It's Not in Your Head

29 Complex Chronic Pain Q&A: CRPS, Central Sensitization, & Neuromodulation

Dr. Dan Bates & Justine Feitelson Season 2 Episode 29

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0:00 | 1:00:41

This 'Ask Us Anything' episode tackles complex listener questions around Complex Regional Pain Syndrome (CRPS), central sensitization, and neuromodulation. Topics include the Budapest criteria for CRPS diagnosis, the overlap with sensitization, the pros and cons of spinal cord stimulators (SCS), managing post-implant complications such as pocket pain, and the role of prolotherapy as an alternative. The sympathetic nervous system's role in CRPS is also explored, making this a dense, clinically rich episode for patients and providers managing the most complex end of the pain spectrum.


Resources:

www.iniyh.com/episodes/ep-29-ask-us-anything-aua-2

www.drdanbates.com.au

www.resilientwarriorcoachingllc.com


Timestamps

00:00 Introduction to the Podcast

00:18 Technical Difficulties and Banter

00:44 Diving into Q&A

01:09 Understanding CRPS and Central Sensitization

09:11 Neuromodulation for CRPS

10:50 Personal Experiences with Neuromodulation

16:30 Risks and Considerations of Neuromodulation

32:47 Device Malfunction and Lead Migration

34:28 Complications with DRG Leads

39:27 Pocket Pain and Treatment Options

43:20 Exploring Prolotherapy for Pain Management

54:08 Sympathetic Nervous System and CRPS

59:12 Concluding Thoughts and Future Topics