This is a special opportunity for graduates of our Therapeutic Pain Specialist (TPS) certification (prior to our Spring 2020 cohort and partnership with Purdue University) to take the new, updated online content in this program and graduate with a certification from Purdue University.

In EVERY course, you will see updated literature and new artwork. You will also see all-new recorded lectures by Dr. Adriaan Louw and a variety of EIM Pain Science Faculty, representing a host of different health care providers embracing pain neuroscience in their clinical practice: PT, OT, PA-C, Clinical Psychologist and a Surgeon.

Course by course additions and upgrades to TPS

Therapeutic Neuroscience Education

• Introduction of PNE via virtual reality
• New data on PNE setting the stage for movement vs. as a stand-alone Rx
• Updated literature on PNE for acute pain, surgical experiences and community prevention, including new middle school pre-emptive PNE data
• A framework for pain classifications to guide clinical decision-making
• A closer look at the effect of prolonged stress on various body systems
• An overview of isometric exercise for analgesia

Neurodynamics 1 and 2

• Dr. Louie Peuntedura on the history of neurodynamics, including his own role in the research and evolution of the technique
• A review of anatomy and physiology pertaining to neurodynamic testing and treatment
• Data from the most recent systematic review on neurodynamics
• New video recordings of ND tests and treatments, available in the online Weekend Intensive 1 modules

Too Hot to Handle

• The addition of compelling new studies demonstrating improved ROM with mirror therapy alone
• A deeper dive into the structural changes not only in the dorsal horn of the spinal cord, but also in permeability of the blood-brain barrier and blood-spinal cord barrier
• New literature on the use of PNE to decrease hyperalgesia and open a “window” for manual therapy
• A new fMRI study with compelling implications for the affect PNE has on the brain of someone struggling with CRPS
• New PNE stories to help patients understand brain maps and the rationale for GMI
• Lindsay Marth, OT, sharing new findings on the use of GMI with frozen shoulder
• New studies on the use of GMI for post-surgical LBP, chronic LBP, shoulder pain and knee pain
• New video recordings of GMI techniques, available in the online Weekend Intensive 1 modules

Everything Hurts

• A framework and call to “Treat the Patient, Not the Label”
• A discussion regarding the pros and cons of diagnostic labels for conditions involving central sensitization
• The most recent diagnostic criteria for fibromyalgia, chronic fatigue syndrome, IBS and PTSD
• A deeper look at the naming controversy for patients struggling with chronic fatigue syndrome (CFS)/myalgic encephalomyelitis (ME)/systemic exertional intolerance disorder (SEID)
• A closer look at chronic Lyme disease vs. CFS/ME/SEID and patients’ waning trust in traditional health care
• New literature pertaining to non-celiac gluten intolerance and the growing popularity of avoiding gluten altogether
• An updated review of neurotransmitters, led by Liz Peppin, PA-C and co-host of Pain Reframed
• Insight and updated Cochrane Review finding re: adapting PNE and PNE Plus interventions to best serve patients struggling with these conditions

Peri-Operative Pain Neuroscience Education

• New studies involving pre-operative PNE for patients undergoing TKAs and THAs
• An update on the 3-year outcomes for PNE and lumbar decompression, highlighting the cost/benefit of providing pre-op PNE (major cost savings!)
• Information highlighting the novel uses of GMI and PNE in patients undergoing spine surgery
• Dr. Adam Ryan’s perspective on integrating PNE during each phase of his interactions with surgical patients, including the impact on opioid prescribing patterns

The Business of Chronic Pain

• First-hand clinical pearls for integrating pain neuroscience into a variety of clinical settings and disciplines from TPS alumni
• Insight from industry leader and Confluent Health CEO, Larry Benz, on the challenges and opportunities health care as an industry has in terms of serving those who are struggling with complex and/or chronic pain
• A renewed look at inter-disciplinary and multidisciplinary care for patients struggling with pain

Advanced PNE: Focus on Function (online version)

• A new, 3-week format for online learners, integrating traditional lectures, readings, handouts and quizzes with Flip Grid reflections (asynchronous recorded snippets) and live Zoom sessions with faculty
• A review of PNE stories, and the introduction of new stories
• Clinical pearls for PNE
• New material, authored by Dr. AJ Steele, clinical psychologist, regarding an integrated biopsychosocial approach in patients with pain
• A closer look at factors holding patients in the contemplation phase of change
• Content pertaining to adverse childhood experiences, trauma, trauma informed care, and trauma responsive care
• Guidance on how to navigate “red flag” situations in terms of mental health
• Insight on collaborating with mental health providers, and where PNE Plus overlaps with trauma responsive care interventions

Clinical Decision Making for Patients with Pain

• A NEW 3-week self-paced course, developed to pull all the information and “tools” covered in TPS into a “What’s Next” framework for clinical application and professional development
• A deep dive into the 15 elements of Pain Neuroscience
• A walk through the thorough physical exam described in TNE and throughout TPS
• Matching subjective and objective data to the appropriate pain classification
• Matching dominant pain mechanisms to appropriate treatments
• Prioritization of treatment interventions
• Guidance for continuing one’s professional growth in terms of pain neuroscience

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