In this episode of the Pain Free Living Podcast, osteopath Bob Allen and positive psychology coach Clare Elsby explore a question many people notice but rarely understand:

Why does your pain often improve when you go on holiday?

If you live with persistent pain, you might recognise this pattern. Your back, neck, or joints feel worse during busy work periods, yet a few days away from the office and things suddenly start to ease.

In this episode, Bob explains how your nervous system plays a huge role in how pain is experienced. Your body constantly balances between two key systems: the sympathetic nervous system (your “fight-flight-freeze-fawn” response) and the parasympathetic nervous system (your “rest, digest and recover” state).

Modern life keeps many of us stuck in a constant state of alert, whether we are commuting, emailing, dealing with deadlines, phones, or doom-scrolling on social media.

Over time, this can increase nervous system sensitivity, which can make your current pain feel worse.

You’ll find out why stepping away from daily stress, even temporarily, allows your nervous system to settle. When that happens, your body often becomes less sensitive to pain signals, helping symptoms improve.

Clare also explores something many people struggle with: the guilt of resting. For some of us, doing nothing can actually feel uncomfortable. But learning to rest, whether that’s on a beach, walking in nature, or simply switching off your devices, can be an important part of de-stressing and recovery.

So if your pain improves when you take time off, don’t worry, you’re not imagining it.

Understanding how stress, rest, and the nervous system interact is often the first step toward managing your pain more effectively.

• Your nervous system plays a major role in how you experience pain

• Chronic stress can increase nervous system sensitivity and amplify your pain

• Holidays reduce stress and activate your body’s rest-and-recover systems

• Many people feel guilty about resting, but recovery requires it

• Finding the right balance between activity and rest helps improve long-term pain management

• Your beginner's guide to the nervous system – https://youtu.be/WUesY4Zx6oM

• Ideas to help regulate your nervous system – https://youtu.be/p74SikmjsZs

• The important benefits of breathing well – https://youtu.be/QV3l6HrkCY4

Bob Allen is an osteopath who has been helping people understand and manage their pain since 2008. Through the Pain Free Living podcast, he shares clear, practical insights to help you move better and live with less pain.

Clare Elsby is a therapist and positive psychology coach who helps people understand how mindset, emotions, and behaviour influence wellbeing and recovery.

Bob’s story: https://bit.ly/BobsOsteoStory

Clare Elsby: https://www.clareelsby.com/

Sign up for the Pain Free Living monthly newsletter: https://bit.ly/PFL_newsletter_signup

Podcast & socials: https://linktr.ee/Painfreeliving

This podcast provides general information for educational purposes only. It is not medical advice and should not replace professional assessment, diagnosis, or treatment. Always seek qualified healthcare advice if you are in pain, have new or worsening symptoms, or any concerns about your health before starting exercise or self-care routines.

If you’ve ever left an appointment feeling unheard, doubted, or dismissed, this episode is for you.

On this week’s Pain Free Living Podcast, Bob Allen, osteopath, and Clare Elsby, positive psychology coach and therapist, explore something that is rarely talked about, and that is the emotional and physical impact of not being believed when you’re in pain.

You’ll find out why feeling dismissed can affect your self-worth, trust in healthcare, and even your nervous system.

Clare explains how being doubted can create a deep sense of injustice, particularly for neurodivergent individuals, where fairness and being heard are core values.

From an osteopathic perspective, Bob shares what happens when your scans are “normal” but you are still in pain. He also explains why MRI findings don’t always correlate with symptoms, how the nocebo effect can amplify suffering, and why language in healthcare matters more than most people realise.

We also explore fascinating examples like phantom limb pain and mirror therapy, showing clearly that pain is always real, even when there’s no obvious tissue damage.

If you’ve been told “there’s nothing wrong” but you’re still in pain, keep pushing for an explanation and don't take no for an answer.

You know your body, and although pain is complex, it is never imaginary!

1. Pain is real even when scans are clear because imaging doesn’t always explain symptoms.
2. Feeling dismissed can impact your self-worth, trust, and stress levels.
3. The nocebo effect shows how negative language can worsen pain.
4. Your autonomic nervous system can become sensitised, amplifying pain signals.
5. Pain management works best when physical and psychological perspectives are addressed together.

How mirror therapy works https://en.wikipedia.org/wiki/Mirror_therapy

The rubber hand illusion using a mirror https://www.youtube.com/watch?v=sxwn1w7MJvk

Bob Allen has been treating people in pain since 2008, combining hands-on osteopathy with clear, jargon-free education to help you understand your body and move with confidence.

Clare Elsby brings the therapy and positive psychology lens, helping you explore how thoughts, beliefs, and values influence your health and wellbeing.

More Bob’s story: https://bit.ly/BobsOsteoStory

Clare’s profile: https://www.clareelsby.com/

Newsletter sign-up: https://bit.ly/PFL_newsletter_signup

Podcast & socials: https://linktr.ee/Painfreeliving

This podcast provides general information for educational purposes only. It is not medical advice and should not replace professional assessment, diagnosis, or treatment. Always seek qualified healthcare advice if you are in pain, have new or worsening symptoms, or have any concerns about your health before starting exercise or self-care routines.

In this episode of the Pain Free Living podcast, Bob Allen (osteopath) and Clare Elsby (therapy coach) unpack one of the most misunderstood parts of recovery, looking at why the journey from pain to pain-free is rarely smooth or predictable.

As an osteopath involved in pain management for over 18 years, Bob manages client expectations on their recovery from pain every week. People often expect a neat, steady climb from pain to pain-free. but instead, recovery zigzags between feeling significantly better and feeling more pain. One good day leads to doing more… then a flare-up. And suddenly you’re thinking, “I’m back to square one.”

You’re not!

You’ll find out why recovery often feels inconsistent, how overdoing your rehab can temporarily stir things up, and why that doesn’t mean anything is wrong.

Bob explains why “movement is medicine,” how tailored exercises improve blood flow and speed up tissue healing, and why generic online “5 exercises to fix back pain” videos often miss the mark.

Clare brings the psychological lens. When progress isn’t linear, your belief system kicks in. If you think recovery should be smooth, any setback feels catastrophic. That stress response can increase muscle tension and anxiety, fuelling a self-fulfilling prophecy. But don’t worry, as understanding and awareness are the first steps to supporting your recovery.

Together, Bob and Clare discuss how managing your expectations, building trust in the process, and helping you understand the benefits of what you’re doing can dramatically improve your outcomes after an injury.

1. Recovery from back pain and other musculoskeletal injuries is rarely linear, and small setbacks to recovery are normal.
2. Doing slightly more when you feel better can temporarily increase symptoms, but it will only have a minor impact on your progress.
3. Tailored exercise supports your healing through improved circulation, oxygenation, and tissue repair.
4. Catastrophising thoughts (“What if I never get better?”) can amplify your pain via stress responses.
5. Clear explanation, education, and partnership dramatically improve exercise adherence and health outcomes.

1. A short, simple explanation of what pain is: https://www.youtube.com/watch?v=yhwEw6nXnOk
2. A great article on Pain Management: https://my.clevelandclinic.org/health/treatments/21514-pain-management

🔹 Bob’s story: https://bit.ly/BobsOsteoStory

🔹 Clare Elsby’s profile: https://www.clareelsby.com/

🔹 Join the newsletter: https://bit.ly/PFL_newsletter_signup

🔹 Podcast & socials: https://linktr.ee/Painfreeliving

Disclaimer

This podcast provides general information for educational purposes only. It is not medical advice and should not replace professional assessment, diagnosis, or treatment. If you are in pain, and have new or worsening symptoms, or any concerns about your health before starting exercise or self-care routines, ALWAYS seek qualified healthcare advice.

Bob Allen, osteopath and co-host of the Pain Free Living podcast, and Clare Elsby, positive psychology coach and therapist, explore a subject most health professionals quietly notice — but rarely say out loud.

What happens when your pain becomes… comfortable?

In this episode, you’ll find out why long-term pain, whether physical or emotional, can quietly become part of your identity.

As Bob explains, pain starts as a warning signal. But when you’ve lived with back pain, joint pain, or unexplained symptoms for months or years, you often build routines around it.

Medication. Avoidance. “Safe” movements. Coping strategies. And over time, your pain stops feeling temporary; it starts feeling normal.

You’ll also hear how this shows up emotionally. Clare explores how negative self-talk, that relentless inner critic, can actually feel useful. You may believe it drives your productivity, your standards, and your motivation. But what if that “helpful” voice is also reinforcing stress, fear and vulnerability?

Don’t worry, awareness is the first step. If any of this resonates, it doesn’t mean you’ve failed. It means you’ve adapted, and adaptation is clever. But staying there forever isn’t your only option.

This conversation is aimed at challenging the “devil you know” mindset and opens the door to something better: appropriate support, fresh assessment, and safe therapeutic space — whether that’s manual therapy, cognitive behavioural therapy (CBT), or simply a new perspective.

1. Pain can shift from a warning signal into a lifestyle pattern.
2. Long-term back pain often has multiple contributing factors — not just one clear diagnosis.
3. Emotional pain and negative self-talk can become part of your identity.
4. Resistance to change often comes from fear and vulnerability.
5. With the right support, you can reduce pain — without losing who you are.

1. Cognitive Behavioural Therapy (CBT) overview – NHS: https://www.nhs.uk/mental-health/talking-therapies-medicine-treatments/talking-therapies-and-counselling/cognitive-behavioural-therapy-cbt/

Disclaimer - This podcast provides general information for educational purposes only. It is not medical advice and should not replace professional assessment, diagnosis, or treatment. Always seek qualified healthcare advice if you are in pain, have new or worsening symptoms, or have any concerns about your health before starting exercise or self-care routines.

😎 Learn more about Bob’s story https://bit.ly/BobsOsteoStory

🤩 Find out more about Clare’s work https://www.clareelsby.com/

📰 Sign up for our Pain Free Living newsletter https://bit.ly/PFL_newsletter_signup

🎙️ Connect with us on socials & podcast platforms https://linktr.ee/Painfreeliving

In this short episode, Bob Allen, osteopath, and Clare Elsby, therapist and coach, pause to celebrate the Pain Free Living Podcast's first birthday.

What began as a small, slightly nerve-wracking project has grown into something global. Over the past year, the podcast has reached over 150 YouTube subscribers spread across the world, including listeners in Brazil, China, Laos, and Kazakhstan.

On the audio side, there have been more than 1,600 downloads, with listeners in the UK, United States, Australia, and Japan, to name just a few.

While the numbers aren't massive (yet), we looked at what those figures really represent to us and that is people like you looking for calm, jargon-free explanations about your body, particularly when pain or uncertainty feels overwhelming.

One interesting pattern we’ve noticed is how viewers and listeners engage the podcast differently.

On YouTube, the most popular episode has been Season 2, Episode 3 – Osteopathy and Therapy Coaching Demystified, while the most listened-to audio episode is Season 1, Episode 4 – Strength and Balance.

Same podcast, different formats, different preferences.

We would love to know why there is a difference, so if you are a committed audio or visual kind of person, our big question is why?

This episode is a short, heartfelt thank you to all and a commitment from us to keep the conversations clear, honest, and human.

Stay tuned as the first episode of Season 3 will be dropping next week, and we hope you like it.

HUGE THANKS to the team, you never see but make mine and Clare's podcasting lives much easier, namely Ash McKenzie (producer extraordinaire and much more) and Jennifer Herbert (VA Supreme).

If you need a producer email learngrow999@gmail.com and if you need an excellent VA, here ya go jen@jenorganisesthings.com

In this episode, Bob Allen, osteopath and movement specialist, and Clare Elsby, therapy coach, conclude their three-part series on AI in healthcare by focusing on its real-world benefits.

You’ll find out why AI works best not as a replacement for clinicians or therapists, but as assistive intelligence, where it supports good decision-making, improves access, and frees up time for us humans to provide better support.

From Bob’s osteopathic perspective, AI is particularly useful for triage and structured case history taking. These repetitive but essential questions can be handled efficiently by AI, allowing clinicians to focus on hands-on assessment, clinical reasoning, and nuance.

Bob also explains how AI can support movement analysis, exercise tracking, progression, and even gamification to help people stay engaged with their rehab long after their pain has settled.

AI also shows promise in medical diagnostics, where pattern recognition matters. In areas such as imaging and pathology, AI systems are already being used to help detect subtle changes linked to cancers and other serious conditions, sometimes spotting patterns earlier than the human eye or ear. Used correctly, this kind of support can improve early detection while still relying on clinicians to interpret results and make final decisions.

Clare applies her therapy and coaching lens, highlighting that empathy, emotional safety, and trauma-aware care remain human skills. Where AI shines is between sessions, supporting journaling, mood tracking, and identifying patterns and triggers.

Don’t worry if this feels unfamiliar; awareness is the first step, and these tools can help people notice what they might otherwise miss.

AI should always involve human oversight, clear boundaries, and ethical use. When used well, it can extend care without losing what makes healthcare human.

If you found this helpful, subscribe to the Pain Free Living Podcast for practical, evidence-based conversations about pain, movement, and modern healthcare.

1. AI works best as assistive intelligence, not a replacement for people
2. Triage, admin, and documentation are strong, safe use-cases
3. AI-supported diagnostics can aid earlier detection of serious disease
4. Exercise tracking and progression improve long-term rehab adherence
5. Empathy, ethics, and human judgment remain essential

1. Finch is a self-care app and you can find out more here https://finchcare.com/
2. AI-assisted diagnostics for heart conditions https://www.bhf.org.uk/informationsupport/heart-matters-magazine/research/ai-healthcare

😎 Learn more about Bob’s story: https://bit.ly/BobsOsteoStory

🤩 Find out more about Clare’s work: https://www.clareelsby.com/

📰 Sign up for our Pain Free Living newsletter: https://bit.ly/PFL_newsletter_signup

🎙️ Connect with us on socials & podcast platforms: https://linktr.ee/Painfreeliving

This podcast provides general information for educational purposes only. It is not medical advice and should not replace professional assessment,...

Welcome to another episode of the Pain Free Living podcast hosted by Bob Allen, osteopath, and Clare Elsby, therapy coach.

This is part two of our series exploring the use of AI in healthcare and therapy, with this episode focusing on where caution, context, and human judgement still matter most.

You’ll find out why we both actively use AI, while remaining clear about its limitations. Clare introduces her practical 20–60–20 rule, which is all about framing a question in the right way.

Bob expands on this from a clinical perspective, explaining why AI without context can produce confident but misleading health advice. Unlike search engines, conversational tools such as ChatGPT aim to deliver a single, polished answer, but the vaguer the question, the less reliable the answer.

We also explore therapy chatbots and mental health AI. These tools can feel reassuring and accessible, but they often rely on agreement and validation rather than the gentle challenge and emotional nuance that therapy coaches like Clare use every day.

We discuss AI safety in mental health, highlighting why safeguarding and clear boundaries are essential. While platforms are improving safety features, AI is not a replacement for qualified care.

The key message? AI can be brilliant as a supportive tool not a decision-maker. Don’t worry if this feels complex; awareness is the first step to getting the most AI.

1. AI predicts answers, and if it can't find an answer, it can hallucinate i.e. make stuff up
2. The better and more detailed the prompt, the better the AI response
3. Therapy chatbots reassure but don’t challenge
4. Unlike AI, human clinicians can read nuance and movement
5. AI should support healthcare, not replace it

This podcast provides general information for educational purposes only. It is not medical advice and should not replace professional assessment, diagnosis, or treatment. Always seek qualified healthcare advice if you have existing pain with new or worsening symptoms, or any concerns about your health, before starting exercise or self-care routines.

🔔 Additional links

The South Park AI clip https://www.youtube.com/watch?v=sDf_TgzrAv8

TRIGGER WARNING: This link takes you to an article Clare discusses in the podcast, looking at the potential role of AI in a teenager's death by suicide https://edition.cnn.com/2025/08/26/tech/openai-chatgpt-teen-suicide-lawsuit

How AI can be used to detect heart problems https://www.bhf.org.uk/what-we-do/news-from-the-bhf/news-archive/2025/august/ai-stethoscope-can-detect-three-heart-conditions-in-15-seconds

😎 Learn more about Bob’s story https://bit.ly/BobsOsteoStory

🤩 Find out more about Clare’s work https://www.clareelsby.com/

📰 Sign up for our Pain Free Living newsletter https://bit.ly/PFL_newsletter_signup

🎙️ Connect with us on socials & podcast platforms https://linktr.ee/Painfreeliving