back pain

Aha Moments in Healthy Posture

Aha Moments in Healthy Posture

Esther Gokhale
Date

The Gokhale Method® is designed to be, well, methodical. But although the process of learning healthy posture is mostly systematic and progressive, it is also usually punctuated by “aha moments”. These glimpses of intellectual, visual, and kinesthetic understanding of the body can arrive like the warm glow of returning to home ground, or they can be seismic shifts that change your life forever…

Having an aha moment makes most people’s posture journey exciting, and sometimes profound. This blog post shares some student experiences and reflections on their discoveries.


David Samuels got out of constant sciatic pain while taking Gokhale Foundations with teacher Amy Smith. For David, learning to bend well was a revelation. 

Aha! The moment when the mind relaxes…

With aha moments we are often talking about cognition that differs from the slow burn of incremental learning. It’s a flash of insight—somewhat like a lightbulb coming on. In “The Power of Now,” Eckhart Tolle’s bestselling book on meditation, he describes how his mind finally shifted out of a period of intensely stressed and anxious overthinking. His mind finally gave way one day to a state of peace, clarity, and insight.

Stress and anxiety are not intended to be a part of our learning process, but I think a similar mechanism sometimes plays out. Students are often very conscientious and expect to master a lot of  material in a short time—this expectation can overwhelm the mind. The mind loves to learn with firm foundations and linear, logical steps, but it can get overloaded. When it lets go, it can sometimes make connections spontaneously. Aha.

Nancy Sullivan was amazed to learn she could resolve her lifelong headaches herself with Gokhale Method teacher Aurelia Vaicekauskas.
 


Eminent violinist Kala Ramnath could scarcely believe her back pain had really gone after years of suffering.

Embracing change for the better

Heike Eschbach is a retired midwife and lives in Germany. She had suffered with back pain and sciatica for many years, and, while taking the Foundations course with Julie Johnson, was able to reduce her pain medication by two-thirds. 

Learning about the benefits of a J-spine, a well-positioned pelvis, and external rotation in her hips, have been just some of the posture principles that are bringing healthy changes to Heike’s body. For her, learning how to relax and read in comfort was a breakthrough—the realization that healthy posture holds the key to resolving her pain. Heike wrote to us:

The new movement patterns I’ve learned integrate wonderfully into my everyday life. I am now also noticing improvement in my cervical spine and shoulders. I'm very happy about that.

Gokhale Method student Heika Eschbach stretch-reclining reading on the sofa.
Aha moments can be profoundly relaxed and comfortable—it just takes know-how to get there. Heike is embodying numerous posture principles that arrange her spine and body well as she relaxes on the sofa to read.

Posture breakthroughs are a state of mind, as well as body

It is not surprising that the majority of our students are delighted to find solutions to physical issues, whether that be to address pain, improve appearance, or more generally for self-optimization and future-proofing. But they often find, at some point, that changing their posture also impacts the way they feel about themselves and the world around them.  

Below is a heartfelt account from a British student, Lavinia, from Milton Keynes, who wrote:

My whole life has been blighted by BIG bosoms! To the extent that I have become excessively round shouldered and as soon as I am in a new environment with people all around me, the shoulders come forward and my tortoise shell envelops me in order to hide those which I detest!

Well, I read the book, listened to Esther online, and attended a Foundations class. What bosoms? I’m so busy perfecting a lovely straight back I have forgotten all about them. Who cares anyway? My neighbour has noticed my back is so much straighter, things are changing for the better. I intend to keep up the good work. I feel like a new woman! 

Finding our natural uprightness and height in a relaxed and comfortable way not only gives us the space our spine and other structures crave, it often liberates our personality and self-confidence too. 


Professional cellist Katie Rietman discovered greater freedom through learning the Gokhale Method with Julie Johnson, both in her neck, and her confidence. 

Aha moments can turn students into teachers

Most Gokhale Method teachers can clearly recall their first aha moments too! Clare Chapman, a teacher in the UK, tells how she initially encountered the Gokhale Method through my book: 

One of my yoga students, who knew I was interested in solutions to back pain, lent me 8 Steps to a Pain-Free Back. As she handed me the book, to be honest, being a somewhat sceptical Brit, I thought this was probably just another “easy steps” self-help book that would promise the earth and fall far short. But within a few pages I was compelled to read more. 

The next few days and chapters brought repeated aha moments. My understanding of the body, back pain, and posture, shifted into a new paradigm. Within weeks I knew I wanted to learn more and teach these principles. My aha moments may have slowed down a bit, but are still happening 14 years on…

Front cover of the book 8 Steps to a Pain-Free Back by Esther Gokhale.
Self-help steps, principles that challenge the conventional wisdom on back pain, and hundreds of compelling illustrations, bring aha moments for many readers.

Best next action steps 

If you would like to discover your aha posture moments, 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

Back Spasm Remedies

Back Spasm Remedies

Esther Gokhale
Date

You’ve tweaked your back. It may be a stabbing pain that catches with certain movements, it may be that you cannot straighten up, or maybe it’s an electrical, nervy sensation in your buttock.  

Male jogger on a beach bending over and clutching his back.
A back spasm is never welcome—but it is a signal we can act on—when we know how. Image by: Kampus Production

It’s true that time is a great healer—and that most back pain resolves itself without intervention—but there are also things we can do to accelerate the healing, that can help us feel better immediately, and protect us in the longer term. 

Should I take pain meds?

Pain meds (muscle relaxants, anti-inflammatories, and pain signal blockers) can be useful in allowing you to remain reasonably active, preserve your mental health, work, care for dependents, and more. They can also have negative side effects and create dependence. Using pain meds is a very individual decision to be made with your medical advisors, but if you do use meds, be sure you are using the relief they give you as a window of opportunity to address the root causes of your back pain.

Should I keep moving or rest up? 

There is research showing that for back pain, maintaining normal activities as tolerated gives a better outcome than bed rest. Maintaining gentle movement is nearly always advisable as it promotes healthy circulation and healing in the injured area. It also counters joint stiffness, muscle weakness, and loss of fitness. As the saying goes, “motion is lotion.” Maintaining regular activities as tolerated also helps you keep up with your friends, hobbies, and tasks, and staves off depression. 

In our experience doing normal activities with truly normal (healthy) posture gives an even better outcome.

Couple dancing a Bachata with good form.
Activities done with healthy posture are protective against back spasms and injuries.

Move like you are meant to

Unless it was a freak accident, think back to what caused this spasm. Going forward, what are you going to do differently to make sure it doesn’t happen again? Are there movements to avoid until you have learned what is truly healthy for your body, be that in bending, twisting, or reaching? Students have sometimes discovered that certain “healthy” exercises, such as cat-cow, or roll-downs, feel wonderful at the time, but that such alternating flexion and extension provokes their backs to stiffen up or spasm later. 

Young women stretching in cat and cow poses.
Poorly designed stretch and mobility exercises such as cat-cow actually push deeper into existing curves, provoking inflammation and stiffness. Images from Freepik 

Non-drug treatments 

Alternative or additional treatment for back spasms might include massage, physical therapy, acupuncture, chiropractic, and osteopathy. It would be fair to say that while many of our students find one or more of these modalities helpful, they are seldom sufficient to get to the root cause of their back flare-ups and prevent them from recurring. When I was a practicing acupuncturist, I found that my patients responded better to treatment for back pain when I also helped them with their posture. Their bodies could heal and strengthen better when they stopped unwittingly reverting to poor bending, lifting, walking, sitting, and sleeping positions after their treatments.

Gokhale Method® solutions

I would like to offer two key Gokhale Method techniques that can accelerate your journey out of pain, plus get you started on creating the baseline conditions to keep your back healthy into the future. 

You will use readily available surfaces—a mattress or an exercise mat, and the backrest of a chair—to put your back into mild traction. You will be able to use this surface to contact and gently stretch your skin, which stretches the flesh underneath and gently eases your vertebrae apart. This will gradually tease out tension and spasm, facilitate circulation and healing, and bring peace to the area. These techniques are useful for five minute “resets” during the day, or for hours at a time, as needed.

Caution: If your back pain is persistent or severe, we recommend you consult your medical team prior to using these techniques.

Technique 1: Stretchlying

Woman stretchlying on the floor using pillows.
Stretchlying can transform lying down into therapeutic traction and comfort—even as you sleep. You can get started with this video.

Technique 2: Stretchsitting

Girl sitting on a dining chair with a stretchsit® cushion.
Stretchsitting can transform compressive sitting (and driving) into hours of therapeutic traction and comfort. You can get started with this video.

You can learn these techniques in greater detail, with modifications for your body, in our in-person Foundations Course and our online Gokhale Elements. My book, 8 Steps to a Pain-Free Back, has illustrated, step-by-step instructions. Our stretchsit® cushion is a handy tool to make poorly designed chairs more comfortable and healthy. Here you can find a video on how to attach it to just about any chair. We’ve put it on sale until April 1 for $54.90, discounted from $59.90, plus free domestic shipping.

Photo of chair with a stretchsit® cushion.
The stretchsit® cushion not only creates a healthier shape for your backrest, its soft “sticky” nubs are specially designed to give comfortable traction. 

Doing things differently

Pain is nature's biofeedback mechanism—one which alerts us to the threat or occurrence of injury, which we should act on. Unfortunately our culture has not equipped us well to interpret our pain signals, nor to understand the systematic errors we may be making in our body use. 

Once we recognize that poor postural habits are the root cause of our back pain, the process of change can begin. A teacher’s experienced eye can be invaluable in assessing your individual postural patterns and issues, helping you to steer out of trouble and into a healthier relationship with your body.

Esther Gokhale guiding a student in glidewalking.
The way we make every movement determines whether our back has length and support, or is vulnerable to damaging stress. Here I am guiding a student in glidewalking. 

Best next action steps 

If you would like to know how changing your posture can prevent your back pain, 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

“It Takes a Village” for Healthy Posture

“It Takes a Village” for Healthy Posture

Sachin Deshpande
Date

The phrase “it takes a village to raise a child” is thought to originate from an ancient African proverb. 

As I have grown into being a parent, uncle, and beyond, I have realized that this quote extends to any age. I have directly experienced this with my own posture journey—my own family “village” has helped me and others dear to me find a near pain-free life through the Gokhale Method®.

Annoying body pains were affecting my fun in life

In my late thirties, a stream of inflammatory pains permeated my body, including back pain, shoulder pain, knee pain, and—worst of all—plantar fasciitis in my foot. While these weren't absolutely crippling pains, they were painful enough to keep me from enjoying life as I gave up my favorite hobbies—tennis, golf, and playing the piano.

I visited numerous renowned doctors in California. They genuinely tried to help, but nothing resolved my pain. So I began searching for other solutions.

Finding Esther’s book, 8 Steps to a Pain-Free Back

In 2012 I bought Esther’s book, 8 Steps to a Pain-Free Back, as it was highly recommended on Amazon. 

 Front cover of 8 Steps to a Pain-Free Back by Esther Gokhale.
The book that helped me, 8 Steps to a Pain-Free Back.

In particular, what caught my attention was how traditional and tribal communities across the globe do not have the level of musculoskeletal pain that we are seeing in modern society. The book explained how their cultures have preserved our natural blueprint for healthy posture over the centuries, while industrialized societies have lost it. 

This made a lot of sense to me, because as an American with Indian heritage, I used to visit India a lot and noticed that many traditional communities there do not have body pains as modern cultures do. There were people in their sixties and seventies doing manual labor regularly without pain.   

Man in India headloading vegetation (upper body).
As an Indian-American, I visited India often as a child, so I could relate immediately to the images like this one in Esther’s book that showed people with traditional posture performing physically challenging tasks with relative ease.

I then took the Gokhale Method Foundations Course. It took me a couple of months to meaningfully understand the core concepts. And then I felt significant pain relief for the first time in a long time and knew I was onto something. I began playing sports and music again! I was so happy. 

“Before” and “After” sitting without a backrest photos of Sachin Deshpande.
The Gokhale Method Foundations Course helped me stand, walk, sleep, and sit comfortably. Before the course (left)) I would sit with my pelvis tucked, back rounded, shoulders forward, and my neck compressed at the back. During the course I began to change this, learning to antevert my pelvis and stack my spine.

Helping each other out posture-wise

I shared my Gokhale Method story pretty regularly with family and friends. My family—perhaps knowing that I am a rather talkative person—would give me the “ol’ eye roll” when I talked too much about Gokhale posture!

That said, many of my family members nevertheless found the Gokhale principles intriguing. For example, my wife spent much of her childhood in India—and also learned the Bharata Natyam Indian dancing which Esther draws from—all of which gave her good posture and a relatively pain-free life. Equally importantly, it gave her a keen eye for good and bad posture. So she was able to provide excellent feedback to me as I kept trying to improve my posture with the Gokhale Method principles I was learning.

However, my sister Annissa grew up in America, and began experiencing hip and other arm pains as an adult, which was hard for her as she is a keen athlete. She realized that her posture might be the root cause. She learned the Gokhale Method with Esther’s younger daughter, Monisha, and started feeling meaningful relief. She is now a regular participant in Online Alumni Classes, which help her to keep healthy posture on her radar and continue refining it.

Sachin Deshpande’s sister Annissa with her PostureTracker
My sister Annissa (shown here with her PostureTracker) likes to use her Alumni membership most days—it makes checking in on and refining healthy posture comparatively effortless—and fun!

The next-gen

Interestingly, as my daughter Saya became a teenager, my wife noticed that her posture began to deteriorate. We were concerned that our daughter’s posture would worsen further when she went to college, leading sooner or later to inevitable pain and discomfort. Trying to offer advice and corrections to our daughter just caused a lot of frustration for both of them. 

When our daughter turned 16, we suggested that she learn the Gokhale Method before going to college. For her it was perfect to take the online Elements course. The fact that it was 18 compact 13-minute Zoom sessions worked perfectly for her busy high school life. Her posture markedly improved with Gokhale Method Teacher Kathleen O’Donohue.

We were so encouraged that we also asked our 15 year old niece Riya to take the course. She did the Elements course as well, and her posture improved too! 

Bringing different generations together with the Gokhale PostureTracker

In the last year, my daughter, sister, and I were really intrigued by the PostureTracker™ wearable, which gives real-time feedback on your posture by displaying the feedback from two highly accurate sensors on an app. My daughter and I did the first online Alumni PostureTracker class during the summer before my daughter headed to college. 

Saya Deshpande is a young Gokhale Alumna, here wearing her PostureTracker. 
My daughter Saya is a young Gokhale Alumna, and has taken her PostureTracker with her to college. She has real-time feedback on her posture wherever she wants it.  

We then bought the PostureTracker (which comes with one-to-one tech assistance) for my sister Annissa’s birthday. She loves it and uses it most days, including in her Alumni Classes. When we all get together, we often have fun correcting each other’s posture and also talking about our PostureTracker experiences.

The village beyond my family

Beyond my family, my “village” extends to the Gokhale Alumni community too. I have truly enjoyed and benefited from the collective curiosity and wisdom of the 1-2-3 Move classes. The teaching and follow-up questions and answers have been so helpful and insightful. I will never forget Gokhale Alumna Mary Walsh’s saying, “Good things come to those who ‘bean-shape’ [their feet],” which really captivated me and continues to help me in my own posture journey.


Here we are on the 1-2-3 Move class sometime in the COVID winter of 2020–21. The online community we forged back then has continued to thrive and be a great resource for everyone on their healthy posture journey. There is a 7-day free trial open to the public. 

Best next action steps for newcomers

If you would like insight on your posture, consider scheduling an Initial Consultation, online, or in person.

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

Gokhale Method Success Story: Michael Ram

Gokhale Method Success Story: Michael Ram

Michael Ram
Date

I developed excruciating lower back pain in 2001. I was a tennis player, downhill skier, and a marathon runner. I was also under a lot of financial pressure in a stressful job as a consumer class action lawyer with my own firm. 


Excruciating back pain challenged my ability to continue working. Forthepeople.com

My doctor diagnosed me with a herniated disc at L4-L5. He said that a piece of my disc was sitting on the spinal nerve. I tried everything to stop my pain but nothing worked. In January 2002 I underwent a laminectomy which removed the piece of disc and some of the vertebral bone next to the herniation to make room for the nerve root.


A laminectomy is a common lumbar surgery to remove some or all of the lamina (a part of the vertebra) to relieve pressure on nerves trapped by herniated discs or stenosis (narrowing of the nerve canals). Wikipedia

After the surgery, my back pain was more intense than before. It was very difficult to get out of bed in the morning. My five-year-old daughter imitated me doing a sort of downward dog yoga pose, with a lot of groaning, just to get out of bed in the morning. I could not move comfortably, nor could I stay still. I remember business meetings in restaurants—just looking at the chairs there I would feel pain.


Few modern chairs help us to sit well. Most chairs either encourage a swayback (left) or a tucked pelvis (right). Wikipedia

I also tried acupuncture treatment, but it was too painful to lie down. It hurt. Hurt to stand. Hurt to sit. Hurt to walk. Hurt to sleep. Everything hurt. 

I received cortisone injections from a pain specialist. I was ecstatic to get a needle in my spine because it gave me temporary relief from the agonizing pain that radiated all the way from my lumbar spine down my leg. Unfortunately, the relief didn’t last. 


Pain from pressure on the sciatic nerve can radiate from the origins of the nerve in the lumbar spine all the way to the foot. Wikipedia

I seriously considered a spinal cord stimulator. It was like an implanted super transcutaneous electrical nerve stimulation (TENS) machine, but I am very glad that I changed my mind as it required subsequent surgeries and I really did not want something implanted in my body. I was prescribed multiple pain relieving medications. 

I participated in a number of lengthy courses, including some pilates and Bikram yoga, that focused on cultivating more strength and flexibility to relieve my back pain. Yoga gave me some temporary relief but nothing permanent. I also used a pilates reformer once a week for several months but it didn’t help. It started to remind me of a medieval torture device. 


Using specialized equipment without knowledge of primal architecture can hurt rather than help. Wikipedia

I also went to a physical therapist and my pain was still not relieved.


Massage from a skilled practitioner can help alleviate soft tissue tension and back pain. Ideally, it would be combined with posture training to get to the root of the problem. Pixabay

In an attempt to relieve my pain on the way to court, I would slouch in my car almost horizontally, with both an ice pack down the back of my pants and the seat warmer on. I remember the pain forcing me to lie down on the floor at an arbitration where I represented a class of homeowners in a case worth tens of millions of dollars. Other lawyers stared at me as if I were a defective space alien. 

Despairing, I thought I would never get better. I knew people with similar levels of pain who had retired. Because of my love of being a consumer protection lawyer and my financial responsibilities, this was not an option. The stress caused me to tighten up even more, worsening the pain. I felt like I was trapped in a downward spiral.

I explored the principle of mind over matter. I meditated daily and continue to do so. I read Dr. John Sarno’s books. Dr. Sarno would say first eliminate any physical cause, then heal back pain by dealing with any repressed anger or other negative emotion. But my pain persisted.

Eventually I came across  Esther Gokhale's book, 8 Steps to a Pain Free-Back, and subsequently took the Foundations Course in 2011 with a Gokhale Method teacher in San Francisco. As I have said many times, Esther Gokhale is my hero! I have given her book to numerous family members and friends. They don’t believe me that there are 21 pages about how to sit in a car—or a restaurant chair—but every one of those pages is precious to me as they have saved me hours of agony. The Stretchsit® Cushion and Esther’s instructions allowed me to drive without pain. The Gokhale Pain-Free™Chair is still my favorite office chair. I still use the stretchlying technique that I learned in detail there, gently introducing traction to one segment of my spine at a time.


This healthy neck stretch is from a recent 1-2-3 Move class for our Alumni.

Stretchlying helps to ease tight back muscles and remove painful compression from the spinal nerves, discs, and bones.

I now have zero back pain. Because of the Gokhale Method I can finally lie comfortably in bed, sit, stand, walk, bend, and live my life. I returned to running six mile runs along California beaches and trails all over King's Mountain. Due to wear and tear on my knees over the years, I am now an active swimmer, hiker, and biker. 


Out on my bike, I enjoy being physically active again, with the occasional wipeout.

My back has tolerated a recent move into a home with 41 steps. I carry furniture, groceries, etc. up and down those steps with no back problems. I am once again enjoying being the pain-free, calm, and happy person that I used to be.


Out hiking with my wife, Susie.

Home Exercises Part 4: Head Rotations/Circling 

Home Exercises Part 4: Head Rotations/Circling 

Esther Gokhale
Date

This is our fourth blog post in the series where we put popular home exercises under scrutiny to examine how they stack up—or not—against the principles of healthy posture. In this post we are looking at head rotations/circling, an exercise that is often suggested to ease stiffness and mobilize the neck.

Neck pain—causes and solutions

Although not often considered in physical fitness and exercise regimens, the neck frequently becomes a problematic area for people in our culture. At that point, we look to mobilizing, stretching, and strengthening exercises to alleviate pain and stiffness.   


In traditional cultures the neck remains upright and long. It is capable of carrying the weight of the head and additional loads without injury.

The Gokhale Method point of view is that most of our neck problems arise from poor posture. The head and neck tend to drift forward and downward, causing the muscles at the back of the neck to tighten. We then lift our chins up so we can look out ahead of us. The resulting compression becomes a pain in the neck—or a headache—that we can do without. So how can we best avoid or remedy this?


Shortened, tight muscles at the back of the neck (left) are a common cause of neck pain and tension headaches. Positioning the head and neck correctly eases this compression (right).

Remedies to avoid

Tight, short muscles may well have compressed your cervical (neck) vertebrae, and perhaps caused bone spurs or bulging discs. Be especially careful to avoid exercises which take your head into circling movements. These call for extreme flexion (forward), extension (backward) and lateral bends (side), any of which could pinch your nerves and discs. By circling through these movements in rapid succession, the risk is heightened. Performing head rotations (twists) is also commonly advocated, but if done with poor alignment, head twists can also compress tissues in the neck. 


The cervical spine has seven vertebrae which support the skull. Wikipedia


There are many delicate and vital structures within the neck, including nerves, discs, and arteries (front view). Wikipedia

The right approach

You want the principles of Primal Posture™ to guide your head back where it belongs. Appropriate support from the longus colli and other deep muscles of the neck will give the cervical spine the support it needs to align well. This will encourage your outer neck muscles to relax their grip and be gently stretched. Circulation in the area will also get a boost. 


The longus colli muscles attach to the front of the cervical spine. When they contract (shown in red), they cause the neck to straighten and, therefore, lengthen.

If your neck is inflamed, it will benefit from steady, well-aligned exercise that can help to calm things down. The video clip below shows you a healthy way to lengthen tight muscles on either side of your neck. These movements do not overload your cervical discs, crunch your vertebrae, or impinge your nerves. Note that the exercise includes working at various angles to address different fibers within the same muscle.

A healthy exercise for the neck


This healthy neck stretch is from a recent 1-2-3 Move class for our Alumni.

Your checklist for this exercise is:

  • Perch on the front of your chair as shown.
  • Elongate your neck. Learn how to do this here.
  • Reach one arm across to your opposite ear and pull upward.
  • Roll open the opposite shoulder and pull that downward, leaning over sideways as you hold the rim of the chair seat. Learn how to roll your shoulders open here.
  • Don’t sway. Use your rib anchor. Learn how to use your rib anchor here.
  • Listen to some good music! It takes 20–30 seconds for muscles to relax.
  • Stretch different muscle fibers—slowly turn your head toward your armpit.


Healthy musculature allows the neck to stack in a tall, more vertical position with the head over the body, not forward.

Address the root cause of your neck pain

People usually think of their neck and any pain there as a separate issue from what is going on in their backs. From the point of view of a posture teacher, a distortion in any part of the spine will have an effect on all other parts of the spine. 

For example, people sitting or standing at a computer with their heads stuck forward may try to address neck pain locally. But the root of the problem is often in the pelvis. If the pelvis is tucked (i.e., with an imaginary tail between the legs), the spine will be curved over into a C shape. You can read more about spine shape here. In this situation, any local effort to draw the neck back is going to be hard to sustain, tense, and ultimately counterproductive. But by positioning the pelvis well, the neck will have the opportunity to stack well. At this point, local work on the neck is able to provide not only symptomatic relief but can also return your cervical spine closer to its primal, healthy structure.


A C-shaped back stresses the lumbar (lower back) discs and is also bad news for the neck.

Join me for a special new one-hour FREE Online Workshop, Posture Remedies for Text Neck,  November 12, 11 a.m. (Pacific Time), and learn helpful suggestions on how to improve the architecture and health of your neck. 

If you would like an expert one-on-one assessment of your posture, including  your neck alignment, you can arrange an Online Initial Consultation or take an in-person Initial Consultation if you have a Gokhale Method Teacher near you.

How Not to Be a One-Trick Pony as a Pain Intervention

How Not to Be a One-Trick Pony as a Pain Intervention

Esther Gokhale
Date


The single focus of many back pain interventions can be described as a “one-trick pony.” Image courtesy Nikki Jeffrey on Unsplash.

Many back pain interventions could be described as having a single, dominant approach: cortisone injections into inflamed tissue, insertion of acupuncture needles to open flow in meridians, “adjustments,” medications for reducing pain, etc. Of course, each of these interventions has complexity and nuance in theory and practice, but the vast majority of existing interventions have a single focus. To put it somewhat crassly, they could be described as one-trick ponies. And I’ve wondered if this is perhaps related to why most approaches to back pain are so ineffectual (see data on HealthOutcome.org).

A three-trick pony
In our method, we’ve never been less than a 3-trick pony, the three “tricks” being intellectual, visual, and kinesthetic ways of guiding the body’s architecture and movement patterns to a more primal configuration. Does this partially account for why we are outliers in effectiveness and efficiency in helping back pain sufferers? That’s not to diminish the core insight of our program, that there is a healthier, better way to be in our bodies and that the modern day conception of the body is skewed and contributes to decline. But additionally, our multi-faceted, coordinated approach helps this diamond in the rough be accessible, persist, and bring delight.


Unlike many other back pain interventions, our “pony” has more than one “trick” in its repertoire. Image courtesy Tobias Nii Kwatei Quartey on Unsplash.

One approach to back pain that I’ve always admired is the Alexander Technique. The Alexander Technique is similar to our approach in that it works on posture and movement patterns. But it uses kinesthetic input almost exclusively. The Alexander Technique’s “one-trick” approach lacks robust use of the images we employ in our teaching, book, website, and communications. Many students and readers also experience the intellectual framework of Alexander Technique to be abstruse and inaccessible. People tell me they feel good while they’re in an Alexander Technique lesson, but they go home and have no idea how to replicate what happened in the session.

Passively viewing images or hearing theories alone doesn’t reduce pain, of course, but alongside the kinesthetic learning, they form part of a rich and textured weave Gokhale Method students take home with them. This allows students to approach the goal of reduced pain from multiple angles simultaneously. I regularly get emails from students containing posture-related images. These students have absorbed the Gokhale Method filter and carry it with them. The method takes on a life of its own. What’s more, the good feelings are replicable outside of active instruction as they go about their life exercises.


Indigenous cultures — along with non-industrialized populations and young children — are amongthe groups we look to for inspiration and the body-knowledge which informs our method. Image courtesy Jason Rojas on Unsplash.

More “tricks”
Over the past five years, we’ve added a technological trick and a research trick to our quite talented pony’s repertoire; this has expanded the range of people who have access to our work and increased students’ trust that what they are experiencing is real.

One of our difficult-to crack nuts has been how to attract alumni to Continuing Education offerings so they can integrate techniques that require repetition and practice to remain rooted in their bodies long after their initial course has concluded. In the past year, we’ve intuited our way to several additional tricks that are addressing this challenge. The new pieces include music, dance, and art in a central role. These cultural pieces have always existed in our ecosystem, but now they are part of our core Continuing Education offering. Dance, music, and art make the weave of learning and integrating so much richer and more enjoyable. Additionally, we’re discovering a sense of community and joy building in our 1-2-3 Move program. People are naturally interested in each other, and including Q&A after each session allows that community spirit to build.


Central Asia is home to rich equestrian traditions, among them horseback falconry with golden eagles, horseback archery, and horseback gymnastics. As in our method, multiple elements combine to form a complex, impressive whole. Image courtesy Lightscape on Unsplash.

We’re also recently included exercise in our programming. It’s been wonderful to be led by a knowledgeable guide in the company of dozens of people online. This makes it fun to return.

We are delighted by the response to our new directions. And as we are always adding new enrichments, there is always more to come.

"I Know What It's Like to Lose Hope:" Anissa's Posture Journey

"I Know What It's Like to Lose Hope:" Anissa's Posture Journey

Angela Hakkila
Date

 

Anissa Morgan is 46 years old and was born and raised in San Antonio, Texas. In her own words, her relationship with her body has “always been a little messed up.” She didn’t like how she looked. Growing up, her mom frequently told her that she was slouching and "should pull her shoulders back," anecdotal posture advice many of us have heard.

In adulthood, Anissa spent some time in the Army Reserves as a petroleum specialist. The military approach to posture reinforced what she’d heard from her mom in childhood: that she “shouldn’t be slouching and that everything should look ‘a certain way.’” In her job, she would deliver fuel to military vehicles such as airplanes, cars, and trucks. She had to leave this position due to medical hardship after her first husband suffered a severe accident and broke his back, resulting in his paralysis from the waist down. She didn’t have anyone else to take care of both her husband and her young daughter, so she left the military. It was a short career, but she loved a lot about the military experience and the connections she formed with people during her service.


Anissa, 46, has seen her life dramatically changed by the Gokhale Method. Image supplied.

As the primary caregiver of her then-husband, the load on her body was extreme. She would have to carry her husband’s wheelchair, even while pregnant. Not long afterward, she and her husband divorced. Between pregnancy, childbirth, parenting, and the end of her relationship, she endured a lot of emotional and physical trauma.

“I was never an athlete or in super-great shape, but when I was in the military, I’d started having problems with my knees and my feet. My arches started to fall then,” says Anissa. She feels that may have been the first sign that things were going wrong.


Military posture guidelines encouraging tension and artificial positioning in the body predispose servicemembers to posture problems, which can lead to pain and injury. Image courtesy 272447 on Pixabay.

After her time in the Army Reserves, Anissa recovered from her divorce and eventually remarried. She found a job working at the Officer’s Club doing clerical and computer work. Computers were just coming into widespread use at the time. After that, with her valuable skills, she began working at the computer helpdesk at the USAA office in San Antonio. One element of her job with USAA involved travel: visiting field adjusters to set up laptops for them. One day, after a training, carrying a heavy load of equipment and baggage, she bent over and felt something give. After a couple of weeks where her back was “uncomfortable,” she visited her husband’s chiropractor, which was “like magic.” One morning, however, while making lunch for her three daughters, she bent over to pick up a box of Capri Suns and couldn’t stand back up again, and could hardly lift her leg. That’s where “the really major problems” began.

This continued until she was about 32 and her “back was done,” leaving her unable to work due to severe pain.

With her level of pain, sitting at a computer desk all day was excruciating. “Even with the great resources they have there, like standing desks and the people that would come in from Ergonomics who would tell you how you were ‘supposed to sit and stand’ — all of which I now know was wrong — it just wasn’t possible for me anymore, so I stopped working at about 32.”


Sufficiently severe pain makes even desk jobs impossible, as it did for Anissa. Image courtesy Claudio Scott on Pixabay.

“It just didn’t work”
It turned out that Anissa had a rupture in the spinal disc between her L4 and L5 vertebrae, which resulted in severe pain in her lower back and radiating down her legs, into her calves, and a loss of feeling in her toes. At the time, all she wanted was to have her back “fixed” so she could be sent back to work. By then, she had 3 small children and a job she loved. She needed to be able to show up in her life. With this in mind, she opted to have laminectomy surgery to hopefully resolve her symptoms.

Although the laminectomy gave her around 6 months of improved symptoms, the surgery soon revealed itself to have been unsuccessful in resolving her pain, which returned and began radiating down her legs again. A second surgery was proposed to fuse her L4 and L5 vertebrae. Her surgeon’s perspective had been tightly focused on the disc as the cause of Anissa’s problems, suggesting that once it was removed and that joint was fused, she would “feel grand.” There was again a little relief soon after the second surgery, but it quickly became apparent that even after this fusion, working at a desk all day wasn’t good for her body and something she could tolerate. The one way Anissa could tolerate it was with the use of opioid pain medication, although this further complicated her ability to do her mentally demanding job — troubleshooting computer problems — well. “You’re problem-solving — that’s your gig,” Anissa says. “And when your brain can’t fire, there’s no solving going on. Unfortunately, that was the end of that.”

Within a year of the first surgery, she was starting to feel pain in her legs in a different location. At the time, she had a wonderful pain management doctor, but Anissa was still concerned about the side effects and addictive potential of opiate painkillers. She began feeling terrible pain on the front of her thigh, which would command all her attention while driving an hour and a half to visit a friend. By the time she got home, she’d have a bruise on her leg where she’d been pressing the muscle, trying to get some relief. Her pain management doctor recommended another MRI, which revealed that the discs above and below her fusion site were herniated — just a year after the fusion surgery.


For Anissa, surgery was a “band-aid” treatment which did not eliminate her pain long-term. Image courtesy Sasin Tipchai on Pixabay.

“My decade of darkness”
The worst of Anissa’s severe, debilitating pain lasted a decade during which she didn’t know what else to try. She tried acupuncture, and completed five different courses of physical therapy within a couple of years. She’d given it “everything [she] knew how to do” and was still having to resort to taking enough opioid pain medication to keep herself comfortable while trying to balance the demands of her body with those of being a wife and a mother. “That,” she says, “was my decade of darkness. There was no moment that was comfortable. There was no joy left in my life, because all I could think about was the pain in my spine, which then started radiating up through my thoracic spine and neck. My whole body hurt all the time.”

Anissa was hitting rock bottom. She would wake up at night heaving and sobbing from pain. She didn’t know what else to do or what to try. All her doctors wanted to do was more surgery: fusing two or even three more levels of her spine. Her pain management doctor would give her steroid injections and trigger point therapy, all of which were wonderful, but they weren’t long-term fixes and only took the edge off the pain. She felt like a burden to everyone, and a failure, and didn’t see how she was going to go on living like that.

In a moment of deep desperation, Anissa hid in the closet, kneeled, and prayed for assistance. In her own words, she “saw the light” and was filled with a new determination. She decided to start over, trying every approach again, so that if she did have to resort to another surgery, she would know that she had done everything she possibly could to avoid putting herself in a worse situation. That was her nightmare: that she would do what the surgeons advised and the new surgery would only do what the second surgery had done.


Opioid painkillers were something Anissa was not happy about having to take in such large doses. Image courtesy newsong on Pixabay.

The next day she got online and went in search of acupuncture. She Googled and found an acupuncturist and someone’s testimonial called him a “gift from God,” and hoped that perhaps he could be such a gift for her as well. She walked into the acupuncturist’s office barely able to lift her feet to walk, with numbness in her feet so severe she would avoid the stairs at her house for days at a time for fear of falling. By going to the acupuncture appointment, she felt she was just doing her due diligence and crossing something off the list.

Her first acupuncture treatment was “excruciating.” The acupuncturist is “old-school,” from Taiwan, and she found him somewhat frightening and difficult to understand. After the treatment, he asked her, “How do you feel?” And she replied that she didn’t know, but that she might have been feeling a bit better. She was experiencing a pulsing sensation which was new to her, and which she found encouraging. When he prompted her to lift her legs to waist level by raising his hands as targets for her to reach toward, she was shocked to be able to do so, considering that she had barely been able to walk into the office for her appointment. She got back up from the treatment table “thanking God that maybe this was something” that would continue to help her. She now had hope that something better — perhaps even relief — might be possible.


Acupuncture was the first partially effective intervention Anissa found, but it didn’t fix her underlying posture issues. Image courtesy Hamilton Viana Viana on Pixabay.

Over the next three months, she frequented her acupuncturist, seeing him by her choice for treatment two to three times a week. She could feel the healing occurring in her body. The treatments reduced her pain to a tolerable level. Her next target was stopping the narcotic pain medication she’d resorted to for years. Someone in a chat room online told her about kratom, which she investigated and then used for a short time in order to transition away from the prescription painkillers. “I’ve been pharmaceutical-free for going on about four or five years now. But during that time, I still had pain.” At this point, she still had pain to contend with, but “not to the level where everything was darkness.”

“I’ve learned now that if I manage my life right, I can have joy again. I can do things again.”


The Gokhale Method is something Anissa first heard about from a friend.

A new approach to pain relief
Anissa first heard of the Gokhale Method from a friend with whom she had a reciprocal coaching arrangement: Anissa would life-coach her friend, and her friend health-coached Anissa. “She said, ‘You know, I heard about this, and it might help you.’” Anissa looked it up, watched a few videos, and bought herself a copy of 8 Steps to a Pain-Free Back as it was more within financial reach than enrolling in a course immediately. “Let me see what I can get from the $20 book first, before I further the investment. From the book, I was able to tell that it was something and that it made sense to me. With what I had been through and what they had tried to teach me and what was so different.”

Anissa “almost didn’t go to the Pop-up Course.” She was aware Esther was travel-teaching in Texas, but the courses weren’t near Anissa. However, they were close enough for her to try to get to. She felt it was a sign: a response to her prayers. “I was actually experiencing higher-than-normal pain, the most I’d had in a few years, and I really wanted to go, but I didn’t know if I could. I didn't know if I was physically capable.” Determined, Anissa ended up driving 5 hours to Dallas — a drive that would be impossible for her most of the time due to her pain levels, but the endpoint of which was so important to her she didn’t want to miss it. She was assisted on the drive by one of her daughters.


During the drive back to San Antonio back from the Pop-up Course in Dallas, Anissa asked her daughter to take this picture of her standing without pain at a rest area — a truly memorable moment. Image supplied.

Dramatic results in a single day
By the end of the Pop-up Course and the drive home to San Antonio, Anissa almost couldn’t believe the results. “My camel hump on my neck was gone! And I knew it was gone, but I questioned how that had happened.” Just that day, she had noticed her longstanding kyphosis, also known as a “buffalo hump” or “dowager’s hump,” during the halfway point of the course, when she was experiencing some of her usual pain and applied a topical pain relief cream to it. She regularly asked her husband to rub this kyphotic hump to provide her some fleeting relief. But after the Pop-up Course, the hump was gone. This was a big change; nothing she’d ever done before had ever had such dramatic results in such a short amount of time. “The book was great, but I really needed the hands-on [learning], and I need to do the Foundations Course next. My body is used to being a certain way, and it’s taking time to train my brain to do things differently.”

In her own words, Anissa is “thrifty, so [the course tuition] felt like a lot of money.” It was actually her and her husband’s anniversary weekend and she wanted to do something with him for the occasion, but she reconsidered. “I thought, what better gift could I give to my husband than feeling better?”

“Acupuncture has helped me manage my pain to where I can have a life now. It’s a more limited capacity than I would maybe prefer. But what the Gokhale Method did is open the door up wider.” A couple of weeks after the course, Anissa and her husband took a trip to Marble Falls and went hiking for the first time in maybe 15 years. “I remembered how much I loved it, and how good it feels to stand in nature — wow, Lord, really! This is in my backyard? And I never would have seen it, because I was afraid [of debilitating pain].” On her hiking trip, she realized the course was “worth all that money and then some, because we get to do things we used to not be able to do, that we hadn’t done in a really long time. So it was amazing.”


Anissa’s once-debilitating pain is now well-managed enough to let her live her life again, as in this photo during her hiking trip to Marble Falls. Image supplied.

“An answer to prayer”
When she does experience pain, the Gokhale Method has given Anissa the tools to realize that something is in need of adjustment. Anissa is humble and adamant that, in spite of her excellent and heartening results, her posture journey is only beginning. “I only know this much, and it’s made such a huge difference,” she says. “Even knowing that much has made a huge difference. And there’s so much more.” The private online follow-up session with Kathleen was a needed refresher on the techniques. Being able to bring the method home to her space, to her desk, and to her home context was incredibly helpful for Anissa. Aside from the pain relief, Anissa appreciates the comprehensive nature of the Gokhale Method. “It’s for your whole body, working with your whole body the way it was designed to work,” unlike exercises focused only on giving people superficial benefits, like “great abs.”

When asked what Anissa treasures being able to do with her body, it’s the simple things that are most important. She has a young grandson, and being able to pick him up and get on the floor and play with him are precious. The freedom of being able to get in the car and drive for 10 hours and end up in New Mexico, for example, is a blessing. “I want a body that doesn’t limit my capacity to do what I do and what’s important, not to be sitting there with family and friends and wondering when I can go home because my back hurts so much. I want to be able to actually enjoy conversation and interaction with people without the primary brain focus being the pain in my body.”

Anissa considers her whole journey to have been “an answer to prayer. It was too weird the way it all happened, and the results. I always know it’s special — a gift — when it goes this well. Not that the process has been easy, because I feel like I’m constantly having to work on it and I have so much more to learn. But to get such an immediate injection of hope, to feel that maybe I wouldn’t at some point be managing the symptoms of my pain with acupuncture and supplements. I have hope that this can build up to more as I go further in the process and learn to work with my body the way it was designed to be.”

And given her history, she’s no stranger to despair. “I know what it’s like to lose hope. I know how different your life can turn out if you can’t be pointed and guided in a direction that’s not pharmaceuticals, that’s not injections, that’s not surgeries. I’ve met so many people whose long-term results are a disaster. Maybe in the beginning they’re ok, the first few years out, but talk to them 5 years after surgery and they’re all miserable, too. I’d like to be able to help share this and help save people from the decade of disaster I experienced myself.” Thankfully, with the Gokhale Method on her side, Anissa has a brighter future to look forward to.


Future generations, and our ability to show up for them, can prove excellent motivation for reducing our pain and improving our functionality. Image courtesy Sasin Tipchai on Pixabay.

Function over Appearance: MommaStrong, the Gokhale Method, and Posture for Moms

Function over Appearance: MommaStrong, the Gokhale Method, and Posture for Moms

Esther Gokhale
Date

Posture and pregnancy have always been closely linked for me. As you may know, my own journey to create the Gokhale Method and a life free of back pain began with my development of crippling back pain during pregnancy. So it’s always a special gift to get to connect with other mothers who understand the deep relationship between posture and health, and to help other women learn to navigate the many changes that come with pregnancy and childbirth.

That’s why I’ve teamed up with MommaStrong to bring you this discussion between me and Courtney Wyckoff, the founder of MommaStrong. She’s a Certified Personal Trainer and Corrective Exercise Specialist, with 16 years experience in the field of fitness, nutrition, and injury prevention/treatment. She has been working exclusively with pre- and postnatal women for the last 9 years, which has allowed her the opportunity to see how seldom women in this country get the sort of support and information they need to truly re-integrate their core, nervous system, and biomechanical performance after childbirth. Her programs for core rehabilitation are vetted by leading physical therapists in this field. I love working with Courtney as our approaches have so much in common: we both want to help people live without pain, in which they stay functional and active throughout the many changes life brings.

Join us for our discussion of the concept “Function over Appearance,” and discover how moms and moms-to-be alike can reclaim a sense of empowerment and poise in their own bodies.

Learn more about MommaStrong here — and consider sharing with the moms (and other parents!) in your lives!

Upgrade Your Downward-Facing Dog with the Gokhale Method and SpineTracker™

Upgrade Your Downward-Facing Dog with the Gokhale Method and SpineTracker™

Cecily Frederick
Date

Studying and teaching yoga has been part of my life for several years. However, after learning the Gokhale Method, I approached the well-known yoga posture “downward-facing dog” (Adho Mukha Svanasana) in a new way.
 


Hip-hinging with my even spinal groove visible — GOOD! Image courtesy Cecily Frederick.

In the Gokhale Method Foundations Course, I learned how to hip-hinge and keep my spine from flexing when bending. I wanted to maintain about the same spinal shape in my “downward-facing dog” pose as I had learned when hip-hinging. This spinal shape, with an even spinal groove from the lower to the upper back, meant that my intervertebral discs, nerve roots and spinal ligaments would be protected during bends, and my hip joints would be used in a healthy way.

Also informing the adjustments I made to my downward-facing dog was receiving detailed feedback about my spinal shape from the new SpineTracker wearable device developed by the Gokhale Method Institute. This technology is available to participants of the new Pop-up Course and in private lessons with participating teachers.
 


Here, I’m wearing a set of SpineTracker sensors on my back to determine my lumbar spinal shape. Image courtesy Cecily Frederick.

Here is an example of the SpineTracker feedback for a hip-hinge. To contextualize, each dot is the location of a sensor.


SpineTracker snapshot of my spinal shape while hip-hinging — GOOD!

Although many yoga practitioners hip-hinge in their “downward-facing dog” posture, I had a habit of slightly flexing my lumbar spine in this pose.
 


The practitioner in this version of "downward-facing dog" pose shows a slightly flexed lumbar spine, putting the lumbar discs under strain. Image courtesy Form on Unsplash.

After many years of spinal flexion occurring with most hip flexion, I had developed chronic low back pain. Not all spinal flexion is easy to see (or feel internally), as my former downward-facing dog form, demonstrated below, shows.
 


Here I am in downward-facing dog with some lumbar spine flexion and hip flexion (knees straight, heels down) — BAD! Image courtesy Cecily Frederick.

To heal my irritated back, I began revisiting the way I approached this yoga posture. It was a worthy project since this pose shows up frequently in my yoga practice and yoga teaching sessions.

First, I needed to learn how to stabilize my overly mobile lower back and ease into deeper flexion in my hips. Luckily, hip-hinging practice had helped me learn how to achieve both of these goals. Then I needed to transfer this skill to one common yoga pose: downward-facing dog.
 


In this photo, I’m in downward-facing dog with my spinal groove visible (knees bent, heels up) — GOOD! Image courtesy Cecily Frederick.

 


Here’s another view of my downward-facing dog, wearing the SpineTracker sensors on my back (knees bent, heels up) — GOOD! Image courtesy Cecily Frederick.


The upgraded downward-facing dog pose creates an even spinal groove which I’m able to feel with my fingertips — GOOD! Image courtesy Cecily Frederick.

A great way to capture the shape of the spine in a complex yoga pose is to take an image with the SpineTracker device. The SpineTracker sensors stick directly to the skin over the spine and are able to give detailed information about the spine’s shape (and your hands can stay on the floor).


SpineTracker snapshot of my spinal shape in upgraded downward-facing dog (knees bent, heels up), more spinal extension — GOOD!


For comparison, this SpineTracker snapshot of my spinal shape in unmodified downward-facing dog (knees straight, heels down) reveals noticeably more spinal flexion than in the upgraded form — BAD!


In my upgraded downward-facing dog pose: no spinal flexion, heels up, knees bent — GOOD! Image courtesy Cecily Frederick.

To refine my downward-facing dog pose, I needed to:

  1. Learn how to hip-hinge from a Gokhale Method teacher
  2. Come to a hands and knees position (“dog pose”) with a J-spine
  3. Lift hips into downward-facing dog position without changing spinal shape and gently pull hips back, away from hands

Things that might also help if you have shortened hamstrings and calf muscles and/or internally rotated femurs:

  1. Keep knees softly bent and kidney bean shape the feet to allow the pelvis to settle well
  2. De-emphasize dropping heels to the floor
  3. Allow the pose to feel awkward at first (but not painful)

One additional advantage to structuring a downward-facing dog this way is that the pose becomes a great way to lengthen the entire spine, which can make other yoga poses healthier and more accessible. Yoga is one of many topics addressed in the Online University content for alumni.

Is there a yoga pose that causes you some back discomfort?

"It's Really Quite Phenomenal:" Cecilia's Story

"It's Really Quite Phenomenal:" Cecilia's Story

Angela Hakkila
Date

Cecilia* didn’t expect to develop disabilities in her early 40s. She had led an active life, working as an academic in a competitive field and enjoying intense activities such as rock climbing, camping, hiking, kayaking, Iyengar yoga, Crossfit, and running. She even flew glider planes for fun. In her own words, she has an “extreme personality” — she pushes herself hard in life and seeks out challenging situations, whether working or playing.

 


Cecilia describes herself as an “extreme personality” and once enjoyed such intense outdoor pastimes as rock climbing, among others. This all changed once she began a law degree and bar exam preparations. Photo courtesy Brook Anderson on Unsplash.

 

Cecilia used intense physical activity for relief from persistent stress and anxiety in her demanding life, but her body bore the brunt of that intensity. She began to notice that she was frequently injured and in pain, and her healing process was unusually slow. Sitting in a chair and walking became increasingly difficult. The problems worsened when she began law school. As her degree progressed and the bar exam approached, the range and intensity of her symptoms increased dramatically. She had always been active and followed common guidelines for health. What had gone wrong?

 


Cecilia has seen an array of specialists she calls her “team.” She now includes Esther Gokhale on this list. Image courtesy Anne Karakash on Pixabay.

 

Over time, Cecilia amassed a supportive team of conventional and holistic medical practitioners who ruled out several conditions and found others. Her symptoms read like a laundry list. Unusually severe joint injuries and pain caused by relatively minor trauma. Poor balance. Extreme, chronic pain and fatigue, worsened by sitting and progressing to the point where all she could do was lie on the floor. Sizeable ovarian cysts which, thankfully, turned out not to be cancerous, but still required surgical diagnosis and monitoring. Infertility. Poor sleep quality. No arthritis, but indications of inflamed nerves and nerve roots. Persistent and severe irritable bowel syndrome (IBS), flare-ups of which often required Cecilia to spend 10 or 12 hours a day in the bathroom and left her ravenous and exhausted in her own body, unable to digest the food she ate. At her self-described “lowest points,” Cecilia sometimes woke up to discover she’d had an accident in the night as she slept. She recalls resenting a homeless person asking for money outside the pharmacy — they, at least, were able to obtain nourishment from food, unlike her. She felt ashamed of her accidents, her feelings, and her predicament.

Law school exacts a physical and psychological toll upon even the healthiest among us. Over the course of a few years, Cecilia went from extreme thrill-seeker to someone forced to use a mobility scooter to walk her dog. Both sitting and walking caused pain. Unless something changed, she didn’t know how she’d physically be able to sit for her bar exam, the culmination of her grueling law degree program and the gateway to her new career.

 


Active, intensity-seeking Cecilia never expected to come to rely on a mobility scooter to walk her dog. Image courtesy Sabine van Erp on Pixabay.

 

All of Cecilia’s individually challenging health concerns emerged and were diagnosed over the past few years, but it was having to depend on the mobility scooter, along with extremely slow-healing contusions to her bones found on X-rays, that spurred her toward a deeper investigation of the root cause of her problems. One of her doctors’ recommendation for pelvic floor physical therapy and a potential diagnosis of spinal arthritis (spondyloarthropathy) eventually led Cecilia to investigate posture training.

 

A postural approach to chronic pain

In childhood, she remembers her mother reminding her to “Stop slouching!” and to “Stand up straight!” However, what it means to have “good posture”, in terms of the technicalities and which muscles to utilize, has only started to become clear recently through her work first with another posture training method and now, with the Gokhale Method.

Like many Gokhale Method students, Cecilia first encountered Esther’s approach to posture through her book, 8 Steps to a Pain-Free Back. Some time before her symptoms reached their maximum intensity, she attended a Free Introductory Workshop, which was helpful, but as she was traveling frequently cross-country, her posture ended up on the back burner. She also didn’t initially think her posture could be related to her symptoms.

 


Esther in action, teaching at the Birch Street Studio in Palo Alto.

 

In contrast to Cecilia’s other posture training class, which focused mainly on relaxation, the Gokhale Method brings an array of techniques and real-life skills to the table. It also offers multiple props to assist those techniques, as well as innovative wearable tech. Each lesson is structured and specific: each micro-movement is broken down and clearly communicated, and Cecilia is given guidelines for followup practice and exercises. The curriculum continues beyond the studio and is incorporated into daily life.

Cecilia finds Esther’s teaching style especially noteworthy. As a teacher, Esther is compassionate and gentle, not judgmental or pushy — a particularly helpful demeanor for someone like Cecilia who has pushed herself very hard her whole adult life. Esther’s nonjudgmental attitude toward her students allows Cecilia to embrace where she is, here and now. “Esther really sees this as a process,” says Cecilia. “Each class is a process.” And it would be silly, she says, to think of that process in a judgmental way. This focus on learning, acceptance, and growth contrasts dramatically with the more typical American attitude, so exemplified by Cecilia’s pursuit of a law degree, an industry which idealizes perfection and punishes “underperformance” with shame and guilt.


Cecilia’s notable progress is evident in these photos and SpineTracker readings.

 

Cecilia finds it easy to progress in the nurturing environment of Esther’s lessons, and is able to refrain from berating herself about her ability level. She’s even experiencing gratitude to be stressing about her upcoming professional licensure examination, a grueling, three-day ordeal. "Considering everything that’s happened,” she feels “really fortunate." Were it not for her improved symptoms, Cecilia wouldn’t even have been able to consider sitting for the examination in the first place. She says, “Esther’s teaching me flexibility.” As is evident from her changing attitude toward her own body and ability, that flexibility is clearly not limited to the physical.

 


Although she hasn’t returned to her extreme outdoors activities, Cecilia credits the Gokhale Method with helping restore her ability to walk without pain. Photo courtesy Simon Lehmann on Pixabay.

 

Hope for the future

As Ceclia’s posture improved, her symptoms also improved.  Her joint pain started to improve after beginning posture training in October 2018. Since taking private lessons with Esther in early 2019, Cecilia hasn’t experienced significant joint pain. Her joint and ankle issues have mostly subsided, and her upper back pain is reduced. When pain does occur, she now knows how to use her breathing to manage the pain better. She can now walk her dog for 2 miles at a time without any pain. Her IBS has gotten more manageable, though she still has occasional flare-ups. Cecilia is optimistic that her posture training will continue to benefit her various symptoms.

Cecilia’s case is unusually complex and challenging. When she has time, she still practices medical qi gong and gets acupuncture, though she’s had to scale these back as she prepares for the ordeal of her bar exam. In addition, she continues to get sports massage and chiropractic treatment and follow a therapeutic diet for her IBS. In her own eyes, Cecilia still has a great deal of work to do and a long way to travel on this path. But things are looking up. She hasn’t needed to used her electric scooter for several months. And she’s on track to take her bar exam. She wouldn’t have been able to say that a year ago.

 


Cecilia’s dog benefits from her owner’s improvements, too! Image courtesy RitaE on Pixabay.

 

*Name changed for privacy reasons.

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