Occupational Therapy for Chronic Pain
Punita V SolankiConsultant Occupational TherapistAastha Multi Speciality HospitalKandivali West MumbaiMobile +91-9820621352Email therapistindiagmailcom
29th ISSPCON 2014 Pad Dr D Y Patil Medical College Navi Mumbai
7th February 2014 Friday
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Contents
Link Between Occupation Client and hisher Environment Core Concept of Occupational Therapy
Occupational Therapy Chronic Pain Conditions where OTs have a RoleRole of Occupational Therapy in Chronic PainImportance of Integrated Interdisciplinary Team
ApproachPreventive Approach Towards Pain Management
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Person with Chronic Pain (Physical amp
Psychological aspects of
Pain)
Physical Social Emotional Cultural
Environment
Occupation ADL Work amp
Productive Activities Play
amp Leisure
An Idle Brain is the Devilrsquos
Workshop
Humans are Occupational Beings
Occupation Diversional
Therapy
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Occupational Therapy in Chronic Pain
Occupational Therapy
Client centered health profession Promotes health and well being through
occupation The primary goal Enable clients to participate
in the activities of everyday life
Occupational Therapists
Work with clients with pain to enhance their ability to engage in the occupations by modifying the occupation or the environment to better support their occupational engagement
Reference httpwwwwfotorg
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Chronic Neck amp Shoulder Girdle Pain
Chronic Mid amp Lower Back Pain
Chronic Arthritic Joint Aches amp Pain
Chronic Bone Aches amp Pain
Complex Regional Pain Syndrome
Chronic Fatigue Syndrome
Overuse Syndrome
Chronic Pain Conditions
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Occupational Therapy Pain Interventions Level I Adjunctive Methods amp Level II Enabling Activities
I Therapeutic Exercises amp
II Enabling Activities
Innovative Rx Stress Loading in CRPS eg Carrying Scrubbing
with Dystrophile Mirror Therapy
Positioning with Splinting amp Functional
Bracing
Sensory Stimulations Desensitization in
CRPS
BiomechanicalApproach
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Occupational Therapy Pain Interventions Level III Purposeful Activities amp Level IV Occupational Activities
Activities of Daily Living Adaptive
Training amp Adaptive Equipments
Work amp Productive Activities Adaptive
Training amp Adaptive Tools amp Environment
Play amp Leisure Activities Training eg
Arts Crafts Games Sports
Educational Activities eg Environmental
Modifications in Schools
Rehabilitative amp Ergonomic Approach
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Occupational Therapy Pain Interventions
Joint Protection Techniques
Work Simplification amp Energy Conservation
Techniques
Time amp Stress Management eg
Relaxation Techniques CBT
Pain Health Literacy amp Self Management
Programs
Behavioral Learning Approach for Client Education
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Importance of Integrated Interdisciplinary Team Approach
Of all approaches to the treatment of chronic pain none has a stronger evidence basis for efficacy cost-effectiveness amp lack of iatrogenic complications than interdisciplinary care
Most critical is the understanding that chronic pain is a disease of the person and that a traditional biomedical approach cannot adequately address all of the pain-related problems of this patient population
Reference 1 Interdisciplinary Chronic Pain Management International Perspectives Pain Clinical Updates by International Association for the Study of Pain December 2012 Vol XX Issue 72 Ludeke C Lambeek et al Randomised controlled trial of integrated care to reduce disability from chronic low back pain in working and private life BMJ 2010340c1035 doi101136bmjc1035
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Occupational Therapistrsquos valuable efforts are geared towards preventing disability due to acute amp sub acute pains - from becoming chronic disability due to chronic persistent pain by 2deg amp 3deg preventive approaches onlineoffline client education and timely return to ADL Work and Leisure with Work Conditioning amp Work Hardening Programs
Preventive Approach Towards Pain Management
Reference B del Pozo-Cruz et al J Rehabil Med 2012 44 581ndash587
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Take Home MessageFrom an Occupational Therapistrsquos Perspective Occupation
of a Person includes Activities of Daily Living Work amp Productive Activities Play amp Leisure
Occupational Therapists are important Team Members in an Integrated Interdisciplinary Team Approach towards Chronic Pain Management (~ International Association for the Study of Pain)
Integrated Interdisciplinary Care has a stronger evidence basis for efficacy cost-effectiveness amp lack of iatrogenic complications in the management of Chronic Pain than Traditional Biomedical approaches
Secondary amp Tertiary Preventive Approach amp Timely return to everyday activities helps prevent acutesub-acute pain becoming chronic in nature
Do not treat the pain alone but treat the person suffering from pain Physical Psychological Social amp Emotional Care
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
References The Canadian Association of Occupational Therapists (CAOT) Position Statement Pain Management and Occupational Therapy 2012 Melanie E Swan Treating Complex Regional Pain Syndrome A Guide For Therapy Reflex Sympathetic Dystrophy Syndrome Association 062004 wwwrsdsorg Interdisciplinary Chronic Pain Management International Perspectives Pain Clinical Updates by International Association for the Study of Pain December 2012 Vol XX Issue 7 World Federation of Occupational Therapists (WFOT) httpwwwwfotorg Occupational Therapy and Pain Management Occupational therapy - Helping people to live life their way By College of Occupational Therapists wwwCOTorguk Recommended guidelines for Pain Management Programmes for adults A consensus statement prepared on behalf of the British Pain Society April 2007
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
References
Chapter 3 The Intervention Continuum In ldquoOccupational Therapy Intervention Resource Manual A Guide for Occupation-Based Practicerdquo Eds Denise Chisholm Cathy Dolhi Jodi Schreiber 2004 1st
Edition 240 pages Published by Delmar Learning a division of Thompson Learning Inc New York USA ISBN 1-4018-1536-7 Ingrid Soumlderback - Chapter 1 Genesis of the Handbook Materials and Methods In ldquoInternational Handbook of Occupational Therapy Interventionsrdquo Eds Ingrid Soumlderback 1st Edition 2nd Printing XXVIII 554 pages 2009 Springer Link ISBN 978-0-387-75423-9 (Print) 978-0-387-75424-6 (Online) Ludeke C Lambeek et al Randomised controlled trial of integrated care to reduce disability from chronic low back pain in working and private life BMJ 2010340c1035 doi101136bmjc1035 B del Pozo-Cruz et al An occupational internet-based intervention to prevent chronicity in sub acute lower back pain a randomized controlled trial J Rehabil Med 2012 44 581ndash587 Helen van Huet et al Occupational therapists perspectives of factors influencing chronic pain management Australian Occupational Therapy Journal (2013) 60 56ndash65 doi 1011111440-163012011
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Acknowledgement
I take this opportunity to thank following colleagues for their valuable review comments on my presentation
Dr Sandeep Sonone - Associate Professor in Orthopaedics at Seth G S Medical College amp K E M Hospital
Dr Murali Poduval - Additional Professor in Orthopaedics at JIPMER Pondicherry
Punita V SolankiOccupational Therapist
Occupational Therapy adds life to yearsThe best kind of work can be to get others back to theirs
Say Good Bye to Pain
29th ISSPCON 2014 Navi Mumbai 7th February 2014
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Contents
Link Between Occupation Client and hisher Environment Core Concept of Occupational Therapy
Occupational Therapy Chronic Pain Conditions where OTs have a RoleRole of Occupational Therapy in Chronic PainImportance of Integrated Interdisciplinary Team
ApproachPreventive Approach Towards Pain Management
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Person with Chronic Pain (Physical amp
Psychological aspects of
Pain)
Physical Social Emotional Cultural
Environment
Occupation ADL Work amp
Productive Activities Play
amp Leisure
An Idle Brain is the Devilrsquos
Workshop
Humans are Occupational Beings
Occupation Diversional
Therapy
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Occupational Therapy in Chronic Pain
Occupational Therapy
Client centered health profession Promotes health and well being through
occupation The primary goal Enable clients to participate
in the activities of everyday life
Occupational Therapists
Work with clients with pain to enhance their ability to engage in the occupations by modifying the occupation or the environment to better support their occupational engagement
Reference httpwwwwfotorg
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Chronic Neck amp Shoulder Girdle Pain
Chronic Mid amp Lower Back Pain
Chronic Arthritic Joint Aches amp Pain
Chronic Bone Aches amp Pain
Complex Regional Pain Syndrome
Chronic Fatigue Syndrome
Overuse Syndrome
Chronic Pain Conditions
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Occupational Therapy Pain Interventions Level I Adjunctive Methods amp Level II Enabling Activities
I Therapeutic Exercises amp
II Enabling Activities
Innovative Rx Stress Loading in CRPS eg Carrying Scrubbing
with Dystrophile Mirror Therapy
Positioning with Splinting amp Functional
Bracing
Sensory Stimulations Desensitization in
CRPS
BiomechanicalApproach
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Occupational Therapy Pain Interventions Level III Purposeful Activities amp Level IV Occupational Activities
Activities of Daily Living Adaptive
Training amp Adaptive Equipments
Work amp Productive Activities Adaptive
Training amp Adaptive Tools amp Environment
Play amp Leisure Activities Training eg
Arts Crafts Games Sports
Educational Activities eg Environmental
Modifications in Schools
Rehabilitative amp Ergonomic Approach
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Occupational Therapy Pain Interventions
Joint Protection Techniques
Work Simplification amp Energy Conservation
Techniques
Time amp Stress Management eg
Relaxation Techniques CBT
Pain Health Literacy amp Self Management
Programs
Behavioral Learning Approach for Client Education
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Importance of Integrated Interdisciplinary Team Approach
Of all approaches to the treatment of chronic pain none has a stronger evidence basis for efficacy cost-effectiveness amp lack of iatrogenic complications than interdisciplinary care
Most critical is the understanding that chronic pain is a disease of the person and that a traditional biomedical approach cannot adequately address all of the pain-related problems of this patient population
Reference 1 Interdisciplinary Chronic Pain Management International Perspectives Pain Clinical Updates by International Association for the Study of Pain December 2012 Vol XX Issue 72 Ludeke C Lambeek et al Randomised controlled trial of integrated care to reduce disability from chronic low back pain in working and private life BMJ 2010340c1035 doi101136bmjc1035
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Occupational Therapistrsquos valuable efforts are geared towards preventing disability due to acute amp sub acute pains - from becoming chronic disability due to chronic persistent pain by 2deg amp 3deg preventive approaches onlineoffline client education and timely return to ADL Work and Leisure with Work Conditioning amp Work Hardening Programs
Preventive Approach Towards Pain Management
Reference B del Pozo-Cruz et al J Rehabil Med 2012 44 581ndash587
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Take Home MessageFrom an Occupational Therapistrsquos Perspective Occupation
of a Person includes Activities of Daily Living Work amp Productive Activities Play amp Leisure
Occupational Therapists are important Team Members in an Integrated Interdisciplinary Team Approach towards Chronic Pain Management (~ International Association for the Study of Pain)
Integrated Interdisciplinary Care has a stronger evidence basis for efficacy cost-effectiveness amp lack of iatrogenic complications in the management of Chronic Pain than Traditional Biomedical approaches
Secondary amp Tertiary Preventive Approach amp Timely return to everyday activities helps prevent acutesub-acute pain becoming chronic in nature
Do not treat the pain alone but treat the person suffering from pain Physical Psychological Social amp Emotional Care
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
References The Canadian Association of Occupational Therapists (CAOT) Position Statement Pain Management and Occupational Therapy 2012 Melanie E Swan Treating Complex Regional Pain Syndrome A Guide For Therapy Reflex Sympathetic Dystrophy Syndrome Association 062004 wwwrsdsorg Interdisciplinary Chronic Pain Management International Perspectives Pain Clinical Updates by International Association for the Study of Pain December 2012 Vol XX Issue 7 World Federation of Occupational Therapists (WFOT) httpwwwwfotorg Occupational Therapy and Pain Management Occupational therapy - Helping people to live life their way By College of Occupational Therapists wwwCOTorguk Recommended guidelines for Pain Management Programmes for adults A consensus statement prepared on behalf of the British Pain Society April 2007
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
References
Chapter 3 The Intervention Continuum In ldquoOccupational Therapy Intervention Resource Manual A Guide for Occupation-Based Practicerdquo Eds Denise Chisholm Cathy Dolhi Jodi Schreiber 2004 1st
Edition 240 pages Published by Delmar Learning a division of Thompson Learning Inc New York USA ISBN 1-4018-1536-7 Ingrid Soumlderback - Chapter 1 Genesis of the Handbook Materials and Methods In ldquoInternational Handbook of Occupational Therapy Interventionsrdquo Eds Ingrid Soumlderback 1st Edition 2nd Printing XXVIII 554 pages 2009 Springer Link ISBN 978-0-387-75423-9 (Print) 978-0-387-75424-6 (Online) Ludeke C Lambeek et al Randomised controlled trial of integrated care to reduce disability from chronic low back pain in working and private life BMJ 2010340c1035 doi101136bmjc1035 B del Pozo-Cruz et al An occupational internet-based intervention to prevent chronicity in sub acute lower back pain a randomized controlled trial J Rehabil Med 2012 44 581ndash587 Helen van Huet et al Occupational therapists perspectives of factors influencing chronic pain management Australian Occupational Therapy Journal (2013) 60 56ndash65 doi 1011111440-163012011
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Acknowledgement
I take this opportunity to thank following colleagues for their valuable review comments on my presentation
Dr Sandeep Sonone - Associate Professor in Orthopaedics at Seth G S Medical College amp K E M Hospital
Dr Murali Poduval - Additional Professor in Orthopaedics at JIPMER Pondicherry
Punita V SolankiOccupational Therapist
Occupational Therapy adds life to yearsThe best kind of work can be to get others back to theirs
Say Good Bye to Pain
29th ISSPCON 2014 Navi Mumbai 7th February 2014
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Person with Chronic Pain (Physical amp
Psychological aspects of
Pain)
Physical Social Emotional Cultural
Environment
Occupation ADL Work amp
Productive Activities Play
amp Leisure
An Idle Brain is the Devilrsquos
Workshop
Humans are Occupational Beings
Occupation Diversional
Therapy
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Occupational Therapy in Chronic Pain
Occupational Therapy
Client centered health profession Promotes health and well being through
occupation The primary goal Enable clients to participate
in the activities of everyday life
Occupational Therapists
Work with clients with pain to enhance their ability to engage in the occupations by modifying the occupation or the environment to better support their occupational engagement
Reference httpwwwwfotorg
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Chronic Neck amp Shoulder Girdle Pain
Chronic Mid amp Lower Back Pain
Chronic Arthritic Joint Aches amp Pain
Chronic Bone Aches amp Pain
Complex Regional Pain Syndrome
Chronic Fatigue Syndrome
Overuse Syndrome
Chronic Pain Conditions
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Occupational Therapy Pain Interventions Level I Adjunctive Methods amp Level II Enabling Activities
I Therapeutic Exercises amp
II Enabling Activities
Innovative Rx Stress Loading in CRPS eg Carrying Scrubbing
with Dystrophile Mirror Therapy
Positioning with Splinting amp Functional
Bracing
Sensory Stimulations Desensitization in
CRPS
BiomechanicalApproach
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Occupational Therapy Pain Interventions Level III Purposeful Activities amp Level IV Occupational Activities
Activities of Daily Living Adaptive
Training amp Adaptive Equipments
Work amp Productive Activities Adaptive
Training amp Adaptive Tools amp Environment
Play amp Leisure Activities Training eg
Arts Crafts Games Sports
Educational Activities eg Environmental
Modifications in Schools
Rehabilitative amp Ergonomic Approach
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Occupational Therapy Pain Interventions
Joint Protection Techniques
Work Simplification amp Energy Conservation
Techniques
Time amp Stress Management eg
Relaxation Techniques CBT
Pain Health Literacy amp Self Management
Programs
Behavioral Learning Approach for Client Education
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Importance of Integrated Interdisciplinary Team Approach
Of all approaches to the treatment of chronic pain none has a stronger evidence basis for efficacy cost-effectiveness amp lack of iatrogenic complications than interdisciplinary care
Most critical is the understanding that chronic pain is a disease of the person and that a traditional biomedical approach cannot adequately address all of the pain-related problems of this patient population
Reference 1 Interdisciplinary Chronic Pain Management International Perspectives Pain Clinical Updates by International Association for the Study of Pain December 2012 Vol XX Issue 72 Ludeke C Lambeek et al Randomised controlled trial of integrated care to reduce disability from chronic low back pain in working and private life BMJ 2010340c1035 doi101136bmjc1035
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Occupational Therapistrsquos valuable efforts are geared towards preventing disability due to acute amp sub acute pains - from becoming chronic disability due to chronic persistent pain by 2deg amp 3deg preventive approaches onlineoffline client education and timely return to ADL Work and Leisure with Work Conditioning amp Work Hardening Programs
Preventive Approach Towards Pain Management
Reference B del Pozo-Cruz et al J Rehabil Med 2012 44 581ndash587
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Take Home MessageFrom an Occupational Therapistrsquos Perspective Occupation
of a Person includes Activities of Daily Living Work amp Productive Activities Play amp Leisure
Occupational Therapists are important Team Members in an Integrated Interdisciplinary Team Approach towards Chronic Pain Management (~ International Association for the Study of Pain)
Integrated Interdisciplinary Care has a stronger evidence basis for efficacy cost-effectiveness amp lack of iatrogenic complications in the management of Chronic Pain than Traditional Biomedical approaches
Secondary amp Tertiary Preventive Approach amp Timely return to everyday activities helps prevent acutesub-acute pain becoming chronic in nature
Do not treat the pain alone but treat the person suffering from pain Physical Psychological Social amp Emotional Care
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
References The Canadian Association of Occupational Therapists (CAOT) Position Statement Pain Management and Occupational Therapy 2012 Melanie E Swan Treating Complex Regional Pain Syndrome A Guide For Therapy Reflex Sympathetic Dystrophy Syndrome Association 062004 wwwrsdsorg Interdisciplinary Chronic Pain Management International Perspectives Pain Clinical Updates by International Association for the Study of Pain December 2012 Vol XX Issue 7 World Federation of Occupational Therapists (WFOT) httpwwwwfotorg Occupational Therapy and Pain Management Occupational therapy - Helping people to live life their way By College of Occupational Therapists wwwCOTorguk Recommended guidelines for Pain Management Programmes for adults A consensus statement prepared on behalf of the British Pain Society April 2007
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
References
Chapter 3 The Intervention Continuum In ldquoOccupational Therapy Intervention Resource Manual A Guide for Occupation-Based Practicerdquo Eds Denise Chisholm Cathy Dolhi Jodi Schreiber 2004 1st
Edition 240 pages Published by Delmar Learning a division of Thompson Learning Inc New York USA ISBN 1-4018-1536-7 Ingrid Soumlderback - Chapter 1 Genesis of the Handbook Materials and Methods In ldquoInternational Handbook of Occupational Therapy Interventionsrdquo Eds Ingrid Soumlderback 1st Edition 2nd Printing XXVIII 554 pages 2009 Springer Link ISBN 978-0-387-75423-9 (Print) 978-0-387-75424-6 (Online) Ludeke C Lambeek et al Randomised controlled trial of integrated care to reduce disability from chronic low back pain in working and private life BMJ 2010340c1035 doi101136bmjc1035 B del Pozo-Cruz et al An occupational internet-based intervention to prevent chronicity in sub acute lower back pain a randomized controlled trial J Rehabil Med 2012 44 581ndash587 Helen van Huet et al Occupational therapists perspectives of factors influencing chronic pain management Australian Occupational Therapy Journal (2013) 60 56ndash65 doi 1011111440-163012011
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Acknowledgement
I take this opportunity to thank following colleagues for their valuable review comments on my presentation
Dr Sandeep Sonone - Associate Professor in Orthopaedics at Seth G S Medical College amp K E M Hospital
Dr Murali Poduval - Additional Professor in Orthopaedics at JIPMER Pondicherry
Punita V SolankiOccupational Therapist
Occupational Therapy adds life to yearsThe best kind of work can be to get others back to theirs
Say Good Bye to Pain
29th ISSPCON 2014 Navi Mumbai 7th February 2014
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Occupational Therapy in Chronic Pain
Occupational Therapy
Client centered health profession Promotes health and well being through
occupation The primary goal Enable clients to participate
in the activities of everyday life
Occupational Therapists
Work with clients with pain to enhance their ability to engage in the occupations by modifying the occupation or the environment to better support their occupational engagement
Reference httpwwwwfotorg
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Chronic Neck amp Shoulder Girdle Pain
Chronic Mid amp Lower Back Pain
Chronic Arthritic Joint Aches amp Pain
Chronic Bone Aches amp Pain
Complex Regional Pain Syndrome
Chronic Fatigue Syndrome
Overuse Syndrome
Chronic Pain Conditions
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Occupational Therapy Pain Interventions Level I Adjunctive Methods amp Level II Enabling Activities
I Therapeutic Exercises amp
II Enabling Activities
Innovative Rx Stress Loading in CRPS eg Carrying Scrubbing
with Dystrophile Mirror Therapy
Positioning with Splinting amp Functional
Bracing
Sensory Stimulations Desensitization in
CRPS
BiomechanicalApproach
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Occupational Therapy Pain Interventions Level III Purposeful Activities amp Level IV Occupational Activities
Activities of Daily Living Adaptive
Training amp Adaptive Equipments
Work amp Productive Activities Adaptive
Training amp Adaptive Tools amp Environment
Play amp Leisure Activities Training eg
Arts Crafts Games Sports
Educational Activities eg Environmental
Modifications in Schools
Rehabilitative amp Ergonomic Approach
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Occupational Therapy Pain Interventions
Joint Protection Techniques
Work Simplification amp Energy Conservation
Techniques
Time amp Stress Management eg
Relaxation Techniques CBT
Pain Health Literacy amp Self Management
Programs
Behavioral Learning Approach for Client Education
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Importance of Integrated Interdisciplinary Team Approach
Of all approaches to the treatment of chronic pain none has a stronger evidence basis for efficacy cost-effectiveness amp lack of iatrogenic complications than interdisciplinary care
Most critical is the understanding that chronic pain is a disease of the person and that a traditional biomedical approach cannot adequately address all of the pain-related problems of this patient population
Reference 1 Interdisciplinary Chronic Pain Management International Perspectives Pain Clinical Updates by International Association for the Study of Pain December 2012 Vol XX Issue 72 Ludeke C Lambeek et al Randomised controlled trial of integrated care to reduce disability from chronic low back pain in working and private life BMJ 2010340c1035 doi101136bmjc1035
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Occupational Therapistrsquos valuable efforts are geared towards preventing disability due to acute amp sub acute pains - from becoming chronic disability due to chronic persistent pain by 2deg amp 3deg preventive approaches onlineoffline client education and timely return to ADL Work and Leisure with Work Conditioning amp Work Hardening Programs
Preventive Approach Towards Pain Management
Reference B del Pozo-Cruz et al J Rehabil Med 2012 44 581ndash587
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Take Home MessageFrom an Occupational Therapistrsquos Perspective Occupation
of a Person includes Activities of Daily Living Work amp Productive Activities Play amp Leisure
Occupational Therapists are important Team Members in an Integrated Interdisciplinary Team Approach towards Chronic Pain Management (~ International Association for the Study of Pain)
Integrated Interdisciplinary Care has a stronger evidence basis for efficacy cost-effectiveness amp lack of iatrogenic complications in the management of Chronic Pain than Traditional Biomedical approaches
Secondary amp Tertiary Preventive Approach amp Timely return to everyday activities helps prevent acutesub-acute pain becoming chronic in nature
Do not treat the pain alone but treat the person suffering from pain Physical Psychological Social amp Emotional Care
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
References The Canadian Association of Occupational Therapists (CAOT) Position Statement Pain Management and Occupational Therapy 2012 Melanie E Swan Treating Complex Regional Pain Syndrome A Guide For Therapy Reflex Sympathetic Dystrophy Syndrome Association 062004 wwwrsdsorg Interdisciplinary Chronic Pain Management International Perspectives Pain Clinical Updates by International Association for the Study of Pain December 2012 Vol XX Issue 7 World Federation of Occupational Therapists (WFOT) httpwwwwfotorg Occupational Therapy and Pain Management Occupational therapy - Helping people to live life their way By College of Occupational Therapists wwwCOTorguk Recommended guidelines for Pain Management Programmes for adults A consensus statement prepared on behalf of the British Pain Society April 2007
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
References
Chapter 3 The Intervention Continuum In ldquoOccupational Therapy Intervention Resource Manual A Guide for Occupation-Based Practicerdquo Eds Denise Chisholm Cathy Dolhi Jodi Schreiber 2004 1st
Edition 240 pages Published by Delmar Learning a division of Thompson Learning Inc New York USA ISBN 1-4018-1536-7 Ingrid Soumlderback - Chapter 1 Genesis of the Handbook Materials and Methods In ldquoInternational Handbook of Occupational Therapy Interventionsrdquo Eds Ingrid Soumlderback 1st Edition 2nd Printing XXVIII 554 pages 2009 Springer Link ISBN 978-0-387-75423-9 (Print) 978-0-387-75424-6 (Online) Ludeke C Lambeek et al Randomised controlled trial of integrated care to reduce disability from chronic low back pain in working and private life BMJ 2010340c1035 doi101136bmjc1035 B del Pozo-Cruz et al An occupational internet-based intervention to prevent chronicity in sub acute lower back pain a randomized controlled trial J Rehabil Med 2012 44 581ndash587 Helen van Huet et al Occupational therapists perspectives of factors influencing chronic pain management Australian Occupational Therapy Journal (2013) 60 56ndash65 doi 1011111440-163012011
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Acknowledgement
I take this opportunity to thank following colleagues for their valuable review comments on my presentation
Dr Sandeep Sonone - Associate Professor in Orthopaedics at Seth G S Medical College amp K E M Hospital
Dr Murali Poduval - Additional Professor in Orthopaedics at JIPMER Pondicherry
Punita V SolankiOccupational Therapist
Occupational Therapy adds life to yearsThe best kind of work can be to get others back to theirs
Say Good Bye to Pain
29th ISSPCON 2014 Navi Mumbai 7th February 2014
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Chronic Neck amp Shoulder Girdle Pain
Chronic Mid amp Lower Back Pain
Chronic Arthritic Joint Aches amp Pain
Chronic Bone Aches amp Pain
Complex Regional Pain Syndrome
Chronic Fatigue Syndrome
Overuse Syndrome
Chronic Pain Conditions
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Occupational Therapy Pain Interventions Level I Adjunctive Methods amp Level II Enabling Activities
I Therapeutic Exercises amp
II Enabling Activities
Innovative Rx Stress Loading in CRPS eg Carrying Scrubbing
with Dystrophile Mirror Therapy
Positioning with Splinting amp Functional
Bracing
Sensory Stimulations Desensitization in
CRPS
BiomechanicalApproach
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Occupational Therapy Pain Interventions Level III Purposeful Activities amp Level IV Occupational Activities
Activities of Daily Living Adaptive
Training amp Adaptive Equipments
Work amp Productive Activities Adaptive
Training amp Adaptive Tools amp Environment
Play amp Leisure Activities Training eg
Arts Crafts Games Sports
Educational Activities eg Environmental
Modifications in Schools
Rehabilitative amp Ergonomic Approach
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Occupational Therapy Pain Interventions
Joint Protection Techniques
Work Simplification amp Energy Conservation
Techniques
Time amp Stress Management eg
Relaxation Techniques CBT
Pain Health Literacy amp Self Management
Programs
Behavioral Learning Approach for Client Education
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Importance of Integrated Interdisciplinary Team Approach
Of all approaches to the treatment of chronic pain none has a stronger evidence basis for efficacy cost-effectiveness amp lack of iatrogenic complications than interdisciplinary care
Most critical is the understanding that chronic pain is a disease of the person and that a traditional biomedical approach cannot adequately address all of the pain-related problems of this patient population
Reference 1 Interdisciplinary Chronic Pain Management International Perspectives Pain Clinical Updates by International Association for the Study of Pain December 2012 Vol XX Issue 72 Ludeke C Lambeek et al Randomised controlled trial of integrated care to reduce disability from chronic low back pain in working and private life BMJ 2010340c1035 doi101136bmjc1035
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Occupational Therapistrsquos valuable efforts are geared towards preventing disability due to acute amp sub acute pains - from becoming chronic disability due to chronic persistent pain by 2deg amp 3deg preventive approaches onlineoffline client education and timely return to ADL Work and Leisure with Work Conditioning amp Work Hardening Programs
Preventive Approach Towards Pain Management
Reference B del Pozo-Cruz et al J Rehabil Med 2012 44 581ndash587
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Take Home MessageFrom an Occupational Therapistrsquos Perspective Occupation
of a Person includes Activities of Daily Living Work amp Productive Activities Play amp Leisure
Occupational Therapists are important Team Members in an Integrated Interdisciplinary Team Approach towards Chronic Pain Management (~ International Association for the Study of Pain)
Integrated Interdisciplinary Care has a stronger evidence basis for efficacy cost-effectiveness amp lack of iatrogenic complications in the management of Chronic Pain than Traditional Biomedical approaches
Secondary amp Tertiary Preventive Approach amp Timely return to everyday activities helps prevent acutesub-acute pain becoming chronic in nature
Do not treat the pain alone but treat the person suffering from pain Physical Psychological Social amp Emotional Care
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
References The Canadian Association of Occupational Therapists (CAOT) Position Statement Pain Management and Occupational Therapy 2012 Melanie E Swan Treating Complex Regional Pain Syndrome A Guide For Therapy Reflex Sympathetic Dystrophy Syndrome Association 062004 wwwrsdsorg Interdisciplinary Chronic Pain Management International Perspectives Pain Clinical Updates by International Association for the Study of Pain December 2012 Vol XX Issue 7 World Federation of Occupational Therapists (WFOT) httpwwwwfotorg Occupational Therapy and Pain Management Occupational therapy - Helping people to live life their way By College of Occupational Therapists wwwCOTorguk Recommended guidelines for Pain Management Programmes for adults A consensus statement prepared on behalf of the British Pain Society April 2007
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
References
Chapter 3 The Intervention Continuum In ldquoOccupational Therapy Intervention Resource Manual A Guide for Occupation-Based Practicerdquo Eds Denise Chisholm Cathy Dolhi Jodi Schreiber 2004 1st
Edition 240 pages Published by Delmar Learning a division of Thompson Learning Inc New York USA ISBN 1-4018-1536-7 Ingrid Soumlderback - Chapter 1 Genesis of the Handbook Materials and Methods In ldquoInternational Handbook of Occupational Therapy Interventionsrdquo Eds Ingrid Soumlderback 1st Edition 2nd Printing XXVIII 554 pages 2009 Springer Link ISBN 978-0-387-75423-9 (Print) 978-0-387-75424-6 (Online) Ludeke C Lambeek et al Randomised controlled trial of integrated care to reduce disability from chronic low back pain in working and private life BMJ 2010340c1035 doi101136bmjc1035 B del Pozo-Cruz et al An occupational internet-based intervention to prevent chronicity in sub acute lower back pain a randomized controlled trial J Rehabil Med 2012 44 581ndash587 Helen van Huet et al Occupational therapists perspectives of factors influencing chronic pain management Australian Occupational Therapy Journal (2013) 60 56ndash65 doi 1011111440-163012011
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Acknowledgement
I take this opportunity to thank following colleagues for their valuable review comments on my presentation
Dr Sandeep Sonone - Associate Professor in Orthopaedics at Seth G S Medical College amp K E M Hospital
Dr Murali Poduval - Additional Professor in Orthopaedics at JIPMER Pondicherry
Punita V SolankiOccupational Therapist
Occupational Therapy adds life to yearsThe best kind of work can be to get others back to theirs
Say Good Bye to Pain
29th ISSPCON 2014 Navi Mumbai 7th February 2014
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Occupational Therapy Pain Interventions Level I Adjunctive Methods amp Level II Enabling Activities
I Therapeutic Exercises amp
II Enabling Activities
Innovative Rx Stress Loading in CRPS eg Carrying Scrubbing
with Dystrophile Mirror Therapy
Positioning with Splinting amp Functional
Bracing
Sensory Stimulations Desensitization in
CRPS
BiomechanicalApproach
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Occupational Therapy Pain Interventions Level III Purposeful Activities amp Level IV Occupational Activities
Activities of Daily Living Adaptive
Training amp Adaptive Equipments
Work amp Productive Activities Adaptive
Training amp Adaptive Tools amp Environment
Play amp Leisure Activities Training eg
Arts Crafts Games Sports
Educational Activities eg Environmental
Modifications in Schools
Rehabilitative amp Ergonomic Approach
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Occupational Therapy Pain Interventions
Joint Protection Techniques
Work Simplification amp Energy Conservation
Techniques
Time amp Stress Management eg
Relaxation Techniques CBT
Pain Health Literacy amp Self Management
Programs
Behavioral Learning Approach for Client Education
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Importance of Integrated Interdisciplinary Team Approach
Of all approaches to the treatment of chronic pain none has a stronger evidence basis for efficacy cost-effectiveness amp lack of iatrogenic complications than interdisciplinary care
Most critical is the understanding that chronic pain is a disease of the person and that a traditional biomedical approach cannot adequately address all of the pain-related problems of this patient population
Reference 1 Interdisciplinary Chronic Pain Management International Perspectives Pain Clinical Updates by International Association for the Study of Pain December 2012 Vol XX Issue 72 Ludeke C Lambeek et al Randomised controlled trial of integrated care to reduce disability from chronic low back pain in working and private life BMJ 2010340c1035 doi101136bmjc1035
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Occupational Therapistrsquos valuable efforts are geared towards preventing disability due to acute amp sub acute pains - from becoming chronic disability due to chronic persistent pain by 2deg amp 3deg preventive approaches onlineoffline client education and timely return to ADL Work and Leisure with Work Conditioning amp Work Hardening Programs
Preventive Approach Towards Pain Management
Reference B del Pozo-Cruz et al J Rehabil Med 2012 44 581ndash587
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Take Home MessageFrom an Occupational Therapistrsquos Perspective Occupation
of a Person includes Activities of Daily Living Work amp Productive Activities Play amp Leisure
Occupational Therapists are important Team Members in an Integrated Interdisciplinary Team Approach towards Chronic Pain Management (~ International Association for the Study of Pain)
Integrated Interdisciplinary Care has a stronger evidence basis for efficacy cost-effectiveness amp lack of iatrogenic complications in the management of Chronic Pain than Traditional Biomedical approaches
Secondary amp Tertiary Preventive Approach amp Timely return to everyday activities helps prevent acutesub-acute pain becoming chronic in nature
Do not treat the pain alone but treat the person suffering from pain Physical Psychological Social amp Emotional Care
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
References The Canadian Association of Occupational Therapists (CAOT) Position Statement Pain Management and Occupational Therapy 2012 Melanie E Swan Treating Complex Regional Pain Syndrome A Guide For Therapy Reflex Sympathetic Dystrophy Syndrome Association 062004 wwwrsdsorg Interdisciplinary Chronic Pain Management International Perspectives Pain Clinical Updates by International Association for the Study of Pain December 2012 Vol XX Issue 7 World Federation of Occupational Therapists (WFOT) httpwwwwfotorg Occupational Therapy and Pain Management Occupational therapy - Helping people to live life their way By College of Occupational Therapists wwwCOTorguk Recommended guidelines for Pain Management Programmes for adults A consensus statement prepared on behalf of the British Pain Society April 2007
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
References
Chapter 3 The Intervention Continuum In ldquoOccupational Therapy Intervention Resource Manual A Guide for Occupation-Based Practicerdquo Eds Denise Chisholm Cathy Dolhi Jodi Schreiber 2004 1st
Edition 240 pages Published by Delmar Learning a division of Thompson Learning Inc New York USA ISBN 1-4018-1536-7 Ingrid Soumlderback - Chapter 1 Genesis of the Handbook Materials and Methods In ldquoInternational Handbook of Occupational Therapy Interventionsrdquo Eds Ingrid Soumlderback 1st Edition 2nd Printing XXVIII 554 pages 2009 Springer Link ISBN 978-0-387-75423-9 (Print) 978-0-387-75424-6 (Online) Ludeke C Lambeek et al Randomised controlled trial of integrated care to reduce disability from chronic low back pain in working and private life BMJ 2010340c1035 doi101136bmjc1035 B del Pozo-Cruz et al An occupational internet-based intervention to prevent chronicity in sub acute lower back pain a randomized controlled trial J Rehabil Med 2012 44 581ndash587 Helen van Huet et al Occupational therapists perspectives of factors influencing chronic pain management Australian Occupational Therapy Journal (2013) 60 56ndash65 doi 1011111440-163012011
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Acknowledgement
I take this opportunity to thank following colleagues for their valuable review comments on my presentation
Dr Sandeep Sonone - Associate Professor in Orthopaedics at Seth G S Medical College amp K E M Hospital
Dr Murali Poduval - Additional Professor in Orthopaedics at JIPMER Pondicherry
Punita V SolankiOccupational Therapist
Occupational Therapy adds life to yearsThe best kind of work can be to get others back to theirs
Say Good Bye to Pain
29th ISSPCON 2014 Navi Mumbai 7th February 2014
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Occupational Therapy Pain Interventions Level III Purposeful Activities amp Level IV Occupational Activities
Activities of Daily Living Adaptive
Training amp Adaptive Equipments
Work amp Productive Activities Adaptive
Training amp Adaptive Tools amp Environment
Play amp Leisure Activities Training eg
Arts Crafts Games Sports
Educational Activities eg Environmental
Modifications in Schools
Rehabilitative amp Ergonomic Approach
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Occupational Therapy Pain Interventions
Joint Protection Techniques
Work Simplification amp Energy Conservation
Techniques
Time amp Stress Management eg
Relaxation Techniques CBT
Pain Health Literacy amp Self Management
Programs
Behavioral Learning Approach for Client Education
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Importance of Integrated Interdisciplinary Team Approach
Of all approaches to the treatment of chronic pain none has a stronger evidence basis for efficacy cost-effectiveness amp lack of iatrogenic complications than interdisciplinary care
Most critical is the understanding that chronic pain is a disease of the person and that a traditional biomedical approach cannot adequately address all of the pain-related problems of this patient population
Reference 1 Interdisciplinary Chronic Pain Management International Perspectives Pain Clinical Updates by International Association for the Study of Pain December 2012 Vol XX Issue 72 Ludeke C Lambeek et al Randomised controlled trial of integrated care to reduce disability from chronic low back pain in working and private life BMJ 2010340c1035 doi101136bmjc1035
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Occupational Therapistrsquos valuable efforts are geared towards preventing disability due to acute amp sub acute pains - from becoming chronic disability due to chronic persistent pain by 2deg amp 3deg preventive approaches onlineoffline client education and timely return to ADL Work and Leisure with Work Conditioning amp Work Hardening Programs
Preventive Approach Towards Pain Management
Reference B del Pozo-Cruz et al J Rehabil Med 2012 44 581ndash587
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Take Home MessageFrom an Occupational Therapistrsquos Perspective Occupation
of a Person includes Activities of Daily Living Work amp Productive Activities Play amp Leisure
Occupational Therapists are important Team Members in an Integrated Interdisciplinary Team Approach towards Chronic Pain Management (~ International Association for the Study of Pain)
Integrated Interdisciplinary Care has a stronger evidence basis for efficacy cost-effectiveness amp lack of iatrogenic complications in the management of Chronic Pain than Traditional Biomedical approaches
Secondary amp Tertiary Preventive Approach amp Timely return to everyday activities helps prevent acutesub-acute pain becoming chronic in nature
Do not treat the pain alone but treat the person suffering from pain Physical Psychological Social amp Emotional Care
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
References The Canadian Association of Occupational Therapists (CAOT) Position Statement Pain Management and Occupational Therapy 2012 Melanie E Swan Treating Complex Regional Pain Syndrome A Guide For Therapy Reflex Sympathetic Dystrophy Syndrome Association 062004 wwwrsdsorg Interdisciplinary Chronic Pain Management International Perspectives Pain Clinical Updates by International Association for the Study of Pain December 2012 Vol XX Issue 7 World Federation of Occupational Therapists (WFOT) httpwwwwfotorg Occupational Therapy and Pain Management Occupational therapy - Helping people to live life their way By College of Occupational Therapists wwwCOTorguk Recommended guidelines for Pain Management Programmes for adults A consensus statement prepared on behalf of the British Pain Society April 2007
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
References
Chapter 3 The Intervention Continuum In ldquoOccupational Therapy Intervention Resource Manual A Guide for Occupation-Based Practicerdquo Eds Denise Chisholm Cathy Dolhi Jodi Schreiber 2004 1st
Edition 240 pages Published by Delmar Learning a division of Thompson Learning Inc New York USA ISBN 1-4018-1536-7 Ingrid Soumlderback - Chapter 1 Genesis of the Handbook Materials and Methods In ldquoInternational Handbook of Occupational Therapy Interventionsrdquo Eds Ingrid Soumlderback 1st Edition 2nd Printing XXVIII 554 pages 2009 Springer Link ISBN 978-0-387-75423-9 (Print) 978-0-387-75424-6 (Online) Ludeke C Lambeek et al Randomised controlled trial of integrated care to reduce disability from chronic low back pain in working and private life BMJ 2010340c1035 doi101136bmjc1035 B del Pozo-Cruz et al An occupational internet-based intervention to prevent chronicity in sub acute lower back pain a randomized controlled trial J Rehabil Med 2012 44 581ndash587 Helen van Huet et al Occupational therapists perspectives of factors influencing chronic pain management Australian Occupational Therapy Journal (2013) 60 56ndash65 doi 1011111440-163012011
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Acknowledgement
I take this opportunity to thank following colleagues for their valuable review comments on my presentation
Dr Sandeep Sonone - Associate Professor in Orthopaedics at Seth G S Medical College amp K E M Hospital
Dr Murali Poduval - Additional Professor in Orthopaedics at JIPMER Pondicherry
Punita V SolankiOccupational Therapist
Occupational Therapy adds life to yearsThe best kind of work can be to get others back to theirs
Say Good Bye to Pain
29th ISSPCON 2014 Navi Mumbai 7th February 2014
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Occupational Therapy Pain Interventions
Joint Protection Techniques
Work Simplification amp Energy Conservation
Techniques
Time amp Stress Management eg
Relaxation Techniques CBT
Pain Health Literacy amp Self Management
Programs
Behavioral Learning Approach for Client Education
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Importance of Integrated Interdisciplinary Team Approach
Of all approaches to the treatment of chronic pain none has a stronger evidence basis for efficacy cost-effectiveness amp lack of iatrogenic complications than interdisciplinary care
Most critical is the understanding that chronic pain is a disease of the person and that a traditional biomedical approach cannot adequately address all of the pain-related problems of this patient population
Reference 1 Interdisciplinary Chronic Pain Management International Perspectives Pain Clinical Updates by International Association for the Study of Pain December 2012 Vol XX Issue 72 Ludeke C Lambeek et al Randomised controlled trial of integrated care to reduce disability from chronic low back pain in working and private life BMJ 2010340c1035 doi101136bmjc1035
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Occupational Therapistrsquos valuable efforts are geared towards preventing disability due to acute amp sub acute pains - from becoming chronic disability due to chronic persistent pain by 2deg amp 3deg preventive approaches onlineoffline client education and timely return to ADL Work and Leisure with Work Conditioning amp Work Hardening Programs
Preventive Approach Towards Pain Management
Reference B del Pozo-Cruz et al J Rehabil Med 2012 44 581ndash587
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Take Home MessageFrom an Occupational Therapistrsquos Perspective Occupation
of a Person includes Activities of Daily Living Work amp Productive Activities Play amp Leisure
Occupational Therapists are important Team Members in an Integrated Interdisciplinary Team Approach towards Chronic Pain Management (~ International Association for the Study of Pain)
Integrated Interdisciplinary Care has a stronger evidence basis for efficacy cost-effectiveness amp lack of iatrogenic complications in the management of Chronic Pain than Traditional Biomedical approaches
Secondary amp Tertiary Preventive Approach amp Timely return to everyday activities helps prevent acutesub-acute pain becoming chronic in nature
Do not treat the pain alone but treat the person suffering from pain Physical Psychological Social amp Emotional Care
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
References The Canadian Association of Occupational Therapists (CAOT) Position Statement Pain Management and Occupational Therapy 2012 Melanie E Swan Treating Complex Regional Pain Syndrome A Guide For Therapy Reflex Sympathetic Dystrophy Syndrome Association 062004 wwwrsdsorg Interdisciplinary Chronic Pain Management International Perspectives Pain Clinical Updates by International Association for the Study of Pain December 2012 Vol XX Issue 7 World Federation of Occupational Therapists (WFOT) httpwwwwfotorg Occupational Therapy and Pain Management Occupational therapy - Helping people to live life their way By College of Occupational Therapists wwwCOTorguk Recommended guidelines for Pain Management Programmes for adults A consensus statement prepared on behalf of the British Pain Society April 2007
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
References
Chapter 3 The Intervention Continuum In ldquoOccupational Therapy Intervention Resource Manual A Guide for Occupation-Based Practicerdquo Eds Denise Chisholm Cathy Dolhi Jodi Schreiber 2004 1st
Edition 240 pages Published by Delmar Learning a division of Thompson Learning Inc New York USA ISBN 1-4018-1536-7 Ingrid Soumlderback - Chapter 1 Genesis of the Handbook Materials and Methods In ldquoInternational Handbook of Occupational Therapy Interventionsrdquo Eds Ingrid Soumlderback 1st Edition 2nd Printing XXVIII 554 pages 2009 Springer Link ISBN 978-0-387-75423-9 (Print) 978-0-387-75424-6 (Online) Ludeke C Lambeek et al Randomised controlled trial of integrated care to reduce disability from chronic low back pain in working and private life BMJ 2010340c1035 doi101136bmjc1035 B del Pozo-Cruz et al An occupational internet-based intervention to prevent chronicity in sub acute lower back pain a randomized controlled trial J Rehabil Med 2012 44 581ndash587 Helen van Huet et al Occupational therapists perspectives of factors influencing chronic pain management Australian Occupational Therapy Journal (2013) 60 56ndash65 doi 1011111440-163012011
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Acknowledgement
I take this opportunity to thank following colleagues for their valuable review comments on my presentation
Dr Sandeep Sonone - Associate Professor in Orthopaedics at Seth G S Medical College amp K E M Hospital
Dr Murali Poduval - Additional Professor in Orthopaedics at JIPMER Pondicherry
Punita V SolankiOccupational Therapist
Occupational Therapy adds life to yearsThe best kind of work can be to get others back to theirs
Say Good Bye to Pain
29th ISSPCON 2014 Navi Mumbai 7th February 2014
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Importance of Integrated Interdisciplinary Team Approach
Of all approaches to the treatment of chronic pain none has a stronger evidence basis for efficacy cost-effectiveness amp lack of iatrogenic complications than interdisciplinary care
Most critical is the understanding that chronic pain is a disease of the person and that a traditional biomedical approach cannot adequately address all of the pain-related problems of this patient population
Reference 1 Interdisciplinary Chronic Pain Management International Perspectives Pain Clinical Updates by International Association for the Study of Pain December 2012 Vol XX Issue 72 Ludeke C Lambeek et al Randomised controlled trial of integrated care to reduce disability from chronic low back pain in working and private life BMJ 2010340c1035 doi101136bmjc1035
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Occupational Therapistrsquos valuable efforts are geared towards preventing disability due to acute amp sub acute pains - from becoming chronic disability due to chronic persistent pain by 2deg amp 3deg preventive approaches onlineoffline client education and timely return to ADL Work and Leisure with Work Conditioning amp Work Hardening Programs
Preventive Approach Towards Pain Management
Reference B del Pozo-Cruz et al J Rehabil Med 2012 44 581ndash587
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Take Home MessageFrom an Occupational Therapistrsquos Perspective Occupation
of a Person includes Activities of Daily Living Work amp Productive Activities Play amp Leisure
Occupational Therapists are important Team Members in an Integrated Interdisciplinary Team Approach towards Chronic Pain Management (~ International Association for the Study of Pain)
Integrated Interdisciplinary Care has a stronger evidence basis for efficacy cost-effectiveness amp lack of iatrogenic complications in the management of Chronic Pain than Traditional Biomedical approaches
Secondary amp Tertiary Preventive Approach amp Timely return to everyday activities helps prevent acutesub-acute pain becoming chronic in nature
Do not treat the pain alone but treat the person suffering from pain Physical Psychological Social amp Emotional Care
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
References The Canadian Association of Occupational Therapists (CAOT) Position Statement Pain Management and Occupational Therapy 2012 Melanie E Swan Treating Complex Regional Pain Syndrome A Guide For Therapy Reflex Sympathetic Dystrophy Syndrome Association 062004 wwwrsdsorg Interdisciplinary Chronic Pain Management International Perspectives Pain Clinical Updates by International Association for the Study of Pain December 2012 Vol XX Issue 7 World Federation of Occupational Therapists (WFOT) httpwwwwfotorg Occupational Therapy and Pain Management Occupational therapy - Helping people to live life their way By College of Occupational Therapists wwwCOTorguk Recommended guidelines for Pain Management Programmes for adults A consensus statement prepared on behalf of the British Pain Society April 2007
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
References
Chapter 3 The Intervention Continuum In ldquoOccupational Therapy Intervention Resource Manual A Guide for Occupation-Based Practicerdquo Eds Denise Chisholm Cathy Dolhi Jodi Schreiber 2004 1st
Edition 240 pages Published by Delmar Learning a division of Thompson Learning Inc New York USA ISBN 1-4018-1536-7 Ingrid Soumlderback - Chapter 1 Genesis of the Handbook Materials and Methods In ldquoInternational Handbook of Occupational Therapy Interventionsrdquo Eds Ingrid Soumlderback 1st Edition 2nd Printing XXVIII 554 pages 2009 Springer Link ISBN 978-0-387-75423-9 (Print) 978-0-387-75424-6 (Online) Ludeke C Lambeek et al Randomised controlled trial of integrated care to reduce disability from chronic low back pain in working and private life BMJ 2010340c1035 doi101136bmjc1035 B del Pozo-Cruz et al An occupational internet-based intervention to prevent chronicity in sub acute lower back pain a randomized controlled trial J Rehabil Med 2012 44 581ndash587 Helen van Huet et al Occupational therapists perspectives of factors influencing chronic pain management Australian Occupational Therapy Journal (2013) 60 56ndash65 doi 1011111440-163012011
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Acknowledgement
I take this opportunity to thank following colleagues for their valuable review comments on my presentation
Dr Sandeep Sonone - Associate Professor in Orthopaedics at Seth G S Medical College amp K E M Hospital
Dr Murali Poduval - Additional Professor in Orthopaedics at JIPMER Pondicherry
Punita V SolankiOccupational Therapist
Occupational Therapy adds life to yearsThe best kind of work can be to get others back to theirs
Say Good Bye to Pain
29th ISSPCON 2014 Navi Mumbai 7th February 2014
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Occupational Therapistrsquos valuable efforts are geared towards preventing disability due to acute amp sub acute pains - from becoming chronic disability due to chronic persistent pain by 2deg amp 3deg preventive approaches onlineoffline client education and timely return to ADL Work and Leisure with Work Conditioning amp Work Hardening Programs
Preventive Approach Towards Pain Management
Reference B del Pozo-Cruz et al J Rehabil Med 2012 44 581ndash587
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Take Home MessageFrom an Occupational Therapistrsquos Perspective Occupation
of a Person includes Activities of Daily Living Work amp Productive Activities Play amp Leisure
Occupational Therapists are important Team Members in an Integrated Interdisciplinary Team Approach towards Chronic Pain Management (~ International Association for the Study of Pain)
Integrated Interdisciplinary Care has a stronger evidence basis for efficacy cost-effectiveness amp lack of iatrogenic complications in the management of Chronic Pain than Traditional Biomedical approaches
Secondary amp Tertiary Preventive Approach amp Timely return to everyday activities helps prevent acutesub-acute pain becoming chronic in nature
Do not treat the pain alone but treat the person suffering from pain Physical Psychological Social amp Emotional Care
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
References The Canadian Association of Occupational Therapists (CAOT) Position Statement Pain Management and Occupational Therapy 2012 Melanie E Swan Treating Complex Regional Pain Syndrome A Guide For Therapy Reflex Sympathetic Dystrophy Syndrome Association 062004 wwwrsdsorg Interdisciplinary Chronic Pain Management International Perspectives Pain Clinical Updates by International Association for the Study of Pain December 2012 Vol XX Issue 7 World Federation of Occupational Therapists (WFOT) httpwwwwfotorg Occupational Therapy and Pain Management Occupational therapy - Helping people to live life their way By College of Occupational Therapists wwwCOTorguk Recommended guidelines for Pain Management Programmes for adults A consensus statement prepared on behalf of the British Pain Society April 2007
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
References
Chapter 3 The Intervention Continuum In ldquoOccupational Therapy Intervention Resource Manual A Guide for Occupation-Based Practicerdquo Eds Denise Chisholm Cathy Dolhi Jodi Schreiber 2004 1st
Edition 240 pages Published by Delmar Learning a division of Thompson Learning Inc New York USA ISBN 1-4018-1536-7 Ingrid Soumlderback - Chapter 1 Genesis of the Handbook Materials and Methods In ldquoInternational Handbook of Occupational Therapy Interventionsrdquo Eds Ingrid Soumlderback 1st Edition 2nd Printing XXVIII 554 pages 2009 Springer Link ISBN 978-0-387-75423-9 (Print) 978-0-387-75424-6 (Online) Ludeke C Lambeek et al Randomised controlled trial of integrated care to reduce disability from chronic low back pain in working and private life BMJ 2010340c1035 doi101136bmjc1035 B del Pozo-Cruz et al An occupational internet-based intervention to prevent chronicity in sub acute lower back pain a randomized controlled trial J Rehabil Med 2012 44 581ndash587 Helen van Huet et al Occupational therapists perspectives of factors influencing chronic pain management Australian Occupational Therapy Journal (2013) 60 56ndash65 doi 1011111440-163012011
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Acknowledgement
I take this opportunity to thank following colleagues for their valuable review comments on my presentation
Dr Sandeep Sonone - Associate Professor in Orthopaedics at Seth G S Medical College amp K E M Hospital
Dr Murali Poduval - Additional Professor in Orthopaedics at JIPMER Pondicherry
Punita V SolankiOccupational Therapist
Occupational Therapy adds life to yearsThe best kind of work can be to get others back to theirs
Say Good Bye to Pain
29th ISSPCON 2014 Navi Mumbai 7th February 2014
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Take Home MessageFrom an Occupational Therapistrsquos Perspective Occupation
of a Person includes Activities of Daily Living Work amp Productive Activities Play amp Leisure
Occupational Therapists are important Team Members in an Integrated Interdisciplinary Team Approach towards Chronic Pain Management (~ International Association for the Study of Pain)
Integrated Interdisciplinary Care has a stronger evidence basis for efficacy cost-effectiveness amp lack of iatrogenic complications in the management of Chronic Pain than Traditional Biomedical approaches
Secondary amp Tertiary Preventive Approach amp Timely return to everyday activities helps prevent acutesub-acute pain becoming chronic in nature
Do not treat the pain alone but treat the person suffering from pain Physical Psychological Social amp Emotional Care
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
References The Canadian Association of Occupational Therapists (CAOT) Position Statement Pain Management and Occupational Therapy 2012 Melanie E Swan Treating Complex Regional Pain Syndrome A Guide For Therapy Reflex Sympathetic Dystrophy Syndrome Association 062004 wwwrsdsorg Interdisciplinary Chronic Pain Management International Perspectives Pain Clinical Updates by International Association for the Study of Pain December 2012 Vol XX Issue 7 World Federation of Occupational Therapists (WFOT) httpwwwwfotorg Occupational Therapy and Pain Management Occupational therapy - Helping people to live life their way By College of Occupational Therapists wwwCOTorguk Recommended guidelines for Pain Management Programmes for adults A consensus statement prepared on behalf of the British Pain Society April 2007
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
References
Chapter 3 The Intervention Continuum In ldquoOccupational Therapy Intervention Resource Manual A Guide for Occupation-Based Practicerdquo Eds Denise Chisholm Cathy Dolhi Jodi Schreiber 2004 1st
Edition 240 pages Published by Delmar Learning a division of Thompson Learning Inc New York USA ISBN 1-4018-1536-7 Ingrid Soumlderback - Chapter 1 Genesis of the Handbook Materials and Methods In ldquoInternational Handbook of Occupational Therapy Interventionsrdquo Eds Ingrid Soumlderback 1st Edition 2nd Printing XXVIII 554 pages 2009 Springer Link ISBN 978-0-387-75423-9 (Print) 978-0-387-75424-6 (Online) Ludeke C Lambeek et al Randomised controlled trial of integrated care to reduce disability from chronic low back pain in working and private life BMJ 2010340c1035 doi101136bmjc1035 B del Pozo-Cruz et al An occupational internet-based intervention to prevent chronicity in sub acute lower back pain a randomized controlled trial J Rehabil Med 2012 44 581ndash587 Helen van Huet et al Occupational therapists perspectives of factors influencing chronic pain management Australian Occupational Therapy Journal (2013) 60 56ndash65 doi 1011111440-163012011
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Acknowledgement
I take this opportunity to thank following colleagues for their valuable review comments on my presentation
Dr Sandeep Sonone - Associate Professor in Orthopaedics at Seth G S Medical College amp K E M Hospital
Dr Murali Poduval - Additional Professor in Orthopaedics at JIPMER Pondicherry
Punita V SolankiOccupational Therapist
Occupational Therapy adds life to yearsThe best kind of work can be to get others back to theirs
Say Good Bye to Pain
29th ISSPCON 2014 Navi Mumbai 7th February 2014
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
References The Canadian Association of Occupational Therapists (CAOT) Position Statement Pain Management and Occupational Therapy 2012 Melanie E Swan Treating Complex Regional Pain Syndrome A Guide For Therapy Reflex Sympathetic Dystrophy Syndrome Association 062004 wwwrsdsorg Interdisciplinary Chronic Pain Management International Perspectives Pain Clinical Updates by International Association for the Study of Pain December 2012 Vol XX Issue 7 World Federation of Occupational Therapists (WFOT) httpwwwwfotorg Occupational Therapy and Pain Management Occupational therapy - Helping people to live life their way By College of Occupational Therapists wwwCOTorguk Recommended guidelines for Pain Management Programmes for adults A consensus statement prepared on behalf of the British Pain Society April 2007
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
References
Chapter 3 The Intervention Continuum In ldquoOccupational Therapy Intervention Resource Manual A Guide for Occupation-Based Practicerdquo Eds Denise Chisholm Cathy Dolhi Jodi Schreiber 2004 1st
Edition 240 pages Published by Delmar Learning a division of Thompson Learning Inc New York USA ISBN 1-4018-1536-7 Ingrid Soumlderback - Chapter 1 Genesis of the Handbook Materials and Methods In ldquoInternational Handbook of Occupational Therapy Interventionsrdquo Eds Ingrid Soumlderback 1st Edition 2nd Printing XXVIII 554 pages 2009 Springer Link ISBN 978-0-387-75423-9 (Print) 978-0-387-75424-6 (Online) Ludeke C Lambeek et al Randomised controlled trial of integrated care to reduce disability from chronic low back pain in working and private life BMJ 2010340c1035 doi101136bmjc1035 B del Pozo-Cruz et al An occupational internet-based intervention to prevent chronicity in sub acute lower back pain a randomized controlled trial J Rehabil Med 2012 44 581ndash587 Helen van Huet et al Occupational therapists perspectives of factors influencing chronic pain management Australian Occupational Therapy Journal (2013) 60 56ndash65 doi 1011111440-163012011
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Acknowledgement
I take this opportunity to thank following colleagues for their valuable review comments on my presentation
Dr Sandeep Sonone - Associate Professor in Orthopaedics at Seth G S Medical College amp K E M Hospital
Dr Murali Poduval - Additional Professor in Orthopaedics at JIPMER Pondicherry
Punita V SolankiOccupational Therapist
Occupational Therapy adds life to yearsThe best kind of work can be to get others back to theirs
Say Good Bye to Pain
29th ISSPCON 2014 Navi Mumbai 7th February 2014
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
References
Chapter 3 The Intervention Continuum In ldquoOccupational Therapy Intervention Resource Manual A Guide for Occupation-Based Practicerdquo Eds Denise Chisholm Cathy Dolhi Jodi Schreiber 2004 1st
Edition 240 pages Published by Delmar Learning a division of Thompson Learning Inc New York USA ISBN 1-4018-1536-7 Ingrid Soumlderback - Chapter 1 Genesis of the Handbook Materials and Methods In ldquoInternational Handbook of Occupational Therapy Interventionsrdquo Eds Ingrid Soumlderback 1st Edition 2nd Printing XXVIII 554 pages 2009 Springer Link ISBN 978-0-387-75423-9 (Print) 978-0-387-75424-6 (Online) Ludeke C Lambeek et al Randomised controlled trial of integrated care to reduce disability from chronic low back pain in working and private life BMJ 2010340c1035 doi101136bmjc1035 B del Pozo-Cruz et al An occupational internet-based intervention to prevent chronicity in sub acute lower back pain a randomized controlled trial J Rehabil Med 2012 44 581ndash587 Helen van Huet et al Occupational therapists perspectives of factors influencing chronic pain management Australian Occupational Therapy Journal (2013) 60 56ndash65 doi 1011111440-163012011
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Acknowledgement
I take this opportunity to thank following colleagues for their valuable review comments on my presentation
Dr Sandeep Sonone - Associate Professor in Orthopaedics at Seth G S Medical College amp K E M Hospital
Dr Murali Poduval - Additional Professor in Orthopaedics at JIPMER Pondicherry
Punita V SolankiOccupational Therapist
Occupational Therapy adds life to yearsThe best kind of work can be to get others back to theirs
Say Good Bye to Pain
29th ISSPCON 2014 Navi Mumbai 7th February 2014
Punita V Solanki Occupational Therapist
29th ISSPCON 2014Navi Mumbai
7th February 2014
Acknowledgement
I take this opportunity to thank following colleagues for their valuable review comments on my presentation
Dr Sandeep Sonone - Associate Professor in Orthopaedics at Seth G S Medical College amp K E M Hospital
Dr Murali Poduval - Additional Professor in Orthopaedics at JIPMER Pondicherry
Punita V SolankiOccupational Therapist
Occupational Therapy adds life to yearsThe best kind of work can be to get others back to theirs
Say Good Bye to Pain
29th ISSPCON 2014 Navi Mumbai 7th February 2014
Punita V SolankiOccupational Therapist
Occupational Therapy adds life to yearsThe best kind of work can be to get others back to theirs
Say Good Bye to Pain
29th ISSPCON 2014 Navi Mumbai 7th February 2014