Overcoming pain - An overview of deprescribing analgesics

Send us a textGenerated 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. 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 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: @deepakravindra5Instagram: drdeepakravindranWebsite: www.deepakravindran.co.ukLinktree: https://linktr.ee/DrDeepakRavindranYoutube Channel: https://www.youtube.com/@drdeepakravindran5361Order a copy of the Pain Free Mindset hereFor Season 1: Mixed and edited by Rob Cao at https://dynamiqgroup.co.uk/Huge Thanks to the The Podcast Coach at www.thepodcastcoach.co.uk

Send us a textChronic Pelvic Pain and Lifestyle FactorsThis 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 CPPDiagnosing 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 CareA 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 InformationEndometriosis UK: www.endometriosis-uk.orgPelvic Pain Support Network: www.pelvicpain.org.ukDepartment of Health Expert Patient Initiative: www.expertpatients.co.uk/www.livewellwithpain.co.ukCurable App – on all platformsThe Pelvic Pain Network - A collaborative of Physiotherapists with an active research interest in pePlease 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 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: @deepakravindra5Instagram: drdeepakravindranWebsite: www.deepakravindran.co.ukLinktree: https://linktr.ee/DrDeepakRavindranYoutube Channel: https://www.youtube.com/@drdeepakravindran5361Order a copy of the Pain Free Mindset hereFor Season 1: Mixed and edited by Rob Cao at https://dynamiqgroup.co.uk/Huge Thanks to the The Podcast Coach at www.thepodcastcoach.co.uk

Send us a textThis 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.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 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: @deepakravindra5Instagram: drdeepakravindranWebsite: www.deepakravindran.co.ukLinktree: https://linktr.ee/DrDeepakRavindranYoutube Channel: https://www.youtube.com/@drdeepakravindran5361Order a copy of the Pain Free Mindset hereFor Season 1: Mixed and edited by Rob Cao at https://dynamiqgroup.co.uk/Huge Thanks to the The Podcast Coach at www.thepodcastcoach.co.uk

Send us a textDr. 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.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 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: @deepakravindra5Instagram: drdeepakravindranWebsite: www.deepakravindran.co.ukLinktree: https://linktr.ee/DrDeepakRavindranYoutube Channel: https://www.youtube.com/@drdeepakravindran5361Order a copy of the Pain Free Mindset hereFor Season 1: Mixed and edited by Rob Cao at https://dynamiqgroup.co.uk/Huge Thanks to the The Podcast Coach at www.thepodcastcoach.co.uk

Send us a textThis 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.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 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: @deepakravindra5Instagram: drdeepakravindranWebsite: www.deepakravindran.co.ukLinktree: https://linktr.ee/DrDeepakRavindranYoutube Channel: https://www.youtube.com/@drdeepakravindran5361Order a copy of the Pain Free Mindset hereFor Season 1: Mixed and edited by Rob Cao at https://dynamiqgroup.co.uk/Huge Thanks to the The Podcast Coach at www.thepodcastcoach.co.uk

Send us a textWelcome 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 belowSabina 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 resourcesSuper Brain Podcast play.acast.com/s/superbrain twitter @Sabina_Brennan Instagram @SabinaBrennanPlease 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.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 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: @deepakravindra5Instagram: drdeepakravindranWebsite: www.deepakravindran.co.ukLinktree: https://linktr.ee/DrDeepakRavindranYoutube Channel: https://www.youtube.com/@drdeepakravindran5361Order a copy of the Pain Free Mindset hereFor Season 1: Mixed and edited by Rob Cao at https://dynamiqgroup.co.uk/Huge Thanks to the The Podcast Coach at www.thepodcastcoach.co.uk

Send us a textIt 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 belowSabina 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 resourcesSuper Brain Podcast play.acast.com/s/superbrain twitter @Sabina_Brennan Instagram @SabinaBrennanPlease provide a feedback and comments on the podcast and any questions thatPlease 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 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: @deepakravindra5Instagram: drdeepakravindranWebsite: www.deepakravindran.co.ukLinktree: https://linktr.ee/DrDeepakRavindranYoutube Channel: https://www.youtube.com/@drdeepakravindran5361Order a copy of the Pain Free Mindset hereFor Season 1: Mixed and edited by Rob Cao at https://dynamiqgroup.co.uk/Huge Thanks to the The Podcast Coach at www.thepodcastcoach.co.uk

Send us a textWelcome 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 hereIn 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 thPlease 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 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: @deepakravindra5Instagram: drdeepakravindranWebsite: www.deepakravindran.co.ukLinktree: https://linktr.ee/DrDeepakRavindranYoutube Channel: https://www.youtube.com/@drdeepakravindran5361Order a copy of the Pain Free Mindset hereFor Season 1: Mixed and edited by Rob Cao at https://dynamiqgroup.co.uk/Huge Thanks to the The Podcast Coach at www.thepodcastcoach.co.uk

Send us a textIt 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: @deepakravindra5Instagram: drdeepakravindranWebsite: www.deepakravindran.co.ukLinktree: https://linktr.ee/DrDeepakRavindranOrder a copy of the Pain Free Mindset hereMixPlease 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 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: @deepakravindra5Instagram: drdeepakravindranWebsite: www.deepakravindran.co.ukLinktree: https://linktr.ee/DrDeepakRavindranYoutube Channel: https://www.youtube.com/@drdeepakravindran5361Order a copy of the Pain Free Mindset hereFor Season 1: Mixed and edited by Rob Cao at https://dynamiqgroup.co.uk/Huge Thanks to the The Podcast Coach at www.thepodcastcoach.co.uk

Send us a textIt 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 hereClick 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: @deepakravindra5Instagram: drdeepakravindranWebsite: www.deepakravindran.co.ukLinktree: https://linktr.ee/DrDeepakRavindranOrder a copy of the Pain Free Mindset hereMixed and edited by Rob Cao atPlease 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 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: @deepakravindra5Instagram: drdeepakravindranWebsite: www.deepakravindran.co.ukLinktree: https://linktr.ee/DrDeepakRavindranYoutube Channel: https://www.youtube.com/@drdeepakravindran5361Order a copy of the Pain Free Mindset hereFor Season 1: Mixed and edited by Rob Cao at https://dynamiqgroup.co.uk/Huge Thanks to the The Podcast Coach at www.thepodcastcoach.co.uk