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This is a great idiom because it can be used to talk about many different things. The basic definition
is something that’s (still) functioning in a good way. This can be a person, an object or even an idea! The
reason I wrote still in brackets is that alive and kicking often refers to something that’s perhaps old or thought to
be useless.
“Do you still have that motorbike you bought in the 1970s?”
“Yeah, and it’s still alive and kicking.”
Here’s another example:
“My grandmother is still alive and kicking at 89 years old. She never slows down!”
This idiom sounds a little scary, and, in some cases, it can be. To go under the knife is to have surgery or an
operation.
Because of the use of the word knife, the idiom usually implies (suggests) that it’s serious surgery.
“How’s your brother?”
“He’s ok; he’s going under the knife next week to have surgery on his stomach.”
If you’re back on your feet, then you’ve successfully recovered from injury or sickness and are feeling better
again!
It means to be in good health after a difficult time.
“How was the surgery?”
“It was tough, but it’s great to be back on my feet!”
This is a great example of an idiom that is figurative. While it refers to a health-related action, i.e., swallowing
a pill, the meaning of the idiom is much more general.
A bitter pill to swallow refers to a difficult or uncomfortable realization that someone comes to. It could be
accepting a difficult situation or admitting that you’re wrong.
“Realizing that my business was going to lose half its profit was a bitter pill to swallow.”
A clean bill of health is when a medical professional acknowledges that you’re healthy and free from health-
related issues.
This idiom can also be used to refer to a group of people or even to non-human things. For example, you could
use it in any situation where somebody with a special authority assesses something and finds it to be good. This
could be anything from a car to a natural landscape.
“The local biologist assessed the river and found it to be healthy. He gave it a clean bill of health.”
Here’s a second example:
“The hikers who were lost in the woods for two days received a clean bill of health from the local physician.”
8. A picture of health
If somebody is a picture of health, then they’re in great physical condition. Usually, the idiom refers to
somebody who’s in visually great condition. We often use the determiner “the” when using this idiom to
describe an individual.
“Have you met my Uncle Paul? He drinks every day, but he’s still the picture of health!”
9. Out of shape
This simple idiom describes somebody who’s physically unfit. It’s perhaps one of the most commonly used
health idioms.
This idiom is often used to refer to oneself.
“How was the boxing class?”
“Very tough! I’m pretty out of shape, so I’m surprised I made it to the end!”
In the following video, you might notice that Olaf exclaims, “Man am I out of shape!” after rushing down the
mountain.
Play
10. To have a spring in one’s step
In this case, we can think of a spring as a kind of upbeat jump or movement. A step simply refers to walking.
To have a spring in one’s step means to be energetic and without worry.
“Did you see Kate this morning?”
“No, why?”
“She looked so happy. There was definitely a spring in her step this morning.”
A new lease on life refers to a change in attitude and feeling for the better. It covers a number of different
feelings, but generally, they’re positive. They relay happiness and enthusiasm for life. This idiom can be
considered a health idiom because it refers to a change in mental attitude or outlook.
While not always, the idiom is commonly used to describe a situation in which an event or person has caused a
change in somebody else for the better.
We say that this change has been given. Let’s look at an example:
“Meditating every morning has given me a new lease on life. I’ve never been happier!”
Here’s another example:
“After her surgery, she was given a new lease on life and decided to travel the world.”
“Ribbit, ribbit!”
That’s the sound a frog makes in English.
But what if you have a frog in your throat?
If someone has a frog in their throat, then they’re unable to speak in a clear way. The reason that this idiom is
included in this list is that it’s very common to use it when you’re unwell. For example, you may have seasonal
allergies or have contracted a cold or the flu, which has led to a change in your voice.
“I’m sorry, but no matter how much water I drink, I can’t get rid of this frog in my throat.”
If something turns your stomach, then it gives you an immediate feeling of nausea or sickness. You can also
describe something as stomach-turning. This idiom is commonly (although not always) used to refer to food.
“Even the sight of cheese turns my stomach! I don’t know why.”
You could also use this idiom to refer to a feeling of anger.
The way my boss treats his staff is unacceptable. It turns my stomach!”
15. As sick as a dog
This is perhaps the most commonly used idiom in the entire list. Again, it uses a simile.
As sick as a dog simply means very sick.
It commonly refers to sickness that involves nausea and vomiting.
“I was as sick as a dog after we ate that chicken from the new restaurant last night. I think that something was
wrong with it.”