June 22, 2026
What an England Football Osteopath Knows About Back Pain That You Might Not
Introduction:
When England take to the pitch at a major tournament, most of the attention naturally falls on the players. Fans analyse team selections, journalists debate tactics, and pundits scrutinise every pass, tackle and goal.
What often goes unnoticed is the team of healthcare professionals working quietly in the background.
One of those professionals is Dr Carl Todd, an osteopath who has worked with the England men’s national team since 2005. During that time, he became the first osteopath appointed by The Football Association and has provided care across more than 200 international matches, multiple FIFA World Cups, European Championships, and other major tournaments. He has also worked extensively in elite sport, including with Chelsea FC, British athletics, and a wide range of professional athletes.
While most of us will never experience the demands of international football, there are some surprisingly relevant lessons to take from the way elite athletes look after their health.

Looking After the Body Before Problems Become Serious
One of the biggest misconceptions about professional sport is that treatment only happens when someone gets injured. In reality, much of the work carried out by medical teams is preventative. The aim is often to identify small issues before they become bigger problems.
A slight loss of mobility in one area of the body might not seem significant at first. However, over time it can affect movement patterns, place extra strain on other structures and increase the likelihood of discomfort or injury.
Elite athletes understand this. Their bodies are their livelihoods, so they pay attention to small warning signs. Many ordinary people do the opposite. We tend to ignore stiffness, nagging aches and recurring discomfort until they become difficult to live with. By that point, recovery can take longer and often requires more intervention.
Athletes and Office Workers Have More in Common Than You Think
At first glance, a professional footballer and an office worker appear to have completely different physical challenges. One spends hours running, changing direction and competing at high intensity. The other may spend much of the day sitting at a desk. Yet both can develop remarkably similar problems.
Tight hips, lower back pain, neck tension, reduced mobility and recurring muscular discomfort are common complaints across both groups. The causes may differ, but the body still responds to stress in similar ways.
A footballer’s body adapts to repeated training sessions. An office worker’s body adapts to prolonged sitting. A parent lifting young children every day experiences a different kind of physical demand altogether.
What matters is not whether the stress comes from sport, work or everyday life. What matters is how well the body is coping with it.
Seeing the Bigger Picture
One aspect of osteopathy that appeals to many patients is the focus on understanding how different parts of the body work together. Pain is not always as straightforward as it first appears.
Someone with recurring shoulder pain may have limited movement through their upper back. A person experiencing knee discomfort might have underlying issues involving the hip or ankle. Persistent lower back pain may be influenced by a combination of movement habits, lifestyle factors and muscular weakness.
Rather than focusing exclusively on the painful area, osteopaths often assess how the body functions as a whole. This broader approach is something that has become increasingly important within elite sport, where small details can make a significant difference to performance and recovery.
Movement Matters More Than Most People Realise
One thing elite athletes rarely do is stop moving completely. Even when injured, rehabilitation programmes are usually designed to keep people active in ways that are appropriate for their condition. For many members of the public, however, pain often leads to inactivity. While rest can sometimes be necessary, prolonged inactivity may create additional problems. Muscles weaken, joints become stiffer and confidence in movement often declines.
This is one reason why modern healthcare increasingly emphasises graded movement, exercise and rehabilitation. The goal is not simply to eliminate pain. It is to help people return to the activities that matter to them.
Performance Isn’t Just for Athletes
The word “performance” can sometimes sound intimidating. It brings to mind professional athletes, Olympic competitors and elite sports teams. But performance means different things to different people. For one person, performing well might mean completing a marathon. For another, it might mean getting through a working day without neck pain. For someone else, it could be walking the dog comfortably, playing golf at the weekend or picking up grandchildren without worrying about their back. In that sense, everyone has performance goals. The challenge is helping the body support those goals for as long as possible.
Lessons We Can All Take From Elite Sport
Perhaps the most valuable lesson from professional football is that health is rarely about one single treatment or one quick fix.
The best outcomes usually come from a combination of factors: good movement, appropriate exercise, recovery, education and professional guidance when needed.
That is true whether you’re preparing for a World Cup match or simply trying to stay active as you move through life. The demands may be very different, but the principle remains the same.
When we look after our bodies consistently, address problems early and keep moving well, we give ourselves the best chance of doing the things we enjoy for years to come.
And if those principles are good enough for the professionals supporting England’s footballers, they are probably worth considering for the rest of us too.
“Evaluating and addressing your cause of pain rather than treating the painful tissues themselves is fundamentally important.” — Dr Carl Todd
