Understanding Neuromodulation: Treatments, Techniques, and Trials

In this episode, hosts Dr. Dan Bates and Justine Feitelson dive into the fascinating world of neuromodulation - the last step in their treatment algorithm for neuropathic pain. They discuss this technologies application for managing complex pain, the journey from conservative management to a permanent implant, and the different frequencies or mechanism of action of various types of neuromodulation including traditional spinal cord stimulation, dorsal root ganglion (DRG) stimulation, or peripheral nerve stimulation. This episode is a comprehensive guide for anyone considering or curious about neuromodulation therapy. Listen to learn about various risks, manage expectations, and the multidisciplinary approach necessary for successfully integration of these devices into an overall treatment plan

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

Resources

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

www.resilientwarriorcoachingllc.com

www.drdanbates.com.au

Unraveling Sympathetic Nervous System Procedures | It's Not In Your Head Podcast

In this episode of 'It's Not In Your Head' podcast, cohosts Dr. Dan Bates and Justine Feitelson delve deep into sympathetic injections and how to use them with different pain presentations. They cover the mechanisms and efficacy of specific injections like stellate ganglion blocks, lumbar sympathetic ganglion blocks, and posterior tibial nerve stimulation. They also discuss the application of these blocks to manage complex conditions affecting the sympathetic nervous system such as Complex Regional Pain Syndrome (CRPS), post-traumatic stress disorder (PTSD), chronic pelvic pain, and more. Listen to learn about the risks, benefits, and real-life applications of these interventions as a patient or clinician.

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

Resources

www.iniyh.com/episodes/ep-48-pain-procedures-sympathetic-injections

www.resilientwarriorcoachingllc.com

www.drdanbates.com.au

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 pearls from Dr. Bates' personal journey in mastering this challenging but rewarding treatment in his practice, and to better understand how the procedure works and what outcomes you can really expect as a patient.

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

Resources

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

www.resilientwarriorcoachingllc.com

www.drdanbates.com.au