Ex Your Back Pain, Use Your X-ray Eyes

Ex Your Back Pain, Use Your X-ray Eyes

Esther Gokhale

If you are suffering from back pain, the most likely reason for it is hiding in plain sight. Like most people, including your medical and complementary health professionals (!), you are just not trained to see it. The root cause of most musculoskeletal problems, whether it be lower back pain, a frozen shoulder, neck pain, plantar fasciitis, or a knee issue, can usually be detected in your posture and your resulting movement patterns.

You may be reading this blog post after already trying several common approaches to solving your pain: physical therapy, home exercises, chiropractic, massage, surgery, diet changes. You may have been told, and may believe, that one of the following is the explanation for your problem: it’s hereditary, you’re too sedentary, it’s because of your build, you’re too stressed, you’re too heavy, you’re too old, or it’s your job that’s to blame.

Photo of man holding his painful lower back, back view.
What is the most common underlying reason for our muscular aches and pains?

The Gokhale Method® regards posture as a fundamental pillar of health, on par with diet, sleep, and an active lifestyle. Unfortunately, on the rare occasions when posture gets attention in the media, it is often portrayed as an old-fashioned, reactionary, and irrelevant preoccupation. While it’s true that many ideas about “good posture” have often done more harm than good, that’s no reason to throw the baby out with the bathwater. 

One of the posture skills our students develop from the very start of their journey out of pain is the ability to assess their spine shape. This shape will have developed over decades of using their bodies a certain way. Growing up in industrialized societies, we often acquire damaging postural habits that result in our spines being one of, or a mix of, the following shapes:    

Photo of woman with S-shaped spine and superimposed letter “S”.
We take it as a given that our spines should be curvy, like the letter “S”. This is what medics and health professionals are taught is normal—but it causes excessive compression in our nerves, discs, and bones.

Photo of man with C-shaped spine and superimposed letter “C”.
Our backs rounding into a C-shape is another common shape.

Photo of woman with I-shaped spine and superimposed letter “I”.
A tucked tail with weak glutes and abs, can result in an I-shaped spine. 

None of these common distortions are ideal for our species. A few people are fortunate enough to preserve the healthy spine shape we all had as infants, and that our ancestors enjoyed. This healthy shape is also prevalent in the villages of non- or later-industrialized societies across the globe, where people report a very low incidence of back pain—single digit, as opposed to above 80% in our communities. The Gokhale Method calls this healthy shape a J-spine:

Photo of man with J-shaped spine and superimposed letter “J”.
In its natural J-shape, the spine is relatively straight—apart from a significant angle at the lumbar-sacral junction.

The shape of the spine is the most important clue for any posture detective. And by looking at the way someone is standing, you can see how their posture impacts their structure. Becoming skilled at “reading” your back shape is like having X-ray vision:

X-ray of Christine’s J-spine (left) and photo of her standing side on (right).
The healthy J-shape of Gokhale Method alumna Christine’s lower spine can be seen clearly on X-ray (left). To the posture-trained eye, it can also be observed in the flesh, or from a photograph (right).

The book that trains your eye to see posture

In my book  8 Steps to a Pain-Free Back I discuss how our understanding of healthy posture has strayed off course over the past 100 years, leaving us with poor role models to follow. I also show you well-aligned and healthy structures to learn from, and how to see the difference with confidence. You can then follow the logical, practical steps that help you make these changes in your own body, and take you out of pain. 

And now, I have a surprise for you! We are super-excited to announce that a new edition will be published on September 1:

Photo of Esther Gokhale’s book, 8 Steps to a Pain-Free Back, 2nd edition.
First published in 2008, the original was so well received, we wanted to do it again! 
Introducing the second edition of 8 Steps to a Pain-Free Back . 

If you have read the original, you might be wondering how this inspiring book might ever be improved by a second edition. The new edition is extensively updated and sports fresh images, case studies, QR code links to free videos, and a recrafted chapter on glidewalking. You can preorder the eBook or paperback on Amazon.com using this link (we earn a small commission from Amazon which supports our work). It will also be available on our website from September 1.

Join my special free online workshop for newcomers

This Saturday, August 16, 12–1:00 p.m. (PST), I will help you put on your “Gokhale Goggles” to assess your and other people’s posture. Our special “Gokhale Detective” workshop How to “Read” Your Body’s Clues—and Use them to Solve Your Pain is free and open to all newcomers. Find out more, and sign up here. Attendees will be among the first to preview images from the new 8 Steps to a Pain-Free Back edition, plus receive two special gifts and a chance to attend a special event after the book’s release. 

I will also be offering a free online advanced-level Alumni-Exclusive Masterclass, to which alumni have been invited by email. 

Best next action steps 

If you would like to start developing your X-ray vision, and to find out about your spine shape, get started by booking a consultation, online or in person, with one of our teachers. 

You can sign up below to join any one of our upcoming FREE Online Workshops…

Comments

Submitted by InaB on Thu, 08/14/2025 - 03:45

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Hi Esther and community! 

I wonder thatyou don't mention scoliosis.Mine was detected at age 9 (slightly visibly uneven waist). My parents (thank goodness) decided against surgery!. It was not visible through all my years until my 70s though back pain influenced my life.  My curve has grown  worse in the last years. I studied privately here in NYC, took a one day foundations in Rochester  and am considering the group Foundations in Brooklyn. Writing in now just because scoliosis was not mentioned in the article. I found a scoliosis pt - wish I'd found her years/decades ago. Unlike most she does work also with adults. I'm worried at the ongoing deterioration. I'm a writer and lactation consultant, I do a lot of sitting - and I know I should know and be able to sit better - or write standing and stand better. Just writing in to connect. I'm scared that my ability to integrate this system (Gokhale) has not been optimal. Thank you for reading.

I understand what you are saying and I too have Scoliosis that is relatively severe in the C3, C4 and C5 area.  I have not been able to find a scoliosis trained PT.    I have found,  however that the Gokhale method has kept me from deteriorating and reduced my pain.  I find if I practice what I have learned in my daily movements I am in a much better place overall.  I have had injury when I try to do things that is normal for most,  but for me causes distortion and pain.  It would be great if there was a Gokhale teacher that had specific training  working with Scoliosis clients.   My chiropractor advised me, and I have taken his advice, like with the shoulder roll,  I can't do it exactly the same way as instructed,  I am limited  in the backward movement, however, I can modify it to my ability and it works great.  At least I have the Gokhale examples of what would be the best way to move then adapt  them to my abilities/limitations.  My Body tells me LOL!   I have taken the pressure off of myself to do exactly as instructed or illustrated.  The beauty is sometimes I can, and over time I am much more relaxed doing the Gokhale Method.  I am a true believer and it has changed my life.  

Ina- it is good to hear feedback from you after having worked together. Gokhale Method, for me, has helped to stabilize my scoliosis in the years since I first started using it. I also find that the tools, especially inner corset, stretch sitting and stretch lying on the back help to relieve certain types of pain that I get as a result of the curves in my back. It is an ongoing process, but I know that had I not come across Gokhale method I would be much worse off than I am.

Its important to remember that the things you have learned with your study of Gokhale Method need to be consciously applied. Even though better habits come into place I have found its very easy for me to sit by folding into my curves, especially when the furniture is not supportive. When this happens I need to stop and correct and use the knowledge I have. Its an ongoing process and for me works very well.

Cynthia Rose

Gokhale Method Teacher. 

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