Chronic back pain is often treated as a structural problem — but pain does not always equal damage.
In this episode, Bernadett Gazsi Back Pain Coach & Clinical Pilates Instructor is joined by Dr. Deepak Ravindran, physician and member of the World Health Organization’s FIDES Network, to explore the new science of pain and why chronic back pain can persist even when imaging appears normal.
This conversation focuses on how the nervous system, beliefs about pain, and lifestyle factors such as stress, sleep, and nutrition influence pain perception and recovery. Dr. Ravindran explains why fear and misinformation can amplify pain, the importance of effective communication in healthcare, and how education and safe movement can help people regain confidence in their bodies.
This episode is for anyone living with chronic back pain, recurring flare-ups, or confusion about why pain continues despite treatment or normal scans.
Topics Covered
- Chronic back pain and the nervous system
- Pain without structural damage
- The new science of pain
- Fear, beliefs, and pain persistence
- Stress, sleep, and lifestyle factors in pain management
- Education, mindset, and recovery
- Safe movement and rebuilding trust in the body
Guest
Dr. Deepak Ravindran is a physician specializing in pain and lifestyle medicine and a member of the World Health Organization’s FIDES Network, focused on improving health literacy and addressing misinformation.Chapters
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00:00 Understanding Chronic Back Pain
02:07 The New Science of Pain
07:47 Identifying New vs. Old Science in Healthcare
10:44 The Unspoken Beliefs About Pain
13:55 Age-Related Changes and Pain
19:51 The Reality of Pain Without Structural Damage
30:02 Flare-Ups and Setbacks in Pain Management
38:41 Building Trust with Patients
41:06 The Impact of Fear on Pain
43:56 Challenging Pain Beliefs
45:11 Navigating Misinformation in Healthcare
47:59 First Steps in Pain Management
51:02 Understanding Pain and the Body
53:05 The Role of Medications in Pain Management
56:54 Lifestyle Factors and Pain Management
01:01:12 The Power of Movement and Distraction
01:03:08 Stories of Hope and Change
01:05:55 Trusting Your Body Again
01:10:05 The Balance of Rest and Activity
01:13:12 Mindset Shifts for Movement
01:18:00 Three Essential Tips for Managing Pain