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New frontiers in pain management- relieve pain, renew Life
- Pain Congress 2019

Welcome Message

Allied Academies invites all the participants across the world to attend ‘International conference on Pain management and Research’ to be held during October 14-15, 2019 in Rome, Italy. This includes prompt keynote presentations, Oral talks, Poster presentations and Exhibitions.

Allied Academies is delighted to welcome all the interested and enthusiastic participants across the globe to its prestigious International Congress on pain Management which is going to be held during  October 14-15, 2019 in Rome, Italy highlighting the theme “New Frontiers in Pain Management- Relieve pain, Renew Life”. Pain Congress 2019  is a two day conference concentrating on Interactive Sessions & Sub-sessions emphasized on  Pain Management and new trends in field of Pain management, keynote lectures from Senior Scientists and industry experts, panel discussions, poster competitions and Young Researcher Forum. The conference program will feature well-known and thought provoking speakers to interactive discussion sessions.

Pain Congress 2019 provide the perfect global platform for promoting and showcasing latest individual, as well as group innovations and breakthroughs in Field of Medicine and its allied areas. In today’s age of high end technology and scientific brilliance, conventional meetings and gatherings by any society makes no sense as it just makes the entire purpose of the meetings useless; limiting the sharing of knowledge and developments and denying the opportunity to channel those information outside of their meetings. 

Scientific Sessions

Session 1: Interventional Pain Management:

Interventional pain management is a Procedure which treats pain by utilizing pain blocking techniques to effectively restore quality of life for patients. Some conditions in which interventional pain management techniques treat are endless migraines, mouth or face pain, low back pain, neck pain, muscle pain. Interventional pain Management is commonly used when the pain is severe enough to perform daily activities or other treatments are not successful in reducing pain. It is used in chronic or acute pain. Types of Interventional pain Management treatments, the type of treatment depends upon specific condition and symptoms; it varies in terms of invasiveness. Some of the Common techniques include:

·         Nerve blocks

·         Infusions

·         Injections

·         Radiofrequency Ablation

·         Spinal Cord Stimulation

·         Deep brain stimulation

·         Hypophysectomy

·         Peripheral Nerve Field Stimulation

·         Cutting or destruction of Nervous tissue

·         Labour pain management


 Session 2: Perioperative care and Anaesthesiology:

Perioperative as a rule signifies to three phases of medical procedures: preoperative, intraoperative, and postoperative. The purpose of perioperative consideration is to pass on better conditions for patients before restorative technique, all through assignment, and a while later Perioperative care is given before and after the surgery and large given in specialist's offices, in action centre’s joined to facilities, in self-supporting undertaking centres or human administrations providers' working environments. In this period patients will be sanely and physically orchestrated the on-going restorative strategy. For emergency undertakings, this time can be less and even insensible to the patient; for optional therapeutic techniques, perioperative consideration can be fairly long. This period is used to prepare the patient both physically and psychologically for the surgical procedure and after surgery.

Session 3: Pain Medication:

Prostaglandins are a group of lipid compounds that are delivered by the cells of the body and have a few vital capacities They promote inflammation necessary for healing and also results in pain and fewer. Prostaglandins support the blood clotting function of platelets and protect lining of stomach and are created inside the body's cells by the compound cyclooxygenase (COX). There are two COX catalysts, COX-1 and COX-2. The two proteins deliver prostaglandins that advance aggravation, agony, and fever. Be that as it may, just COX-1 produces prostaglandins that help platelets and ensure the stomach. Non-steroidal anti-inflammatory drugs (NSAIDs) obstruct the COX compounds and decrease prostaglandins all through the body. As a result, continuous irritation, agony, and fever are diminished. Since the prostaglandins that secure the stomach and bolster platelets and blood coagulating likewise are diminished, NSAIDs can cause ulcers in the stomach. Opiates additionally alluded to as opioid torment relievers are utilized just for agony that is serious and isn't helped by different types of painkillers. Anticonvulsants, or hostile to seizure meds, fill in as adjuvant analgesics. In various words, they can treat a few types of unending agony regardless of whether they're not intended for that reason. While the most utilization of hostile to seizure medicine is averting seizures, anticonvulsants do appear to be viable at treating certain types of incessant agony. These incorporate neuropathic pain like peripheral neuropathy and chronic headaches like migraines.

·         Opioids

·         Adjuvants

·         Lidocaine patches

·         Corticosteroids

·         Antidepressants

·         Anticonvulsants

·         Non-steroidal anti-inflammatory drugs

·         Over-the-counter pain Relievers

·         Narcotic pain medications

·         Non-narcotic pain medications


 Session 4: Current approaches to pain management:


The treatments for chronic pain are as diverse as the causes. From the OTC (Over the counter) and Prescription Drugs to mind/ body techniques to Acupuncture there are numerous techniques. But when it comes to treating Chronic pain, no single technique is guaranteed to produce complete pain relief. Relief may be found by using combination of treatment options. Cognitive behavioural therapy is talking therapy that help you manage your problems by changing the way you think and behave. Local Anesthesia involves Anesthesia injections creating a numbness feeling in the specified organ may be during a surgery. Acupuncture is a complimentary therapy where fine needles are inserted into body locations known as acupoints. Many people reported that they feel very relaxed and increased energy levels afterwards.


·         Bioelectric Therapy

·         Acupuncture

·         Cancer pain management

·         Trigger point Injection

·         Chiropractic care for pain

·         Nerve block injections (local Anesthesia)

·         Spinal Cord Stimulation

·         Spinal Drug Delivery Systems

·         Patient controlled analgesia pump

·         Cognitive Behavioural Therapy


Session 5: Epidemiology and Classification:

Epidemiology is the study of how often diseases occur in different groups of people and is used to evaluate strategies to prevent illness and as a guide to management of patients in whom diseases has already occurred. Epidemiologists deal with study design, collection and statistical analysis of data, dissemination of results. Epidemiology is used in clinical research, public health studies, and to an extent basic research in biological sciences. Epidemiological study include transmission, disease causation, disease surveillance, outbreak investigation, Forensic epidemiology, screening, Bio monitoring and comparisons of treatment effects   like clinical trials.

·         Classification of pain

·         Post herpetic neuralgia

·         Myofascitis & Torticollis

·         Cancer pain and treatments

·         Anatomical causes of back pain

·         Facial pain and peripheral nerve pain

·         Chronic headache (Migraine)


Session 6 : Cancer pain management :


Cancer pain  has different causes and are of different types. Most cancer pain is caused by the tumour pressing on nerves, bones or other organs in the body. For example, some chemotherapy drugs can cause numbness and tingling in your hands and feet or may cause burning sensation at the spot where you have drug injection.In radiotherapy it causes skin redness and irritation in cancer,  pain may be chronic or acute. Acute pain is due to damage caused by an injury and lasts for short time. Chronic pain is due to changes to the nerves may be due to cancer pressing on nerves or due to chemicals produced by tumour. Chronic pains continues long after treatment is over and can range from mild to severe referred as persistent pain. Chronic pain is tough to treat, however painkillers or other pain management strategies will usually success in managing it. Cancer pain may be nerve pain, bone pain, soft tissue pain, phantom pain, referred pain.


·         Causes of pain

·         Treating pain

·         Pain from tumour

·         Chemotherapy

·         Radiotherapy

·         Suboptimal pain control


 Session 7: Pharmacological approaches for pain:


Analgesic pharmacological medications are broadly classified as opioid analgesics and non-Opioid analgesics. Opioids are narcotics used for moderate to severe pain, non-opioids are non- narcotic analgesics used to treat mild pain and also serve as adjuvant medication for relief of pain. Analgesics called as pain relieving drugs include Non-steroidal anti-inflammatory drugs, acetaminophen, narcotics, antidepressants, anti-convulsants and others. NSAIDS and Acetaminophen are Over-the-counter drugs and are initial pharmacological treatment for pain. Adjuvants are pharmacological agents that modify effect of other agents. NSAIDS include Aspirin, Nuprin, Ibuprofen Motrin, Naproxen sodium and ketoprofen these drugs are used to treat pain from inflammation and work by blocking production of pain enhancing neuro transmitters such as prostaglandins.


·         Neuroleptics

·         NSAIDS

·         Opioid analgesics

·         Anti-convulsants

·         Pain physicians and experts

·         Local anaesthetics

·         Pharmacologic Tolerance

·         Various pain medicines: mechanism of action


Session 8: Non Pharmacological approaches for pain:


There are number of non-drug tools for coping with pain. They can be used on their own or in combination with drug therapies. Some of the options like massage therapy, it is effective in relieving pain and other symptoms for some people with serious illness. Physical therapy, Pet therapy and gel packs are some of the non-pharmacological approaches to pain management. There is an evidence to support the use of patient education, Cognitive behavioural therapy, relaxation and music however some approaches have not shown benefit like TENS, reflexology and acupuncture. Research on Non pharmacological approaches to pain is important so that patients are provided with information that ensures them effective way for treating their pain. Palliative care patients with complimentary therapies should also be treated with appropriate analgesics and adjuvants using evidence based approach.


·         Patient Education

·         Massage Therapy

·         Hypnosis

·         Counselling Psychotherapy

·         Superficial heat

·         Ultrasound

·         Traction

·         Chiropractic Treatment

·         Aromatherapy for pain

·         Physical therapy

·         Chinese Medicine

 Session 8: Pain Management Nursing:


Perianesthesia Nursing could be a nursing speciality practice area Involved in providing medical care to patients experiencing or recuperating from Anesthesia. Perianesthesia nursing includes numerous subspecialty watch space and speaks to a different scope of training condition and ranges of abilities. However, distinct pain management certifications exist through the American Society for Pain Management Nurses. The medical attendant's essential duty is to the wellbeing, welfare, solace and security of the patient. Mindfulness, information of agony and pain appraisal, and learning of the standard of consideration for Pain management upgrades the medical attendant's capacity to advocate for and guarantee viable Pain management for every patient. While supporting for the patient, it is urgent that the medical caretaker use and reference current proof based Pain management principles and rules. The Role of medical caretaker is capable and responsible to guarantee that a patient gets fitting proof based nursing appraisal and mediation which viably treats the patient's agony and meets the perceived standard of consideration.


 Session 9: Pain Management and Rehabilitation:


Pain may be Acute or Chronic. Acute pain is a short-term pain which is often an Indication of a disease or injury, while Chronic is mostly related to conditions like Back pain, Headaches or Fibromyalgia, it is a condition which is often characterised by sleep disturbances or fatigue. Rehabilitation programs are usually designed to individualize patient assessments, follow-up plans and treatments. Reduction of psychological treatment, family counselling, socialization skills, Medication and educational or vocational counselling are emphasized. Migraine along with Other Headaches such as sinus headache and tension headache, are painful. Migraine symptoms mainly include a pounding headache, nausea, vomiting, and light sensitivity and they are treated with anti-nausea drugs and abortive or preventive medications. Headache remedies include pain killers or pain relievers. Back pain includes lower back pain, upper back pain, middle back pain or low back pain along with sciatica. Nerve and muscular problems, degenerative disc disease, and arthritis may result in back pain.  Pain may be relieved with pain medication or pain killers.


Session 10: Paediatric Pain Management:


Chronic pain might be a developing drawback among pediatric and youths, with some epidemiological examinations demonstrating that generally half-hour of young people and pre-adult's experience pain that goes on for three months or more. The first basic pediatric endless agony grievances for the most part headache rehashed stomach pain, and general contractile organ pain, together with appendage pain and back pain. Incessant pain is typically identified with useful insufficiency. Inside the pediatric populace this insufficiency frequently shows as school impedance, issue keeping up social contacts, sliced interest in recreational exercises, debilitation in well-being associated personal satisfaction, and an ascent in medicinal services usage. Children will experience pain differently and it can be quite difficult as a parent to guess that behavioural changes and other signs caused due to pain. Some children in severe pain may become quiet, others may display aggressive tendencies. In young children especially, it can be hard to tell as they simply can’t verbalise that something is painful or sore. On the contrary, adolescents tend to minimise or deny pain in the presence of their peers thus they require specific and private questioning about their pain.




Local anaesthetics

Non pharmacological approaches


Session 11: Anesthesia for Pain Treatment:


In the act of prescription (particularly medical procedure) and dentistry, Anesthesia is an impermanent incited state with at least one absence of pain (help from or counteractive action for pain), loss of motion (muscle unwinding), amnesia (loss of memory), and obviousness. A patient under the impacts of sedative medications is alluded to as being anesthetized. Anesthesia is opportunity from agony. Every year, a huge number of individuals in the United States experience some type of medicinal treatment requiring Anesthesia. Anesthesia, in the hands of qualified experts like Certified Registered Nurse Anaesthetists (CRNAs), is a safe and effective means of mitigating pain during nearly every type of medical procedure. Anesthesia care isn't limited to medical procedure alone, the procedure additionally alludes to exercises that happen both when a Sedative is given. In the dominant part of cases, Anesthesia is regulated by a CRNA. CRNAs work with your specialist, dental practitioner or podiatrist, and may work with an anaesthesiologist (doctor anaesthetist). CRNAs are propelled rehearse enrolled medical attendants with particular alumni level instruction in anaesthesiology. For over 150 years, nurture anaesthetists have been overseeing Anesthesia in a wide range of careful cases, utilizing every single sedative procedure and rehearsing in each setting in which Anesthesia is regulated. Anesthesia empowers the easy execution of medicinal systems that would make extreme or grievous torment an un-anesthetized understanding.


Session 12: Orthopaedic Pain Management:


The three general strategies for treating Pain are pharmacologic, physical and mental. The objective of therapeutic administration of the patient with pain and aggravation is to diminish these side effects with insignificant reactions and bother. Pain related with irritation might be diminished with non-steroidal anti-inflammatory drugs (NSAIDs) including headache medicine. All NSAIDs relieve pain and stiffness in a similar manner, their essential activity gives off an impression of being the restraint of the cyclooxygenase framework in the arachidonic corrosive course. While endorsing NSAIDs for orthopaedic Pain and aggravation, it appears to be sensible to begin with headache medicine due to its ease and wellbeing at pain relieving dosages. Be that as it may, if wellbeing and low occurrence of symptoms are the most imperative factors in deciding suitable treatment, more up to date NSAIDs, for example, ketoprofen will be favoured. The help of torment is an imperative part of postoperative consideration. Parenteral and oral sedatives fill in as the standard against which different treatments for serious agony are thought about. At the point when torment can't be sufficiently controlled with intramuscular or subcutaneous sedatives, intravenous sedatives controlled by the patient (persistent controlled absence of pain) are frequently valuable. Generally little dosages of epidural or intrathecal sedatives can likewise be utilized to accomplish postoperative relief from discomfort. Along these lines, treatment for orthopaedic agony starts with NSAIDs, trailed by an oral sedative joined with acetaminophen, headache medicine, or another NSAID. In the event that these regimens are ineffectual, oral sedatives pursued by parenteral sedatives might be attempted.


Session 13: New Frontiers in Neuropathic Pain:


The different neuropathic pains can be hard to treat. In any case, with cautious analysis and regularly a combination of techniques for medications, there is a superb possibility of enhancing the pain and return of capacity. Medications are a backbone of treatment of neuropathic Pain. They work by affecting how Pain Information is taken by the body. Most agony information is sifted through by the focal sensory system, ordinarily at the level of the spinal string. For instance, on the off chance that you are sitting in a seat, your fringe nerves send the reaction to the weight between your body and the seat to your sensory system. In any case, since that information fills no standard need, it is sifted through in the spinal string. Numerous drugs to treat neuropathic pain work on this separating procedure. The kinds of medications utilized for neuropathic pain incorporate antidepressants, which impact the measure of serotonin or norepinephrine, and anti-seizure prescriptions, which follow up on different synapses, for example, GABA and glycine. A standout amongst the greatest instruments in treating neuropathic pain is the spinal string trigger, which conveys little measures of electrical vitality specifically onto the spine.


Session 14: Geriatric pain management:


The elderly are frequently untreated or undertreated for pain. Boundaries to powerful administration incorporate difficulties to legitimate evaluation of torment; underreporting by patients; atypical indications of agony in the elderly; a requirement for expanded energy about the pharmacokinetic and pharmacodynamic changes of maturing; and misinterpretations about resilience and dependence on narcotics. Doctors can give suitable absence of pain in geriatric patients by understanding diverse kinds of torment (nociceptive and neuropathic), and accurately utilizing non opioid, narcotic, and adjuvant meds. Narcotics have turned out to be all the more generally acknowledged for treating more established grown-ups who have persevering agony, yet such utilize requires doctors have a comprehension of anticipation and administration of symptoms, narcotic titration and withdrawal, and watchful observing. Fake treatment utilize is baseless and deceptive. Non pharmacologic ways to deal with torment administration are fundamental Hence; essential consideration doctors will confront a critical test in pain administration in more seasoned grown-ups. The elderly will probably have joint pain, bone and joint issue, growth, and other incessant clutters related with pain.


Session 15: Various aspects of Opioids:

Opioids are substances that follow up on opioid receptors to deliver morphine-like impacts. Narcotics are frequently utilized therapeutically to relieve pain, and for their euphoric impacts by individuals depend on opioids. Opioids incorporate sedatives, an older term that refers to such medications got from opium, including morphine itself. Different narcotics are semi-manufactured and engineered medications, for example, hydrocodone, oxycodone and fentanyl; adversary medications. For example, naloxone and endogenous peptides, the endorphins. The terms sedative and opiate are here and there experienced as equivalent words for narcotic. Sedative is appropriately restricted to the regular alkaloids found in the gum of the opium poppy albeit some incorporate semi-manufactured subordinates. Opiate, got from words meaning deadness or rest, as an American lawful term, refers to cocaine and narcotics, and their source materials; it is likewise inexactly connected to any unlawful or controlled psychoactive medication. In a few wards every single controlled medication are legitimately delegated opiates. Narcotics are a kind of opiate medicine. They can have genuine symptoms in the event that you don't utilize them effectively. On the off chance that you have to take narcotics to control your pain, here are some approaches to ensure you're accepting them as securely as could reasonably be expected. Narcotic medications work by authoritative to narcotic receptors in the mind, spinal rope, and different zones of the body. Narcotics are utilized to treat moderate to extreme pain that may not react well to other pain relieving drugs.


Session 16: Clinical Manifestation and Epidemiology of Pain:


Pain is described by the patient for the most part in wording, for example, wounding, consuming, tearing, crushing, and so forth. Intense pain is joined by a pressure reaction comprising of increment in circulatory strain, tachycardia, pupillary dilatation, and high plasma cortisol levels. This might be gone with by local muscle compression. Four general classifications of pain are by large nociception, pain recognition, and torment practices. Chronic pain influences 20% of the European populace and average in woman, more seasoned individuals, and with relative deprivation. Its administration in the network remains for the most part unsuitable, halfway on account of absence of proof for effective interventions. Great epidemiological research on constant pain gives essential data on predominance and variables related with its beginning and tirelessness. Enhancing our comprehension of related variables will educate our clinical administration, constraining seriousness, and limiting incapacity.


Session17: NSAIDS and Analgesics:



Traditionally, the pain relieving activity of non-steroidal anti-inflammatory drugs (NSAIDs) has been clarified based on their inhibition of enzymes that incorporate prostaglandins. However NSAIDs exert their pain relieving impact through fringe restraint of prostaglandin amalgamation as well as through an assortment of other fringe and central mechanisms. It is currently realized that there are 2 basically particular types of the cyclo-oxygenase protein (COX-1 and COX-2). COX-1 is a constitutive individual from typical cells and COX-2 is induced from inflammatory cells. Inhibition of COX-2 action represent that  in all probability component of activity for NSAID-interceded absence of pain, while the proportion of restraint of COX-1 to COX-2 by NSAIDs ought to decide the probability of unfavourable impacts. A few NSAIDs repress the lipoxygenase pathway, which may itself result in the creation of allogeneic metabolites. Impedance with G-protein-interceded flag transduction by NSAIDs may shape the premise of a pain relieving instrument inconsequential to hindrance of prostaglandin amalgamation. There is increasing evidence that NSAIDs have have a central mechanism of action that augments the peripheral mechanism. This impact might be the consequence of impedance with the development of prostaglandins inside the CNS. On the other hand, the focal activity might be interceded by endogenous narcotic peptides or barricade of the arrival of serotonin (5-hydroxytryptamine; 5-HT). A system including hindrance of excitatory amino acids of N-methyl-D-aspartate receptor actuation has additionally been proposed.

Market Analysis

Pain Management Therapeutics Market by Drug Class (Anesthetics, NSAIDS, Anticonvulsants, Antidepressants, Anti-headache operators, Non-opiate Analgesics, and Opioids (Tramadol, Oxycodone, Hydrocodone, and Others)); by Indication (Neuropathic Pain, Arthritic Pain, Cancer Pain, Post-agent Pain, Chronic Back Pain, Fibromyalgia, and Migraine), and by Distribution Channel (Hospitals Pharmacy, Retail Pharmacy, and Online Pharmacy): Global Industry Perspective, Comprehensive Analysis and Forecast, 2017 - 2024". As per the report, worldwide Pain administration therapeutics advertise was esteemed at roughly USD 61,000 million of every 2017 and is required to produce income of around USD 79,500 million by end of 2024, developing at a CAGR of around 4% somewhere in the range of 2018 and 2024.


The quantity of patients experiencing endless torment is on a consistent ascent comprehensively. As per the U.S. Foundation of Medicine, in 2011, around 100 million grown-ups experienced normal ceaseless conditions, for example, low back agony pursued by a headache and neck Pain. The expanded patient base, thus influences the labourer efficiency, builds the country's social insurance costs and contrarily impacts the patient's candidly and monetarily. The U.S. alone spends around USD 560 billion to USD 635 billion yearly on human services because of agony issue. European consumption represents 1.5% to 3% of GDP every year. This incremental expense is comprehensive of medicinal expenses of torment care, monetary expenses, and lost efficiency. As per a study, directed in Europe, one of every five Europeans experiences constant agony. This hampers the personal satisfaction by large prosperity of the sufferers.


By geography, North America represented the most astounding offer in the worldwide pain administration therapeutics showcase in 2017. The positive medicinal services changes and administrative situation in the U.S. is the key factor contributing towards the most noteworthy offer of North America in the worldwide market. As per the estimation of National Health Interview Survey (NHIS), around 25.3 million grown-ups, i.e., 11.2% grown-ups experienced agony consistently and around 40 million grown-ups, i.e., 17.6% grown-ups experienced perpetual torment in the year 2012. The U.S. alone spends around USD 560 billion to USD 635 billion every year on human services because of the torment issue. Human services change enactment of the U.S. gone in March 2010 guaranteed high consideration and greater portion of assets to address the basic issues of agony administration. It gives the arrangement to the improvement of successful agony treatments and guarantees appropriate diverting of the assets alongside powerful preparing for torment administration experts. These administrative human services changes address torment administration issues all the more genuinely, which thusly will help the improvement of effective agony administration therapeutics sooner rather than later.


Europe holds the second biggest position in the worldwide agony administration therapeutics showcase. The high spending on medicinal services and accessibility of better social insurance foundation are the principal factors contributing towards the immense offer of Europe locale in the market. European consumption represents 1.5%-3% of GDP yearly. This incremental expense is comprehensive of therapeutic expenses for agony care, financial expenses, and lost efficiency. As indicated by a study, led in Europe, one of every five Europeans experiences constant agony. This hampers the personal satisfaction and generally speaking prosperity of the sufferers, which will eventually support the agony administration therapeutics advertise in the district.


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