It's Not in Your Head
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.
It's Not in Your Head
5 Nerve Pain
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:
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