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6 Sensitization
Manage episode 417731259 series 3573697
Indhold leveret af Dr. Dan Bates & Justine Feitelson, Dr. Dan Bates, and Justine Feitelson. Alt podcastindhold inklusive episoder, grafik og podcastbeskrivelser uploades og leveres direkte af Dr. Dan Bates & Justine Feitelson, Dr. Dan Bates, and Justine Feitelson eller deres podcastplatformspartner. Hvis du mener, at nogen bruger dit ophavsretligt beskyttede værk uden din tilladelse, kan du følge processen beskrevet her https://da.player.fm/legal.
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:
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
Kapitler
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)
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