Pain is one of the most important problems of the 21st century, a silent epidemic in the world. So, even though pain care has been improved since last years, it is important to coordinate and to call-up health professionals who constitute the first links of the patients’ Pain Care.

In order to improve Pain Care and to raise the awareness on this public health matter, Demain Sans Douleur Pain Management program gathers health professionals, institutions and general public around Pain Management.

Demain Sans Douleur, meaning tomorrow with out pain, is a program which follows the French government’s third plan (2006-2010) against Pain.

Principal actions   

 Pain Management is a growing field of modern medicine, which deals with the physical, psycho-social and spiritual needs of patients. Therefore, main goals of Demain Sans Douleur are:

EDUCATION of health professionals on different aspects of pain management by organizing regional medical congress, workshops and Continuing Medical Educations.

COMMUNICATION with general public and health professionals about pain by creating communication tools, such as the Demain Sans Douleur 2006-2010 website and newsletters. The purpose of this action is to help people to stop considering their pain as a fatality and encourage them to react.

CONNECTION creation between health actors and pain care experts.

OBSERVATION of pain sufferers to evaluate their problems and the way that they have been taken in charge.

Scientific Committee

Demain Sans Douleur program leans on a scientific committee composed by notorious experts, neurologists, anesthetises and psychologists. This Committee confirms the content of the program and leads medical meetings of Demain Sans Douleur program.

There are two types of scientific committee:

- Directive Committee: coordinates and defines principal actions
- Ad hoc oncology, neurology & rheumatology committees

 Directive Committee

	Dr Thierry Binoche, Responsible of Pain Care Centre Bichat hospital, Paris Anesthetise Vice-President of the Battle Against Pain Committee of Bichat hospital
	Dr Bernard Devalois, Head of department ,  palliative care, Puteaux hospital Anesthetise - reanimator
	Dr Nadine Memran, Head of Pain Care department,  Nice Hospital Anesthetise - reanimator Member of European Association of palliative care
	Dr Gérard Mick,   Coordinator of the Pain care network in Voiron hospital Neurologist Member of regional Pain Care centre, Rhône-Alpes
	Dr Philippe Roussel,   Coordinator of the Pain Care network in Province Alpes Côtes d’Azur west , Timone Hospital, Marseille Neurologist President of the “Battle Against Pain” Committee
	Dr Eric Serra,   Responsible of Pain consultation, Nord Amiens Hospital Psychiatrist President of the “Battle Against Pain” Amiens-Picardie

Ad hoc Committees

Oncology Committee

2006 results 

In 2006 Demain Sans Douleur program focused on guided tours in specialised Pain Care centres.
The objective of these visits was to inform the general practitioners on the Pain Care at the hospital, to create exchanges on concrete clinical cases and finally to bring closer the experts.

5 Pain Care centres have been visited:

20 guided tours took place in 2006, more than 200 doctors participated and 100% of them declared to be satisfied of the program.

Demain Sans Douleur  2007

Thanks to the new scientific committee, Demain Sans Douleur program grows richer and is extending through the world.

New actions in France 

Demain Sans Douleur program organizes Daily Regional Events gathering about 20 experts and more than 2000 health professionals. Cities welcoming these events, between October, 2007 and February, 2008, are Paris, Amiens, Lyon and Marseille. 4 subjects will be approached: pain & cancer, pain & rheumatology, pain & auto-immune diseases (rheumatoid arthritis) and pain & multiple sclerosis.

3 Observatories on pain will be set up. The approached themes will be: pain & cancer, pain & rheumatology and pain & multiple sclerosis. The objective will be to comprehend better the lived and the Pain Care of the patients affected by these pathologies.

For this year, Guided Visits will be organized in 6 centres in Paris, Amiens, Puteaux, Nice, Voiron and Marseille. The objective is to strengthen the relations between the doctors and the hospital experts, for an optimal Pain Care.

Universal Medica organizes training courses on Pain Management, by notorious French and international experts.

Finally, the internet web site www.demain-sans-douleur.com and newsletters will be available on July 2007.

International expansion

This year will also be a year for the expansion of the program through the world. Indeed, in 2007, Demain Sans Douleur program will be extended in the middle-east and Asia.