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
6 Nociplastic Pain (Sensitization)
Nociplastic pain, or sensitization, is the most challenging to treat due to lack of consistent identification and impactful treatments, which create a void in being able to effectively investigate and treat the symptom clusters this type of pain creates.
The vague, but persistent symptoms are often labelled as other diseases, making the picture even more confusing and overwhelming, leading patients down rabbit holes of diagnosis that seem unconnected but are being driven by nervous system dysfunction. What we need, is language to talk about symptoms that providers are able to pull out of the patients' summary and identify as central sensitization, so they can be systematically investigated and treated just like other pain types.
We share our developing model for categorizing central sensitization into various buckets including but not limited to:
- Sensory Hypersensitivity
- Sleep Disturbance
- Fatigue
- Cognitive Dysfunction
- Mood Disturbance
- Dysautonomias
- Motor dysfunction (since added)
Listen to learn how central sensitization really presents, and for examples of how to approach management strategies and prioritize interventions.
Resources:
https://www.instagram.com/iniyhpodcast/
https://www.resilientwarriorcoachingllc.com/
https://www.drdanbates.com.au/
Timestamps:
00:00 Official Intro
00:17 Intro to Central Sensitization
03:19 Review of 3 Types of Pain
05:55 How Central Sensitization Presents
08:43 Diseases caused by CS
10:11 Categorize CS
10:32 1 Sensory Hypersensitivity
11:23 2 Sleep Disturbance
12:39 3 Cognitive Dysfunction
13:19 4 Mood Dysfunction
13:58 5 Dysautonomias
15:24 You end up with a cocktail of diagnosies
16:37 This gives you language to talk about symptoms
17:15 Example of First Line Management - Sleep Disturbamce
21:19 Second Line Perspective - Sleep Disturbance
22:58 First Line - Orthostatic Intolerance
24:21 Second Line - Orthostatic Intolerance
25:50 You have to ASK the Patient
29:48 CS is such a BIG deal
30:19 Final Thoughts - Look for the Comorbid Diseases
36:21 Disclaimer