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 to goal setting and tracking progress in pain management. Unfortunately, the data on diagrams makes it seems as though they are useless - but that is if they are drawn in such a fashion. Pain diagrams when done with a clear, consistent key can provide a visual representation of the pathologies driving pain, allowing patients to turn the invisible, visible. Clinicians can then better identify underlying nociceptive and neuropathic components, and amplifying factors, so they can more effectively diagnose and treat. Listen to learn how to draw you pain better as a patient and provider.

Resources:

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Timestamps:

00:00 Official Intro

00:17 Intro to How to Draw Pain Diagrams

03:03 Where is it? What does it feel like? What's made it worse?

04:26 Turn the Invisible, Visible

06:11 Useless Pain Drawings

07:17 Pain Key

08:51 Plain Neuropathy

09:32 Patient that's Sensitized

12:36 Five Major Causes of Lower Back Pain

17:11 Overlap - Medical Blocks & Other pain

20:15 How do we draw backs?

20:26 Facet joint pain

21:40 SI Joint Inflammatory

23:10 SIJ Osteoarthritis

24:05 SI Joint Dysfunction

27:48 S1 Nerve Compression

28:09 L5 Nerve Root

28:49 L4 Nerve Root

29:04 L3 Nerve Root

32:04 C4 Nerve Root

32:26 C5 Nerve Root

32:45 C6 Nerve Root

33:14 C7 Nerve Root

33:46 C8 Nerve Root

34:57 C1 - 2 Facet

35:13 C2 - 3 Facet

35:49 C3 - 4 Facet

36:02 C4 - 5 Facet

36:12 C5 -6 Facet

36:44 C6 - 7 Facet

37:17 C2 - 3 & C5 - 6 Whiplash

37:38 Pathologies of Neuropathic Pain

37:59 Focal Nerve Entrapment

38:28 Peripheral Nerve - Superficial Peroneal

39:22 Diabetic Peripheral Neuropathy

40:28 Myofascial Triggers

41:57 Multiple Diagnoses

44:39 Multiple Sites

46:24 When Patients come back with Pain

48:24 Cervical Instability

49:42 Recap

53:55 Disclaimer