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

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 like grief and loneliness surrounding holidays. Tune in for practical advice to navigate the holidays this season with more ease and less pain.

00:00 Introduction and Hosts' Banter

01:00 Episode Focus: Managing Pain During the Holidays

02:52 Strategies for Managing Flares

06:28 Maintaining Routine and Self-Care

13:39 Travel Tips for Pain Management

15:57 Using Mobility Aids and Movement Management

18:04 Dan's Vacation Management Strategy

18:28 Maintaining Progress During Holidays

19:56 Movement Snacks and Stability Exercises

21:09 Returning to Exercise After a Break

23:04 Managing Family Stress During Holidays

25:50 Coping with Loneliness and Grief

30:22 Doctors on Holiday: Planning Ahead

34:23 Final Thoughts and Holiday Wishes

Resources

www.iniyh.com/episodes/ep-46-strategies-to-navigate-the-holidays

www.resilientwarriorcoachingllc.com

www.drdanbates.com.au

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