It's Not in Your Head

22 Sleep and Pain: What's Driving What?

Dr. Dan Bates & Justine Feitelson Season 1 Episode 22

Dan and Juz dive into the significant relationship between pain and sleep, and how it drives sensitization. They cover sleep basics, how lack of it long-term negatively impacts patients cognitively, and share a helpful analogy you can use as a patient to better explain what chronic pain feels like - especially with regards to increasing buckets of central sensitization. Dan then delves into the medical side of sleep, covering disorders including snoring, as well as various medications used to treat sleep. On the next episode, Juz will cover the conservative management strategies on the patient end, so you can further improve fatigue and cognitive dysfunction.

Resources:

www.iniyh.com/newsletter

Timestamps:

00:00 Official Intro

00:18 Intro

03:28 Recap of The CS Algorithm

07:32 How do you sleep to explain your pain?

11:36 Sleep Basics

12:16 Sleep Cycles

16:47 Bi-directional effect, sleep architecture and alterations

20:22 Mechanistic Perspective

22:34 Sleep Needs

27:43 Sleep Disorders 

35:12 Meds

42:24 Snoring

48:55 Wrap-up

49:47 Disclaimer