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Written by Dr Feroz Mavani MBChB (Hons), MRCGP, PGDipCert (Digital Health Leadership) GP Partner & Family Medicine Consultant | NHS Clinical Researcher | Principal Investigator Peterborough, England, UK Pain management in general practice often feels constrained between two imperfect poles. On one side sit simple analgesics that are frequently insufficient for moderate or neuropathic pain. On the other sit opioids, effective but burdened with well understood risks that accumu

Written by Dr Feroz Mavani MBChB (Hons), MRCGP, PGDipCert (Digital Health Leadership) GP Partner & Family Medicine Consultant | NHS Clinical Researcher | Principal Investigator Peterborough, England, UK Chronic pain walks into general practice every single day. It sits quietly in the corner of the consultation room, or it arrives exhausted and irritable, having already tried physiotherapy, antidepressants, injections, and sometimes opioids. As a GP, I am constantly balancing

Written by Dr Feroz Mavani MBChB (Hons), MRCGP, PGDipCert (Digital Health Leadership) GP Partner & Family Medicine Consultant | NHS Clinical Researcher | Principal Investigator Peterborough, England, UK Insomnia is one of the most frequent and frustrating presentations in general practice. Patients rarely present with “sleep latency of 90 minutes” as a neat clinical metric. They present exhausted, irritable, cognitively dulled and often anxious about the long-term consequence