It's Not in Your Head

48 Sympathetic Injections: What They Are & How They Treat Complex Chronic Pain

Dr. Dan Bates & Justine Feitelson Season 2 Episode 48

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0:00 | 30:26

Sympathetic nerve blocks target the autonomic nervous system to manage pain conditions that don't respond adequately to conventional approaches. This episode covers three key injection types — stellate ganglion blocks, lumbar sympathetic ganglion blocks, and posterior tibial nerve stimulation — and explains when and how each is used. Conditions discussed include CRPS, PTSD, and chronic pelvic pain. Patients and providers gain a clear understanding of mechanisms, realistic outcomes, and the risks and benefits of each sympathetic intervention.


Resources:

www.iniyh.com/episodes/ep-48-pain-procedures-sympathetic-injections

www.resilientwarriorcoachingllc.com

www.drdanbates.com.au


Timestamps:

00:00 Welcome and Introduction

00:52 Understanding the Sympathetic Nervous System

02:30 Symptoms and Conditions Sympathetics Treat

04:46 Challenges in Treatment and Research

06:37 Stellate Ganglion Block Explained

10:02 Risks and Considerations

15:08 Lumbar Sympathetic Ganglion Blocks

15:54 Efficacy with CRPS and Justine's experience

16:55 Pelvic Pain and Hypogastric Ganglion Injections

19:55 Risks and Considerations of Pelvic Pain Treatments

20:41 Sympathetic Lumbar Injections and Patient Experiences

23:55 Posterior Tibial Nerve Stimulation for Pelvic Pain

26:27 Exploring Splanchnic Ganglion Blocks for Abdominal Pain

29:15 Conclusion and Final Thoughts