IS-05 - Controversies About Analgesics and Interventions

Friday, November 14, 2025

8:00 AM - 9:45 AM CT

Location: Lone Star Salon C

CE: 1.75

Moderator(s)

Andrea Chadwick, MD, MSc (she/her/hers)

Professor
University of Kansas School of Medicine
Leawood, Kansas, United States

Mark Bicket, MD, PhD, FASA

Director of Pain and Opioid Research, Co-Director of Overdose Prevention Engagement Network, Associate Professor with Tenure
University of Michigan
Ann Arbor, Michigan, United States
Hance Clarke, MD PhD

Director Pain Services
Toronto General Hospital / University Health Network
Toronto, Ontario, Canada
Carlos Pino, MD

Physician
Naval Medical Center San Diego, California, United States
Ariana Nelson, MD (she/her/hers)

Associate Professor of Anesthesiology
University of California, Irvine
Laguna Beach, California, United States

Disclosure(s):

Andrea L. Chadwick, MD, MSc: No relevant disclosure to display

Upon completion, participant will be able to recognize when interventional pain procedures are unlikely to provide benefit and apply a decision-making framework that balances clinical appropriateness with patient-centered considerations.
Upon completion, participant will be able to evaluate the evidence regarding the effectiveness and side effects of muscle relaxants for use in the management of spinal pain.
Upon completion, participant will be able to identify patient-specific risk factors that influence muscle relaxant selection when indicated for spinal pain.
Upon completion, participant will be able to disentangle the difference between recreational and medical cannabis use and to review evolving guidelines and the next steps with respect medical cannabis access for patients.
Upon completion, participant will be able to describe the controversies surrounding the use of gabapentin as a widely used analgesic and to review evidence-based best practices when using gabapentin.

8:00 AM - 8:20 AM CT

When Not to Offer Interventions for a Patient With Pain?
Speaker: Mark C. Bicket, MD, PhD, FASA – University of Michigan
8:20 AM - 8:40 AM CT

Cannabinoids - Chosing Wisely
Speaker: Hance A. Clarke, MD PhD – Toronto General Hospital / University Health Network
8:40 AM - 9:00 AM CT

Gabapentinoids - "The Pain Killer (Over)Used for Just About Anything - Media Article
Speaker: Carlos A. Pino, MD – Naval Medical Center San Diego
9:00 AM - 9:20 AM CT

Muscle Relaxants - When Is It Appropriate and When Is It Not Appropriate to Use These For Spinal Pain?
Speaker: Ariana M. Nelson, MD (she/her/hers) – University of California, Irvine