https://creativepaincare.com/2026-10-20T20:37:41.000Z https://creativepaincare.com/posts/2026-10-20-treat-the-story-not-the-image-dr-brian-jacob/2026-10-20T20:37:41.000Z

An abnormality on a scan is not always the source of the pain. Surgeon Dr. Brian Jacob joins Dr. Jason Siefferman to explore chronic groin and pelvic pain, hidden hernias, nerve entrapment, mesh-related pain, and sports injuries, and why diagnosis should begin with the patient’s history rather than imaging alone. Learn more about Dr. Brian Jacob at NYC Hernia.…

https://creativepaincare.com/posts/2026-10-20-s1e6-treat-the-story-not-the-image-dr-brian-jacob-care-beyond-the-pain/2026-10-20T20:16:19.000Z

What happens when an abnormality on a scan is not actually the source of the pain? Surgeon Dr. Brian Jacob joins Dr. Jason Siefferman to explore the complex diagnostic process behind chronic groin, pelvic, and abdominal wall pain. A central theme of their conversation is Dr. Jacob’s approach: treat the patient’s story, not simply the image. They discuss chronic pain after inguinal hernia repair,…

https://creativepaincare.com/posts/2026-10-13-minimally-invasive-or-minimally-effective-dr-arthur-l-jenkins-iii/2026-10-13T19:39:29.000Z

Effective spine care begins with identifying what is actually causing the problem. Neurosurgeon Dr. Arthur L. Jenkins III joins Dr. Jason Siefferman to discuss diagnostic testing, surgical decision-making, hypermobility and craniocervical instability, Bertolotti syndrome, and why the least invasive procedure is only valuable when it adequately addresses the underlying condition. Learn more about…

https://creativepaincare.com/posts/2026-10-13-s1e5-minimally-invasive-or-minimally-effective-dr-arthur-l-jenkins-iii/2026-10-13T19:06:49.000Z

The smallest spine procedure is not always the procedure most likely to solve the problem. Neurosurgeon Dr. Arthur L. Jenkins III joins Dr. Jason Siefferman to discuss why effective spine care begins long before the operating room. Their conversation explores the importance of listening carefully, testing a diagnosis before acting on it, and distinguishing an abnormal finding on imaging from the…

https://creativepaincare.com/posts/2026-10-07-s1e4-when-pots-is-only-part-of-the-picture-dr-alexis-cutchins-care-bey/2026-10-07T02:14:05.000Z

What if a racing heart is only one piece of a much larger problem? Cardiologist Dr. Alexis Cutchins joins Dr. Jason Siefferman to explore why symptoms associated with POTS can extend far beyond the cardiovascular system and why understanding the full clinical picture may require looking across multiple body systems. They discuss the overlap among POTS, mast cell activation syndrome (MCAS),…

https://creativepaincare.com/posts/2026-10-06-when-pots-is-only-part-of-the-picture-dr-alexis-cutchins/2026-10-06T19:41:12.000Z

POTS may be the symptom that brings someone to cardiology, but the underlying picture can be far more complex. Cardiologist Dr. Alexis Cutchins joins Dr. Jason Siefferman to discuss the overlap among POTS, MCAS, hypermobility, vascular compression, and chronic pain, and why diagnosis and treatment often require looking across body systems and addressing several contributing factors over time.…

https://creativepaincare.com/posts/2026-09-29-why-exercise-alone-isnt-enough-nathan-sherwood-pt-dpt-ocs-cscs/2026-09-29T19:14:05.000Z

Physical therapy for complex pain is about more than getting stronger. Nathan Sherwood, PT, DPT, joins Dr. Jason Siefferman to explore how movement patterns, stability, proprioception, and compensation can influence pain and recovery. They discuss hypermobility, functional manual therapy, purposeful exercise, and why rebuilding dysfunctional movement patterns often requires a gradual,…

https://creativepaincare.com/posts/2026-09-29-s1e3-why-exercise-alone-isnt-enough-nathan-sherwood-pt-dpt-ocs-cscs-ca/2026-09-29T18:53:20.000Z

Exercise is important, but for someone living with complex pain, simply becoming stronger may not address the reason movement is causing problems. Physical therapist Nathan Sherwood joins Dr. Jason Siefferman to explore how physical therapy can identify and retrain the movement patterns, compensations, and stability problems that may contribute to persistent pain. They discuss why chronic pain…

https://creativepaincare.com/posts/2026-09-22-s1e2-when-chronic-pain-takes-over-your-life-dr-ravi-shah-care-beyond-t/2026-09-22T23:39:15.000Z

When chronic pain begins to take over your life, how do you regain a sense of control? Dr. Jason Siefferman sits down with psychiatrist Dr. Ravi Shah to explore the psychological and emotional impact of living with chronic pain, and why understanding these experiences is an essential part of comprehensive pain care. Their conversation examines how persistent pain can reshape a person's identity,…

https://creativepaincare.com/posts/2026-09-22-when-chronic-pain-takes-over-your-life-dr-ravi-shah/2026-09-22T22:24:42.000Z

Chronic pain affects more than physical health. Psychiatrist Dr. Ravi Shah joins Dr. Jason Siefferman to explore how persistent pain can reshape identity, relationships, and daily life. They discuss medical trauma, anxiety, and how psychiatric care and practical coping strategies can help people regain confidence, a sense of control, and quality of life. Learn more about Dr. Ravi Shah at Arc…

https://creativepaincare.com/posts/2026-09-16-when-pain-doesnt-show-up-on-a-scan-dr-joshua-weaver/2026-09-16T13:01:57.000Z

Dr. Jason Siefferman sits down with neurologist Dr. Joshua Weaver to explore why pain does not always show up clearly on imaging or diagnostic testing. They discuss peripheral neuropathy, nervous system sensitization, fibromyalgia, and diagnostic uncertainty, as well as why listening, examination, continuity of care, and an iterative approach can be essential when the answer is not immediately…

https://creativepaincare.com/posts/2026-09-16-s1e1-when-pain-doesnt-show-up-on-a-scan-dr-joshua-weaver-care-beyond-t/2026-09-16T03:07:02.000Z

What happens when pain is real, but an MRI, EMG, or other diagnostic test does not provide a clear answer? Dr. Jason Siefferman sits down with neurologist Dr. Joshua Weaver to explore why complex chronic pain cannot always be explained by imaging or a single diagnosis. They discuss peripheral neuropathy, small fiber neuropathy, nervous system sensitization, fibromyalgia, and the limitations of…

https://creativepaincare.com/posts/2026-09-15-introducing-pain-answered-by-dr-jason-w-siefferman/2026-09-15T22:15:58.000Z

Dr. Siefferman shares the thinking behind Pain, Answered, a book created to help readers better understand chronic pain, why it can persist, and how a more complete approach to diagnosis and treatment can help bring clarity to the journey. Pain, Answered is available now on Amazon: https://a.co/d/06kEHM70

https://creativepaincare.com/posts/2026-09-15-s1e0-the-chronic-pain-journey-discovery-treatment-and-maintenance-care/2026-09-15T20:42:20.000Z

In the introductory episode of Care Beyond the Pain, Dr. Jason Siefferman explores the three phases of the chronic pain journey: Discovery, Treatment, and Maintenance. He explains why meaningful diagnosis requires more than identifying what hurts, how treatment can help confirm or challenge our understanding of a diagnosis, and why finding the right path forward is often an iterative process.…

https://creativepaincare.com/posts/2026-09-15-the-chronic-pain-journey-discovery-treatment-and-maintenance/2026-09-15T20:32:24.000Z

Dr. Jason Siefferman introduces Care Beyond the Pain and the three phases of the chronic pain journey: Discovery, Treatment, and Maintenance. He explores why understanding how and why pain persists is essential, how treatment can help refine a diagnosis, and why progress is rarely a straight line. The episode establishes the framework for future conversations with providers, patients,…

https://creativepaincare.com/posts/2026-09-09-hip-problems-and-male-pelvic-floor-dysfunction/2026-09-09T21:09:37.000Z

MPM and Adam Gvili, PT, DPT, examine how hip problems can drive male pelvic floor guarding, with clinical clues to guide evaluation and rehabilitation.

https://creativepaincare.com/posts/2026-06-19-knee-arthritis-pain-what-patients-should-know-before-steroid-injection/2026-06-19T19:48:45.000Z

Knee arthritis is often described as simple “wear and tear,” but the pain is usually more layered than that. Arthritis can involve cartilage loss, inflammation, joint mechanics, ligament stability, muscle weakness, foot alignment, hip control, and the way the kneecap tracks during movement.Before moving forward with steroid injections or surgery, it is important to understand what is actually…

https://creativepaincare.com/posts/2026-06-19-cancer-pain-vs-treatment-related-nerve-pain-why-the-source-matters/2026-06-19T19:47:49.000Z

Pain during or after cancer care can come from different sources. Some pain is caused by the cancer itself. Other pain is caused by the treatments used to fight the cancer, including chemotherapy, surgery, radiation, or medications.Understanding the difference matters because the treatment plan changes depending on what is driving the pain.

https://creativepaincare.com/posts/2026-06-19-chemotherapy-induced-neuropathy-why-cancer-treatment-can-leave-lasting/2026-06-19T19:47:18.000Z

Chemotherapy can be lifesaving, but it can also affect the nervous system. Some patients develop chemotherapy-induced peripheral neuropathy, or CIPN, during or after cancer treatment.This condition can cause burning, tingling, numbness, electric pain, sensitivity, or the feeling that the feet or hands are constantly asleep. Symptoms often begin in the toes or fingers, but they can become more…

https://creativepaincare.com/posts/2026-06-19-why-crps-is-so-often-misdiagnosed-and-what-a-proper-workup-should-look/2026-06-19T19:46:28.000Z

Complex Regional Pain Syndrome, or CRPS, is one of the most misunderstood chronic pain conditions. It often begins after an injury, surgery, fracture, sprain, or nerve irritation, but the pain becomes much larger than the original event.CRPS involves an overactive pain and autonomic nervous system response. The body’s fight-or-flight system becomes sensitized, and normal sensations may be…

https://creativepaincare.com/posts/2026-06-19-sympathetically-maintained-pain-why-nerve-pain-can-spread-beyond-the-o/2026-06-19T19:45:23.000Z

Sympathetically maintained pain occurs when the sympathetic nervous system becomes part of the pain cycle. This is the body’s automatic fight-or-flight system, which helps regulate blood flow, sweating, temperature, digestion, heart rate, and internal alarm signals.When pain, injury, inflammation, or trauma repeatedly activates this system, the nervous system can become sensitized. Over time, it…

https://creativepaincare.com/posts/2026-06-19-neuropathic-pain-burning-electric-tingling-symptoms/2026-06-19T19:44:47.000Z

Burning or electric pain may persist with normal scans. MPM explains nerve blocks, movement-related irritation, and evaluation for systemic neuropathy.

https://creativepaincare.com/posts/2026-06-19-non-opioid-pain-relief-a-diagnosis-first-approach/2026-06-19T19:44:00.000Z

A diagnosis-first approach to non-opioid pain relief maps structural and nerve drivers, weighs opioid limitations, and plans care across body systems.

https://creativepaincare.com/posts/2026-06-19-non-opioid-pain-management-beyond-medication/2026-06-19T19:43:18.000Z

Non-opioid pain care can pair diagnostic blocks, selected procedures, movement retraining, and pain psychology. MPM explains how each fits the pain source.

https://creativepaincare.com/posts/2026-06-19-diagnostic-nerve-blocks-what-temporary-relief-reveals/2026-06-19T19:42:24.000Z

Temporary relief can reveal a pain source. MPM explains how diagnostic blocks help separate overlapping signals, referred pain, and nervous system amplification.

https://creativepaincare.com/posts/2026-06-19-steroid-injections-vs-regenerative-medicine/2026-06-19T19:41:38.000Z

Steroids calm inflammation; regenerative approaches target selected tissue problems. MPM explains why diagnosis, joint stability, and treatment timing matter.

https://creativepaincare.com/posts/2026-06-19-tmj-pain-neck-nerve-hypermobility-connections/2026-06-19T19:40:51.000Z

Jaw pain can involve neck mechanics, migraine, nerve sensitivity, and hypermobility. MPM explains why TMJ evaluation should consider the wider head-neck system.

https://creativepaincare.com/posts/2026-06-19-migraine-vs-cervicogenic-headache-key-differences/2026-06-19T19:39:16.000Z

Migraine and neck-driven headaches can coexist. MPM compares their symptom patterns and explains how cervical joints, nerves, and instability guide evaluation.

https://creativepaincare.com/posts/2026-06-19-why-neck-pain-can-cause-headaches/2026-06-19T19:38:14.000Z

Shared head and neck nerve pathways can turn cervical irritation into headaches. MPM explains the roles of joints, guarding muscles, and occipital nerves.

https://creativepaincare.com/posts/2026-06-19-interstitial-cystitis-or-pelvic-nerve-pain/2026-06-19T19:37:22.000Z

Bladder-like pain may involve pelvic nerves, spinal referral, or hidden hernias. MPM explores when interstitial cystitis symptoms need a broader workup.

https://creativepaincare.com/posts/2026-06-19-endometriosis-pain-after-surgery-why-it-persists/2026-06-19T19:36:40.000Z

Pain after endometriosis surgery may have several contributors. MPM explores sensitization, scar-related nerve irritation, muscle guarding, and pelvic overlap.

https://creativepaincare.com/posts/2026-06-19-chronic-pain-and-stress-why-flares-happen/2026-06-19T19:35:26.000Z

MPM explains how stress, autonomic activation, and sensitization can intensify pain flares, and why evaluation still needs to identify physical pain drivers.

https://creativepaincare.com/posts/2026-06-19-central-sensitization-why-pain-signals-amplify/2026-06-19T19:34:45.000Z

Learn how central sensitization amplifies pain and why MPM pairs nervous system support with continued evaluation of structural, nerve, and inflammatory drivers.

https://creativepaincare.com/posts/2026-06-19-fibromyalgia-and-widespread-pain-a-broader-workup/2026-06-19T19:34:11.000Z

MPM explains why widespread pain deserves investigation beyond a fibromyalgia label, including evaluation for hypermobility, inflammation, and neuropathy.

https://creativepaincare.com/posts/2026-06-19-mcas-symptoms-triggers-and-overlapping-conditions/2026-06-19T19:33:22.000Z

Flushing, GI symptoms, burning pain, and dizziness may form an MCAS pattern. MPM explores flare triggers and overlap with hypermobility and dysautonomia.

https://creativepaincare.com/posts/2026-06-19-pots-symptoms-and-anxiety-understanding-dysautonomia/2026-06-19T19:32:31.000Z

Racing heart, dizziness, and internal alarm can reflect POTS or dysautonomia. MPM examines standing-related symptoms and the wider autonomic pattern.

https://creativepaincare.com/posts/2026-06-19-eds-pots-mcas-understanding-symptom-overlap/2026-06-19T19:31:36.000Z

MPM examines the structural, autonomic, and immune layers of EDS, POTS, and MCAS symptom overlap, explaining why evaluation and treatment order matter.

https://creativepaincare.com/posts/2026-06-19-why-ehlers-danlos-syndrome-diagnosis-takes-time/2026-06-19T19:30:50.000Z

Why can EDS diagnosis take years? MPM explores scattered symptoms, muscle guarding, and dynamic instability, emphasizing a thorough exam and whole-body history.

https://creativepaincare.com/posts/2026-06-19-how-hypermobility-affects-the-body-beyond-flexibility/2026-06-19T19:29:36.000Z

Beyond flexibility, hypermobility can strain muscles, irritate nerves, and overlap with autonomic symptoms. MPM explains why whole-body evaluation matters.

https://creativepaincare.com/posts/2026-06-19-referred-hip-pain-pelvis-spine-nerve-connections/2026-06-19T19:27:33.000Z

Hip or groin pain may be referred from elsewhere. MPM explores the spine, SI joint, pelvic nerves, and hidden hernias as part of a broader lumbopelvic workup.