It's Not in Your Head

Dr. Dan Bates & Justine Feitelson
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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. 21 AOÛT

    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

  2. 14 AOÛT

    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

  3. 31 JUIL.

    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

  4. 17 JUIL.

    32 Having Difficult Conversations

    Navigating Difficult Conversations in Chronic Pain Care    In this episode of 'It's Not In Your Head,' Dan and Justine discuss the intricacies of managing chronic pain, highlighting the importance of having difficult conversations between patients, caregivers, and medical providers. The episode delves into strategies for effective medical decision-making, including how to prepare for worst-case scenarios, manage communication challenges, and maintain control and clarity in complex medical situations. Listen for practical tips and innovative approaches to getting what you need done, so you can foster better relationships with providers and improve care outcomes.   00:00 Introduction to the Podcast 00:49 Today's Topic: Difficult Medical Conversations 01:29 Personal Experiences and Strategies 04:28 Doctor's Perspective on Communication 10:26 Risk Management and Decision Making 12:12 Real-Life Example: Navigating Family Health Decisions 20:53 Navigating Difficult Conversations 21:59 Decision-Making Structures in Healthcare 23:54 The Role of Medical Power of Attorney 24:36 Weighing Risks and Benefits of Treatments 29:32 Communicating with Healthcare Providers 33:28 The Power of Appreciation in Healthcare 42:35 Managing Patient Overwhelm and Expectations 43:17 Conclusion and Key Takeaways   Resources www.iniyh.com/episodes/ep-32-having-difficult-conversations www.resilientwarriorcoachingllc.com www.drdanbates.com.au

    45 min

  5. 12 JUIN

    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

  6. 29 MAI

    30 Making Sense of hypermobile Ehlers-Danlos Syndrome (hEDS)

    In this episode of 'It's Not In Your Head', Dan and Justine delve into the complex relationship between hypermobile Ehlers-Danlos Syndrome (hEDS) and central sensitization, focusing on hEDS as an example of a metabolic driver. Dan shares personal insights from his practice and elaborates on the common patterns and markers identified in patients with hEDS, how it should be diagnosed and treated, and associated challenges. Justine adds her perspective, particularly on the connection between CRPS and hypermobility, and lifestyle interventions. They explore the underlying mechanisms, preventive strategies and management techniques, emphasizing the importance of protein intake, avoiding certain drugs, and considering genetic predispositions. With expert advice and a touch of humor, this episode provides a comprehensive look at managing the very complicated disorder that is hEDS.   00:00 Introduction to the Podcast 01:00 Diving into Central Sensitization and hEDS 02:25 Understanding EDS Types 03:39 Dan's Journey with Hypermobile EDS Patients 04:50 Identifying Patterns in Complex Patients 05:25 Exploring the Underlying Disease Process 08:39 Mechanisms Behind Hypermobile EDS 09:52 The Role of Protein Metabolism in EDS 11:13 MMPs and Their Impact 18:42 Inflammatory Responses and Immune System Involvement 26:22 Genetic Predispositions and External Triggers 31:13 Understanding Protein Requirements 32:38 Strategies for Increasing Protein Intake 36:20 Choosing the Right Protein Sources 40:47 Long COVID and Hypermobility 46:17 Preventing Disease Progression 54:42 Final Thoughts and Future Directions   Resources: www.iniyh.com/episodes/ep-30-making-sense-of-heds

    56 min

  7. 15 MAI

    29 Ask Us Anything (AUA-2)

    Understanding CRPS, Central Sensitization & Neuromodulation | Q&A with Dan and Justine   In this episode of 'It's Not In Your Head,' Dan and Justine answer your questions around various aspects of complex chronic pain management, focusing on Complex Regional Pain Syndrome (CRPS) and central sensitization. They delve into the Budapest criteria for diagnosing CRPS, the overlap with central sensitization, and treatments like spinal cord stimulators (SCS) and their pros and cons. Dan shares insights into managing pocket pain, complications associated with SCS, and innovative treatments like Prolotherapy. They also touch on the role of the sympathetic nervous system in CRPS and potential treatment avenues. It's a comprehensive episode packed with practical advice and cutting-edge information for both patients and providers dealing with complex pain pathologies.   Timestamps 00:00 Introduction to the Podcast 00:18 Technical Difficulties and Banter 00:44 Diving into Q&A 01:09 Understanding CRPS and Central Sensitization 09:11 Neuromodulation for CRPS 10:50 Personal Experiences with Neuromodulation 16:30 Risks and Considerations of Neuromodulation 32:47 Device Malfunction and Lead Migration 34:28 Complications with DRG Leads 39:27 Pocket Pain and Treatment Options 43:20 Exploring Prolotherapy for Pain Management 54:08 Sympathetic Nervous System and CRPS 59:12 Concluding Thoughts and Future Topics   Resources: www.iniyh.com/episodes/ep-29-ask-us-anything-aua-2 www.drdanbates.com.au www.resilientwarriorcoachingllc.com

    1 h 1 min

  8. 1 MAI

    28 If It's Not in Your Head, Where is it Coming From?

    Understanding Central Sensitization and Chronic Pain Drivers | It's Not In Your Head Podcast   In this episode of 'It's Not In Your Head' podcast, Dr. Dan Bates and Justine dive deep into the intricacies of neuroinflammation in chronic pain, focusing on understanding the drivers behind it. They discuss the philosophical challenges in current pain management approaches and how this limits effective communication and treatment. By breaking down central sensitization into seven key areas, they explore how lifestyle changes and metabolic factors like prediabetes can drive this output. This discussion aims to shift the perspective from merely treating the consequences of pain to identifying and addressing more specific underlying causes, offering patients more individualization and agency in managing their pain.   Timestamps 00:00 Introduction to the Podcast 00:35 Central Sensitization and Neuroinflammation 02:56 Linking Lifestyle Changes to Chronic Pain 04:13 Metabolic Drivers of Pain 05:47 Understanding Central Sensitization Symptoms 07:52 Neuroinflammation and Its Impact 11:46 Persistent Injury and Pain Amplification 15:06 Exploring Common Conditions Associated with Central Sensitization 18:32 The Role of Prediabetes in Chronic Pain 21:14 Understanding Insulin and Weight Gain 21:26 The Role of Insulin in Neuropathic Pain 22:25 Investigating Insulin Levels 24:41 Metabolic Drivers and Pain Amplifiers 27:38 Linking Hyperinsulinemia to Chronic Pain 29:38 Lifestyle Changes and Chronic Pain Management 32:00 Neuroinflammation and Treatment Options 36:18 Conclusion and Future Topics Resources iniyh.com/episodes/ep-28-if-its-not-in-your-head-where-is-it-coming-from

    38 min
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À propos

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.

Informations

  • Création
    Dr. Dan Bates & Justine Feitelson
  • Années d’activité
    2024 - 2025
  • Épisodes
    34
  • Classification
    Contenu explicite
  • Copyright
    © 2025 It's Not in Your Head
  • Site web de l’émission
    It's Not in Your Head

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