Chronic Pain Management at your fingertips - REGISTER HERE

ECHO is an interactive online medical education program, connecting health care providers with the interprofessional team the the Alan Edwards Pain Management Unit at the Montreal General Hospital to advance learning and enhance clinical skills.

Supporting primary care providers in diagnosis and management of their chronic pain patients.


All sessions are from 12pm - 1pm. For questions contact Rebecca Binik - Program Manager: rebecca.binik [at]



Learning Objectives

By the end of this session, participants will be able to:

Sept 27

Chronic Pain 101

  • Employ a comprehensive approach to assessing and helping patients manage chronic pain and risk
  • Understand the burden of chronic pain in our society
  • Differentiate between neuropathic and nociceptive pain

Oct 25

Pain History, Assessment, and Qualitative Sensory Exam

  • Perform a pain assessment integrating the relevant components from the history and physical exam (and measures/scales)
  • Recall the different types of pain (nociceptive, neuropathic and nociplastic)

Nov 29

Patient Motivation and Goal Setting

  • Develop an approach to goal setting when discussing pain treatments / strategies with patients
  • Develop an approach to helping patients set SMART (specific, measurable, attainable, relevant, time-bound) goals
  • Develop an approach to understand and motivate the patient into action

Dec 20


Jan 24

Aberrant Behaviours

  • Define aberrant drug related behaviours and opioid use disorder
  • Describe at least three elements of treatment
  • Outline an approach to managing aberrant drug related behaviours

Feb 28

Opioids Tapering

  • Discuss the benefits and risks of tapering
  • Address common barriers to tapering opioids
  • Manage opioid withdrawal symptoms
  • Facilitate safe opioid tapering for patients
  • Switch opioids
  • Calculate morphine equivalent dose (MED) per day for prescribed opioids in Canada 

Mar 27

Back Pain & Spinal Stenosis

  • Recognize yellow and red flags in acute and chronic low back pain
  • Intervene appropriately to prevent evolution into Chronic Low-Back Pain
  • Manage: chronic non-specific low-back pain, spinal stenosis, radicular syndromes using guideline-based treatments

April 24

Headaches (Migraines)

  • Diagnose migraine headache
  • Identify 3 risk factors for headache chronicity
  • Be familiar with headache guidelines

May 29


  • Be aware of the 2012 Canadian Fibromyalgia Guidelines and the updated 2019 FM Diagnostic Criteria
  • Recall and describe the maladaptive neuroplasticity underlying FM
  • Confident and able to promote active management strategies for patients with FM



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