I catch up with pain consultant Dr Deepak Ravindran on what four years of Long Covid clinic work and research has taught him about why people get stuck with fatigue, pain, brain fog and autonomic symptoms. We argue for a practical middle path that validates biological change while using neuroplasticity and whole-person support to help the system relearn safety and move forwards.

• Deepak’s shift from pain medicine into leading a Berkshire Long Covid clinic and what patterns stood out over time
• Why most Long Covid patients were not hospitalised and why symptoms can still be severe
• The pressure on UK primary care and the case for better signposting to high-quality resources
• Why “either biology or brain” is the wrong frame and how the neuro-immune system acts as one unit
• What central sensitisation and predictive processing explain about persistent symptoms
• Evidence and theories: cytokines, neuro-inflammation signals, auto-antibodies, viral reservoirs and micro-clotting
• Treatment principles: combining medication trials with nervous system regulation and paced rehabilitation
• The STIMULATE ICP study approach and why integrated care pathways can outperform single-drug hopes
• Practical “waiting well” strategies: sleep, movement, breathing techniques, mindfulness and confidence-building
• Why recovery is individual, slow, and built from consistency rather than quick fixes

Links:

• Our previous episode: https://www.buzzsprout.com/1835170/episodes/11277564
• Ami Banerjee episode (Stimulate ICP): https://www.buzzsprout.com/1835170/episodes/12209909
• Berkshire Pain Clinic: https://theberkshireclinic.com/consultants/deepak-ravindran/
• Deepak's blog on Living Proof: https://www.livingproof.org.uk/post/book-review-pain-free-mindset
• Pain speak Podcast: https://deepakravindran.co.uk/podcast/

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For more information about Long Covid Breathing courses & workshops, please check out LongCovidBreathing.com

(music credit - Brock Hewitt, Rule of Life)

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~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
The Long Covid Podcast is self-produced & self funded. If you enjoy what you hear and are able to, please Buy me a coffee or purchase a mug to help cover costs

Transcripts available on individual episodes here

www.LongCovidPodcast.com
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**Disclaimer - you should not rely on any medical information contained in this Podcast and related materials in making medical, health-related or other decisions. Please consult a doctor or other health professional**

I'm joined by Bal Matharu to talk about how breathing links the nervous system, stress biology, and Long Covid symptoms, and why recovery often begins with creating a genuine felt sense of safety. We share practical ways to assess and change breathing patterns, plus the role of co-regulation, boundaries, and carefully held breathwork support.

• Bal’s path from advanced respiratory physiotherapy and ICU work to lifestyle medicine and PhD breathwork research
• The six pillars of lifestyle medicine and why stress management often underpins the rest
• Acute stress versus chronic stress and how the body shifts blood flow, hormones, and immune function
• Cell danger theory, mitochondria, ATP, and why fatigue can be a protection signal
• Safety as a felt sense through neuroception rather than a purely cognitive idea
• Breath assessment basics, posture, high chest breathing, diaphragm use, and longer exhales
• Overstimulation, silence avoidance, and letting emotions move through the body in short windows
• Co-regulation, practitioner capacity, and building safe spaces for nervous system work
• Boundaries, people pleasing patterns, and choosing relationships that support regulation
• Selecting credible breathwork practitioners and avoiding unsafe cathartic methods

Links:

Bal's Website: https://www.bodymind-iq.com
Embody Ecosystem: https://go.bodymind-iq.com/embody-ecosystem

Message me! (I can't reply to these messages)

For more information about Long Covid Breathing courses & workshops, please check out LongCovidBreathing.com

(music credit - Brock Hewitt, Rule of Life)

Support the show

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
The Long Covid Podcast is self-produced & self funded. If you enjoy what you hear and are able to, please Buy me a coffee or purchase a mug to help cover costs

Transcripts available on individual episodes here

www.LongCovidPodcast.com
Facebook Instagram Twitter
Facebook Creativity Group
Subscribe to mailing list

I love to hear from you, via socials or LongCovidPodcast@gmail.com

**Disclaimer - you should not rely on any medical information contained in this Podcast and related materials in making medical, health-related or other decisions. Please consult a doctor or other health professional**

We hear Ana’s honest recovery story, from a gradual slide into Long Covid to the moment her nervous system finally stopped treating everyday life as a threat. We talk through neurodivergence, trauma, hypermobility and the practical tools that helped her rebuild a calm, creative life.

• The slow build of stressors that leads to a major crash
• Hypermobility and why intense workouts can backfire
• ADHD and autism discovery and how it reframes burnout
• Tests, uncertainty and how fear can keep symptoms loud
• Restrictive diets, supplement spirals and removing fear around food
• Nervous system regulation using polyvagal ideas and body listening
• Meditation with music, creative visualisation and breathing
• Trauma as unmet safety needs plus small experiences that stack up
• The “spreading” practice and learning to handle activation
• Returning to work slowly and dropping all-or-nothing thinking
• Creativity as a recovery pillar and building a life that fits

Links:

• Ana's Substack: https://becomingcreative.substack.com/
• Somia Heal: https://somiainternational.com/heal/
• Jackie's Insight Timer (as mentioned by Ana at the start) https://insig.ht/sT6iUelAR3b
• Ed the Osteopath who Ana found super helpful: https://movementandwellbeingclinic.co.uk/about-us/#ed-madeley

Message me! (I can't reply to these messages)

For more information about Long Covid Breathing courses & workshops, please check out LongCovidBreathing.com

(music credit - Brock Hewitt, Rule of Life)

Support the show

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
The Long Covid Podcast is self-produced & self funded. If you enjoy what you hear and are able to, please Buy me a coffee or purchase a mug to help cover costs

Transcripts available on individual episodes here

www.LongCovidPodcast.com
Facebook Instagram Twitter
Facebook Creativity Group
Subscribe to mailing list

I love to hear from you, via socials or LongCovidPodcast@gmail.com

**Disclaimer - you should not rely on any medical information contained in this Podcast and related materials in making medical, health-related or other decisions. Please consult a doctor or other health professional**