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
35 Central Sensitization Q&A: Chronic Pain & the Nervous System
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This 'Ask Us Anything' episode addresses listener questions on central sensitization — its causes, how it presents, and how to treat it. Dr. Dan Bates and Justine Feitelson walk through how to identify both the symptoms and the underlying drivers of sensitization, how to address neuroinflammation, and how to build the right care team for a complex pain presentation. The episode also covers an unexpected but practical topic: how to choose optimal footwear for different pain scenarios. Listen for accessible and clinically useful pearls for both patients and providers.
Resources:
www.iniyh.com/episodes/ep-35-AUA-3
www.resilientwarriorcoachingllc.com
Timestamps:
00:00 Introduction to the Podcast
00:46 Q&A: Treating Central Sensitization
01:12 Understanding Central Sensitization Inventory
01:42 Neuroinflammation and Its Drivers
07:17 Consequences of Neuroinflammation
09:13 Managing Orthostatic Intolerance and POTS
12:57 Questions to Ask When Building Your Care Team
15:36 Understanding Central Sensitization and Pain Response
16:18 Strategies for Managing Sensitization
16:55 Medications and Treatments for Neuroinflammation
17:42 Long COVID and Central Sensitization
18:21 The Role of Conservative Therapies
18:47 Addressing Anxiety, Depression, and Deconditioning
19:42 Where's the Sensitization Threshold
22:15 Footwear and Pain Management
23:48 Orthotics and Biomechanics
29:33 Concluding Thoughts and Advice