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
17 Nerve Pain Management: Evidence-Based Strategies for Neuropathic Pain Relief
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This episode walks through the neuropathic pain treatment algorithm from first to fourth line, giving both patients and providers a structured, evidence-based roadmap. Topics covered include:
- First-line oral medications and how to trial them
- Topical agents for localized nerve pain
- Interventional options including nerve blocks and neuromodulation
- Spinal cord stimulators and intrathecal pain pumps
A link to download the full algorithm paper is available on the episode page. Primary care physicians and specialists alike will find this a practical guide for working through neuropathic presentations more efficiently.
Resources:
Timestamps:
00:00 Official Intro
00:17 Intro
03:51 Why Did Dan Develop this Algorithm?
06:45 Starting Point - Is It Neuropathic Pain?
09:53 How to Draw Your Pain Diagram (KEY)
12:23 Consequences for Neuropathic Pain
19:04 Medication Perspective
25:09 How to Prescribe Medications
26:26 Second Line Combination Therapy
31:08 Topical Focal Treatments
36:05 Specialist Referral
40:15 Pulsed Radiofrequency
43:43 Adhesiolysis
46:49 Thermal Radiofrequency
47:59 STIM Interventions - Neuromodulation
56:09 Making Difficult Choices
01:01:50 Complications
01:04:30 SCS Pocket Pain
01:08:18 Opioids
01:15:20 Targeted Drug Therapy
01:16:56 Wrap Up
01:19:44 Disclaimer