Teleconference Registration

Teleconferences

• Discover Proven Chronic Pain Treatments
  Speaker: Dr. Joshua R. Wellington
  Monday, September 20, 2010, 1:00 PM ET

• Discover Proven Chronic Pain Treatments
  Speaker: Dr. Joshua R. Wellington
  Friday, October 15, 2010, 1:00 PM ET

• Discover Proven Chronic Pain Treatments
  Speaker: Dr. Joshua R. Wellington
  Monday, January 10, 2011, 1:00 PM ET

* indicates a required field.

By giving us some background about you and your pain, we may be able to better provide information specific to your needs.

• Please indicate your age: 18-24
  25-34
  35-49
  50-64
  65+
• Please indicate your gender: Male
  Female
• What type of medical doctor provides primary treatment for your pain? (Please select the doctor you see most often to treat your chronic pain.)* General/Family Practitioner/Internist
  Pain Management Specialist
  Chiropractor
  General Surgeon
  Orthopedic Surgeon
  Osteopathic Physician
  Neurologist
  Neurosurgeon
  Cardiologist
  Oncologist
  Physiatrist
  Physcial Therapist
  Podiatrist
  Rheumatologist
  Other
• Approximately how long have you been experiencing pain?* Less than 6 months
  6 months or more
• Which of the following pain management treatments are you currently using? (Select all that apply.)* Oral medications
  Physical therapy and/or chiropractic care
  Currently between 1 and 2 months of injection therapy
  Have had more than 2 months of injection therapy
  Corrective surgery
  Neurostimulation trial/screening test
  Drug delivery trial/screening test
  Implanted with a Medtronic neurostimulation or drug delivery system
  Implanted with a non-Medtronic neurostimulation or drug delivery system
  None of the above
• Are you satisfied with the level of pain relief you receive from your current treatment?* Yes
  No
• Are you currently experiencing intolerable side effects from your current treatment?* Yes
  No
• Have you been diagnosed with any of the following conditions as the primary cause of your chronic pain?* Disc herniation
  Degenerative disc disease
  Failed back syndrome
  Arachnoiditis
  Peripheral nerve injury
  Complex regional pain syndrome (CRPS) or reflex sympathetic dystrophy (RSD)
  Chronic pain due to osteoporosis
  Chronic pain caused by cancer or its treatment effects
  Other
  Not sure
• How did you hear about this event? Email
  Flyer or poster in a physician's office or hospital
  My physician told me about it
  Advertisement
  Postcard or invitation received in the mail
  Other