Previous
Pain Management

ECHO Clinics

First and Third Wednesday of each month • 8–9 a.m.
Next: Wednesday, December 6, 2017

This clinic is a forum guided by a Pain Management Physician and a Pain Management Psychologist. The clinic offers an opportunity to present and discuss patients in your clinic with pain. Learn how to assess and manage your patients with pain through a variety of non-pharmacologic and pharmacologic modalities. Learn best practice approaches to minimizing risk of addiction.

If you would like to submit a case for discussion at the next clinic, please complete a Pain Management Case Presentation Form and fax it to (775) 327-5112 by noon on the day prior to the clinic. This form is a fillable PDF, but you may print and fill it in by hand as well.

The Pain Management ECHO is led by:

Dr. Michael J. Lewandowski is a licensed psychologist in the State of Nevada, President of Pain Assessment Resources, and Director of Behavioral Medicine Consultants Inc. He has extensive training and experience in the application of psychological principles to problems in medicine, specifically chronic pain. His 31-years of clinical experience include his internship at the Veterans Administration Hospital in Reno Nevada and work in two CARF accredited pain management programs in northern Nevada. His pain management practice covers both Reno and Carson City.

Dr. Denis Patterson is Board Certified in Pain Medicine as well as Physical Medicine and Rehabilitation. He is a specialist in common and complex neurological disorders and musculoskeletal issues. He is an expert in electrodiagnostics (nerve conduction studies and electromyography) which aid in the diagnosis of nerve disorders. He utilizes non-surgical methods such as bracing, medications, physical therapy, spinal injections, and neuromodulation for the treatment of acute and chronic pain disorders. He has been seeing and treating patients at Nevada Advanced Pain Specialists since 2007. Nevada Advanced Pain Specialists is recognized as an industry leader in pain management. They have a state-of-the-art facility in Reno, Nevada, that allows the highest possible level of quality care of their patients.

Paul Snyder has a masters degree in addiction studies from Hazelden Graduate School and is a licensed alcohol and drug counselor in Nevada and Minnesota. Paul worked in Hazelden's Health Care Professional track, as well as in the Intensive Outpatient and Outpatient treatment programs. Paul currently is the substance use counselor for the RSTHC.

For text message clinic reminders, opt-in here.

You can join the clinic directly or enter Meeting ID code 684 551 843.

Previous Pain Management

November 2017

October 2017

September 2017

August 2017

July 2017

  • We are thrilled to announce the expansion of the Pain Management ECHO clinic to twice per month, bringing a host of new topics intended to help primary care providers adapt to the ever-changing environment around prescribing practices, regulations, and pain management.

June 2017

May 2017

April 2017

March 2017

February 2017

January 2017

December 2016

November 2016

October 2016

September 2016


  • Topic: CDC Guidelines 3: Assessing Risk and Addressing Harms of Opioid Use

August 2016


  • Topic: CDC Guidelines 2: Opioid Selection, Dosage, Duration, Follow-Up, and Discontinuation

July 2016


  • Topic: Non-Pharmacological Approaches to Chronic Pain

June 2016


  • Topic: CDC Guidelines 1: Determining When to Initiate or Continue Opioids for Chronic Pain

    Mankoski Pain Scale

May 2016

April 2016

March 2016


  • Topic: Axial Back Pain

February 2016


  • Topic: Medication Management

January 2016


  • Topic: Chronic Daily Migraines/Headaches

December 2015


  • Topic: TBD

November 2015


  • Topic: Lower Back Pain

October 2015


  • Topic: SB459 Overview for Prescribing Providers

September 2015


  • Topic: Pain Medication Management for Primary Care Providers

    The Pain Management ECHO Clinic will cover pain medication management for primary care providers in order to help identify potential improvements to the effective treatment of chronic pain.

August 2015


  • Topic: Financial Benefits of Using Telemedicine for Pain Management

July 2015


  • Topic: Opioid Treatment Guidelines

June 2015


  • Topic: Non-Pharmacological Approaches to Chronic Pain

May 2015


  • Topic: Opioid Prescribing Practices in the Changing Legal Landscape of Health Care

April 2015


  • Topic: Opioid Treatment Guidelines

March 2015


  • Topic: Pain Management: Behavioral Health/Primary Care Integration

February 2015