It's Not in Your Head

Dr. Dan Bates & Justine Feitelson
  • 5.0 (4)
  • MEDICINE
  • UPDATED WEEKLY

Welcome to It's Not in Your Head Podcast, with Dan and Juz. Dr. Dan is a Sports Physician and Justine a Pain Coach and patient. We have come together to find ways to manage complex pain better for both patients and providers. New episodes will come out bi-weekly on all major platforms.

  1. 9H AGO

    48 Pain Procedures: Sympathetic Injections

    Unraveling Sympathetic Nervous System Procedures | It's Not In Your Head Podcast In this episode of 'It's Not In Your Head' podcast, cohosts Dr. Dan Bates and Justine Feitelson delve deep into sympathetic injections and how to use them with different pain presentations. They cover the mechanisms and efficacy of specific injections like stellate ganglion blocks, lumbar sympathetic ganglion blocks, and posterior tibial nerve stimulation. They also discuss the application of these blocks to manage complex conditions affecting the sympathetic nervous system such as Complex Regional Pain Syndrome (CRPS), post-traumatic stress disorder (PTSD), chronic pelvic pain, and more. Listen to learn about the risks, benefits, and real-life applications of these interventions as a patient or clinician.   00:00 Welcome and Introduction 00:52 Understanding the Sympathetic Nervous System 02:30 Symptoms and Conditions Sympathetics Treat 04:46 Challenges in Treatment and Research 06:37 Stellate Ganglion Block Explained 10:02 Risks and Considerations 15:08 Lumbar Sympathetic Ganglion Blocks 15:54 Efficacy with CRPS and Justine's experience 16:55 Pelvic Pain and Hypogastric Ganglion Injections 19:55 Risks and Considerations of Pelvic Pain Treatments 20:41 Sympathetic Lumbar Injections and Patient Experiences 23:55 Posterior Tibial Nerve Stimulation for Pelvic Pain 26:27 Exploring Splanchnic Ganglion Blocks for Abdominal Pain 29:15 Conclusion and Final Thoughts     Resources www.iniyh.com/episodes/ep-48-pain-procedures-sympathetic-injections www.resilientwarriorcoachingllc.com www.drdanbates.com.au

    30 min

  2. JAN 1

    47 Pain Procedures: Basivertebral Nerve Ablation

    Understanding Basivertebral Nerve Ablation | It's Not In Your Head Podcast   Join Justine Feitelson and Dr. Dan Bates in this episode of 'It's Not In Your Head' as they dive into the specifics of basivertebral nerve ablation (BVNA). Dr. Bates shares his insights on this innovative procedure for treating discogenic pain, highlighting the science behind the technique, its application, benefits and risks, and what aspects of pain it is most effective for. Listen as a clinician for clinical pearls from Dr. Bates' personal journey in mastering this challenging but rewarding treatment in his practice, and to better understand how the procedure works and what outcomes you can really expect as a patient.   00:00 Introduction and Greetings 00:56 Today's Topic: Basivertebral Nerve Ablation 01:10 Disclosures and Biases 02:39 Understanding Discogenic Pain and Impacts of Kinesiophobia 06:16 Procedure Overview and Differences from SIJ Radiofrequency 08:56 Dan's Personal Journey with BVNA 11:37 Clinical Data and Effectiveness 16:54 Risks and Post-Procedure Care 22:05 Conclusion and Final Thoughts   Resources www.iniyh.com/episodes/ep-46-pain-procedures-basivertebral-nerve-ablation www.resilientwarriorcoachingllc.com www.drdanbates.com.au

    23 min

  3. 12/18/2025

    46 Strategies to Navigate the Holidays

    Holiday Survival Guide: Managing Chronic Pain and Stress During the Festive Season   In this episode of 'It's Not In Your Head' podcast, hosts Justine Feitelson and Dr. Dan Bates discuss challenges faced by chronic pain patients and overwhelmed clinicians during the holiday season. They cover actionable strategies to maintain routine and movement, manage stress, prepare for potential pain flares, navigate travel, and handle family interactions and the particularly challenging emotions like grief and loneliness surrounding holidays. Tune in for practical advice to navigate the holidays this season with more ease and less pain.   00:00 Introduction and Hosts' Banter 01:00 Episode Focus: Managing Pain During the Holidays 02:52 Strategies for Managing Flares 06:28 Maintaining Routine and Self-Care 13:39 Travel Tips for Pain Management 15:57 Using Mobility Aids and Movement Management 18:04 Dan's Vacation Management Strategy 18:28 Maintaining Progress During Holidays 19:56 Movement Snacks and Stability Exercises 21:09 Returning to Exercise After a Break 23:04 Managing Family Stress During Holidays 25:50 Coping with Loneliness and Grief 30:22 Doctors on Holiday: Planning Ahead 34:23 Final Thoughts and Holiday Wishes   Resources www.iniyh.com/episodes/ep-46-strategies-to-navigate-the-holidays www.resilientwarriorcoachingllc.com www.drdanbates.com.au

    36 min

  4. 12/11/2025

    45 Pain Procedures: Epidurals

    Understanding Epidurals: Types, Uses, and Complications | It's Not In Your Head Podcast   In this episode of "It's Not In Your Head" podcast, co-hosts Justine Feitelson and Dr. Dan Bates delve into the intricacies of epidurals. They discuss what epidurals are, how they work, various injectables used, potential complications, and what patients can expect during recovery. Give this episode a listen for a detailed explanation of different epidural techniques including interlaminar, transforaminal, and caudal epidurals, along with their applications in pain management and diagnostic procedures.    00:00 Introduction and Casual Banter 00:45 Overview of Epidurals 01:49 Types of Epidurals 06:38 Injectables Used in Epidurals 11:07 Complications and Risks of Epidurals 14:21 The Sneaky Nugget: Fish Oil and Bleeding 14:54 Complications of Epidural Procedures 18:32 Understanding Nerve Root Compression 21:15 Post-Procedure Pain Management 23:48 Pulsed Radio Frequency for Pain Relief 26:25 Recovery Tips and Final Thoughts   Resources www.iniyh.com/episodes/ep-45-pain-procedures-epidurals www.resilientwarriorcoachingllc.com www.drdanbates.com.au

    29 min

  5. 11/27/2025

    44 Pain Procedures: Sacroiliac Joint Radiofrequency

    Understanding Radio Frequency Ablation for SIJ Dysfunction | It's Not In Your Head Podcast   In this episode of 'It's Not In Your Head' podcast, hosts Justine Feitelson and Dr. Dan Bates delve into radiofrequency ablation as a treatment for sacroiliac joint (SIJ) dysfunction. This procedural-focused episode covers the nature of SIJ pain, the diagnostic process, and the specifics of radiofrequency ablation, including its applications, risks, and outcomes. Dr. Bates elaborates on different approaches and techniques used in the procedure, while sharing insights from his practice and recent research developments. Give this episode a listen to learn more about how RFA is performed and who it is best for.   00:00 Introduction and Greetings 00:37 Overview of Today's Topic: Radio Frequency Ablation 01:08 Understanding Sacroiliac Joint Pain 02:24 Diagnostic Blocks and Initial Treatments 03:22 Radio Frequency Neurotomy Procedure 09:19 Techniques and Variations in Radio Frequency Ablation 12:14 Cost and Regional Differences in Procedures 13:07 Conclusion and Upcoming Topics Resources www.iniyh.com/episodes/ep-44-pain-procedures-radiofrequency-ablation www.resilientwarriorcoachingllc.com www.drdanbates.com.au

    14 min

  6. 11/27/2025

    43 Pain Procedures: SIJ Prolotherapy

    Understanding Prolotherapy for Sacroiliac Joint Dysfunction   Join hosts Justine Feitelson and Dr. Dan Bates in this episode of 'It's Not In Your Head' as they dive into the details of prolotherapy, a controversial but effective treatment for sacroiliac joint dysfunction. They discuss the mechanism behind prolotherapy, its application, and the differences between using glucose and platelet-rich plasma (PRP) for the procedure. They also cover diagnostic processes, patient selection, potential risks, and outcomes. Whether you're dealing with ligament laxity, hypermobility, or sacroiliac joint pain, this episode offers valuable insights into diagnosing, managing and treating SIJ dysfunction.   00:00 Introduction and Greetings 00:51 What is Prolotherapy? 01:26 Sacroiliac Joint Dysfunction Explained 02:29 Prolotherapy Procedure and Techniques 04:01 Types of Sclerosants 05:54 Comparing Prolotherapy and Platelet Rich Plasma (PRP) 08:59 Diagnostic Process and Patient Selection 11:40 Risks and Management of Prolotherapy 14:27 Effectiveness and Duration of Prolotherapy 18:36 Conclusion and Final Thoughts Resources www.iniyh.com/episodes/ep-43-pain-procedures-sij-prolotherapy www.resilientwarriorcoachingllc.com www.drdanbates.com.au

    19 min

  7. 11/27/2025

    42 Pain Procedures: Sacroiliac Joint (SIJ) Blocks

    Understanding Sacroiliac Joint Injections | It's Not In Your Head Podcast   In this episode of 'It's Not In Your Head,' co-host Justine Feitelson and Dr. Dan Bates recap the five major causes of lower back pain and dive into performing sacroiliac joint (SIJ) procedures, specifically diagnostic blocks. They cover the efficacy of single versus double blocks, and potential treatments depending on the result of the block like radiofrequency neurotomy and prolotherapy. Additionally, they explore the decision-making process for patients, the economic considerations, and the rarity of SIJ fusions in different regions. Tune in for an in-depth look at how to use diagnostic blocks to confirm SIJ dysfunction and arrive at a more specific diagnosis.   00:00 Introduction and Episode Overview 00:55 Understanding Lower Back Pain 01:19 Sacroiliac Joint Injections Explained 02:45 Injection Techniques and Controversies 04:05 Diagnostic Blocks and False Positives 06:21 Therapeutic Options and Health Economics 06:37 Patient Pathways and Decision Making 09:39 Injection Protocols and Follow-Up 12:57 SIJ Fusions and Regional Differences 14:44 Conclusion and Next Episode Teaser Resources www.iniyh.com/episodes/ep-42-pain-procedures-sacroiliac-joint-sij-blocks www.resilientwarriorcoachingllc.com www.drdanbates.com.au

    15 min

  8. 11/13/2025

    41 Pain Procedures: Facet Joint Radiofrequency

    Understanding Radio Frequency Neurotomy for Pain Management - Explained by Experts   In this episode of the It's Not In Your Head podcast, hosts Justine Feitelson and Dr. Dan Bates delve into the intricacies of radio frequency neurotomy as a pain management procedure. They discuss the diagnosis and treatment of facet joint pain, techniques used in radio frequency neurotomy, the risks involved, and alternative treatments for specific patient populations. The episode also covers practical considerations such as the effectiveness of the procedure, follow-up care, and managing post-procedure symptoms. Tune in to learn about a non-invasive yet effective method for treating osteoarthritis pain.   00:00 Introduction and Greetings 00:29 Understanding Facet Joints and Medial Branch Blocks 02:10 Radiofrequency Neurotomy Explained 03:29 Techniques and Variations in Radiofrequency Procedures 06:47 Managing Post-Procedure Pain and Risks 08:31 Special Considerations and Patient Follow-Up 14:01 Advanced Techniques and Future Topics 16:13 Conclusion and Farewell   Resources www.iniyh.com/episodes/ep-41-pain-procedures-radiofrequency-neurotomy www.resilientwarriorcoachingllc.com www.drdanbates.com.au

    17 min
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Ratings & Reviews

5
out of 5
4 Ratings

About

Welcome to It's Not in Your Head Podcast, with Dan and Juz. Dr. Dan is a Sports Physician and Justine a Pain Coach and patient. We have come together to find ways to manage complex pain better for both patients and providers. New episodes will come out bi-weekly on all major platforms.

Information

  • Creator
    Dr. Dan Bates & Justine Feitelson
  • Years Active
    2024 - 2026
  • Episodes
    47
  • Rating
    Explicit
  • Copyright
    © 2026 It's Not in Your Head
  • Show Website
    It's Not in Your Head

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