The Royal College of Chiropractors’ Pain Faculty

Faculty Officers

Chair: Matt Barks FRCC (Pain)
Secretary: Julia Gover (acting) FRCC (Pain)
Director of Academic Affairs: Mark Webster FRCC (Ortho), FRCC (Pain)

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The Royal College of Chiropractors’ Specialist Faculties, of which the Pain Faculty is one, have the following role:

• To recognise experience and qualifications relevant to each subject area
• To foster open inquiry and debate among practitioners and the wider healthcare community
• To encourage further, relevant continuing professional development and M-level study
• To define and uphold the competencies of Specialist Faculty members as they pertain to each subject area
• To review, disseminate and develop the evidence-base in each subject area
• To support specialist faculty member in developing and extending skills and knowledge in relevant subject areas

Routes to membership of the RCC Pain Faculty: Satisfying the Core Competencies of the Pain Faculty Chiropractor [MRCC (Pain)]

Core Competencies of the Pain Faculty Chiropractor [MRCC (Pain)] defines the core competencies required of a chiropractor whose focus is managing pain. Satisfying these competencies confers eligibility for full Membership of the Royal College of Chiropractors Pain Faculty – MRCC (Pain).

Membership of the RCC Pain Faculty can be taken up at 4 levels, and there are different requirements for each:

Associate

An interest in pain, and an intention to progress through the membership levels of the faculty.

Licentiate

Licentiate Membership requires successful completion of the RCCPF’s learning programme, as follows:

Understanding Psychosocial Barriers Part 1 (UPB1 – online learning module)

Understanding Psychosocial Barriers Part 2a (UPB2a – online learning module)

Understanding Psychosocial Barriers Part 2b (UPB2b – in-person seminar)

Understanding Psychosocial Barriers reflective assessment

Electronic Learning for Health ‘e-Pain’ Course comprising:

• Module 01 Introducing Pain Management
• Module 02 Acute Pain
• Module 03 Pain as a Long-Term Condition
• Module 04 Treatments and Therapies
• Module 05 Pain Conditions Around the Body
• Module 06 Musculoskeletal Pain
• Module 07 Neuropathic Pain
• Module 08 Pain in Children
• Module 09 Pain in Older People
• Module 10 Special Populations
• Module 11 Cancer Pain
• Module 12 Basic Science
• Module 13 Essential Pain Management

Please contact admin@rcc-uk.org to register for the above.

Member

Full Membership requires completion of the RCCSP’s learning programme, above, plus detailed documentation of a number of cases managed/co-managed according to the new RCCPF Clinical Logbook. Please contact admin@rcc-uk.org for details and to access this route.

Fellow

Progressing to Fellowship requires achievement of the RCCPF Member requirements as described above, or current full RCCPF Membership status, plus one or more of the following achievements amounting to the equivalent of 60 M-level credits:

• Completion of an additional clinical logbook of documented cases of your choice
• M-level achievement, such as a relevant MSc dissertation
• Involvement in relevant assessor/mentor/post-graduate teaching activity
• Publication of relevant peer-reviewed articles
• Involvement in relevant organisation/committee work

Please contact admin@rcc-uk.org for details and to access the Fellowship route.

The RCC Pain Faculty (RCCPF) is currently defining the competencies expected of a full Member. Full membership will require completion of the RCCPF’s Diploma in Pain Management (‘Understanding Psychosocial Barriers’) and the completion of a detailed Clinical Logbook documenting the management of relevant clinical cases. For further details and to apply to undertake the Diploma and/or apply for membership, please contact admin@rcc-uk.org

Pain News

Updated clinical guidance on the care and management of osteoarthritis (OA) in adults (CG177)

OA is a common condition that can have a marked impact on the lives of sufferers. CG177 states that, as with other conditions resulting in persistent pain, an individual’s OA symptoms are related not just to physical changes of the disease but also to their expectations and the beliefs they have in terms of their ability to cope (self-efficacy). Addressing these and the other non-physical consequences of OA, including low mood, poor sleep and altered coping strategies, should be included as part of its management.

The guidelines include recommendations on assisting patients in their self-management of OA through the provision of information and guidance. Key among these is helping patients understand their condition in a way that is meaningful to them, the use of exercises and appropriate shock absorbing footwear, and support with weight control. Secondary self-help strategies that should be considered include TENS, heat or cold packs and devices to help reduce the impact of the illness on activities of daily living such as walking aids.

Manipulation and stretching is recommended to support activity and exercise, particularly where there is OA of the hip. New in these guidelines are recommendations for periodic review to assist patients’ self-management and advice against the use of acupuncture and glucosamine / chondroitin.

The Pain Faculty has produced a summary of the guidelines for chiropractors, available here.

Role of the Pain Faculty

The Role of the Pain Faculty is to help ensure standards of pain management are raised and promoted and to establish links with other pain organisations thus fostering interdisciplinary collaboration and understanding.

The Pain Faculty promotes relevant courses (both academic and CPD) to the profession, thereby developing expertise, and aims to offer a repertoire of short CPD courses on a regional basis. A number of work streams have been developed reflecting the faculty’s objectives, as follows:

Non-physical factors – Work Area Lead and Pain Faculty Chair: Jonathan Field FRCC

Non-physical factors (psychological and social) can have important influences on how patients experience pain and respond to treatment. The Pain Faculty aims to assist members in increasing their understanding of, and practical skills in, the identification and management of  non-physical factors affecting patients in pain, particularly spinal pain.

Patient communication and education – Work Area Lead: Mark Thomas MRCC

Effective communication and education are paramount in the management of patients with MSK pain. The Pain Faculty aims to assist members in educating their patients about their pain to reduce potential anxiety and fear avoidance, and to facilitate self management strategies. The Pain Faculty aims to develop and adapt suitable resources that aid pain management.

Pharmacology – Work Area Lead: Mark Gurden FRCC

Management of MSK pain often benefits from a multidisciplinary, integrated approach. The Pain Faculty aims to help members gain a better understanding of the pharmacology of pain management and how it may influence other areas of patient care. The implications for the chiropractor of obtaining limited prescribing rights remains under debate.

Dry Needling – Work Area Lead: Annabel Kier FRCC

Acupuncture is used both as a primary treatment and an adjunct to care by many health care professionals, including chiropractors. The Pain Faculty seeks to enhance the understanding and skills of members interested in the use of acupuncture for pain control.

Manual therapy – Work Area Lead: Mark Webster FRCC

Manual therapy and exercise prescription are probably the most widely used conservative treatments worldwide for neuro-MSK pain management  and are the mainstay of  chiropractic care. The Pain Faculty aims to encourage and promote a best-evidence approach to  manual care, based upon a synthesis of the ever-increasing  multiprofessional  literature,  in order to help guide and update practitioners  in their clinical management of patients.