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
38 Dysautonomia & Chronic Pain: Symptoms, Diagnosis & Practical Management Strategies
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Dysautonomia — dysfunction of the autonomic nervous system — affects many chronic pain patients and is frequently overlooked as a contributing factor. This episode identifies the most common symptoms, including orthostatic intolerance, gastrointestinal issues, and urinary dysfunction, and walks through a practical management toolkit covering:
- Dietary adjustments and hydration strategies
- Targeted exercise protocols
- Medications used in autonomic management
Both patients and clinicians leave with a clearer picture of how to identify, prioritize, and address dysautonomia within a broader chronic pain treatment plan.
Resources:
www.iniyh.com/episodes/ep-38-dysautonomia
www.resilientwarriorcoachingllc.com
Timestamps:
00:00 Introduction
01:24 Understanding Dysautonomia
04:17 Recognizing Symptoms in Patients
05:16 Types and Presentations of Dysautonomia
08:52 Orthostatic Intolerance
10:28 Gastrointestinal Issues
11:54 Urinary and Secretomotor Symptoms
14:27 Pupillomotor Symptoms
15:10 Sexual Dysfunction and Historical Perspectives
18:17 Management Strategies for Dysautonomia
22:21 Managing Orthostatic Intolerance and Tachycardia
22:55 Second and Third Line Therapies for POTS
24:01 Gastrointestinal Issues and Diet Management
26:23 Engaging with Gastroenterologists and Specialists
34:19 Sympathetic Overdrive and Anxiety Management
40:25 Movement Strategies for Dysautonomia
43:22 Final Thoughts and Patient Empowerment