2020 Developing Countries Pain Education Grant

Orthopedic Pain Assessment and Management Workshop for Primary Healthcare Providers

The majority of patient care in Nepal involves primary healthcare providers in primary health centers and pharmacies of rural areas. Orthopedic complaints are the second most common reason for consulting a health care provider in most countries, up to 10 – 20 % of primary healthcare consultations. In Nepal, the incidence of orthopedic pain is quite high, and people receive care for this pain from primary healthcare providers in rural areas. The orthopedic pain is poorly assessed and pain management is inadequate, which can lead to patient dissatisfaction. This means that even mild pain can become complicated and result in increased physical, social and financial burden. There are very few skilled doctors working in rural areas, as most choose to work in urban areas. There are not enough healthcare providers who specialize in pain management to manage pain in all patients. As a result, many primary healthcare providers manage chronic pain alone, without education along with structures or processes in place. Primary care providers and teams need to be trained in how to assess and diagnosis pain and determine an appropriate plan of care. The lack of primary healthcare providers knowledgeable about orthopedic pain assessment and management, combined with lack of access to expert has led to under treatment of pain. This grant will help combat these problems and provide for better pain management.

About the Organizer:

Mohammad Ruhullah, MD, MS is a Professor and head at National Medical College in the Department of Orthopaedics and has over fifteen years experience working with people with orthopedics pain. Ruhullah has received numerous grants, achievements and best paper presentation awards from the government and non-government organizations and has authored over twelve peer-reviewed articles in the area of musculoskeletal injuries and pain. Over the course of his career, he believes that all physician needs to consider themselves pain physicians, because pain is the leading reason that people seek care in the first place, especially in developing countries. Orthopedic complaints are the second most common reason for consulting a health care provider in most countries. His long-term academic goals are to improve the clinical management of pain by advancing knowledge about mechanisms, treatments, and functional impact of painful conditions to his community, colleagues, and to the field of orthopedics. Recently, he has started clinical studies about “therapeutic effect of steroid injection on pain management of people with foot pain in developing country” and “open versus percutaneous release of lateral epicondylitis on pain management of the elbow”.