Back To Movement Podcast

Chronic back pain is often treated as a structural problem — but pain does not always equal damage.

In this episode, Bernadett Gazsi Back Pain Coach & Clinical Pilates Instructor is joined by Dr. Deepak Ravindran, physician and member of the World Health Organization’s FIDES Network, to explore the new science of pain and why chronic back pain can persist even when imaging appears normal.

This conversation focuses on how the nervous system, beliefs about pain, and lifestyle factors such as stress, sleep, and nutrition influence pain perception and recovery. Dr. Ravindran explains why fear and misinformation can amplify pain, the importance of effective communication in healthcare, and how education and safe movement can help people regain confidence in their bodies.

This episode is for anyone living with chronic back pain, recurring flare-ups, or confusion about why pain continues despite treatment or normal scans.

Topics Covered

• Chronic back pain and the nervous system
• Pain without structural damage
• The new science of pain
• Fear, beliefs, and pain persistence
• Stress, sleep, and lifestyle factors in pain management
• Education, mindset, and recovery
• Safe movement and rebuilding trust in the body

Guest

Dr. Deepak Ravindran is a physician specializing in pain and lifestyle medicine and a member of the World Health Organization’s FIDES Network, focused on improving health literacy and addressing misinformation.Chapters

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00:00 Understanding Chronic Back Pain

02:07 The New Science of Pain

07:47 Identifying New vs. Old Science in Healthcare

10:44 The Unspoken Beliefs About Pain

13:55 Age-Related Changes and Pain

19:51 The Reality of Pain Without Structural Damage

30:02 Flare-Ups and Setbacks in Pain Management

38:41 Building Trust with Patients

41:06 The Impact of Fear on Pain

43:56 Challenging Pain Beliefs

45:11 Navigating Misinformation in Healthcare

47:59 First Steps in Pain Management

51:02 Understanding Pain and the Body

53:05 The Role of Medications in Pain Management

56:54 Lifestyle Factors and Pain Management

01:01:12 The Power of Movement and Distraction

01:03:08 Stories of Hope and Change

01:05:55 Trusting Your Body Again

01:10:05 The Balance of Rest and Activity

01:13:12 Mindset Shifts for Movement

01:18:00 Three Essential Tips for Managing Pain

Episode Overview

In this episode, I sit down with Dr. Hazel Jenkins, lead author of a landmark 2025 systematic review evaluating long-term outcomes of non-surgical treatments for chronic low back pain. With 75 clinical trials and 15,000+ participants, this is the largest and most comprehensive analysis ever done in this field.

We break down what the evidence actually shows — including which treatments provide only short-term relief and which ones lead to meaningful, lasting improvements at 1–2 years.

If you’ve been living with persistent back pain, feeling confused or discouraged by conflicting advice, this episode will bring clarity, direction, and science-backed hope.

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What We Discuss

• Why chronic low back pain is rarely just a “physical problem”
• What the biggest study ever done on back pain actually found
• Why beliefs, fear, and mood influence pain more than people realize
• Which treatments help short-term vs. long-term
• Why combining exercise + psychological strategies is most effective
• How CBT and mindfulness support pain recovery
• Why pain doesn’t always equal damage
• Why your back is stronger and more resilient than you think
• The realistic timeline for long-term improvement
• What small daily actions can significantly change your outcome

Key Takeaways

• Chronic back pain is influenced by physical, psychological, and social factors
• The strongest long-term results come from multimodal treatment
• Exercise is one of the most effective long-term strategies
• Beliefs and mindset shape pain perception
• Education reduces fear and builds confidence
• Small improvements matter — they compound over time
• Your back is adaptable, resilient, and designed to move

About Today’s Guest

Dr. Hazel Jenkins is a researcher at Macquarie University specializing in chronic pain, behavioral health, and exercise science. Her 2025 systematic review provides some of the strongest evidence on long-term outcomes for chronic low back pain.

Chapters

00:00 Introduction

06:53 Psychological Factors & Pain

12:28 Long-Term Treatment Insights

19:20 Mindset and Pain Perception

27:18 Common Myths About Back Pain

34:46 Exercise & Back Pain

38:33 How to Interpret Pain Research

46:59 Hope in Chronic Pain Recovery

52:32 Evidence-Based Treatments

Resources Mentioned

• 2025 Systematic Review on Chronic Low Back Pain • Cognitive Behavioral Therapy (CBT) for Pain • Mindfulness-Based Stress Reduction (MBSR) • WHO Physical Activity Guidelines

In this episode of the Back To Movement Podcast, host Bernadett Gazsi and physiotherapist Adam Meekins discuss the misconceptions surrounding posture and back pain. They explore the dynamic nature of posture, the importance of movement over static positions, and the role of individual experiences in pain management. Adam emphasizes that exercise guidelines should be realistic and that perfect form in exercises is often overrated. The conversation also touches on the psychological aspects of pain, the significance of job satisfaction, and the need for a holistic approach to recovery. Adam shares insights on identifying red flags in back pain and the slow shift in physiotherapy perspectives towards a more individualized approach. The episode concludes with a message of hope for those suffering from chronic pain, encouraging them to recognize their strength and adaptability.

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Chapters

00:00 The Myth of Perfect Posture

04:52 Understanding Posture Variability

09:18 The Importance of Movement

14:18 Exercise Technique and Safety

19:01 The Role of Posture Tools

23:13 Fear and Movement

29:25 The Challenges of Rehabilitation

34:00 The Role of Emotional Factors in Back Pain Recovery

41:33 Understanding Contributing Factors to Back Pain

48:27 Identifying Red Flags in Back Pain

53:49 Shifting Perspectives on Posture and Back Pain

57:27 Finding a Good Physical Therapist

58:29 Empowering Messages for Those in Pain

Why won’t chronic pain go away — even when your body has healed?

In this episode of the Back To Movement Podcast, neuroscientist Dr. Theodore Price explains what really happens inside the nervous system when pain becomes chronic — and what that means for people living with back pain and other long-lasting conditions.

You’ll learn:

• Why chronic pain can persist even when scans look normal
• The difference between “good pain” and “bad pain”
• How stress, poor sleep, and anxiety turn pain up
• Why exercise and movement are safe — and crucial — for recovery
• The role of autoimmune conditions in chronic pain
• New hope from non-opioid treatments in development

If you’ve ever asked “why won’t my back pain go away?” — this conversation will give you answers, clarity, and hope.

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What if everything you’ve been told about back pain is wrong?

In this powerful episode of Back to Movement, host Bernadett Gazsi sits down with world-leading musculoskeletal pain researcher Professor Peter O’Sullivan to unravel the science, myths, and hope behind chronic back pain.

Together, they explore:

• Why pain is not always a sign of damage
• The surprising truth about scans, posture, and core strength
• How stress, trauma, and lifestyle contribute to pain
• Why quick fixes don’t work — and what actually does
• How to rebuild trust in your body and move with confidence again
• What needs to change in healthcare to truly support people in pain

Peter also introduces the Evoolve Pain Care Academy — a new educational platform helping clinicians and patients embrace modern, evidence-based care.

Whether you’re navigating chronic pain yourself or supporting others, this episode offers clarity, compassion, and real solutions..

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In this chat, Bernadett and Kyle talk about how being a mom can be hard on your body, especially your back. They share their own stories about how their bodies changed after having babies and how they had to change the way they exercise. They explain why doing exercises that make you stronger can help stop pain and make you feel better. They also talk about how it's okay to take small steps, include your kids in your workouts, and find fun ways to move your body as a mom.

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Chapters

00:00 The Reality of Motherhood and Back Pain

05:50 Strength Training: A New Perspective

11:49 Navigating Postpartum Challenges

17:52 The Healing Journey After Birth

28:23 Navigating Postpartum Challenges

30:12 Understanding Diastasis Recti

32:47 Weight Gain and Pregnancy Guidelines

35:08 The Law of Specificity in Motherhood

39:36 Fear and Movement in Motherhood

43:41 Reprogramming Pain and Movement Strategies

46:40 Tips for Postpartum Workouts

49:39 Incorporating Kids into Fitness

In this episode of the Back to Movement Podcast, host Bernadett Gazsi breaks down a common myth: that back pain is always tied to scary MRI results. She explores a key study showing that disc degeneration and herniated discs are extremely common—even in people without back pain. Bernadett explains why these imaging findings are often normal signs of aging, not reasons to panic. Instead, she offers a holistic, evidence-based approach to healing back pain—through movement, better sleep, and mental health. If you’ve ever been told your spine is "damaged," this episode is a must-listen.

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What’s the best exercise for chronic low back pain? In this episode, Back Pain Coach and Clinical Pilates Instructor Bernadett Gazsi is joined by physiotherapist and researcher Josielli Comachio to unpack what the research actually says.

They explore why there’s no one-size-fits-all solution, the limitations of current clinical guidelines, and the importance of personalized movement, pain education, and realistic recovery expectations.

If you've ever been told to “just stay active,” this conversation will help you understand what really works—and why your back pain deserves a more thoughtful approach.

You can Find Josielli on X;@josiicomachioo or @josiellicomachio.bsky.social

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Chapters

00:00Understanding Low Back Pain and Exercise Recommendations

06:01The Complexity of Back Pain Management

12:11The Role of Psychological and Social Factors

17:58Guidelines and Their Application in Practice

24:00The Need for Personalized Approaches to Treatment

30:46Personalized Exercise Approaches for Chronic Pain

34:10Setting Realistic Expectations for Recovery

38:44Researching and Evaluating Exercise Guidelines

42:16Finding the Right Exercise for You

47:52Effective Exercises for Chronic Low Back Pain

51:43Empowering Patients to Overcome Pain

What happens when a young mother is diagnosed with breast cancer during a global pandemic? In this empowering episode, Bernadett Gazsi sits down with Cecilia Salvans to explore her journey through cancer treatment, motherhood, and finding strength again through movement and mental health support.

Cecilia shares the emotional impact of diagnosis, the challenges of post-cancer recovery, menopause, and the power of fitness in reclaiming self-worth and health. This episode is a raw, honest conversation about healing, self-advocacy, and rediscovering joy in your body after trauma.

You can find Bernadett online here, Instagram, Facebook

In this episode of the Back to Movement podcast, host Bernadett Gazsi and guest Mila Alešina discuss the misconceptions surrounding back pain, the fragility of the spine, and the importance of intuitive movement. They emphasize the need for education and empowerment in addressing back pain, the role of core engagement in movement, and the benefits of functional training over traditional Pilates.

The conversation highlights the significance of treating the whole person and understanding the strength of the spine, advocating for a holistic approach to back pain management.

You Can find Mila online here

You Can find Bernadett online here, Instagram, Facebook.