It's Not in Your Head

Dr. Dan Bates & Justine Feitelson

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. 21H AGO

    38 Dysautonomia

    Managing Dysautonomia & Chronic Pain: Practical Strategies for Patients & Clinicians   Join Dr. Dan Bates and Justine Feitelson in this episode of 'It's Not In Your Head,' where they delve into dysautonomia and its impacts on chronic pain patients. They discuss various symptoms, such as orthostatic intolerance, gastrointestinal issues, and urinary problems, and provide actionable conservative management strategies for both patients and clinicians. From dietary adjustments and hydration tips to specialized exercises and medications, this episode is packed with valuable insights to help you identify, manage and mitigate the effects of various forms of dysautonomia.   00:00 Introduction  01:24 Understanding Dysautonomia 04:17 Recognizing Symptoms in Patients 05:16 Types and Presentations of Dysautonomia 08:52 Orthostatic Intolerance 10:28 Gastrointestinal Issues 11:54 Urinary and Secretomotor Symptoms 14:27 Pupillomotor Symptoms 15:10 Sexual Dysfunction and Historical Perspectives 18:17 Management Strategies for Dysautonomia 22:21 Managing Orthostatic Intolerance and Tachycardia 22:55 Second and Third Line Therapies for POTS 24:01 Gastrointestinal Issues and Diet Management 26:23 Engaging with Gastroenterologists and Specialists 34:19 Sympathetic Overdrive and Anxiety Management 40:25 Movement Strategies for Dysautonomia 43:22 Final Thoughts and Patient Empowerment   Resources www.iniyh.com/episodes/ep-38-dysautonomia www.resilientwarriorcoachingllc.com www.drdanbates.com.au

    46 min
  2. OCT 2

    37 Sensory Sensitization: Conservative Management Strategies

    Join co-hosts Dr. Dan Bates and Justine Feitelson on 'It's Not In Your Head' as they tackle the complex world of sensory sensitization. In this episode, they delve into the science behind sensory sensitization, its connection to nociplastic pain, and how they lead to increasing pain and other issues. From light and sound, to touch, temperature, and more, learn about the various conservative management strategies you can implement to alleviate and cope with more intrusive symptoms through methods like desensitization, graded exposure, and useful gadgets that can make all the difference. Whether you're dealing with fibromyalgia, migraines, or other conditions related to sensory amplifications, this episode is packed with real-life experiences, case studies, and practical advice and techniques to help improve your quality of life. Don't miss Justine and Dan's key insights for both patients and healthcare providers alike.   Timestamps 00:00 Introduction to the Podcast 00:45 Understanding Sensory Sensitization 02:41 Nociplastic Pain and Sensory Amplification 06:37 Managing Sensory Sensitization 09:57 Touch Sensitivity and Management 15:48 Light Sensitivity Solutions 20:03 Vestibular Sensitivity and Balance Issues 24:04 Sound Sensitivity Strategies 26:49 Exploring the Audio Cardio App for Tinnitus 27:23 Techniques for Managing Annoying Sounds 29:53 Temperature Sensitivity and Regulation 36:24 Managing Smell Sensitivity 38:09 Addressing Taste Sensitivity and Food Intolerances 44:41 Recap and Final Thoughts Resources www.iniyh.com/episodes/ep-37-sensory-sensitization-conservative-management-strategies www.resilientwarriorcoachingllc.com www.drdanbates.com.au

    49 min
  3. SEP 18

    36 Fighting Fatigue: Conservative Management and Nutrition

    In this episode of It's Not in Your Head, Dan Bates and Justine Feitelson discuss the intricacies of chronic fatigue syndrome and treating excessive fatigue. Learn about the illness behavior network and conservative management strategies for aspects of fatigue including sleep, pain, cognitive issues and mood, with a deeper dive in the role of nutrition and how to make convenient, sustainable changes with such limited capacity. This comprehensive episode offers actionable tips and strategies for improving energy for those struggling with this debilitating condition.   00:00 Introduction to the Podcast 00:45 Discussing Fatigue: Excessive vs. Chronic Fatigue Syndrome 03:52 Understanding the Illness Behavior Network 06:43 Exploring Chronic Fatigue Syndrome Symptoms 10:38 Management Strategies for Fatigue 10:53 Sleep Management Techniques 18:01 Pain Management Approaches 19:23 Neurocognitive Strategies and Pacing 22:51 Graded Exposure and Controversies 26:55 Understanding Autonomic Dysfunction 28:27 Chemical Sensitivities and Management 30:04 Addressing Mood and Psychological Components 32:05 Nutritional Strategies for Chronic Fatigue 44:57 Special Topics: Digestive and Appetite Challenges 49:12 Hydration and Electrolyte Management 52:34 Conclusion and Final Thoughts   Resources www.iniyh.com/episodes/ep-36-Fighting Fatigue-Conservative-Management-and-Nutrition www.resilientwarriorcoachingllc.com www.drdanbates.com.au

    53 min
  4. AUG 21

    35 Ask Us Anything (AUA 3)

    Understanding Central Sensitization: Effective Pain Management Strategies   Join Dr. Dan and Justine, a pain coach, on this episode of 'It's Not In Your Head' podcast as they delve into the complexities of managing various aspects of chronic pain, particularly central sensitization, its causes, and various treatment strategies. You'll gain practical advice on how to identify symptoms and consequences, as well as address the neuroinflammation itself and what is driving it. They also get into how to most effectively choose the right care team for the types of pain you have, as well as how to select the most optimal footwear for various situations. Whether you're a patient or provider, this episode offers valuable insights into improving the quality of life for those looking to better manage chronic pain.   00:00 Introduction to the Podcast 00:46 Q&A: Treating Central Sensitization 01:12 Understanding Central Sensitization Inventory 01:42 Neuroinflammation and Its Drivers 07:17 Consequences of Neuroinflammation 09:13 Managing Orthostatic Intolerance and POTS 12:57 Questions to Ask When Building Your Care Team 15:36 Understanding Central Sensitization and Pain Response 16:18 Strategies for Managing Sensitization 16:55 Medications and Treatments for Neuroinflammation 17:42 Long COVID and Central Sensitization 18:21 The Role of Conservative Therapies 18:47 Addressing Anxiety, Depression, and Deconditioning 19:42 Where's the Sensitization Threshold 22:15 Footwear and Pain Management 23:48 Orthotics and Biomechanics 29:33 Concluding Thoughts and Advice   Resources www.iniyh.com/episodes/ep-35-AUA-3 www.resilientwarriorcoachingllc.com www.drdanbates.com.au

    30 min
  5. AUG 14

    34 Sacroiliac Joint (SIJ) Dysfunction

    Understanding and Managing SI Joint Dysfunction   Justine and Dan delve deep into the complexities of pelvic dysfunction, focusing specifically on sacroiliac joint (SIJ) instability. This episode covers everything from symptoms, affected populations, and conservative management techniques involving movement and exercises, to more advanced procedural treatments. Tune in to learn about the importance of proper diagnosis, the different causes, get insights into useful tools like SIJ belts, and hear recommendations for both clinicians and patients on developing effective pain management strategies for this type of chronic pelvic pain.   Timestamps: 00:00 Introduction to the Podcast 00:17 Hosts' Personal Updates 00:59 Episode Overview: Pelvic Dysfunction and SIJ Instability 02:02 Understanding Lower Back Pain 05:05 Patient Experience and Pain Presentation 07:53 Diagnosing Sacroiliac Joint Pain 13:00 Management and Treatment Strategies 15:02 The Role of Stability and Movement 19:26 The Importance of Bracing 20:29 The Role of Belts in Pain Management 21:11 Understanding Back Braces and Pain Reduction 21:48 Challenges and Considerations with Belts 23:43 Recommended Products for Pain Relief 24:25 Using Belts and Shorts for Better Sleep 25:15 Causes of Hip Pain and Misdiagnosis 26:30 Treating Sacroiliac Joint Dysfunction 28:17 Advanced Treatments and Injections 28:52 Managing Osteoarthritis and Joint Instability 31:03 Fusion Surgery and Implications 37:47 Innovative Techniques for Muscle Stimulation 39:11 Summary and Final Thoughts   Resources www.iniyh.com/episodes/ep-34-sacroiliac-joint-sij-dysfunction www.resilientwarriorcoachingllc.com www.drdanbates.com.au

    41 min
  6. JUL 31

    33 The Therapeutic Spectrum: Right Treatment, Right Patient

    Understanding Pain through Political Lenses: Left, Right, and Center Approaches In this insightful episode of 'It's Not In Your Head' podcast, Dan and Justine discuss the concept of managing chronic pain through political analogies—left wing, right wing, and centrist approaches. They delve into their experiences and observations, identifying different pain patterns and the treatment methodologies that work best for them. The conversation touches on the influence of media on public perception of pain treatments, specifically spinal cord stimulation, and the challenges of conveying accurate medical information in the modern day environment of misinformation we all live in. They provide a comprehensive breakdown of how each 'political orientation' correlates with pain treatment philosophies, helping both patients and providers better match the best approaches for various pain presentations.   00:00 Introduction to the Podcast 00:17 Casual Banter and Personal Updates 01:21 Controversy in Spinal Cord Stimulation 03:07 Exploring Cognitive Functional Therapy 03:22 Media Manipulation and Politics 04:31 Applying Political Ideologies to Pain Management 07:01 Left-Wing Approach to Pain 08:49 Right-Wing Approach to Pain 09:42 Centrist Approach to Pain 12:26 The Role of Imaging in Pain Management 13:10 Skill-Based Approach to Patient Care 13:47 Managing Patient Anxiety with Scans 14:21 Tailoring Treatment to Individual Patients 18:03 Understanding Pain Patterns 22:37 Biases in Medical Treatment 25:51 The Importance of Matching Patient and Doctor 28:01 Conclusion and Final Thoughts   Resources www.iniyh.com/episodes/ep-33-Left-Right-and-Centrist-Pain-Right-Treatment-Wrong-Patient www.resilientwarriorcoachingllc.com www.drdanbates.com.au

    28 min
  7. JUN 12

    31 Chronic Pain: Dealing with Being Overwhelmed

    Prioritize and Execute: Managing Overwhelm in Chronic Pain   In this episode of 'It's Not In Your Head' podcast, Dan and Justine discuss strategies to manage feelings of overwhelm often experienced by chronic pain patients. Using their structured pyramid of owning your care, they explain how to prioritize, execute and delegate tasks so you can take control of both medical decisions and daily aspects of managing pain to more effectively deal with complexity and decrease helplessness. Key topics include working through self assessment and monitoring, basic lifestyle habits, mind/body pieces, mainstream diagnostics and treatment, alternative options, and precision medicine. By recognizing their own needs and working closely with their medical teams, patients can improve self-efficacy and overall treatment outcomes. Tune in for practical advice, personal anecdotes, and actionable steps to better manage your chronic pain journey.   Timestamps 00:00 Introduction to the Podcast 00:17 Emergency Podcast: Addressing Overwhelm 01:10 Understanding Overwhelm in Patients 03:43 Strategies to Manage Overwhelm 11:24 Personal Stories and Experiences 16:31 Framework for Pain Management 26:40 Recognizing and Managing Catastrophizing 29:15 Self-Assessment and Monitoring Tools 35:25 Mainstream Diagnostics and Treatments 38:05 Exploring Alternative Options 46:22 Precision Medicine and Personalized Care 48:41 Ownership and Self-Efficacy in Pain Management 50:21 Conclusion and Final Thoughts   Resources www.iniyh.com/episodes/ep-31-dealing-with-being-overwhelmed

    51 min

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.

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