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.