Pain Management

ECHO Clinics

First and Third Wednesday of each month • 8–9 a.m.
Next: Wednesday, August 21, 2019

If you would like to submit a case for discussion at clinic please complete the form below, and fax 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.

Pain Management Case Presentation Template

This clinic is a forum guided by a Pain Management Physician, a Pain Management Psychologist, and a mental health and addiction specialist. 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 the risk of addiction.

This clinic is led by:

  • Michael J. Lewandowski, Ph.D. Dr. 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.
  • Denis Patterson, D.O. Dr. 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 and is an expert in electrodiagnostics (nerve conduction studies and electromyography) which aid in the diagnosis of nerve disorders. He has been seeing and treating patients at Nevada Advanced Pain Specialists, an industry leader in pain management.
  • Paul Snyder, MA, LADCS, CPCI. Paul specializes in treating mental health and substance use disorders. Paul has worked in the Hazelden-Betty Ford Health Care Professional Track as well as Residential, Intensive Outpatient and Outpatient treatment. Paul created and supervised a woman's treatment program, writes a monthly health care column with a readership of 65,000, is a speaker/educator throughout the state of Nevada, has a local practice and is the primary counselor for substance use disorders for the Three Nation's Tribal Health Center.

For text message clinic reminders, opt-in here.

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

The University of Nevada, Reno School of Medicine designates this Live Activity for a maximum of 1.00 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The University of Nevada, Reno School of Medicine is a provider of continuing education credit through the Nevada State Board of Pharmacy. This program is approved for 1.00 hours of continuing education credit for pharmacists.

The University of Nevada, Reno School of Medicine approves this program for 1.00 hours of nursing continuing education credit.

Previous Pain Management

August 2019

July 2019

June 2019

May 2019

April 2019

March 2019

February 2019

January 2019

December 2018

November 2018

  • • No Clinic
    • Topic: How Did We Get Here?: Oxy to Heroin

October 2018

September 2018

August 2018

  • Topic: Psychologically Informed Practice

  • Topic: What is Pain Management?

July 2018

  • Topic: Teaching Co-Existence Skills to Deal with Persistent Pain

June 2018

May 2018

  • Topic: Twelve Steps to Proper Opiate Prescribing

  • Topic: CDC Guidelines for Opiate Prescribing Practices

April 2018

  • Topic: CDC Guidelines for Opiate Prescribing Practices

  • Topic: Pre-surgical Psychological Screening for Spinal Cord Stimulators and Pain Pumps: What to Look For?

March 2018

February 2018

January 2018

  • Topic: Cognitive Behavioral Therapy (CBT) and Pain Management

  • Topic: Healthy Alternatives for Pain Management

December 2017

  • Topic: Sleep and Chronic Pain

  • Topic: What Can We Do: MAT, PMP, and the Good Samaritan Law

November 2017

  • Topic: How Did We Get Here: Oxy to Heroin

  • Topic: How Did We Get Here: Oxy to Heroin

October 2017

  • Topic: Twelve Steps to Proper Opiate Prescribing

  • Topic: Motivational Questioning for People with Chronic Pain

    Overdosed America by Dr. Denis Patterson

    Pain Stages of Change Questionnaire - available by contacting Troy Jorgensen at (775) 682-8481 or

September 2017

  • Topic: Motivational Questioning for People with Chronic Pain

  • Guest speakers: Dr. Stephanie Woodard and Dr. John DiMuro
    Topic: Assembly Bill 474

    Prescribing in Nevada: Analysis of AB474

    AB474 Quick Reference Chart

  • Topic: Diagnosing Opioid Use Disorder and Stigma Promoting Language

August 2017

  • Topic: Screening and Assessment for Health Care Providers

  • Topic: The Pain Map: Exploring Factors that Work to Maintain and Exacerbate Persistent Pain

July 2017

  • Topic: What Is Pain Management?

    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

  • Topic: CDC Guidelines Pt. 3 and Discontinuation Scenarios

May 2017

  • Topic: CDC Guidelines Part 3

April 2017

March 2017

  • Topic: CDC Guidelines Part 1

February 2017

  • Topic: CDC Guidelines Part 1 - Rescheduled for 3/15

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