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Preoperative Pain Neuroscience Education for Knees and Shoulders

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: 45 Minutes; Learning Assessment Time: 29 Minutes

Orthopedic surgery rates are increasing. Approximately one in four patients experiences persistent pain and disability after surgery, and postoperative rehabilitation has shown limited efficacy in easing the pain and disability. Recent research has shown that various pain issues surrounding orthopedic surgery--central sensitization, fear avoidance, and catastrophizing--play a significant role in postoperative outcomes. In light of this, a preoperative pain neuroscience education program was built for knee replacements and shoulder surgery. This course will showcase the rationale for the program, including the evolution and development of the program. The course takes participants through the program step-by-step, making it easy for clinical application. This is ideal for clinicians working with patients struggling with knee and shoulder pain in the perioperative period.

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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Chapters & Learning Objectives

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1. Rationale for Preoperative Pain Neuroscience Education for Knees

Central sensitization, fear avoidance, and catastrophizing are present in a subgroup of patients with knee osteoarthritis scheduled for knee replacement. These factors all respond favorably to pain neuroscience education and thus warrant the development and testing of a preoperative pain neuroscience education program for knee replacement.

2. Preoperative Pain Neuroscience Education Program for Knee Replacement

Pain neuroscience is best taught to patients via metaphors, examples, and images. This chapter systematically takes students through the various metaphors, examples, and images used in the preoperative pain neuroscience education program for knee replacement.

3. Tests, Trials, and Results: Preoperative Pain Neuroscience Education Program for Knee Replacement

A series of studies tested the preoperative pain neuroscience education program for knee replacement. Results show immediate post-education changes in surgery expectations and sensitivity of the operated knee, while postoperative studies show superior surgical experience for pain neuroscience education-trained patients.

4. Pain Neuroscience Education for Orthopedic Surgery: What’s Next?

Following the success of preoperative pain neuroscience education for lumbar and knee surgery, attention has shifted to other orthopedic surgeries. Early data shows positive effects on shoulder surgery, while attention is also shifting to hip replacement and failed back surgery.

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