The President’s Corner

Dear Friends of EFIC®! Donning the mantle of the President of the European Pain Federation is a mixed blessing. It has been the greatest honor in my professional career, to be elected by my colleagues to this esteemed

post. However, the amount of work that is involved is incredible and my respect for the previous President, Hans Kress, and all of his excellent work, is even higher than it ever was. The activities involved in changing over the Presidency have kept us very busy - everything from banking detail changes to new committees have had to be attended to. Sometimes it is difficult during the summer period, as our excellent secretariat have to have holidays, but they have done a great job. The European Pain Federation’s policy is to have active committees and to use a mixture of past expertise and new blood. So we try to change half of the members of the committees and add in those who have expressed an interest. We have got some productive and really hardworking committees, who have important tasks which they have done in the past and will take forward. That will allow us to undertake some great initiatives in this next 3 year cycle. Changes are also afoot concerning the synchronization of the Terms of Office with the biennial meeting, which will make the future structure of EFIC and its biennial meeting run much more smoothly. My first official engagement was to attend the seventh national conference on Research and Treatment of Pain in Hisarya, Bulgaria from June 12th to 14th. The meeting of the Bulgarian Association for the Study and Treatment of Pain, was organized by the President, Professor Ivan Smilov, and his excellent committee. It was a great privilege to be made an Honorary Member of the Bulgarian Society. The meeting was outstanding and showed just what an excellent job the European countries can do and how they are really up to date with multi-disciplinary aspects of pain. The meeting was well attended, with speaker support from EFIC. Topics covered ranged from complementary medicine all the way through to interventions, and included excellent basic science. It all took place in the delightful surroundings of an old Roman spa town, allowing ample opportunity for walks and spa treatments. We saw Bulgarian eagles – with 2 meter wingspans! – flying above us. Summer has been a season for taking stock and making plans, but we are soon into the business of meetings. We have an outstanding scientific program committee for the biennial meeting in Vienna in 2015, and already the brilliant plenarists have been selected and have accepted their invitations. I will leave it to the scientific Chair, Chris Eccleston, to give details, but each plenarist is world-renowned and there is a mixture of experienced regular scientific speakers through to new, up and coming speakers of whom you may not have heard yet. All are tremendous presenters and I hope that you will attend the meeting and enjoy their presentations. In particular, I was delighted to see that two of our plenarists have been past winners of the EFIC / Grunenthal grant, showing the importance of this initiative and the expertise of the scientific research committee who select these researchers and their important work.

CONTENT The President’s Corner A Word from the Editor Pain in Europe IX Educational Support Grant – Report EFIC on Facebook Societal Impact of Pain Symposium 2014 PAIN OUT Symposium 2014 EJP – News & Editor’s Choice Articles EFIC Pain School Maribor News from our Chapters: Serbia, Croatia Meetings: Past and Future

CONTACT newsletter@efic.org

IMPRESSUM

Editor: Bart Morlion Contributors: Chris Wells, Emilija Dubljanin Raspopović, Bettina Haake-Weber, Miroslava Pjevic, Marica Kristic, Arun Bhaskar

NEWSLETTER 03/2014

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This year we have the next Societal Impact of Pain (SIP) which will take place in Brussels on 17 November. I hope that many of you will be able to attend this innovative meeting, details of which follow in this newsletter. It will be chaired this year by Nick Ross, the famous television personality and interviewer; instead of didactic lecturers with slides, presenters will be quizzed by him to bring out the latest information on many topics. I look forward to updating you with the Proceedings of the SIP, and also the conclusions of the Council meeting to be held immediately before it, in the next Newsletter. With best wishes, Chris Wells

President of the European Pain Federation EFIC

A Word from the Editor

What’s in a name? Despite my busy agenda I could not refuse the kind request of our new president to continue my role as editor of this newsletter over the next 3 years. A good president can convince people without being directive. An excellent president gives you even the impression that you asked for it yourself! In this newsletter, I welcome and thank Dr. Arun Bhaskar for his willingness to take over “Meetings: Past and Future” from our president. You find his report at the end of this edition.

I want to come back on some evolutions in our federation. “Did you know that the official name of EFIC is now European Pain Federation-EFIC?” This question is the topic of our ongoing poll on our website. The intermediate results are interesting: our name change was noticed by 50% of the participants, all of which visited at least our website. Thirty % read it on the website; 5% in the newsletter and only 1% on Facebook/Twitter. As indicated before, this official name change was necessary to increase the visibility and awareness around our activities. Particularly our interactions beyond the “classical pain community” were clouded by the confusing term “EFIC”. Talking to European officials, public servants, policy-makers, and patient organizations is bothersome if you always get the question: “What is EFIC?” Often, the opportunities to talk to politicians and high-ranked administrative staff are scarce, and mostly limited in time. Therefore, we felt the need to avoid losing valuable momentums, by the obligation to explain over and over EFIC. Our new name is clear, more transparent and communicates immediately where we stand for: PAIN and EUROPEAN. However, for the pain community it remains clear that it stands also for a federation of IASP chapters. Over the last months, we got many positive reactions, mostly from Europeans, both inside and outside of the pain community. Nevertheless, we also got some eyebrow frowning and worries, strangely enough from Non-Europeans.

Have a good read! Bart Morlion Editor European Pain Federation EFIC Newsletter

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Pain in Europe IX – Translating Evidence Into Practice

By Christopher Eccleston

Every day we are humbled by the increasing demand for help with pain. More and more pain practitioners are keen to know what they can offer their patients, and how together we can advance our scientific practice. Pain science is maturing faster than ever, with discovery, innovation, and theoretical clarity happening everywhere. Ideas once considered canon are being debunked. Ideas once thought unthinkable are being explored.

Next year promises to be an important year for pain science and practice. In September, the European Pain Federation (EFIC®), will host its ninth scientific congress in the splendid magisterial setting of the Austria’s capital Vienna. Fittingly Vienna captures perfectly that combination of a respect for historical achievement and world-leading modern industry, mixed with a spirit of youth and adventure. PAIN IN EUROPE IX will focus on the challenges of translating evidence into practice. We remain a strong home for basic science and basic scientists. Some translation will lead to practice changes many years in the future. We want to know about those. But this year we are also especially interested in applied science and knowledge translation. We want to know what can improve our practice in the next 10 years. Plenary Speakers I am pleased to announce that PAIN IN EUROPE IX will start with Andrew Moore who will give the EFIC special lecture and discuss evidence based pain medicine, how it can help and where it can hurt. Ralf Baron and Michaela Kress will continue the theme with a focus on advanced clinical science. Rebeccah Slater will address early life experience, Liesbet Goubert will explore the emerging field of the psychology of positive change, and Michele Sterling from Australia will give us the state of the Art in physical and rehabilitative approaches. Kris Vissers will update focus on cancer pain, and Luana Colloca and Vania Apkarian will give state of art lectures on pain science and its future for practice. Features of the Meeting Of course the meeting is full of other riches. First there is the popular refresher course, there will be 28 topical seminars, hundreds of posters, and opportunities to meet colleagues and make new connections in various networking events, in some of Vienna’s most impressive of settings. Dates to Remember November 3 2014 is the deadline for proposals for the Topical Seminars while March 31 2015 is the deadline for poster abstract submissions. Be part of change I am honoured to invite you to Vienna in 2015 and to join in this important international meeting of pain scientists and practitioners from many disciplines. There is a quiet revolution happening in Pain Science, PAIN IN EUROPE IX will be an important catalyst in that change, and we want you to be part of it.

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Educational Support Grant for Eastern European Countries – Report

By Emilija Dubljanin Raspopović

As an EFIC grant recipient I organized an educational course named ”BASIC PRINCIPLES OF PATHOGENESIS, DIAGNOSIS AND THERAPY OF MUSCULOSCELETAL PAIN" at the Medical School, University of Belgrad on 11.4.2014 under the endorsement of EFIC, DGSS, and EFIC. 120 participants working in the field of physical medicine and rehabilitation, orthopedic surgery and traumatology and rheumatology took part in the course. The general aims of the project were to improve knowledge of pain aetiology, pathophysiology, diagnosis and management of musculoskeletal pain conditions of professionals working in rehabilitation medicine, rheumatology and orthopedics/traumatologists, who are confronted with pain

patients in their daily practice enabling them with “general pain management” skills. In order to raise awareness for the importance of adequate pain management I was able to officially invite representatives from the legal office of the Ministry of Health, who opened the ceremony. The Pro-Dean of the Medical School, School of Medicine also greeted the audience. Dr. Chris Wells, as the elected EFIC President also held an opening speech explaining the mission and vision of EFIC to the audience. The course was divided in three parts covering general topics (epidemiology, pathophysiology and pain assessment, pharmacological pain treatment, and non-pharmacological pain treatment). We distributed questionnaires to the audience to assess pre- and post-course knowledge, and course satisfaction of the attendees. The teaching faculty consisted of Dr. Chris Wells, Dr. Andreas Kopf, Prof. Dr. W. Meissner, Prof. Dr. Michael Schaefer and local faculty (Prof. Pjevic, Prof Lj. Konstantinovic and Doc. Dr E. Dubljanin Raspopovic). In addition to the educational course a “train-the-trainer” workshop was carried out to educate local trainers who will carry out teaching activities as Continuous Medical Education or at local conferences, and thus foster local teaching activities of high quality in the future. There were eight local trainers: Two physical medicine and rehabilitation specialists, two orthopedic specialists, one rheumatologist, one anesthesiologist and one psychiatrist. The workshop was a great success. There is an idea to continue with the teaching activities of the local staff by forming a “pain mobile group”, which will organize pain conferences in different cities in Serbia and Montenegro.

EFIC on Facebook Are you a fan of the European Pain Federation EFIC on Facebook? Join our community online and stay up-to-date on recent developments, grants and all other news related to the European Pain Federation EFIC as well as the pain research and pain medicine sector. Is there anything else you would like to see on our Facebook page? Then please feel free to let us know!

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Societal Impact of Pain Symposium 2014 Pain therapy and palliative care will be listed as healthcare priorities during the Italian presidency of the EU council in the second semester of 2014. This is exiting because for the first time ever all EU Ministers of Health will be called upon to discuss how to direct national and European strategies and health policies to address the need for improved pain care in Europe. Considering the importance of this announcement it was also decided to celebrate the 5th SIP symposium by inviting Nick Ross, widely regarded as one of the most professional conference moderators in the world. The intention is to break away completely from the traditional format by invited leading European stakeholders to join a series of provocative and audience interactive panel discussions and interviews. The aim will be to define what needs to be done now to ensure that chronic pain and palliative care will receive the priority on the agenda of the EU institutions and the member states also in the long term. The "Societal Impact of Pain" platform (SIP) is an international platform created in 2010 as a joint initiative of EFIC and the pharmaceutical Grünenthal GmbH and aims for 1) raising awareness of the relevance of the impact that pain has on our societies, health and economic systems 2) exchanging information and sharing best-practices across all member states of the European Union 3) developing and fostering European-wide policy strategies & activities for an improved pain care in Europe (Pain Policy).The platform provides opportunities for discussion for health care professionals, pain advocacy groups, politicians, insurances, representatives of health authorities, regulators and budget holders. The scientific framework of SIP is under the responsibility of the European Pain Federation EFIC®. The pharmaceutical company Grünenthal GmbH is responsible for funding and non-financial support (e.g. logistical support).The scientific aims of the SIP symposia have been endorsed by a large number of international and national pain advocacy groups, scientific organisations and authorities. Aims of the SIP Platform The European, multi-stakeholder platform Societal Impact of Pain (SIP) was created in 2010 as a joint initiative of the European Pain Federation EFIC® and the pharmaceutical company Grünenthal GmbH. The aims are to raise awareness of the relevance of the impact that pain has on our societies, health and economic systems; exchange information and share best-practices across all member states of the European Union; develop and foster European-wide policy strategies & activities for an improved pain care in Europe. As a multi-stakeholder platform SIP provides opportunities for discussion for health care professionals, pain advocacy groups, politicians, insurances, representatives of health authorities, regulators and budget holders. The scientific framework of the SIP platform thereby is under the responsibility of EFIC®. Grünenthal is responsible for funding and non-financial support (e.g. logistical support). Registration Deadline for registration is September 30th, 2014. Please register your participation via this link.

PAIN OUT Symposium 2014 PAIN OUT is a multi-national research project that provides a unique and user-friendly web-based information system to improve treatment of patients with post-operative pain. The project offers a system for measurement and feedback of outcome quality and supports the process of decision making in order to achieve an optimized treatment of patients. The PAIN OUT database currently contains more than 44,000 datasets, collected by a network of hospitals from around the world.

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Thematic priority of the PAIN OUT Symposium 2014 is pain management after gynecologic and obstetric surgery. Background and evidence as well as clinical best practice will be presented and discussed. Attendees will get the opportunity to meet experts in the field of pain management, to learn about the latest results of the PAIN OUT project and to discuss topics related to pain management in gynecology and obstetrics. The PAIN OUT Symposium 2014 will take place one day before the Societal Impact of PAIN meeting which is also in Brussels. Anyone interested is kindly invited! More information on the symposium and the

program can be found online. Date and time: Monday, 17 November 2014, 11:00 – 16:00 h Venue: Representation of the Free State of Thuringia, Rue Frédéric Pelletier 111, 1030 Brussels, Belgium Registration: www.pain-out.eu or by e-mail to Claudia.weinmann@med.uni-jena.de

European Journal of Pain – News & Editor’s Choice Articles

By Bettina Haake-Weber

The European Journal of Pain seeks new Editor-in-Chief The European Pain Federation EFIC is currently looking for a new Editor-in-Chief for the European Journal of Pain. Please find more information here. EJP Editor’s Choice articles September 2014 Are you a subscriber of the European Journal of Pain? If not, you can still download the Editor's Choice articles for free on the EJP website. Please read on to find out which articles are featured in this section in September 2014: Included in the issue 18-8 (September 2014) you will find three reviews and a Guest Editorial on the topic „Fibromyalgia“.

Review: „Fibromyalgia syndrome: A somatoform disorder?“ W. Häuser and P. Henningsen, DOI: 10.1002/j.1532-2149.2014.00453.x

What’s already known about this topic?

• Whether fibromyalgia syndrome (FMS) can be classified as a somatoform disorder is under debate. Recent evidence-based guidelines on FMS and somatoform disorders aimed to dissolve the controversy.

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What does this review add? • The clinical features of fibromyalgia syndrome and persistent somatoform pain disorder or

somatization disorder according to the ‘International Statistical Classification of Diseases and Related Health Problems’, 10th Revision, overlap in individuals with chronic widespread pain without specific somatic disease factors.

• Fibromyalgia syndrome is not synonymous with a persistent somatoform pain disorder or a somatization disorder.

Review: „Predicting fibromyalgia, a narrative review: Are we better than fools and children?“ J.N. Ablin and D. Buskila, DOI: 10.1002/j.1532-2149.2014.00481.x

Database:

• PubMed and Google Scholar databases were used to electronically search and screen literature regarding the question ‘can fibromyalgia be predicted?’

• Specific studies were retrieved based on identification of relevant topics in the references of the retrieved articles (e.g., genetics of chronic pain, migraine).

What does this review add? • Although significant progress has been made in studying the genetic basis of fibromyalgia, current

evidence is insufficient in order to accurately perform clinical prediction. • Clinical features such as hypermobility, obesity, dysautonomia and antecedent functional somatic

symptoms are currently the best predictors of future fibromyalgia syndrome. • Progress in functional neuroimaging may enhance our understanding of the progression towards

chronic pain and ultimately improve prediction. Review: „Nonpharmacologic approaches demonstrate more ubiquitous effects than pharmacologic treatments in

fibromyalgia syndrome: meta-analysis on 6 core symptoms of Fibromyalgia Syndrome“ S.Perrot and J. Russell

Database: • Screened were PubMed, EMBASE, and the Cochrane Library for FM articles from 1990 to

September 2012 to analyze randomized controlled trials (RCT) comparing pharmacologic or nonpharmacologic treatments to placebo or sham.

What does this review add? • Very few drugs in well-designed clinical trials have demonstrated significant relief for multiple

FM symptom domains. • Nonpharmacologic treatments with weaker study designs have demonstrated multidimensional

effects. You can access all Editors’ Choice articles from past issues for free via the journal’s website.

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EFIC Pain School Maribor The European Pain Foundation EFIC is excited to announce the EFIC Pain School Maribor which will take place on May 17-21, 2015 supported by the Medical Faculty of University Maribor, the University Clinical Center Maribor, the Slovenian Association for Pain Management and the Slovenian Association for Palliative Medicine. For more information on the program as well as on how to register for the EFIC Pain School Maribor please click here.

News from our Chapters Opioids in Chronic Non-Cancer Pain: Key Issues

By Miroslava Pjevic

The Serbian Association of Pain Research and Treatment, supported by the European Pain Federation, EFIC, held a scientific symposium "Opioids in Chronic Non-Cancer Pain: Key Issues," in Novi Sad, in June 2014, which attracted experts on pain from Serbia and featured guest speakers Prof. Eija Kalso (Finland) as well as two EFIC representatives Prof. Bart Morlion (Belgium) and Assoc. Prof. Nevenka Krcevski Skvarc (Slovenia). Among the 140 participants were anaesthesiologists, primary care physicians, neurologists, rheumatologists, oncologists and clinical pharmacologists. They explored topics related to the use of opioids in chronic non-cancer pain, opioid side effects and other potential problems of opioid use in chronic non-cancer pain patients and participated in the panel discussion: “Where are we and where do we want to go?” The meeting in Serbia highlighted the commitment of health care professionals to improve the management of chronic non-cancer pain reporting controversial use of opioids. The discussion was fruitful and confrontational: A universal opioid approach for all patients (cancer / chronic non-cancer) versus two different opioid strategies and indications for cancer vs. chronic non-cancer pain were discussed. Summarizing the symposium, it was emphasized that opioids are an integral part of the chronic non-cancer pain treatment. The need for a national guideline for safe opioid use in chronic non-cancer pain is essential. European guidelines on proper opioid use in chronic non-cancer pain patients would be helpful. Participants enthusiastically welcomed this suggestion. The event stressed the need to work together with the Ministry of Health and the Health Insurance Fund to recognize chronic pain as a disease and to ensure patients with chronic pain receive the same level of attention

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as those with other chronic diseases and treatment according their individual needs. Besides from EFIC, the meeting received support from the Faculty of Medicine, University of Novi Sad, the Regional Medical Chamber of Vojvodina and the Health Council of Serbia.

By Marica Kristic

The 3rd Croatian Congress on Pain Therapy with international participation was organized by the Croatian Pain Society, on May 22-24 2014 in Osijek. The Organizing Committee has successfully been under the leadership of the president of the Croatian Pain Society Dr. Mira Fingler. With foreign and local experts in the field of pain, the congress was attended by doctors of various clinical disciplines: Anaesthesiologists, neurologists, oncologists, physicians, and in particular there were many family practice doctors. The Congress was opened by the honorary secretary of EFIC's assistant professor Nevenka Krčevski Škvarč. Several important initiatives and projects were presented at the opening ceremony of the congress. National guidelines for the use of opioids in chronic non-malignant pain were presented as of the most clinical importance. The authors assistant professor Marko Jukic, professor Milica Katic and professor Livia Puljakin discussed the guidelines. The value of the adopted guidelines is even greater as they were approved by consensus by two professional societies, the Croatian Pain Society and the Society of teachers of general / family medicine. Another great and important project which was presented at the Congress is the multidisciplinary program for the treatment of chronic pain as carried out at the University Hospital Center Osijek, presented by assistant professor Ivan Rados and psychology professor Tomislav Pučić. This approach to treating chronic pain represents the crown of an organized, clinical approach in the treatment of complex chronic pain. With support from the pharmaceutical company Pliva a new issue of the scientific journal Medicus, dedicated to the phenomenon of pain, was launched, edited by the president of the Croatian Pain Society Mira Fingler. The professional part of the congress plenary lectures, oral presentations, workshops and poster section presented new and interesting findings in the field of acute, chronic, muscular pain and bone cancer pain, neuropathic, orofacial pain as well as pain in children. Particular interest was raised by the section about minimally invasive pain treatment that was successfully introduced by keynote speakers from America and Great Britain. We can proudly say that the goal of the congress was achieved and the preconditions for a transregional forum for further cooperation in research, education and treatment of pain are created.

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Meetings: Past and Future By Arun Bhaskar

Past Meetings I hope you are having a great summer; the summer here started promising to be a brilliant one, but after hurricane Bertha, we are getting the usual “British weather”. First of all I would like to welcome our incoming President, Dr. Chris Wells and wish him our support to lead organization into the future. Dr. Wells had been writing this column for several years and I hope to live up to the responsibility he has entrusted me by continuing the high standards he

had maintained. I would also like to congratulate Prof. Bart Morlion, who we also know as the editor of this newsletter, on his appointment as President-Elect of EFIC. Last but not the least, I would like to extend our gratitude to our Immediate Past President, Prof. Hans Kress for his years of service to EFIC and I am sure he would continue to guide us with his wisdom in the future. The summer in Europe corresponds to the school holidays and there weren’t many meetings in Europe during this period to report. However, there are several meetings, big and small, covering various aspects of pain medicine during the next few months and I am hoping to see many of you there. Dr. Wells in his address for the newsletter had spoken about the excellent seventh national conference on Research and Treatment of Pain which took place in Hisarya, Bulgaria from June 12th to 14th 2014. The 8th World Research Congress of the European Association of Palliative Care was held in June 5-7, 2014 in Lleida, Spain. It was attended by the world’s leading palliative care clinicians and researchers who presented some of the work that has been going on regarding end of life care as well as symptom management and supportive care. The two lectures that was interesting not only in cancer care, but in any long term chronic pain condition was plenary talks by Prof. Augusti Caraceni, Italy on “Opioids in Palliative Care: how can research lead to a better clinical practice?” and “Opioid prescription for cancer patients in the last year of life: a pharmacoepidemiological study over time” by Dr. S. Brelin from Norway. There were several other interesting presentations and posters and the next meeting would be the 14th EAPC Congress in Copenhagen on May 8-10, 2015. Upcoming Meetings This is probably the last opportunity for those of who have yet to make arrangements for travel and accommodation to attend the largest pain meeting of this calendar year. The 15th World Congress of Pain organized by IASP bring together more than six thousand clinicians and researchers involved in the field of pain medicine under one umbrella in Buenos Aires, Argentina from 06th-11th of October. The scientific committee has put together an excellent program with a wide range of current topics presented by some of the eminent researchers in pain medicine. We are looking forward to meet many of you in the land of the tango and The updated scientific program can be found here. Those of you attending the IASP meeting and have an interest in neuromodulation are invited to the International Neuromodulation Conference organized by the Argentinian Neuromodulation Society (SANE) along with the International Neuromodulation Society (INS) and the Brazilian and Polish Neuromodulation Societies at the beautiful city of Mendoza in the wine country. The details of the meeting can be obtained here. I would also like to extend a personal welcome to my home city of Manchester where we are hosting the British Pain Society Interventional SIG meeting on 17th October at the Radisson Blu Hotel at the Manchester airport. This scientific program for the day is packed with discussions on topics ranging from recent developments in disc procedures, radiofrequency and neuromodulation techniques for back pain, neuropathic pain, pelvic pain and CRPS. The faculty put together by Dr. Manohar Sharma and Dr. Neil Collighan includes Prof. Gerbrand Groen, Dr. Jean Pierre van Buyten and Dr. Simon Thomson. The third “Advances in Pain Medicine Winter Symposium” is being held in Tignes le Lac, France from 18-23 January 2015. The previous meetings have been extremely popular with the delegates as it provided a forum to discuss cutting edge science and technology as well as forge and nurture new ideas, collaborations and future research projects. The French Alps provide a picturesque backdrop with its vibrant culture as well as excellent

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ski trails. The meeting is being opened by Dr. Chris Wells, President of EFIC and has a faculty of eminent speakers and leaders in the field of pain and neuromodulation from around the globe. Further details of the meeting can be obtained here. Finally, a reminder of two upcoming meetings: The 4th Biannual International Multidisciplinary Pain Congress is being held in Eindhoven, Netherlands from October 1-4, 2014. Further details can be obtained here. The joint meeting of the Neuromodulation Society of UK & Ireland (NSUKI) and the Swiss Neuromodulation Society along with the Swiss Society for Interventional Pain Medicine (SSIPM) would be held at the Grand-Hotel Suisse Majestic in Montreux, Switzerland on 21-22 November 2014. Further details can be obtained here.

How did you enjoy the EFIC Newsletter 03/2014? Let us know at newsletter@efic.org. We look forward to receiving your feedback on this issue. If you wish to unsubscribe from the EFIC Newsletter, you can do so here. The next EFIC Newsletter will be published in November 2014. The

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EFIC Newsletter 03/2014 Contributors

Dr. Chris Wells, Consultant in Pain Relief Liverpool, United Kingdom Prof. Bart Morlion MD, PhD Director of the Leuven Center for Algology & Pain Management University Hospitals Leuven, Belgium Prof. Christopher Eccleston Centre Director, Centre for Pain Research University of Bath, UK Emilija Dubljanin Raspopović, M.D. University of Belgrade, Serbia Prof. Giustino Varrassi, M.D. Past EFIC President President of the Paolo Procacci Foundation, Rome, Italy Dr. Bettina Haake-Weber Managing Editor European Journal of Pain Prof. Miroslava Pjevic, MD,PhD SAPRT President Serbia Marica Kristic, MD Arun Bhaskar Consultant in Pain Medicine, Anaesthesia & Critical Care Manchester, UK

Inner Circle Company Members of EFIC 2014:

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