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
8 Why All Pain Treatments Don’t Work for Everyone (Part 1)
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The hard truth is it's normal for chronic pain treatments not to work. But how many patients do you actually have to treat to improve things for just one? Managing expectations is hard enough; it's even harder when they're unrealistic. Unfortunately, there is often little conversation around how likely medications are to actually work in various settings. This is where the concept 'number needed to treat' is critical to understand as a patient. We dive into this concept, explain the ecological fallacy, and go through how to trial medications. We also delve into improving communications with your provider around personal preferences, and define what evidence-based medicine actually looks like so experienced clinicians can overcome these realities.
Resources:
https://www.instagram.com/iniyhpodcast/
Timestamps:
00:00 Official Intro
00:17 Intro - It's normal for treatments not to work
03:07 Number Needed to treat within Neuropathic Pain
05:06 Trial it for 6 weeks
06:07 Context is important in Number needed to treat
10:23 It's an Average - the ecological fallacy
15:00 Why do we do it this way?
16:04 The experienced Clinician can predict
18:15 Develop good communication with your Physician
19:18 Evidence-Based Medicine
20:34 Final Point
21:54 Disclaimer