Headloading

Clare’s Gokhale Method® Success Story

Clare’s Gokhale Method® Success Story

Excerpts from an interview with Clare Rosenfield
Date

In January and February this year I took the Gokhale Method Elements course, which consists of 18 brief (13 minute) but potent lessons. I would like to share my experience of the Gokhale Method with you in this blog post.

My goals were to find out how to sit, stand, and walk well, so that I don’t overstress the scoliotic parts of my back. I was also in search of more comfortable and beneficial sleeping positions. I felt I needed guidance to help me develop a better sense of my body posture and alignment. To be able to do a one-on-one course online made this possible for me. 

It was only when I saw the difference between my “Before” and “After” pictures that I realized just how much change it was possible to make to my posture in such a relatively short period. 

Clare Rosenfield standing side on for Before and After photos.
Learning to stand well has been transformational for me. You can see that I used to park my hips forward and sway back, pressuring on my lower spine and sending my neck forward—little wonder I was in so much pain. Though still a work in progress, I know how to align my weight better throughout my whole body.

I have always enjoyed exercise, movement, and body work, including hiking, Qigong, and yoga. I now have a healthy standing point from which to do all these activities.

When walking, for the first few steps I might omit to squeeze my glutes and check through the other things I know to do…but it is becoming more habitual so my muscle memory soon kicks in. Or I recall my favorite prompt of Esther’s, “if your glutes snooze, you lose.” 

The J-spine concept was entirely new to me. I had tucked my pelvis under (as you saw in the above “Before” photo) all my life as far as I can recall. Consequently, I believe, the place that hurts for me is around L5-S1 at the very bottom of my spine, so I have to be accurate to squeeze my glutes from a relaxed pelvic position and not to sway and compress my lower back trying to make it happen with the wrong muscles. A single follow-up lesson on this was really useful to help me relax my pelvis back even more.

Diagrams showing the lower lumbar vertebrae and sacrum, (a.) anteverted at L5-S1, (b.) retroverted (tucked) at L5-S1.
A healthy L5-S1 angle (J-spine) permits the wedge-space disc there the space that it needs (a.). Learning the Gokhale Method finally enabled me to stop tucking my pelvis and sacrum, and damaging my L5-S1 disc (b.).

Due to my scoliosis I have to be extra careful about how I do things, and with poor bending form, I would always ache—or have a more acute disaster. Now I understand why. I use the hip-hinging technique as I’ve been taught (plus putting my hands on my hips) and I can bend comfortably—it amazes me! I don’t straighten my legs like some of the pictures we see, as I don’t have the hamstring length, but I can follow the principles involved. 

Clare Rosenfield standing side on and hip-hinging for Before and After photos.
Since learning to hip-hinge I can bend without distorting my back and without pain. There are many principles to learn that contribute to healthy bending, which comes later in the course, but it has been well worth it.

Since 2005 I have been playing the harp, for which being in the right position is important. I pull the harp towards me more now, and when I bend, I bend at the hips, not rounding my back. When sitting with a backrest I have found using the Stretchsit® Cushion makes a good deal of difference to my comfort—I have one in the car, and in fact I’m sitting with one in this interview right now to reduce the pressure on my lower back.

The Gokhale Method Stretchsit® Cushion

The gentle traction you can get in your lumbar area by using a Stretchsit® Cushion reduces compression and asymmetry in your spine.  

Since a hysterectomy in 1995, I have lost bone density and three inches in height. I am working nightly with stretchlying to lengthen my spine and reduce my scoliosis. I am confident that stretchlying at night and using my inner corset to support my spine during the day will prevent any further height loss and increase in my scoliosis, as I have already seen such improvement in my posture. These two measures may well enable me to regain some of the height in my spine that I have lost.

In October I had an eye surgery, a partial cornea transplant, and to make sure that it stayed in place, for three days following the operation I had to keep my head still and remain on my back. I practiced stretchlying carefully leading up to the operation and found I could lie there all night comfortably; stretchlying is the best!

Come morning I have the option of switching to stretchlying on my side, which I also learned in the course. Again, I found a follow-up lesson on stretchlying on the side helpful as it involves a little more technical precision, especially with anteverting the pelvis, to work its magic.

For me the biggest help for my upper body was learning the shoulder roll…and I feel like my neck automatically gets into the right place after I’ve positioned my shoulders well. It also positions me better in sitting and standing, and helps me do more of the things I care deeply about.

One of those things is artwork, and I am now much more aware of my body while I’m doing it. For example, I’m standing straighter, and if I start to slouch—oops—I can feel it. 

Colorful drawing with words by Clare Rosenfield
I love the poetry of combining imagery and words in my artwork.

I’m also at the computer writing books, including a biography, children’s books, and poetry. As I spend a good deal of time sitting, it’s important to do it well. 

Books variously written, illustrated, and recorded by Clare Rosenfield Books variously written, illustrated, and recorded by Clare Rosenfield
These are four of the numerous books I've published. I have illustrated the three books shown along the top here. Seven Meditations for Children I have recorded as an audiobook—see how the child is sitting with a nice straight back!

My husband had an eminent career in public health which took us all over the world. Rather than take a lucrative post as an Obstetrics and Gynecology trained MD, he chose instead to work for the poor and underserved of the world, becoming Founder-Director of the Center for Population and Family Health, 1975–86. He was then Dean of the Mailman School of Public Health at Columbia University, 1986–2008, and honored while alive with the naming of the Allan Rosenfield Building and after his passing by the Tribute Wall I fundraised for. The first year of our marriage was spent in Nigeria, and we were in Thailand for six years. I must have seen a lot of examples of elegant posture in the rural areas of those countries, but back then I didn’t recognize how important it was.

Photo of the Tribute Wall to Clare Rosenfield’s husband, Allan Rosenfield MD
Here is a photo of the Tribute Wall to my husband—there we are together, bottom left. My husband served in Korea as an Air Force doctor. You can see people headloading in Nigeria (left hand panel, photo top right).

I have six grandchildren, three boys and three girls, aged 12–23. When I’m with them I try to help them with their posture—they spend so much time hunched over. I guess it’s hard for children to envisage they are statistically likely to have back pain down the line, but at least I can sow the seeds for them to think about posture, and set as healthy an example as I can. I’m so glad that the Gokhale Method is there to help all generations—and especially the young—to rediscover their healthy posture heritage.

I’m known to my grandchildren as “the Nana who raps instead of naps!” Here is a rap I would like to share with you:

IT'S TIME WE VOW TO SPEAK RIGHT NOW
 

It's time we vow to speak right now

our vow to share a peace we dare

to live and keep and not let sleep

In mere intentions while old conventions

Toot horns of war. No more, no more,

We shout out loud, no more to shroud

Our depths of heart. It's time to start,

Yes, twenty-four seven, on Earth bring Heaven,

So one, two, three, it's you and me

To take a dive in what's alive,

Our YES to fate before too late

To emanate our LOVE not wait,

to one and all, the world enthrall

So they will see that all we be

One family! Yes all we be

One FAMILY!

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. . .

Posture Workouts in a Swimming Pool

Posture Workouts in a Swimming Pool

Esther Gokhale
Date

August is peak holiday time across the northern hemisphere, and many of us who live here will find ourselves poolside, or even better, in it!

Being in water has the natural advantage of lifting weight off the joints while providing gentle resistance training. Aching backs or knees can find relief from compression in the natural buoyancy that water provides. This has made pool exercises a popular prescription with physical therapists over many years, especially for post-operative or post-injury rehabilitation. 

On land, to relieve pain and compression, people usually use elaborate measures like inversion tables, traction units, or going to outer space! In the Gokhale Method we provide decompression for the lower back relatively simply with the Stretchsit® Cushion or the nubs on our Gokhale™Pain-Free Chair. But stepping into water is the simplest of all, giving you freedom of movement and the ability to strengthen yourself simultaneously.

Women in a swimming pool exercising with dumbbells.
Pool exercise also provides a fun and refreshing environment for exercise in summer heat waves! Wikimedia

This blog post gives you three ways to harness the unique benefits of being in water to practice and develop healthier posture. These exercises are challenging enough to do as a stand-alone workout or as a way to prime your swim session.

Healthy posture habits honed in water will benefit your daily life on land, as well as giving you greater stability and power for your swimming or other sports. 

For safety and best results, I recommend that you progress the session in the order given here, starting with Exercise 1 and, once you are familiar with it, move on to Exercise 2 and finally add Exercise 3. 

1. Stabilize your spine by using your inner corset

You will use a natural brace of muscles as you walk across the pool. It will give you the stability you need to cut through the resistance of the water without wobbling and threatening the alignment of your spine. 

Imagine you are getting into ice cold water. Feel how all the muscles around your middle can contract and make you more slender. You want to work hard enough to feel this from deep in the pelvis all the way up to your rib cage. You want to feel the muscular engagement all the way around your mid torso, like a tightly laced corset. 

Drawing of the muscles of the inner corset on a standing female figure. 
The muscles of the inner corset include the deep intrinsic back muscles, the abdominis transversus, and the obliques. 

Gokhale Method teacher Eric Fernandez shows how engaging the inner corset draws the abdomen in and makes the torso slender.
Gokhale Method teacher Eric Fernandez shows how engaging the inner corset draws the abdomen in and makes the torso slender.

This is one way of recruiting your “inner corset," which will help stabilize your spine as you walk and is key to swimming with a more streamlined, efficient stroke. We teach this technique and others in more detail in our in-person Foundations course, one-day Pop-up course, our online Elements course, plus our Gokhale Exercise program. You can read more about your inner corset here.

2. Headload to lengthen your neck and to find deep spinal support

In industrialized cultures we have an epidemic of forward head carriage, putting enormous strain on the neck and structures throughout the back. Finding healthy alignment through your neck, combined with the inner corset, helps your whole spine to support itself well. Resting even a modest additional weight on the head can help us to find our vertical axis and stand tall. This is the reason I developed the Gokhale™ Head Cushion

Drawing of the muscles of the inner corset on a standing female figure ; woman in Burkina Faso with a tall, straight neck and functional head posture.
Headloading encourages recruitment of the deepest muscles of the inner corset and the neck, especially the longus colli at the front of the spine. 

In the pool I suggest you use what you have at hand—your hands! Rest them on your head and push up against them with your head. Keep your nose and chin angled downward. Proceed very gently if you have neck issues. You can gradually build up the intensity over a number of sessions. 

Gokhale Method teacher Clare Chapman headloading her hands walking in a pool. 
Gokhale Method teacher Clare Chapman headloading in the pool using the weight of hands and arms. Create space between your shoulders and your ears—keep your shoulders down as your neck grows tall. 

Establishing healthy length in your neck will help you to retain a straighter, more spacious alignment while swimming, especially in breaststroke where people tend to crane their necks to hold their heads above water. Consider training to swim with your head in the water, if you do not do this already, which will enable a much healthier alignment of your torso, neck, and head.

Gokhale Method teacher Eric Fernandez engaging the muscles of the inner corset in the pool, hands on head.
Especially when you raise your arms, you may need to use your rib anchor muscles to prevent your back from swaying.

3. Power up your walking using your feet and glutes

Many of us compromise our walking by overusing our quads and hip flexors (psoas muscle) and underusing our glutes. We predominantly reach our front leg forward in our strides, instead of generating propulsion from the rear leg with our glutes and foot muscles. 

Woman walking in market, Odisha, India.
Our ancestors and many people living in more traditional or nonindustrialized societies—where joint and back pain are rare—walk using their glute and foot muscles more than we typically do.

As you walk in the pool, make each step a rep. Each step wants to progress through a pose that includes a straight back leg and a bent front knee. As each leg goes back behind you in turn, squeeze your buttock muscles on that side. Engage the upper outer quadrant of your glute pack. This is not the kind of glute squeeze that clenches your lower butt cheeks together and tucks your pelvis. 

Gokhale Method Alumna Christine Andrew in a glidewalking pose in the pool (underwater shot).
Gokhale Method Alumna Christine Andrew working hard to achieve healthy walking form in the buoyancy and resistance of water.

Grab the floor of the pool with the whole sole of your foot, and then push off from your toes. Focus on maintaining the convex foot shape as you do this. Propel to glide forward, not bounce upward.

Gokhale Method teacher Eric Fernandez grabs with his foot in the pool, aerial view.
Eric actively grabs the floor of the pool with each foot to pull the body forward and then push back.

Putting it all together: Aim to keep healthy form and walk as smoothly as you can through the water. This develops both healthy length and muscle power in the right places.

If you notice your back arches back as you walk, take smaller steps and lean more forward until you master the art of keeping your spine stable with the rib anchor and inner corset techniques. Enjoy!

Best next action steps for newcomers

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How Do I Fix My Neck Pain?

How Do I Fix My Neck Pain?

Esther Gokhale
Date

Do you suffer from neck tension, muscle knots, or tingling in your fingers? Do you get frequent headaches?

Or maybe your neck is fine most of the time, but seizes up periodically, leaving you unable to function normally in your job, family life, and recreational activities.

Drawing of woman wearing cervical collar
A soft cervical collar is a common prescription to alleviate neck pain. It can give welcome support in the short term, but doesn’t help to strengthen your neck or get to the source of the problem. Wikimedia Commons

Most neck pain involves compression. 

In modern cultures, the head often drifts forward as we slouch and crane our necks towards our computer screens. The weight of the head, (typically 11 lb. or 5 kg—think bowling ball), then requires the muscles at the back of the neck to contract strongly to keep the head up. This contraction compresses the relatively delicate tissues in the area. Not a recipe for a healthy, happy neck. If you have forward head carriage but are symptom-free so far, keep reading for tips that will prevent future problems with the discs, nerves, blood vessels, and bones in your neck.

Man using desk computer, slumped, with forward head carriage
In our culture slumped desk work posture and a degree of forward head carriage is common. Pexels

Restoring the natural length and position of your neck

Young children, ancestral populations, and people living in traditional societies around the world preserve a natural head carriage that stacks the neck well as part of a healthy J-spine. This allows the head to be balanced with only appropriate muscular effort, and the neck to be tall and free from compression. 

Young child with well-aligned neck
As young children we instinctively align our neck well over our body. Pexels

Restoring mobility in your neck

Perhaps you have experienced increased stiffness and reduced mobility in your neck over the years? Or unpleasant gritty sounds when you turn your head? Beware of exercises that include extreme flexion, extension, or head circles. These movements, taken to the end of your range of motion, can damage your discs and pinch your cervical nerves. If they are a part of your exercise regimen, consider reducing their range. 

Diagram showing the bones, discs, nerves, and major blood vessels of the neck.
There are many delicate and vital structures within the neck, so we first want to align it well. (front view). Wikipedia

In our experience it is best to focus on restoring the neck to a healthy baseline length and shape that centers your head well on your spine. The video below shows you how to proceed:

This gentle movement will help you to find a safe, natural trajectory to get started on gliding your head up and back.

If you have areas of long-standing rigidity or curvature in your neck, it is likely linked to your postural distortions elsewhere in your body, for example thoracic rigidity or a tucked pelvis. 

Expect this to take more time and training to change, for which you will be rewarded with additional benefits including comfort, improved circulation, and increased energy.

Finding your neck strength 

While many of the neck’s structures are delicate, they can also be strong. The deep muscles that are intended to support the neck and keep it tall tend not to get used very much in modern industrial culture and are often weak. Besides doing strengthening exercises, as is common in conventional approaches to neck problems, learning to carry weight on the head is extremely valuable. 

Woman in Odisha, India with a tall, straight neck and functional head posture.
People in traditional societies preserve a taller, straighter neck, and more functional head posture. (Odisha, India)

Cultures that headload suffer much less neck pain than we do and can teach us much about how, where, and why to headload. Not only do these people have excellent neck health, but they also have excellent posture throughout their bodies, and move with elegance and efficiency. Students in our classes begin with light weights to sense the axis along which they need to stack their bones. Over time, the weight can be increased to further strengthen the longus colli, inner corset, and other muscles. 

Student learning to head-load in glidewalking, guided by Esther Gokhale.
The small extra weight of the Gokhale™Head Cushion enables students not only to strengthen the deep neck muscles and lengthen the neck, but also to better orient their entire skeleton. 

My book 8 Steps to a Pain-Free Back has many images of people throughout the world headloading. Healthy head carriage, as opposed to forward head carriage, is an important starting point for this activity. It is not possible to carry significant weight without both the healthy neck alignment and strength to avoid compressive forces.

Woman showing an elegant, well-aligned head and neck (Thailand)
A well-aligned head and neck is both highly functional—and elegant

Because about one in three adults are affected by neck pain every year¹, we introduce techniques for the neck early on in our in-person Foundations course (Lesson 1 of 6), in our one-day Pop-up course, and our online Elements course (Lesson 4 of 18). Here students learn in detail the gentle techniques that gradually return the neck towards the length and pain-free position we all enjoyed as infants. Whatever your age, your neck is something you can learn to once again stack in your favor.

References: 

  1. Institute for Quality and Efficiency in Health Care (IQWiG), “Neck Pain: Overview,” InformedHealth.org, last modified February 14, 2019, https://www.ncbi.nlm.nih.gov/books/NBK338120/.

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. . .

Outer Corsets and Inner Corsets

Outer Corsets and Inner Corsets

Esther Gokhale
Date

I have often written about the elegance of people in bygone years. The women, sometimes corseted, show striking deportment.

19thC African American woman standing with elegant, healthy posture.
This young woman shows wonderful alignment and poise in an age when corsets were commonly worn. Corsets encouraged abdominal support, a tall straight spine, and the behind behind. Pinterest

The excesses of nineteenth-century fashion understandably gave corsets a bad name. Extreme tight lacing had some terrible effects, imposing some drastic anatomical remodeling:

The stomach and liver are crammed down, with the ribs compressing into drooping S-loops. The neural spines of each vertebra, the little projections that stick up from the central body of each bone, are also pushed out of place. Normally they stack nicely one atop the other in a neat midline ridge, but in long-term corset wearers these spindles of bone jut to this side or that.

Science writer Brian Switek in Skeleton Keys: The Secret Life of Bone.

2 Drawings of Venus statue showing internal deformities due to 19thC tight corset.
The extremes of nineteenth century corsetry had unhealthy effects, including restricting breathing and digestion (left). Wikimedia

The majority of people nowadays enjoy the freedom of not wearing a corset, and are understandably determined never to return there. However, some kinds of external corset, well chosen and used judiciously, can have protective benefits for the lower back area. They can also serve as a training tool for developing a stronger, healthier, inner corset. Let’s consider this in more detail.

External corsets can offer protection in some contexts

Belts and corsets are often worn by manual workers—for lifting heavy goods at Home Depot, for example. The extra stability they give the trunk can be protective in awkward maneuvers, when workers are tired, if they have previous injuries, or are vulnerable due to a weak “inner corset.” 

Man wearing lumbar corset and lifting heavy box.
A corset provides extra protection for the lumbar spine, which, unlike the thoracic spine, is not protected by the architecture of the ribcage. Ninelife.uk

Another common use for external corsets is in weight lifting. In this case, should the natural inner corset fail and the considerable weight over challenge the lifter, a resultant twist or buckle of the spine could cause serious injury. The corset will guard against this and also help the lifter to maintain length and space in the lumbar area despite the compressive force from the weights. 

Man wearing protective lumbar belt and lifting weights above head.    
A weightlifter protects his lower back with a belt. Unsplash

External corsets can be useful training aids

A corset or belt can give a feeling of strength and stability that you want your own muscles to provide. A corset or belt can be used as a reminder and a training tool. External corsets can be used as supplements to your own inner corset musculature, not instead of it, when bending, lifting and carrying.

Healthy posture trains your  inner corset

Healthy posture naturally strengthens your inner corset. Poor posture will lead you to slump and collapse your inner corset, or sway and make your back muscles overwork and tighten. Either way, your inner corset is sidelined, making you more vulnerable to injury and degenerative spinal conditions.

Some traditional cultures wear external corsets

Some societies have integrated corsets into their traditional dress. Members of the Dinka tribe from Southern Sudan, Africa, wear surprisingly rigid corsets with metal ribbing and beading to show their status. These are worn day and night for years. The corsets allow no appreciable flexion, extension, side-bending, or twisting, yet the excellent physique of the young men and women who wear them is testimony to how little spinal movement may be necessary to preserve good health.

A member of the Sudanese Dinka tribe wearing a corset.
A member of the Dinka tribe wearing a corset. Note that the L5-S1 area is allowed to assume its normal curvature.

Another corset-like garment, this time from East Asia, is the Japanese obi, or sash, worn in various styles with different types of kimonos. Nowadays they are mainly reserved for bridal wear. Over the centuries, owing to their increasing ornamental width and stiffness, other more functional belts would be tied underneath to close the kimono.

A Japanese woman tying the obi (sash) of a geisha in the 1890s. 
A woman tying the obi of a geisha in the 1890s. Wikimedia

Gokhale Method students can make use of corsets

Some of our students have explored wearing corsets. Alumna Fatimah has experimented with very different types of corsets. She tells us that in the old days in Java the kemben, an item of traditional clothing she knows from her Indonesian heritage, was similar in function to the modern bustier, and was worn with a sarong (wrap around skirt). However, nowadays most people would wear a sarong with a corset over it, and a kebaya (longer blouse/jacket, sheer and often lacy) on top. Fatimah remembers her grandmother wrapping herself in a sash that acted as a corset over her sarong, with a long straight kebaya on top.

An Indonesian woman wearing the traditional kemben wrap-around costume, c. 1900. 
A woman wearing a kemben, the traditional Indonesian female torso wrap, circa 1900.
The traditional kemben is worn by wrapping a piece of cloth around the torso, folding and securing the edge, tying it with binding, and then covering it with a sash or angkin around the abdomen. Today, there are also tight-fitting and tailored
kemben secured using buttons, straps, or zippers similar to the Western corset. Wikimedia

Modern shapewear as a corset

Modern shapewear is, as the name suggests, usually worn to achieve a smooth and shapely body contour—in the case of the corset, while reducing the waist. The sensation of wearing it can provide a reminder to engage the deep abdominal muscles. Fatimah discovered a shapewear corset via her hairdresser, who uses it while working to prevent back pain. Fatimah comments:

If I wear it high, covering my lower ribs, it reminds me to engage my rib anchor, keeping my front ribs down and flush with my torso and avoiding swaying my back. I actually don’t find it comfortable to wear for long periods, so I’m getting good at remembering to use my rib anchor without it!

A black SKIMS “waist trimmer” shapewear corset
 A SKIMS corset, a modern piece of shapewear in a style made popular by Kim Kardashian. Pinterest

Ideally, we all have a strong, natural inner corset

Since our first human ancestors stood upright some 5–7 million years ago, we have acquired not only a J-spine but also a strong matrix of tissues designed to support and protect it. (You can read more about spine shape here.) We evolved perfectly to do this. Unfortunately, about one hundred years ago, our industrialized culture took a wrong turn in notions about healthy posture. Going forward into modern times, we have exported a distorted view of human posture to much of the world through our design, fashion, and manufacturing. This unraveling of global postural health and traditions is explained in more detail in my book, 8 Steps to a Pain-Free Back.

Fortunately, there remain traditional societies where healthy, pain-free posture is still intact, and they provide precious role models for us to learn from. The Gokhale Method® in-person Foundations and Pop-up courses, and our online Elements course, teaches how to stand, bend, walk, and even sit as these people do. The inner corset is also explained in detail in my book 8 Steps to a Pain-Free Back.

Drawing of the muscles of the inner corset on a standing female figure. 
The muscles of the inner corset include the deep intrinsic back muscles, the abdominis transversus, and the obliques. 

Photo of a young mother in Burkina Faso, headloading with baby on her back.
This young mother in Burkina Faso is using her inner corset to remain tall, stable, and relaxed while carrying on her head with her baby on her back. Headloading, done well, can encourage the inner corset to engage and the spine to align. Traditional posture principles really work!  

Strengthening your inner corset

There are few of us who can’t do without some attention to our inner corset. What you don’t want to do is common ab exercises such as the aptly named crunches, which squish your discs and crunch your spine, or, worse, sit-ups. You can read more about ab exercises here.

We recommend you start by learning to use your rib anchor, an ingredient of your inner corset, which will prevent you from swaying and compressing your lumbar area. You can watch our free rib anchor video here
If you would like guidance on any aspect of your posture, including ways to cultivate your inner corset and protect your back, consider scheduling an Initial Consultation, online or in person, with a Gokhale Method teacher.

How not to Hunch like your Parent and Grandparent

How not to Hunch like your Parent and Grandparent

Esther Gokhale
Date

Hunching over or rounding the upper back is often regarded as a hereditary characteristic. I frequently hear people say, “my back is stooped just like my mother, and her mother had it too.” 

Is a hunched back Nature or Nurture?

I agree that hunching is certainly a family trait—but it is largely a learned one, not inherited. 

We mostly learn our posture from our parents and family members. As we grow up, the role models around us in wider society also hold sway. Unfortunately, in our culture, these are usually pretty poor examples to follow. Our relationship to healthy posture has steadily been eroded over the past one hundred years, as I explain in my book 8 Steps to a Pain-Free Back.

Antique photo showing five adults sitting with healthy posture, c. 1900. 
Healthy, open posture, as shown here, was typical in Western societies until the late 19th and early 20th centuries. (Print donated by the Mendocino County Museum to the Gokhale Method Institute’s collection).

While it is true that some people have a greater genetic predisposition to these distortions, e.g., they may have slack ligaments which easily allow them to occur, these changes generally only manifest when a particular area of the body is subjected to sustained and inappropriate loading. When a person retains or relearns healthy posture, genetic predispositions have little opportunity for expression and for distortions to take hold.   

Mother carrying child on right hip, arms and shoulders back, Burkina Faso. 
This mother in Burkina Faso positions her head, neck, shoulders, and arms in a way that is harmonious with retaining an upright and mostly flat upper back. Her child is also experiencing healthy posture—his arms and shoulders posterior, his chest open.

Mother and daughter in standing forward bend, side view, straight legs, rounded back.
This well-meaning mother is unfortunately encouraging her daughter to round her back as she exercises. Pexels

Why does the upper back hunch?

In some respects, developing a rounded back is not dissimilar from developing bunions—both distortions are the body’s adaptation to a lack of support in the right place, and consequent overloading somewhere else. 

Bunions can form when the joint at the base of the big toe repeatedly takes weight that should be in the heel bone. This can be due to wearing a pointed or high-heeled shoe, or simply from habitually standing with weight through the forefoot rather than the heel. 

The upper back rounds when it is made to carry and counterbalance the weight of a forward hanging head, neck, shoulders, and arms. In healthy posture the upper body is supported by a more vertical J-shape alignment of the spine and the deep postural muscles, or “inner corset.” This prevents the spine from collapsing into an S-shape, C-shape, or I-shape. You can read more about spine shape here.

Sir Charles Walker, a British member of Parliament, being interviewed.
Sir Charles Walker, a British member of Parliament, being interviewed. A tucked pelvis will often result in a rounded upper back and forward head carriage.
Channel 4 News (UK)

How to improve rounded, head forward posture

One of the best steps towards finding your J-spine alignment is to realign your head over your body. To develop the deep cervical muscles which counter excessive neck curves, I recommend using the Gokhale™ Head Cushion, which was specifically designed for this therapeutic purpose. It mimics the beneficial effects of head loading, but with a safe amount of weight for people in a society unpracticed in carrying on the head. 

Indian man head loading heavy bundle, chest open, no rounding.
People who carry weight on their head push up against it using their deep neck muscles (longus colli) and inner corset. Their central axis remains tall, with no rounding of the upper spine.

Caution: If you have any neck pain, or suspicion of herniation or other degeneration in the neck, do not do this exercise.

Headloading is a rarely taught but highly effective means of lengthening, strengthening, and aligning the neck, and freeing the upper back.

Upright and open posture is your birthright

By not hunching you can:

  • Maintain your full height
  • Retain a more youthful appearance
  • Avoid muscular pain and tension, especially in the back and neck
  • Avoid nerve pain, impingements, and poor circulation in the shoulders and arms
  • Encourage the “inner corset” muscles to support and protect the spine
  • Avoid compression and degeneration in the spine, including bone, discs, and nerves 
  • Reduce your risk of osteopenia and osteoporosis in the spine as the bones receive
    the healthy stress they are designed for
  • Enjoy healthier breathing and digestion

Hunching is not an inevitable part of aging

Often people start to notice they are hunching in middle or older age, maybe because it has become more pronounced. Hunching usually starts as a postural habit much earlier in life, yet goes largely unnoticed if there is little stiffness or pain in the area—and it is not yet linked negatively to associations with the aging process. In many traditional cultures people preserve an upright posture well into old age.

Standing Ecuadorian loom weaver, chest open, no rounding.
A lifetime of seated work does not make hunching inevitable, as the upright posture of this Ecuadorian backstrap loom weaver shows.

Standing farmer from Yogyakarta, Indonesia, chest open, shoulders back.
This elderly man in Indonesia has retained posterior shoulders and a wide, relatively flat upper back.
Unsplash

Standing farmer from Yogyakarta, Indonesia, chest open, shoulders back.
This elderly farmer from the Yogyakarta region of Indonesia has preserved an open chest and shoulders that rest back. Unsplash

At whatever age you notice rounding in your back, it is important not to see it as inevitably leading to an extreme kyphosis (severe outward curvature) in the upper spine. Sometimes students come to us in dismay, perhaps shocked to have recently seen themselves so hunched in a particular photograph or video. Rather than despair, use this highly pertinent data as a springboard and incentive to return toward the healthy alignment you had as a young child. 

Young girl washing eggs at a sink, chest open, no rounding, Pennsylvania, 1940.
A young girl washes eggs for market near Falls Creek, Pennsylvania, 1940. She inclines slightly forward and lengthens the back of her neck to attend to the task. Her shoulders remain posterior, her chest open—no rounding over!
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How to mobilize a stiff upper back

In most situations using a suitable roller is my favorite way of mobilizing the upper back. It can ease stiffness in the vertebral joints, soften tight muscles, and improve circulation to the area. To ensure you get all of these up sides and none of the potential downsides from roller work, there are some important guidelines to follow:

  • Use a roller that is the right size, density, texture, is non-slip, and robust. The Gokhale™ Roller meets these criteria.
  • Rolling needs to be done with a safe technique and healthy postural form, not threaten injury to your back or neck.
  • New freedom in the upper back must be balanced with healthy posture to improve muscular tone and alignment. This prevents newly acquired “give” in the area from resulting in further rounding.

Caution: If you have osteopenia or osteoporosis, or suspicion of herniation or other degeneration in your spine, do not do this exercise.

The Gokhale™ Roller has been specifically designed to help you on your posture journey towards a happy, hunch-free back.

How the Gokhale Method resolves hunched posture

Posture education often starts when people analyze their online or in-person Initial Consultation photographs with a teacher. Gokhale Method® teachers have a lot of experience in reassuring people who have a kyphosis (rounded upper back), explaining the mechanisms that got them hunched, and the logical steps they can take to turn this unwanted trajectory around. The Initial Consultation starts the process of students fine tuning their ability to read posture. It can be a revelation. 

Initial education in Gokhale Method techniques and the resulting changes can be rapid. Most students soon realize how amenable to change the arrangement of the skeleton and soft tissue can be. Changes to rounded posture are not only possible, but almost guaranteed as students progress through our in-person Foundations or Pop-up course, or online Elements course.

In the case of bony rigidity that has been in place for decades, we work to get improvement around fixed areas, and to prevent it from getting worse. With persistence and patience, a surprising degree of bony changes can take place over time. As with all body tissue, bone constantly renews itself in response to the way it is arranged and used.

Felicia Grimke aged 32, hunching at the office, angled view, upper body.
Felicia Grimke, aged 32, was a very hunched and pain-plagued office worker.

Felicia Grimke (Gokhale Method alumna), tallstanding, side view.
Now a Gokhale Method alumna, Felicia continues to enjoy working on healthy posture and is virtually pain-free for the first time in many decades.

Many of our students have generously shared the story of their journey out of hunching and pain. Do be inspired by Felicia Grimke’s recent post on overcoming hunching, How the Gokhale Method Solved my Neck Pain and Transformed my Life, and sign up for one of our free online workshops below. 

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