Fixing a Sway Back

Fixing a Sway Back

Esther Gokhale

Though a sway back is commonly perceived as good posture, most people recognize it to be a problem. What is the best way to fix a sway? And for those of you who don’t quite know, what is a sway?

Woman arching the lower back, Lower back pain illustration

Arching the low back is common and problematic.

A swayback is an inappropriate curve usually in the upper lumbar spine. It is frequently the result of trying to “sit up straight,” or “stand up straight” in a sustained way. Sometimes it is the result of modern activities, most notably women’s gymnastics, women’s ice-skating, women’s ballet and misguided forms of yoga.

Woman holding her hair while standing while swaying the low back.
The directive to "stand up straight" often results in a swayed low back. 
Swaying compresses the discs and decreases circulation around the spine.

I know this problem intimately. Having done a great deal of misguided gymnastics and yoga growing up, I had a very pronounced swayback in my twenties. People complimented me on my posture (sways certainly make you appear upright), but I blame the sway for weakening my lumbar spine and the resulting problems I had with my back in my mid-twenties (this is no longer such a young age to have back problems, I regretfully note). 

Esther Gokhale sitting on a chair while demonstrating her previous habit of arching the back to be "upright".

Esther demonstrating her previous habit of arching the back to be "upright"

The conventional fix for a sway is to tuck the pelvis. But this causes as many problems as it solves. It is true that tucking the pelvis usually flattens a swayback, and often feels good because it stretches out the low back muscles, but tucking the pelvis also compromises the wedge-shaped L5-S1 disc. In my own case, I suspect that the tucking exercises I was taught after my initial episodes of back pain in my teens and early twenties contributed to my more serious L5-S1 disc herniation problem in my later twenties. 

The better way to address a sway is to tuck the ribs. By this I mean rotate the ribcage forward so as to make the lower border of the ribcage flush with the abdomen. As the lower ribcage descends and retreats into the contour of the torso, the lower back lengthens, flattens and has a healthier architecture.

Two illustrations showing the tucking of the rib cage to flatten the low back

Tucking the rib cage-- a healthy way to flatten the low back.

This move is usually quite difficult for those who need it most. If you have been swaying your back for years/decades, tucking the ribs makes you feel hunched (it shows whatever hunch you have, which you now want to address directly with shoulder rolls, neck lengthening, etc.) and ape-like. A quick glance in a mirror should reassure you that you don't look the way you feel. This is always a major aha! moment in our Gokhale Method Foundations course. So there you have it - tuck your ribs, not your pelvis!

Comments

Submitted by AstaL on Mon, 01/01/2018 - 06:00

I have a question. How do I keep the sternum throughout the rotation of the ribs? Does the sternum in fact stay high, like horizontally, so that I don't compress the lumbar spine all the more while tucking the ribcage? Also, how high does the lumbar spine reach looking from the front of the body? Does it reach to the solar plexus/xiphoid process area or a bit lower toward the belly button. I of course started doing this by compressing the spine. Anatomy is hard in real time because the lowest ribs are actually starting from higher in the spine than how they appear to sit on your sides.

Submitted by EstherG on Mon, 01/01/2018 - 15:11

The descriptions of the ideal for the sternum and lower border of the ribcage can indeed seem contradictory. You want your sternum high, angled significantly from the vertical, while you want the lower order of the ribcage pulled in and down to be flush with the contour of the abdomen. And there's not much give within the ribcage/sternum complex - so you may well wonder how you can possibly achieve both!

The answer is that the bones in the ribcage/sternum change shape when you change the stresses on them. These bony changes take months / years to materialize, but materialize they will if day in and day out there is an entirely different set of pressures / stresses on the bones. The biggest changes around the shape of the ribcage happen as a result of an altered pattern of breathing (you want to NOT belly-breathe as your default) and an altered way of using your abdominal muscles (you want to learn to use your internal obliques more than your rectus abdominis for basic ab strength). One of the places that can change shape most quickly is within the sternum, at Louis' angle, where there is cartilaginous joint rather than fused bone. 

See the before and after pics of my husband Brian White on page 27 in 8 Steps to a Pain-Free Back to get an idea of just how much change is possible in the sternal angle while maintaining healthy architecture throughout the ribcage - note also that there is at least a decade between the photos!

Submitted by LouG on Thu, 01/23/2020 - 02:43

This is a game changer for me. I got instant relief. I found that I could achieve the rib movement by slow exhale. Is that kinda doing the right thing? How do I sustain the new rib posture?

Thanks

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