Understanding Basivertebral Nerve Ablation | It's Not In Your Head Podcast Join Justine Feitelson and Dr. Dan Bates in this episode of 'It's Not In Your Head' as they dive into the specifics of basivertebral nerve ablation (BVNA). Dr. Bates shares his insights on this innovative procedure for treating discogenic pain, highlighting the science behind the technique, its application, benefits and risks, and what aspects of pain it is most effective for. Listen as a clinician for clinical ...

Holiday Survival Guide: Managing Chronic Pain and Stress During the Festive Season In this episode of 'It's Not In Your Head' podcast, hosts Justine Feitelson and Dr. Dan Bates discuss challenges faced by chronic pain patients and overwhelmed clinicians during the holiday season. They cover actionable strategies to maintain routine and movement, manage stress, prepare for potential pain flares, navigate travel, and handle family interactions and the particularly challenging emotions li...

Understanding Epidurals: Types, Uses, and Complications | It's Not In Your Head Podcast In this episode of "It's Not In Your Head" podcast, co-hosts Justine Feitelson and Dr. Dan Bates delve into the intricacies of epidurals. They discuss what epidurals are, how they work, various injectables used, potential complications, and what patients can expect during recovery. Give this episode a listen for a detailed explanation of different epidural techniques including interlaminar, transfor...

Understanding Prolotherapy for Sacroiliac Joint Dysfunction Join hosts Justine Feitelson and Dr. Dan Bates in this episode of 'It's Not In Your Head' as they dive into the details of prolotherapy, a controversial but effective treatment for sacroiliac joint dysfunction. They discuss the mechanism behind prolotherapy, its application, and the differences between using glucose and platelet-rich plasma (PRP) for the procedure. They also cover diagnostic processes, patient selection, poten...

Understanding Radio Frequency Ablation for SIJ Dysfunction | It's Not In Your Head Podcast In this episode of 'It's Not In Your Head' podcast, hosts Justine Feitelson and Dr. Dan Bates delve into radiofrequency ablation as a treatment for sacroiliac joint (SIJ) dysfunction. This procedural-focused episode covers the nature of SIJ pain, the diagnostic process, and the specifics of radiofrequency ablation, including its applications, risks, and outcomes. Dr. Bates elaborates on different...

Understanding Sacroiliac Joint Injections | It's Not In Your Head Podcast In this episode of 'It's Not In Your Head,' co-host Justine Feitelson and Dr. Dan Bates recap the five major causes of lower back pain and dive into performing sacroiliac joint (SIJ) procedures, specifically diagnostic blocks. They cover the efficacy of single versus double blocks, and potential treatments depending on the result of the block like radiofrequency neurotomy and prolotherapy. Additionally, they expl...

Understanding Radio Frequency Neurotomy for Pain Management - Explained by Experts In this episode of the It's Not In Your Head podcast, hosts Justine Feitelson and Dr. Dan Bates delve into the intricacies of radio frequency neurotomy as a pain management procedure. They discuss the diagnosis and treatment of facet joint pain, techniques used in radio frequency neurotomy, the risks involved, and alternative treatments for specific patient populations. The episode also covers practical ...

Advanced Diagnostic Techniques for Lower Back Pain - Medial Branch Blocks Explained In this episode of 'It's Not In Your Head,' hosts Justine Feitelson and Dan Bates transition from conservative pain management strategies to discuss advanced interventional techniques aimed at diagnosing and treating lower back pain. Dan dives deep into the technique of medial branch blocks, explaining their significance in pinpointing the specific physical drivers of non-specific lower back pain. The e...

Mastering the Psychology and Physiology of Chronic Pain In this episode of 'It's Not In Your Head Podcast,' Justine Feitelson and Dr. Dan Bates tackle effective strategies to manage mood and stress for chronic pain sufferers. They explore the impact and fundamentals of diaphragmatic breathing techniques, and share ways to integrate mindfulness and movement more effectively into daily life in different situations. This episode aims to equip patients with simple, actionable strategies th...

Managing Dysautonomia & Chronic Pain: Practical Strategies for Patients & Clinicians Join Dr. Dan Bates and Justine Feitelson in this episode of 'It's Not In Your Head,' where they delve into dysautonomia and its impacts on chronic pain patients. They discuss various symptoms, such as orthostatic intolerance, gastrointestinal issues, and urinary problems, and provide actionable conservative management strategies for both patients and clinicians. From dietary adjustments and hyd...

Join co-hosts Dr. Dan Bates and Justine Feitelson on 'It's Not In Your Head' as they tackle the complex world of sensory sensitization. In this episode, they delve into the science behind sensory sensitization, its connection to nociplastic pain, and how they lead to increasing pain and other issues. From light and sound, to touch, temperature, and more, learn about the various conservative management strategies you can implement to alleviate and cope with more intrusive symptoms through meth...

In this episode of It's Not in Your Head, Dan Bates and Justine Feitelson discuss the intricacies of chronic fatigue syndrome and treating excessive fatigue. Learn about the illness behavior network and conservative management strategies for aspects of fatigue including sleep, pain, cognitive issues and mood, with a deeper dive in the role of nutrition and how to make convenient, sustainable changes with such limited capacity. This comprehensive episode offers actionable tips and strategies f...

Understanding Central Sensitization: Effective Pain Management Strategies Join Dr. Dan and Justine, a pain coach, on this episode of 'It's Not In Your Head' podcast as they delve into the complexities of managing various aspects of chronic pain, particularly central sensitization, its causes, and various treatment strategies. You'll gain practical advice on how to identify symptoms and consequences, as well as address the neuroinflammation itself and what is driving it. They also get i...

Understanding and Managing SI Joint Dysfunction Justine and Dan delve deep into the complexities of pelvic dysfunction, focusing specifically on sacroiliac joint (SIJ) instability. This episode covers everything from symptoms, affected populations, and conservative management techniques involving movement and exercises, to more advanced procedural treatments. Tune in to learn about the importance of proper diagnosis, the different causes, get insights into useful tools like SIJ belts, ...

Understanding Pain through Political Lenses: Left, Right, and Center Approaches In this insightful episode of 'It's Not In Your Head' podcast, Dan and Justine discuss the concept of managing chronic pain through political analogies—left wing, right wing, and centrist approaches. They delve into their experiences and observations, identifying different pain patterns and the treatment methodologies that work best for them. The conversation touches on the influence of media on public perception ...

Navigating Difficult Conversations in Chronic Pain Care In this episode of 'It's Not In Your Head,' Dan and Justine discuss the intricacies of managing chronic pain, highlighting the importance of having difficult conversations between patients, caregivers, and medical providers. The episode delves into strategies for effective medical decision-making, including how to prepare for worst-case scenarios, manage communication challenges, and maintain control and clarity in complex m...

Prioritize and Execute: Managing Overwhelm in Chronic Pain In this episode of 'It's Not In Your Head' podcast, Dan and Justine discuss strategies to manage feelings of overwhelm often experienced by chronic pain patients. Using their structured pyramid of owning your care, they explain how to prioritize, execute and delegate tasks so you can take control of both medical decisions and daily aspects of managing pain to more effectively deal with complexity and decrease helplessness. Key ...

In this episode of 'It's Not In Your Head', Dan and Justine delve into the complex relationship between hypermobile Ehlers-Danlos Syndrome (hEDS) and central sensitization, focusing on hEDS as an example of a metabolic driver. Dan shares personal insights from his practice and elaborates on the common patterns and markers identified in patients with hEDS, how it should be diagnosed and treated, and associated challenges. Justine adds her perspective, particularly on the connection between CRP...

Understanding CRPS, Central Sensitization & Neuromodulation | Q&A with Dan and Justine In this episode of 'It's Not In Your Head,' Dan and Justine answer your questions around various aspects of complex chronic pain management, focusing on Complex Regional Pain Syndrome (CRPS) and central sensitization. They delve into the Budapest criteria for diagnosing CRPS, the overlap with central sensitization, and treatments like spinal cord stimulators (SCS) and their pros and cons. Dan...

Understanding Central Sensitization and Chronic Pain Drivers | It's Not In Your Head Podcast In this episode of 'It's Not In Your Head' podcast, Dr. Dan Bates and Justine dive deep into the intricacies of neuroinflammation in chronic pain, focusing on understanding the drivers behind it. They discuss the philosophical challenges in current pain management approaches and how this limits effective communication and treatment. By breaking down central sensitization into seven key areas, t...