Multidisciplinary Pain Management: New Approaches



Georgian Association of Medical Specialties


V International

Conference on

Multidisciplinary Pain Management: New Approaches

September 28-29, 2019

in cooperation with Ministry of Internally Displaced Persons From The Occupied Territories, Labor, Health and Social Affairs  of Georgia D.Tvildiani Medical University, I.Beritashvili Center of Experimental Medicine

I.Javakhishvili State University,  Tbilisi State Medical University

Venue: Tbilisi Business Center  Best Western Hotel Tbilisi

11 Apakidze Str. Tbilisi 0171 Georgia

Course Announcement: Details including registration fees (for abstracts), and application instructions.






Saturday, 28/Sep/2019


Session 1

Moderators: Prof. A. Korczyn and Prof. M.Okujava

10:40-11:00Brief  Overview of Chronic Pain Mechanisms and management– IrakliSulakvelidze,

 Clinical Associate Professor: Department of Anesthesiology & Pain Medicine; University of Washington, Seattle, WA Attending Physician: Center for Pain Relief, UWMC/Roosevelt, Seattle, WA.USA


11:00-11:20 Complex Regional Pain Syndrome - IrakliSulakvelidze,

Clinical Associate Professor: Department of Anesthesiology & Pain Medicine; University of Washington, Seattle, WA Attending Physician: Center for Pain Relief, UWMC/Roosevelt, Seattle, WA. USA


11:20-12.00“Where is pain in the brain?”–Amos Korczyn, Professor of Neurology Chairman of  Scientific Medical Board  of Israeli Alzheimer’s Disease Association, the chairman of the WFN (World Federation of Neurology) Research Committee for Clinical Neuropharmacology, Tel-Aviv, Israel


12:00-12:30 New insights on  migraine pathogenesis by advanced MRI -GioacchinoTedeschi,  Professor of Neurology Director of  I Clinic of Neurology and Neurophisiopathology, University of Campania “Luigi Vanvitelli”  Naples, Italy


12:30-12:50  Quality of  chronic pain management – achievements and challenges in Georgia-IosebAbesadze, MD PhD   Head of Palliative Care Clinic Universal Medical Center, Tbilisi , Georgia


12:50-13:10 Pain in Primary Health Care-  Tim Gurtch MD Head of Pacific Medical Shore Clinic    San Diego USASupatashvili Mariam, Family Doctor at Georgian-American Family Medicine Clinic, Director of DTMU Postgraduate Residency Program in Family Medicine. Family Doctor-Trainer


13:10 - 13:30  Discussions

13:30 - 14:00 Coffee Break


Session 2

Moderators: Prof. A. Vaitkusand Prof. G.Chakhava

14:00 -14:20  Acute and Prophylactic  Treatment of  Migraine , practical approaches  - DaliusJatuzis  MD, PhD, FESO Prof. Faculty of Medicine, Institute of Clinical medicine, Clinics of Neurology and Neurosurgery, Department of Neurology, Vilnius University Hospital “ Santarosklinikos”, Vilnius, Lithuania


14:20 -14:40New Approaches  in  Headache Management - Eptinezumab for the prevention of episodic migraine through 1 year: results from the phase 3 PROMISE-1 (Prevention Of Migraine via Intravenous eptinezumabSafety and Efficacy) trial  Encore –G.ChakhavaMD PhD, Assoc Professor, M.Demuria MD Messoud Ashina2, Timothy R. Smith3, Roger Cady4, Barbara Schaeffler4,David Biondi5,Joe Hirman6, Jeff Smith71Multiprofile Clinic Consilium Medulla, D.Tvildiani Medical University,  Representative of  GAMS in UEMS Board of Neurology , Tbilisi, Georgia 2Danish Headache Center, RigshospitaletGlostrup, University of Copenhagen, Copenhagen, Denmark; 3Study Metrix Research, Saint Peters, MO, United States; 4Alder Bio Pharmaceuticals, Inc., Bothell, WA, United States;5Cohen Veterans Bioscience, Cambridge, MA, United States; 6Pacific Northwest Statistical Consulting, Inc., Woodinville, WA, United States; 7Alder BioPharmaceuticals, Ltd., Dublin, Ireland


14:40 -15:00  Comorbidity of migraine – Min Kyung Chu, MD, Ph.D, FAHS,

Board member for general affairs, Korean Sleep Research Society,

Vice president Korean Headache Society, Associate professor of Neurology,

Yonsei University College of Medicine, Korea


15:00 -15:20 Discussions

15:20-16:20 Lunch


Session 3

Moderators: Prof. I.Sulakvelidzeand  Prof. Maia Beridze

16:20 -16:40  Sleep and Headache– Hans L. Hamburger, MD, PhD, The head of Amsterdam Sleep Center Boerhaave Medical Centre, Past president of  National Sleep/Wake research Society Amsterdam, Netherland.


16:40 -17:00Headache in Children: Diagnostic Challenges -Nana Tatishvili, Professor Head of Neuroscience Dep. Central Children Hospital President of Georgian Association of Paediatric Neurology, Past President of Georgian LAE, Tbilisi, Georgia


17:00-17:20 Psychogenic Aspects of Pain -Maia BeridzeProfessor Head of Neurology Department  TSMU, Representative of  GAMS  in UEMS Board of Neurology , Tbilisi, Georgia


17:20-17:40  The problem of Migraine diagnosis - AntanasVaitkus Professor Faculty of Medicine, Medical  Academy, Lithuanian University of Health Sciences,

Department of Neurology, Hospital "Kaunoklinikos" of Lithuanian University of Health Sciences, Head of Lithuanian Headache Society,Kaunas, Lithuania


17:40-18:00  Headache associated with drug overuse- major cause of a Chronic Daily Headache- Anna Dzagnidze,  MD PhD, Secretary of Georgian Union of Neurologists, S.Khechinashvili University Hospital, Tbilisi, Georgia


18:00-18:20 Trigeminal Neuralgia-challenges and opportunities -  IrakliChelishvili, ProfessorMultiprofile Clinic Inova, Tbilisi, Georgia



18:20-19:00 Discussions ;  Conclusions


Sunday, 29/Sep/2019

Moderators: Prof. DaliusJatuzis,Prof. SerefnurOzturkand Prof. D.Nadareishvili

9:00-10:00 Poster Presentations

Session 4

Moderators: Prof. A. Federico and Prof. S. Tabagari

10:00-10:40Pain in some rare neurological diseases: CADASIL, Fabry's disease  and other genetic or non genetic peripheral neuropathies-

Antonio Federico, Full Professor of University of Siena Medical School, Director of Unit Clinical Neurology and Neurometabolic Diseases,  Siena Hospital, Siena,Italy


10:40-11:00 Post Stroke Pain-Main Challenges-

A.Tsiskaridze  Prof. I. Javakhishvili State University Medical Faculty, Head of  Pineo Medical Center Department of Neurology. Representative in the Board of Neurology  GAMS

11:00 -11:20  "Cerebral Venous and Sinus Thrombosis associatedwith different types of Headache/Pain and complications in women-Preventive role of NOACs”- SerefnurOzturk ProfessorSelcukUniversity Faculty of Medicine Department of Neurology ,President of Turkish Society of Neurology, Konya ,Turkey


11:20 -11:40Transient Receptor Potential Channels in Pain Sensation

MerabTsagareli, PhD, DSc Head, Department of Pain and Analgesia, BeritashviliExp BMC, Tbilisi, Georgia


11:40-12:00  New approaches  in Pre-diabetes: Painful Diabetic  Neuropathy-RamazKurashvili, Professor Director  Georgian Diabetes Centre. Chairman.Georgian Union of Diabetes and Endocrine Associations.GUDEAS.Representative of  GAMS in UEMS Board of Endocrinology, Tbilisi, Georgia


12:00-12:20 Spinal cord and brainstem associations  in regard of  the development of chronic pain: Modulation by ascending-descending neuronal loop-Khasabov S.G., Khasabova I.A., Simone D.A. Department of Diagnostic and Biological Sciences, University of Minnesota, School of Dentistry, Minneapolis, MN 55455, United States, MN, USA



Sickle cell disease: Biochemistry  and physiology of pain-

Khasabova I.A, Khasabov S.G., Seybold V.S, Simone D.A.

Department of Diagnostic and Biological Sciences, University of Minnesota, School of Dentistry, Minneapolis, MN 55455, United States, MN, USA


12:40 - 13:00 Discussions

13:00-13.30  Coffee Break


Session 5

Moderators: Prof. R. Solomonia and Prof. R. Gvamichava

13:30-13:50 Neural Mechanisms of pain associated with cancer

Donald A. Simone Department of Diagnostic and Biological Sciences, University of Minnesota, School of Dentistry, Minneapolis, MN 55455, United States


13:50-14:10 Pain management hierarchy: “evidence” vs. “preferences”-George  Gegelashvili MD   Director Institute of Health, President of TsotneChkhikvishvili Headache Society of Georgia, Tbilisi, Georgia


14:10-14:30  Evaluating Problems in Pain Management in Outpatients . Impact on Health Services-

P. Dzotsenidze, MD PhD Department of Scientific Research and Development, Faculty of Medicine, I.Javakhishvili State University, Georgian National Association for Palliative Care, Tbilisi, Georgia


14:30-14:50  Pharmacological Management of  Neuropathic  Cancer Pain-

NatiaShavdia MD, MishaShavdia Professor, KoteTcaava MD PhD

Tbilisi State Medical University, Universal Medical Center, Tbilisi, Georgia


14:50-15:10   Radicular Pain Syndrome.Diagnostics , treatment and indications for surgery –GrigolTchatchia MD Research Institute of Clinical Medicine, Department of Neurosurgery, Tbilisi, Georgia


15:10-15:30 Discussions; Conclusions


Application form

This course is designed for applicants providing care for patients with different types of pain who wish to refine their skills and knowledge. Specialists in neurology, family and pain medicine, psychiatry, clinical oncologists and  neurosurgeons are welcome to apply. The GAMS  address doctors primarily from the Caucasian region, but applicants from other countries may also be accepted if there are still places available.


The course is focused on comprehensive aspects of diagnosis and treatment. It will also include the innovative methods of care, specifically patients with various types of pain.

The didactic format will include the combination of lectures and interactive case discussions. Case oriented learning is emphasized. Best 12 abstracts prepared by young participants will be chosen by our committee and will be discussed during the poster session.

About GAMS

Georgian Association of Medical Specialties was established in 2006 as a non-governmental and non-profit medical association with aim "to promote the medical and allied sciences, and to maintain the honor and interests of the medical profession" and to popularize the idea of CME, to promote the European System of Medical Education and Continuing Professional Development (CPD). Activities of Georgian Association of Medical Specialties (GAMS) is coordinated with UEMS-leading regulatory European institution in medicine, which participates in development of medical branches and health care as a Whole. It’s important that (GAMS) is the only official representative of this organization in Georgia. GAMS is institutional corporative member of European Medical Association (EMA) and European CME Forum.

Learning objectives

This  course, on completion, will enable the participants to receive the up-to-date information and expert opinion on the main topics of pain management, pathophysiology and other aspects of it(F.e. Ascending and descending mechanism of pain facilitation and inhibition; Role of brain in pain modulation Importance of psychosocial mechanisms in pain; Empathy and Pain; Culture and pain or Clinical variants of  Complex Regional Pain Syndrome  CRPS, Diagnostic criteria for CRPS; Pathophysiology,  involving multiple organ systems; Contemporary approaches to the management of CRPS), to improve their competence and gain practical skills in the diagnostic work-up and decision-making concerning the management of different aspects of pain . Didactic cases provided by tutors in case-oriented learning will be useful to students for dealing with clinical problems in daily practice. By presenting their own work during poster sessions, the participants are encouraged to improve the competence and confidence in lecturing and teaching.

This course increases our knowledge of comprehensive, interdisciplinary approaches to pain, taking a holistic approach to the patient, and addressing the psychosocial components that underlies pain.

Pain is a component of many chronic conditions, and chronic pain is emerging as a health concern on its own, with negative consequences affecting individuals, families and society.

Chronic pain is more prevalent among older population,veterans, those previously but not currently employed, those living in poverty or rural areas, and those with public health insurance.

High-impact Chronic Pain contributes to direct medical costs, lost productivity, and disability programs.

This education course provides data to inform policy makers, clinicians(neurologists, primary health care physicians, neurosurgeons, clinical oncologists), researchers focused on pain care and prevention.

 Patients with pain benefit from a multidisciplinary approach, which also focuses on functional improvement. Patients not only work with strength training and physical therapy, but also psychology, nutrition, and other modalities to help them get more ownership of their pain and increase their understanding of pain. Comprehensive strategies involving pharmacologic and psychologic therapies can improve pain management.  Approximately two thirds of adults are affected by mechanical low back pain at some point in their lives, making it the second most common complaint in ambulatory medicine and the third most expensive disorder in terms of health care money spent surpassed only by cancer and heart disease.

The goal of our  activity is to increase healthcare practitioners knowledge of acute treatment of migraine that have recently received FDA approval, as well as those in advanced stages of development, to improve awareness of the use of monoclonal antibodies (mAbs) for migraine prevention. Main challenges of overuse headaches will be addressed. At the end of conference participants will have better knowledge in the treatment of patients with different types of pain, who are not sufficiently relieved by  basic guideline/approach. We will cover several aspects of acute, chronic, cancer and non-cancer pain , pain following stroke, its prognosis and management . Along with the newest developments in the field of  basic science we will discuss some aspects of multimodal interdisciplinary care for patients suffering from pain. Correct strategy, whether further investigations  such as neuroimaging or neurophysiology are needed and when we should  avoid over investigation. Different drug classes  helpful in acute and preventive  attack treatment will be reviewed and controversies in headache treatment will be elucidated . There are still unmet needs in treating headaches, searching for better ways of management are still ongoing. The major aim of the conference is to give overview of present knowledge about drug safety/efficacy and mechanisms in different types of pain, to give perspectives on future drug developments.


Participants: Maximal number is 100 ( to allow for an optimal level of interaction with tutors) The best  12 applicants will be selected by the Organizing Committee primarily on the basis of their abstracts submitted, to present their work on poster presentation section . Priority: GAMS members and applicants preferably up to 35 years of age.

Georgian Association of Medical Specialties (GAMS) V International Conference will be given in English.

Organizing Committee

Chair: George Chakhava(Georgia)

Co-Chairs: Maia Beridze(Georgia), Amos Korczyn(Israel), IrakliSulakvelidze(USA)

Terms of Payment: After selection and upon receipt of the completed registration form and remittance of the appropriate fees (20 EU  before 10.08.19, 30 EU before 18.08.19)

the confirmation email will be sent to applicants.

Deadline: For early abstract  registration : August 8, 2019.  For Late registration: August 16, 2019 Application

Please check if you need an entrance visa to Georgia. If this is the case, please inform the local organizer as soon as possible in order to timely start your visa preparations. Accommodation(two nights) +catering: Best Western  Hotel 11Apakidze Str. Tbilisi 0171 Georgiaor ZP Palace. Tbilisi,KMarjanishvilistr 44/48 -300€ (GEL) Transfer from  the Airport(15 € /GEL), Gala Dinner 30€ /GEL

Account of Georgian Association of Medical Specialties
Bank of Georgia

Bank Code  BAGAGE22

Member of organizing committee:


General Information: How to prepare and  presentyourPoster:

•        All Posters should be prepared in English.

•        One Page  Document

•        Layout: Portrait (vertical orientation)

•        Poster Size max : In inches/cm: 45cm width and /80cm height

•        Media: Images/photos, graphs and tables can be included in the Poster.

For any queries  related to submitting your Poster please contact the Congress Organizing Committee.

Please send your abstract  to any member of organizing committee before deadline to be selected for poster presentation .

We look forward to welcoming you in Tbilisi!