AAPM&R National Grand Rounds: Fibromyalgia - Treating Pain Based on the Underlying Mechanism-Fibromyalgia - Treating Pain Based on the Underlying Mechanism

Video Transcription

Video Summary

Dr. Daniel Claw, a professor at the University of Michigan, presented a talk on chronic pain. He discussed the discrepancy between imaging and pain experience and highlighted fibromyalgia as an example of central nervous system factors in pain perception. Dr. Claw identified nociplastic pain as a third mechanism alongside nociceptive and neuropathic pain. He emphasized the need for individualized treatment based on pain mechanisms and presented studies showing the impact of fibromyalgia scores on pain control and surgical outcomes. Dr. Claw also discussed the influence of psychological factors and childhood trauma on chronic pain. Overall, his talk emphasized the complexity of chronic pain and the importance of tailored treatment approaches.<br /><br />In another part of the video, Dr. Claw provided an overview of nociplastic pain, with a focus on fibromyalgia. He discussed the prevalence of chronic pain and the limitations of traditional pain medications. Dr. Claw suggested tricyclic drugs, SNRIs, and gabapentinoids as effective options. He also mentioned other medications like GHB and low-dose naltrexone. Non-pharmacologic therapies, including exercise, sleep improvement, and CBT, were highlighted as important in managing chronic pain. The potential role of cannabinoids, specifically CBD, in pain management was also discussed. Dr. Claw touched on neuromodulation techniques and mentioned ongoing research on psychedelics. He emphasized the need for individualized treatment plans and coordinated care. Dr. Claw recommended painguide.com as a helpful resource for patients and providers.<br /><br />Credits: The video featured Dr. Daniel Claw, a professor of anesthesiology, medicine, rheumatology, and psychiatry, and the director of the Chronic Pain and Fatigue Research Center at the University of Michigan.

Keywords

Dr. Daniel Claw

University of Michigan

chronic pain

fibromyalgia

nociplastic pain

pain mechanisms

fibromyalgia scores

psychological factors

non-pharmacologic therapies

cannabinoids

neuromodulation techniques

painguide.com