device for the Best Patient Outcome – A Case Discussion with the Experts - Moderator: Nagy Mekhail, MD, PhD, Panelists: Timothy R. Deer, MD; Maxim Eckmann, MD; Erika A. Petersen, MD; David A. Provenzano, MD; Vafi Salmasi, MD; Shalini Shah, MD

The National Opioid Epidemic: Finding Balance in a Changing Environment

Opioid Stewardship at the Provincial Level - Hance Clarke, MD, PhD

Perioperative Pain Management for Major Spine Surgical Procedures - A Surgeon’s Perspective - Michael P. Steinmetz, MD

Misapplication of Guidelines in Addressing the Opioid Crisis? - Richard W. Rosenquist, MD

What is the Role of the Transitional Pain Service? - Hance Clarke, MD, PhD

Safely Tapering Opioids – Is There a Recipe or Best Practice? - Lynn R. Kohan, MD

Low Back Pain

Optimizing Surgical Referrals for Low Back Pain - Michael P. Steinmetz, MD

Medical Management of Chronic Back Pain - Ellen W. K. Rosenquist, MD

Long-term Management After Failed Surgical Outcomes - Vafi Salmasi, MD

Regenerative Treatments for Low Back Pain – Evidence and Current Status - Kevin Vorenkamp, MD

Physical Therapy for Low Back Pain: Optimizing Treatment Recommendations for Long-Term Success - Philip Toal, PT, DPT

Complications Following Spinal Fusion Procedures – Imbalance and Adjacent Segment Disease - Michael P. Steinmetz, MD

Panel Discussion – Question and Answer - Session Faculty

Medical Marijuana

Role of Cannabinoids in Chronic Pain Treatment - Hance Clarke, MD, PhD

Musculoskeletal Pain Management: Expanding Options for Full Spectrum Treatment

Evaluating the Patient with Chronic Musculoskeletal Pain - Vafi Salmasi, MD

Ultrasound Guided Joint and Tendon Injections - Sree Kolli, MD

Physical Therapy for Joint Pain – Formal and Home Based Treatments - Philip Toal, PT, DPT

Myofascial Pain – Common Locations and Contemporary Treatments - George E. Girgis, DO

Panel Discussion – Question and Answer - Session Faculty


Program Director

Richard W. Rosenquist, MD

Chairman, Department of Pain Management

Anesthesiology Institute

Cleveland Clinic

Cleveland, OH


Magdalena Anitescu, MD, PhD

The University of Chicago Medicine

Chicago, IL

Hance Clarke, MD, PhD

Toronto General Hospital

Toronto, Ontario, Canada

Timothy R. Deer, MD

The Spine & Nerve Centers

Charleston, WV

Maxim Eckmann, MD

UT Health San Antonio

San Antonio, TX

Damean Freas, DO

KureSmart Pain, LLC

Annapolis, MD

Lynn R. Kohan, MD

University of Virginia Health System

Charlottesville, VA

Sharon Merrick, MS, CCS-P

American Society of Anesthesiologists

Schaumburg, IL

Erika A. Petersen, MD

University of Arkansas for Medical Sciences

Little Rock, AR

David A. Provenzano, MD

Heritage Valley Health Pain Diagnostics and Interventional Care

Sewickley, PA

Vafi Salmasi, MD

Stanford Healthcare Center

Redwood City, CA

Shalini Shah, MD

University of California Irvine

Irvine, CA

Kevin Vorenkamp, MD, FASA

Duke Pain Medicine Clinic

Durham, NC

Cleveland Clinic Faculty

Shrif Costandi, MD

Department of Pain Management

George E. Girgis, DO

Department of Pain Management

Ellen W.K. Rosenquist, MD

Center for Spine Health

Michael P. Steinmetz, MD

Department of Neurological Surgery

Nagy Mekhail, MD, PhD

Department of Pain Management

Philip Toal, PT, DPT

Department of Rehabilitation & Sports Therapy


In support of improving patient care, Cleveland Clinic Center for Continuing Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.


American Medical Association (AMA)

Cleveland Clinic Center for Continuing Education designates this enduring activity for a maximum of 14.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Participants claiming CME credit from this activity may submit the credit hours to the American Osteopathic Association for Category 2 credit.


American Nurses Credentialing Center (ANCC)

Cleveland Clinic Center for Continuing Education designates this enduring activity for a maximum of 14.5 ANCC contact hours.


American Academy of PAs (AAPA)

Cleveland Clinic Center for Continuing Education has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 14.5 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.


Date of Original Release: April 30, 2022
Date of Credit Termination: April 30, 2024


A certificate of participation will be provided to other health care professionals for requesting credits in accordance with their professional boards and/or associations.

Learning Objectives

At the conclusion of this CME activity, the participant will be able to:

  • Review current evidence from research and clinical trials and describe their application to pain management practices
  • Develop strategies to provide optimal pain care that address the regulatory, billing, and ethical challenges in pain practice
  • Assess the efficacy and adverse effects of emerging therapies for pain and describe their potential use in clinical practice
  • Describe the most effective use of neuromodulation techniques and devices as they apply to specific patient diagnoses
  • Analyze the role of opioid analgesics to treat acute and chronic pain in the face of the national opioid epidemic
  • Summarize the efficacy of various physical, medical, and surgical approaches to treating chronic low back pain
  • Critically review the efficacy and safety data on cannabis and cannabinoids and discuss their use in chronic pain treatment
  • Examine the recent options for the evaluation and treatment of chronic musculoskeletal, joint, and myofascial pain
  • Demonstrate the technical skills needed to perform interventional pain procedures

Intended Audience

This activity is designed for practitioners and healthcare professionals who seek to learn the latest developments in pain medicine, including anesthesia providers, interventional pain specialists, physical medicine and rehabilitation specialists, orthopedic and spine surgeons, neurologists, neurosurgeons, headache specialists, palliative care specialists, primary care physicians, physical therapists, physician assistants, nurse practitioners and residents and fellows in training interested in the practice of pain management.

Quick Facts

a CMEinfo video production

Provider: Cleveland Clinic Center for Continuing Education

Course Director:

Richard W. Rosenquist, MD

Chairman, Department of Pain Management

Anesthesiology Institute

Cleveland Clinic

Cleveland, OH

Credits: Earn a maximum of 14.5 AMA PRA Category 1 Credits



Topics / Speakers



Further Information

Further Information

Further Information