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Orthopedic Surgery, Pain, and Disability

presented by Adriaan Louw, PT, PhD

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Disclosure Statement:

Financial: Adriaan Louw publishes books on pain and receive an honorarium for the sales. He co-owns and teaches for a seminar company offering continuing education for healthcare providers. Adriaan is a technical consultant for a pain science virtual reality company from which he receives royalties. He also receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Nonfinancial: Adriaan Louw has no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 70 Minutes; Learning Assessment Time: 29 Minutes

Orthopedic surgery is very common, and current data shows it's ever increasing. Unfortunately, it is now well established that approximately one in four patients still experience persistent pain and disability after orthopedic surgery. Unfortunately, postoperative rehabilitation has done little to help ease that pain and disability. In line with this data, pain scientists turned their attention to various perioperative factors associated with poor surgical outcomes, such as pain beliefs, fear avoidance, catastrophizing, etc., to determine if targeting these psychosocial issues may in fact yield superior results. Through a series of studies, a preoperative pain neuroscience education program was developed for patients undergoing lumbar surgery. This course showcases the evolution, development, and final build of the preoperative pain neuroscience education program for orthopedic surgery, starting specifically with lumbar surgery. This course applies to all clinicians who work with patients in all clinical settings who have or will be experiencing an orthopedic surgery.

Meet Your Instructor

Adriaan Louw, PT, PhD

Adriaan earned his undergraduate degree, master's degree, and PhD in physiotherapy from Stellenbosch University in Cape Town, South Africa. He is an adjunct faculty member at St. Ambrose University and the University of Nevada, Las Vegas, teaching pain science. Adriaan has taught throughout the US and internationally for 25 years at numerous national and international…

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1. Current Landscape of Orthopedic Surgery

Orthopedic surgery rates are ever increasing, and approximately one in four patients still experience significant pain and disability following surgery. Postoperative rehabilitation offers minimal support in reducing this postoperative pain and disability. It is believed that various issues surrounding the perioperative period related to anxiety and fear fuel postoperative pain and disability.

2. Pain Science and Orthopedic Surgery

Sensitization of the nervous system (both peripheral and central), fear avoidance, catastrophizing, and poor beliefs are powerful predictors of orthopedic surgery outcomes. More and more evidence supports the notion of viewing orthopedic surgery from a pain science perspective versus the traditional biomedical model.

3. Development of a Preoperative Pain Neuroscience Program for Lumbar Surgery

Scientists recently went through a systematic process of developing a preoperative pain neuroscience education program for lumbar surgery. Using metaphors, examples, and images, clinicians are able to teach patients undergoing lumbar surgery more about their pain experience during the perioperative period.

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