Pain Speak – Détails, épisodes et analyse

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In this solo episode, I explore Pain Reprocessing Therapy (PRT), a novel approach to managing chronic pain that focuses on changing the brain's interpretation of pain signals. I compare PRT with existing therapies like Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT), discussing the neuroscience behind pain and the effectiveness of PRT. The episode emphasizes the importance of understanding pain as a complex emergent interplay of neurological and psychological factors, advocating for an integrated approach to pain management that includes PRT alongside traditional therapies.

Takeaways

1. Chronic pain may not indicate physical damage but a nervous system issue.
2. PRT offers a new perspective on pain management.
3. Changing the brain's interpretation of pain can lead to recovery.
4. PRT is gaining attention due to its potential effectiveness.
5. The nervous system plays a crucial role in chronic pain.
6. Evidence supports PRT's effectiveness in specific pain populations.
7. PRT differs fundamentally from CBT and ACT in approach.
8. Predictive processing theory explains how the brain perceives pain.
9. PRT can lead to significant reductions in pain intensity.
10. Integrating various therapies can enhance pain management outcomes.

Keywords

Pain Reprocessing Therapy, Chronic Pain, Neuroscience, CBT, ACT, Predictive Processing, Pain Management, Pain Neuroscience, Emotional Awareness, Therapy Techniques

Disclaimer:
This podcast is for education and general information only and does not replace personalised medical advice. If you are experiencing ongoing pain or distress, please consult your healthcare professional bef

Please provide a feedback and comments on the podcast and any questions that you may have.

If you enjoyed it please rate and leave a review on Spotify/Apple podcasts and tell a friend about this show.

The Pain Speak podcast is presented by Prof Deepak Ravindran, a NHS Consultant specialising in Pain and Lifestyle Medicine. Dr Ravindran is also the author of the book, 'The Pain Free Mindset'

Get in touch:
Twitter: @deepakravindra5
Instagram: drdeepakravindran
Website: www.deepakravindran.co.uk
Linktree: https://linktr.ee/DrDeepakRavindran
Youtube Channel: https://www.youtube.com/@drdeepakravindran5361

For Clinical Queries and consultations, please go to Berkshire Pain Clinic



Order a copy of the Pain Free Mindset here

For Season 1 and 3:
Mixed and edited by Rob Cao at...

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 In this deeply human episode of PainSpeak, I’m joined by Fiona Symington, who shares her lived experience of chronic fatigue and persistent pain symptoms — and, importantly, what recovery felt like from the inside and what pain reprocessing therapy (PRT) meant to her. 

This is not a conversation about quick fixes, techniques, or “getting it right.” Instead, Fiona gently walks us through the emotional and nervous-system journey of living in a body that no longer felt safe, predictable, or trustworthy. We explore the early signs that something was wrong, the impact of not being believed, and how fear, hypervigilance, and constant symptom-monitoring can quietly become part of the suffering itself. 

Fiona reflects on the slow, often non-linear shifts that marked her path toward healing — moments of understanding, softening, and rebuilding trust rather than pushing or fixing. Together, we talk about identity, grief, and the unexpected challenges of recovery, including how unfamiliar safety can feel after long-term illness. 

This episode is especially for anyone who feels exhausted by trying, overwhelmed by advice, or quietly worried they’re “behind” in their healing. Fiona’s story offers reassurance rather than instruction, and hope without pressure — a reminder that recovery does not begin with effort or perfection, but often with understanding, compassion, and a nervous system learning that it is no longer under threat. This conversation is shared as one person’s experience, not medical advice, and listeners are encouraged to listen gently, at their own pace. I am really gratefu to Fiona for her time and deeply impressed that she is now training to be a clinical psychologist in order to do the research and help people like her. 

You can learn more about Fiona by checking her out on X @fionas_Story and Instagram @Fionas_Story

Disclaimer:
This podcast is for education and general information only and does not replace personalised medical advice. If you are experiencing ongoing pain or distress, please consult your healthcare professional

Disclaimer:
This podcast is for education and general information only and does not replace personalised medical advice. If you are experiencing ongoing pain or distress, please consult your healthcare professional bef

Please provide a feedback and comments on the podcast and any questions that you may have.

If you enjoyed it please rate and leave a review on Spotify/Apple podcasts and tell a friend about this show.

The Pain Speak podcast is presented by Prof Deepak Ravindran, a NHS Consultant specialising in Pain and Lifestyle Medicine. Dr Ravindran is also the author of the book, 'The Pain Free Mindset'

Get in touch:
Twitter: @deepakravindra5
Instagram: drdeepakravindran
Website: www.deepakravindran.co.uk
Linktree: https://linktr.ee/DrDeepakRavindran
Youtube Channel: https://www.youtube.com/@drdeepakravindran5361

For Clinical Queries and consultations, please go to Berkshire Pain Clinic



Order a copy of the Pain Free Mindset here

For Season 1 and 3:
Mixed and edited by Rob Cao at...

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This presentation on Pain Management 101 is an overview of how to change the mindset across healthcare concerning chronic pain. Dr. Deepak Ravindran's presentation explains the biology of pain, chronic pain, and its treatment. Dr. Ravindran also examines how a history of adverse childhood experiences affects the likelihood of experiencing chronic pain in adulthood. Furthermore, he offers strategies for treating chronic pain that include medication, intervention, neuroscience education, diet, sleep hygiene, exercise, and mind-body therapies. The presentation finishes by emphasizing the importance of trust and rapport between patients and doctors and highlights that pain is a complex phenomenon for which a combination of treatment strategies is often required.

This podcast was generated using Notebook LM based on a talk given by Dr Deepak Ravindran on an integrated approach to pain management.

Disclaimer:
This podcast is for education and general information only and does not replace personalised medical advice. If you are experiencing ongoing pain or distress, please consult your healthcare professional bef

Please provide a feedback and comments on the podcast and any questions that you may have.

If you enjoyed it please rate and leave a review on Spotify/Apple podcasts and tell a friend about this show.

The Pain Speak podcast is presented by Prof Deepak Ravindran, a NHS Consultant specialising in Pain and Lifestyle Medicine. Dr Ravindran is also the author of the book, 'The Pain Free Mindset'

Get in touch:
Twitter: @deepakravindra5
Instagram: drdeepakravindran
Website: www.deepakravindran.co.uk
Linktree: https://linktr.ee/DrDeepakRavindran
Youtube Channel: https://www.youtube.com/@drdeepakravindran5361

For Clinical Queries and consultations, please go to Berkshire Pain Clinic



Order a copy of the Pain Free Mindset here

For Season 1 and 3:
Mixed and edited by Rob Cao at...

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Welcome to the second part of this 2 part episode where I speak to Dr Sabina Brennan. a clinical psychologist, neuroscientist, fellow podcaster and best selling author of the book on how to beat Brain Fog. 

As we know, Brain fog and congitive dysfunction is one of the most common sysmptoms noted in Longcovid. Treatments are still emerging and I thought it would be a fascinating and hugely useful to hear from a researcher and scientist and someone with lived exeperience herself on how to overcome brain Fog. Dr. Brennan discusses the reasons for brain fog, the present causes and the treatment option available and why we must pay attention.

In this episode, we delive deeper into how her 4 week program can really help with brain fog reduction in a careful evidence based manner. There are no quick fixes here however Sabina shows that done properly, there can be lasting recovery from something as complex as brain fog.

A little bit more about Dr Sabina Brennan is available below
Sabina Brennan (PhD., C.Psychol.,PsSI.) 

Dr Sabina Brennan is a psychologist, neuroscientist, speaker, host of the Super Brain podcast and author of two Irish Times No 1 best sellers (100 Days to a Younger Brain (2019) and Beating Brain Fog (2021). Sabina is on a mission to get people to look after their brain health as routinely as they look after their dental health.

Her public engagement projects, which include quirky animations and brain health websites aim to increase the societal impact of scientific research by translating complex content into easy-to-understand resources for general audiences. Her animations have been viewed in more than 140 countries and have been translated into 15 languages.

How to get in touch: www.superbrain.ie includes links to books, podcast and free online resources

Super Brain Podcast play.acast.com/s/superbrain 

twitter @Sabina_Brennan Instagram @SabinaBrennan

Please provide a feedback and comments on th

Disclaimer:
This podcast is for education and general information only and does not replace personalised medical advice. If you are experiencing ongoing pain or distress, please consult your healthcare professional bef

Please provide a feedback and comments on the podcast and any questions that you may have.

If you enjoyed it please rate and leave a review on Spotify/Apple podcasts and tell a friend about this show.

The Pain Speak podcast is presented by Prof Deepak Ravindran, a NHS Consultant specialising in Pain and Lifestyle Medicine. Dr Ravindran is also the author of the book, 'The Pain Free Mindset'

Get in touch:
Twitter: @deepakravindra5
Instagram: drdeepakravindran
Website: www.deepakravindran.co.uk
Linktree: https://linktr.ee/DrDeepakRavindran
Youtube Channel: https://www.youtube.com/@drdeepakravindran5361

For Clinical Queries and consultations, please go to Berkshire Pain Clinic



Order a copy of the Pain Free Mindset here

For Season 1 and 3:
Mixed and edited by Rob Cao at...

Send us a text

It has been a hugely gratifying  and humbling experience to get the chance to set up the Longcovid Service for Berkshire and work with a great team from primary and community care. It has been 7 months now and we are still learning everyday about the condition of Longcovid and how it seems to affeect multiple systems. Right now we continue to  offer them support, a listening ear, appropriate testing and treatments where available in a  trauma informed manner.

In this episode, I speak to Dr Sabina Brennan. a clinical psychologist, neuroscientist, fellow podcaster and best selling author of the book on how to beat Brain Fog. 

As we know, Brain fog and congitive dysfunction is one of the most common sysmptoms noted in Longcovid. Treatments are still emerging and I thought it would be a fascianting and hugely useful idea to hear it from a researcher and scientist and someone with lived exeperience herself on how to overcome this.

This is a cracking epsidoe and in fact I had to break it up into 2 epsidodes.  I hope you enjoy the show.

A little bit more about Dr Sabina Brennan is available below
Sabina Brennan (PhD., C.Psychol.,PsSI.) 

Dr Sabina Brennan is a psychologist, neuroscientist, speaker, host of the Super Brain podcast and author of two Irish Times No 1 best sellers (100 Days to a Younger Brain (2019) and Beating Brain Fog (2021). Sabina is on a mission to get people to look after their brain health as routinely as they look after their dental health.

Her public engagement projects, which include quirky animations and brain health websites aim to increase the societal impact of scientific research by translating complex content into easy-to-understand resources for general audiences. Her animations have been viewed in more than 140 countries and have been translated into 15 languages.

How to get in touch: www.superbrain.ie includes links to books, podcast and free online resources

Super Brain Podcast play.acast.com/s/superbrain 

twitter @Sabina_Brennan Instagram

Disclaimer:
This podcast is for education and general information only and does not replace personalised medical advice. If you are experiencing ongoing pain or distress, please consult your healthcare professional bef

Please provide a feedback and comments on the podcast and any questions that you may have.

If you enjoyed it please rate and leave a review on Spotify/Apple podcasts and tell a friend about this show.

The Pain Speak podcast is presented by Prof Deepak Ravindran, a NHS Consultant specialising in Pain and Lifestyle Medicine. Dr Ravindran is also the author of the book, 'The Pain Free Mindset'

Get in touch:
Twitter: @deepakravindra5
Instagram: drdeepakravindran
Website: www.deepakravindran.co.uk
Linktree: https://linktr.ee/DrDeepakRavindran
Youtube Channel: https://www.youtube.com/@drdeepakravindran5361

For Clinical Queries and consultations, please go to Berkshire Pain Clinic



Order a copy of the Pain Free Mindset here

For Season 1 and 3:
Mixed and edited by Rob Cao at...

Send us a text

Welcome to a Pain Speak Special focussing on a new book on pain "The Painful Truth" by Oxford based junior doctor and academic scholar Dr Monty Lyman released on 15th July. This becomes the 7th book on pain released in the UK in just the 6 months of this year! We're currently experiencing a Renaissance in pain science and it is great to add Monty's book to this fantastic list of  resources for our patients and general public and for anyone interested in knowing more about pain science.

Order your copy of the Painful Truth here

In recent years our understanding of pain has altered so radically it's fair to say that everything we thought we knew about pain is wrong. I made the case in my book as well.  As Dr Monty Lyman reveals, we misunderstand pain - with harmful consequences. This is Dr Monty Lymans second book. His first one " the Remarkable life of the skin" was shortlisted for the Royal Society Science Book Prize". He is a remarkable story teller and in this book , The Painful Truth, he explores and presents cutting-edge research, encompassing phantom aches to persistent pain, and interviews survivors of torture as well as those who have never felt pain.

It shows the myriad ways in which pain acts as a protector sometimes unnecessarily. He not only provides hope for reducing and managing pain, but takes us to a deeper understanding of what it means to be human. In the end he presents the hopefuly side of taking this knowledge and using it for improving our health and I am glad that i got a chance to be featured as well!

This is the untold story of pain - our most elusive feeling and I am glad that I got a chance to be interviewed for the book and he has agreed to come on to this podcast. Hope you enjoy it.

Please provide a feedback and comments on the podcast and any questions that you may have.  If you enjoyed it please rate and leave a review  on Apple podcasts and tell a friend about this show.

Let me know what you think about the show and  please recommend guests.

The Pain Speak podcast is presented by Dr Deepak Ravindran, a full time NHS Cons

Disclaimer:
This podcast is for education and general information only and does not replace personalised medical advice. If you are experiencing ongoing pain or distress, please consult your healthcare professional bef

Please provide a feedback and comments on the podcast and any questions that you may have.

If you enjoyed it please rate and leave a review on Spotify/Apple podcasts and tell a friend about this show.

The Pain Speak podcast is presented by Prof Deepak Ravindran, a NHS Consultant specialising in Pain and Lifestyle Medicine. Dr Ravindran is also the author of the book, 'The Pain Free Mindset'

Get in touch:
Twitter: @deepakravindra5
Instagram: drdeepakravindran
Website: www.deepakravindran.co.uk
Linktree: https://linktr.ee/DrDeepakRavindran
Youtube Channel: https://www.youtube.com/@drdeepakravindran5361

For Clinical Queries and consultations, please go to Berkshire Pain Clinic



Order a copy of the Pain Free Mindset here

For Season 1 and 3:
Mixed and edited by Rob Cao at...

Send us a text

It has been a hugely gratifying  and humbling experience to get the chance to set up the Longcovid Service for Berkshire and work with a great team from primary and community care. We have learnt a lot and are continuing to learn as we help our patients suffering from Longcovid and offer them support, a listening ear, appropriate testing and treatments where available in a  trauma informed manner.

In this episode, I speak to Co-Founder of Longcovid.Physio . - a global peer support and advocacy group for Physiotherapists (Physical Therapists) and support workers living with Long COVID.

He is a clinical and academic Physiotherapist specialising in the field of HIV, disability and rehabilitation and leads the HIV rehabilitation service at Chelsea and Westminster Hospital NHS Foundation Trust. Darren contracted COVID-19 in March 2020 and continues to live with Long COVID. An advocate for Long COVID research, he has become a familiar person enabling meaningful engagement of people living with Long COVID in all responses to COVID-19.  Darren has an impressive day job at London already and he has helped amass an incredible set of resources for patients and healthcare professionals through this website.

I hope you enjoy the show.

Please provide a feedback and comments on the podcast and any questions that you may have.

If you enjoyed it please rate and leave a review  on Apple podcasts and tell a friend about this show.

Let me know what you think about the show and  please recommend guests.

The Pain Speak podcast is presented by Dr Deepak Ravindran, a full time NHS Consultant specialising in Pain, Anaesthesia, MSK and Lifestyle Medicine. Dr Ravindran is also the author of the book, 'The Pain Free Mindset' and is the Lead for the Longcovid service and the Pain medicine Service at the Royal Berkshire NHS Foundation Trust.

Get in touch:
Twitter: @deepakravindra5
Instagram: drdeepakravindran
Website: www.deepakravindran.co.uk
Linktree: https://linktr.ee/DrDeepakRavindran

Disclaimer:
This podcast is for education and general information only and does not replace personalised medical advice. If you are experiencing ongoing pain or distress, please consult your healthcare professional bef

Please provide a feedback and comments on the podcast and any questions that you may have.

If you enjoyed it please rate and leave a review on Spotify/Apple podcasts and tell a friend about this show.

The Pain Speak podcast is presented by Prof Deepak Ravindran, a NHS Consultant specialising in Pain and Lifestyle Medicine. Dr Ravindran is also the author of the book, 'The Pain Free Mindset'

Get in touch:
Twitter: @deepakravindra5
Instagram: drdeepakravindran
Website: www.deepakravindran.co.uk
Linktree: https://linktr.ee/DrDeepakRavindran
Youtube Channel: https://www.youtube.com/@drdeepakravindran5361

For Clinical Queries and consultations, please go to Berkshire Pain Clinic



Order a copy of the Pain Free Mindset here

For Season 1 and 3:
Mixed and edited by Rob Cao at...

Send us a text

It has been a hugely gratifying  and humbling experience to get the chance to set up the Longcovid Service for Berkshire and work with a great team from primary and community care. We have learnt a lot and are continuing to learn as we help our patients suffering from Longcovid and offer them support, a listening ear, appropriate testing and treatments where available in a  trauma informed manner.

In this episode, I speak to associate Professor Jane Parker based at the University of Reading. Trustee and Advisor to the charity Abscent. A chemist by training, she is based at the Flavour Centre and has had huge experience of work around olfaction and food smells. With previous experience of looking after people with smell disorders in other viral infections and brain injury, she is the right person to talk to us about taste and smell and the strange changes that happen in some people after COVID 19.

She talks to us in great detail about anosmia (complete loss of smell) and parosmia (altered smells) and how it can be managed and treated.
 
Find out more about the Abscent Charity here

Click here to know more about smell retraining.

Please provide a feedback and comments on the podcast and any questions that you may have. If you enjoyed it please rate and leave a review  on Apple podcasts and tell a friend about this show.

Let me know what you think about the show and  please recommend guests.

The Pain Speak podcast is presented by Dr Deepak Ravindran, a full time NHS Consultant specialising in Pain, Anaesthesia, MSK and Lifestyle Medicine. Dr Ravindran is also the author of the book, 'The Pain Free Mindset' and is the Lead for the Longcovid service and the Pain medicine Service at the Royal Berkshire NHS Foundation Trust.

Get in touch:
Twitter: @deepakravindra5
Instagram: drdeepakravindran
Website: www.deepakravindran.co.uk
Linktree: https://linktr.ee/DrDeepakRavindran


Order a copy of the Pain Free Mindset

Disclaimer:
This podcast is for education and general information only and does not replace personalised medical advice. If you are experiencing ongoing pain or distress, please consult your healthcare professional bef

Please provide a feedback and comments on the podcast and any questions that you may have.

If you enjoyed it please rate and leave a review on Spotify/Apple podcasts and tell a friend about this show.

The Pain Speak podcast is presented by Prof Deepak Ravindran, a NHS Consultant specialising in Pain and Lifestyle Medicine. Dr Ravindran is also the author of the book, 'The Pain Free Mindset'

Get in touch:
Twitter: @deepakravindra5
Instagram: drdeepakravindran
Website: www.deepakravindran.co.uk
Linktree: https://linktr.ee/DrDeepakRavindran
Youtube Channel: https://www.youtube.com/@drdeepakravindran5361

For Clinical Queries and consultations, please go to Berkshire Pain Clinic



Order a copy of the Pain Free Mindset here

For Season 1 and 3:
Mixed and edited by Rob Cao at...

Send us a text

It has been a hugely gratifying  and humbling experience to get the chance to set up the Longcovid Service for Berkshire and work with a great team from primary and community care. We have learnt a lot and are continuing to learn as we help our patients suffering from Longcovid and offer them support, a listening ear, appropriate testing and treatments where available in a  trauma informed manner.

In this episode, I speak to my consultant colleague Dr Blandina Blackburn, Occupational Health Consultant. Dr.Blackburn has been working with staff at the Royal Berkshire for many years and is a hugely respected national figure in Occupational Health and represented her profession at the highest levels.

We had recently collaborated to write an article for the Journal Occupational Health@work. In the podcast episode, I wrongly mention it as an editorial so apologies for the error. Please find the link at https://www.atworkpartnership.co.uk/journal/issue/17_5/contents/long-covid-and-its-implications-at-work


She has been invaluable in providing a clear sounding board for many patients who havent been able to go back to work and this includes a large number of NHS workforce. There is a lot of confusion prevailing right now as to how return to work can be established when we are still learning about the long terms effects of Post Covid so I am glad that Blandina can inform us about the complexities and suggest a way forward for now. Rulings are likely to change and we might have her coming back once we know more about the condition and laws change  and courts make further announcements.

Please provide a feedback and comments on the podcast and any questions that you may have. If you enjoyed it please rate and leave a review  on Apple podcasts and tell a friend about this show.

Let me know what you think about the show and  please recommend guests.

The Pain Speak podcast is presented by Dr Deepak Ravindran, a full time NHS Consultant specialising in Pain, Anaesthesia, MSK and Lifestyle Medicine. Dr Ravindran is also the author of the book, 'The Pain Free Mindset' and is the Lead for the Longcovid service and the Pain medicine Service

Disclaimer:
This podcast is for education and general information only and does not replace personalised medical advice. If you are experiencing ongoing pain or distress, please consult your healthcare professional bef

Please provide a feedback and comments on the podcast and any questions that you may have.

If you enjoyed it please rate and leave a review on Spotify/Apple podcasts and tell a friend about this show.

The Pain Speak podcast is presented by Prof Deepak Ravindran, a NHS Consultant specialising in Pain and Lifestyle Medicine. Dr Ravindran is also the author of the book, 'The Pain Free Mindset'

Get in touch:
Twitter: @deepakravindra5
Instagram: drdeepakravindran
Website: www.deepakravindran.co.uk
Linktree: https://linktr.ee/DrDeepakRavindran
Youtube Channel: https://www.youtube.com/@drdeepakravindran5361

For Clinical Queries and consultations, please go to Berkshire Pain Clinic



Order a copy of the Pain Free Mindset here

For Season 1 and 3:
Mixed and edited by Rob Cao at...

Send us a text

It has been a hugely gratifying  and humbling experience to get the chance to set up the Longcovid Service for Berkshire and work with a great team from primary and community care. We have learnt a lot and are continuing to learn as we help our patients suffering from Longcovid and offer them support, a listening ear, appropriate testing and treatments where available in a  trauma informed manner.

In this episode, I speak to my consultant colleague Dr Abrar Hussain, Consultant Psychiatrist at the Berkshire health Foundation Trust and the lead for the Medically Unexplained Services locally and also supporting people with Functional Neurologic Disorders.

We had collaborated often to help many patients with overlapping physical and mental health issues. In this episode, he talks about the influence of viral infections and associated neuropsychiatric issues and highlights the multiple contributory effects on a persons physical and mental health. He also talks about the role of COVID 19 and treatments in ICU and associated PTSD and the impact of anxiety and hospitalisation and isolation.

Find out more about him here

Please provide a feedback and comments on the podcast and any questions that you may have. If you enjoyed it please rate and leave a review  on Apple podcasts and tell a friend about this show.

Let me know what you think about the show and  please recommend guests.

The Pain Speak podcast is presented by Dr Deepak Ravindran, a full time NHS Consultant specialising in Pain, Anaesthesia, MSK and Lifestyle Medicine. Dr Ravindran is also the author of the book, 'The Pain Free Mindset' and is the Lead for the Longcovid service and the Pain medicine Service at the Royal Berkshire NHS Foundation Trust.

Get in touch:
Twitter: @deepakravindra5
Instagram: drdeepakravindran
Website: www.deepakravindran.co.uk
Linktree: https://linktr.ee/DrDeepakRavindran


Order a copy of the Pain Free Mindset

Disclaimer:
This podcast is for education and general information only and does not replace personalised medical advice. If you are experiencing ongoing pain or distress, please consult your healthcare professional bef

Please provide a feedback and comments on the podcast and any questions that you may have.

If you enjoyed it please rate and leave a review on Spotify/Apple podcasts and tell a friend about this show.

The Pain Speak podcast is presented by Prof Deepak Ravindran, a NHS Consultant specialising in Pain and Lifestyle Medicine. Dr Ravindran is also the author of the book, 'The Pain Free Mindset'

Get in touch:
Twitter: @deepakravindra5
Instagram: drdeepakravindran
Website: www.deepakravindran.co.uk
Linktree: https://linktr.ee/DrDeepakRavindran
Youtube Channel: https://www.youtube.com/@drdeepakravindran5361

For Clinical Queries and consultations, please go to Berkshire Pain Clinic



Order a copy of the Pain Free Mindset here

For Season 1 and 3:
Mixed and edited by Rob Cao at...