(566) Compassion meditation training for people living with chronic pain and their significant others: a pilot study and mixed-methods analysis

s The Journal of Pain S117 (564) A successful outcome using an interdisciplinary approach in the treatment of post-herpetic neuralgia: a case report J Patel and R Calisoff; Rehabilitation Institute of Chicago, Center for Pain Management, Chicago, IL Post-herpetic neuralgia often presents with neuropathic pain and is caused by the Varicella Zoster virus. Treatment options can include anticonvulsants and topical agents. We describe a case of a 58 year oldmalewith a history of herpes zoster involving his left mid-thoracic region who successfully completed an interdisciplinary pain management program. This patient’s pain was refractory to numerous pharmacologic agents tried, including lidocaine patch, buprenorphine patch, doxepin, gabapentin, hydrocodone/acetaminophen, oxycodone/ acetaminophen, hydromorphone and fentanyl patch. Interventions such as selective nerve root blocks, epidural steroid injections, acupuncture and trigger point injections were unsuccessful. Prior to starting the program, the patient was unable to wear his shirt for more than 5 minutes, was unable to sit for more than 20 minutes and described the pain as burning with light touch to the affected area. The pain prevented him from keeping his shirt on his torso. The patient underwent a comprehensive four week interdisciplinary painmanagement program which included pain psychology, occupational therapy, physical therapy, biofeedback, feldenkrais, as well as medication monitoring twice weekly. When enrolled in the chronic pain program, the patient learned about focused breathing, pacing, mindfulness strategies, proper posture and desensitization/mirror therapy techniques. Upon completion of the four week interdisciplinary pain management program, the patient was able to return to work at his job with an increased sitting tolerance to 50 minutes separated by a 10minute rest break per hour. In addition, hewas able to successfully wear his shirt throughout the work day, using his techniques to manage his pain flare ups. This case highlights the importance of successful interdisciplinary pain management in the treatment of patients suffering from postherpetic neuralgia whom have been refractory to multiple therapies. H. Treatment (Complementary and Alternative) H01 Chiropractic and Osteopathy (565) Effectiveness of Dry Needling reduction myofascial trigger point pain in the trapezius muscle K Sato, A Oliveira, and A Lima; Universidade Federal do Sergipe, Aracaju