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
8 Why Chronic Pain Treatments Fail: Understanding Individual Differences in Pain
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It is entirely normal for chronic pain treatments not to work for every patient — but that reality is rarely communicated clearly. This episode unpacks the concept of "number needed to treat" (NNT), explains the ecological fallacy, and walks through how to properly trial medications. Patients learn how to communicate their preferences and set realistic expectations, while clinicians gain tools to navigate therapeutic limitations with evidence-based language and greater transparency.
Resources:
https://www.instagram.com/iniyhpodcast/
Timestamps:
00:00 Official Intro
00:17 Intro - It's normal for treatments not to work
03:07 Number Needed to treat within Neuropathic Pain
05:06 Trial it for 6 weeks
06:07 Context is important in Number needed to treat
10:23 It's an Average - the ecological fallacy
15:00 Why do we do it this way?
16:04 The experienced Clinician can predict
18:15 Develop good communication with your Physician
19:18 Evidence-Based Medicine
20:34 Final Point
21:54 Disclaimer