Welcome to It's Not in Your Head Podcast, with Dan and Juz. Dr. Dan is a Sports Physician and Justine a Pain Coach and patient. We have come together to find ways to manage complex pain better for both patients and providers. New episodes will come out weekly on all major platforms.
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In this episode, Dan and Juz focus on the importance of communicating and assessing pain through the use of pain diagrams, which help both clinicians and patients gain insights into the sources and amplification of their presentation. The hosts go through many different types of back, leg, and neck pain, discussing how this information contributes …
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Agency is crucial as a chronic pain patient - especially when you feel most helpless and scared with pain at its worst. Flares are always difficult to navigate, but they don't have to make you feel so helpless and reactive. What are the phases of a flare, and how can you manage each one? This episode is a critical resource to learn how to identify …
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In this episode, Dan and Justine break down how they each set goals and manage expectations with their patients. We dive into why your 'why' matters, how to connect your purpose to your plan, create discipline, tap into motivation, identify your purpose and cultivate confidence, so patients can better tie their actions to their goals and create lon…
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13 Central Sensitization Algorithm
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In this episode, Dr. Dan and Justine introduce their 'Central Sensitization Algorithm' designed to help healthcare providers diagnose and treat central sensitization and related neuroinflammatory disorders more effectively. The algorithm categorizes symptoms into distinct buckets of nervous system dysfunction, allowing providers to more quickly and…
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In this episode of "It's Not In Your Head," Dan and Justine dive into the nuanced aspects of how to more effectively communicate about pain with patients, focusing on the significance of specific language and its impact on patient outcomes. They caution against phrases that suggest pain is purely psychological and inadvertently blame and shame the …
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Trigger warning: This episode deals with the topic of suicide. Dan and I have an interesting and important discussion that bridges the gap between patients’ clear and obvious frustrations with how different versions of “it’s in your head” affect them and providers’ lack of awareness around the issue. How can this be the case? And how does being tol…
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10 History of Hysteria
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From the uterus, to witchcraft, hypnotism and more, we go through the history of what unexplainable symptoms have been blamed on and how they've been explained through history all the way up to more modern day classifications like Briquette's syndrome, somatoform, conversion, or functional disorders. We tease apart risk factors and other patterns t…
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9 Therapeutic Limitations
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In this episode, we expand upon 'Number Needed to Treat', tying that concept into overall therapeutic limitations and some other examples beyond medications, including one you are definitely going to want to hear about - the effect of pain neuroscience education in and of itself. So how much does understanding pain actually decrease pain? It depend…
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The hard truth is it's normal for treatments, especially medications, not to work. But how many patients do you actually have to treat to improve things for just one even? This is where the concept 'number needed to treat' is critical to better understand so that expectations don't lead to resentments. Managing expectations as a patient is hard, it…
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In this episode, we will bring the different types of pain together in an alternative way to "Pain is a Sound System', introducing 'The Pain Pie' to tease apart the different aspects of pain that contribute to the output of symptoms patients experience. As a provider, you can use this thinking tool to better see the different presentations as you g…
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Learn how central sensitization really presents. And yes, it’s a big deal that is currently essentially glossed over due to the lack of identification and treatments The symptom clusters this type of pain creates long term are diseases caused by the central nervous system. The issue is that we currently lack an effective way to investigate and trea…
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Nociceptive pain, or body part pain, is the most common type of pain. Dr. Dan will break down the differences between somatic and visceral pain within this main category, and get into its different features including Myofacial Pain Mechanical Pain Vascular Pain Justine and Dan will also talk about the different challenges both patients and provider…
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Diagnosing and treating neuropathic pain is very challenging. Now that you understand nociceptive pain, we’ll help you see the clear difference between that and neuropathic presentations. Justine and Dan break down how to best treat different types of pathologies, from first line medications and navigating side effect vs benefits, through fourth li…
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Welcome to the podcast! We are so excited to reveal this project to you. In our initial episode, Dan and I will cover why we called the project "It's Not in Your Head", and what we want to accomplish through it. We get into Justine and Dan’s backgrounds, experience and motivations, how Justine came to develop Resilient Warrior Coaching and her MARS…
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Complex pain is, well, complicated. Explaining it effectively can be even more so. In this episode, Dr. Dan shares his metaphor to think about and better explain pain called, ‘Pain is a Sound System.’ We’ll talk about how the amplification process occurs, (Justine will interrupt us with some “wiggle time”), and we’ll introduce the different types o…
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