6 Sensitization It's Not In Your Head podcast

1M ago 36:50

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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 treat the various ways nervous system dysfunction impacts patients beyond the accepted definition of nociplastic pain.

We share our model for categorizing central sensitization currently into various buckets including but not limited to:

Sensory Hypersensitivity
Sleep and Fatigue Disturbance
Cognitive Dysfunction
Mood Disturbance
Dysautonomias
Motor dysfunction (since added)

All of these being largely undefined and not connected, lead patients down a rabbit hole of diagnoses. What we need instead, is a language to talk about symptoms providers are able to pull out of the patients' summary so we can efficiently investigate, and go through first to third line interventions with this presentations just like other types of pain.

We’ll go through an example of first and second line management strategies with sleep disturbance and orthostatic intolerance so you get a sense of how we prioritize interventions, and can attack these vague yet persistent symptoms much more effectively as a patient or provider.
Resources:

www.iniyh.com

https://www.instagram.com/iniyhpodcast/

https://www.resilientwarriorcoachingllc.com/

https://www.drdanbates.com.au/
Timestamps:

00:00 Official Intro

00:17 Intro to Central Sensitization

03:19 Review of 3 Types of Pain

05:55 How Central Sensitization Presents

08:43 Diseases caused by CS

10:11 Categorize CS

10:32 1 Sensory Hypersensitivity

11:23 2 Sleep Disturbance

12:39 3 Cognitive Dysfunction

13:19 4 Mood Dysfunction

13:58 5 Dysautonomias

15:24 You end up with a cocktail of diagnosies

16:37 This gives you language to talk about symptoms

17:15 Example of First Line Management - Sleep Disturbamce

21:19 Second Line Perspective - Sleep Disturbance

22:58 First Line - Orthostatic Intolerance

24:21 Second Line - Orthostatic Intolerance

25:50 You have to ASK the Patient

29:48 CS is such a BIG deal

30:19 Final Thoughts - Look for the Comorbid Diseases

36:21 Disclaimer

Chapters

1. Official Intro (00:00:00)

2. Intro to Central Sensitization (00:00:17)

3. Review of 3 Types of Pain (00:03:19)

4. How Central Sensitization Presents (00:05:55)

5. Diseases caused by CS (00:08:43)

6. Categorize CS (00:10:11)

7. 1 Sensory Hypersensitivity (00:10:32)

8. 2 Sleep Disturbance (00:11:23)

9. 3 Cognitive Dysfunction (00:12:39)

10. 4 Mood Dysfunction (00:13:19)

11. 5 Dysautonomias (00:13:58)

12. You end up with a cocktail of diagnosies (00:15:24)

13. This gives you language to talk about symptoms (00:16:37)

14. Example of First Line Management - Sleep Disturbamce (00:17:15)

15. Second Line Perspective - Sleep Disturbance (00:21:19)

16. First Line - Orthostatic Intolerance (00:22:58)

17. Second Line - Orthostatic Intolerance (00:24:21)

18. You have to ASK the Patient (00:25:50)

19. CS is such a BIG deal (00:29:48)

20. Final Thoughts - Look for the Comorbid Diseases (00:30:19)

21. Disclaimer (00:36:21)

11 episodes