{"podcast":{"title":"Celebrate Muliebrity with Michelle Lyons","slug":"celebrate-muliebrity-with-michelle-lyons-6400904","podcast_index_feed_id":6400904,"rss_url":"https://anchor.fm/s/e25e1004/podcast/rss","website_url":"https://celebratemuliebrity.com","image_url":"https://d3t3ozftmdmh3i.cloudfront.net/production/podcast_uploaded_nologo/37878153/37878153-1705428975752-d040e3edc1b65.jpg","author":"Michelle Lyons","episode_count":122,"summary":"Muliebrity is the art and state of being a woman and I think that should be celebrated! Join me as I discuss all things women's health, share new research and talk with some of the cleverest people in women's health...and don't forget to celebrate muliebrity!","last_synced_at":"2026-06-29T20:19:34.488438+00:00","page_url":"https://stenobird.com/podcast/celebrate-muliebrity-with-michelle-lyons-6400904"},"episode":{"title":"Neuropathic Pain - Sciatic & Pudendal Problems: Episode 118 with Thomas Dekkers","slug":"neuropathic-pain-sciatic-pudendal-problems-episode-118-with-thomas-dekkers","published_at":"2026-05-25T11:37:01+00:00","page_url":"https://stenobird.com/podcast/celebrate-muliebrity-with-michelle-lyons-6400904/neuropathic-pain-sciatic-pudendal-problems-episode-118-with-thomas-dekkers","show_page_url":"https://stenobird.com/podcast/celebrate-muliebrity-with-michelle-lyons-6400904","url":"https://podcasters.spotify.com/pod/show/michelle-lyons0/episodes/Neuropathic-Pain---Sciatic--Pudendal-Problems-Episode-118-with-Thomas-Dekkers-e3js2sj","audio_url":"https://anchor.fm/s/e25e1004/podcast/play/120506707/https%3A%2F%2Fd3ctxlq1ktw2nl.cloudfront.net%2Fstaging%2F2026-4-25%2F66c56a2a-8fe8-86fe-5640-62367fab4cc3.mp3","summary":"Hello and welcome to today's episode, where I'm discussing neuropathic pain, particularly the Sciatic & Pudendal nerves, with Thomas Dekkers - Tom's background includes his 18-year clinical experience as a spine specialist physiotherapist, his PhD research on athletic back pain, and current role as a clinical specialist in neurosurgery at Cork University Hospital. In our conversation today, we explored how dermatomes can be unreliable for diagnosis, particularly with pelvic pain conditions, and discussed the role of neuroinflammation in persistent pain states. Tom shared his approach to managing neuropathic pain, emphasizing the importance of first avoiding activities that aggravate symptoms before gradually reintroducing movement and exercise. We also discussed the problematic nature of the "core stability" terminology in physiotherapy and the need for more biopsychosocial approaches to patient care. The conversation highlighted the challenges of managing chronic pain conditions and the importance of proper patient education and goal-setting in treatment plans, including neuroinflammation, when compression can lead to inflammation throughout the nervous system, including glial cell activation in both the dorsal horn and thoracic spinal cord. We talked about that when patients completely color in body maps, it raises concerns about nociplastic pain, particularly given the anatomical proximity of nerve roots and the potential for irritation to spread. Tom explained how he helps patients understand that pain can be influenced by multiple factors beyond just anatomy, including sleep, stress, and social aspects, and described his process of developing individualized treatment plans with patients, setting realistic expectations about pain management over 6-12…","meta_description":"Hello and welcome to today's episode, where I'm discussing neuropathic pain, particularly the Sciatic & Pudendal nerves, with Thomas Dekkers - Tom's b…","key_points":[],"chapters":[],"topics":[],"duration_seconds":3187,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/celebrate-muliebrity-with-michelle-lyons-6400904/episodes/neuropathic-pain-sciatic-pudendal-problems-episode-118-with-thomas-dekkers/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/celebrate-muliebrity-with-michelle-lyons-6400904/neuropathic-pain-sciatic-pudendal-problems-episode-118-with-thomas-dekkers.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}