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, transforaminal, and caudal epidurals, along with their applications in pain management and diagnostic procedures.

00:00 Introduction and Casual Banter

00:45 Overview of Epidurals

01:49 Types of Epidurals

06:38 Injectables Used in Epidurals

11:07 Complications and Risks of Epidurals

14:21 The Sneaky Nugget: Fish Oil and Bleeding

14:54 Complications of Epidural Procedures

18:32 Understanding Nerve Root Compression

21:15 Post-Procedure Pain Management

23:48 Pulsed Radio Frequency for Pain Relief

26:25 Recovery Tips and Final Thoughts

Resources

www.iniyh.com/episodes/ep-45-pain-procedures-epidurals

www.resilientwarriorcoachingllc.com

www.drdanbates.com.au

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 approaches and techniques used in the procedure, while sharing insights from his practice and recent research developments. Give this episode a listen to learn more about how RFA is performed and who it is best for.

00:00 Introduction and Greetings

00:37 Overview of Today's Topic: Radio Frequency Ablation

01:08 Understanding Sacroiliac Joint Pain

02:24 Diagnostic Blocks and Initial Treatments

03:22 Radio Frequency Neurotomy Procedure

09:19 Techniques and Variations in Radio Frequency Ablation

12:14 Cost and Regional Differences in Procedures

13:07 Conclusion and Upcoming Topics

Resources

www.iniyh.com/episodes/ep-44-pain-procedures-radiofrequency-ablation

www.resilientwarriorcoachingllc.com

www.drdanbates.com.au

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, potential risks, and outcomes. Whether you're dealing with ligament laxity, hypermobility, or sacroiliac joint pain, this episode offers valuable insights into diagnosing, managing and treating SIJ dysfunction.

00:00 Introduction and Greetings

00:51 What is Prolotherapy?

01:26 Sacroiliac Joint Dysfunction Explained

02:29 Prolotherapy Procedure and Techniques

04:01 Types of Sclerosants

05:54 Comparing Prolotherapy and Platelet Rich Plasma (PRP)

08:59 Diagnostic Process and Patient Selection

11:40 Risks and Management of Prolotherapy

14:27 Effectiveness and Duration of Prolotherapy

18:36 Conclusion and Final Thoughts

Resources

www.iniyh.com/episodes/ep-43-pain-procedures-sij-prolotherapy

www.resilientwarriorcoachingllc.com

www.drdanbates.com.au

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 explore the decision-making process for patients, the economic considerations, and the rarity of SIJ fusions in different regions. Tune in for an in-depth look at how to use diagnostic blocks to confirm SIJ dysfunction and arrive at a more specific diagnosis.

00:00 Introduction and Episode Overview

00:55 Understanding Lower Back Pain

01:19 Sacroiliac Joint Injections Explained

02:45 Injection Techniques and Controversies

04:05 Diagnostic Blocks and False Positives

06:21 Therapeutic Options and Health Economics

06:37 Patient Pathways and Decision Making

09:39 Injection Protocols and Follow-Up

12:57 SIJ Fusions and Regional Differences

14:44 Conclusion and Next Episode Teaser

Resources

www.iniyh.com/episodes/ep-42-pain-procedures-sacroiliac-joint-sij-blocks

www.resilientwarriorcoachingllc.com

www.drdanbates.com.au

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 considerations such as the effectiveness of the procedure, follow-up care, and managing post-procedure symptoms. Tune in to learn about a non-invasive yet effective method for treating osteoarthritis pain.

00:00 Introduction and Greetings

00:29 Understanding Facet Joints and Medial Branch Blocks

02:10 Radiofrequency Neurotomy Explained

03:29 Techniques and Variations in Radiofrequency Procedures

06:47 Managing Post-Procedure Pain and Risks

08:31 Special Considerations and Patient Follow-Up

14:01 Advanced Techniques and Future Topics

16:13 Conclusion and Farewell

Resources

www.iniyh.com/episodes/ep-41-pain-procedures-radiofrequency-neurotomy

www.resilientwarriorcoachingllc.com

www.drdanbates.com.au

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 episode offers a detailed look at the diagnostic and procedural process, and the next steps in therapeutic intervention, including radiofrequency ablation. Tune in to understand how to move from a non-specific diagnosis to more targeted treatment that improve patient outcomes.

00:00 Introduction and Episode Overview

00:37 Shifting Focus: From Conservative Management to Interventions

01:24 Understanding Diagnostic Blocks for Lower Back Pain

04:14 Medial Branch Block: Procedure and Purpose

09:09 Evaluating Pain Relief and Next Steps

13:14 Addressing Sensitization and Excluding Causes

14:47 Conclusion and References

Resources

www.iniyh.com/episodes/ep-40-pain-procedures-medial-branch-blocks

www.resilientwarriorcoachingllc.com

www.drdanbates.com.au

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 that impact pain and the common co-existing challenges of anxiety and depression, so they can develop more agency and decrease helplessness.

00:00 Introduction

01:51 Understanding Sensitization and Pain Management

05:05 Exploring Allostatic Load and Stress

10:32 Breathing Techniques for Stress Relief

20:42 Movement and Stress Management

24:37 Overcoming Injury Setbacks

25:38 The Importance of Adaptability with Movement

27:15 Breathing Techniques for Better Health

33:08 Mindfulness and Breathing Integration

38:38 Acceptance and Goal Setting

43:14 Final Thoughts and Resources

Resources

www.iniyh.com/episodes/ep-39-mood-stress-management

www.resilientwarriorcoachingllc.com

www.drdanbates.com.au

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 hydration tips to specialized exercises and medications, this episode is packed with valuable insights to help you identify, manage and mitigate the effects of various forms of dysautonomia.

00:00 Introduction

01:24 Understanding Dysautonomia

04:17 Recognizing Symptoms in Patients

05:16 Types and Presentations of Dysautonomia

08:52 Orthostatic Intolerance

10:28 Gastrointestinal Issues

11:54 Urinary and Secretomotor Symptoms

14:27 Pupillomotor Symptoms

15:10 Sexual Dysfunction and Historical Perspectives

18:17 Management Strategies for Dysautonomia

22:21 Managing Orthostatic Intolerance and Tachycardia

22:55 Second and Third Line Therapies for POTS

24:01 Gastrointestinal Issues and Diet Management

26:23 Engaging with Gastroenterologists and Specialists

34:19 Sympathetic Overdrive and Anxiety Management

40:25 Movement Strategies for Dysautonomia

43:22 Final Thoughts and Patient Empowerment

Resources

www.iniyh.com/episodes/ep-38-dysautonomia

www.resilientwarriorcoachingllc.com

www.drdanbates.com.au