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Chronic Pain: Mechanisms, Patterns, Assessment and Treatment

Presented by Roger Allen, PT, PhD.
Graduate Program in Physical Therapy
Neuroscience Program

Course Description

Chronic pain conditions differ markedly from acute nociceptive pain both in mechanisms of pain generation and effective treatment approaches.  This course will present elements of development, symptomatology, assessment, and treatment that are unique to chronic pain.  It will specifically explore the neural pathways of pain, somatosensory and temporal distribution patterns, recognition and prevention of risk factors, peripheral and neuroplastic developmental changes in pain generation etiology, current diagnostic criteria for common syndromes, multifaceted pain assessment tools, and a range of current treatment options including multimodal desensitization and effective dosing guidelines for therapeutic exercise and activity.  Participants will leave with a detailed understanding of chronic pain mechanisms, ability to recognize newly discovered pain patterns, ability to apply current diagnostic standards, access to a full compendium of comprehensive pain assessment instruments, and a clinically applicable overview of effective evidence-based treatment components.

General Course Objectives

Following completion of this course, the participant will be able to:

  • Recognize the specific clinical distinctions between acute and chronic pain conditions in terms of pain generation etiology and effective treatment approaches.
  • Identify developmental risk factors for chronic pain, including deactivation mechanisms, and implement appropriate preventive intervention measures with patients displaying early signs of chronic pain development.
  • Recognize symptomatic somatosensory and autonomic patterns and utilize current diagnostic standards for common chronic neuropathic pain syndromes.
  • Access and utilize a comprehensive variety of multifaceted pain assessment instruments.
  • Clinically implement multifaceted evidence–based treatment elements specific to chronic pain, and apply appropriate progressive dosing strategies for therapeutic exercise, physical restoration, and functional activities.

Supplementary Materials Provided

  • Course Packet (either electronic or print
  • Pain Assessment Compendium (either electronic or print)


  • Providence/Swedish Employees-  $200
  • Non-Providence/Swedish Employees-  $400

Course Information

  • August 22-23, 2015
  • 12 Contact Hours
  • Appropriate Audience:  PT, PTA, OT, COTA, ST, Nurses


David Howell
(360) 486-6992

Registration Instructions: