#63. Integrative Pediatric Pain Management with Dr. Lonnie Zeltzer
Release Date: 05/17/2021
#92. Is Physical Therapy, The Panacea of Chronic Pain?
Pedia Pain Focus
Have you ever had any of your patients say that they don't think physical therapy helps their pain? Or that the physical therapy made their pain worse? It would certainly not surprise me, if you said yes. And in that case, this is definitely is the episode you want to listen to carefully. And if your answer to my question was no, this is an episode for you too, my friend. Because sooner or later you too will join this elite club with rest of us. However, this episode will give you the framework and tools to change that in your practice. Learn it from our guest who magically...
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#91. Mental Health and Pediatric Pain; Chicken or the Egg?
Pedia Pain Focus
Pain and mental illnesses coexist, often more than any of other illnesses. Both of them have a profound effect on a child's child’s quality of life, individually. Now imagine the magnitude of impact when they co-exist. In this episode, Dr. Anjana Kundu, with guest speaker Dr. Mirabelle Mattar, a child, and adolescent psychiatrist, discusses the intricate and dynamic relationship between pediatric pain and mental health, likely cause or affect and prognosis for a child with pain in the setting of mental health issues or vice-versa. They also discussed the factors...
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#90. Can We Prevent Pain from Becoming Chronic?
Pedia Pain Focus
Acute pain may be a protective and adaptive phenomenon, but chronic pain is nothing but damaging and a burden in every way possible and for all involved directly or indirectly. So how do we reduce or can we reduce burden? Join me in this episode to learn the factors that contribute to chronicity of pain and whether we can prevent it. Takeaways in This Episode Complexities of pain and its impact for the individuals and the society What differentiates acute from chronic pain and why that is important Various factors contributing to pain and its chronicity Modifiable vs....
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#89. The Pain of Being a Redhead
Pedia Pain Focus
An anesthesiologist or a dentist might tell you that redheads need more anesthesia or local anesthetic. Yet research around their pain perception, tolerance, modulation and response to different pain medications is much more variable and complicated. Join me to learn the recent and emerging evidence about the pain among redheads and what you can do for effectively and safely managing it!
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#88. Pharmacovigilance to Evaluate Efficacy and Net Clinical Benefit in Pediatric Pain Medicine
Pedia Pain Focus
What if you had the lessons from the hindsight AND the foresight while managing children's pain? How would that change your practice? How would that change the outcomes of pediatric pain treatments?
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87. Shifting the Paradigm in Pediatric Pain Medicine
Pedia Pain Focus
Pediatric pain has long been and continues to be neglected for many reasons and because of many challenges. In this episode we discuss those factors and more importantly, the way forward to make the paradigm shift, overcoming challenges and recognizing opportunities.
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#86. Essential Elements of a Successful Patient Encounter
Pedia Pain Focus
A clinical care visit is like flying a plane. It has to be smooth (charming), safe (thorough) yet efficient and on time!
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#85. Pain Amongst Children with Autism Spectrum Disorder
Pedia Pain Focus
Rising prevalence of Autism Spectrum Disorders, contradicting opinions and misconceptions around pain sensitivity and expression among these patients pose unique challenges for clinicians.
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#84. Post-Concussive Headache and Symptom Management in Children
Pedia Pain Focus
Headache is a presenting symptom in 90% of children after a traumatic head injury and for many it may persist for years. It can be extremely debilitating and difficult to treat, posing several unique diagnostic and therapeutic challenges. Join me in conversation with Blake Windsor, MD a pediatrician with a subspecialty in training for pediatric pain medicine, a board certified headache specialist and Chief of Primas Health Pediatric Pain Medicine.
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#83. Reengineering Pediatric Perioperative Care for Optimal Outcomes
Pedia Pain Focus
Postoperative outcomes and success of the interventions is certainly dependent on the analgesia and anesthesia care, but what truly drives the outcomes is a complex interplay of biopsychosocial factors; an alignment between the patients and family's goals and medical as well as surgical interventions. How one goes about achieving that is what this episode is all about!
info_outlineChronic pain is the result of dynamic interactions between psychological, biological, and social factors. In this episode, Dr. Lonnie Zeltzer, a veteran and pioneer of the best practices in pediatric pain medicine talks about the approaches you can take in assessing and treating complex chronic pediatric pain issues to ensure best outcomes!
Dr. Zeltzer has shared her decades of experience, research and wisdom in this episode. It's like getting a masterclass in all you want to know about taking acre of a pediatric pain patient.
There are many barriers when it comes to treating children’s pain. However, Dr Zeltzer shows you how to overcome them and how to choose the appropriate approaches that will be embraced by your patients and families when treating complex chronic pain in children.
Tune in to this episode as Dr. Lonnie talks about the integrated approach to pediatric pain management with a cohesive team of clinicians regardless of their geographic proximity.
Takeaways In This Episode:
- What integrative medicine is and how it differs from the alternative medicine
- What an integrated medical model looks like
- What therapies are appropriate for your patient
- How to decide which ones to pick when there are competing priorities and issues of cost, effectiveness, and beliefs
- Harnessing the power of mind for pediatric pain care
- The importance and practice of rebalancing your autonomic nervous system
- The differences between complementary alternative therapies and integrative therapies
- Dr. Zeltzer explains how to create an integrative pain care team
- The framework Dr. Zeltzer use to decide which patients may need therapies with seemingly similar impact ( e.g. yoga vs. PT or CBT versus hypnotherapy)
Links
Complementary, Alternative or Integrative Medicine: NCCIH Definitions
Conquering Your Child's Chronic Pain: A Pediatrician's Guide for Reclaiming a Normal Childhood
Clinicians Pain Evaluation Toolkit
About the Guest:
Dr. Zeltzer is a Professor of Pediatrics, Anesthesiology, Psychiatry and Biobehavioral Sciences at the David Geffen School of Medicine at UCLA, Director of the Pediatric Pain Program at UCLA Mattel Children's Hospital, and Past-Medical Director of Trinity KidsCare pediatric hospice.
She is also Associate Director of the Patients and Survivors Program in the UCLA Jonsson Comprehensive Cancer Center, on the steering committee of the UCLA Centers for Integrative Medicine, the UCLA Psychoneuroimmunology Program, and the Center for Neurovisceral Sciences.
Dr. Zeltzer’s pain program integrates complementary and traditional therapies for the treatment of chronic and cancer pain in children, and she studies the development of chronic pain, mind-body-pain connections, and the impact of complementary therapies on chronic pain.
She has over 200 publications, including her book, "Conquering your Child's Chronic Pain: a Pediatrician's Guide for Reclaiming a Normal Childhood,"(HarperCollins, 2016).