Diagnosis: Chronic Pain!

Original Release Date: February 15, 2023 | 1:00 pm ET

Medical and Life Care Consulting hosted a complimentary webinar aimed at helping medico-legal professionals gain a better understanding of invasive pain management interventions and their impact on personal injury cases.


“Invasive analgesic therapies provided an alternative to the medical management of chronic pain. With the growing incidence of chronic pain not only in the United States but worldwide, more therapies had evolved to address the increasing demand for pain relief options. These therapies included spinal injections, nerve blocks, radiofrequency ablation, neurostimulation, and intrathecal drug delivery.” – Medical Clinics of North America

Watch the webinar to learn:

Types of chronic pain:

• Nerve pain

• Joint pain

• Discogenic pain

• Myofascial pain 

How pain is diagnosed:

• MRI findings

• Physical exam findings

• Response to treatment, i.e.: injections, manual therapy

Noninvasive treatment:

• Physical therapy

• Medications- neuropathic medications, anti-inflammatory, local anesthetic, compounding creams 



Interventional procedures:

• Injections- facet, si joint, epidural steroid injections, medial and lateral branch blocks, diagnostic versus therapeutic, IA joint injections, trigger point injections

• Nerve blocks

• Spinal cord stimulators

• Stellate ganglion block



Correlating the patient’s response with the diagnosis

How to allocate long-term treatment for chronic pain into the life care plan_ 

Access the Playback

Watch the webinar to learn:

00:00 Inroduction

1:45 Meet the Speakers

4:13 What is Pain?

5:19 Types of Pain

5:32 Acute Pain

5:52 Chronic Pain

6:21 Neuropathic Pain

6:46 Redicular Pain

7:17 How Pain is Diagnosed

7:32 Physical Exam

10:45 CT Scan, X-ray, MRI, EMG & Discogram

12:13 Injections

14:10 Noninvasive Treatments

14:25 Physical Therapy

15:30 Aquatic Therapy

15:50 Acupuncture Treatment

16:34 Chiropractic Therapy

16:53 Medication Management

18:31 Interventional Procedures

18:36 Injections

23:41 Nerve Blocks & Infusions

27:50 Spinal Cord Stimulators

33:01 What is a Spinal Cord Stimulator?

33:40 How a Spinal Cord Stimulator Works

35:17 Types of Spinal Cord Stimulators

37:50 Intrathecal Pain Pump

42:17 How does it Work?

44:24 How to Allocate Long-Term Treatment for Chronic Pain into the Life Care Plan

45:49 Q&A Section

About the Speakers:

Cynthia Bourbeau, RN, CRRN, CCM, CNLCP®

Cynthia Bourbeau is a Massachusetts Registered Nurse and certified as a Rehabilitation Nurse, Case Manager, Nurse Life Care Planner, and ...

Cindy Fleury, RN, CCM, CNLCP®

Cindy Fleury has over 30 years of case management experience within workers’ compensation and has supported hundreds of medico-legal cases...

Medico-Legal Webinars​

Medico-legal webinars are a great resource for plaintiff and defense teams looking to better understand injuries and illnesses and how they may impact a case. Topics range from pediatrics and pain to costing and Medicare Set-Aside Allocations and everything in between.