Welcome to the Kentucky Pain Reversal Show, where we cut through the confusion about chronic pain and dig deep into the role pain medications play on your journey. In this episode, Dr. Ajith Nair tackles one of the most misunderstood topics in pain management: why pills that once eased your suffering can lose their effect and sometimes even make pain worse.

Together, they break down the science behind opioids, dopamine, and pain receptors in plain language, helping you understand the real reason behind tolerance, dependence, and addiction. Dr. Ajith Nair explains what’s actually happening in your brain and nervous system when you take painkillers over time, why dose escalation is a red flag, and how long-term use can sometimes amplify pain rather than control it.

This episode debunks common myths, explores the challenges facing patients in places like Kentucky, and emphasizes the importance of education and exploring alternatives. Whether you’re living with chronic pain, worried about medications, or just want answers, this conversation is designed to bring clarity and hope. Join us as we unravel the science and uncover practical solutions for a better path forward.

00:00 Pain Medication Types and Duration

06:08 Opioid Dependence and Addiction Explained

09:50 Medication Effects and Tolerance Explained

11:29 Pain Medication Tolerance and Metabolism

16:07 "Opioid Tolerance and Management Challenges"

17:39 "Addressing Escalating Pain Management"

21:01 "Chronic Pain Treatment Alternatives"

Podcast Website - https://thekentuckypainreversal.com/

Dr. Ajith Nair Clinic - https://kentuckianapainspecialists.com/

Media Partner - https://tophealth.care/

Welcome to the Kentucky Pain Reversal Show, where science, compassion, and real solutions unite to change the way pain is treated across Kentucky. In our very first episode, host Dr. Ajith Nair – a board-certified anesthesiologist and fellowship-trained interventional pain specialist with over 33 years of experience – explores the heart of Kentucky’s pain crisis.

From the opioid epidemic’s devastating toll to the frustrating cycle of prescriptions and repeat surgeries, we dive into why Kentuckians find themselves stuck in long-term pain, and how the system often overlooks life-changing alternatives. Dr. Ajith Nair shares personal stories from his decades in medicine, explains what truly effective pain intervention looks like, and reveals how reversing pain - not just masking it - can restore quality of life for both patients and their families.

If you or someone you love is living with chronic pain, this episode may be the hope and new direction you’ve been waiting for. Let’s break the cycle together.

Timestamps:

00:00 Journey into Pain Management

03:58 "Transforming Pain with Intrathecal Pump"

07:17 "Challenges of Pain Pump Management"

11:48 Sciatica: Causes, Treatments, Outcomes

13:18 Chronic Pain Management Options

16:33 "Chronic Pain and Addiction Risks"

22:06 "Factors Driving Opioid Prescriptions"

24:17 Tailored Treatments for Chronic Pain

27:24 "Offering Hope, Ending Pain"

Podcast Website - https://thekentuckypainreversal.com/

Dr. Ajith Nair Clinic - https://kentuckianapainspecialists.com/

Media Partner - https://tophealth.care/

The Kentucky Pain Reversal Show is where chronic pain meets real solutions. Hosted by Dr. Ajith Nair - a board-certified anesthesiologist and fellowship-trained interventional pain specialist with more than 33 years of experience - this show exposes the truth behind Kentucky’s pain crisis and reveals the modern treatments that actually work.

From pain pumps and spinal-cord stimulation to long-COVID nerve blocks, failed-back-surgery solutions, and addiction-conscious alternatives, every episode gives Kentuckians a clear, scientific path to lower pills, avoid unnecessary surgery, and reclaim their lives.

Podcast Website - https://thekentuckypainreversal.com/

Dr. Ajith Nair Clinic - https://kentuckianapainspecialists.com/

Media Partner - https://tophealth.care/