Complex Regional Pain Syndrome 2013

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1 Programme Complex Regional Pain Syndrome 2013 International Scientific and Clinical Meeting International Association for the Study of Pain (IASP) Pain and the Sympathetic Nervous System (PSNS) SIG Wednesday 20th to Friday 22nd November 2013 Assembly Rooms, Bath, UK Faculty Ms Linda Bank, Leiden Professor Frank Birklein, Mainz Ms Rebecca Blight, Bristol Dr Peter Brook, Bath Dr Helen Cohen, Stanmore Dr Hannah Connell, Bath Dr Jeremy Gauntlett-Gilbert, Bath Mrs Jo Gibson, Liverpool Dr Andreas Goebel, Liverpool Dr Richard Haigh, Exeter Dr Jane Hall, Bath Professor Norman Harden, Chicago Ms Marlies den Hollander, Maastricht Professor Giandomenico Iannetti, London Ms Keri Johnson, Bath Dr Gareth Jones, Aberdeen Professor Wade Kingery, California Dr Jenny Lewis, Bath Dr Sarah Love-Jones, Bristol Professor Christian Maihofner, Erlangen Dr Johan Marinus, Leiden Professor Candy McCabe, Bath Dr Roberto Perez, Amsterdam Dr Anthony Pickering, Bristol Dr Roberto Rocha, Sao Paulo Dr Karen Rodham, Bath Dr Nick Shenker, Cambridge Dr Astrid Terkelsen, Aarhus Mrs Julie Weymouth, Bradford on Avon

2 Welcome I am delighted to extend a very warm welcome to Bath for all attendees of the 2013 International Scientific and Clinical Meeting on Complex Regional Pain Syndrome (CRPS). This three-day meeting has been organised by members of the Pain and the Sympathetic Nervous System (PSNS) Special Interest Group of the International Association for the Study of Pain with organisational support provided by Aesculap Academia. I would particularly like to acknowledge the efforts of Dr Jenny Lewis, Dr Andreas Goebel, Dr Roberto Perez and Mrs Aynsley Pix. The stimulating programme has been designed to meet the needs of clinicians and academics with an interest in CRPS, be that novice or expert. It includes plenary lectures from leading scientists and clinicians in the field, as well as poster sessions and workshops to enable more informal discussions. Please consider becoming part of this programme by submitting an abstract for the poster and oral presentations. As CRPS encompasses such a wide range of signs, symptoms and impacts on both central and peripheral mechanisms, the topics covered in this meeting are appropriately diverse. They range from considering the relationship between pain and body perception, as discussed by our keynote speaker Professor Giandomenico Iannetti on our scientific day, through to the diagnosis and management of persistent CRPS on day two of our clinical programme. The inclusion of a debate between central and peripheral theorists should stimulate plenty of discussion in between. The host city of Bath, has been intrinsically linked with healthcare since the Roman times when the sick came to bathe in the warm mineral waters. The Roman Baths are still a fascinating tourist attraction and our conference social programme includes a visit there. However, it is probably the stunning Georgian architecture for which Bath is best known. As an example of this, we are delighted that our meeting will be held in the beautiful surroundings of the Assembly Rooms, considered to be the most noble and elegant of any in the kingdom when they were completed in Visited by Charles Dickens and a regular venue for Jane Austen and her many fictional characters, the Assembly Rooms were the hub of Georgian society. Here the residents of Bath shared their daily news and kept abreast of world events. It is therefore a very fitting place for exchanging ideas and knowledge to advance our care and understanding of those with CRPS. I do hope we shall see you in Bath for three wonderful days of networking, science, clinical guidance and discussion on and around CRPS. Professor Candy McCabe Chair of the Pain and Sympathetic Nervous System Special Interest Group, IASP

3 Programme Scientific Day - Wednesday 20th November :00 Registration The Great Octagon 09:00 Welcome and introduction Dr Andreas Goebel Interactive plenaries The Ballroom 09:10 FMRI correlates of CRPS patients perspectives on body and environment Professor Christian Maihöfner 09:50 Animal models for CRPS and their relevance for research and practice Professor Wade Kingery 10:30 Refreshments and exhibition The Great Octagon 10:50 Systemic biological changes in patients with CRPS Dr Astrid Terkelsen 11:30 The inflammatory phase of CRPS Professor Frank Birklein 12:10 Lunch and exhibition The Great Octagon Poster presentations The Tea Room The David Blake Keynote Speech 13:15 Avoiding pain: Professor Giandomenico A defensive safety margin surrounding the body Iannetti 14:00 Immune activation and autoimmunity in CRPS Dr Andreas Goebel 14:40 Results from the multidisciplinary treatment of CRPS in children and Dr Hannah Connell adolescents 15:20 Refreshments and exhibition The Great Octagon The Big CRPS Debate: 15:50 Is CRPS a disorder of the central or of the peripheral nervous system? (delegate voting) Central Debaters Professor Christian Maihöfner, Dr Jenny Lewis, Professor Candy McCabe Peripheral Debaters Professor Frank Birklein, Professor Wade Kingery, Dr Andreas Goebel Moderators Professor Norman Harden, Dr Roberto Perez 17:00 Close Course Content We reserve the right to change/amend any course content and faculty at any time. However, we make every effort to ensure that all courses run as advertised.

4 Clinical Day One - Thursday 21st November :00 Registration The Great Octagon 09:00 Welcome Professor Candy McCabe Plenary sessions The Ballroom 09:00 What is CRPS? Dr Richard Haigh 09:40 Epidemiology of CRPS Dr Johan Marinus 10:20 Diagnosing CRPS and co-morbidity Dr Roberto Perez 11:00 Refreshments and exhibition The Great Octagon 11:30 Update on potential mechanisms (central and peripheral) Dr Nick Shenker 12:10 Sensory and motor interactions in CRPS Professor Candy McCabe 12:40 Living with CRPS: Mrs Julie Weymouth The patients perspective Ms Rebecca Blight 13:00 Lunch and exhibition The Great Octagon Parallel sessions Advances in rehabilitation strategies Chair: Dr Jenny Lewis 14:00 Mirror visual feedback and graded motor imagery Professor Candy McCabe 14:30 Body perception disturbances Dr Jenny Lewis 15:00 Graded exposure therapy Ms Marlies den Hollander 15:30 Panel discussion Neuromodulation approaches Chair: Professor Wade Kingery 14:00 Spinal cord stimulators in CRPS Dr Sarah Love-Jones 14:30 Case studies: Dr Peter Brook Dorsal root ganglion stimulator and rehabilitation 15:00 Presentation topic TBC Dr Anthony Pickering 15:30 Exploring the impact of thoracic sympathetic blocks for the treatment of Dr Roberto Rocha CRPS of the upper limb 16:00 Refreshments and exhibition The Great Octagon 16:30 Panel discussion Poster viewing throughout the day - The Tea Room

5 Programme Clinical Day Two - Friday 22nd November :00 Poster presentations chaired by Dr Gareth Jones The Ballroom 10:00 Refreshments and exhibition The Great Octagon Parallel sessions Psychological perspectives Chair: Ms Marlies den Hollander 10:30 Overcoming psychological barriers to treatment Dr Jeremy Gauntlett-Gilbert 11:00 Pain coping and kinesiophobia on activity in lower limb CRPS Dr Johan Marinus 11:30 CRPS and the family Dr Karen Rodham 12:00 Panel discussion CRPS and the upper limb Dr Richard Haigh 10:30 Motor control in CRPS of the upper limb Ms Linda Bank 11:00 CRPS and the shoulder Mrs Jo Gibson 11:30 Managing dystonia in CRPS Ms Keri Johnson 12:00 Panel discussion 12:30 Lunch and exhibition The Great Octagon Parallel sessions Measurement in CRPS Chair: Dr Roberto Perez 13:30 Principles of measurement in clinical practice Dr Johan Marinus 14:00 Practical approaches to measurement in CRPS Dr Jane Hall 14:30 CRPS severity score Dr Roberto Perez 15:00 Panel discussion Diagnosis, treatment and management of a long-term condition Chair: Professor Norman Harden 13:30 Controversies in the diagnosis of CRPS Professor Norman Harden 14:00 Evidence for pain medication and treatment efficacy Dr Andreas Goebel 14:30 Medical management of CRPS as a long term condition: Dr Helen Cohen Is it a progressive disease? 15:00 Panel discussion 15:30 Refreshments and exhibition The Great Octagon 16:00 Panel discussion 16:30 Closing remarks

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12 Event Organisers Conference fees Full 3 day conference registration fee (non members) Full 3 day conference registration fee (IASP PSNS SIG members) Scientific day only Clinical days one and two only Course dinner Conference venue Bath Assembly Rooms Bennett Street Bath, UK BA1 2QH Tel: +44 (0) Accommodation Should you require accommodation please contact Jessica Stanley at our room booking agency Room Search on +44 (0) who will be able to arrange this for you. Transport links By train - Mainline services are to Bath Spa. The conference venue is a 20 minute walk from the station By taxi - Taxi fare from the train station is approximately 5.00 By car - By air - Bristol International Airport is the nearest airport to Bath and is a 45 minute journey by taxi or coach. Alternatively, London Heathrow and London Gatwick Airports are serviced by the Heathrow Express and Gatwick Express train links via London Paddington and London Victoria Stations: Conference organisers Aesculap Academia Thorncliffe Park Brookdale Road Sheffield South Yorkshire, UK S35 2PW Tel: +44 (0) Registration Abstract submission Please consider becoming part of this programme by submitting an abstract for the poster and oral presentations. Please visit the conference website for further details regarding abstract submissions -

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