Neurotoxin and Headache Update

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1 Neurological Center for Pain in joint sponsorship with the Ohio Headache Association and Ohio Neurotoxin Association Present Neurotoxin and Headache Update October 11-12, 2013

2 Neurotoxin and Headache Update About the Course On Friday, October 11, we will have an evening program that will provide scientific, clinical and billing updates for therapeutic uses of botulinum toxins. On Saturday, October 12, we will have a full day course that will focus on the causes and comorbidities of chronic headaches and address the techniques used to confront these issues in a multidisciplinary fashion. Approximately 12% of the population in North America and Europe suffer from migraine headaches, and recent estimates now suggest that, worldwide, 2-4% of all adults suffer from chronic headaches. Chronic daily headaches are defined as headaches occurring more than 15 days a month for three or more consecutive months. These headaches exact a significant toll in the workplace and at home and are responsible for billions of dollars in health costs and lost productivity each year. While medicines have been developed to treat migraines acutely, there are few medications available for their prevention, and this pressing need extends to the treatment of chronic migraines, too. The one exception to this is the relatively recent introduction of onabolutlinum A toxin. For such a worldwide problem as chronic headaches, this therapeutic deficiency highlights an important issue: significant psychosocial co-morbidities accompanying chronic headaches are all too often ignored and disregarded by clinicians. And chronic pain of any type engenders significant suffering for patients and family, alike. This fact is a major issue in mental health and presents us with an opportunity to address patients chronic headache problems in a more holistic and mechanistically functional way. Target Audience This course is intended for physicians in the field of neurology, internal medicine, family practice, otolaryngology, gynecology, rheumatology, psychiatry, as well as psychologists, mid-level providers, nurses and other medical professionals. Objectives Upon completion of this course, the participant will be able to: Describe the structure of botulinum neurotoxins Identify the botulinum serotypes approved by the FDA for clinical use Explain the role of botulinum neurotoxin as a treatment option for dystonia and painful conditions, in order to optimize patient outcomes Summarize the scientific data on the properties of botulinum toxin, as well as the clinical data on the efficacy of the toxin in treating multiple medical conditions Recognize the psychosocial variables in pain Identify co-morbidities that predict chronic migraines Facilitate development of interdisciplinary or multidisciplinary pain therapy

3 Faculty Course Co-Directors Mark Stillman, MD Course Chairman Section Head Headache Martin Taylor, DO, PhD Joint Sponsor Co-chair, Ohio Neurotoxin Association Ohio University College of Osteopathic Medicine Clinical Associate Professor New Albany, OH Vincent Martin, MD Joint Sponsor Co-chair, Ohio Headache Association Professor of Clinical Medicine General Internal Medicine University of Cincinnati Cincinnati, OH Faculty Cynthia Bamford, MD Laxman Barhoo, DO Director Botulinum Toxin Clinic Co-director Neurology Residency Program Assistant Professor of Neurology Movement Disorders Division Georgetown University Hospital Department of Neurology Washington, DC Kay Cherian, PT, MPT, Cert. MDT Physical Medicine & Rehabilitation Jane DeMattia, RN David Riley, MD Movement Disorders Center University Hospitals and Case Western Reserve University School of Medicine South Euclid, OH Deborah Tepper, MD Stewart Tepper, MD Gretchen E. Tietjen, MD Professor and Chair of Neurology Director of UTMC Headache Treatment and Research Program Director of the UTMC Stroke Program University of Toledo Toledo, OH Steven Krause, PhD, MBA Deborah Zajac, RN, BSN-BC Clinical Coordinator, Neurological Center for Pain

4 Agenda Neurotoxin Update Friday, October 11, 2013 Dinner Program InterContinental Hotel & Conference Center (located on the campus) Falcon Room 1st Floor 6:00-6:15 pm Registration Falcon Room 6:15-6:30 pm Welcome and Introductions 6:30-7:30 pm Botulinum Toxin Scientific Update and Review of Approved Indications David Riley, MD 7:30-8:00 pm Botulinum Toxin Billing and Coding Update Martin Taylor, DO, PhD 8:00-9:00 pm Emerging Indications for Botulinum Therapies Laxman Barhoo, DO 9:00 pm Evaluation and Adjourn

5 Chronic Headache and the Role of Interdisciplinary Care in its Treatment Saturday, October 12, 2013 Bunts Auditorium Jennings Education Building (TT) 7:00-8:00 am Registrations and Continental Breakfast 8:00-8:10 am Introduction Mark Stillman, MD 8:30-9:00 am Chronic Headaches with Particular Attention to Chronic Migraine Vincent Martin, MD 9:00-9:45 am Co-morbidities of Chronic Migraine Gretchen Tietjen, MD 9:45-10:15 am Opioids and Their Role in Chronification of Headache Stewart Tepper, MD 10:15-10:30 am Refreshment Break & Exhibits 10:30-11:00 am Acute Therapy When and Why to Use Deborah Tepper, MD 11:00-11:30 am PT for the Neck and Head Kay Cherian, PT, MPT, Cert. MDT 11:30-12:00 pm Preventative Therapies in Chronic Migraine Cynthia Bamford, MD 12:00-12:30 pm Box Lunch 12:30-1:00 pm Questions & Answers Stewart Tepper, MD 1:00-1:30 pm Psychological Therapy of Chronic Pain and in Particular Headaches Steven Krause, PhD, MBA 1:30-2:00 pm Nursing: The Role of Education and Follow-up Deborah Zajac, RN, BSN-BC and Jane DeMattia, RN 2:00-2:15 pm Refreshment Break & Exhibits 2:15-2:45 pm Pitfalls of Medical Therapy Deborah Tepper, MD 2:45-3:15 pm Pitfalls of Psychological Rx Steven Krause, PhD, MBA 3:15-3:45 pm Pitfalls of PT Kay Cherian, PT, MPT, CERT. MDT 4:00-5:00 pm Questions & Answers Martin Taylor, DO, PhD

6 General Information Locations Friday, October 11 InterContinental Hotel & Bank of America Conference Center 9801 Carnegie Avenue Cleveland, Ohio Phone: or Parking Parking Garage #2 located off 100th and Carnegie for $10 per day. From the garage, take the 3rd floor skyway to the hotel. Overnight and daily valet parking is available at the hotel at your own cost of $18 per car for meeting attendance. Saturday, October 12 Main Campus Bunts Auditorium Jennings Education Building (TT) East 90th Street Parking Garage #1 located on East 93rd Street between Euclid and Chester Avenues for $10 per day. For best access to the garage, please use Chester Avenue to 93rd Street. From the Garage, you will then cross Euclid Avenue (or take the tunnel) to enter the s main entrance. From there, follow signs to the TT building (the hallway to the TT building is located by the elevators to the M building). Visit for maps and directions. Hotel Accommodations A block of rooms has been reserved at the InterContinental Hotel & Bank of America Conference Center for a special rate of $189 single/ double (plus tax). The hotel and conference center are located on the campus of the. To secure this rate, you must make your reservation by 5:00 pm (EST) on September 6, Contact the hotel reservations department at or Please identify yourself as part of the CCF Neurotoxin & Headache room block code. Accreditation This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of The Foundation Center for Continuing Education, Ohio Headache Association and Ohio Neurotoxin Association. The Foundation Center for Continuing Education is accredited by the ACCME to provide continuing medical education for physicians. The Foundation Center for Continuing Education designates this live activity for a maximum of AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Participants claiming CME credit from this activity may submit the credit hours to the American Osteopathic Association for Category 2 credit. Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending. Ohio Psychological Association OPA-MCE Provider Approved for credits. Physical Therapy Credit is being applied for with the Ohio Physical Therapy Association Approval is pending. The Ohio Board of Nursing will accept at face value the number of contact hours awarded for a continuing education activity that has been approved by a nationally recognized accreditation system of continuing education approval. Therefore physician AMA PRA Category 1 Credits will be accepted for nursing credits. Nurses from other states should contact their State Board of Nursing. Faculty Disclosure Statement The Foundation Center for Continuing Education has implemented a policy to comply with the current Accreditation Council for Continuing Medical Education Standards for Commercial Support requiring resolution of all faculty conflicts of interest. Faculty declaring a relevant commercial interest will be identified in the activity syllabus. Registration and Cancellation Register at Registration deadline is 5:00 pm (EST), Wednesday, October 9, A request for a refund must be received in writing by September 25, No refunds will be given after September 25, A $25 cancellation fee will be deducted from the refund for all cancellations. For questions about registration, please call or Americans with Disabilities Act The Foundation Center for Continuing Education fully intends to comply with the legal requirements of the Americans with Disabilities Act. If you need assistance, please notify Monet Smith at at least two weeks prior to the activity. Information For further information about this activity, contact Monet Smith at Local: ; Toll Free: x49380;

7 Registration Form Course Office Use Only Fee Date M.O.P. CXL/Fee Neurotoxin and Headache Update October 11-12, 2013 October 11: Intercontinental Hotel & Conference Center October 12: - Bunts Auditorium Register Online At: CCF employees should check fees and register online at the above web address. PLEASE PRINT Clearly First Name Last Name Degree Company Address City State Zip Phone Fax Specialty Sub-specialty Registration The Registration Fee for Friday, October 11 includes syllabus and dinner. The Registration Fee for Saturday, October 12 includes syllabus, continental breakfast, breaks and box lunch. Payment must be received prior to admittance to the course. Purchase orders are not accepted. Please check appropriate box Category Friday, October 11 Dinner Program Limited to 20 people Saturday, October 12 Full Day Program Physician q $25 q $200 Resident/Fellow q $25 q $125 PhD/PsyD q $25 q $125 Physician Assistant q $25 q $125 Nurse Practitioner/Nurse q $25 q $125 Allied Health: Physical Therapist/Other q $25 q $125 TOTAL AMOUNT $ q I require a vegetarian lunch/dinner Make check payable and mail to: The Educational Foundation, PO Box , If you would like to register using a credit card, please go to or call where it will be handled directly by a certified processor.

8 Neurological Center for Pain in joint sponsorship with the Ohio Headache Association and Ohio Neurotoxin Association Present Neurotoxin and Headache Update October 11-12, 2013 Register online at: The Foundation 9500 Euclid Ave., S

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