Welcome back to the Pain Free Living podcast and this is another episode retrieved from the archives featuring my ever-curious question-asker and co-host Louise Gordon, before she moved on to focus on becoming an even more brilliant change coach.

In this one, we’re diving into exercise which is a topic that’s often misunderstood, over-complicated, or seen as out of reach for many of you.

You’ll find out why exercise isn’t just for gym-goers or fitness fanatics, and why you don’t need a six-pack or expensive gym membership to reap life-changing benefits. Whether you're in your 30s, 60s, or even 90s there’s always a starting point that will work for you.

We unpack the NHS and WHO guidelines (150 minutes moderate or 75 minutes vigorous activity weekly, plus 2 strength sessions), but don’t worry, Bob breaks this down into what’s realistic, sustainable, and suitable for your lifestyle.

From joint lubrication (yes, your body really does have its own WD40) to the mental and emotional boost of moving regularly, this episode is all about meeting you where you are — and helping you get fitter and healthier, pain-free.

If you’ve ever said “I just don’t have time”… we hear you. Bob shares tips on habit-stacking, building movement into daily routines, and why even “a walk around the block” can be powerful medicine.

• Exercise is dose-dependent and even small amounts can make a difference. You don’t need perfection to see benefits.
• It’s not about the gym. You can improve strength, mobility, and heart health at home or outdoors.
• Your joints want (and need) to move. Movement stimulates the production of synovial fluid, which helps keep joints healthy and pain-free.
• Adaptation is key. The best exercise is the one that you do! (making sure it suits your age, ability, and is something you enjoy 😁💪🏽)
• You're never too old to exercise. Bob’s worked with people in their 90s and seen huge improvements with simple, tailored movement.

💡 Curious about Otago, the evidence-based strength and balance program for older adults? You can find out more here https://www.physio-pedia.com/Otago_Exercise_Programme

💡Here are those WHO guidelines https://www.who.int/publications/i/item/9789240015128

👉 Learn more about Bob and his osteopathy journey: https://bit.ly/BobsOsteoStory

👉 Discover how Louise makes the complex simple: https://bit.ly/LouiseGordon

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

📱 Follow Bob on socials: https://linktr.ee/Painfreeliving

We’re here every week to help you live — and move — pain free!

Welcome to the latest episode of the Pain Free Living podcast!

This episode was lost in the archives and features my curious and brilliantly inquisitive co-host Louise Gordon, before she moved on to focus on becoming an even more brilliant change coach.

Together, we’re diving into one of the most common complaints I see and hear about: lower back pain.

In this episode, you’ll find out why around 4 in 10 people experience back pain, and how to manage it when it shows up. Don’t worry — awareness is the first step, and we’re here to help you navigate the information (and misinformation!) out there.

We talk about why “resting” might actually make things worse, what active rest really means, how to listen to your body, and when it's actually time to be concerned.

Spoiler alert: you don’t need an MRI scan to get answers. You'll also hear our personal experiences — yes, even osteopaths like me get back pain — and we’ll guide you through the myths, facts, and practical tips for everyday relief.

Check out the resources we mention below, and don’t miss the link on cauda equina syndrome, a thankfully rare but serious spinal condition.

• Lower back pain is incredibly common — and manageable with the right habits.
• Avoid bed rest; active rest and gentle movement are much more effective.
• Scans don't always tell the full story — use them to confirm, not define, a diagnosis.
• Mattress and pillow comfort is personal — there's no one-size-fits-all solution.
• Know the red flags: symptoms like numbness, bladder issues, or groin tingling? Get emergency help.

📚 Resources & Links:

You can find everything you need to know about Cauda Equina Syndrome here https://www.ihavecaudaequina.com/cauda-equina-syndrome/

You can download the Cauda Equina app here if you're an Apple https://apps.apple.com/us/app/caudaequina/id6741766582

or here if you are an Android https://play.google.com/store/apps/details?id=uk.org.championscharity.app&hl=en

Here is an overview on Active Rest https://www.aucklandphysiotherapy.co.nz/blog/the-importance-of-rest-in-injury-recovery-a-vital-component/

Pillow & mattress guides from the Sleep Foundation https://www.sleepfoundation.org/

💬 Got a question or story to share? Drop us a message — we love hearing from listeners.

More info on Bob and Louise

You can find out more about Bob and why he became an osteopath here https://bit.ly/BobsOsteoStory

Here is something more on Louise and how She makes the complex simple https://bit.ly/LouiseGordon

Sign up for the very popular Monthly Pain Free Living newsletter here https://bit.ly/PFL_newsletter_signup

If you want to follow Bob on social media this is the place for you linktr.ee/Painfreeliving

In this episode, your hosts, Bob Allen, osteopath since 2011, and Clare Elsby, therapy coach, take on one of the most misunderstood topics in health: posture.

If you’ve ever been told to “sit up straight” or felt guilty for slouching, this conversation is for you.

You’ll find out why there’s no such thing as good or bad posture — only postures you stay in for too long. Bob explains how our bodies are designed to move, not hold one perfect shape. Drawing on stats around work-related musculoskeletal pain and his clinical experience, he makes the case that movement, not position, is key.

The episode dives into ergonomics, remote working, and the challenges of hot desking, especially for those with neurodiverse needs. Clare adds insight into how our environment, lighting, noise, and sense of personal space can all impact both posture and mental health. They also share practical advice for making your workstation work for you, whether you're in the office or working from home.

This one goes into detail on how small changes can make a big difference, together with a reminder that being comfortable in your own body isn’t about perfection but being good enough.

• There’s no perfect posture — it’s about not staying in one position for too long.
• Your workstation should be designed to fit you, not the “average person.”
• Ergonomic furniture is optional, well-set-up furniture is essential — regular movement is key.
• Taking regular breaks for as little as 5 minutes can be enough to reset posture, reduce muscle and joint pain, and boost your focus.
• Neurodiverse individuals may benefit from tailored environments and tools like noise-dampening earbuds.

Links & Further Reading

🎥Loop Earplugs review https://www.youtube.com/watch?v=JosCM9U4rFQ

📚 More on posture https://mailchi.mp/8b228eea9835/hey-show-that-you-care-6253846

A bit more about Bob and Clare

🌿 Find out more about Clare’s therapy work: clareelsby.com

📖 Read Bob’s story and why he became an osteopath: bit.ly/BobsOsteoStory

📨 Sign up for Bob’s popular Pain Free Living newsletter: bit.ly/PFL_newsletter_signup

📱 Follow Bob on social media and podcast updates: linktr.ee/Painfreeliving

In this episode, Bob and Clare team up to explore the art and science of aging well. Bob brings his background in physical health and movement, while Clare brings the positive psychology perspective to help you rethink what it means to grow older.

The duo busts the myth that aging equals inevitable decline. Bob introduces the difference between chronological age (the number on your birth certificate) and biological age—which can be influenced by lifestyle factors.

They unpack the science behind telomeres and DNA methylation, showing how habits like eating well, exercising regularly, reducing stress, and getting enough sleep can literally slow down the aging process at a cellular level.

Clare expands the conversation to the psychological and social aspects of aging. Drawing inspiration from Blue Zones—regions like Okinawa, Sardinia, and Icaria where people live exceptionally long, healthy lives—she explains the power of community, purpose (ikigai), natural movement, and mostly plant-based diets. These areas demonstrate that aging well isn't about gyms and green juices—it's about connection, meaning, and small daily habits that add up to a long, vibrant life.

Together, Bob and Clare argue that aging isn’t a problem to solve—it’s a privilege to embrace. With science, movement, mindset, and purpose, we can all grow older with strength, clarity, and yes, a touch of cheeky defiance.

🔑 Key Takeaways:

• You can be biologically younger than your chronological age through lifestyle choices
• Telomere length and DNA methylation are influenced by sleep, exercise, and diet
• Blue Zones thrive on purpose, social connection, natural movement, and mostly plant-based diets
• Positive psychology shows that having a reason to get out of bed extends life and improves mental health

Links & Further Reading

🎥The Dan Buettner Blue Zone video https://www.youtube.com/watch?v=SyLtsAgA7E0

🎥 How the placebo and nocebo effects work https://youtu.be/5UnOOJLLA6g

📚 What's the difference between your chronological and biological age? https://www.verywellhealth.com/what-is-chronological-age-2223384

A bit more about Bob and Clare

🌿 Find out more about Clare’s therapy work: clareelsby.com

📖 Read Bob’s story and why he became an osteopath: bit.ly/BobsOsteoStory

📨 Sign up for Bob’s popular Pain Free Living newsletter: bit.ly/PFL_newsletter_signup

📱 Follow Bob on social media and podcast updates: linktr.ee/Painfreeliving

You may have heard of the placebo and nocebo effects, but I suspect you may not appreciate how powerful they can be.

In this episode, your hosts, Bob Allen, an osteopath since 2011, and Clare Elsby, a therapy coach, explore these fascinating and often misunderstood concepts and how they might already be influencing your health.

You’ll find out how the placebo effect can produce genuine changes in pain, mood, and function, even when there’s no active medical ingredient involved. From sugar pills to sham surgery, Bob shares clinical examples and surprising research that reveal just how powerful belief and expectation can be in the healing process. You’ll also learn about “open-label” placebos — where people know they’re taking a placebo and still feel better!

We then explore the nocebo effect — the lesser-known but equally powerful negative side of this phenomenon. Clare and Bob highlight how medical language and fear-based messaging (“bone on bone,” “degenerative disc disease”) can actually make your pain worse, slow down recovery, and increase anxiety.

They share real-life experiences where people were told to expect the worst — and then lived down to it.

Clare brings in the mental health perspective, including a critical look at antidepressants and the “chemical imbalance” theory, as explored in the work of psychiatrist Professor Joanna Moncrieff.

This is a must-listen episode if you’ve ever wondered how your mind and expectations affect your body and what you can do to harness that for better health.

• The placebo effect can trigger real, measurable changes in the brain, even when you know you’re taking a placebo.
• 97% of UK GPs have used placebo-based strategies to support their patients.
• The nocebo effect happens when negative suggestions or beliefs cause real symptoms and can block recovery.
• Language matters: terms like “bone on bone” or “degenerative disc disease” can reinforce your pain and fear.
• Understanding the placebo and nocebo effects helps you become a better advocate for your own health so you can receive better care and improve your health outcomes.

Links & Further Reading

🎥 The knee surgery placebo video https://www.youtube.com/watch?v=HqGSeFOUsLI&t=5s

🎥 How to get the most from your medical appointment https://youtu.be/vuHm7gYxHWo

📚 Find the book on SSRIs here https://www.waterstones.com/book/chemically-imbalanced/joanna-moncrieff/9781804291246

📊 The Statins study https://www.ndph.ox.ac.uk/news/new-study-muscle-pain

📊 The GP study https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0058247

🌿 Find out more about Clare’s therapy work: clareelsby.com

📖 Read Bob’s story and why he became an osteopath: bit.ly/BobsOsteoStory

📨 Sign up for Bob’s popular Pain Free Living newsletter: bit.ly/PFL_newsletter_signup

📱 Follow Bob on social media and podcast updates: linktr.ee/Painfreeliving

Breathing is something we do around 20,000 times a day, but most of us never stop to consider how it might be affecting our health.

In this episode of the Pain Free Living podcast, your hosts, Bob Allen, an osteopath since 2011, and Claire Elsby, a therapy coach, take a deep dive into the science and simple power of how you breathe, not just how often. You’ll find out why nasal breathing is so important for being at your best, from improving oxygen uptake and supporting your immune system to boosting sleep quality and protecting oral health.

We explore the many issues linked to chronic mouth breathing — including fatigue, brain fog, poor posture, dental problems, and even behavioural changes in children. If you’ve been breathing through your mouth without thinking about it, don’t worry — awareness is the first step, and change is possible.

Claire discusses the link between breathing and mental health. She shares easy-to-use breathwork techniques that will help calm your nervous system, lower stress levels, and improve your emotional resilience. These tools are ideal for anyone dealing with anxiety or simply looking for more calm in a busy world.

This is a must-listen for anyone curious about how such a basic function can have such a wide-reaching effect on your body and mind. Whether you're new to breathwork or keen to optimise your daily routine, this episode will leave you breathing easier — literally.

Key Takeaways:

1. Nasal breathing boosts oxygen absorption, filters allergens, and supports the immune system.
2. Mouth breathing is linked to fatigue, poor sleep, and long-term health issues.
3. Diaphragmatic breathing is key to efficient and relaxed respiration.
4. Mindful breathwork helps regulate the nervous system and reduce anxiety.
5. You can retrain your breathing habits — and your health will thank you for it.

If you want to find out more about your nervous system, this is the place to look https://youtu.be/WUesY4Zx6oM

This link will take you to more on Jeff Craig, the Breathwork expert that Clare referred to in this podcast https://euthymia.uk/

A bit more info on Bob and Clare

You can find out more about Clare here https://www.clareelsby.com/

This is the place to find out more about Bob and why he became an osteopath https://bit.ly/BobsOsteoStory

Sign up for his very popular Monthly Pain Free Living newsletter here https://bit.ly/PFL_newsletter_signup

If you want to follow Bob on social media, this is the place for you https://linktr.ee/Painfreeliving

In this hectic 24/7 always switched-on world that we live in, stress is often seen as the price that must be paid until we inevitably gain fame and fortune "later"!

The good news is that stress doesn't have to be a bad thing as long as we understand the causes and, more importantly, how to manage it.

This episode is a deep dive into the topic of stress, covering its dual nature as both a necessary and potentially harmful part of everyday life.

The hosts, Bob Allen, an osteopath since 2011, and Claire Elsby, a therapy coach, dissect the origins of stress and its manifestations within your body.

Stress can be a catalyst for action, as a physiological response that prepares you to face whatever challenges come your way. Bob covers how stress can enhance your performance, drawing parallels to evolutionary responses where it could help ensure your survival against predators. The aim is to show that stress is not all bad and how it can serve beneficial purposes when it remains within controllable limits.

Having said that, the conversation also looks at the darker side of stress, particularly chronic stress, which can happen with prolonged exposure to demanding situations. We highlight the physiological implications of chronic stress, looking at how it can lead to various health issues, including tension-related disorders like headaches, neck and shoulder issues and gastrointestinal disturbances.

Bob outlines the workings of the central and autonomic nervous systems, explaining the roles of the sympathetic and parasympathetic systems in regulating bodily responses to stressors. This discussion emphasises the significance of maintaining a balance between these systems to support both your physical and mental well-being.

Claire suggests a variety of techniques that can be easily be incorporated into your daily life with practical strategies to help manage your stress levels. They include simple things like breathing exercises, mindfulness practices, and somatic therapies, all of which can help you regain control over your physiological and psychological responses to stress.

Our aim is always to provide you with the knowledge and techniques that empower you to proactively move towards a pain-free and balanced life.

Takeaways:

• Stress can be both a beneficial and detrimental force in our lives, depending on its duration and intensity.
• The nervous system plays a crucial role in how stress manifests physically and mentally.
• Chronic stress can lead to various physical symptoms, including tension headaches and gastrointestinal discomfort.
• Balancing the sympathetic and parasympathetic nervous systems is essential for effective stress management and overall well-being.
• Breathing techniques and mindfulness practices can significantly aid in managing stress and promoting relaxation.

Links referenced in this episode:

Grounding techniques - https://youtu.be/1ao4xdDK9iE?si=DskqrhS8TSKoSVY6

The butterfly hug - https://youtu.be/iGGJrqscvtU?si=Lse2G7iFPKbAYaJp

Box breathing - https://youtu.be/tEmt1Znux58?si=2dQYRUCcoAT-CWTt

Tapping - https://youtu.be/TnbRcO43CD8?si=mI9XGG7itcLvcQwF

A bit more info

You can find out more about Clare here https://www.clareelsby.com/

This is the place to find out more about Bob and why he became an osteopath https://bit.ly/BobsOsteoStory

Sign up for his very popular Monthly Pain Free Living newsletter here https://bit.ly/PFL_newsletter_signup

If you want to follow Bob on social media, this is the place for you https://linktr.ee/Painfreeliving

Making it to Episode 21 of the Pain Free Living podcast means that we are now in the top 1% of all podcasts currently being produced so A HUGE THANK YOU for helping us to join that elite group.

This episode marks the start of a new era of the podcast with a change in emphasis, thanks to our new co-host, Clare Elsby.

Clare, is an experienced accountant who a few years ago made the decision to move into the mental healthcare arena.

In a change from our usual format, I'm doing the interviewing while she does the talking. During our conversation, Clare shares her journey, covering her decision to move to the UK, her career in accountancy, and how the onset of the COVID-19 pandemic led her to pivot from accountancy to become a qualified therapy coach.

Clare highlights her interest in neurodiversity and how it informs her coaching practice, providing valuable insights into the complexities of supporting clients who often feel disconnected from more traditional therapists.

The addition of Clare to the team means that we will be diving deeper into the link between physical and mental health because we share the view that you can't have good physical health without good mental health and vice versa.

We always aim to provide you with a holistic understanding of your well-being, highlighting the links between physical and mental health and supporting your journey to improved health.

In addition to our co-hosted podcasts, we will continue to bring you solo episodes and we are also planning to include some guests that we are sure you will find interesting.

We hope that you like the new format and stick with us as we hit episode 50 and beyond!

If you like the show, please share it with your family, friends, strangers, and anyone you think might benefit from listening or watching.

Reviews and comments are always welcome, and as well as being a cost-free way of supporting the show, the algorithm loves interaction and will ensure more people see it.

Feedback is always good, so let us know how we are doing, and if you have any questions, leave them in the comments and we will answer them as soon as we can.

Takeaways:

• Clare Elsby shares her transformative journey from Northern Ireland to co-founding the accounting firm, Elsby & Co Accountants.
• The pandemic prompted Clare to pivot her career from accounting to Non-Clinical Psychology Coaching, focusing on neurodivergent inclusivity.
• Clare emphasises the importance of effective communication in her coaching practice, particularly post-pandemic.
• We will be combining discussions about mental health with physical health, highlighting the connections and busting myths as we go.
• Clare discusses the different roles within the mental health spectrum, differentiating between therapy, coaching, and clinical therapy.

A bit more info

You can find out more about Clare here https://www.clareelsby.com/

This is the place to find out more about Bob and why he became an osteopath https://bit.ly/BobsOsteoStory

Sign up for his very popular Monthly Pain Free Living newsletter here https://bit.ly/PFL_newsletter_signup

If you want to follow Bob on social media, this is the place for you https://linktr.ee/Painfreeliving

Welcome to Episode 20 of the Pain Free Living podcast.

It's a milestone because, according to the internet (so it must be true 👀🤔) 90% of podcasts never make it past episode 3, and of the remaining 10%, 90% never get past episode 20.

Episode 21 has already been recorded, so we will soon join the group of 1% of podcasts that achieve this HUGE milestone.

When I started this podcast, I didn't appreciate how much work would be involved in getting an episode out every week. With my osteopathy day job, things have been very hectic at times, including me writing these show notes at 10 pm the night before this episode is due to go out!

I can honestly say that the responses I have been getting have made it all worthwhile and I'm looking forward to hitting the next big milestone with episode 50.

In the meantime, I thought it was time to celebrate the team that has helped me put this all together and give them all the shoutout that they deserve.

Firstly a BIG thank you to producer Ashley McKenzie, who, amongst his many achievements produced his own successful podcast "How I Became" which is well worth a watch if you have the time. In addition, he runs a recording studio, a local Caribbean restaurant, and is a poetic lyricist, voiceover artist, and intuitive coach. He also supports other community projects, too numerous to mention and still finds time to support my podcast cos he is a great human being 🙏🏽

Another BIG thank you goes to my VA, Jennifer Herbert of Jen Organises Things, who manages all things social media-related, covering my podcast and newsletter. It's thanks to her that you know when things are coming out and what they are about, so if you are ever looking for a brilliant VA she is the one!

Final BIG shout out goes to the amazing Louise Gordon, who was my co-host and partner in crime. Her job was to keep me on track and prevent me from waffling too much or disappearing down pain management rabbit holes. She managed to do this admirably right up to the point where she got too busy and had to give her consultancy business the priority it deserved. My loss is the business community's gain, so if you are a business owner in need of a coach, give her a shout.

If this is your first Pain Free Living podcast, thanks for giving it a try, and I have included clips from the most popular shows to highlight what you have been missing.

The first clips are taken from Episode 2 on a question I get asked all the time regarding the difference between an osteopath, a chiropractor, and a physiotherapist. Is there a difference? You will have to watch the clips, then the whole episode, to find the answer to that one.

Next up are clips from Episode 3 on kinesiophobia (fear of movement), which is not a term many people are familiar with, but everyone can relate to.

Finally, we look at Episode 4 covering the benefits of exercise i.e. movement medicine, for everyone, especially older adults. We also discuss how keeping it simple is key and how the right exercises can reduce pain rather than make things worse.

We hope you have enjoyed this podcast episode and keep coming back as there is lots more to come.

More about the PFL team

Ashley McKenzie - Co-founder of Unity & Motion, music, video, and podcast producer, co-host of the "How I Became" podcast, owner of the Coconut Paradise restaurant in Northampton and involved in many community-based projects.

Jennifer Herbert - VA extraordinaire who "Provides administrative support to individuals and businesses so that they can grow their business empire!" You can find out more about her here https://jenorganisesthings.com/about-me

Louise Gordon - As well as an excellent co-host, the 2 key areas of Louise's business are change consultancy and support, and coaching for change. If you need someone to guide and support you in those areas of your business, she is definitely the coach for you.

You can find out more about Bob and why he became an osteopath here https://bit.ly/BobsOsteoStory

Sign up for his very popular Monthly Pain Free Living newsletter here https://bit.ly/PFL_newsletter_signup

If you want to follow Bob on social media, this is the place for you https://linktr.ee/Painfreeliving

Do your knee joints make lots of noise when you go upstairs, or your neck when you turn your head?

If the answer is yes, you are not alone and the aim of this episode of the Pain Free Living podcast is to provide you with a clear, jargon-free explanation of what causes those sounds and whether or not you should be worried.

The correct medical term for the crackling, grinding, clicking, or popping sounds when you move your joints is crepitus.

It is something that affects millions of people worldwide, particularly adults over 50, though it can occur at any age. The sound may be audible to others or just felt as a grinding sensation within the joint itself.

Joint crepitus can affect different areas of the body depending on what you are doing, with knee crepitus when climbing stairs or moving from sitting to standing, in the shoulders with overhead movements, and in your neck when turning or side-bending your head.

While occasional joint sounds are usually harmless and part of normal joint function, persistent or painful crepitus can indicate an underlying joint problem that needs to be reviewed by your favourite healthcare professional.

What Causes Joint Crepitus?

The main mechanism behind most joint sounds involves your synovial joints. When you move and stretch a synovial joint, gas bubbles can form in the fluid due to the change in pressure, causing the rapid release of dissolved gases (nitrogen, oxygen, carbon dioxide), which form bubbles. This process is called cavitation and causes the familiar and distinctive popping sounds, which are generally harmless.

Grinding sounds can indicate a more serious condition, with a recent 2024 study highlighting knee crepitus affecting 41% of the general population, occurring in 35% following ligament injury, to 81% in knee osteoarthritis patients. Osteoarthritis remains a significant cause of painful crepitus, where cartilage breakdown produces grinding sounds and inflammation leading to pain with movement.

Other situations that can cause crepitus include ligaments snapping over bone surfaces, age-related joint changes, previous injuries, and muscle imbalances.

Takeaways

• Crepitus is the medical term for the crackling, grinding, clicking, or popping noises that synovial joints sometimes make during movement.
• Most joint sounds are caused by gas bubbles rapidly forming and collapsing within the joint and are usually harmless.
• Some joints are more prone to crepitus than others, and it usually occurs in the knees, shoulders, or neck.
• Osteoarthritis can be a major cause of problematic crepitus
• While occasional popping sounds from your joints are harmless, grinding sounds and pain indicate an issue requiring professional assessment and care.

More about Bob

You can find out more about Bob and why he became an osteopath here https://bit.ly/BobsOsteoStory

Sign up for his very popular Monthly Pain Free Living newsletter here https://bit.ly/PFL_newsletter_signup

If you want to follow Bob on social media, this is the place for you https://linktr.ee/Painfreeliving