Podcasts about crps

Welcome to Pain-Bytes, a bite-sized extension of The Pain Game Podcast! Hosted by our wild and crazy, Lyndsay Soprano, these drop every Friday and serve up small but mighty dose of real talk. Whether it's chronic pain, emotional chaos, unexpected wins, or everything in between—this is the space to say it out loud and be heard. Each Pain-Byte lets you in on a moment (or meltdown) from your week—because pain “bytes” but also…life bites back.  Lyndsay is also calling on YOU—our VIPs—to submit your wins, losses, struggles, celebrations, and everything in between. Whether it's a DM, email, or voice memo, let's share the load and spread some light.Because here, you are seen, heard, and held—even if it's just for a byte.

Send us a textIn this episode Ryan sits down with Lexi Chambers, an adaptive athlete who has shattered expectations and set multiple world records—all while using a standard NHS wheelchair. After a below-the-knee amputation due to Complex Regional Pain Syndrome (CRPS), Lexi refused to let disability define her. Instead, she turned to endurance sports, becoming the first person to wheel from John O'Groats to Land's End (1,500km) in an everyday wheelchair. Now, she's preparing for 10 ultramarathons in 10 days (50km/day) and an even bigger challenge: wheeling coast-to-coast across the USA (5,000km) in 2027.Lexi shares her journey of resilience, how sport became her therapy, and her mission to inspire others to embrace movement—no matter their circumstances.What You'll Hear- Lexi's life-changing CRPS diagnosis, amputation, and why she refused to hang up her athletic dreams- How a kitchen “test spin” led to her first world record and eventually wheeling John O'Groats → Land's End in a standard NHS chair- The surprising role of extreme training as pain therapy and mental escape- Balancing a punishing training schedule, gruelling winds, and 4 am starts—plus the “test weeks” that make or break prep- Building and motivating a novice event-planning crew to pull off “impossible” challenges- Lessons learned fundraising hundreds of thousands, nailing keynote speeches, and embracing vulnerability on stage- Upcoming feats: 10×50 km ultramarathons in 10 days for Rugby World Cup charity, then a 5 000 km coast-to-coast across the U.S.- Lexi's simple message to anyone doubting themselves: you never know what you can do until you tryReady to rethink your limits? Tune in and get inspired to take that first (or next) rotation.

We're rereleasing an episode from our original coverage of the Kowalski case that was published on 11/7/2023. *** With a verdict in the case days away, host Andrea Dunlop unpacks some of what's happened so far in the Kowalski v Johns Hopkins All Childrens trial with lawyer and trial consultant Jonathan Leach. They analyze the dueling opening statements, consider what each side is likely to look for in jurors, and which of the charges—if any—might be most viable.   Andrea shares insights on the lawyers after watching their interactions in court. She also weighs in on the extensive medical testimony so far, including a major revelation about the origins of Maya's controversial CRPS diagnosis. We also share a chilling account of Maya's ketamine coma that was shared in court via missives written by Beata herself.   As both sides begin their closing arguments Andrea weighs the merits of what each side has told the jury and considers what the ramifications of the imminent verdict might be.  *** To support the show, subscribe on ⁠Apple Podcast⁠s or go to ⁠Patreon.com/NobodyShouldBelieveMe⁠ where you can listen to exclusive bonus content and access all episodes early and ad-free, including weekly recaps of the Kowalski trial.   Follow host Andrea Dunlop on Instagram for behind-the-scenes photos: ⁠@andreadunlop⁠  Buy Andrea's ⁠books here⁠.  For more information and resources on Munchausen by Proxy, please visit ⁠MunchausenSupport.com⁠  Download the ⁠APSAC's practice guidelines here⁠.  ***  Click ⁠here⁠ to view our sponsors. Remember that using our codes helps advertisers know you're listening and helps us keep making the show! Learn more about your ad choices. Visit podcastchoices.com/adchoices

Dr. Jack Cush reviews the news, journal reports and lupus highlights from the past week on RheumNow.com. Triple positivity, the gut and CRPS, and hope for better outcomes with Vitamin D therapy.

Everyone Should Have Someone To Talk To About Their Money & Other Important Lessons From A $3B FirmErnest Csak CFP Main Street Financial Solutions with over $3B in AUM Guest:Ernest M. Csak, CFP® Main Street Financial Solutions, LLCWebsite: www.msfsolutions.comBioErnest Csak, CFP®, CRPS®, CPFA® worked in the financial services field since 1995. Prior to joining Main Street Financial Services, Ernie worked at Merrill Lynch for 10 years, serving individual, family, and estate planning needs, as well as managing corporate retirement plans. Ernie has experienced various market cycles, enabling to him to help his clients remain focused on the long-term.Ernie brings an unparalleled enthusiasm in helping people understand the importance of a solid financial plan. He prides himself on having a great way of explaining financial matters that are easy to understand.As a result of an ever-present desire to grow professionally, he secured his CFP® certification in 2016, to further solidify his commitment in serving his clients need for financial planning. Working as a fiduciary is very important to Ernie, which is why he joined MSFS.Ernie graduated from SUNY Albany with a bachelor's degree in economics. He is fluent in German and is an avid chess player. He lives with his wife and 3 dogs, and you can frequently find them taking in baseball games.Disclaimer: Investment advisory services offered through Main Street Financial Solutions LLC. This material has been prepared for informational purposes only and is not intended to provide, and should not be relied upon for, tax, legal or accounting advice. For important disclosures about Main Street Financial Solutions, LLC, including our Part 3 Relationship Summary (“Form CRS”), please visit https://adviserinfo.sec.gov/firm/summary/305834.

What do you do when your pain becomes so intense, so overwhelming, that the only place left to turn is the emergency room—and even that doesn't feel safe?In this raw and revealing episode, Lyndsay Soprano opens up about her own lived experience with chronic pain, including CRPS and Lyme disease, and the harsh reality of seeking help in an emergency medical system that often doesn't know what to do with people like her. The ER isn't always a place of comfort—it can be cold, dismissive, and downright dangerous when you're already at your breaking point.She's joined by Dr. Jim Keany, an emergency physician who brings honesty and insight to the conversation. Together, they unpack the disconnect between chronic pain patients and emergency care providers, the emotional toll of pain that goes far beyond the physical, and the desperate need for a healthcare system that sees people as whole humans—not just symptoms.Lyndsay and Dr. Keany discuss the deeper layers of chronic pain—how trauma can amplify it, how isolation can worsen it, and how the system often misses the mark. They touch on the struggles of medication management, the power of journaling, and how tools like hypnosis can actually help. Most of all, they stress the importance of treating the whole person, not just the symptoms. With empathy, advocacy, and even a little hope, healing becomes more possible.If you've ever felt dismissed, gaslit, or broken by your pain—or by the people meant to help you, this episode is for you.Find Dr. Jim Keany Online Here:LinkedIn: Dr. Jim KeanyFind The Pain Game Podcast Online Here:Website: thepaingamepodcast.comInstagram: @thepaingamepodcastFacebook: The Pain Game PodcastEpisode Highlights:(00:00) Introduction to Chronic Pain and Trauma(03:04) Emergency Situations and Pain Management(05:54) The Role of Emergency Medicine in Chronic Pain(08:48) Understanding Pain: Psychological and Physical Aspects(12:00) Navigating the Healthcare System(14:57) Alternative Pain Management Strategies(17:51) The Importance of Whole Person Care(21:00) Supporting Loved Ones in Chronic Pain(23:54) The Role of Journaling in Pain Management(26:50) Global Perspectives on Pain and Suffering(30:03) Hope and Future in Pain Management

Have you ever heard a "crazy God story"??  Well, you hear plenty of them here, but there are TONS AND TONS of them all around.  People love to share them.  Today you'll meet Chris Randall who has the IG @crazygodstory as well as a daily Patreon devotional Monday through Friday.  It was truly a joy to interview him and bring you this interview.Be blessed!Scripture mentioned:1 Cor 11:1        Ps 119         Eph 1:6     Heb 4:15-17   1 Cor 12:11-12Phil 2:12, 13        Act 1:8     John 10      Heb 11:6         2 Cor 1:3  2 Cor 4Hebrews 2:1     2 Peter 1:13Reach Out to Me:Website: www.dontignorethenudge.comPatreon: www.patreon.com/dontignorethenudgeIG: @dontignorethenudgepodcastPrivate FB group to WATCH interviews: www.dontignorethenudge.com/facebook__________________________________________________________________________________________Business/Personal Coaching with Cori:www.corifreeman.com(951) 923-2674

Have you ever heard a "crazy God story"??  Well, you hear plenty of them here, but there are TONS AND TONS of them all around.  People love to share them.  Today you'll meet Chris Randall who has the IG @crazygodstory as well as a daily Patreon devotional Monday through Friday.  It was truly a joy to interview him and bring you this interview.Be blessed!Scripture mentioned:1 Cor 11:1        Ps 119         Eph 1:6     Heb 4:15-17   1 Cor 12:11-12Phil 2:12, 13        Act 1:8     John 10      Heb 11:6         2 Cor 1:3  2 Cor 4Hebrews 2:1     2 Peter 1:13Reach Out to Me:Website: www.dontignorethenudge.comPatreon: www.patreon.com/dontignorethenudgeIG: @dontignorethenudgepodcastPrivate FB group to WATCH interviews: www.dontignorethenudge.com/facebook__________________________________________________________________________________________Business/Personal Coaching with Cori:www.corifreeman.com(951) 923-2674

In the first part of our four part Case Files series diving into the upcoming lawsuit against Rady Children's in San Diego, Andrea and Dr. Bex start with looking into preteen Madison Meyer's string of diagnoses like Ehlers-Danlos syndrome, POTS, CRPS, and more. They break down what these conditions are and why they - coupled with Madison's rapid decline - raised red flags.  *** Follow Dr. Bex on instagram: @secretdoctorbex Order Andrea's new book The Mother Next Door: Medicine, Deception, and Munchausen by Proxy.  Click here to view our sponsors. Remember that using our codes helps advertisers know you're listening and helps us keep making the show!   Subscribe on YouTube where we have full episodes and lots of bonus content.  Follow Andrea on Instagram: @andreadunlop Buy Andrea's books here.  For more information and resources on Munchausen by Proxy, please visit MunchausenSupport.com The American Professional Society on the Abuse of Children's MBP Practice Guidelines can be downloaded here. Learn more about your ad choices. Visit podcastchoices.com/adchoices

If you've ever asked yourself, "Why am I in so much pain - even when I've been doing all the things I've been told to do?" You're not alone. In this episode, we dive deep into understanding why you hurt with the neuroscience of chronic pain. Discover how your brain and nervous system play a critical role in how pain is created and amplified—often long after an injury has healed.We'll break down complex pain science into simple, relatable language and explore why pain persists even after doing all the things (medications, surgery, procedures, physiotherapy, etc). You'll also learn of the often overlooked role of the nervous system on pain.Whether you're living with fibromyalgia, low back pain, TMJ, Painful pelvic syndrome, CRPS, EDS or other chronic pain conditions —this episode will help you begin to understand why you hurt and what might really be going on beneath the surface.Curious if you have overactive pain pathways keeping you stuck in stubborn pain? Take our Quiz Here to learn more about your stubborn pain.Rate, Review, & Follow on Apple Podcasts“I love Deana's message inside The Chronic Pain Experience Podcast”

With over 25 years of experience in financial services, Kelly has a passion for helping employers optimize their retirement plans and empower their employees to achieve financial security and retire with confidence. Combining financial expertise with wellness coaching, Kelly enjoys crafting comprehensive strategies that support employees throughout their health and wealth journey. She holds key certifications in fiduciary retirement plan management (AIF, QPFC, CRPS) as well as functional health and wellness coaching (NBC-HWC, A-CFHC), enabling her to implement a whole-person strategy in retirement plan management.She has also been recognized twice by The Financial Times, in September 2015 & 2016, as one of the “Top 401 Financial Advisers” in the 401(k) field and by NAPA, the National Association of Plan Advisors, as a 2017 and 2019 Top Woman Advisor All-Star in the retirement plan industry.In this episode, Eric and Kelly Majdan discuss:Signs of success in financial wellness programsUnderstanding employees' needs The true measure of financial wellness program success Focus on the people, not the numbers Key Takeaways:Financial wellness programs should expect 5-15% engagement initially, which is actually a sign of success, not failure. The goal is to help employees move through different stages of behavioral change at their own pace.Understanding employees' needs is critical - start with a comprehensive survey to identify what financial topics are most important to your workforce, and design programs that meet them where they are in their financial journey.Measuring success goes beyond traditional metrics. Look at engagement indicators like webinar attendance, article clicks, survey participation, and gradually expanding program participation over 2-3 years.The most important approach is remembering that wellness programs are about people, not just numbers. Connect with employees personally, provide hope through success stories, and create supportive, ongoing resources that recognize individuals are at different stages of financial readiness.“Remember, you're dealing with people. Remember that they're not participants, they're not employees, they're not co-workers, they're not associates, they're people. Connect with them where they are and see them as the people that they are in front of you.” - Kelly MajdanConnect with Kelly Majdan:Website: https://www.onedigital.com/ LinkedIn: https://www.linkedin.com/in/kellymajdan/ Connect with Eric Dyson: Website: https://90northllc.com/Phone: 940-248-4800Email: contact@90northllc.com LinkedIn: https://www.linkedin.com/in/401kguy/ The information and content of this podcast is general in nature and is provided solely for educational and informational purposes. It is believed to be accurate and reliable as of the posting date but may be subject to change.It is not intended to provide a specific recommendation for any type of product or service discussed in this presentation or to provide any warranties, investment advice, financial advice, tax, plan design or legal advice (unless otherwise specifically indicated). Please consult your own independent advisor as to any investment, tax, or legal statements made.The specific facts and circumstances of all qualified plans can vary and the information contained in this podcast may or may not apply to your individual circumstances or to your plan or client plan-specific circumstances.

We Sit down and chat wth Rick of CRPS, Canada preimer Precision Rifle Rimfire league to talk aboout the upcoming season. new gear. new events and much more !

Die Kowalskis suchen in einem Krankenhaus Hilfe für ihre Tochter Maya. Maya ist schwer an CRPS erkrankt und braucht aufgrund dieser Erkrankung spezielle Hilfe. Was dann beginnt, ist ein Spießrutenlauf, der für ein Familienmitglied tödlich enden wird.In der dieser Folge geht es um Suizid, falls dich dieses Thema belastet, solltest du die Folge überspringen oder nicht alleine hören.Solltest du selbst, oder jemand in deinem Umfeld unter Suizidgedanken leiden, kannst du dich jederzeit an folgende Stelle wenden:Telefonseelsorge 0800 1110111 oder 0800 1110222du kannst aber auch unter https://www.telefonseelsorge.de/ per Chat Hilfe bekommen, falls du nicht telefonieren möchtest.Um Tickets für unser erste Liveshow zu erhalten, könnt ihr folgenden Link verwenden:https://tickets.190a.de/event/mordgefluster-live-beim-poddifest-koln-lba6gn Hosted on Acast. See acast.com/privacy for more information.

Natural Approaches to Pain Management with Dr. Jacob Teitelbaum, a renowned expert in treating chronic pain, fibromyalgia, and post-viral chronic fatigue syndrome (CFS). Dr. Teitelbaum discusses his latest book, 'You Can Heal from Long COVID,' and highlights insights from his well-known 'Fatigue to Fantastic' series. The conversation delves into the limitations and dangers of traditional opioid treatments for pain and proposes natural alternatives. They explore various types of pain, including muscle pain, inflammatory pain, neuropathy, migraine, and CRPS, emphasizing natural remedies like PEA, curcumin, Boswellia, and nutritional support through the SHINE protocol. The episode also touches upon current healthcare challenges and the potential for systemic change. Learn more at www.Vitality101.com and www.EndFatigue.com. 

On this episode of CFO at Home, Vince's guest is Kurt Altrichter, the founder of Ivory Hill, a fee-only fiduciary financial advisory firm. Kurt and Vince discuss the importance of managing cash flow, understanding risk tolerance, and the often-overlooked "do nothing risk" of not investing. Kurt also provides insights into the challenges faced by individuals who are hesitant to invest and the value of having a financial advisor to navigate market volatility. You can learn more about Kurt and Ivory Hill by going to IvoryHill.com. Key Topics:   Challenges Faced by Non-Investors  The Importance of Cash Flow and Risk Tolerance  Understanding "Do Nothing Risk" and Inflation  The Role of a Financial Advisor  Selecting the Right Financial Advisor  Managing Emotions in Investing Key Links: Ivory Hill Instagram - Kurt S. Altrichter (@kurtsaltrichter) • Instagram photos and videos Facebook - https://www.facebook.com/kurt.altrichter Follow Kurt on Twitter Kurt S. Altrichter, CRPS® (@kurtsaltrichter) / X Explore Kurt's insights on Substack https://substack.com/@kurtsaltrichter Contact the Host - vince@thecfoathome.com  

In this bitesized episode, elite sports sleep coach Nick Littlehales reveals his groundbreaking approach to sleep and recovery. Nick has worked with a number of the biggest football clubs on the planet including Manchester united, Manchester City, Liverpool, Team Sky and medal winning Olympic and Paralympic athletes. Learn how to structure your day using 90-minute cycles and controlled recovery periods to optimise your performance, just like top athletes do. Featuring: Nick's method of dividing the day into 90-minute cycles The importance of a consistent wake time How to plan sleep cycles and adapt to unexpected events The concept of "controlled recovery periods" (CRPs) or strategic naps Aligning sleep patterns with natural circadian rhythms Book Release I'm excited to announce the paperback edition of my book, Champion Thinking: Get Out of Your Own Way, Find Your Peak Performance, is now available. Published by Bloomsbury, the link is here: https://www.simonmundie.com/book

Welcome to our new series, Voices from the Workplace, where we explore various industries through the lens of leaders and experts who see their careers as a key way to serve others and fulfill God's purposes. In this inaugural episode, we focus on the Investment Industry, examining how professionals approach equity and treasure with intentionality and faith. Our guests include Matt Monson, Partner and Portfolio Manager at Sovereign's Capital, a faith-driven investment fund, and Brandon Roop, CFP®, CRPS®, Vice President, Senior Investment Advisor, and Partner at Donaldson Capital Management (DCM). Matt and Brandon discuss how their faith informs their decisions in managing investment funds, helping others view their finances through a biblical perspective, and shaping the next generation of leaders in the industry. Do you like The Faith & Work Podcast? Be sure to subscribe! Now available on iTunes and Spotify. Highlights On Fear: "Two thirds of people are more afraid of living broke than they are of death." - Brandon Roop On Generosity "You can't out-give God "- Matt Monson "Do you want the blessing on the net or the gross?" -Brandon Roop   “His master replied, ‘Well done, good and faithful servant! You have been faithful with a few things; I will put you in charge of many things. Come and share your master's happiness!" (NIV) - Matthew 25:21 Resources Download the episode transcript Sovereigns Capital Donaldson Capital Management For further Exploration on Investing... Innovest  Eventide Thrivent Brightlight Kingdom Advisors National Christian Foundation

If you received an inheritance this year, you won't want to miss this episode. Laurence Hale, AAMS®, CRPS® shares tips and insights on how to pay less taxes on the inheritance, so you can make the most of the financial gift you've been given. - Subscribe to the You and Your Money podcast- Follow us on Facebook, Instagram, LinkedIn and YouTube- See how we can create a tailored financial strategy to help you live with Absolute Confidence, Unwavering Partnership, For Life: whzwealth.com

Today, we had the opportunity to hear Debbie's Chronic Pain story, a patient from the United States who is using Low Dose Naltrexone (LDN) for chronic regional pain syndrome (CRPS). Debbie recounted going back to when she was seven years old and suffered a knee injury, leading to a series of medical interventions. Despite numerous surgical procedures, the chronic pain persisted, and she endured multiple operations without finding relief. Eventually, Debbie was diagnosed with CRPS, marking the beginning of her battle with persistent pain. In her treatment process, Debbie started LDN with an initial dose of 1 milligram, which later required adjustment due to stomach-related issues. After starting on a lower dose and gradually increasing, Debbie noted an improvement in her condition. It took approximately six months for her to fully appreciate the benefits of LDN, which has helped manage her pain levels, albeit not without fluctuations. Debbie's account emphasizes the potential efficacy of LDN in alleviating chronic pain, and her testimonial underscores the importance of individualized dosing and gradual titration to mitigate adverse effects. This insight highlights the significance of personalized treatment strategies in managing chronic pain. Overall, Debbie's experience serves as a valuable anecdote for healthcare professionals and patients alike, shedding light on the complexities of chronic pain management and the promising role of LDN.For information on LDN, go to https://linktr.ee/ldnrtOur webinars and training courses can be purchased from https://www.ldnrtevents.com/collections/webinars-and-training-coursesWe have a list of LDN Q&As on our website https://ldnresearchtrust.org/questions-and-answersVisit our website, which is packed with information on Low Dose Naltrexone (LDN) for Autoimmune Conditions, Cancers, Chronic Pain, Women's Health and more. www.ldnresearchtrust.orgWe have a very active FB Closed Group https://www.facebook.com/groups/LDNRT/

Frank Tighe is a Senior Retirement Sales Director for large market plans in the South/Central region at T. Rowe Price Retirement Plan Services. With financial services experience dating back to 1994, he joined T. Rowe Price in 2024. Frank has extensive experience supporting corporate retirement plans, including roles in investment consulting, recordkeeping sales, and investment advisory support at firms like Wells Fargo, Mercer, Newport Group, Hartford Funds, and American Century Investments. A graduate of the University of Houston, Frank holds Series 7 licensing and certifications as a Certified Plan Fiduciary Advisor (CPFA) and Accredited Investment Fiduciary (AIF).Corey Pride is a Senior Retirement Sales Executive in Core Markets of Retirement Plan Services at T. Rowe Price. With investment experience since 1996, he joined T. Rowe Price in 2023 after seven years at J.P. Morgan Asset Management, where he specialized in retirement plan services. Corey's expertise spans 401(k), 403(b), and nonqualified deferred compensation plans, enabling him to develop effective strategies for strengthening retirement plans for businesses of all sizes. Corey holds a Bachelor of Arts in International Studies from Texas A&M University and several professional designations, including CPFA, NQPA, CRPS, and Chartered Financial Consultant. Passionate about addressing the retirement readiness crisis, he collaborates with financial professionals and companies to create impactful solutions.In this episode, Eric, Frank Tighe, and Corey Pride discuss:Driving an objective evaluation process The right approach to the RFP processGuidelines on considering record keepers Encouraging better outcomes through engagement Key Takeaways:Clearly define challenges, goals, and participant needs to ensure an objective evaluation, free from biases like favoring current providers or skipping presentations. Prioritize participant experience, technology access, and clear metrics.Approach the RFP process rigorously to evaluate new technologies, services, and pricing while addressing changing plan needs. Avoid inertia from periodic reviews and use customized, goal-driven RFPs instead of generic templates.Consider record keepers with personalized, targeted communication leveraging AI for better participant engagement and outcomes. The target-date fund (TDF) search could possibly precede the record-keeper search, focusing on participants' needs for the largest plan assets first. Personalized video technology boosts engagement and outcomes. Ensure clear requirements, address committee biases, and prioritize investment analysis before selecting a record keeper.“You really have to focus on the best decision for your participants, minus all the noise and all the other bells and whistles that may come from those extraneous services.” - Corey PrideConnect with Frank Tighe:LinkedIn: https://www.linkedin.com/in/frankjtighe/ Connect with Corey Pride:LinkedIn: https://www.linkedin.com/in/corey-pride/ Connect with Eric Dyson: Website: https://90northllc.com/Phone: 940-248-4800Email: contact@90northllc.com LinkedIn: https://www.linkedin.com/in/401kguy/ The information and content of this podcast is general in nature and is provided solely for educational and informational purposes. It is believed to be accurate and reliable as of the posting date but may be subject to changeIt is not intended to provide a specific recommendation for any type of product or service discussed in this presentation or to provide any warranties, investment advice, financial advice, tax, plan design or legal advice (unless otherwise specifically indicated). Please consult your own independent advisor as to any investment, tax, or legal statements made.The specific facts and circumstances of all qualified plans can vary and the information contained in this podcast may or may not apply to your individual circumstances or to your plan or client plan-specific circumstances.

This is episode 2 of the series: Chronic Illness to Remission: Navigating the New NormalEpisode 1: In this episode, Dr. Candace Pierce and her daughter Judah share their inspiring journey with Complex Regional Pain Syndrome (CRPS), highlighting Judah's recent remission. They delve into the challenges faced, emotions experienced, and the crucial support they received, emphasizing the importance of understanding and acknowledging the pain of patients with rare disorders like CRPS. The discussion also covers the need for healthcare providers to reevaluate their approach to treating patients with these complex conditions.   Episode 2: In this episode, Candace and Judah share their experiences managing the challenges of an invisible illness like CRPS, discussing everything from the disbelief of others to the struggle of finding proper medical care. Candace recounts a harrowing story of a doctor blaming her for Judah's condition, emphasizing the need for understanding and support from both healthcare providers and loved ones. They highlight the emotional journey of adjusting to life in remission and the crucial importance of finding a supportive community.  ---Nurses may be able to complete an accredited CE activity featuring content from this podcast and earn CE hours provided from Elite Learning by Colibri Healthcare. For more information, click hereAlready an Elite Member? Login hereLearn more about CE Podcasts from Elite Learning by Colibri HealthcareView Episode TranscriptView this podcast course on Elite LearningSeries:  Chronic Illness to Remission: Navigating the New Normal

This is episode 1 of the series: Chronic Illness to Remission: Navigating the New NormalEpisode 1: In this episode, Dr. Candace Pierce and her daughter Judah share their inspiring journey with Complex Regional Pain Syndrome (CRPS), highlighting Judah's recent remission. They delve into the challenges faced, emotions experienced, and the crucial support they received, emphasizing the importance of understanding and acknowledging the pain of patients with rare disorders like CRPS. The discussion also covers the need for healthcare providers to reevaluate their approach to treating patients with these complex conditions.   Episode 2: In this episode, Candace and Judah share their experiences managing the challenges of an invisible illness like CRPS, discussing everything from the disbelief of others to the struggle of finding proper medical care. Candace recounts a harrowing story of a doctor blaming her for Judah's condition, emphasizing the need for understanding and support from both healthcare providers and loved ones. They highlight the emotional journey of adjusting to life in remission and the crucial importance of finding a supportive community.   ---Nurses may be able to complete an accredited CE activity featuring content from this podcast and earn CE hours provided from Elite Learning by Colibri Healthcare. For more information, click hereAlready an Elite Member? Login hereLearn more about CE Podcasts from Elite Learning by Colibri HealthcareView Episode TranscriptView this podcast course on Elite LearningSeries:  Chronic Illness to Remission: Navigating the New Normal

Our guest this week is Christine James.  Christine is a mother to two daughters, 19 and 23, a nurse of 8 ½ years and now a chronic pain patient.  She was happy to take the time to speak with us in order to bring awareness to a rare and largely unknown disease: CRPS or Complex Regional Pain Syndrome. As a nurse she worked in the fields of home health, acute medical, psych, long term care, dialysis; and has floated to many other units within hospitals. She has worked at the bedside and have also held supervisory positions. Passionate about her career as a nurse, she hopes to get well enough to work again. In her 20's she was diagnosed with degenerative disc disease and osteoarthritis of the spine. Over the course of many years she went through many procedures and treatments due to lumbar disc herniations to include six back surgeries- one of which resulted in permanent damage to her L-5/S-1 nerve root resulting in permanent right foot drop, and one of which was a fusion of L-5/S-1 using four screws and two rods. After walking 10 years with foot drop and working as a nurse the instability and condition in her right ankle caused constant swelling and pain which led her to seek further treatment. It was found that her joint was arthritic and the bones were collapsing out of position. Her Achilles tendon was also found to be too tight. On March 11, 2024 she underwent a right Achilles tendon release, tendon transfer to improve foot drop.  Three weeks later the symptoms of CRPS were recognized by her surgeon and she was diagnosed on April 8, 2024. Due to her foundation of knowledge as a nurse and due to her drive to get better, she joined multiple social media platforms in search of how to find the treatment she needed and through that process she also began helping others learn about this disease. When she is feeling healthy, she enjoys many creative hobbies, gardening, and is an avid concertgoer. She has two cats, & lives with her boyfriend in Michigan.  They are currently struggling to make it through this difficult time with her health. Financial issues have become bad enough that she sold personal items, used food pantries, and started a gofundme. She is currently active in Facebook groups and has a TikTok account that she uses to network with others that have CRPS, chronic pain, and chronic illness. ​She is grateful to participate in the online community in any way to bring awareness and understanding to CRPS sufferers.

For certain diagnoses and patients who meet clinical criteria, neuromodulation can provide profound, long-lasting relief that significantly improves quality of life. In this episode, Aaron Berkowitz, MD, PhD, FAAN speaks with Prasad Shirvalkar, MD, PhD, author of the article “Neuromodulation for Neuropathic Pain Syndromes,” in the Continuum® October 2024 Pain Management in Neurology issue. Dr. Berkowitz is a Continuum® Audio interviewer and a professor of neurology at the University of California San Francisco in the Department of Neurology and a neurohospitalist, general neurologist, and clinician educator at the San Francisco VA Medical Center at the San Francisco General Hospital in San Francisco, California. Dr. Shirvalkar is an associate professor in the Departments of Anesthesia and Perioperative Care, Neurological Surgery, and Neurology at Weill Institute for Neurosciences at the University of California, San Francisco in San Francisco, California. Additional Resources Read the article: Neuromodulation for Neuropathic Pain Syndromes Subscribe to Continuum: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @AaronLBerkowitz Guest: @PrasadShirvalka Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor in Chief of Continuum, the premier topic-based neurology clinical review and CME journal from the American Academy of Neurology. Thank you for joining us on Continuum Audio, which features conversations with Continuum's guest editors and authors, who are the leading experts in their fields. Subscribers to the Continuum Journal can read the full article or listen to verbatim recordings of the article and have access to exclusive interviews not featured on the podcast. Please visit the link in the episode notes for more information on the article, subscribing to the journal, and how to get CME. Dr Berkowitz: This is Dr Aaron Berkowitz, and today I'm interviewing Dr Prasad Shirvalkar about his article on neuromodulation for painful neuropathic diseases, which appears in the October 2024 Continuum issue on pain management in neurology. Welcome to the podcast, and if you wouldn't mind, please introducing yourself to our listeners.  Dr Shirvalkar: Thanks, Aaron. Yes, of course. So, my name is Prasad Shirvalkar. I'm an associate professor in anesthesiology, neurology and neurological surgery at UCSF. I am one of those rare neurologists that's actually a pain physician.  Dr Berkowitz: Fantastic. And we're excited to have you here and talk to you more about being a neurologist in in the field of pain. So, you wrote a fascinating article here about current and emerging neuromodulation devices and techniques being used to treat chronic pain. And in our interview today, I'm hoping to learn and for our listeners to learn about these devices and techniques and how to determine which patients may benefit from them. But before we get into some of the clinical aspects here, can you first just give our listeners an overview of the basic principles of how neuromodulation of various regions of the nervous system is thought to reduce pain? Dr Shirvalkar: Yeah, I would love to try. But I will promise you that I will not succeed because I think to a large extent, we don't understand how neuromodulation works to treat pain, to describe or to define neuromodulation. Neuromodulation is often described as using electrical stimuli or a chemical stimuli to alter nervous system activity to really influence local activity, but also kind of distant network activity that might be producing pain. On one level, we don't fully understand how pain arises, specifically how chronic pain arises in the nervous system. It's a huge focus of study from the NIH Heal Initiative and many labs around the world. But acute pain, which is kind of when you stub your toe or you burn your finger, is thought to be quite different from the changes over time and the kind of plasticity that produces emotional, cognitive and sensory dimensions. Really what I think is its own disease, chronic pain, of which there are multiple syndromes when we use neuromodulation, either peripheral nerve stimulation or electrical spinal cord stimulation. One common or predominant theory actually comes from a paper in science from 1967 and people still use it, foundational theory and it's called the gate control theory. Two authors, Melzack and Wall, postulated that at the spinal level, there are, there's a local inhibitory circuit or, you know, there's a local circuit where if you provide input to either peripheral nerves or either spinal cord ascending fibers that to kind of summarize it, there's only so much bandwidth, you know, that nerves can carry. And so that if you literally pass through artificial signals electrically, that you will help gate out or block natural pathological but natural pain signals that might be arising from the periphery or spinal cord. So, you know, one idea is that you are kind of interfering with activity that's arising for chemical neuromodulation. The most common is something known as intrathecal drug infusion drug delivery ITTD for that we quite literally put a catheter in the spinal fluid, you know, at the level of the dorsal horn neurons that we think are responsible for perpetuating or creating the pain. Where's the pain generator? And you really, you can infuse local anesthetic, you can infuse opioids. And what's nice is you avoid a lot of systemic side effects and toxicity because it goes right to the spinal cord, you know, by infusing in the fluid. So there's a couple of modalities, but I will say just, like maybe all of our living experience, pain is in the brain. And so, we don't really understand, I would say, what neuromodulation is doing to the higher spinal or brain levels. Dr Berkowitz: Fascinating topic. And yeah, very interesting to hear both what our current understanding is that some of our current understanding is based on data that's 60 years old and that we're actually probably learning about pain by using these modulation techniques, even though we don't really understand how they might be working. So interesting feedback loop there as well as in as in the as in this land. So, your article very nicely organizes the neuromodulation techniques from peripheral to central. So, encourage our listeners to check out your article. And first before we get into some of the clinical applications, just to give the listeners the lay of the land, can you sort of lay out the devices and techniques available for treating pain at each level of the neuroaxis? We'll get into some of the indications in patient selection in a moment, but just sort of to lay out the landscape. What's available that you and your colleagues can use or implant at different levels when we're thinking of referring patients too? Dr Shirvalkar: Absolutely. So, starting from the least invasive or you know, over the counter patients can purchase themselves a TENS machine. Many folks listening to this have probably tried a TENS machine in the past. And the idea is that you put a couple of pads, at least two. So you have like a dipole or you have a positive and a negative lead and you basically inject some current. So, the pads are attached to a battery and you can put these pads over muscle. If you have areas where myofascial pain or sore muscles, you can put them, frankly, over nerves as well and stimulate nerves that are deeper. Most TENS machines kind of use electrical pulses that occur at different rates. You change the rates, you can change the amplitude and patient can kind of have control for what works best. Then getting slightly more invasive, we can often stimulate electrically peripheral nerves. To do this we implant through a needle, a small wire that consists of anywhere from one electrical contact to four or even eight electrical contact. What I think is particularly cool, like TENS, which is transcutaneous electrical nerve stimulation that goes through the skin. Peripheral nerve stimulation aims to stimulate nerves, but you don't have to be right up against the nerve. So, yeah. We typically do this under an ultrasound and you can visualize a nerve like the sciatic nerve, peroneal nerve, or you know, even if someone has an ulnar or a neuropathy, you know, that's the compression. There's a role obviously for surgery and release, but if they have predominantly pain, it's not related to a mechanical problem per se, you could prevent a wire from a peripheral nerve stimulator as far as one centimeter from a nerve and it'll actually stimulate that that modulated and then, you know, kind of progressing even more deeply. The spinal cord stimulation, SCS, it's probably the most ubiquitous or popular form of neuromodulation for pain. People use it for all kinds of diseases. But what it roughly involves is a trial period, which is a placement of either two cylindrical wires, not directly over the spinal cord, but actually in the epidural space, right? So, it's kind of like when you get an epidural injection or doing labor and delivery, when women get epidural catheters, placing spinal cord stimulator leads in that same potential space outside the dura, and you're stimulating through the dura to actually target the ascending dorsal column fibers. And so, you do a trial period or a test drive where the patients get these wires put in. They're coming out of the skin, they're connected to a battery, and they walk around at home for about a week, take careful notes, check in with them, and they keep a diary or a log about how much it helps. Separately. I will say it's hard to distinguish this, the placebo effect often, but you know, sometimes we want to use the placebo effect in clinical practice, but it is a concern, you know, with such invasive things. But you know, if the trial works well, right, you basically can either keep the leads where they are and place a battery internally. And it's for neurologists. You're familiar with deep brain stimulation. These devices are very similar to DVS devices, but they're specifically made for spinal cord stimulation. And there's now like seven companies that offer manufacturers that offer it, each with their own proprietary algorithm or workflow. But going yet more invasive, there is intrathecal drug delivery, which I mentioned, which involves placement of the spinal catheter and infusion of drug into spinal fluid. You could do a trial for that as well. Keep a patient in the hospital for a few days. You've all probably had experience with lumbar drains. It's something real similar. It just goes the other way. You know, you're infusing drugs, and it could also target peripheral nerves or nerve roots with catheters, and that's often done. And last but not least, there's brain stimulation. Right now, it's all experimental except for some forms of TMS or transcranial magnetic stimulation, which is FDA approved for migraine with aura. There are tens machine type devices, cutaneous like stimulators where you can wear on your head like a crown or with stickers for various sorts of migraines. I don't really talk about them too much in in the article, but if there's a fast field out there for adjunctive therapy as well,  Dr Berkowitz: Fantastic. That's a phenomenal overview. Just so we have the lay on the land of these devices. So, from peripheral essentially have peripheral nerve stimulators, spinal cord stimulators, intrathecal drug delivery devices and then techniques we use in other areas of neurology emerging for pain DBS deep brain stimulation and TMS transcranial magnetic stimulation. OK let's get into some clinical applications now. Let's start with spinal cord stimulators, which - correct me if I'm wrong - seem to be probably the most commonly seen in practice. Which patients can benefit from spinal cord stimulators? When should we think about referring a patient to you and your colleagues for consideration of implantation of one of these spinal cord stimulator devices?  Dr Shirvalkar: So, you know, it's a great question. I would say it's interesting how to define which patients or diagnosis might be appropriate. Technically, spinal cord stimulators are approved for the treatment of most recently diabetic peripheral neuropathy. And so, I think that's a really great category if you have patients who have been failed by more conservative treatments, physical therapy, etcetera, but more commonly even going back, neuropathic low back pain and neuropathic leg pain. And so, you think about it and it's like, how do you define neuropathic pain. Neuropathic pain is kind of broadly defined as any pain that's caused by injury or some kind of lesion in the somatosensory nervous system. We now broaden that to be more than just somatosensory nervous system, but still, what if you can't find a lesion, but the pain still feels or seems neuropathic. Clinically, if something is neuropathic, we often use certain qualitative descriptors to describe that type of pain burning, stabbing, electric light, shooting radiates. There's often hyperpathia, like it lingers and spreads in space and time as opposed to, you know, arthritis, throbbing dull pain or as opposed to muscle pain might be myofascial pain, but sometimes it's hard to tell. So, there aren't great decision tools, I would say to help decide. One of the most common syndromes that we use spinal cord stimulation for is what used to be called failed back surgery syndrome. We never like to, we now try to shy away from explicitly saying something is someone has failed in their clinical treatment. So, the euphemism is now, you know, post-laminectomy syndrome. But in any case, if someone has had back surgery and they still have a nervy or neuropathic type pain, either shooting down their legs and often there's no evidence on MRI or even EMG that that something is wrong, they might be a good candidate, especially if they're relying on long term medications that have side effects or things like full agonist opioids, you know that that might have side effects or contraindication. So, I would say one, it's not a first line treatment. It's usually after you've gone through physical therapy for sure. So, you've gone through tried some medications. Basically, if chronic pain is still impacting your life and your function in a meaningful way that's restricting the things you want to do, then it it's totally appropriate, I think, to think about spinal cord stimulation. And importantly, I will add a huge predictor of final court stimulation success is psychological composition, you know, making sure the person doesn't have any untreated psychological illness and, and actually making sure their expectations going in are realistic. You're not going to cure anyone's pain. You may and that's, you know, a win, but it's very unlikely. And so, give folks the expectation that we hope to reduce your pain by 50% or we want you to list personally, I like functional goals where you say what is your pain preventing you from doing? We want to see if you can do X,Y, and Z during the trial period. Pharmacostimulation right now. Yeah. Biggest indication low back leg pain, Diabetic peripheral neuropathy. There is also an indication for CRPS, complex regional pain syndrome, a lesser, I'd say less common but also very debilitating pain condition. For better or worse. Tertiary quaternary care centers. You often will see spinal cord stem used off label for neuropathic type pain syndromes that are not explicitly better. That may be for example, like a nerve injury that's peripheral, you know, it's not responding. A lot of this off label use is highly variable and, you know, on the whole at a population level not very successful. And so, I think there's been a lot of mixed evidence. So, it's something to be aware about.  Dr Berkowitz: That's a very helpful framework. So, thinking about referring patients to who have most commonly probably the patients with chronic low back pain have undergone surgery, have undergone physical therapy, are on medications, have undergone treatment for any potential psychological psychiatric comorbidities, and yet remain disabled by this pain and have a reasonable expectation and goals that you think would make them a good candidate for the procedure. Are those similar principles to peripheral nerve stimulation I wasn't familiar with that technique, I'm reading your article, so are the principles similar and if so, which particular conditions would potentially benefit from referral for a trial peripheral nerve stimulation as opposed to spinal cord stimulation?  Dr Shirvalkar: Yeah, the principles are similar overall. The peripheral nerve stimulation, you know, neuropathic pain with all the characteristics you listed. Interestingly enough, just like spinal cord stim, most insurances require a psychological evaluation for peripheral nerve stim as well. And we want to make sure again that their expectations are reside, they have good social support and they understand the kind of risks of an invasive device. But also, for peripheral nerve stem, specifically, if someone has a traumatic injury of an individual peripheral nerve, often we will consider it seeing kind of super scapular stimulation. Often with folks who've had shoulder injuries or even sciatic nerve stimulation. I have done a few peroneal nerve stimulations as well as occipital nerve stimulation from migraine, so oxygen nerve stimulation has been studied a lot. So, it's still somewhat controversial, but in the right patient it can actually be really helpful. Dr Berkowitz: Very helpful. So, these are patients who have neuropathic pain, but limited to one peripheral nerve distribution as opposed to the more widespread back associated pains, spine associated pains. Dr Shirvalkar: Yeah, Yeah, that's right. And maybe there's one exception actually to this, which is brachial plexopathy. So, you know, folks who've had something like a brachial plexus avulsion or some kind of traumatic injury to their plexus, there is I think good Class 2 evidence that peripheral nerve stem can work. It falls under the indication. No one is as far as to my knowledge, No one's done an explicit trial, you know PNS randomized controlled trial. Yeah, that's, you know, another area one area where PNS or peripheral nerve stems emerging is actually, believe it or not in myofascial low back pain to actually provide muscle stimulation. There are some, there's a company or two out there that seeks to alter the physiology of the multifidus muscle, one of your spinal stabilizer muscles to really see if that can help low back pain. And they've had some interesting results.  Dr Berkowitz: Very interesting. You mentioned TENS units earlier, transcutaneous electrical nerve stimulation as something a patient could get over the counter. When would you encourage a patient to try TENS and when would you consider TENS inadequate and really be thinking about a peripheral nerve stimulator?  Dr Shirvalkar: Yeah, you know TENS we think of as really appropriate for myofascial pain. Folks who have muscular pain, have clear trigger points or taught muscle bands can often get relief from TENS If you turn a TENS machine up too high, you'll actually see muscle infection. So, there's an optimal level where you actually can turn it up to induce, like, a gentle vibration. And so folks will feel paresthesia and vibrations, and that's kind of the sweet spot. However, I would say if folks have pain that's limited or temporary in time or after a particular activity, TENS can be really helpful. The unfortunate reality is TENS often has very time-limited benefits - just while you're wearing it, you know? So, it's often not enduring. And so that's one of the limitations. Dr Berkowitz: That's helpful to understand. We've talked about the present landscape in your article, also talk a little bit about the future and you alluded to this earlier. Tell us a little bit about some off label emerging techniques that we may see in future use. Who, which types of patients, which conditions might we be referring to you and your colleagues for deep brain stimulation or transcranial magnetic stimulation or motor cortex stimulation? What's coming down the pipeline here?  Dr Shirvalkar: That's a great question. You know, one of my favorite topics is deep brain stimulation. I run the laboratory that studies intracranial signals trying to understand how pain is processed in the brain. But, believe it or not, chronic pain is probably the oldest indication for which DBS has been studied. the first paper came out in 1960, I believe, in France. And you know, the, the original pivotal trials occurred even before the Parkinson's trial and so fell out of favor because in my opinion, I think it was just too hard or too difficult or a problem or too heterogeneous. You know, many things, but there are many central pain syndromes, you know, poststroke pains, there's often pains associated with Parkinson's disease, epilepsy, or other brain disorders for which we just don't have good circuit understanding or good targets. So, I think what's coming down the pipeline is a better personalized target identification, understanding where can we stimulate to actually alleviate pain. The other big trend I think in neuromodulation is using closed loop stimulation which means in contrast to traditional electrical stimulation which is on all the time, you know it's 24/7, set it and forget it. Actually, having stimulation respond or adapt to ongoing physiological signals. So that's something that we're seeing in spinal cord stem, but also trying to develop in deep brain stimulation and noninvasive stimulation. TMS is interestingly approved for neuropathic pain in Europe, but not approved by the FDA in the US. And so I think we may see that coming out of pipeline broader indication. And finally, MR guided focused ultrasound is, is a kind of a brand new technique now. You know, focused ultrasound lesions are being used for essential tremor without even making an incision in the skull or drilling in skull. But there are ways to modulate the brain without lesioning. And, you know, I think a lot of research will be emerging on that in the next five years for, for pain and many other neuronal disorders. Dr Berkowitz: That's fascinating. I didn't know that history that DBS was first studied for pain and now we think of it mostly for Parkinson's and other movement disorders. And now the cycle is coming back around to look at it for pain again. What are some of the targets that are being studied that are thought to have benefit or are being shown by your work and that of others to have benefit as far as DBS targets for, for chronic pain? Dr Shirvalkar: You know, that's a great question. And so, the hard part is finding one target that works for all patients. So, it may actually require personalization and actually understanding what brain circuit phenotypes do you have with regards to your chronic pain and then based on that, what target might we use? But I will say the older targets. Classical targets were periaqueductal gray, which is kind of the opioid center in your brain. You know, it's thought to just release large amounts of endogenous opioids when you stimulate there and then the ventral pusher thalamus, right. So, the sensory ascending system may be through gait control theory interferes with pain, but newer targets the answer singlet there's some interest in in stimulating there again, it doesn't work for everybody. We found some interesting findings with the medial thalamus as well as aspects of the caudate and other basal ganglion nuclei that we hopefully will be publishing soon in a data science paper.  Dr Berkowitz: Fantastic. That's exciting to hear and encourage all of our listeners to check out your article. That goes into a lot more depth than we had time to do in this short interview, both about the science and about the clinical indications, pros and cons, risks and benefits of some of these techniques. So again, today I've been interviewing Dr Prasad Shirvalkar, whose article on neuromodulation for painful neuropathic diseases appears in the most recent issue of Continuum on pain management in neurology. Be sure to check out Continuum Audio episodes from this and other issues. And thank you again to our listeners for joining today.  Dr Shirvalkar: Thank you for having me. It was an honor. Dr Monteith: This is Dr Teshamae Monteith, associate editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in depth and clinically relevant information important for neurology practitioners. Use this link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/AudioCME. Thank you for listening to Continuum Audio.

Resulting from the Secure 2.0 Act of 2022, there are now important changes happening with retirement plans. Today, John Walker, Regional Vice President, Mercer Advisors, is joined by Jaron Carmichael, CPA, PFS, CFP®, AIF®, CPFA®, Director of Mercer Advisors' Retirement Plan Group, and Tunia Mycyk, CRPS®, AIF®, Regional Vice President. They discuss plan changes regarding enrolment, catch-up contributions, eligibility, and more. Listening Time: 28 minutes Mercer-Cordasco Disclosure Information Visit Our Website Join Our Email List Additional Mercer Advisors Disclosure Cordasco Financial Network is a tradename. All services provided by Cordasco Financial Network investment professionals are provided in their individual capacities as investment adviser representatives of Mercer Global Advisors Inc. (“Mercer Advisors”), an SEC-registered investment adviser principally located in Denver, Colorado, with various branch offices throughout the United States doing business under different tradenames, including Cordasco Financial Network. Mercer Advisors is not a law firm and does not provide legal advice to clients. All estate planning document preparation and other legal advice are provided through Advanced Services Law Group, Inc.

Podcast Show Notes Episode Title: Optimizing Genicular Nerve Chemical Ablation: Insights from Dr. David Rosenblum Episode Summary: In this episode, we are joined by Dr. David Rosenblum, a New York-based interventional pain physician, who discusses optimizing genicular nerve chemical ablation. Dr. Rosenblum shares insights as well as his upcoming ultrasound course schedyke in New York City, focusing on regional anesthesia, interventional pain, and IV ultrasound placement. He emphasizes the significance of ultrasound in enhancing pain management procedures and the latest advancements in the field. Key Topics Discussed: Overview of Dr. Rosenblum's upcoming ultrasound courses in NYC, including regional anesthesia and IV ultrasound placement. More information can be found here or at NRAPpain.org. The role of ultrasound in interventional pain management, specifically in optimizing genicular nerve chemical ablation. Discussion on the recent study comparing genicular nerve phenol neurolysis and radiofrequency ablation. Importance of updating anatomical targets for pain management. Recommendations for expanding the number of targets in pain interventions. Insights on the safety and efficacy of chemical neurolysis versus radiofrequency procedures. Challenges and considerations in performing neurolytic blocks. Future directions in personalized treatment for chronic pain patients. Featured Article: Dr. Rosenblum references an article from The Korean Journal of Pain discussing the optimization of genicular nerve chemical ablation. Key takeaways include: The evolution of anatomical understanding related to genicular nerves. The recommendation to consider multiple targets for pain management instead of the traditional three. The need for careful patient examination to map pain effectively before intervention. Discussion on Knee Pain Management • ArticlebyAndresRochaRomero: • Discussion on knee pain targeting genicular nerve ablation. • Co-authored by Tony Ng and King K Stanley Lam. • Published in Korean Journal of Pain. • Highlights differences in pain management practices outside the U.S. Other Points on Genicular Nerve Chemical Ablation discussed Phenol ablation being used more internationally vs. radiofrequency ablations. Considerations for more extensive targeting of genicular nerves: • Importance of the median branch of the nerve to the vastus intermedius. • Expansion of targeting to include 6 nerves, not just 3. • Anatomical variations require different approaches. Recommendations and Observations • Importance of considering patient-specific anatomy and pain. • Repeat procedures and rehabilitation: • Concerns about bio intensity and fascia integrity. • Emphasizes muscle strengthening exercises to support knee. • CRPS Considerations: • Elderly patients may develop CRPS post-knee replacement. • Importance of lumbar sympathetic block in diagnosis and treatment. Host Bio: Dr. David Rosenblum, MD is an interventional pain physician based in New York City. With extensive experience in pain management techniques, Dr. Rosenblum is dedicated to advancing the field through education and innovative practices. He is particularly focused on the integration of ultrasound technology into pain management procedures. Course Information: Dr. Rosenblum's upcoming ultrasound courses are CME supported, monthly hands on workshops to give clinicians experience with ultrasound imaging to identify targets for nerve block joint injection, soft tissue injection and more.. • Monthly IV Ultrasound Course in Manhattan: • Ideal for nurses, PAs, anesthesiologists, ER docs. • Provides practice with phantoms, short lecture on IV ultrasound. • Offers CME credits. • Ultrasound Courses: • Held one Saturday a month, mostly in New York, but travels if needed. • Upcoming dates: December 21st, January 11th in Manhattan. • Presentation Invitation at Pain Expo in Dubai: April 26-27. •   • Next LAPS conference in September in Chile. Call to Action: Subscribe to our podcast for more episodes on advancements in pain management. Follow us on social media for updates on upcoming courses and events. Share this episode with colleagues who may benefit from learning about ultrasound techniques in pain management.       Upcoming Opportunities and Closing Remarks Dr. Rosenblum encourages attending his ultrasound courses and conferences. Mention of upcoming conferences in ASPN inMiami, Pain Expo in Dubai, and  LAPS inChile. Recommendations to subscribe to newsletters for updates and free info. The podcast aims to support pain management professionals.

Podcast Show Notes Episode Title: Optimizing Genicular Nerve Chemical Ablation: Insights from Dr. David Rosenblum Episode Summary: In this episode, we are joined by Dr. David Rosenblum, a New York-based interventional pain physician, who discusses optimizing genicular nerve chemical ablation. Dr. Rosenblum shares insights as well as his upcoming ultrasound course schedyke in New York City, focusing on regional anesthesia, interventional pain, and IV ultrasound placement. He emphasizes the significance of ultrasound in enhancing pain management procedures and the latest advancements in the field. Key Topics Discussed: Overview of Dr. Rosenblum's upcoming ultrasound courses in NYC, including regional anesthesia and IV ultrasound placement. More information can be found here or at NRAPpain.org. The role of ultrasound in interventional pain management, specifically in optimizing genicular nerve chemical ablation. Discussion on the recent study comparing genicular nerve phenol neurolysis and radiofrequency ablation. Importance of updating anatomical targets for pain management. Recommendations for expanding the number of targets in pain interventions. Insights on the safety and efficacy of chemical neurolysis versus radiofrequency procedures. Challenges and considerations in performing neurolytic blocks. Future directions in personalized treatment for chronic pain patients. For Anesthesia Board Prep go to AnesthesiaExam at NRAPpain.org Featured Article: Dr. Rosenblum references an article from The Korean Journal of Pain discussing the optimization of genicular nerve chemical ablation. Key takeaways include: The evolution of anatomical understanding related to genicular nerves. The recommendation to consider multiple targets for pain management instead of the traditional three. The need for careful patient examination to map pain effectively before intervention. Discussion on Knee Pain Management • ArticlebyAndresRochaRomero: • Discussion on knee pain targeting genicular nerve ablation. • Co-authored by Tony Ng and King K Stanley Lam. • Published in Korean Journal of Pain. • Highlights differences in pain management practices outside the U.S. Other Points on Genicular Nerve Chemical Ablation discussed Phenol ablation being used more internationally vs. radiofrequency ablations. Considerations for more extensive targeting of genicular nerves: • Importance of the median branch of the nerve to the vastus intermedius. • Expansion of targeting to include 6 nerves, not just 3. • Anatomical variations require different approaches. Recommendations and Observations • Importance of considering patient-specific anatomy and pain. • Repeat procedures and rehabilitation: • Concerns about bio intensity and fascia integrity. • Emphasizes muscle strengthening exercises to support knee. • CRPS Considerations: • Elderly patients may develop CRPS post-knee replacement. • Importance of lumbar sympathetic block in diagnosis and treatment. Host Bio: Dr. David Rosenblum, MD is an interventional pain physician based in New York City. With extensive experience in pain management techniques, Dr. Rosenblum is dedicated to advancing the field through education and innovative practices. He is particularly focused on the integration of ultrasound technology into pain management procedures. Course Information: Dr. Rosenblum's upcoming ultrasound courses are CME supported, monthly hands on workshops to give clinicians experience with ultrasound imaging to identify targets for nerve block joint injection, soft tissue injection and more.. • Monthly IV Ultrasound Course in Manhattan: • Ideal for nurses, PAs, anesthesiologists, ER docs. • Provides practice with phantoms, short lecture on IV ultrasound. • Offers CME credits. • Ultrasound Courses: • Held one Saturday a month, mostly in New York, but travels if needed. • Upcoming dates: December 21st, January 11th in Manhattan. • Presentation Invitation at Pain Expo in Dubai: April 26-27. •   • Next LAPS conference in September in Chile. Call to Action: Subscribe to our podcast for more episodes on advancements in pain management. Follow us on social media for updates on upcoming courses and events. Share this episode with colleagues who may benefit from learning about ultrasound techniques in pain management.       Upcoming Opportunities and Closing Remarks Dr. Rosenblum encourages attending his ultrasound courses and conferences. Mention of upcoming conferences in ASPN inMiami, Pain Expo in Dubai, and  LAPS inChile. Recommendations to subscribe to newsletters for updates and free info. The podcast aims to support pain management professionals.

Podcast Show Notes Episode Title: Optimizing Genicular Nerve Chemical Ablation: Insights from Dr. David Rosenblum Episode Summary: In this episode, we are joined by Dr. David Rosenblum, a New York-based interventional pain physician, who discusses optimizing genicular nerve chemical ablation. Dr. Rosenblum shares insights as well as his upcoming ultrasound course schedyke in New York City, focusing on regional anesthesia, interventional pain, and IV ultrasound placement. He emphasizes the significance of ultrasound in enhancing pain management procedures and the latest advancements in the field. For PM&R Board Prep, go to NRAPpain.org Key Topics Discussed: Overview of Dr. Rosenblum's upcoming ultrasound courses in NYC, including regional anesthesia and IV ultrasound placement. More information can be found here or at NRAPpain.org. The role of ultrasound in interventional pain management, specifically in optimizing genicular nerve chemical ablation. Discussion on the recent study comparing genicular nerve phenol neurolysis and radiofrequency ablation. Importance of updating anatomical targets for pain management. Recommendations for expanding the number of targets in pain interventions. Insights on the safety and efficacy of chemical neurolysis versus radiofrequency procedures. Challenges and considerations in performing neurolytic blocks. Future directions in personalized treatment for chronic pain patients. For Anesthesia Board Prep go to AnesthesiaExam at NRAPpain.org Featured Article: Dr. Rosenblum references an article from The Korean Journal of Pain discussing the optimization of genicular nerve chemical ablation. Key takeaways include: The evolution of anatomical understanding related to genicular nerves. The recommendation to consider multiple targets for pain management instead of the traditional three. The need for careful patient examination to map pain effectively before intervention. Discussion on Knee Pain Management • ArticlebyAndresRochaRomero: • Discussion on knee pain targeting genicular nerve ablation. • Co-authored by Tony Ng and King K Stanley Lam. • Published in Korean Journal of Pain. • Highlights differences in pain management practices outside the U.S. Other Points on Genicular Nerve Chemical Ablation discussed Phenol ablation being used more internationally vs. radiofrequency ablations. Considerations for more extensive targeting of genicular nerves: • Importance of the median branch of the nerve to the vastus intermedius. • Expansion of targeting to include 6 nerves, not just 3. • Anatomical variations require different approaches. Recommendations and Observations • Importance of considering patient-specific anatomy and pain. • Repeat procedures and rehabilitation: • Concerns about bio intensity and fascia integrity. • Emphasizes muscle strengthening exercises to support knee. • CRPS Considerations: • Elderly patients may develop CRPS post-knee replacement. • Importance of lumbar sympathetic block in diagnosis and treatment. Host Bio: Dr. David Rosenblum, MD is an interventional pain physician based in New York City. With extensive experience in pain management techniques, Dr. Rosenblum is dedicated to advancing the field through education and innovative practices. He is particularly focused on the integration of ultrasound technology into pain management procedures. Course Information: Dr. Rosenblum's upcoming ultrasound courses are CME supported, monthly hands on workshops to give clinicians experience with ultrasound imaging to identify targets for nerve block joint injection, soft tissue injection and more.. • Monthly IV Ultrasound Course in Manhattan: • Ideal for nurses, PAs, anesthesiologists, ER docs. • Provides practice with phantoms, short lecture on IV ultrasound. • Offers CME credits. • Ultrasound Courses: • Held one Saturday a month, mostly in New York, but travels if needed. • Upcoming dates: December 21st, January 11th in Manhattan. • Presentation Invitation at Pain Expo in Dubai: April 26-27. •   • Next LAPS conference in September in Chile. Call to Action: Subscribe to our podcast for more episodes on advancements in pain management. Follow us on social media for updates on upcoming courses and events. Share this episode with colleagues who may benefit from learning about ultrasound techniques in pain management.       Upcoming Opportunities and Closing Remarks Dr. Rosenblum encourages attending his ultrasound courses and conferences. Mention of upcoming conferences in ASPN inMiami, Pain Expo in Dubai, and  LAPS inChile. Recommendations to subscribe to newsletters for updates and free info. The podcast aims to support pain management professionals.

On today's Healing Hub Podcase, we're sharing the audio from a live interview on Monday, November 4th – CRPS Awareness Day - with Cindy Perlin – CEO of the Alternative Pain Treatment Directory. This was an open forum interview and Q&A where we started off talking about my personal journey with CRPS, our treatment program at Holistic Centered Treatment, and transitioned into questions and answers.Dr. Traci Patterson traveled the world and spent in excess of $250,000 searching for help for her Complex Regional Pain Syndrome (CRPS). Many of the treatments made her worse. Now 11 years in remission, Dr. Patterson, a trained MD, is President of Holistic Centered Treatment, an intensive outpatient clinic for people with CRPS and other types of difficult-to-treat chronic pain. Dr. Patterson is telling her story and talk about her treatment program that is helping many CRPS and chronic pain patients regain their lives.This was an open forum interview and Q&A with Dr. Traci Patterson - CRPS Survivor and President, Holistic Centered Treatment and Cindy Perlin, LCSW, founder and CEO of the Alternative Pain Treatment Directory.#FacebookLive #DrTraciPattersonCRPSexpert #HolisticCenteredTreatment #crpsremission #crpstreatment #CRPSsurvivor #crps #crpswarrior #makingadifference #changinglives #premiereprogramforcrps #alternativepaintreatmentdirectory #cindyperlin #KnowYourOptions #inspiringcrpsstories #crpsawareness #CRPSAdvocate #raredisease #intractablepain #chronicpain #RSD #spoonies #fibromyalgia #amps #PediatricPain #CRPSawarnessday #chronicpain #pediatricpain #CSS #AMPS #PhantomLimbPain #HCTFoundation

Self-advocacy in healthcare can mean the difference between living in chronic pain and finding a path to true healing. Dr. Shadi Vahdat joins Lyndsay Soprano to uncover how childhood trauma, cultural beliefs, and generational experiences shape our health—right down to our DNA. Dr. Vahdat shares insights on why trauma manifests in physical symptoms and explains how functional medicine bridges the gap where conventional approaches fall short.The conversation shines a light on managing complex chronic illnesses like Lyme disease and CRPS, stressing the importance of a strong, supportive healthcare team and the role of emotional healing in physical recovery. Dr. Vahdat reveals what it takes to prepare for health emergencies and navigate a healthcare system that's often unequipped to help chronic pain patients.From building your own “health board of directors” to understanding the power of patient advocacy, this episode is packed with strategies for taking charge of your health and making sure your voice is heard.Find Dr. Shadi Vahdat Online Here:Instagram: @drshadivahdatFacebook: Shadi Vahdat, MDLinkedIn: Shadi Vahdat, MDBook: The Roadmap To Hospital Care: Insights On Preparing For Health Emergencies & Hospital Stays With ConfidenceWebsite: https://livewellintegrative.com/Find The Pain Game Podcast Online Here:Website: thepaingamepodcast.comInstagram: @thepaingamepodcastEpisode Highlights:(00:00) Introduction to Chronic Pain and Advocacy(03:02) The Healthcare System and Personal Experiences(05:53) Childhood Trauma and Its Impact(09:03) Generational Trauma and Health(11:53) The Role of Trauma in Healing(14:45) Integrating Conventional and Holistic Medicine(18:05) Navigating Healthcare and Personal Advocacy(23:14) Navigating the Healthcare System(30:02) Chronic Pain Management Strategies(36:04) Preparing for Health Emergencies(42:14) Advocacy in Healthcare

About Rachel Duncan: Rachel is the Vice President of Relationship Management at Retirement Plan Services, overseeing the mid/large market client relationship team and ensuring a robust client experience for Lincoln Financial Group's top clients. With 23 years in the industry, she joined Lincoln Financial in 2001 after teaching 6th grade in Virginia. Rachel holds a bachelor's degree from Duquesne University, is FINRA Series 6 and 63 registered, and has several professional designations, including AIF®, CRPS®, and CRPC®. She is based in Argyle, Texas.About James Thompson: James is the Vice President and Head of Participant Engagement at Lincoln's Retirement Plan Services. He and his team work closely with plan sponsors and intermediaries to provide personalized service for financial wellness and top retirement outcomes. With over 20 years at Lincoln, James has held various roles, including Assistant Vice President Participant Engagement and Regional Vice President Institutional Retirement Distribution. James holds a bachelor's degree from Bellarmine University, where he played baseball. He is FINRA Series 7, 66, and 24 registered, and holds CRPC and CMFC designations. Based in Louisville, KY, James enjoys outdoor activities and is a dedicated Louisville Cardinals fan. He lives with his wife, seven children, and two grandchildren.In this episode, Eric, Rachel Duncan, and James "JT" Thompson discuss:Practicing exceptional serviceExecuting targeted interventionsThe optimal retirement education standardWhat are the key aspects of a successful 401(k) plan? Key Takeaways:Exceptional service involves responding promptly, taking ownership, and being proactive from the outset, in contrast to the prevailing poor service standards. Plan sponsors being engaged, open-minded, meeting regularly, and maintaining collaboration is key for successful client relationships and outcomes.Focus on identifying gaps in participation, deferral rates, and income replacement ratios across different employee demographics to drive overall success through targeted interventions.Optimal retirement education combines recordkeeper and advisor capabilities through coordinated efforts, leveraging recordkeepers' dedicated consultants with significant expertise solely focused on retirement planning.Key aspects of a successful 401(k)/403(b)/457(b) plan include a strong corporate culture, monthly meetings, well-defined success metrics, engaged retirement consultants providing education, and a reputation for excellent service.“Nobody's perfect, but when you make a mistake, are we holding ourselves accountable? Are we owning that mistake and fixing it with urgency and making sure that we do right by our clients?” - James "JT" ThompsonConnect with Rachel Duncan:LinkedIn: https://www.linkedin.com/in/rachel-duncan-aif-crpc-crps-63217251/ Connect with James "JT" Thompson:LinkedIn: https://www.linkedin.com/in/james-thompson-789a3517/ Connect with Eric Dyson: Website: https://90northllc.com/Phone: 940-248-4800Email: contact@90northllc.com LinkedIn: https://www.linkedin.com/in/401kguy/ The information contained herein is general in nature and is provided solely for educational and informational purposes.It is not intended to provide a specific recommendation for any type of product or service discussed in this presentation or to provide any warranties, financial advice, or legal advice.The specific facts and circumstances of all qualified plans can vary and the information contained in this podcast may or may not apply to your individual circumstances or to your plan or client plan-specific circumstances.

Dr. Rosenblum reviews the benefits of Scrambler Therapy for CRPS and Neuropathic Pain State.  What is Scrambler Therapy? Efficacy of Scrambler Therapy for Neuropathic Pain  Mechanism of action of Scrambler Therapy Regenerative Pain Management Course PainExam Board Prep NRAP Academy Private Tutorials for Ultrasound Guidance and Regenerative Medicine ST was introduced as a chronic pain relief method in 2003. That same year, Giuseppe Marineo published findings from a small clinical trial involving 11 terminal cancer patients suffering from drug-resistant chronic visceral pain, with all participants showing positive responses and significant reductions in pain scores. In a subsequent trial involving 226 patients with neuropathic pain, 80% reported a 50% reduction in pain. Since then, numerous case reports and studies have documented the use of ST for various pain types. Evidence from these reports suggests that ST is effective for managing both acute and chronic pain from different causes. For instance, a child with acute mixed pain, resistant to pharmacological treatment, experienced significant relief after four ST sessions, with pain levels dropping from 5/10 to 0/10. Additionally, a 52-year-old woman with burning pain from her foot to knee, stemming from a right medullary acute hemorrhage and suffering for 12 years, reported immediate relief after ST. Her pain score decreased from 9/10 to 3/10 on the first day, and to 0/10 by the second day, remaining below 1 on the Visual Analog Scale (VAS) throughout the 10-day treatment period. In terms of chronic pain, literature includes a case where a patient with shoulder joint pain and limited range of motion saw significant pain reduction and increased mobility after 10 sessions of ST. ST has shown considerable promise in treating severe pain conditions that are typically difficult to manage, such as complex regional pain syndrome and pain related to HIV. Despite the encouraging results from these case studies, higher-quality evidence is necessary to establish the efficacy of ST, which could be obtained through extensive clinical trials, particularly focusing on chronic pain. Besides the aforementioned studies by Marineo and Sabato et al, additional trials have indicated that ST is an effective treatment for various chronic pain conditions, including low back pain, postherpetic pain, and neuropathic pain. For instance, a prospective study on chronic low back pain patients showed a significant decrease in VAS scores from 8.12 to 3.63 after six treatment days. Another trial involving 10 patients with postherpetic pain reported a drop in the average Numeric Rating Scale (NRS-11) score from 7.64 to 1.46 at baseline and 0.42 to 0.89 after one month, with benefits persisting at two and three months. ST has also demonstrated significant potential in treating neuropathic pain. In a prospective study of 45 patients with neuropathic pain lasting over three months, 28 experienced a decrease in Douleur Neuropathique en 4 questions (DN4) pain scores, with four patients stopping treatment early due to complete pain resolution. The mean baseline DN4 score dropped from 5.67 to 2.82 by the end of treatment. A pilot randomized trial involving 52 patients found that 21 out of 26 in the intervention group achieved complete pain relief. While the findings from these studies, along with others that have been systematically analyzed, suggest strong evidence for the efficacy of ST, a definitive conclusion regarding its effectiveness has not yet been reached. A systematic review by Majithia et al concluded that while studies generally indicate ST results in pain reduction with lasting benefits, there are still gaps in the evidence. This article aims to evaluate the research needs surrounding ST for cancer pain management. While Majithia et al focused on chronic pain across various conditions and noted specific evidence limitations, this study will concentrate on the effectiveness of ST for cancer-related pain. The objective is to identify gaps in the existing literature and provide recommendations for future research through a systematic review. We will specifically analyze the types and levels of evidence supporting the use of ST in managing cancer pain and determine what studies are necessary to enhance the evidence base. References  Majithia, N., Smith, T.J., Coyne, P.J. et al. Scrambler Therapy for the management of chronic pain. Support Care Cancer 24, 2807–2814 (2016). https://doi.org/10.1007/s00520-016-3177-3 Mohamed, Mohamed S. I.1; Alkahlout, Lama1; Elgamal, Salma1; Mohiuddin, Amna1; Al-sayed, Talal1; Al-Marri, Hamad1; Zahid, Fatima1; Martínez-Magallanes, Daniela2; Fregni, Felipe2; Doi, Suhail A. R.1; Abdallah, Abdallah M.3; Musa, Omran A.H.1,4; Khan, Muhammad Naseem1; Babu, Giridhara R.1,*. Efficacy of scrambler therapy in chronic neuropathic pain: pairwise and dose-response meta-analysis. Brain Network and Modulation 3(3):p 63-70, Jul–Sep 2024. | DOI: 10.4103/BNM.BNM_20_24 Kashyap, Komal, and Sushma Bhatnagar. "Evidence for the efficacy of scrambler therapy for cancer pain: a systematic review." Pain Physician 23.4 (2020): 349.

With Christopher Panagiotu, a father, husband, author, podcast host, business owner, and CERTIFIED FINANCIAL PLANNER™ Professional, he discovered his love for guiding others to true financial success early on. Introduced to investing at the age of 10, Chris took his passion further by interning at UBS at 18 and later joining Morgan Stanley, only to realize his true calling was beyond the corporate world. In 2015, he started his journey to build CAPitalize Your Finances, LLC, focusing on providing clients with personalized, growth-driven financial planning services.Today, Chris runs his firm in Fircrest, WA, just minutes away from where his story began. Over nearly a decade, he has built CAPitalize Your Finances into a thriving business, known for its commitment to client success and community engagement. Chris is not only a CERTIFIED FINANCIAL PLANNER™ Professional but also a Chartered Retirement Plans Specialist℠ (CRPS®) and the proud host of the “CAPitalize Your Finances” podcast, where he shares his insights on financial well-being, life coaching, and more. As a keynote speaker, Chris inspires audiences on topics ranging from finance to health, offering down-to-earth, jargon-free guidance aimed at helping others CAPitalize on their potential.Join our conversation with Christopher as he emphasizes the power of investing in oneself and the importance of keeping financial planning simple. Chris reveals his unique approach to understanding client needs without resorting to overly complex strategies. He also reflects on his experience at Lucia Capital Group, where he built his practice from scratch to nearly $100 million, highlighting the role of financial literacy and efficient wealth management in achieving long-term stability and freedom. Tune in to this episode to gain valuable insights into creating a personalized, growth-driven financial path that leads to true financial success.To listen to the podcast and access the show notes and any other resources mentioned in this episode, visit us at www.legalwebsitewarrior.com/podcast.

Esther Gokhale, the creator of the Gokhale Method, joins Lyndsay Soprano to share her transformative approach to back pain and posture. Drawing from her own experience with debilitating pain during pregnancy, Esther sheds light on the root causes of spinal discomfort, focusing on how modern habits have distorted natural postures. Instead of labeling the human body as flawed, Esther explains how our misuse of it is the real issue. Her method emphasizes techniques like "stretch sitting" to naturally realign the spine and relieve pressure. Simple adjustments in daily routines can create lasting relief, showing that pain management is within reach for everyone.Listeners will find practical steps to regain control over their bodies and reclaim a pain-free life through these thoughtful, anthropological insights into posture and structural health.Find Esther Gokhale Online Here:Instagram: @gokhalemethodFacebook: Gokhale MethodYouTube: Gokhale MethodBook: 8 Steps to a Pain-Free Back, by Esther GokhaleWebsite: www.gokhalemethod.comFind The Pain Game Podcast Online Here:Website: thepaingamepodcast.comInstagram: @thepaingamepodcastEpisode Highlights:(00:00) Introduction to Chronic Pain and Healing(02:33) Understanding Back Pain and Its Impact(04:53) Esther Gauklai's Journey with Back Pain(09:57) The Gokhale Method: A New Approach to Pain Relief(17:49) Posture, Movement, and Emotional Health(26:09) Hope and Healing: A Message for Chronic Pain Sufferers

We can't go back in time and change our story, but we can give ourselves grace and move forward. Rebar shares his war story of growing up, struggling, focusing on God, and studying manliness. Learn More: Of Sound Mind Podcast - https://podcasts.apple.com/us/podcast/of-sound-mind-podcast/id1649069674 MA Experiences: Start the Fire - https://www.mensalliancetribe.com/experiences/start-the-fire Carry The Fire - https://www.mensalliancetribe.com/experiences/carry-the-fire Warrior Knight - https://www.mensalliancetribe.com/experiences/warrior-knight Warrior Princess - https://www.mensalliancetribe.com/experiences/warrior-princess Sponsor: Tom 'Doc' Love CFP®, CRPC®, CRPS® tlove@themainstreetgroup.com Craig Heah. craig.heah@themainstreetgroup.com ⁠⁠⁠⁠ https://www.themainstreetgroup.com/ --- Support this podcast: https://podcasters.spotify.com/pod/show/mensalliancetribe/support

Lyndsay Soprano explores the incredible benefits of magnesium with Natalie Jurado, the visionary behind Rooted In, a company known for its therapeutic magnesium-infused moisturizers. Natalie opens up about her battle with severe insomnia and anxiety and how her discovery of magnesium became a game-changer in her life. Together, they uncover how this essential mineral can work wonders on insomnia, pain, and stress by delivering it straight to the cells that need it most. From supporting over 700 biochemical reactions in the body to enhancing muscle and nerve function, magnesium is presented as a key to unlocking better sleep, mood, and overall well-being.As a thought leader and educator, Natalie challenges common misconceptions about magnesium and emphasizes its indispensable role in our health. She also gives us a behind-the-scenes look at how she developed her luxurious magnesium creams, crafted to be as enjoyable as they are effective—standing out in a market full of less appealing options.This episode is packed with inspiration and practical tips for anyone facing the challenges of chronic pain, insomnia, or stress, offering a fresh perspective on living a healthier, more vibrant life.Find Natalie Online Here:Instagram: @berootedinFacebook: Rooted InWebsite: berootedin.comLinkedIn: Natalie JuradoFind The Pain Game Podcast Online Here:Website: thepaingamepodcast.comInstagram: @thepaingamepodcastEpisode Highlights:(00:00) Introduction and Personal Experience(02:06) Understanding Magnesium and Its Importance(09:05) The Widespread Issue of Magnesium Deficiency(15:23) Magnesium for Mood, Workouts, and Weight Loss(19:27) Magnesium's Role in Reducing Cholesterol Levels(21:13) Dosing and Regulation of Magnesium Cream(27:27) The Drawbacks of Pill Form Magnesium and the Importance of Diet(37:29) The Role of Magnesium in Pain Relief and Muscle Relaxation

Unwinding Pain with Bonnie Lester. Episode 134 Chronic pain is not only debilitating, but also isolating. It can cause depression, feelings of hopelessness, and can be very difficult to treat.  Often, doctors only try to manage the symptoms. But Bonnie Lester came up with a process to unwind the pain through neuroplasticity.  When you've experienced something, there's a there's a huge difference and I often hear from the clients I have my doctor doesn't know what it's like to live every day in pain If they'd only know and then when I meet doctors who have had bad backs or bad necks or some other challenge They are more empathetic And more understanding, that's for sure. So what initially led to your issue with chronic pain? Well, I was a 33 year old mom. I was newly remarried. I had a great relationship with my ex husband. We were co parenting, and my new husband was a great stepdad. I just purchased a house in California, driving home one night, a stop in traffic, and a drunk driver plowed into me and shook up my body. And that my life changed in the blink of an eye.  Yeah, I developed something called complex regional pain syndrome a few months later. That's a trauma to the nervous system. They at the time back in 1986, they had no idea of what to do with it. They did experiments on me, including surgery that spread the condition and the condition is agony and pain and burning and your skin texture changes. You have temperature changes where my left hand, my dominant hand was icy cold.  And even though it didn't feel cold to me, if anyone touched it, it would be icy cold. It would turn red and it swelled. And they did some surgery on me thinking they were going to cure the pain. And it spread that same condition throughout my body, um, all the way down to my left foot. So what I had at that time was a wonderful doctor who looked at me and said, Bonnie, my mom has ALS and she has to have courage to live with it. And I'm telling you with complex regional pain syndrome, you're going to need the same type of courage. And that was the best thing he could tell me. You know, because that's what kept me going. And it's only recently that the American Pain Association identified what pain is and it can have an emotional and psychological basis. Not that it's generating the pain, but it affects all parts of you that way. And when people say, Oh, it's all in your head, they get insulted that I'm making it up. But actually, the brain is in the head part of the nervous system, your spinal column and your brain. So in a way, yes, it's in your head because the actual pain sensations are in your head. You're not imagining it. So I always tell people, your pain is real.  And that's, that's what people say to me. I wish people would understand that it's real.  had things like old fashioned tricyclics, which are antidepressants, and that was for the nerve pain. And then I also had muscle relaxants. None of that touched the pain. But in 2006,  they said, come on in, Bonnie, you're a good candidate for high levels of fentanyl. which you hear about nowadays, and Norco, and I was living on six different things like that. And that's what I was living on, but it was prescribed, um, it was legal, and thank goodness I had great medical insurance because it's very, very expensive.  And so I was on it for nine years. And that's why I say, look at me and say that I look alive because when people hear, you know, most people die, you know, after a year or two, it's a very dangerous medication to be used the way they wanted me to use it.  And so the way I understand it is, does it even really relieve your pain or do you just have Well, that's the ironic thing. Even when they, they kept upping the dose to see what would help the pain. It helped low back from, you know, I used to have, I did have back surgery years before I had my car accident. And so I'd always get kind of spasms. They took care of those spasms quite nicely. but not the CRPS symptoms at all. And it came with a host of other horrendous side effects. Um, you know, hyperhidrosis, which is over sweating in the body. And of course, having to live on laxatives. And then always worried about getting the prescription refilled when holidays would come around and they couldn't give me, you know, refilled like two or three months in a row. I had to go to the clinic every month. And then if I couldn't get it, then I'd start going into withdrawals because, gosh, you know, darn it, uh, Thanksgiving came and the clinic was closed for three days in a row and I was supposed to get my script three days, you know, before. So I was at the mercy of the medications, which really weren't helping me at all. I've been off of all medications since 2015. I'm hearing many stories because the laws have changed and how doctors view prescribing that and they're all really suffering trying to, because they were, some people would do well on opiates. I have to say that I can't say nobody's going to do well. That's between a doctor and a patient, not the legislator, I think has my personal view.  If someone's on opioids, their family members and their caregivers should know about Narcan in case there is an unintentional overdose. And that's really important. How did it make you feel to be in pain 24 seven as a mom, as a wife, as a member of society? I felt like I wasn't part of society. I couldn't, I had lost the use of my dominant hand. So I couldn't be involved on the computer and all this new thing called social media. Yeah. I couldn't participate while the rest of the world was going on. And I think the best way I can describe it is my sister, who's very active and 10 years younger than me would come and visit me. And I'd look at, at her car and it would have a bike hooked up on top and then some other equipment. And she was coming to see me on her way to go to a music show. And then they were going to go bike riding up the mountain. And then they were going to go to the beach. And I was like, I felt like I was 90 years old.  Being a mom in pain is very difficult. But I do have to say that my son and then my eventual stepkids have a lot more empathy and understanding and compassion because they had me in their life when I was in such terrible pain. So even though I felt like a failure as a mom, they're, they're all three are doing really well, but I really judged myself. And I want to point out something about people who have chronic pain. We're often people with really perfectionist attitude. We have to be the best.  And so what I do now is give myself grace. And if I make mistakes and if I don't reach that high level, I wanted to, that's all right. And that's letting go. And that's the mind stuff that you have to start working on when you have chronic pain.  Now, neuroplasticity is this wonderful big long word that everyone's talking about. I discovered neuroplasticity in 2010 when my husband had a medical event. he had transient global amnesia. Now the mind through neuroplasticity is rebooting itself, getting back his memory.  Neuroplasticity is the brain's ability at any age to rewire itself as if you're a highway, picture a highway and you have all these freeways going in your head, but you do a sensory stimulation and you create healthier, more vibrant freeways. And then the old ones that are transmitting the pain, when we're talking in context of chronic pain, then they're not going to be used. So suddenly your pain is going to be going down. And that's how neuroplasticity needs to be applied to any good program with pain management.  But  it's far more complex than mind over matter. It's not a matter of saying, I'm not going to pay attention to this terrible spasm on my back. No, no. You've got to start retraining your body for chronic pain. You have a sensitization  going on, meaning it's overstimulated. And when people hear neuroplasticity, they immediately say, what's the easy way? What do I do? And it's a daily thing that you start giving input into your body using all your five senses. I started inventing ways for myself because I couldn't find any a practitioner who was going to help me. I got off all six pain related medications including Very high dose of fentanyl the Norco and all the tricyclics and plus that does the Prozac I got off of all of that I don't have any medications that I take for pain now So  that is incredible and it does offer such amazing hope for people who are living with chronic pain So if you have someone face to face who's at the very beginning of their journey, maybe they've thought that they were relegated to a life of chronic pain. I'm going to talk to you and give you hope and seeds of hope and seeds of faith. Hope is yes. You're going to be able to feel better and faith in yourself that you have the skills within yourself to work on yourself to feel better. You don't have to spend a lot of money. Time to go ahead and talk about the five senses. My first day out when I told my body, okay, this is it. You've got to change. Here's what you're going to do. I was walking my neighbor's dog at the time. Because I needed some activity, some movement.  And besides my doctor saying to me, courage is going to get you through this. Is that my training back in the day was in what they call lifestyle medicine, which now has six pillars. Back in the day in the 1970s when I was in public health, there were only four pillars. It was physical, mental, social, and spiritual. So I was doing movement under physical. That was my little bit of walking, which was very difficult. So that very first day I grabbed some sugar free mints.  I put them in my pocket, and I was wearing a TENS unit at that time. So that day I changed the side of the electrodes, popped a mint in my mouth, and I would not listen to that voice in my head. And instead I said, Oh, this mint is cold. And I move it around with my time. Oh, it's sharp now. And Oh, it's melting. When I suck in the air through my nose, Oh, it feels cool. And that was, and then, you know, the pain would keep shouting, but I, I'd say, I don't hear you. And I kept, you know, responding to that. And the, the test came when I had to bend down to clean up after the dog and I put another mint in my mouth and I bent down and I didn't feel any pain cause I was talking to myself about the mint. And then I almost forgot to throw the bag into a receptacle. I was so amazed. And so that was the very beginning of, Oh my goodness. I can make a difference with my pain. And so, you know, the five senses, you know, visual, sensation, taste, smell, hearing, so I put special music in the next day. Every day, I kept adding every couple days another thing. But throughout the day I did other things besides just the neuroplasticity. You cannot be grateful and angry at the same time, but it almost seems like you can't hurt and enjoy a pleasant smell, a pleasant taste, a pleasant sound.  I teach people how to do the neuroplasticity and change their thinking patterns. It's not magic and it's not science fiction. It works, it's neurochemical. When you think about things, it's like a cat, you can have a release of neurochemicals that change your mood, which can change your perception of pain. I talk to my clients and in the book I have something called D. O. S. E., which stands for dopamine, oxytocin,  serotonin, and endorphins.  And it's to remind yourself throughout the day to build in things that are going to stimulate, I call them the happy chemicals. Endorphins, endorphins, endorphins. And I call it baking your cake in the morning. Before you get out of bed in the morning, you make layers in your head. These activities are going to improve my day. So you don't live randomly of saying, Oh, I'm in so much pain. I can't move. You can't, you got to get in the head of the pain.  You take charge of it. Well, let's talk about your book. It's called Unwinding Pain and I love the title because to me, it paints a picture of many, many years of neural pathways that are going towards that pain and back and forth. If you have pain in your arm, that pain is getting sent to your brain and then re stimulated back and forth. 50 percent of the proceeds from the book will be donated to animal rescue organizations in the name of my neighbor's dog Jingles. Who walked with me every day, and because of jingles, I peeled myself off the bed, even when I felt really bad because she had gotten used to me walking her,  and I knew she'd wag her tail. 50 percent of the proceeds from the book will be donated to animal rescue organizations in the name of my neighbor's dog Jingles. Who walked with me every day, and because of jingles, I peeled myself off the bed, even when I felt really bad because she had gotten used to me walking her,  and I knew she'd wag her tail. Up until that point in time, I had allergies to dogs. So it was a providential thing that suddenly I didn't have allergies and my neighbor needed someone to be involved with his dog and I was the right person at the right time. So that was a blessing.  that's cool because you didn't have all the tools you needed if you needed to be outside walking a dog, and you didn't have a dog, and you did not need the responsibility of caring for a dog, because cats will take care of themselves. But yet, A neighbor who had a need and you were meeting his need and the dog's need. I want to circle back to another important thing about, when you said when someone comes to talk to me and how can I make them feel better is that having purpose is really important. Having purpose and go beyond a diagnosis label that you don't introduce yourself. Hi, I'm so and so with, with whatever fibromyalgia, neuromotor arthritis, lupus, that's just part of what you're dealing with. And help people find a purpose. And that makes all the difference in the world.  That is so important. And that is something that I teach in lifestyle medicine, to have purpose, to have social connectedness, to manage your stress and even nature. And the reason Dr. Vickie keeps talking about lifestyle medicine is in my book, the two things that I really harp on is neuroplasticity and all the six pillars of lifestyle medicine in conjunction with  cognitive behavioral therapy and some of the other strategies that will really help you. More people are understanding about it and adopting a healthier food plan to cut down on the inflammation in their body. They're learning about the importance of movement. And social connection is so important and sleep. I have a huge, huge chapter on sleep, which really can amplify your pain. And even though you have chronic pain, believe me, you can learn how to sleep as you start lowering your pain levels anyway. So please remember that whether you buy my book or not, learn about sleep.  Cause it's so essential. Like we can't do without sleep and yet we have to educate ourself and train ourself. And so I have an episode on sleep, but I have an upcoming episode just on insomnia.  Well, I'm so excited about your book. I'm excited to share this hope with our listeners. And, you really have a step by step process that I think people who read the book can go through. Oh, definitely. Okay. I, you, because your audio and you're not watching this, but I'm holding up my, a long, a long paper chip or a long paper clip chain. This is to learn a new behavior. And when I started doing my dog walking, I was starting from zero, you know, challenging my body, but I put a nail on the wall. In my kitchen. And I started putting paperclip in and added another paperclip and added another paperclip. So I got a chain and I knew by seventh paperclip, I was going to feel better. And so I've used that ever since with many clients and they send me pictures. I have hundreds of pictures that come in, people's paperclip chain. And they'll tell me I did this new pain management behavior. Thank you for the paperclip chain, you know, idea. And so people really sparkle about that. And so I have them in different colors. One gentleman started doing his in different colors.  Oh, and a neat thing, because he said, well, Bonnie, I have green to do this one. And then I have, you know, that's my food. And then I have purple for my movement one. And then because I'm doing that sleep thing, how many hours a night in, but I'm making sure to down regulate my body. So I fall asleep. So every time I remember that I give myself a paper clip. So you need,  I think  value and marking the journey. And I've heard it referred to as an Ebenezer stone that you pile up those stones and say, this is the place where. Things change, and I know in programs like, um, Alcoholics Anonymous or Celebrate Recovery, you get a reward token to say, you know, it's a mile marker. It's a, I've come this far, and even if you relapse,  you can say, I did it. Yeah, I actually, I saw the clients I work with, I, they consider the work with me as, 12 step enhancement. And I know about their chips. They're very proud. They call them the chips. And someone wrote to me, said, I just got my 25th year chip. I mean, hallelujah, you know, so I know the term chip for that. And it is so true. And it's a dopamine release too. You've achieved something, you know, it's a wonderful celebration. Exactly.  Yeah. Celebrate success is for sure. Well, anything else about the book or about neuroplasticity? Well, I have no financial interest in a company called Trainpain and they, Connected with me, uh, for pain coaching, and they have a targeted app for, um, neuroplasticity training, which I wish I had in 2010. It's a small device with wires and you tape it onto different parts of your body and you start identifying different sensations. And then there's a, it's a gamification where you, on your phone, you download a game and you progress through it, and what you're doing is getting concentration in your brain to start thinking different about the neural pathways that are giving you the messages.  And then I'm at bonnielester. com if you want to go on and find out more information about me. And if you're interested in pre ordering the book, you could go to Amazon or any of your favorite book selling places. Plus I have an online store at unwindingpain. com. So that's another way you could do it. And I'm on Instagram and people love my Instagram postings because I show my exotic birds and I have a famous garden and some, I'm very quirky. I make my own jewelry so that it resonates with some people. I'm at Bon Bon Lester. So follow me on Instagram.  I like it. Well,  I will be sure and put all the links in the show notes so that my listeners know how to find you. Uh, there is a lot of you were through the book and I appreciate that. And, and I've, I look forward to my listeners getting to follow you on Instagram and especially if anyone does have chronic pain knows that there is hope. And to get started moving forward and, and attaching paperclips together and celebrating once in a while. Yes. It's, it's been great. Yeah. Well, so much for sharing your wisdom with me. This has been delightful connecting with you and chatting to your audience. Thank you for having me. I appreciate it.  It was great talking to you too. Learn about Narcan TrainPain App Bonnie Lester Order Unwinding Pain Follow Bonnie on Instagram

Iron Academy is changing how school is done, by focusing on sharpening boys, and developing them into strong Christian young men. Iron Academy addresses a focus on God, leadership, self discipline, education, and serving others. Find out if Iron Academy is right for your son: https://www.ironacademy.org/about/ Find Grizzly Tribe in Raleigh or a Tribe near you: https://www.mensalliancetribe.com/tribes Sponsor: Tom 'Doc' Love CFP®, CRPC®, CRPS® tlove@themainstreetgroup.com Craig Heah. craig.heah@themainstreetgroup.com ⁠⁠⁠⁠ https://www.themainstreetgroup.com/ --- Support this podcast: https://podcasters.spotify.com/pod/show/mensalliancetribe/support

Complex Regional Pain Syndrome (CRPS I & II) (a.k.a. RSD) is an Extremely painful, chronic condition that is caused by trauma with nerve injury, a fracture, or even just a surgery. Severe Never-ending Pain, day in and day out, leads to emotional distress with depression, anxiety, anger, frustration, and hopelessness! Patients with CRPS have a higher risk of suicide compared to any other painful condition. One study on CRPS reported that 49.3% of patients with CRPS considered suicide and that the actual suicide attempt rate was 15.1%! Yet there is a safe and effective answer! We discuss what can and what has been done successfully to treat this dread condition.

Complex Regional Pain Syndrome (CRPS I & II) (a.k.a. RSD) is an Extremely painful, chronic condition that is caused by trauma with nerve injury, a fracture, or even just a surgery. Severe Never-ending Pain, day in and day out, leads to emotional distress with depression, anxiety, anger, frustration, and hopelessness! Patients with CRPS have a higher risk of suicide compared to any other painful condition. One study on CRPS reported that 49.3% of patients with CRPS considered suicide and that the actual suicide attempt rate was 15.1%! Yet there is a safe and effective answer! We discuss what can and what has been done successfully to treat this dread condition.

Join Lyndsay Soprano as she welcomes Beth Sandlin, the owner of Trifecta Pilates as she shares her incredible journey from battling cancer at the age of 20 to becoming a beacon of wellness and mindfulness through Pilates. Together, they explore into the importance of listening to our bodies, the role of the nervous system in pain and healing, and how mindful movement, particularly Pilates, can serve as a powerful tool for trauma integration.Beth opens up about her unexpected cancer diagnosis, the challenges of aggressive treatment, and her commitment to a life of wellness. They discuss the common misconceptions about health and wellness, the importance of not depriving oneself, and the need to find balance and joy in the journey. Lyndsay and Beth also explore the concept of neuro-somatic Pilates, emphasizing the interconnectedness of the brain and body and how this holistic approach can help in managing chronic pain and trauma.This episode is a must-listen for anyone seeking practical strategies for integrating mindful movement into their lives, especially those dealing with chronic pain and trauma. Beth's insights and Lyndsay's heartfelt reflections offer a fresh perspective on healing, resilience, and the transformative power of Pilates.Find Beth Online Here:Instagram: @trifectapilatesFacebook: Trifecta PilatesYouTube: Trifecta PilatesWebsite: trifectapilates.comEpisode Highlights:(00:00) This podcast focuses on living with chronic pain and trauma(02:10) Introduction to Beth Sandlin and her journey(10:30) The emotional and physical toll of cancer and treatment(15:45) The importance of listening to our bodies and adapting(20:20) Mindfulness and mindful movement through Pilates(25:50) The concept of neuro-somatic Pilates(30:15) Balancing the nervous system for overall well-being(35:00) Practical strategies for integrating Pilates into daily life(40:10) The role of acceptance and alignment in healing(45:20) Adapting workouts to individual needs and capabilities(50:30) Final thoughts and words of encouragement for listeners

David shares his story of struggle and perseverance. From a professional baseball career, to becoming an entrepreneur, and a television star and being canceled, keeping a focus on God got him through. God doesn't need successful people, God needs commitment to him, when things are hard minister where you are. Learn More: https://benhambrothers.com/ Living Among Lions - Book Whatever the Cost - Book Expert Ownership - Book Sponsor: Tom 'Doc' Love CFP®, CRPC®, CRPS® tlove@themainstreetgroup.com Craig Heah. craig.heah@themainstreetgroup.com ⁠⁠⁠⁠ https://www.themainstreetgroup.com/ --- Support this podcast: https://podcasters.spotify.com/pod/show/mensalliancetribe/support

Step into the transformative world of fertility, mindset, and resilience with this insightful episode of The Pain Game Podcast. Your host, Lyndsay Soprano, delves into the emotional and physical toll of infertility, sharing her personal journey and the profound impact of stress and trauma on fertility. In this episode, Lyndsay is joined by the incredible Roseanne Austin, a former California sexual assault prosecutor turned fertility coach, and author of the upcoming book, "The Feminine Fertility Cure." Together, they explore the power of mindset in overcoming infertility, debunking common fertility myths, and the significant role of stress and trauma in the fertility journey.Roseanne shares her seven-year journey to motherhood, the challenges she faced, and how she transformed her life and mindset to help other women achieve their dreams of becoming mothers. They discuss the impact of societal pressures, the masculinization of women in the pursuit of success, and the importance of reclaiming feminine desires and agency.This episode is a beacon of hope and empowerment for anyone facing fertility challenges, offering actionable insights and a fresh perspective on the mind-body connection.Fine Rosanne Austin Here:Website: frommaybetobaby.comInstagram: @rosanneaustinfertilityFacebook: Rosanne Austin CoachYouTube: Fearlessly Fertile TVPodcast: Fearlessly Fertile PodcastEpisode Highlights:(00:00) This podcast focuses on living with chronic pain and trauma(02:10) Introduction to Roseanne Austin and her journey from prosecutor to fertility coach(10:30) The emotional and physical toll of infertility treatments(15:45) The impact of stress and trauma on fertility(20:20) Debunking common fertility myths(25:50) The importance of mindset in overcoming infertility(30:15) Reclaiming feminine desires and agency(35:00) The role of mindfulness and self-love in the fertility journey(40:10) Practical strategies for reengineering thoughts and beliefs(45:20) The significance of a supportive community in fertility(50:30) Final thoughts and words of encouragement for listeners

Step into a heartfelt and intimate episode of The Pain Game Podcast as Lyndsay Soprano celebrates her 100th episode with her favorite person on the planet—her sweetie, Bill Handel. Known for his illustrious career as a top talk show radio personality and host of the nationally syndicated show "Handel on the Law," Bill joins Lyndsay to delve into the complexities of living with chronic pain and trauma from the perspective of loved ones.In this special episode, Lyndsay and Bill open up about their unique and unexpected relationship, the challenges they've faced, and the strength they've found in each other. They discuss the emotional toll of chronic pain, the impact of stress, and the importance of a supportive partnership. Bill shares his struggles with feeling helpless and the profound love that keeps them going, while Lyndsay reflects on the significance of giving her pain purpose and the transformative power of their journey together.This episode is a touching tribute to the resilience of love and the importance of having a strong support system when dealing with chronic pain and trauma. It's a must-listen for anyone seeking insight, inspiration, and a deeper understanding of the role loved ones play in the healing process.Find Bill Handel Online Here:Instagram: @billhandelshowFacebook: The Bill Handel ShowWebsite: thebillhandelshowpodcast.comPodcast: The Bill Handel Show PodcastEpisode Highlights:(00:00) This is your pain game podcast about living with chronic pain and trauma(02:00) Introduction to Bill Handel and his impressive career(05:30) Celebrating the 100th episode with Lyndsay's sweetie(10:00) The emotional and physical toll of chronic pain on relationships(15:45) The importance of a supportive partnership(20:30) The impact of stress on pain and well-being(25:50) Bill's perspective on watching Lyndsay suffer(30:05) The transformative power of giving pain purpose(35:40) Practical strategies for managing stress and pain(40:20) The significance of a supportive team in managing chronic pain(45:55) Reflections on their journey together and future plans(50:30) Final thoughts and words of encouragement for listeners

In this episode of The Amberly Lago Show: Stories of True Grit and Grace, host Amberly Lago sits down with Dr. Remina Panjwani, a functional medicine doctor and member of the unstoppable life mastermind, to discuss the transformative power of functional medicine. Dr. Panjwani shares her journey from traditional to functional medicine during the COVID-19 pandemic and emphasizes the importance of addressing root causes, the interconnectedness of mind, body, and spirit, and individualized patient care. Amberly and Dr. Panjwani delve into the impact of stress, inflammation, and nutrition on overall health, effective strategies for managing chronic conditions like CRPS, and the significance of personalized approaches to wellness. Join Amberly and Dr. Panjwani as they explore the holistic world of functional medicine, the science of neuroplasticity, and practical tips for enhancing gut health and sleep quality. If you are ready to leave your mark by discovering your message and sharing it with the world, you've come to the right place!! Let's work together to build your influence, your impact, and your income! Join the tribe you have been waiting for to activate your highest potential and live the life you deserve! Join the “Unstoppable Life Mastermind!” and let us know you are ready for greatness! Read the “True Grit and Grace” book here and learn how you can turn tragedy into triumph!  Thank you for joining us on The Amberly Lago Show: Stories of True Grit and Grace! If you find value in today's episode, don't forget to share the show with your friends and tap that subscribe button so you don't miss an episode! You can also head over to amberlylago.com to join my newsletter and access free downloadable resources that can help you elevate your life, business, and relationships! Want to see the behind-the-scenes and keep the conversation going?  Head over to Instagram @amberlylagomotivation! Audible @True-Grit-and-Grace-Audiobook  Website @amberlylago.com Instagram @amberlylagomotivation Facebook @AmberlyLagoSpeaker

In this episode, we review the high-yield topic of⁠⁠ ⁠⁠⁠⁠Complex Regional Pain Syndrome (CRPS)⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠from the Basic Science section. Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Orthobullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on Social Media: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Facebook⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Twitter⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠LinkedIn⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠YouTube --- Send in a voice message: https://podcasters.spotify.com/pod/show/orthobullets/message

In this episode of The Amberly Lago Show: Stories of True Grit and Grace, host Amberly Lago sits down with the incredible Christina Deering to discuss the importance of pushing past comfort zones to achieve success and how to energetically price your services. Christina delves into the evolving nature of purpose and offers advice on following what lights you up to find career alignment. They explore the value of calming the nervous system, following one's curiosity, and incorporating grounding techniques to stay rooted in truth. Amberly shares her personal journey with complex regional pain syndrome (CRPS), leading to an insightful discussion on energy retention, akashic records, and shamanic practices. Join Amberly and Christina as they dive deep into finding joy, aligning with your true purpose, and grounding your energy for professional and personal growth in this enlightening conversation. If you are ready to leave your mark by discovering your message and sharing it with the world, you've come to the right place!! Let's work together to build your influence, your impact, and your income! Join the tribe you have been waiting for to activate your highest potential and live the life you deserve! Join the “Unstoppable Life Mastermind!” and let us know you are ready for greatness! Read the “True Grit and Grace” book here and learn how you can turn tragedy into triumph!  Thank you for joining us on The Amberly Lago Show: Stories of True Grit and Grace! If you find value in today's episode, don't forget to share the show with your friends and tap that subscribe button so you don't miss an episode! You can also head over to amberlylago.com to join my newsletter and access free downloadable resources that can help you elevate your life, business, and relationships! Want to see the behind-the-scenes and keep the conversation going?  Head over to Instagram @amberlylagomotivation! Audible @True-Grit-and-Grace-Audiobook  Website @amberlylago.com Instagram @amberlylagomotivation Facebook @AmberlyLagoSpeaker