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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. To know more about her work, check out her site at www.reprocessyourpain.co.uk Hello and thank you for visiting my YouTube channel. I'm Dr Deepak Ravindran, multi-award-winning pain expert, consultant and author of the Amazon bestseller, 'The Pain-free Mindset. My book 'The Pain-free Mindset' is available here: https://www.amazon.co.uk/Pain-Free-Mi... My website: https://deepakravindran.co.uk/ Facebook: / drdeepakravindran Instagram: / drdeepakravindran LinkedIn: / deepak-ravindran-b225a61a Twitter: / deepakravindra5 I hope you find this video and channel useful, please do subscribe and hit the notification button to make sure you don't miss any of my future content.