Neuromodulation represents the most advanced tier of the neuropathic pain treatment algorithm, and this episode is a comprehensive guide to navigating it. Dr. Dan Bates and Justine Feitelson cover the full journey from conservative management to permanent implant, explaining the mechanisms behind:

• Traditional spinal cord stimulation (SCS)
• Dorsal root ganglion (DRG) stimulation
• Peripheral nerve stimulation

Listeners learn how to manage expectations, understand the trial process, and recognize the multidisciplinary approach required for successful device integration into an overall pain management plan.

Resources:

www.iniyh.com/episodes/ep-49-pain-procedures-neuromodulation

www.resilientwarriorcoachingllc.com

www.drdanbates.com.au

Timestamps:

00:00 Introduction and Greetings

00:57 Disclosures and Research/Teaching Background

01:54 Understanding Neuromodulation and Expectations

04:58 Neuromodulation Techniques and Frequencies

06:56 Types of Neuromodulation and Pain Applications

14:27 Spinal Cord Stimulation Trial Process and Evaluation

19:33 Short-Term Risks and Potential Complications

22:44 Conclusion and Final Thoughts

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

Basivertebral nerve ablation (BVNA) is an emerging procedural option for a specific and often undertreated cause of chronic back pain: discogenic, or vertebral endplate pain. This episode covers the science behind the procedure, how to identify appropriate candidates, what outcomes patients can realistically expect, and the risks involved. Dr. Bates shares clinical pearls from his own experience mastering BVNA in practice, making this episode especially valuable for clinicians considering adding the procedure and for patients exploring their interventional options.

Resources:

www.iniyh.com/episodes/ep-46-pain-procedures-basivertebral-nerve-ablation

www.resilientwarriorcoachingllc.com

www.drdanbates.com.au

Timestamps:

00:00 Introduction and Greetings

00:56 Today's Topic: Basivertebral Nerve Ablation

01:10 Disclosures and Biases

02:39 Understanding Discogenic Pain and Impacts of Kinesiophobia

06:16 Procedure Overview and Differences from SIJ Radiofrequency

08:56 Dan's Personal Journey with BVNA

11:37 Clinical Data and Effectiveness

16:54 Risks and Post-Procedure Care

22:05 Conclusion and Final Thoughts