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Pain Reprocessing Therapy Part 3 - Separating the hope and hype
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
Chronic pain may not indicate physical damage but a nervous system issue.
PRT offers a new perspective on pain management.
Changing the brain's interpretation of pain can lead to recovery.
PRT is gaining attention due to its potential effectiveness.
The nervous system plays a crucial role in chronic pain.
Evidence supports PRT's effectiveness in specific pain populations.
PRT differs fundamentally from CBT and ACT in approach.
Predictive processing theory explains how the brain perceives pain.
PRT can lead to significant reductions in pain intensity.
Integrating various therapies can enhance pain management outcomes.
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.
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'
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.
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'
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.
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'
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
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.
Huge Thanks to the The Podcast Coach for helping me set this all up. For high quality, bespoke podcast coaching and production at www.thepodcastcoach.co.uk
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.
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'
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
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.
Huge Thanks to the The Podcast Coach for helping me set this all up. For high quality, bespoke podcast coaching and production at www.thepodcastcoach.co.uk
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.
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'
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.
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 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
Mixed and edited by Rob Cao at https://dynamiqgroup.co.uk/
Huge Thanks to the The Podcast Coach for helping me set this all up. For high quality, bespoke podcast coaching and production at www.thepodcastcoach.co.uk
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.
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'
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.
Huge Thanks to the The Podcast Coach for helping me set this all up. For high quality, bespoke podcast coaching and production at www.thepodcastcoach.co.uk
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.
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'
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.
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.
Huge Thanks to the The Podcast Coach for helping me set this all up. For high quality, bespoke podcast coaching and production at www.thepodcastcoach.co.uk
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.
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'
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.
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 at the Royal Berkshire NHS Foundation Trust.
Huge Thanks to the The Podcast Coach for helping me set this all up. For high quality, bespoke podcast coaching and production at www.thepodcastcoach.co.uk
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.
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'
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.
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.
Huge Thanks to the The Podcast Coach for helping me set this all up. For high quality, bespoke podcast coaching and production at www.thepodcastcoach.co.uk
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.
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'
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 fellow colleague Tarryn Ashworth, a specialist occupational physiotherapist. Tarryn has been working with COVID patients admitted in hospital from the first wave onwards. Normally working in an inpatient manner, this has been a new role in bringing her expertise to the outpatient management of Longcovid patients. When I set up the Longcovid service, Tarryn has been invaluable in providing assessment and support for those patients struggling with fatigue and working alongside Harriet to set up personalised plans for our patients.
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 future 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.
Huge Thanks to the The Podcast Coach for helping me set this all up. For high quality, bespoke podcast coaching and production at www.thepodcastcoach.co.uk
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.
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'
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 fellow colleague Frankie Knight, a specialist respiratory physiotherapist. Frankie has been working with COVID patients admitted in hospital from the first wave onwards and has also done longstanding respiratory rehab for patients with long term lung conditions. When I set up the Longcovid service, her experience alongside her colleague Laura Cornish, has been invaluable in providing assessment and support for those patients struggling with breathlessness and chest pain symptoms despite having normal tests and scans. Breathing pattern disroders are very common and she talks about simple measures which you can do for yourself in this episode.
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 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.
Huge Thanks to the The Podcast Coach for helping me set this all up. For high quality, bespoke podcast coaching and production at www.thepodcastcoach.co.uk
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.
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'
What if chronic pain isn’t a sign of damage — but a learned alarm the nervous system can unlearn?
In this episode of PainSpeak, I’m joined by Caroline Davies, a specialist pain physiotherapist with over 25 years of experience working across the NHS, the US healthcare system, and now in independent practice in the UK. Caroline’s work sits at the cutting edge of modern pain care, blending deep physiotherapy expertise with contemporary neuroscience and emotion-focused therapies.
Together, we explore one of the most important — and often misunderstood — shifts happening in pain medicine today: the move from viewing chronic pain purely as a problem of tissue damage, to understanding it as a problem of persistent threat signalling in the brain and nervous system.
From Physiotherapy to Pain Reprocessing Therapy - This episode follows close on the heels of the Channel 4 documentary on 8th Jan featuring Dr. Rangan Chatterjee - The drug Free doctor as he interviewed a patient with chronic pain who had used Pain Reprocessing therapy to reduce her pain significantly. Of course this has given us the chance to understand in more detail what PRT is and isnt!!
About Caroline Davies
Caroline began her career in traditional musculoskeletal physiotherapy, working extensively with complex pain presentations including CRPS, pelvic pain, cancer-related pain, and trauma-associated pain. Over time, she noticed a familiar pattern many clinicians will recognise: people whose scans looked “reassuring,” whose tissues had healed, yet whose pain continued — sometimes worsening — despite doing everything they were told.
In this conversation, We talk candidly about the limits of conventional approaches, the frustration clinicians can feel when progress stalls, and the curiosity that eventually led her to train in Pain Reprocessing Therapy (PRT), Emotional Awareness and Expression Therapy (EAET), and more recently, Internal Family Systems-informed approaches.
As always on PainSpeak, the aim is not to tell you what to think — but to help you understand pain differently, so that change becomes possible.
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 before making changes to your care.
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.
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'
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 fellow colleague Harriet Wilkinson, A specialist pain physiotherapist with special interest in chronic fatigue management. She has been working with me at the Complex Pain Service at the Royal Berks and so when I set up the Berkshire Longcovid Integrated Service (BLIS), her experience has been invaluable in providing assessment and support for those patients struggling with fatigue and pain and advice around pacing and psychologically informed practice.
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 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.
Huge Thanks to the The Podcast Coach for helping me set this all up. For high quality, bespoke podcast coaching and production at www.thepodcastcoach.co.uk
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.
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'
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 fellow colleague Dr Anthony Collins, a GP by background. however he has worked in the Acute respiratory hub and looks after so many patients in primary care with different complexities and now brings that experience to work and help support the Longcovid service.
Please provide a feedback and comments on the podcast and any questions that you may have and please recommend guests. If you enjoyed it please rate and leave a review on Apple podcasts and tell a friend about this show.
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.
Huge Thanks to the The Podcast Coach for helping me set this all up. For high quality, bespoke podcast coaching and production at www.thepodcastcoach.co.uk
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.
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'
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 the first episode of this series, I speak to 2 patients who are part of the Longcovid SOS group .
Each tell their story from their perspective and it is more than important in a condition like Longcovid to know what the lived experience of these patients are and their symptoms to be taken into account when designing a service that can meet their needs. Each persons symptoms are unique and thei experiences are different and I have learnt a lot from talking to my patients on how varied their presentations have been and how they have told their story.
In future episodes, I will be talking about our present upto date understanding around Longcovid and newer studies and research and my team at Reading Berkshire.
Please provide a feedback and comments on the podcast and any questions that you may have and recommend guests. If you enjoyed it please rate and leave a review on Apple podcasts and tell a friend about this show.
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.
Huge Thanks to the The Podcast Coach for helping me set this all up. For high quality, bespoke podcast coaching and production at www.thepodcastcoach.co.uk
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.
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'
I'm here to answer more questions that have come to light since the release of my book, 'The Pain Free Mindset'.
In this episode I discuss the role of drugs, injections and surgery in dealing with pain. While there is an important role to play, I believe it can't possibly be the complete solution. (1:20)
One of the final questions I've been asked is about the future and what it will look like in regards to pain. I tackle this question at 9:31 and discuss our bodies natural ability to form new habits.
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'.
Pain Speak is produced by The Podcast Coach. For high quality, bespoke podcast coaching and production visit www.thepodcastcoach.co.uk
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.
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'
In this episode I continue to answer questions have arisen since the launch of my book, 'The Pain Free Mindset'.
The first question I tackle at 1:10 is "What does 'trauma informed practice' actually mean?"
The next question I try and answer is a tough one, I have to admit. At 9:05 - "What are the biggest causes of pain in millenials?"
10:45 - Who are the target readers of my book, 'The Pain Free Mindset'? Do keep your questions coming on social media, there are lots of ways to get in touch listed below.
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'.
Pain Speak is produced by The Podcast Coach. For high quality, bespoke podcast coaching and production visit www.thepodcastcoach.co.uk
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.
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'
Since the launch of my book, 'The Pain Free Mindset' and the 'Pain Speak' podcast I've received a lot of questions which I'm going to answer over the next few episodes.
In this episode I discuss the title of the book and answer the question; is the pain free mindset an indication of the belief that pain is all in the mind? (2:20)
The second question I tackle at 6:36 in this podcast is; is it fair to compare the physical pain experienced between one person and another?
At 8:12 I answer a third question; how can patients deal with psychological stress which manifests itself as physical pain?
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'.
Pain Speak is produced by The Podcast Coach. For high quality, bespoke podcast coaching and production visit www.thepodcastcoach.co.uk
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.
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'
In this episode we discuss various treatments and newer strategies that have been introduced for pain management and the principle behind pain management programs. Adopting these techniques will harness the power of neuroplasticity and using the latest scientific understanding behind habit formation can make a huge difference in adopting a pain free mindset. Joining Deepak on this episode are various patients who have made that change and are living a hugely improved quality of life.
Hope is always there to overcome your pain and you do not need to be restricted to only medications, injections or surgery.
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'.
Pain Speak is produced by The Podcast Coach. For high quality, bespoke podcast coaching and production visit www.thepodcastcoach.co.uk
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.
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'
In this episode I discuss the mainstream treatments for pain, their benefits and the risks especially when it comes to medications and opioids.
Joining me are a number of patients and other colleagues to discuss the issues around medication use and misuse.
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'.
Pain Speak is produced by The Podcast Coach. For high quality, bespoke podcast coaching and production visit www.thepodcastcoach.co.uk
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.
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'
Welcome to the Pain Speak podcast. Your host, Dr Deepak Ravindran is a full time NHS Consultant specialising in Pain, Anaesthesia, MSK and Lifestyle Medicine. He is also the author of the new book, 'The Pain Free Mindset'.
In this episode we discuss the latest advances in Pain Neuroscience and how managing and overcoming your pain does not need to be restricted only to medications, injections or surgery. We'll hear from pain researcher Richard Harrison, physio and health coach Betsan Corkhill and some patients about their pain history and how it developed. Enjoy the show!
Pain Speak is produced by The Podcast Coach. For high quality, bespoke podcast coaching and production visit www.thepodcastcoach.co.uk
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.
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'
My guest for this episode is Professor Denis Martin, Professor of Rehabilitation. He is Director of the Centre for Rehabilitation, Lifestyle medicine and Human performance at Teesside university. With academic roots at the University of Ulster and Napier University, he forged an impressive career spanning roles at Sheffield Hallam University and Queen Margaret University, Edinburgh. During his time in Scotland, he also served as a chair of the pain association, Scotland and vice chair of the Scottish Parliament cross party group. He is renowned for his research in pain, disability and rehabilitation, and has over £25 million pounds secured in funding and an extensive publication record. Prof. Martin has led significant projects, exploring the use of extended reality and digital technologies and rehabilitation, and he currently serves as the vice chair of the XR for rehab network and leads a research theme on physical, mental and social health in the Applied Research collaboration (ARC) NENC area of NE England.
The focus of this episode is the Citizens' Jury Report that Denis has led on at the North East Nprth Cumbria. This is going to be officially released on 13th Nov 2025 at NewCastle.
More information of the work of HINENC is available here at https://healthinnovationnenc.org.uk/what-we-do/improving-population-health/medicines-optimisation/citizens-jury-pain-management/
A summary report is available at https://healthinnovationnenc.org.uk/wp-content/uploads/2025/08/CIT-JURY-SUMMARY.pdf
The link to the event on 13th November and further details on how to register can be found by clicking below
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.
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'
My guest for todays episode is Lee Vaughn, a lived experience Expert and Health and Well Being Coach.
Lee has navigated over 30 years living with persistent pain, transforming his experience into a source of advocacy, education, and hope. After decades of personal exploration, He now works with leading organisations like Peak Health Coaching, Pure Unity Health, UKIHCA, the NHS, Flippin Pain, and Pain Concern, helping bridge the gap between healthcare professionals and those living with pain. As host of a thriving online peer support group "Partnering Pain" , they champion the importance of lived experience in pain conversations, striving to ensure others feel less alone and more empowered on their own journeys.
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.
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'
Welcome back to the new Season of the Pain Speak Podcast. This season is titled "Voices In Pain" and the focus of this season is to shine a spotlight on various organisations and people who are making a difference to pain management in the UK and beyond and helping patients in persistent pain. Some of the episodes will be a sole while others will have a guest joining me.
Join us for an insightful conversation with Cormac, the first guest for this new season of the Painspeak podcast. In this episode, Cormac shares his journey from aspiring vet to a leading figure in pain research and education. Discover how a pivotal book changed his perspective on physiotherapy and led him to champion the Flippin' Pain campaign. We delve into the importance of public health approaches to pain management and the impact of community involvement. Tune in to explore the challenges and triumphs of transforming pain education and the future of digital health initiatives.
Cormac Ryan is Professor of Clinical Rehabilitation at Teesside University and a community pain champion for the Flippin’ Pain campaign. He was awarded his PhD from the Glasgow Caledonian University in 2008 where he looked at the relationship between physical activity and persistent lower back pain. Cormac has published over 100 peer-reviewed journal articles and obtained over £1m in research funding. He enjoys fishing and long walks away from his children.
Flippin Pain is doing a free webinar Pain education for the nation on 15th October. It is part of EU pain awareness day and will feature Cormac along with a number of other speakers who are either patients with lived experience of pain or pain champions in their area.
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.
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'
Generated by Notebook LM. Pls forgive the initial hyperbole generated by the AI about my credentials!!! (sounds very cringy when I heard it but cant do much about that as the rest was very good!)
Recently presented at the 2024 Lifestyles Summit organised by Modality and Pathfinder CIC at Google HQ in London, my presentation outlines the need for a trauma-informed approach to pain management. It argues that the conventional biomedical model is flawed and insufficient in addressing the complex interplay of biological, psychological, and social factors influencing pain experience. The presentation advocates for a Lifestyle Medicine Systems Approach to pain management, which focuses on the role of lifestyle factors, such as diet, exercise, stress management, and sleep, in pain relief and how that can massively help in all kinds of chronic pain especially nociplastic pain . It emphasizes the importance of addressing Adverse Childhood Experiences (ACEs) as they significantly contribute to chronic pain and calls for integrating lived experience into clinical practice.
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.
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'
This Notebook LM summary provides an overview of chronic pelvic pain based on a couple of key resources and a presentation that I gave on Chronic pelvic pain to health care professionals. I highlight the importance of a holistic approach that considers lifestyle factors, psychological well-being, and trauma-informed care. Remember, seeking professional medical advice and support is crucial for effective diagnosis and management of CPP.
Chronic pelvic pain (CPP) is a common condition that affects millions of women worldwide. It is defined as intermittent or constant pain in the pelvic area for at least six months, unrelated to menstruation, intercourse, or pregnancy. CPP is a symptom, not a diagnosis, and can be caused by various factors, including endometriosis, fibroids, irritable bowel syndrome (IBS), and psychological factors.
Challenges and Complexity of CPP
Diagnosing and treating CPP can be challenging. A significant proportion of women with CPP have more than one diagnosis, and pain often increases with multisystem symptoms. Additionally, a substantial number of diagnostic laparoscopies yield negative results, and adhesions, while common findings, are not always the root cause of pain. In many instances, the underlying cause of CPP remains unclear so what is paramount is a validation of the patient symptoms and a multidisciplinary holistic approach. This involves a combination of medical treatments, therapies, and lifestyle modifications. Pain management programmes can be beneficial, providing guidance, coaching, and support from a pelvic pain specialist.
Trauma-Informed Care
A significant proportion of women with CPP have experienced adverse childhood experiences (ACEs), which can have long-term health consequences, including chronic pain. Trauma-informed care is an important aspect of CPP management. This approach involves understanding the impact of trauma on patients, validating their experiences, and providing sensitive and supportive care.
Resources for Further Information
Endometriosis UK: www.endometriosis-uk.org
Pelvic Pain Support Network: www.pelvicpain.org.uk
Department of Health Expert Patient Initiative: www.expertpatients.co.uk/
www.livewellwithpain.co.uk
Curable App – on all platforms
The Pelvic Pain Network - A collaborative of Physiotherapists with an active research interest in pelvic pain
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.
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'
This podcast, generated by Notebook LM based on a presentation I did earlier discusses the importance of deprescribing and provides practical strategies for implementing this process in the context of analgescis and polypharmacy especially in the older population. We explore the principle of deprescribing , the significance of deprescribing and how it can improve quality of life, reduce adverse effects, avoid worsening of diseases, reduce pill burden, and maintain control of chronic conditions. We also explore challenges and barriers in both patients and clinicians around deprescribing and finally the principles of deprescribing effectively in the right person at the right time.
Hopefully, healthcare professionals and patients will gain a better understanding of the importance of deprescribing, the challenges involved, and practical strategies for successful implementation.
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.
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'
Dr. Ravindran's presentation, "Complex regional pain syndrome: Trauma informed CRPS Care An integrated approach," focuses on trauma-informed care for CRPS patients. This was presented at the UK annual conference organised by CRPS UK. This podcast was a summary of that talk and the source files used by Dr Ravindran for his presentation and generated using the Noteook LM by Google.
Dr. Ravindran emphasises the importance of communication and understanding in a trauma-informed approach to CRPS care. He points out common issues that can arise, including miscommunication between care teams, a loss of trust between the patient and medical staff and a lack of consultant review, leading to patient anger, frustration and feelings of being disbelieved.
Dr. Ravindran's M.I.N.D.S.E.T approach to CRPS acknowledges the different kinds of pain experienced by CRPS patients, including nociceptive pain, nociplastic pain and neuropathic pain. This approach incorporates various treatment methods to address the physical and mental aspects of CRPS:
Dr. Ravindran also discusses Scrambler Therapy, its history, the reasons why it might be effective and the existing evidence base. He provides links to resources for further information about Scrambler Therapy. Overall, Dr. Ravindran advocates for a holistic approach that is informed by an understanding of trauma and the interconnectedness of physical and mental health.
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.
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'
In this episode, Dr. Ganesan Baranidharan, Consultant in Pain Medicine and Dean of the Faculty of Pain Medicine, discusses the future of pain medicine, neuromodulation, and the evolving role of specialists in the UK. He shares insights on service development, patient selection, technological advances, and the importance of multidisciplinary care.
In this insightful interview in the role as a Dean, Dr. Ganesan Baranidharan discusses the evolving landscape of pain medicine, emphasizing the importance of credentialing, registries, big data, and the integration of technology and multidisciplinary approaches to improve patient outcomes. He shares his vision for the future pain specialist and the role of AI, training pathways, and national reforms.
keywords
Pain Medicine, Neuromodulation, Healthcare Innovation, UK, Patient Care, Medical Training, Future of Pain Management Pain Medicine, Credentialing, Registries, Big Data, AI, Training, Multidisciplinary, Future of Pain Care, Healthcare Innovation, UK Healthcare
Chapters
00:00 The Current State of Pain Medicine 02:45 The Evolution of Pain Management 05:49 The Rise of Neuromodulation 08:42 Innovations in Neuromodulation Techniques 12:05 Challenges in Accessing Pain Treatments 15:09 The Role of Education in Pain Management 17:59 Developing Effective Patient Selection Tools 21:03 The Future of Pain Medicine 23:55 The Role of the Faculty of Pain Medicine 26:53 Community vs. Tertiary Care in Pain Management 29:41 The Importance of Training and Recruitment 33:05 Vision for the Future of Pain Medicine 46:04 Understanding Chronic Pain and Its Management 49:23 The Evolution of Pain Medicine as a Specialty 53:55 Training Future Pain Specialists 56:43 The Role of Data and Registries in Pain Medicine 01:01:44 Improving Patient Care Through Collaboration 01:06:25 The Future of Pain Management and Innovations 01:12:12 The Importance of Big Data in Pain Medicine 01:19:03 Challenges in Pain Management and Patient Selection 01:25:37 The Human Element in Pain Medicine
Resources
Royal College of Anesthetists - https://www.rcoa.ac.uk/ Faculty of Pain Medicine, Royal College of Anesthetists - https://www.rcoa.ac.uk/faculty-of-pain-medicine Neuromodulation Registry UK - https://neuromodulationregistry.uk/ Dr. Ganesan Barneedaran's Publications - https://pubmed.ncbi.nlm.nih.gov/?term=Ganesan+Barneedaran GIRFT Program (Getting It Right First Time) - https://www.england.nhs.uk/girft/ British Spine Registry - https://www.britishspine.org/registry MHRA Device Safety Regulations - https://www.gov.uk/government/organisations/medicines-and-healthcare-products-regulatory-agency Big Data in Healthcare - NHS Digital - https://digital.nhs.uk/
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.
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'
In todays epsiode, I explore innovative social prescribing approaches with Sandra Mitchell-Phillips, CEO of Ways to Wellness, focusing on neighborhood health, reducing health inequalities, and supporting preoperative care to improve outcomes and reduce NHS costs. Ways 2 wellness works predominantly in the North East of the UK witha number of projects that bring social prescribing into primary care and secondary care.
Chapters
00:00 Rethinking Healthcare: Beyond Hospitals 03:10 Sandra's Journey: Bridging NHS and Community Care 05:55 The Birth of Ways to Wellness: A Community-Centric Approach 08:53 Measuring Impact: Social Prescribing in Action 11:57 Non-Medical Interventions: The Role of Social Prescribers 14:56 Misconceptions of the Voluntary Sector in Healthcare 18:09 Tackling Health Inequalities: A Community Focus 20:44 Co-Production and Relational Care: A New Paradigm 23:51 Supporting Chronic Pain: A Holistic Approach 26:47 Transforming Lives: The Power of Community Support 35:04 Navigating Support Duration in Healthcare 37:38 The Importance of Listening in Patient Care 40:16 Introducing the PROSPER Program 46:40 Reducing Opioid Use Before Surgery 52:20 The Journey of Waiting Well 55:57 The Future of Neighborhood Health 01:02:44 Redesigning Healthcare for Human Well-Being
keywords
social prescribing, neighborhood health, health inequalities, preoperative care, community health, NHS innovation, chronic pain, opioid reduction, holistic care, health inequalities
Resources
Ways to Wellness - https://www.waystowellness.org.uk NHS Long Term Plan - https://www.england.nhs.uk/long-term-plan/ Social Prescribing Network - https://www.socialprescribingnetwork.com Wellbeing Star Tool - https://triangleconsulting.co.uk/wellbeing-star/ Chronic Pain Management Resources - https://www.nhs.uk/conditions/chronic-pain/ Prosper Program Details - https://www.waystowellness.org.uk/prosper
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.
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'
Arriving and touring in the UK - Manchester June 3rd to 5th, 2026 as part of NOIgroup.
Today’s guest is someone who needs no introduction to the world of Pain Care. He has been one of my biggest influences in how I teach pain Science education so a big welcome to Professor Lorimer Moseley, Bradley Distinguished Professor at Adelaide University in Australia. He has authored over 430 scientific papers, written several bestselling pain books, and his educational work reaches millions of people each year through healthcare systems such as the NHS and the US Veterans Affairs.
He is also the founder of Pain Revolution, an initiative aimed at transforming pain understanding in communities, and in 2020 he was appointed an Officer of the Order of Australia for his contribution to humanity through pain science, communication and education.
In this insightful interview, Professor Lorimer Mosley discusses the evolution of pain education, the importance of understanding pain as a protective system, and innovative approaches like pain science education, community engagement, and digital tools to transform pain management.
keywords
pain education, pain science, community health, pain revolution, pain management, health equity, public health, VR in pain education, bioplasticity, pain research
key topics
Evolution of pain education from neuroscience to constructivist models
The role of enjoyment and engagement in pain science communication
Community co-design and culturally powerful pain interventions
The importance of social determinants and health equity in pain research
Emerging digital tools like VR and AI in pain education and management
Resources
Pain Revolution - https://painrevolution.org/ Explain Pain Book by Lorimer Moseley and David Butler - https://www.amazon.com/Explain-Pain-Lorimer-Moseley/dp/0975096744 Pain Neuroscience Education (PNE) Resources - https://painrevolution.org/resources/ PEDAL Collaboration for Pain Education - https://pedalcollaboration.org/ Reality Health VR Platform - https://realityhealth.com/
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.
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'
My guest today is Dr Helen Makins, a Consultant in Pain Medicine at Gloucestershire Hospitals NHS Foundation Trust, UK and someone whose career has taken her across clinical practice, education, commissioning, global health and now national leadership.
Helen is currently the National Clinical Lead for the Chronic Pain Programme at GIRFT – Getting It Right First Time, a major NHS initiative focused on improving clinical outcomes, reducing variation and redesigning services across the country. But what makes Helen particularly interesting is the breadth of her work — from teaching pain education internationally with Mercy Ships, to developing innovative social prescribing programmes for young people with pain, to exploring the links between neurodiversity, childhood experiences and chronic pain.
She has also worked closely with the Faculty of Pain Medicine, championing better communication skills, clinician wellbeing and the integration of biopsychosocial approaches into training.
So today we’re going to explore: • how someone ends up leading national pain transformation work • what GIRFT might mean for the future of pain services • why communication and de-medicalisation matter so much in pain consultations • and how we might better support both patients and clinicians in this space.
keywords
Pain management, NHS, chronic pain, social prescribing, communication skills, lifestyle medicine, neurodiversity, healthcare commissioning, GIRFT, patient-centered care
key topics
Evolution of NHS pain services
Importance of communication skills in pain management
Role of social prescribing and lifestyle medicine
Impact of neurodiversity on chronic pain
GIRFT program and healthcare commissioning
resources
GIRFT website - https://www.england.nhs.uk/girft/ Stephen Rolnick's Motivational Interviewing Course - https://www.motivationalinterviewing.org/ Essential Pain Management Program - https://www.rcoa.ac.uk/faculty-of-pain-medicine/education/essential-pain-management Helen Makins' LinkedIn - https://www.linkedin.com/in/helenmakins/
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.
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'
In March 2026, I attended the Live well with Pain Conference at Warwick organised by Emma Davies and Laura Hussey. It had some amazing speakers including Prof Roger Knaggs, the President of the British Pain Society. While I didnt get a chance to speak to him, I did speak to most of the other key note speakers and I thought what would they say to 3 questions I had about pain care and the hope that they have when they do the work. This episode is my reflection on the Live Well With Pain Conference, exploring innovative approaches to pain management, the importance of holistic care, and the hope for living well with persistent pain.
keywords
pain management, chronic pain, holistic care, patient empowerment, healthcare innovation, pain education, biopsychosocial model, community support, health coaching, pain recovery
key topics
Shift from cure to living well with pain
Biopsychosocial model and holistic care
Role of community and primary care in pain management
Chapters
00:00 Introduction to the Conference and Deepak's Reflection 02:08 Unique Aspects of the Live Well With Pain Conference 04:06 The Human Experience of Pain and Its Impact 06:02 Challenges in Persistent Pain Management 07:52 The Power of Education and Self-Management 10:14 Aligning Healthcare with Patient Needs 12:10 Population Health and Proactive Care 14:00 Broadening Support Beyond Medical Treatments 16:02 Insights from Keynote Speakers 17:53 The Role of Hope and Empowerment 20:05 Sleep, Lifestyle, and Pain Management 22:05 The Importance of Community and Primary Care 24:07 The Value of Validation and Listening 26:03 Shifting Mindsets and Moving Forward 27:55 The Power of Curiosity and Change 29:49 The Role of Coaching and Community Support 32:07 The Bright Future of Pain Care 33:58 Inspiring Hope and Collective Action 35:55 Conclusion: A Call to Action and Resources
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.
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'
In this episode of Pain Speak, I interview Louise McAllan, a somatic experiencing practitioner, who shares her personal journey through chronic pain and the emotional connections that influenced her recovery. Louise discusses the challenges of navigating the healthcare system, the impact of diagnoses, and the importance of emotional awareness in healing.
Louise McAllen is a Scottish somatic experiencing practitioner and mind-body coach. With over eight years of experience grappling with chronic symptoms, including functional neurological disorder (FND) and fibromyalgia, she has transitioned from patient to practitioner, helping others reclaim their lives from chronic pain. Her unique approach combines emotional awareness with physical well-being, making her a credible voice in the field of chronic pain management.
She delivers group programmes, 1:1 work and residential retreats, and is pioneering Scotland’s first in-person Emotional Awareness and Expression Therapy (EAET) group in Edinburgh. Trained with SIRPA and Dr Howard Schubiner, she is committed to bringing evidence-based, emotion-focused approaches into mainstream healthcare - reducing stigma around mind-body conditions and sharing the message that meaningful improvement and recovery are possible when patients are given education, choice and appropriate support alongside conventional care.
The conversation highlights the need for validation, information, and hope in the healing process, encouraging listeners to explore their emotions and reconnect with their bodies.
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.
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'
In this episode of Painspeak, I speak to my long term friend and collaborator, Amber Johnston, a clinical psychologist and neuropsychologist, about her journey in the field of psychology, the importance of the mind-body connection, and the complexities of chronic pain.
We discuss personalized therapy approaches, the role of trauma, and the stigma surrounding mental health treatment. Amber shared insights on neurodivergence and its impact on pain management, as well as her upcoming book that aims to simplify psychological concepts for the public.
Amber Johnston is a clinical psychologist and neuropsychologist, with over a decade of experience in integrating psychological care with physical health. As the founder of Healthy Mind Psychology, she focuses on helping individuals navigate stress-related illnesses, trauma, and chronic pain. Her expertise lies in understanding the complexities of brain function and its impact on emotional health, making her a valuable voice in the conversation about chronic pain management.
Understanding the mind-body connection is crucial for effective pain management. Amber emphasizes that physical symptoms often arise from emotional distress and neurological changes. This perspective aligns with the growing recognition of how our mental state can influence physical health.
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.
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'
Transforming Pain Management: An Innovative Approach from the NHS
Sebastian is talking live at the Live well with Pain conference in Warwick in March 2026.
In this podcast recorded live in Brighton at the BSLM Annual conference in September 2025, i spoke to Sebastian Senociain, An integrated wellness practitioner with a variety of skills and knowledge helping people in primary care manage their pain. Innovative approaches to pain management are more crucial than ever now and we can see how Sebastian is redefining pain management within the NHS. His transformative work focuses on integrating holistic methods and fostering community, significantly improving the lives of those living with chronic pain.
Sebastian’s journey began in Chile, where he trained as a medical doctor. His experience in primary care, filled with frustrations over the conventional disease-driven approach, led him to explore alternative methods of healing - including yoga, ayurveda, functional medicine and other approaches in physical and mental health.
At the NHS, Sebastian recognized a pressing need for a more integrative approach to chronic pain management. He noted that Cornwall had a higher than national average prescription rate for opioids, which sparked his initiative to shift the focus from medication to self-management. He piloted a program aimed at helping patients manage their pain through education and community support rather than solely relying on prescriptions. The pain management program, started in 2023, was meticulously designed to address the diverse needs of patients. Sebastian emphasized the importance of validation and understanding patients' stories. Each 30-minute consultation allowed patients to express their experiences and concerns, forming a foundation for co-designing their care plans. This patient-centered approach not only improved their mental health but also aimed to reduce reliance on medication.
He has presented his work now regionally and nationally and this was an option to see his poster and talk to him. The video can be seen on youtube.
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.
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'