American Society of Interventional Pain Physicians | March 21, 2018
20 th Annual ASIPP Meeting A Success

The 20th Anniversary meeting was in collaboration with the Florida Society of Interventional Pain Physicians and in Orlando, Florida on Thursday, March 15 through Saturday, March 17, 2018, at Marriott Orlando World Center. Nearly 975 people attended the meeting with a record number of vendors filling the exhibition hall.
Distinguished guest speakers included
Arnold Caplan, PhD and Laxmaiah Manchikanti, MD, Chairman and CEO , ASIPP® with the Raj-Racz Distinguished Lectures.
Robert Laszewski, Representative Ed Whitfield, and Senator Tim Hutchinson provided the Manchikanti Distinguished Lectures Series.
Keynote speakers: Senator Bill Cassidy, Dike Drummond, MD, and Rebekah Bernard, MD.
Dr. Francis Riegler handed over the gavel to the new ASIPP President Dr. Hans Hansen.
Breakout sessions included topics such as regenerative medicine, endoscopic lumbar decompression, opioids, neuromodulation, resident/fellow, billing and coding, plus the newly added family session.
Giants in Pain Medicine, the top awarded presented by ASIPP, went to Dr. Gabor Racz and posthumously to Dr. Prithvi Raj.
Lifetime Achievement Awards were presented to:
Vijay Singh, MD
Peter Staats, MD, MBA
Robert Levy, MD, PhD
Vanila Singh, MD

Please make plans to join us for next year’s meeting May 3-5, 2019 at Caesar’s Palace in Las Vegas.
Essentials of Interventional Techniques in Managing Chronic Pain
Available for Order!
  • Comprehensive textbook of interventional techniques in managing chronic pain

  • Covers spinal interventional techniques, peripheral nerve blocks, sympathetic interventional techniques, soft tissue and joint injections and implantables

  • Step-by-step guidance backed up by the latest evidence

This comprehensive review covers the full and latest array of interventional techniques for managing chronic pain. Chapters are grouped by specific treatment modalities that include spinal interventional techniques, nonspinal and peripheral nerve blocks, sympathetic interventional techniques, soft tissue and joint injections, and implantables. Practical step-by-step and evidence-based guidance is given to each approach in order to improve the clinician's understanding. Innovative and timely, Essentials of Interventional Techniques in Managing Chronic Pain is a critical resource for anesthesiologists, neurologists, and rehabilitation and pain physicians.
Click HERE to order
Gabapentin and Opioids a Potentially Deadly Combination

Patients taking prescription opioids and gabapentin concomitantly have a 49% greater risk for opioid-related death than those treated with opioids only, according to a new Canadian study.
A team of researchers led by Tara Gomes, PhD, MHSc, principal investigator of the Ontario Drug Policy Research Network (ODPRN), used an administrative healthcare database to identify 1256 residents of Ontario whose cause of death was related to opioid use. The investigators matched each of these persons with up to four control persons who also used opioids (4619 control participants).

Registration Now Open!

Diploma Mills for Non-Physician Healthcare Providers Are Causing Concern
The increase in nurse practitioners, and the diploma mills that graduate ill-prepared nurses, should concern doctors and patient advocates, Rebekah Bernard writes on Medical Economics . Bernard was a keynote speaker at the 20 th ASIPP Annual meeting just last week in Orlando.
Changes in Practicing Unsupervised and the Consequences
The number of non-physician healthcare providers, such as physician assistants and nurse practitioners, has been increasing in part to counteract physician shortage, according to Bernard, a doctor at Gulf Coast Direct Primary Care, Fla.
Through political means—including $5.3 million on lobbying and $2.1 million contributed to congressional candidates in 2016—and a multi-media campaign, nursing organizations have increased the number and power of nursing practitioners, she writes. Nursing practitioners can now practice independently in the Veterans Administration, Washington, D.C., and 23 states, according to Bernard.
Finally, Proof: Opioids Are No Better Than Tylenol for Treating Some Chronic Pain
Long before  opioids  snowballed into one of the worst public health crises in American history, Dr.  Erin Krebs  suspected there might be a problem.
As a medical fellow in North Carolina in 2004, Krebs noticed many of her patients were on prescription opioids like OxyContin — now well known to increase the risk of addiction and death — for common ailments like low back pain and arthritis. Even after patients took the drugs for months or years, however, Krebs noticed they weren’t helping.

Click HERE to view February issue of IPM Reports

Interventional Pain Management Reports is an Open Access online journal, a peer-reviews journal dedicated to the publication of case reports, brief commentaries and reviews and letters to the editor. It is a peer-reviewed journal written by and directed to an audience of interventional pain physicians, clinicians and basic scientists with an interest in interventional pain management and pain medicine. 

Interventional Pain Management Reports is an official publication of the American Society of Interventional Pain Physicians (ASIPP) and is a sister publication of Pain Physician . Interventional Pain Management Reports Interventional Pain Management Reports is an open access journal, available online with free full manuscripts.  

The benefits of publishing in an open access journal that has a corresponding
print edition journal are:  
  • Your article will have the potential to obtain more citations.
  • Your article will be peer-reviewed and published faster than other journals.
  • Your article can be read by a potentially much larger audience compared with traditional subscription-only journals.  
  • Open Access journals are FREE to view, download and to print.

So submit today your:
  • Case Reports
  • Technical Reports
  • Editorials
  • Short Perspectives

Click HERE to submit
NHS accused of fuelling rise in opioid addiction
Doctors warn the NHS is fuelling an addiction crisis because of an increase in the prescribing of powerful painkillers.
Nearly 24 million opioids, such as morphine, were prescribed in 2017 - equivalent to 2,700 packs an hour.
A drugs counsellor and former user told the BBC the NHS was "creating drug addicts".
The Royal College of GPs said doctors would not prescribe opioid painkillers as a "quick fix".
Opioids such as morphine, tramadol and fentanyl are super-strength painkillers, which can be highly addictive and can kill if misused.
Drug Copayments Often Exceed Prescription Drug Costs
 Drug copayments frequently exceed prescription drug costs, with overpayments affecting 23% of all prescriptions, according to a research letter published in the  Journal of the American Medical Association .
Karen Van Nuys, PhD, from the University of Southern California in Los Angeles, and colleagues examined the frequency of overpayments by comparing copayments with the national average reimbursements received by pharmacies for the same prescription for commercially insured patients (January to June 2013).
January/February 2018 Journal

January/February 2018 Issue Features
Health Policy Review
  • Buprenorphine Formulations
Systematic Reviews
  • Lumbar Spinal Stenosis
  • Middle Cervical Sympathetic Ganglion
  • Postherpetic Neuralgia Therapies
Randomized Trials
  • Pulsed Radiofrequency Improves Neuropathic Pain in Chronic Constriction Injury
  • Ultrasound-Guided Genicular Nerve Block for Knee Osteoarthritis
  • Reducing Radiation Exposure in Lumbar Transforaminal Epidural Steroid
  • Cerebral Blood Flow and Heart Rate Variability in Chronic Fatigue Syndrome
  • Intradiscal Ozone-Oxygen Injection in Patients with Low Back Pain

Click view full article pdfs available only online at: 
Ivy League Doctor Gets 4 Years in Prison for Insys Opioid Kickbacks
A Rhode Island doctor who took kickbacks from Insys Therapeutics Inc. officials for prescribing the company’s highly addictive liquid version of the opioid painkiller Fentanyl was sentenced to more than four years in prison.
Jerrold Rosenberg , who lost his medical license and was ousted from his post as a Brown University professor, pleaded guilty to taking more than $188,000 in kickbacks disguised as speaker fees and creating false patient records to dupe insurers into covering Insys’s Subsys pain medication.
A Different Opioid Crisis
Hospitals struggle with shortages of key painkillers

Even as opioids flood American communities and fuel widespread addiction, hospitals are facing a dangerous shortage of the powerful painkillers needed by patients in acute pain, according to doctors, pharmacists and a coalition of health groups.
The shortage, though more significant in some places than others, has left many hospitals and surgical centers scrambling to find enough injectable  morphine , Dilaudid, and  fentanyl  -- drugs given to patients undergoing surgery, fighting cancer or suffering traumatic injuries. The shortfall, which has intensified since last summer, was triggered by manufacturing setbacks and a government effort to reduce addiction by restricting drug production.
State Society News 
June 9-10, 2018
Midwest Societies of Interventional Pain Management Meeting
State Societies from Illinois, Indiana, Kentucky, Michigan, Missouri, Wisconsin, and Iowa .
Westin Michigan Avenue Chicago

April 18-22, 2018
GSIPP 2018 Annual Meeting
Georgia Society of Interventional Pain Physicians
The Ritz Carlton Reynolds, Lake Oconee

July 19-22, 2018
FSIPP 2018 Annual Meeting, Conference, and Trade Show
Florida Society of Interventional Pain Physicians
One South County Road, Palm Beach, FL 33480

Send in your state society meeting news to Holly Long,
ASIPP | Pain Physician Journal | Phone | Fax | Email