Dr. Prasad first started working with patients with pain during his training in the 1990s and joined the Stanford faculty in 2004. In addition to performing patient evaluations and treatment, he develops and teaches curriculum about the psychological aspects of managing chronic pain to patients, residents, and postdoctoral pain fellows.
Dr. Prasad also holds a number of administrative roles. As Associate Chief of Pain Psychology, he oversees all aspects of clinical pain psychology services in the Division of Pain Medicine. He developed a Postdoctoral Pain Fellowship for psychologists and serves as its Training Director. He is also the director of one of the only academic inpatient pain programs in the western United States: the Stanford Comprehensive Interdisciplinary Pain Program. This intensive 5-10 day hospital based program provides medication optimization, physical reconditioning, behavioral modification training, and mood stabilization for patients with complex, debilitating chronic pain conditions.
Clinical Associate Professor, Anesthesiology, Perioperative and Pain Medicine
Director of Psychology Training, Division of Pain Medicine, Stanford University (2011 - Present)
Director, Stanford Comprehensive Interdisciplinary Pain Program (2006 - Present)
Associate Chief, Division of Pain Medicine, Stanford University (2008 - Present)
Fellowship:Kaiser French Hospital (2004) CA
Internship:Salt Lake City Veterans Affairs Medical Center (2002) UT
Professional Education:Texas Tech University (2003) TX
Core competencies for pain management: results of an interprofessional consensus summit.
2013; 14 (7): 971-981
The objective of this project was to develop core competencies in pain assessment and management for prelicensure health professional education. Such core pain competencies common to all prelicensure health professionals have not been previously reported.An interprofessional executive committee led a consensus-building process to develop the core competencies. An in-depth literature review was conducted followed by engagement of an interprofessional Competency Advisory Committee to critique competencies through an iterative process. A 2-day summit was held so that consensus could be reached.The consensus-derived competencies were categorized within four domains: multidimensional nature of pain, pain assessment and measurement, management of pain, and context of pain management. These domains address the fundamental concepts and complexity of pain; how pain is observed and assessed; collaborative approaches to treatment options; and application of competencies across the life span in the context of various settings, populations, and care team models. A set of values and guiding principles are embedded within each domain.These competencies can serve as a foundation for developing, defining, and revising curricula and as a resource for the creation of learning activities across health professions designed to advance care that effectively responds to pain.
View details for DOI 10.1111/pme.12107
View details for PubMedID 23577878
Reduced Cold Pain Tolerance in Chronic Pain Patients Following Opioid Detoxification
2008; 9 (8): 1158-1163
One potential consequence of chronic opioid analgesic administration is a paradoxical increase of pain sensitivity over time. Little scientific attention has been given to how cessation of opioid medication affects the hyperalgesic state. In this study, we examined the effects of opioid tapering on pain sensitivity in chronic pain patients.Twelve chronic pain patients on long-term opioid analgesic treatment were observed in a 7- to 14-day inpatient pain rehabilitation program, with cold pain tolerance assessed at admission and discharge. The majority of participants were completely withdrawn from their opioids during their stay.We hypothesized that those patients with the greatest reduction in daily opioid use would show the greatest increases in pain tolerance, as assessed by a cold pressor task.A linear regression revealed that the amount of opioid medication withdrawn was a significant predictor of pain tolerance changes, but not in the direction hypothesized. Greater opioid reduction was associated with decreased pain tolerance. This reduction of pain tolerance was not associated with opioid withdrawal symptoms or changes in general pain.These findings suggest that the withdrawal of opioids in a chronic pain sample leads to an acute increase in pain sensitivity.
View details for DOI 10.1111/j.1526-4637.2008.00475.x
View details for Web of Science ID 000261106100026
View details for PubMedID 18564998