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
5 What is Neuropathic Pain? Nerve Pain Causes, Symptoms & Management
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Neuropathic pain — or nerve pain — ranges from straightforward to highly complex depending on the patient and presentation. This episode walks through the treatment landscape from first-line medications to more advanced options, including:
- Topical agents for focal pain
- Less invasive procedural interventions
- Neuromodulation (spinal cord stimulators)
- Intrathecal therapies
- Low-dose opioids
The goal is to help patients understand their options and advocate for themselves, while equipping providers with a structured approach to individualized treatment decisions.
Resources:
https://www.instagram.com/iniyhpodcast/
https://www.resilientwarriorcoachingllc.com/
https://www.drdanbates.com.au/
Timestamps:
00:00 Official Intro
00:17 Intro - Diagnosing & Treating Neuropathic Pain
03:32 What causes neuropathic pain?
04:28 Other causes
05:47 We miss diagnose it because we don't ask
07:05 Difference of Nociceptive pain vs Neuropathic pain presentations
10:51 The Emotional Component
15:24 Treating different types of Neuropathic Pain
18:45 First Line Medications
26:02 Side effects vs benefits
27:06 Topical Medications
29:39 Interventional Options
32:08 Neuromodulation
35:28 Trial Period
37:43 Intrathecal Therapies & Low dose Opioids
41:26 Rate at which we move through therapies
44:56 Making decisions based on ALL the other factors
46:05 Unique challenges from a patient perspective
52:10 Technological Limitations
55:55 Wrap Up & Takeaway
59:20 Disclaimer