Palmer Mackie is in the Department of Medicine at Indiana University School of Medicine. He founded and is the Director of Eskenazi Health’s Integrative Pain Program. This multi-disciplinary program includes a 5-week Pain School where patients are exposed to and practice such modalities as relaxation response, WFPBD, graduated exercise, Tai Chi, chair yoga, guided imagery, mindfulness and knowledge critical to making healthier choices. The IPP’s approach couples psychological and physical functional rehabilitation and uses the patient’s strengths and self-identified life values and goals. Palmer has won numerous departmental and university teaching awards and his work on pain and opioids has earned him awards in Preventive Medicine and Population Health. His is a diplomat of the American Board of Medical Acupuncture, a Plantrician, a proud father of twin men, and a student of Tae Kwon Do.
His largest clinical and educational focus over the last decade has been in chronic pain and recovery. The Integrative Pain Program (IPP) is a multi-disciplinary participation- based pain management venue. His team has developed and implemented curricula for their patients. This includes a 5-week Pain School where patients are exposed to and practice such modalities as relaxation response, cognitive-behavioral therapy, nutritional medicine, graduated exercise, guided imagery, mindfulness and knowledge critical to making healthier choices.
Their objective is to integrate healthy practices that enable patients to reduce the impact pain has on their lives and to better achieve their goals. The Integrative Pain Program’s approach couples psychological and physical functional rehabilitation, and uses the patient’s strengths and self-identified life values and goals. The effort and energy are directed toward making progress and improving self-efficacy through achieving reasonable and life-enhancing goals.
Contact Informatoin: palmermackie719@gmail.com
Ikigai: Alchemy and Lifestyle Medicine for Chronic Pain Management
PALMER MACKIE, MD, MS, FNG
DESCRIPTION
Relief of pain and suffering may be considered the major goal of medical therapeutics. For almost 20 years, the medicalization and iatrogenic process of pain management created a passive, opio-centric paradigm. This did little to benefit those with chronic pain and devastated many thousands in communities across the United States. Pillution, the widespread over-prescription of opioid pain medications, resulted in profound increases in morbidity and mortality while not providing durable pain relief nor improvement in function.
As this occurred individuals were distanced from the elements of life that provide saliency: hobbies, employment and other self-rewarding activities. In short, individuals lost purpose as they became exiled from the body and life they enjoyed.
A new active, participatory paradigm has emerged. Treatment is no longer opio-centric but individualized and polymodal, designed to reduce pain but – perhaps more critically – to build coping strategies, as well as mental health and physical abilities, to restore hope and function. This is Lifestyle Medicine. It incorporates many treatment modalities and concepts, such as cognitive-behavioral training, mindfulness, WFPB food as medicine, acupuncture, relaxation techniques, graduated exercise and tobacco cessation.
This presentation will highlight data from Lifestyle type interventions in pain management. Modalities and approaches will include WFPB nutrition, mindfulness, cognitive-behavioral therapy, exercise, education, tobacco cessation and the power of purpose. We will briefly present Eskenazi Health’s Integrative Pain Program data to highlight one program’s success. Real individual triumphs will punctuate the presentation. At the conclusion of the presentation, participants will see that this paradigm ameliorates suffering, enhances function and facilitates patients’ return to rewarding and anodyne lives; it effectively repatriates those who had been exiled by their pain and sometimes pain treatments. This comes with a hard won understanding that pain can be a part of someone but need not define the entirety of one’s being.
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