Integrative Pain Management Series III: Headache and Low Back Pain

Providing care for headache and low back pain patients can be one of the most challenging, yet rewarding, experiences in medicine. Up to 82% of headache patients turn to complementary medicine (Adams, 2013), although more than half do not discuss such use with their provider (Wells, 2011). Low back pain is the fifth most common reason for physician visits in the United States (Hart, 1995; Deyo, 2006) and globally, chronic low back pain is estimated as affecting up to 25% over the age of 60 (Meucci, 2015). U.S. consumers spend a total of $8.7 billion in out of pocket expenses on complementary approaches to manage back pain. The 2017 American College of Physicians (ACP) recommendations for treatment of low back pain include integrative modalities as first line of care.

Educational Purpose:

This course offers an in-depth look at the current state of headache and low back pain management, including optimal integrative approaches that are efficient, cost-effective, foster wholeness, facilitate healing and avoid harm. This course will examine the safety and evidence for Integrative therapies for management of headache and low back pain.

Course Objectives:

  • Recognize the prevalence of low back pain in the United States and the current impact on the health care system.
  • Identify and learn the 2017 ACP guidelines for the treatment of Low Back Pain.
  • Review the spectrum of primary headache disorders and secondary headaches.
  • Discuss the evidence, use and safety for nutritional approaches, dietary supplements, herbal medicine, traditional Chinese medicine, mind-body approaches, energy modalities, manual medicine and movement therapies in the management of low back pain and headache.


  • Integrative Approaches to Headache
    • Conventional Treatment
    • Integrative Medicine Approaches
    • Mind Body Medicine
    • Acupuncture
    • Physical Activity
    • Manual Medicine
    • Supplements and Botanicals
  • Integrative Approaches to Low Back Pain
    • Integrative Approaches to assessment of Low back pain
    • Evaluation of Low back Pain
    • An Integrative Treatment Approach
    • Pharmaceutical and herbal therapies
    • Passive and active physical interventions
    • Mind Body Medicine
    • Lifestyle Modification

Completion Requirements

  • Complete all the course work, course evaluation, and the final test with a score of 70% or better. Upon successful completion you will be able to print your certificate of completion.

Target Audience

  • This online enduring material educational program is designed for physicians, advanced nurse practitioners, and physician assistants and other health care providers who have an interest in chronic pain treatment.


  • You can register and start immediately. If you register for the course and pay with a credit card you will have immediate access to the course. Once your registration is complete, logout and log back in and your course will be listed on the campus page. If you cannot remember your account information, click the Forgot Password link on the login page and it will be emailed to you.

Integrative Pain Management: Headache and Backpain
Disclosure & Education Credit Info


ACCME/AMA PRA Accreditation and CME Designation Statement

The University of Arizona College of Medicine — Tucson is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Arizona College of Medicine — Tucson designates this enduring material for a maximum of 2 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This course includes an assessment of 6 questions that you must answer 70% correctly or above in order to receive credit for participation. You are allowed unlimited re-attempts.

Current CME Approval Period: 2/28/2022 to 2/27/2024

Most Recent Review by Author: 2/20/2022

Conflict of Interest Disclosure Information

Dr. Robert Bonakdar has disclosed that he is a consultant for Standard Process. His presentation was reviewed to ensure that the content is fair, balanced, and non-promotional.

All other Faculty, CME Planning Committee Members, and the CME Office Reviewers have disclosed that they do not have any relevant financial relationships with commercial interests that would constitute a conflict of interest concerning this CME activity.

Commercial Support

There is no commercial support for this activity.

Faculty / Authors

Robert Bonakdar, MD, Director of Pain Management at the Scripps Center for Integrative Medicine. Assistant Clinical Professor at the University of California, San Diego, School of Medicine and is the immediate past president of the American Academy of Pain Management.

Ann Marie Chiasson, MD, Co-Director of the Fellowship, Arizona Center for Integrative Medicine, Assistant Professor, Department of Medicine, University of Arizona College of Medicine-Tucson.

Catherine Stallworth, MD

Rebecca Wells, MD, MPH. Assistant Professor, Neurology, Office of Women in Medicine and Science