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13 Central Sensitization Algorithm
Manage episode 427253998 series 3573697
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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 efficiently identify and prioritize their treatment plan. By addressing potential pre-existing diagnoses and symptoms, the sensitization algorithm aims to better streamline assessments and improve outcomes for complex patients by creating a clearer picture of an otherwise confusing presentation. The episode highlights the importance of this tool in reducing diagnostic frustration and inadvertent harm, while also empowering patients to better understand and communicate their symptoms.
References:
www.iniyh.com
Timestamps:
00:00 Official Intro
00:17 Intro - How you start to think about it
01:31 Initial Presentation
03:25 Neuropathic / Nociceptive
04:01 Central Sensitization (Other side)
04:45 What is Sensitization?
05:56 How Dan Got Into Hypermobility
08:44 3 Components of Hypermobile EDS
09:18 Two Sides of Central Sensitization
11:03 Justine's Path to Central Sensitization
16:04 Dan's Frown of Frustration
18:57 Looking at the Literature
20:32 7 Main Categories of CS
22:14 Pre-existing Diagnoses
22:37 Disproportionate, prolonged pain
24:24 Symptoms
25:30 Sensory Hypersensitivity
30:22 Sleep Disturbance
34:38 Fatigue
36:47 Cognitive Impairment
40:02 Mood Disturbance
42:46 Motor Dysfunction
45:33 Dysautonomia - Cardiovascular
47:42 Dysautonomia - Gastrointestinal System
48:34 Dysautonomia - Urinary System
49:47 Dysautonomia - Secretor Motor System
50:49 Dysautonomia - Reproductive System
52:22 Assessment
54:31 What do we do as Doctors? What is driving this patient's CS?
57:57 Final Points
01:00:13 Disclaimer
Chapters
1. Official Intro (00:00:00)
2. Intro - How you start to think about it. (00:00:17)
3. Initial Presentation (00:01:31)
4. Neuropathic / Nociceptive (00:03:25)
5. Cental Sensitization (Other side) (00:04:01)
6. What is sensitazation? (00:04:45)
7. Hypermobile Community found Dan (00:05:56)
8. 3 Components of Hypermobile EDS (00:08:44)
9. 2 sides of Central Sensitization (00:09:18)
10. Justine's Path to Central Sensitization (00:11:03)
11. Dan's Frown (00:16:04)
12. Looking at the liturature (00:18:57)
13. 7 Main Categories of CS (00:20:32)
14. Pre-existing Diagnoses (00:22:14)
15. Disproportionate, prolonged pain (00:22:37)
16. Symptoms (00:24:24)
17. Sensory Hypersesitvity (00:25:30)
18. Sleep Disturbance (00:30:22)
19. Fatigue (00:34:38)
20. Cognitive Impairment (00:36:47)
21. Mood Disturbance (00:40:02)
22. Motor Dysfunction (00:42:46)
23. Dysautonomia - Cardiovascular (00:45:33)
24. Dysautonomia - Gastrointsetinal System (00:47:42)
25. Dysautonomia - Urinary System (00:48:34)
26. Dysautonomia - Secretor Motor System (00:49:47)
27. Dysautonomia - Reproductive System (00:50:49)
28. Assessment (00:52:22)
29. What do we do as Doctors? What is driving this patient's CS? (00:54:31)
30. Final Points (00:57:57)
31. Disclaimer (01:00:13)
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