healthy posture

As a student and teacher of yoga and practitioner of the Gokhale Method, I choose yoga poses that make good use of my time. “Chair pose” is well worth the time investment. In fact, it has become one of my favorite strength-building postures. It is useful for cultivating a J-shaped spine. It helps increase gluteal tone. It helps to pattern healthy hip movement. It is strengthening for the legs and spinal stabilizers. And, last but not least, it allows a yoga practitioner to smoothly transition between a standing forward fold and mountain pose — without compression of the intervertebral discs.

Cecily Frederick in chair pose with J-spine visible, overlaid with SpineTracker™ snapshot.

   
Detail of Cecily Frederick’s spinal shape in chair pose, overlaid with SpineTracker snapshot.

SpineTracker snapshot of Cecily Frederick’s spinal shape in chair pose.

Chair pose is also Esther Gokhale's favorite way to cultivate strength in all the muscles needed to tallstand well. She recommends it to students who tend to park in their joints (locking the knees and groin, flattening the feet, arching the back and introducing extra curves throughout the spine). After practicing chair pose, the small amount of muscular effort it takes to stand well becomes easy to access.

To practice chair pose, stand with your feet about hip-width apart and kidney bean shape your feet. Reach your arms forward and up as you simultaneously bend your knees, hips and ankles as if you were sitting down and back into a chair. Hold for a few seconds and then press down through your feet (and especially through your heels) to come back to standing while lowering your arms.  

A couple of practice sequences you could consider: 

• Transition from tallstanding (“mountain pose” or Tadasana) to chair pose and back to tallstanding 4-6 times.

• Transition from tallstanding to chair pose to an upward forward fold (Urdhva Uttanasana) to chair pose (Utkatasana) to tallstanding 4-6 times.

Cecily Frederick in upward forward fold (Urdhva Uttanasana or hip-hinge).

Five refinement tips

1. Strengthen your butt / spare your knees
To help develop gluteal strength and avoid knee strain, don’t let your knees come forward over your toes as your knees bend. Think about pulling your butt back behind you. Consider using a stool that you position in front of your shins while standing, and don’t let yourself push it forward as you move into chair pose.

Cecily Frederick using a stool to cue chair pose, with help from a friend.

2. Save your discs
To help avoid swaying the back and compressing upper lumbar discs, don’t reach your arms up vertically. Instead let them reach forward. 

3. Settle your pelvis
To help the pelvis to settle well, you might not want the feet and knees too close together. Experiment with different widths between your feet. Remember what you learned in the Foundations Course or Pop-up Course about hip-hinging.

4. Less is more
Don’t force yourself into a deep knee, hip, or ankle bend. Allow your chair pose to begin where it begins. Less is often more in a yoga practice. 

5. Break it down
If you have an injured shoulder you can lower your arms, bring them to your hips or press the palms together in prayer position in front of the sternum.

This bronze figure shows an open chest and “heart space;” his shoulders are well back and his ribcage is anchored. He is part of a fountain in Piccadilly Circus, London, sculpted by Sir Alfred Gilbert in 1893. Referred to (erroneously) as “Eros,” the figure is in fact Anteros, Eros’ brother, who represents a more mature, less capricious love. Original image courtesy Gareth Williams under CC BY 2.0.

“Heart space” is a term used in yoga to describe the upper part of the chest where the heart is located. Valentine’s Day is an ideal time to give some special attention to this region, and explore its relation to your posture and wellbeing. 

The Gokhale Method teaches four particular techniques which enable you to open your chest without doing damage to your back:

1. Rib anchor video
   Learning to engage your rib anchor is an important first step. It will prevent your lower ribs from popping up and your back from swaying in the techniques that follow.
    
2. Up and back with the neck video
   By drawing the base of the skull gently backwards and upwards, the chest is no longer crowded into the body, but rather allowed to expand outwards and upwards.
    

3. Shoulder rolls video
   Shoulder rolls help position the arms further back along the torso, which immediately opens the chest to expansion with breathing. In the long run, this results in a larger, more open chest.

This Ecuadorian school teacher is much loved by his pupils. Note that the teacher and his pupils have open chests and posterior shoulder placement.

4. Breathing into the upper chest
   The first three techniques may already leave you feeling more open-hearted. They enable you to breathe more deeply, but this may not yet be your habit. Take a few slow, deep breaths that further open your upper chest. Then rest a few breaths before repeating. It is common to feel resistance in the chest at first, but by using these techniques to open your structure and deepen your breathing, with practice it will become easy and pleasurable. 

The functioning of the heart is clearly essential to good health and life itself, but the organ and its position in the chest are also given special importance in many religious and cultural frameworks. Even our language is full of familiar, evocative idioms such as “from the bottom of my heart,” “faint-hearted,” “heart of the matter,” “heart and soul,” “heartening,” and so on.  Let’s explore the symbolism and associations a little further, especially where they intersect with posture.

Heart symbolism in Western European cultures
Let’s begin with St. Valentine. According to most popular accounts, Saint Valentine was either a priest or a bishop in the times of the Roman Empire, who, with great bravery and compassion, ministered to persecuted Christians. He was martyred and buried north of Rome on February 14, which has been observed as St. Valentine's Day since 496 AD. Another plausible legend suggests that when Roman Emperor Claudius II outlawed marriage for young men – reasoning that single men made better soldiers than those with wives and families – Valentine defied Claudius and continued to perform marriages for young lovers in secret. 

Whichever legend has truth, love, bravery, and compassion are all qualities said to reside in the heart in many Western European cultures. In Catholic Christianity, the Sacred Heart of Jesus symbolises his unconditional love, and the church and its patrons commissioned many paintings on this theme. These paintings show the heart radiating divinity; they often also show the very visceral detail of an attached aorta!  

Allegorical painting of the Sacred Heart of Jesus. The central heart radiates hearts gathered up by putti (cherubs). Painting by Robert la Longe, ca. 1705. Public domain, via Wikimedia Commons.

The heart-shaped symbol ♡ evolved around the 14th century, loosely based on the organ’s shape. Today we have numerous emojis preprogrammed in our smartphones, ready to use as shorthand for love, broken-heartedness, and associated feelings and events.

Heart symbolism in South Asian and East Asian cultures
Many Asian cultures also identify the heart space as essential to our wellbeing. Traditional Indian medicine describes energy centers, or chakras, that lie along the central axis of the body. The heart chakra (Anahata) is considered the center of love and compassion that can become blocked by grief or selfishness. An unblocked anahata is associated with loving-kindness and peacefulness. Tibetan Buddhist understandings of chakras also typically include a chakra located in the center of the chest.

This illustration from an 1899 Tibetan manuscript shows the body’s energy centers (chakras), including the twelve-petalled heart chakra. Public domain. Original image courtesy Wikimedia Commons.

In Japanese language and culture, the word kokoro (distinct from the physical organ) encapsulates heart, spirit, mind, and soul, among other concepts. And in Chinese medicine, the Mu, or front correspondence point, of the heart is located at the midpoint of the nipples, and is used to heal emotional hurt.

This Buddha figure in Sri Lanka displays a beautifully relaxed, open chest and heart space. Original image courtesy Sadaham Yathra on Pexels.

Posture and the heart space
Of course, with its emphasis on our structure, it is natural to think of healthy posture and the Gokhale Method as primarily benefiting our bodies. It is certainly true that having a well-developed ribcage and open chest are important ingredients for a straight spine and well-positioned shoulders. Such good structure also benefits physiological functions such as blood circulation, breathing, digestion, and allows space for the brachial nerve plexus. However, our structure is also intimately connected to our body language, revealing and communicating how we feel.

An open heart space can often look like balanced, approachable confidence. Original image courtesy nappy on Pexels.

A mounting body of research connects open upper body posture with confidence and vitality; and crumpled upper body posture with depression, exhaustion, shame, and poor health. According to a 2017 New Zealand study, it is more challenging to be depressed with open upper body posture than with slumped upper body posture. According to another, even our performance in subjects like math improves when we adopt an open posture.

These subway commuters, with their varied seated and standing postures, demonstrate a wide range of heart space openness. Original image courtesy Laura Dewilde on Unsplash.

It strikes me that there is much cross-cultural convergence on associating this area of the body with “matters of the heart.” How does your experience and knowledge of other cultures stack up with this?

Harvesting rye with scythes in early twentieth-century Lithuania. Original photograph Balys Buročas, 1923.

The Gokhale Method has improved my understanding of how posture correlates to our health and physicality. The method is based on healthy body architecture and has been informed by movement patterns from populations without back pain, those shared by our ancestors worldwide. This inspired me to take a look at my own forefathers in Lithuania, especially their posture while laboring in the fields. 

Memories of my youth
I was born and raised in urban Soviet Lithuania. Yet, we had a little plot of land outside the city in “kolektyviniai sodai” (collective gardens) and most of our weekends and summers were spent there. It was heaven to play in the fields, but there was always plenty of work.

My sister and I were often assigned weeding, watering, or harvesting to complete. It was definitely good exercise and a learning experience. I remember how proud I was when, one summer, my dad deemed me grown-up enough to show me how to cut grass with a scythe. It took a lot of coordination and control to swing the blade just so, to catch the grass low enough and to not drive the blade into the ground.

Harvesting rye with scythes in Juodėnai village, Lithuania. Original photograph Povilas Butkus, 1938.

In the summertime, we frequently visited with our relatives in the country. The grownups helped with harvesting and us kids followed them around and entertained ourselves with lighter tasks. My parents, aunts, and uncles all grew up on farms and were used to this type of work. I remember them teasing each other and laughing in the fields. Yet, it was hard work and they were all exhausted by the end of the day.

My own ancestors in Old Lithuania, like ancestral peoples everywhere, must have carried much body wisdom. Working the land shaped their bodies and their posture. Theirs wasn’t just a weekend task: it was a day-by-day, year-after-year way of life.

Photo treasures
Much more recently, I found a treasure trove of photos on E-paveldas. I immediately recognized the pristine body architecture and beautiful movements of the Lithuanian farmers. Here were women and men working with a clear J-shaped spine — which is found in highly functioning and musculoskeletally sound populations and is a cornerstone of the Gokhale Method. I was not surprised to see the J-spine show up in historical photos from Lithuania. How else could one exert oneself on a daily basis and remain productive and intact?

Before machinery, harvesting was a communal affair. Men did most of the chopping, plowing, and scything. Women raked and gathered, but also did heavier work when needed. Hay and grain harvesting was done with scythes. When harvesting grain, as in both photographs above, the cuttings were gathered and bundled into neat bunches and stacked in big piles in the fields. If harvesting hay, the cuttings were first spread out to dry and once dry, the hay was gathered and transported to the barns (below).

Young women from Didsodė village harvesting hay. Original photographer unknown, ca. 1940.

In the picture below, we see women hefting piles of dry hay to load up a horse cart.

Women loading harvested and dried hay onto a horse cart. Original photographer unknown, 1935.

Postural highlights
These old photographs give us a good view of people’s silhouettes. In contrast to modern-day postural tendencies in industrialized societies, there is no tucking of the pelvis. Behinds are very much behind. Shoulders are back and necks are lengthened. That’s J-spine, the same spinal shape we all had when we were little! 

This body architecture sets a foundation for inner corset engagement. Here, the obliques, transverse abdominis, rotatores, and multifidi muscles are all engaged. 

The inner corset muscles stabilize and decompress the spine so there is no wear and tear on spinal structures during exertion. This is how repetitively thrusting with pitchforks, lifting weights over the head, forcefully swinging scythes across the body, or reaching and pulling with rakes can be performed without hurting one’s back. Of course, the inner corset muscles get a huge workout! Meanwhile, they become stronger and in turn better support the spine.

Additionally, heavy arm and shoulder actions require correct shoulder placement. Notice that the farmers’ chests are open and wide, and shoulders are set further back. This shoulder location allows for better arm circulation, opens the chest cavity for better breathing, and prevents the upper spine from slumping. This position is key for efficient movement and protection from injury.

Bending well is essential to avoid back pain. You can see all the women hinging beautifully from their hips and keeping their backs flat while harvesting potatoes, doing laundry, and cooking. In spite of long hours bending, they did not hunch their shoulders, round their backs, or distort their spines.

Potato harvest in the Džiuginėnai fields. Original photograph Juzefas Perkovskis, 1940.

This healthy way of bending does no damage to the bones, discs or ligaments. Instead, it strengthens the muscles in the back (erectors and rhomboids) and provides the best stretch for the leg and hip muscles (external hip rotators and hamstrings).

Women hip-hinging while doing laundry. Original photograph Balys Buračas, 1923.

Hip-hinging while cooking in an open-air summer kitchen. Original photograph Stasys Vaitkus, 1937.

Another beautiful image (below) depicts three shepherd boys with their instruments. Notice that their lengthened leg and hip muscles in turn allow the spine to stack without slumping even when squatting on the ground. Their legs remain externally rotated, and their foot arches intact.

Village shepherds. Note the deep, healthy squat at left. Original photograph Stasys Vaitkus, 1938. 

In the last image (below), an older couple carries a yoke (naščiai) and baskets. What a clever way to carry a load! The yoke is placed close to the spine — the best place to bear weight, just like in weight lifting, while arms and hands are spared.

Marija and Augustas Šarkai on their way to harvest potatoes. Group Photograph/Bernardas Aleknavičius, 1971.

This couple encapsulates what we find across all ancestral populations:

1. Their feet are turned out and bean-shaped.

2. Their behinds are behind them.

3. Their ribcages are flush with the contours of the torsos, which means their lower backs are lengthened.

4. Their shoulders are set way back and their arms are externally rotated.

5. Their necks are long; their chins angle down.

Furthermore, this couple is not young anymore. I am sure they worked throughout their lives, yet they retain beautiful, erect posture.

Reflection
This was a brief glimpse of village life in Lithuania in the early twentieth century. The photographs of my ancestors laboring in the fields are brimming with body wisdom. This wisdom is a part of a common worldwide heritage that has been displaced by modern culture. Yet, it is still available to us through photographs, stories from elders, and posture work.

I felt inspired by the wisdom and proud of my Lithuanian heritage when looking at these pictures. I encourage you to do the same! Look through your own family photos, if you have them, or historical photography books. Let these images inspire you and reaffirm how well our bodies are designed, and how sturdy and strong they are when used well.

Learning and internalizing techniques doesn’t always happen immediately — or without assistance from a teacher.

I spent many years developing and perfecting the Gokhale Method Foundations Course. After years of crafting the language, honing the metaphors, and rearranging the order in which techniques are taught, I considered the course well-constructed and comprehensive. I was proud to empower students to be independent in taking their posture journey forward. I was proud to not be peddling products gratuitously, nor to insist students keep coming back for additional lessons. 

The results of this approach were not always stellar. Though some students functioned just fine after one go-round of a full 6-lesson Foundations Course, most students, not surprisingly, needed ongoing repetition to “get it” in their minds, their bodies, and their memory.

The example that brought this point home vividly involved a student who is a physician. She had undergone one back surgery and was scheduled for another. She had extreme sciatic pain that made her want to lie down as much as possible. Driving herself anywhere was impossible, so she hired someone to drive her to her private clinic, where she worked the few 2-3 hours her pain levels would allow, and then was driven home again.

Physicians are among the many groups whose work environments can predispose them to posture issues, especially when they tuck their pelvises or stoop over patients or computers. This doctor in Angola, likely because of healthy cultural modeling, demonstrates the lovely upright bearing that’s possible (and desirable) in this context. Image courtesy Francisco Venâncio on Unsplash.

After working on the basic techniques in a few private lessons, she was able to reduce her pain level to 0 and cancel her scheduled surgery. She followed up with some recommended maintenance lessons and then let the lessons come to a halt. 

A year later she made an appointment during which I was shocked to find her in approximately the same condition she first came in with. I probed gently to discover what had happened. It emerged that one of her patients, a fitness instructor, had invited her to a weekly fitness class. Over time, she had conformed to tucking her pelvis as instructed. In the process of relating the story to me, a realization dawned on her: “Oh yeah, that’s what caused my troubles last time…” Wow. In listening to her a parallel realization dawned on me. Here was a highly-trained medical professional who had gone from being in a dire situation to being completely pain-free, and still the teaching had not held.

Fitness instruction advocating a tucked pelvis ended up making things worse for my physician student who suffered from sciatica. Image courtesy Anupam Mahapatra on Unsplash.

That was when I realized we needed a maintenance program. It’s obvious in hindsight, of course. Adults especially can feel that new information doesn’t “stick” because it gets harder to learn as you get older. I suspect that we actually overlook just how much repetition we did to learn most things when we were younger! That’s why we took over a thousand lessons in school in Math and English! If you have learned to play golf or do certain dances, how many times have you practised that swing, or rehearsed those steps? Learning takes exposure and repetition. It works.

Like perfecting a golf swing or learning a new dance step, posture techniques need regular practice in order to “stick.” Image courtesy Andrew Lomas on Unsplash.

We see some students returning to our classes after gaps of many years, and, like the physician, in that time they have often been culturally “reprogrammed” to tuck the pelvis, to slump, or to sway. We also see clearly that the forgetting curve is very real, and how easy it is to backslide into old habits. When we teach these alumni alongside more recent graduates whom we advised better about the need for revision and follow-up classes, the difference is very obvious. Humans simply learn better with repetition, and the Gokhale Method is no exception to this rule.

A great benefit of the Gokhale Method is the sheer variety of mediums available to reinforce and diversify the learning process.

To meet this need, consider refreshing the material or switching up the format. For example, all of our qualified teachers offer private lessons to alumni. It's surprising how much can be learned in a single lesson once the basics have been covered. If you've taken a Pop-up Course, consider taking a 6-lesson Gokhale Method Foundations Course — or vice versa; if you've taken a group course, consider taking a private lesson. Retreat programs at locations like Esalen Institute, Omega Institute, Kripalu, and 1440 Multiversity are helpful for newcomers and alumni alike and offer the opportunity to learn in a restorative, memorable setting. And some of our teachers offer small-group continuing education classes. All of these are rewarding pathways for relearning and refining the basic techniques, and coming away with different takeaways.

Working with students and actively helping them learn is a great joy for me and our many other Gokhale Method teachers.

Regardless of which specific new tack you choose, we recommend taking your first refresher class within 1-2 months of graduating from the Gokhale Method Foundations Course or the Pop-up Course. The next refresher happens best within 3 months of the first one. From then on we recommend doing an in-person session —  private or group — at least every six months, and sooner if there are still significant challenges. Working in-person with a teacher is always best, but if that’s not possible, a session can be scheduled online, which is surprisingly helpful for troubleshooting and keeping your own known posture challenges on your radar. So if you are one of our Foundations Course or Pop-up Course alumni, schedule that session! Our experienced teachers are ready to help.

Hands-on learning with a Gokhale Method teacher helps students refine and refresh the techniques, whether they’re just beginning their posture journey or whether it’s been years since their first lesson.

We have also created an Online University which includes 2 Live Chats with me every month and unlimited access to our on-demand library of over 60 instructional videos. Each lesson focuses on a specific posture topic, such as Beyond Stacksitting, Cooking with Healthy Posture, Foot Health, Yoga with Healthy Posture, dance, exercise routines, and so on. You are then able to revise and extend your posture expertise at any time for an entire year.  Now wouldn’t that be a great idea for 2020?

If you are one of our Foundations Course or Pop-up Course alumni, you can sample a free session of Online University content here. And from now through December 20, 2019, all of our alumni can save $100 on a year-long Online University membership! You must call our support team at 1-888-557-6788 to receive this special rate.

We wish you a peaceful holiday season filled with good posture!

My passion for researching posture has taken me far and wide. I was in a village in Burkina Faso in western Africa when I first noticed how people there would track the conversation from speaker to speaker mainly by using their eyes, rather than by turning their heads. Along with their excellent body posture it contributed to a strikingly well-centered, dignified bearing.

This young man in Burkina Faso demonstrates the dignified bearing that comes with an appropriate amount of eye tracking.

Comparing what I saw in Burkina Faso with what I was used to seeing back home, I realized that in the US, and the wider industrialized world, we move our eyes a good deal less and our necks a good deal more. Why such a difference, I wondered, and what is its significance for our well-being?

In Paul Gauguin’s 1893 painting from one of his Tahiti trips, Woman Holding a Fruit, the unnamed subject shifts her gaze with her eyes, rather than by turning or twisting her neck. Public domain image courtesy Wikimedia Commons.

Babies and infants in all cultures track actively with their eyes, both when they are still, and when they turn or reach. One possibility why this changes for children of school age in the industrialized world is due to the amount of reading, writing, and screen time they experience. It seems we grow into a more restrictive, “ahead only” habit.

Infants in all cultures track very actively with their eyes, as my daughter Maya demonstrates here.

My son Nathan tracks with his eyes while reaching for a toy.

As adults, this trend can continue with desk jobs and other prolonged, forward-oriented activities, such as driving. Perhaps this is why, as we age, we develop a more fixed “tunnel vision,” which results in moving our necks rather than our eyes.

Computer and desk work are possible factors in reducing our range of eye movement. Original image courtesy Studio Republic on Unsplash.

Excessive dependence upon neck movement to reorient our visual field often contributes to soft tissue strain and wear and tear on the delicate discs and joints of the cervical vertebrae. Far better, then, to try to reduce this dependence and reintroduce eye tracking now and then.

Time spent in nature provides us a chance to practice our eye tracking. Follow that movement! Photo courtesy Nathan Anderson on Unsplash.

How can we reintroduce this ancient technique into our industrialized-world lives? I am a great advocate for getting out into nature whenever possible to literally expand our horizons. Time spent with young children, especially babies and toddlers, can give us an opportunity to mimic and mirror them — to their frequent delight!

This dancer in San Diego demonstrates beautiful eye tracking. Image courtesy Avnish Choudhary on Unsplash.

Many dance forms, including, but certainly not limited to, classical Indian Bharatnatyam and Kathak, also offer us ample opportunities to practice eye tracking, which lends our dance gestures and movements a depth of emotion. By allowing our eyes to track while on a walk or hike — perhaps while watching a darting squirrel or rabbit cross our path — or while watching a sports game from the stands, or while trying out a new dance style, we can provide ourselves a chance to relearn this method of respecting the neck and maintaining an especially dignified composure.

These elegant dancers in Trinidad and Tobago show the gravitas and depth that can come from skillfully-employed eye tracking. Image courtesy Isaiah McClean on Unsplash.

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!

This famous bust of Nefertiti (c. 1370 – c. 1330 BC) exhibits a forward-protruded head. Original image courtesy Wikipedia user Philip Pikart under CC-BY-SA 3.0.

In my travels, I enjoy visiting museums. In a concentrated space and in a short few hours, I am able to travel back in time and over large distances, and compare people from different cultures. What a remarkable gift from the craftspeople of the past!  

Many museums have a well-developed Egyptian collection. The Egyptians’ expertise in preserving their dead as well as the dry Egyptian climate has yielded a bounty of specimens from the distant past. Egyptian artifacts are often spectacular and modern audiences are drawn to Egyptian mummies, pyramids, thrones, and temples. So we get to enjoy glimpses into ancient Egypt remarkably easily.

Most people from the past, as evidenced by ancient art and sculpture, had excellent posture and musculoskeletal health. The pharaohs and upper crust of ancient Egypt, however, stand out as exceptions. Sitting on their thrones or standing in special ceremonies, they almost always have tucked pelvises and forward-protruding heads. Nefertiti (as seen above) is an example of an Egyptian royal who has her head “parked” extremely forward. Correspondingly, examinations of the mummified remains of pharaohs report advanced arthritis in the joints — much like what we find in modern populations.
 

Renenutet (shown here) and her husband Runy were part of Egyptian nobility in the reign of Seti I (1294 - 1279 BC). They served in local temples. Notice her tucked pelvis and protruded head and shoulders that are similar to problematic modern posture.

This relief from the 18th dynasty (c. 1335 BC) shows a royal couple (possibly Akhenaten and Nefertiti) in a garden. Notice their posture shows similar distortions to those we see in modern times: tucked pelvis, locked knees, lack of abdominal tone, and forward-protruded head. Original image courtesy Andreas Praefcke on Wikipedia.

By contrast, carvings and sculptures of Egyptian laborers — carrying palanquins, rowing ceremonial boats, and doing other manual work — have beautiful and healthy posture. They model an anteverted pelvis, erect spine, and vertical neck similar to those seen in non-industrial cultures the world over.

This funerary offering bearer (c. 1980 BC) shows excellent posture: a J-spine with anteverted pelvis and elongated spine, and posterior shoulders.

This close-up of the funerary offering bearer above shows her feet pointed slightly outwards and the placement of her behind behind her.

The workers on this funeral boat show excellent posture as they transport coffins in Ancient Egypt (c. 1980 BC).

This ancient Egyptian worker exhibits a perfect hip-hinge with shoulders remaining back.

What are we observing here? What made the pharaohs suffer the same poor musculoskeletal health we do? Was it affluence? Was it a departure from a working-class lifestyle? Was it a sedentary lifestyle? Was it fashion? 

If you live in a large city, you almost certainly have access to a collection of Egyptian art. The next time you visit the collection, please tell us about your observations. Or take a few photos and post or send them to us so we can comment on them.

This is the second post in our series on shoulder positioning. Read Part 1 here!

Typing with shoulders too far forward.

Often, in industrialized cultures, the shoulders are slumped or held forward. There are so many daily tasks in the modern world that make it all too easy for these bad habits to set in: holding our arms out front for hours with poor shoulder placement while we are typing, gaming, driving, and so on. Over the years this is likely to cause various problems:

• Impingement, bursitis, wear-and-tear

• Reduced circulation to the arms 

• Compromised breathing patterns

• Reduced athletic performance, increased injuries

• Hunched upper back and forward head

Common pitfalls in getting the shoulders back
Unfortunately, well-intentioned advice such as “pull your shoulders back” often has negative consequences. When we try and correct our shoulder position by pulling back, we are likely to either tense and sway our lower backs, or tighten the rhomboid muscles between our shoulder blades —  or both! Neither of these responses are healthy or comfortable for very long.

Meet the rhomboids
The rhomboids, which pull the shoulder blades together, are not designed to be squeezed tightly for long periods. If you consistently rely on them to pull your shoulders back, they can become sore, knotted, and inflamed

The rhomboids are not designed to be squeezed tightly for long periods. Original image courtesy Wikimedia user Anatomography under CC BY-SA 2.1 jp.

Those of you familiar with the Gokhale Method are probably already practicing the shoulder roll. This gentle movement brings the shoulders home to a naturally sustainable position.  For detailed tips on refining your shoulder roll, please see my recent blog post on shoulder positioning.

Though the rhomboids should not be continuously contracted when you are upright, they exist for good reason. The rhomboids play an important role in keeping the shoulder joint stable, especially when you bend forward, carry heavy objects, or reach for something in front of you. These actions would otherwise displace the shoulders forward. 

Inactive or weak rhomboids allow the shoulders to be pulled forward when carrying loads in front of the body.

Changing lifestyles

This farmer doesn’t bring his shoulder forward to carry his watering can.
 

This Burkinabé teenager pounds millet with her shoulders staying far back.

Our ancestors, like people in traditional and non-industrialized cultures today, had many more opportunities in daily life to use their rhomboids and upper back muscles: drawing water, clearing land, sweeping the yard, and harvesting crops. We can get much of this conditioning from sport such as rock climbing, games such as tug-o’-war, and chores such as gardening or vacuuming, but suitable activity may not continue into a more sedentary adult life. Without regular challenges, the muscles of the upper back can become weak and lax, allowing the shoulders to drift forward and the upper back to round.

Rhomboid toner exercise
Exercises are useful to isolate and strengthen muscles that have been systematically under-used. I find the rhomboid toning exercise below to be effective.

1. Hold a physical therapy band or strap. Keep your wrists straight, palms facing up.
2. Begin by performing a shoulder roll. This healthy shoulder position places your rhomboids in a position of mechanical advantage.
3. Pin elbows to your sides at a 90º angle. The position is similar to when you’re carrying a tray.
4. Draw your shoulder blades as close together as you can. Your hands will move away from each other. The band or strap provides resistance to this motion, challenging the rhomboids. Be sure not to tense the shoulders or neck.
5. Hold for a few seconds. Repeat 5 to 10 times.

Getting your rhomboids to work for you when you need them will benefit both your shoulder health and your posture. Next time you are carrying heavy bags or pulling a door towards you, notice how these muscles help to preserve your shoulder position. Sometimes a little pulling back goes a long way!

The arm and shoulder of this African carpenter align with the back of his torso.

One of the most striking features of good posture is the position of the shoulders. The posture of this African carpenter shows how, with the shoulders well back, the arms align more with the back of the body than the front. The side of the chest and ribcage are clearly visible. Positioning the shoulders well brings you many benefits. It aligns your shoulder joint correctly, avoiding impingement, bursitis, arthritis, tendinitis, and general wear and tear. It improves circulation to your arms, as well as your breathing pattern. Optimal shoulder positioning improves athletic performance: throwing, punching, and swinging a racket or bat are all mechanically advantaged when your shoulders remain “home.” And last but not least, it helps prevent hunching your upper back and protruding your head forward.

If your shoulders have drifted forward over the years, a shoulder roll can ease your shoulders home into a healthy position. This maneuver gently realigns the many structures of the shoulder joint and immediately relieves stress and increases comfort. Punctuating your days with occasional shoulder rolls will gradually lengthen any tight, shortened muscles in the front of your chest and shoulders, giving you a wider, more open chest. 

Michelangelo’s ‘David’ shows the shoulders well behind a wide, open chest. Original image courtesy Igor Ferreira on Unsplash.

Your shoulders will be increasingly happy to settle back, returning nearer to where they were when you were a young child.

Children have naturally well-aligned shoulders.

If you don’t already know how to do a Gokhale Method shoulder roll, or would like to refresh your shoulder roll technique, this short video will show you how to gently roll each shoulder forward, up, and back.

The shoulder roll is so gentle you can repeat it whenever you need. (If you already have some soreness in your shoulder, then wait until it has recovered, or try mini shoulder rolls —  you do not want to cause pain.) However, the aim is not to be continually rolling your shoulders!

Here are my tips for making your shoulder roll last longer:

Tip 1: Once you have taken your shoulder forward, up, and then back, remember to release your arm down right there — you don’t want to just scoop your shoulder full circle! Check that you have fully relaxed the muscles on the top of your shoulder and neck. Feel the weight sinking down to your elbow. Expect this to both look and feel different from your old position — that’s progress!

Ratchet the shoulder soft tissue back in a similar way to a gear mechanism.

Tip 2: When sitting with your hands on your lap, place your hands close to your body and not close to your knees as this will tend to pull your shoulders forward again. Let your elbows drop straight down and be heavy. You can also hook your thumbs on your belt, pant rim, or pockets.

Your shoulders will be pulled forward if your hands slide too close to your knees.

Tip 3: Sit or stand up close to any task you may be doing. That may be typing, chopping vegetables, or working at a bench. This will make it easier to keep your shoulders rested back. You may be surprised how this simple step can help you break old habits of slouching the shoulders forward to reach things. 

Create new posture habits around daily tasks.

Tip 4: Notice how you go to move your coffee cup, pen or computer mouse —  are you automatically reaching your shoulder forward? With your shoulder back and relaxed after a shoulder roll, try extending your arm by opening up the angle of your elbow. 

Tip 5: Before driving, adjust your position to accommodate and keep your shoulder roll. See my blog post, How to Modify Your Car Seat for a Pain-Free Ride.

These five tips will help your arm, shoulder, and upper back muscles to work harmoniously and pain-free. I look forward to sharing further tips in Part 2 of this blog, and exploring when it is absolutely ok to pull your shoulders back!

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?