TNE II: Focus on Function - Changing Pain Related Behavior

July 17, 2018 to July 18, 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

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.


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 pmFactors 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


    Jessica Podolak, PT, DPT, TPS

    Jessie received her Master’s Degree in Physical Therapy from the College of St. Catherine, Middeapolis in 1998. She completed her transitional DPT from Regis University, Denver, in 201l. She has been teaching pain science and manual therapy techniques at continuing education courses since 2013. Jessie currently owns and operates her community s first direct pay physical therapy practice. seeing a variety of patients with acute and chronic pain conditions. She has special interests in manual therapy, Pilates, spine and running injuries She is a certified clink al instructor through the APTA and has completed her Therapeutic Pain Specialist certification through ISPI.

    Relevant to the content of this CME activity, Dr. Podolak indicated she has no financial relationships with commercial interest companies to disclose. 


    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: 
    07/17/2018 - 8:00am CDT
    Event ends: 
    07/18/2018 - 5:00pm CDT
    Fort Stewart-Hunter Army Airfield
    Fort Stewart, GA
    United States
    +1 (888) 709-7096

    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 company 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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