We're Miriam and Alec, and our vision is to change the way the world sees and treats CHRONIC pain & LINGERING INJURIES:
from ‘pain management’ to ‘pain free.’
We're the Co-Founders of Pain Free Comeback, and we're both athletes and certified Pain Elimination Coaches who got to know each other because of our shared stories.
Both of us are athletes and former sufferers, who were given scary structural diagnoses, and faced the prospect of a life of pain and restriction.
But both of us became pain free using the very same principles we now share in Pain Free Comeback.
We’ve seen incredible transformations in ourselves, and the numerous clients we’ve worked with. Breakthroughs you need to see to believe.
We have an ironclad belief that it is possible to not just manage pain, but to make a full recovery.
Hundreds of millions of people are suffering from treatable pain and lingering injuries without knowing it.
But our desire to empower athletes return to their favorite sports isn't just about the restriction and pain - it goes much deeper.
Athletes with lingering injuries and persistent symptoms face immense challenges. Many are unsatisfied with their treatment results, unable to exercise freely, and unsure how or if they'll get better.
The consequences are heartbreaking: Many feel their athletic identity has been ripped away, that their self-worth is shattered, and feel like a failure. Some are forced to give up their sport and feel like they've lost a part of themselves they'll never get back.
The good news is that this is preventable. Thanks to modern science, we know that proven chronic pain solutions already exist, outperform conventional treatments without the invasive measures, and can result in pain elimination - not management.
That's why we believe it's possible for hundreds of millions of people to heal without drugs, surgery, or invasive physical treatments.
Pain Free Comeback Co-Founder Alec Kassin climbing up Mauna Kea in Hawaii in 2025.
I’m so passionate about helping athletes with lingering injuries and persistent pain because these nearly ended my life.
At age 18, all I could think about was cycling. It consumed my life - training, racing, cleaning my bike, you name it. When I wasn’t riding my bike, I was thinking about riding my bike. And as a semi-pro, I had been presented with an incredible opportunity to race against professionals. One of my first races in my new field was going to be one Lance Armstrong had won two years prior.
But on a training ride a few weeks before that race, I felt pain like a lightning bolt in my back. It was as if someone was wringing my spine from end to end. The pain was so bad that I couldn’t sit on my bike seat. I visited a chiropractor who said “two weeks, and you’ll be back on top - no problem.”
Well, two weeks passed, then four, then eight, and my pain was getting worse, despite trying every possible treatment I could find.
Then the bad news came - I was diagnosed with a ruptured L4-L5 spinal disc, and a herniated L5-S1. The doctors were pretty sure this is what was causing my pain - but my recovery was uncertain.
Meanwhile, not only did I miss out on the entire cycling season, but I was in pain every day during normal activities, like sitting and even lying down. I tried every physical treatment I could find: physical therapists, epidurals, chiropractors, acupuncturists, you name it. Nothing was helping - and I was adamant that I did not want surgery at such a young age.
Action shot of Alec in 2011, a month before chronic back pain would sideline him for two years.
The pain got so bad that I had to withdraw from college. I was left partially bedridden, depressed, on strong painkillers, with suicidal thoughts, unclear whether I was ever going to get better, let alone be able to ride a bike again.
And a year after my initial pain started, despite my myriad physical treatments, my pain was actually worse.
And I started to question why.
Why was my pain horrible on days when I followed my care team’s instructions to the letter?
Why on days when I did the opposite of what they recommended - sitting too long or being too active - would my pain feel slightly better?
Why could someone have a perfectly normal MRI of their spine and be in immense pain, and someone else, whose MRI looked just like mine, with a ruptured disc, be in no pain at all?
These questions led me to pick up a copy of Healing Back Pain by Dr. John Sarno. My questions were finally answered.
I believed Dr. Sarno when he unequivocally stated on that most back problems - like my ruptured spinal disc - don't cause pain. Instead, pain was my brain's way of protecting me.
From what? When I learned that the pressure I was putting on myself, perfectionism, and stress could cause physiological changes in my body, it was like a light bulb went off.
I started to see that all the pressure I was putting on myself to win races, to prove to myself and others that I was enough was killing me from the inside out.
And two years after my original pain episode, my back pain started to go away - permanently. It was like a miracle.
Alec's MRI from 2011, showing a ruptured L4-L5 spinal disc. The same rupture is still present in an MRI taken in 2024... yet he's been pain free for 12+ years!
Alec's return to bike racing in 2013 after overcoming his chronic back pain
In 2016, I felt a strong, dull pain in my shoulder as I was pursuing my favourite sport - rock climbing. I thought little of it, and returned to climbing a week or two later. But the pain returned, and I was encouraged to seek physical therapy.
The therapist was very positive about my outcome, thinking that it was probably just a strain. However, after a couple of months, my pain didn't improve. Instead, it started behaving in very odd ways, and my shoulder's range of motion became limited. I could not lift my shoulder up in the same way. And the exercises that I'd been given seemed to make it all worse!
This is when I was referred for a scan, and warned that if there was a tear, then I shouldn't continue climbing ever again. After months of pain, I took a shoulder MRI, which revealed a HAGL lesion, an issue with the shoulder capsule that is considered to be very tricky to treat. I was referred for surgery, but the surgeon told me that he couldn't promise a pain-free outcome.
A week before the surgery, I woke up with excruciating leg pain. The pain spread down the entire back of the leg to the calf, as well as up and around to the piriformis area. I was diagnosed with Piriformis Syndrome and also developed the same symptoms in my other leg.
Pain Free Comeback Co-Founder Miriam Gauci Bongiovanni
A gut feeling prompted me to cancel the surgery because I needed to deal with these new symptoms that prevented me from walking. They would get temporarily better after a massage, but would soon return to high levels.
It hurt to sit and it hurt to walk. My past active life felt like a lost dream. Instead, the pain consumed my entire life, I went from one specialist to another and lived in fear of my body breaking down. Indeed, shortly after the leg pains, I started experiencing neuropathic pain in my arms and hands.
Climbing an overhanging route in Malta (Tufa Baroque, 6c)
I had a new physical therapist which was very thorough and supportive. But still, improvement was minimal.
Luckily, a desperate Google search led me to discover the concept of Tension Myositis Syndrome (now also known as neuroplastic pain), and Dr John Sarno's work. I read that people were healing by learning to work with their brain. It sounded too good to be true, but something nudged me to give it a try. In fact, I had nothing to lose and I'd also been having suicidal thoughts.
I started out the journey with almost no expectations, but decided to follow all the tips and protocols that people who healed from TMS had followed - I wanted to make sure that I gave it my best!
In a few weeks, I learnt how my past stressors had culminated and created extreme tension in the body. This was exacerbated due to my fear of the pain itself, as well as the negative warnings and messages I'd received from doctors and therapists.
Finally, it all made sense! And in 5 weeks, my pain diminished to such an extent that I returned to a few easy rock climbs. Three months later, I reached my previous level, and was climbing without limitation and without fear - something that I still do up until this very day.
What changed everything for me was the new knowledge and the mindset I cultivated based on that knowledge. This totally changed the way I related to my symptoms, as well as to life in general.
Since that time, I have been coaching people on achieving this mindset shift, and I also created the only MindBody Syndrome Practitioner certification course, which is delivered by the award-winning MindBodyFood Institute.
Ours are just two of the countless stories of people who have used mindbody principles to become pain free.
There were times on our journey where we felt hopeless, like our identities as athletes were being ripped away.
But on the other side we found a level of self-empowerment, self-acceptance, strength and resilience we didn’t know we had.
We enable the same transformation for athletes in our Pain Free Comeback Program.
Through our combined experience as athletes and almost 20 years of navigating and learning about pain, we share the same exact tools, principles, and wisdom that helped us - and countless others - heal.