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

Advanced Diagnostic Techniques for Lower Back Pain - Medial Branch Blocks Explained

In this episode of 'It's Not In Your Head,' hosts Justine Feitelson and Dan Bates transition from conservative pain management strategies to discuss advanced interventional techniques aimed at diagnosing and treating lower back pain. Dan dives deep into the technique of medial branch blocks, explaining their significance in pinpointing the specific physical drivers of non-specific lower back pain. The episode offers a detailed look at the diagnostic and procedural process, and the next steps in therapeutic intervention, including radiofrequency ablation. Tune in to understand how to move from a non-specific diagnosis to more targeted treatment that improve patient outcomes.

00:00 Introduction and Episode Overview

00:37 Shifting Focus: From Conservative Management to Interventions

01:24 Understanding Diagnostic Blocks for Lower Back Pain

04:14 Medial Branch Block: Procedure and Purpose

09:09 Evaluating Pain Relief and Next Steps

13:14 Addressing Sensitization and Excluding Causes

14:47 Conclusion and References

Resources

www.iniyh.com/episodes/ep-40-pain-procedures-medial-branch-blocks

www.resilientwarriorcoachingllc.com

www.drdanbates.com.au

Mastering the Psychology and Physiology of Chronic Pain

In this episode of 'It's Not In Your Head Podcast,' Justine Feitelson and Dr. Dan Bates tackle effective strategies to manage mood and stress for chronic pain sufferers. They explore the impact and fundamentals of diaphragmatic breathing techniques, and share ways to integrate mindfulness and movement more effectively into daily life in different situations. This episode aims to equip patients with simple, actionable strategies that impact pain and the common co-existing challenges of anxiety and depression, so they can develop more agency and decrease helplessness.

00:00 Introduction

01:51 Understanding Sensitization and Pain Management

05:05 Exploring Allostatic Load and Stress

10:32 Breathing Techniques for Stress Relief

20:42 Movement and Stress Management

24:37 Overcoming Injury Setbacks

25:38 The Importance of Adaptability with Movement

27:15 Breathing Techniques for Better Health

33:08 Mindfulness and Breathing Integration

38:38 Acceptance and Goal Setting

43:14 Final Thoughts and Resources

Resources

www.iniyh.com/episodes/ep-39-mood-stress-management

www.resilientwarriorcoachingllc.com

www.drdanbates.com.au

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

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

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

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

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

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

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