Decision Points: Advanced Management of Elbow Pain


Dominic A. Hegarty, BSc, BMedSc, MB, MSc, PhD, FCARSCI, FFPMCAI, FIPP
Consultant in Pain Management & Neuromodulation, Mater Private Hospital, Cork, Ireland
Honorary Consultant, Guy's & St. Thomas's Hospital, London
Clinical Lead, Neuromodulation Research, Tyndall National Institute, UCC
President-Elect, World Institute of Pain (WIP)
Dominic A. Hegarty, BSc, BMedSc, MB, MSc, PhD, FCARSCI, FFPMCAI, FIPP

Dr. Dominic Hegarty practices as a Consultant in Pain Management & Neuromodulation at the Orthopaedic and Spine centre, Mater Private Hospital, Cork.

Dr. Hegarty is recognized as one of Europe’s foremost interventional pain management doctors who is constantly developing new pain techniques to deal with the most complex cases in this area. He is the holder of a doctrine degree (Ph.D., UCC), Master of Science (MSc., Edinburgh) and Fellowships in Ireland, USA (FIPP) and London (Royal College of Medicine) in the area of pain management.

Dominic has specialised in pain management over the last two decades and his expertise in this area is regularly sought by national media and in the High Court on medical legal matters. Dr. Hegarty continues to collaborate with innovation centers and industry in order to provide the best solutions to help individuals who have to deal with chronic pain on a daily basis. He acts as Clinical Lead on Neuromodulation and advisor to Tyndall National Research Institute in base in UCC Cork and also provides consultancy to product development in the med-tech sector in an independent capacity.

In addition to his teaching posts, Dr. Hegarty was awarded the unique position of Honorary Consultant at Guy’s & St. Thomas’ Hospital, London. He co-founded the division of Pain Medicine in the Department of Anaesthesia & Pain Medicine in Cork at University Hospital and South infirmary & Victoria Hospital in Cork, where he served as a consultant for eight years in the Health Service Executive (HSE) before joining the Mater Private Hospital Cork.

Dr. Hegarty is the founder and Clinical director of Pain Relief Ireland, a medical practice focused on integrated pain management options for those with chronic pain. In addition to a busy clinical workload, Dr. Hegarty is President Elect of World Institute of Pain, underlining his ambition to improve pain practice globally.

Statement of Need

In this interactive CMEO BriefCase, learners will meet Tom, a 44-year-old man who presents with persistent pain of over 3 months duration that intensifies with elbow flexion and wrist extension. Dr. Hegarty will guide learners through an appropriate assessment of the pain and work through decision points of the case to develop a multimodal treatment strategy with the goal of restoring function and quality of life.

Learning Objectives

At the end of this CME/CE activity, participants should be able to:

  • Assess patients using validated tools to determine the nature of pain to best direct treatment.
  • Design a treatment plan using pharmacologic and nonpharmacologic strategies.

The following learning objectives pertain only to those requesting CNE or CPE credit:

  • Identify ways to assess patients using validated tools to determine the nature of pain to best direct treatment.
  • Describe a treatment plan using pharmacologic and nonpharmacologic strategies.

Financial Support

Supported by an educational grant from BioWave.

Target Audience

Physicians, PAs, nurse practitioners, and pharmacists

Credit Information

Physicians (ACCME) 1.0

CME Outfitters, LLC, designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Pharmacists/Pharmacy Tech (ACPE) 1.0

This application-based activity is approved for 1.0 contact hour (0.10 CEUs) of continuing pharmacy credit.
Activity UAN: JA0007185-0000-21-160-H01-P

Note to Nurse Practitioners

Nurse Practitioners can apply for AMA PRA Category 1 Credit through the American Academy of Nurse Practitioners (AANP). AANP will accept AMA PRA Category 1 Credit  from organizations accredited by the Accreditation Council for Continuing Medical Education. Nurse practitioners can also apply for credit through their state boards.


Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.0 medical knowledge MOC point in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.


ABPN Diplomates may select any CME activity relevant to their practice to count towards ABPN MOC requirements.

Royal College MOC

Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

MIPS Improvement Activity

Completion of this accredited CME activity meets the expectations of an Accredited Safety or Quality Improvement Program (IA_PSPA_28) for the Merit-based Incentive Payment Program (MIPS). Clinicians should submit their improvement activities by attestation via the CMS Quality Payment Program website.

Disclosure Declaration

It is the policy of CME Outfitters, LLC, to ensure independence, balance, objectivity, and scientific rigor and integrity in all of their CE activities. Faculty must disclose to the participants any relationships with commercial companies whose products or devices may be mentioned in faculty presentations, or with the commercial supporter of this CE activity. CME Outfitters, LLC, has evaluated, identified, and mitigated any potential conflicts of interest through a rigorous content validation procedure, use of evidence-based data/research, and a multidisciplinary peer review process. The following information is for participant information only. It is not assumed that these relationships will have a negative impact on the presentations.

Dr. Hegarty reports that he receives unrestricted educational grants from Grunenthal to University College Cork. He is on the speakers bureau for Epimed/Racz Workshops; Medtronic and Platform-14. He is a consultant for Capri Medical and Platform-14. He receives other financial or material support as Honorary Treasurer and Board Member, World Institute of Pain (WIP).

Disclosures were obtained from the CME Outfitters, LLC, staff: No disclosures to report.

  • Michael J. Franks, MSN, AGACNP-BC, FNP, BC (peer reviewer) has no disclosures to report.
  • Evan Luberger (planning committee) has no disclosures to report.
  • Jan Perez (planning committee) has no disclosures to report.
  • Sharon Tordoff (planning committee) has no disclosures to report.

Faculty of this CE activity may include discussions of products or devices that are not currently labeled for use by the FDA. The faculty have been informed of their responsibility to disclose to the audience if they will be discussing off-label or investigational uses (any uses not approved by the FDA) of products or devices.

Additional Formats

Post-tests, credit request forms, and activity evaluations must be completed online (requires free account activation), and participants can print their certificate or statement of credit immediately (75% pass rate required). This website supports all browsers except Internet Explorer for Mac. For more information, visit our complete technical requirements and privacy policy pages.


NOTE: Pharmacist CE Universal Activity Number, Enduring: JA0007185-0000-21-160-H01-P

Questions about this activity?

Call us at 877.CME.PROS (877.263.7767).




Decision Points: Advanced Management of Elbow Pain
Event Date: 05/28/2021