Diagnosing and treating nerve pain, or neuropathic pain, is very challenging. Now that you understand nociceptive pain, we’ll help you see the clear difference between that and neuropathic presentations.

Justine and Dan break down how to best treat different types of pathologies, from first line medications and navigating side effect vs benefits, through fourth line more invasive interventional options like neuromodulation, intrathecal therapies and low dose opioid options.

Making decisions around treatments is challenging and unique, and based on a lot of factors that are individual to the patient. We’ll discuss these different limitations with this type of pain and considerations you should go through so you have more effective options to consider as a patient or provider.

Resources:

www.iniyh.com

https://www.instagram.com/iniyhpodcast/

https://www.resilientwarriorcoachingllc.com/

https://www.drdanbates.com.au/

Timestamps:

00:00 Official Intro

00:17 Intro - Diagnosing & Treating Neuropathic Pain

03:32 What causes neuropathic pain?

04:28 Other causes

05:47 We miss diagnose it because we don't ask

07:05 Difference of Nociceptive pain vs Neuropathic pain presentations

10:51 The Emotional Component

15:24 Treating different types of Neuropathic Pain

18:45 First Line Medications

26:02 Side effects vs benefits

27:06 Topical Medications

29:39 Interventional Options

32:08 Neuromodulation

35:28 Trial Period

37:43 Intrathecal Therapies & Low dose Opioids

41:26 Rate at which we move through therapies

44:56 Making decisions based on ALL the other factors

46:05 Unique challenges from a patient perspective

52:10 Technological Limitations

55:55 Wrap Up & Takeaway

59:20 Disclaimer