The American College of Osteopathic Family Physicians is accredited by the American Osteopathic Association Council to sponsor continuing medical education for osteopathic physicians. The American College of Osteopathic Family Physicians designates the lectures and workshops for Category 1-A credits on an hour-for-hour basis, pending approval by the AOA CCME, ACOFP is not responsible for the content. ACOFP / AOA’s 122 nd Annual Osteopathic Medical Conference & Exposition OCTOBER 7 - 10 PHILADELPHIA, PENNSYLVANIA 29.5 Category 1-A CME credits ancipated OMED 17 ® Joint Session with ACOFP, ACONP and AOAAM: Pain and Addiction Gary Ruelas, DO, PhD
Transcript
The American College of Osteopathic Family Physicians is accredited by the American Osteopathic Association Council to sponsor continuing medical education for osteopathic physicians.
The American College of Osteopathic Family Physicians designates the lectures and workshops for Category 1-A credits on an hour-for-hour basis, pending approval by the AOA CCME, ACOFP is not responsible for the content.
ACOFP / AOA’s 122nd Annual Osteopathic Medical Conference & Exposition
OCTOBER 7 - 10PHILADELPHIA, PENNSYLVANIA29.5 Category 1-A CME credits anticipated
OMED 17®
Joint Session with ACOFP, ACONP and AOAAM: Pain and Addiction
Gary Ruelas, DO, PhD
10/2/2017
1
PAIN AND ADDICTIONTHE ROAD TO RECOVERY
What is about opiates and drugs, that lets individuals such as these, experience briefly a world of bliss, independent of the reality of their world?
10/2/2017
2
Or individuals such as these…believing
That they look like this
10/2/2017
3
OUR PRESENT MODELS OF CARE MAY BE
Too limiting!!! We may be….
asking, for someone who is addicted to an opiate and is use to driving down a highway like this..
10/2/2017
4
TO GO UP A PATH SUCH AS THIS… DAILY!!!!
It might be prudent to ask ourselves questions such as:• Are we asking the right questions?
• Are we looking at in the right places?
• Are we helping to change lives or perpetuating the same cycle?
10/2/2017
5
Let’s Review what we are up against…
A QUICK REVIEW OF THE NEUROBIOLOGY OF PAIN
REMEMBER, PAIN…TRAVELS
10/2/2017
6
PHYSIOLOGICAL PAIN ENTERS THE SPINAL TRACT FROM PERIPHERAL NERVES
10/2/2017
7
Quick Review Of The Neurobiology of Pain and Addiction
• WHERE ARE THE MAJORITY OF RECEPTORS THAT INTERFACE WITH PAIN AND ADDICITON?
THEY ARE FOUND AND INTERFACE HERE…..
10/2/2017
8
MORE SPECIFICALLY HERE…………………………
How does pain play a role in addiction:
• Addiction: is the biological drive to alleviate (physiological and emotional pain), complicated by a diminishing efficacy but increased dependency on a substance that has inherent biological and sociological harm.
• There is a compulsive need for and use of a habit-forming substance (such as heroin, cocaine, sedatives, or alcohol) characterized by tolerance and by well-defined physiological symptoms upon withdrawal; broadly :
• And a persistent compulsive use of a substance known by the user to be harmful.
