Focus on Function: Changing Pain Related Behavior (TNE II)

Bethesda, MD US
April 25, 2018 to April 26, 2018


This is a private course and registrations are not being accepted.

Course Description

In recent years, pain neuroscience from a therapeutic perspective, has gained considerable evidence, especially teaching people more about the biological and physiological aspects of their pain experience. Current best-evidence supports that therapeutic neuroscience education improves pain ratings, function, pain catastrophization, physical movement and cost of healthcare utilization. Clinically there is a shift whereby more and more clinicians are gaining experience in teaching people more about pain. This, however, is a good starting point, but not the end-point. The ultimate expression of recovery is behavior change, or return to physical confidence.

Following the initial pain education, clinicians now need to embrace and impart additional strategies such as goal setting, pacing, graded exposure, motivational interviewing and behavioral change leading to a functional, empowered patient being able to resume a fulfilled meaningful life. The mantra of “despite pain…” should become the cornerstone of recovery, indicating an understanding of the pain experience, decreased fear and measurable, visible improvement in function. This highly interactive advanced course bridges the gap from initial pain education to independence. Through lectures, case studies, small and large group sessions, clinical application and motivational interviewing; clinicians will develop skills aimed at true behavioral change. 


Therapeutic Neuroscience Education I: Teaching People About Pain


Day 1 
8 am

TNE Pain Metaphors- A Quick Review

8:30 amNew Pain Metaphors
9 amSmall Groups: Discuss and Share Pain Metaphors
9:30 amLarge Group: Share Small Group Pain Metaphors
10 amBreak
10:15 amAssessing Case Studies Using TNE - Success Stories 
10:45 amSmall Groups: Share Successes of TNE
11:30 amLarge Group: Share Small Group Success Stories of TNE    
12 pmLunch
1 pmAssessing Case Studies of TNE - Failures
1:30 pmSmall Groups: Share Failure of TNE
2 pmProblem Solving Failures - Why and What to do About It?
3 pmBreak
3:15 pm Factors Predicting Success in Clinical Application of TNE - Research Update
3:45 pmListing Barriers to Improvement    
4:15 pmSolutions for Clinical Barriers of TNE
5 pmAdjourn
Day 2 
8 amMotivational Interviewing
9 amAssessing Yellow Flags - Barriers to Behavioral Change
10 amBreak
10:15 amAssessing Green Flags
10:45 amGoal Setting
11:30 amAssessment and Treatment of Pacing and Graded Exposure
12 pm  Lunch
1 pmCreating Independence
1:45 pmChanging Behavior
2:30 pmSmall Groups: Identifying Patient Placement in Behavior Change
3:15 pmBreak
3:30 pmLarge Group: Patient Placement
4 pmShifting Patients to Independence
5 pmAdjourn

Target Audience

Physicians, nurses, physical therapists, and other healthcare professionals.

Learning Objectives

  • Strengthen and expand their knowledge and clinical application of pain metaphors.
  • Develop a clinical understanding of the factors associated with success and failure of pain neuroscience education.
  • Be updated on behavioral change concepts including stages of change, addiction, motivational interviewing and green flags.
  • Problem solve and develop pain science solutions to various psychosocial risk factors preventing recovery.
  • Apply all treatments, principles and techniques into clinical practice.


Adriaan Louw, PT, PhD, CSMT
CEO, International Spine & Pain Institute 

Dr. Louw, co-founder and CEO of ISPI, earned both an undergraduate as well as a master’s degree in research and spinal surgery rehabilitation from the University of Stellenbosch in Cape Town, South Africa. He is a guest lecturer/adjunct faculty at Rockhurst University, St. Ambrose University and the University of Las Vegas Nevada. In addition, he maintains a clinical practice and is co-owner of The Ortho Spine and Pain Clinic in Story City, Iowa. Adriaan has been teaching postgraduate, spinal manual therapy and pain science classes throughout the US and internationally for 15 years. He is a Certified Spinal Manual Therapist through ISPI. In addition, Adriaan has presented at numerous national and international manual therapy, pain science and medical conferences and has authored and co-authored articles, books and book chapters related to spinal disorders and pain science. Recently, Dr. Louw completed his Ph.D. which centers on therapeutic neuroscience education and spinal disorders.

Relevant to the content of this CME activity, Dr. Louw indicated he is a publisher and receives royalties from OPTP (fitness equipment manufacturer). 

Appropriate Dress

Participants are asked to bring appropriate attire for lab sessions (i.e. shorts and t-shirts and sports bras for women) and air-conditioned environments throughout the day (i.e. warm-up or work-out clothes).


International Spine and Pain Institute
PO Box 232
Story City, IA 50248

Course summary
Available credit: 
  • 15.00 AMA PRA Category 1 Credits
  • 15.00 AOA Category 2­A
  • 15.00 CE Contact Hour(s)
  • 15.00 IBON
Course opens: 
Course expires: 
Event starts: 
04/25/2018 - 8:00am CDT
Event ends: 
04/26/2018 - 5:00pm CDT
Walter Reed National Military Medical Center
8901 Rockville Pike
Bethesda, MD 20889
United States

Continuing Education Credit

  • MD: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Iowa Medical Society (IMS) through the joint providership of Des Moines University (DMU) and the International Spine and Pain Institute. DMU is accredited by the IMS to provide continuing medical education for physicians. DMU designates this live activity for a maximum of 15.0 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.
  • DO: Des Moines University (DMU) is accredited by the American Osteopathic Association (AOA) to provide osteopathic continuing medical education for physicians. DMU designates this program for a maximum of 15.0 AOA Category 2-A credits and will report CME and specialty credits commensurate with the extent of the physician’s participation in this activity.
  • Nurse: Des Moines University is Iowa Board of Nursing approved provider #112. This live activity has been reviewed and approved for 15.0 continuing education contact hour(s). No partial credit awarded.
  • Other: This live activity is designated for 15.0 AMA PRA Category 1 Credits™.

Educational Grants

No commercial interest provided financial support for this continuing education activity.


Everyone in a position to control the content of this educational activity will disclose to the CME provider and to attendees all relevant financial relationships with any commercial interest. They will also disclose if any pharmaceuticals or medical procedures and devices discussed are investigational or unapproved for use by the U.S. Food and Drug Administration (FDA). Determination of educational content and the selection of speakers is the responsibility of the activity director. Firms providing financial support did not have input in these areas. The information provided at this CME activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. The content of each presentation does not necessarily reflect the views of Des Moines University.

Available Credit

  • 15.00 AMA PRA Category 1 Credits
  • 15.00 AOA Category 2­A
  • 15.00 CE Contact Hour(s)
  • 15.00 IBON


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