Educational Needs & Objectives
IPPS Pre-Conference Clinical Foundations Wednesday, October 11, 2017
WCAPP Plenary Sessions Thursday, October 12 –
Saturday, October 14, 2017
IPPS Post Conference Session Sunday, October 15, 2017
Welcome to the 2017 3rd World Congress on Abdominal and Pelvic Pain. The World Congress will be hosted by IPPS in collaboration with the Convergences in PelviPerineal Pain and the special interest group on abdominal and pelvic pain from the International Association for the Study of Pain (IASP). This year the program will cluster pain topics, including cutting edge basic science and clinical research findings, and pair the topic clusters with a topic specific abstract. We will also highlight treatment recommendations for the management of CPP in male and female patients. Participants will learn about avoiding common pitfalls in the management of the chronic pelvic pain (CPP) patient. The introductory session, Clinical Foundations, has been redesigned to provide a foundation of knowledge about the etiology, diagnosis and management of CPP disorders. It also includes an overview of the neurophysiology and biopsychosocial elements involved in managing chronic pain. It is recommended that providers and researchers who are new to pelvic pain attend the Clinical Foundations course prior to the primary meeting in order to lay the groundwork for the general session. The popular “Lunch with the Experts” series will continue over two days with new and well-liked pain topics. The post-congress course will be focused on brain-body biology and the management of chronic pelvic pain.
Chronic pelvic pain is a common and often debilitating syndrome. It is as common to the general population as asthma, yet most medical providers receive little or no education about managing the complex CPP patient. The social, psychological and financial costs associated with treatments of these disorders are enormous. Many patients endure being misdiagnosed or receiving inappropriate treatment because of the practitioner’s lack of knowledge on this subject. Tragically, this mismanagement and fragmentation of care may actually worsen a patient’s pain. It is critical that health care providers receive education about factors that affect patient care and that researchers collaborate to produce high-quality outcomes-based studies on chronic pelvic pain disorders. Without exchange of clinical and research information across all disciplines encompassing the treatment of CPP, advances in treatment options for those patients will not be possible.
Clinical Foundations Course
At the completion of the Clinical Foundations Course, attendees should be able to:
- Identify principal somatic and visceral etiologies for pelvic pain.
- Construct a complete history and physical examination for diagnosing relevant factors in pelvic pain presentation.
- Recognize the availability of medical, pharmacological, procedural, manual medicine and behavioral centered techniques for treatment of chronic abdominal pelvic pain.
- Describe the evidence-based determination of pelvic pain diagnoses and contributing conditions.
- Identify evidence-based medical and physical therapy treatment techniques for CPP.
- Review and be able to educate my patients on evidence-based management strategies that will be immediately applicable clinically.
2017 IPPS & 3rd World Congress on Abdominal and Pelvic Pain
At the completion of the 2017 IPPS & 3rd World Congress on Abdominal and Pelvic Pain Meeting, attendees will be able to:
- Identify the underlying mechanisms responsible for chronic pain and the most appropriate pharmacological treatments for pain based on mechanism.
- Determine the optimal manner to incorporate non-pharmacological treatment of pain into clinical practice.
- Explain the relationship between endometriosis and pelvic pain with respect to diagnosis and causality and barriers for advancing discovery for those with endometriosis and pelvic pain.
- Describe the peripheral features of inflammation and neuroangiogenesis and the central nervous system changes in women with endometriosis-associated pain.
- Describe the development and utility of diagnostic biomarkers and potential therapeutic targets for pelvic pain.
- Describe pathophysiological mechanisms of chronic pelvic pain that can arise in the nervous system at the level of the brain and highlight the role of neuroimaging in pain.
- Identify the pathophysiologic importance of comorbidities associated with chronic pelvic pain (CPP) and the chronologic development of comorbid pain disorders.
- Explain the role of the pelvic floor muscles on voiding, bowel function and pelvic pain.
- Describe the concept of the cortical body matrix and the notion of competing and collaborating neuroimmune networks as substrate for pain and protection and the principles that govern their operation.
- Critically evaluate the clinical and experimental evidence of dissociable peripheral, spinal, and brain mechanisms underlying abdomino-pelvic pain conditions.
- Describe treatment implications for multiple chronic pain mechanisms in abdomino-pelvic pain populations.
- Critically evaluate the complex and unique features of the nervous innervation of the viscera and the role of peripheral and central sensitization to visceral pain.
- Explain role of autonomic nervous system in modulating visceral pain and inflammation and alterations in autonomic nervous system function in functional gut disorders.
- Highlight the pediatric risk factors associated with persistent or worsening functional disorders in adulthood and opportunities for intervention and prevention.
- Explain the concept for how antidepressants, mast cell stabilizers and inflammatory mediators are utilized for bowel pain disorders.
- Recognize the prevalence of vulvodynia and how common it is to be co morbid with other chronic pelvic pain disorders.
- Analyze the breadth of immunological factors that may either predispose or trigger the onset of localized provoked vulvodynia.
- Explain the psychosocial impact of vulvodynia in order to address these issues in the healthcare setting and/or in making appropriate referrals.
- Describe the effect of sexual dysfunction on pelvic pain and vice versa and strategies for intervention.
- Explain how to begin the discussion about sex and sexual dysfunction in the consulting room.
- Describe the neurobiology and etiology of persistent genital arousal disorder (PGAD).
- Explain how features of a patient’s presentation guide the selection and application of intervention for lumbopelvic pain.
- Identify how dysfunction in any area of the trunk can be a primary underlying cause or significant contributing factor of common sub-optimal strategies for recruitment or relaxation of the core trunk muscles (abdominal wall and pelvic floor).
- Demonstrate an understanding of the muscular, connective and neural tissue changes associated with the viscero-somatic/somato-visceral reflexes that can impact chronic pelvic pain
- Integrate the manual physical therapy approaches to treat the muscular, connective and neural tissue changes into the clinical practice management of patients with urologic chronic pelvic pain diagnoses
- List strategies for identifying differential diagnoses further based on symptoms in relation to palpation findings to determine the next course of assessments and/or treatments.
- Recognize when diagnostic tests play a role in differential diagnoses of peripheral neuralgias compared to a hands-on assessment.
- Describe the neurobiological relationship between affective processes and physical pain.
- Discuss how positive affect can act as a resource for individuals with chronic pain.
- Identify clinical links between maladaptive pain behaviors and chronic pain outcomes.