anthropology

A New Perspective on the Neanderthal Spine

A New Perspective on the Neanderthal Spine

Esther Gokhale
Date

October 16 is World Spine Day, which makes this the perfect time to share with you a fascinating piece of recent research about the human spine. 

In April I was contacted by Scott Williams PhD, Associate Professor at the Center for the Study of Human Origins, Department of Anthropology, New York University. He and his team of anthropologists had recently published a scientific paper— which concluded that understanding the spines of Neanderthals, a human ancestor, may explain the back pain experienced by humans today.

Who were the Neanderthals?

The Neanderthals populated Europe and Asia between about 400,00 and 40,000 years ago. Neanderthals became extinct, but are considered one of our most recent evolutionary ancestors. Research shows there is DNA evidence that they interbred with early human populations¹. 

Neanderthal man squatting down with hunted animal.
The Neanderthals were adept hunters who controlled fire and made shelters, clothing, and artifacts. Wikimedia

Neanderthal skeleton, reconstructed and standing.
The Neanderthal skeleton was shorter, and its bones heftier and more robust than those of modern humans. Rather than being a hunched “caveman,” recent research suggests their posture may have been entirely upright. Wikimedia

Comparing Neanderthal and modern spines

Examination of the bones of Neanderthal lumbar spines has indicated that they curved less in the lumbar area than modern human spines studied in the U.S. and Europe. Because a significant degree of lumbar curve has commonly been associated with the ability of bipedal humanity to stand upright, Neanderthals have long been assumed to have had an intrinsically different posture from modern humans. 

However, Professor Williams was able to come to a different conclusion because, like the Gokhale Method®, he realized that “modern” human posture itself has been subject to change in just the past few hundred years. 

Williams and his colleagues compared preindustrial to postindustrial spines of male and female modern humans from around the world against samples of Neanderthal spines. His samples included more than 300 spines—that’s more than 1,600 vertebrae.

Williams acknowledges that because lower back curvature is made up of soft tissues (i.e., intervertebral discs), not just bones, their spine shape cannot be known with certainty. “The bones are often all that is preserved in fossils, so it’s all we have to work with,” he adds. Nonetheless, the distinctions in spine formation that Williams and his team found strongly suggest different degrees of curvature.

What Williams’ research found about modern human spine shape

Williams’ research indicates that there has not been just a one-time dominant spine shape in modern humans, but that spine shape changed over the period of the industrial revolution. Overall, Williams found that spines in postindustrial people showed more lumbar wedging (which produces curvature) than did those in pre-industrial people. 

 

Anatomical illustration showing positive, neutral, and negative angles in vertebral bodies.
This illustration detail from Professor Williams’ paper shows increasing, unchanged, and diminishing angles of wedging towards the back of lumbar vertebrae (B). Academic.oup.com

Williams observes:

Past research has shown that higher rates of low back pain are associated with urban areas and especially in ‘enclosed workshop’ settings where employees maintain tedious and painful work postures, such as constantly sitting on stools in a forward leaning position. . . A pre-industrial vs. post-industrial lifestyle is the important factor.

Research fits with the Gokhale Method

In his paper Williams cited my book, 8 Steps to a Pain-Free Back, as it details how posture and spine shape have changed progressively since the industrial revolution. It explains that industrialization led to the break in transmission of traditional ways of living and working. For example, people have always sat to do tasks—but it’s how they sat that changed and caused problems. 

Painting by Winslow Homer showing women mending fishing nets, 1882.
Human beings have always sat to do tasks, from nursing infants to decorating artifacts. The important thing is to sit well. Winslow Homer, Mending the Nets, 1882 (detail). nga.gov

Industrialization also resulted in new but mistaken paradigms of “natural” spine shape in furniture design, fashion, and even medicine. My book advocates for the J-shaped, pre-industrial spine rather than the  postindustrial, S-shaped spine, which causes lumbar compression, wear and tear, and pain. You can read more about spine shape here.

The Gokhale Method advocacy for the J-shape is based on observing that it remains intact in our children, largely in our track and field athletes, and consistently in adults living in non-industrialized regions or in traditional societies. And these people report significantly less back pain than the 80% of American adults who suffer incapacity with back pain at some point in their lives. 

An S-shaped spine medical illustration from 1990, and a J-shape spine from 1911.s

This illustration from 8 Steps to a Pain-Free Back shows the more recent S-shape spine (left) that would likely create “wedging” in the intervertebral discs and bones subject to extra curvature, and the earlier J-shape spine that does not have this compression (right) .

Conclusions about the Neanderthal spine and understanding modern back pain

Williams’ research concludes that the Neanderthals’ spines were significantly different from those of postindustrial people but not from pre-industrial people. By examining only the spines from modern people who lived in the industrialized world, past researchers have mistakenly assumed that the distinctions between Neanderthal and modern spine shape were due to evolutionary development rather than social and cultural changes. Williams says:

Diminished physical activity levels, bad posture, and the use of furniture, among other changes in lifestyle that accompanied industrialization, resulted, over time, in inadequate soft tissue structures to support lumbar lordosis during development. To compensate, our lower-back bones have taken on more wedging than our pre-industrial and Neanderthal predecessors, potentially contributing to the frequency of lower back pain we find in post-industrial societies. 

Medical illustration of J-shaped spine showing vertebral wedging and spinal curves.
This illustration shows how angles of vertebral wedging contribute to spinal curvature. 

The idea that the lumbar spine of our Neanderthal ancestors was relatively straight is not so shocking to those of us who already recognize that it makes sense for bipedal spinal health. And the wedging of the postindustrial vertebral bones is a fascinating discovery, which shows the degree of adaptation possible within the human body, although it is clearly not preventing back pain! 

Cartoon showing evolution of man from ape to upright to hunched over computer.
The evolution of humankind has been associated with changing posture in many versions of this cartoon. Pinterest

This fascinating research suggests an ancient and more natural way to be which, while preserved in some parts of the world, we’ve largely lost in our culture. But it can be and is being relearned. If you would like guidance on any aspect of your posture and spine shape, consider scheduling an Initial Consultation, online or in person, with a Gokhale Method teacher.

If you would like to find out more about how the Gokhale Method can help support you, sign up to join one of our upcoming FREE Online Workshops…

Reference:
¹ Scott A. Williams et al., “Inferring Lumbar Lordosis in Neandertals and Other Hominins.” PNAS Nexus 1, no. 1 (March 2022): pgab005, https://doi.org/10.1093/pnasnexus/pgab005.’

The Virtues of a Hard Copy Book in Digital Times

The Virtues of a Hard Copy Book in Digital Times

Esther Gokhale
Date

It has been 14 years since my book 8 Steps to a Pain-Free Back came out in hard copy. For years I had wished I had a book to send to those people who called me from the East Coast or Midwest. These were often relatives or friends of people I had worked with in California, who were suffering terrible back pain and needed help. And so I got writing. 

A book to solve back pain

Although there was clearly a huge need for a book to solve back pain, I was still surprised to find I had written a bestseller. It reached number two on Amazon.com following our American Public Television program in 2011, and number three following the New York Times article (paywall) naming me “The Posture Guru of Silicon Valley” in 2013. It has now been published in 12 languages (Croatian later this year), and sold over 250,000 copies.

8 Steps to a Pain-Free Back - Spanish 8 Steps to a Pain-Free Back - Croatian 8 Steps to a Pain-Free Back - English

8 Steps to a Pain-Free Back - Polish 8 Steps to a Pain-Free Back - Chinese 8 Steps to a Pain-Free Back - German

8 Steps to a Pain-Free Back - Korean 8 Steps to a Pain-Free Back - Arabic 8 Steps to a Pain-Free Back - Russian

8 Steps to a Pain-Free Back - English 8 Steps to a Pain-Free Back - Slovenian 8 Steps to a Pain-Free Back - Italian
 8 Steps to a Pain-Free Back is available in many languages: Spanish, Croatian, English, Polish, Simplified Chinese, Traditional Chinese, German, Korean, Arabic, Russian, Hungarian, Slovenian, and Italian editions. 

Digital download or hard copy?

In recent times digital books have revolutionized publishing. It is perhaps surprising that figures from the US publishing industry show that, in 2020, hard copy was still outselling downloads by 2 to 1¹. 8 Steps to a Pain-Free Back is available as a digital download, but the paperback version continues to be in high demand. I have come to realize that there are numerous and perhaps unusual virtues for having a paperback edition of this book, some of which I would like to share to inspire you!

Every digital book has the primary advantages of price and portability, but can remain out of sight and out of mind. Encountering a physical book invites you to engage with it, to pick it up and thumb through it. You don’t have to sign into wifi or wait for it to load—you just start reading. 

Visual cues help pattern healthy posture

One factor which works against us developing and maintaining healthy posture in our society is that we don’t have good examples and reminders around us. In fact, we are continually exposed to a norm of bad posture, while our culture’s idea of good posture, the S-shaped spine, is deeply problematic. What we want is to be surrounded by healthy visual examples on which to model ourselves.

8 Steps to a Pain-Free Back has over 1,100 images, mostly photographs, showing healthy posture from all over the world, from history, and in infants. Students find these images a motivating and practical reminder on their posture journey. Many a person has fallen in love with the African carpenter on the frontispiece, who insisted I take his picture, or marveled at the babies stacksitting with ease. 

African carpenter standing tall by bench 
This African carpenter stands tall and relaxed by his bench. This is also excellent form for preparing food in the kitchen, or any work at a counter8 Steps to a Pain-Free Back, pg 3.

Esther Gokhale’s youngest baby stacksitting by tub
My youngest child stacksitting next to her “sitting tub.” 8 Steps to a Pain-Free Back, pg 69.

You can of course collect your own posture pinups, and I encourage you to do so. But selecting your favorites from 8 Steps to a Pain-Free Back is convenient, plus you will know the posture shown passes muster. The quality of the prints means that they look completely at home popped into a frame, or even laminated and placed around the garden or garage or in your shower stall (true story about the tallstanding image leading Lesson 6). The key thing is to place them exactly where you need the reminders. For example:

Esther Gokhale standing modeling inner corset pg 127
Here I am reaching up to engage my inner corset. Use this reminder near a high shelf or cupboard that you regularly reach up to. 8 Steps to a Pain-Free Back, pg 127.

African woman hip-hinging harvesting water chestnuts 
This African woman is hip-hinging as she harvests water chestnuts—a perfect picture reminder for your vegetable garden.  8 Steps to a Pain-Free Back, pg 151.

Esther Gokhale modeling stretchsitting 
Here I am stretchsitting. Place this reminder by your easy chair or sofa, where you may otherwise tuck and slouch. 8 Steps to a Pain-Free Back, pg 47.

If you are of a technical bent you may be drawn to the many diagrams. Students find the mechanism of a shoulder roll drawing helpful in executing this technique. The shoulder roll helps your shoulder joint to return home to a healthy posterior position. 

Gokhale Method® mechanism of a shoulder roll diagram 
The mechanism of a shoulder roll diagram is especially useful at any desk or computer. 8 Steps to a Pain-Free Back, pg 42.

Lastly, the recaps at the end of each chapter make a handy cheat sheet while you are revising a new technique. For example, the recap of stretchlying on the side may be beneficial pinned onto your bedside table. 

Starting a conversation about healthy posture

Your book can take pride of place on the coffee table, where, unlike a download, it will always be there to catch the eye. This is a nice organic way of keeping posture on your radar and introducing it as a talking point with family and visitors. We certainly know of parents who leave 8 Steps to a Pain-Free Back strategically placed for their children to discover!

8 Steps to a Pain-Free Back on a coffee table 
The coffee table is a great place for browsing a book. 

Introducing your wider circle to healthy posture 

If you are part of a wellness group, then 8 Steps to a Pain-Free Back is a natural fit for study. If you are a book club member, then this may be the book you are looking for to invite discussion beyond back pain extending into anthropology, history, health, and lifestyle. 

Given that 80% of people in the US will experience back pain², not to mention the many other musculoskeletal problems addressed in its pages, this book has broad relevance. Many of our students are grateful to have discovered 8 Steps while visiting their physician or other healthcare professional. 

To help you spread the word among your family and social networks we have created “clan packs." The launch price has an additional discount: 4 books for $79 (instead of $99), or 8 books for $119 (instead of $159), and is valid until March 13, 2022.

Sometimes when I speak at conferences or wellness events (e.g., Google, Mimosa Systems, TiE Silicon Valley, Global Fund for Women), the company offers their employees/members/donors a gift copy of my book. To encourage this, we offer special bulk discounts. For information please contact [email protected]. For speaking engagements please contact [email protected]. 

References:

¹Felix Richter, “Infographic: E-Books Still No Match for Printed Books,” Statista Infographics, August 9, 2021, https://www.statista.com/chart/24709/e-book-and-printed-book-penetration/. 

²Janet K. Freburger et al., “The Rising Prevalence of Chronic Low Back Pain,” Arch Intern Med 169, no. 3 (2009): 251-258, doi:10.1001/archinternmed.2008.543

Free Online Workshops

If you would like to find out more about how the Gokhale Method can help support you, sign up to join one of our upcoming FREE Online Workshops.

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