In this episode of the Pain Free Living Podcast, osteopath Bob Allen and positive psychology coach Clare revisit low back pain, but with a twist.

This time, we’re asking: can your boss, your job, or your workplace stress make your back pain feel worse?

You’ll find out why pain doesn’t happen in isolation. Stress, poor work relationships, long commutes, desk setups, pressure, anxiety and burnout can all affect your nervous system. When your nervous system is already on high alert, your body can become more sensitive to pain.

Bob explains how your sympathetic nervous system which is all about “fight, flight, freeze or fawn”, can lead to increased muscle tension, headaches, neck pain and low back pain.

Clare explores the psychological side of things covering workplace politics, poor management, feeling trapped, and the importance of support, boundaries and choice.

Don’t worry this episode isn’t saying you have to immediately quit your job and run off into the sunset. It's about making you aware of how your work can affect your physical and mental health.

You’ll learn small, practical ways to calm your nervous system by moving more during the day, asking for support, and recognising when your workplace may be affecting both your physical and mental health.

• Low back pain can be influenced by stress, not just injury.
• A difficult boss or toxic workplace can keep your nervous system on high alert.
• Movement doesn’t have to mean gym torture and even a short walk can make a difference to your stress levels.
• Workplace support in the form of HR, Employee Assistance Programme (EAP) or trusted colleagues can make a difference.
• You may have more choice than you think, even if change feels scary.

• HSE guidance on workplace stress and employer responsibilities - https://www.hse.gov.uk/stress/
• Acas guidance on managing work-related stress - https://www.acas.org.uk/managing-work-related-stress
• NICE guideline on low back pain and sciatica - https://www.nice.org.uk/guidance/ng59

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 pain, new or worsening symptoms, or any concerns about your health before starting exercise or self-care routines.

Bob Allen - Osteopath helping you understand and overcome pain with clear, practical advice 👉 https://bit.ly/BobsOsteoStory

Clare Elsby - Positive psychology coach and therapist specialising in mindset, behaviour, and neurodiversity 👉 https://www.clareelsby.com/

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