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
13 Widespread Chronic Pain Explained: Why Your Symptoms Seem Unexplainable
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This episode introduces the Central Sensitization Algorithm — a clinical tool designed to help providers more quickly and accurately diagnose and treat central sensitization and related neuroinflammatory disorders. By organizing symptoms into distinct categories of nervous system dysfunction, the algorithm creates a clearer picture from what is often a confusing clinical presentation. For patients, it offers a framework for better understanding and communicating what they are experiencing, reducing diagnostic frustration and improving care outcomes.
References:
www.resilientwarriorcoachingllc.com/cpp
Timestamps:
00:00 Official Intro
00:17 Intro - How you start to think about it
01:31 Initial Presentation
03:25 Neuropathic / Nociceptive
04:01 Central Sensitization (Other side)
04:45 What is Sensitization?
05:56 How Dan Got Into Hypermobility
08:44 3 Components of Hypermobile EDS
09:18 Two Sides of Central Sensitization
11:03 Justine's Path to Central Sensitization
16:04 Dan's Frown of Frustration
18:57 Looking at the Literature
20:32 7 Main Categories of CS
22:14 Pre-existing Diagnoses
22:37 Disproportionate, prolonged pain
24:24 Symptoms
25:30 Sensory Hypersensitivity
30:22 Sleep Disturbance
34:38 Fatigue
36:47 Cognitive Impairment
40:02 Mood Disturbance
42:46 Motor Dysfunction
45:33 Dysautonomia - Cardiovascular
47:42 Dysautonomia - Gastrointestinal System
48:34 Dysautonomia - Urinary System
49:47 Dysautonomia - Secretor Motor System
50:49 Dysautonomia - Reproductive System
52:22 Assessment
54:31 What do we do as Doctors? What is driving this patient's CS?
57:57 Final Points
01:00:13 Disclaimer