115. Chronic Pain Syndromes: Assessment and Management

Eating the right foods, getting enough rest, participating in some activity… We’ve all heard that so many times, we can’t even count. However, when Dr. Lenz says it… he backs it up with evidence. Listen in while Dr. Michael Lenz makes the connection of what’s really going on in a patient that is suffering from chronic pain.  It all sounds so logical when Dr. Lenz talks about the Food-Mind-Body connection. Dr. Gaggino and Dr. Lenz talk about how the brain processes pain and offer some answers that you may not have thought about.  If you suffer from chronic pain, fibromyalgia, etc., you’ll want to listen with a pen and pad nearby.

 [00:33 -16:29] Opening Segment

  • We hear about Dr. Lenz journey into the medical profession
  • How his love of sports relates to his chronic pain practice
  • When all those around them are in disbelief, just validating a patient’s pain is half the battle
  • Are “Growing Pains” real??? Maybe it’s something else… Dr. Lenz digs deeper to find the actual answer

[16:30- 29:20]  The Pain Continuum

  • How the brain processes pain
  • Some physicians are not connecting the symptoms; don’t ask the right questions
  • 40% of children that have Crohn’s disease also have IBS 
  • The importance of Food-Mind-Body relationship

[29:21 -39:32]  Connecting the dots

  • Offering validation, hope, and trust….however, maybe medication is not your first “go-to” 
  • The hypervigilant brain
  • Dr. Lenz’s evidence based approach
  • People who are on the Central Pain Spectrum need regularity more than originally thought

 

[39:33 -27:05]  But what about Medication?

  • Opioids may make chronic pain worse
  • Having patients keep track with a Diary, record the schedule and history, 
  • You can have an impact early on in a patient’s life so they don’t end up “just like grandma”

[57:06 – 1:02:26]  Closing segment Takeaway

 

Links to resources mentioned on the show

 

The Podcast:  Conquering Your Fibromyalgia

 

Dr. Lenz’s Book

Key quotes for Twitter:

“I got kicked off of Facebook.  I said boy, a lot of people here. It seems like they’re talking about this like it’s a stage four metastatic cancer and we’re just doing palliative care. Like nobody’s ever going to get better. And I said, my patients get better” …Dr. Michael Lenz

 

“Right now, there is no specialist that’s really the expert. There may be people in a GI dept and one of them has an interest in this area, but they are not psychiatrists. There might be a psychiatrist who’s interested in things, but they’re not the neurologist and vice versa”..  Dr. Michael Lenz

 

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Dr Lia Gaggino

Dr Lia Gaggino Host of the Pediatric Meltdown Podcast

Dr. Lia Gaggino has worked as a pediatrician for over 30 years on the west side of Michigan. During her career as a primary care physician, she has been privileged to care for children and adolescents, and know that their success is closely tied to mental wellness.

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Dr. Lia Gaggino has worked as a pediatrician for over 30 years on the west side of Michigan. During her career as a primary care physician, she has been privileged to care for children and adolescents, and know that their success is closely tied to mental wellness.

Recent Episodes

  • All Post
  • ADHD
  • Advocacy
  • Aggression and Disruptive Behaviors
  • Anxiety
  • Autism
  • Building Better Workflows
  • Depression
  • Genetics
  • healthcare disparities and inequalities
  • LGBTQIA+
  • Medications
  • Mental Health
  • OCD
  • Other
  • Pain
  • Parent/child
  • Physician Well-Being
  • Schizophrenia
  • Sexual Trauma
  • Sleep
  • Social Media
  • Substance Abuse
  • Suicide Prevention
  • Trauma

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