culture

As we approach International Women’s Day on March 8, I would like to share a few observations regarding gender and health made over the past three decades of teaching posture. Does gender affect back pain? Back pain and the posture distortions behind it are very democratic—people of all ages, activity levels, geographic locations, and gender are affected by cultural postural distortions. That said, some modern posture guidelines and expectations are gender-specific, and some of them affect women disproportionately. We will discuss posture guidelines for men another time. In this post, I’d like to address some of the messaging that is relentlessly addressed towards women and girls, and the consequences of this messaging.

Ah, Thanksgiving. For many of us, it’s a time for gratitude and connection. It’s also a time when many people’s minds turn to exercise to offset the rich and abundant food on the menu. How can we make that extra push, enjoy it, and not injure ourselves in the process? Due to the pandemic, more and more of us are working out at home, without our usual exercise partners or in-person access to recreational facilities. Now’s the perfect time to learn to work out smarter, rather than harder.

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

Neck pain is extremely widespread. It doesn’t help that most ergonomic furniture is not only unhelpful, but even counterproductive (the Herman Miller Aeron chair won the “cool” race in corporate America, and it’s my least favorite of all). We’re also surrounded by people who model poor (usually slumpy) posture with forward head — and whether we know it or not, it’s in our DNA to mimic what’s around. And last, but not least, our lay and medical experts have adopted a particularly counterproductive set of posture guidelines, including “chin up,” “chest out,” “stand up straight,” do crunches, tuck your pelvis — all of which harm the neck among other parts of the body. How can we learn to prevent neck pain?

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

Aarani silk from Tamil Nadu, Southern India. Aarani, a small town, weaves only silk sarees in 3-plied or 2-plied yarns, making it a lighter silk to wear. The first national flag of independent India hoisted at the Red Fort is rumored to have been woven in Aarani. Stacksitting helps showcase the saree in its full glory.

People who know me well have come to associate me with my posture work, my love for sarees — the traditional Indian unstitched garment — and my frequent travel owing to my management consulting work. This is an accurate perception: I love all these things.
 

Bhujodi cotton from Gujarat, Western India. Made in a small town near Bhuj, this Khadi fabric is fully made of organic

 

The oldest surviving dated Chinese Buddha figure shows surprisingly slumped posture. Note the forward head, absence of a stacked spine, and tucked pelvis. He would not look out of place with a smartphone in his hand!

This surprisingly hunched Chinese Buddha figure is the oldest dated Chinese Buddha figure that has survived into modern times. The inscription on its base dates it to 338 AD, 500 years after Buddhism came to China from India. Compare the Chinese Buddha figure with this Indian Buddha figure from roughly 800-1000 AD…
 

This North Indian Buddha figure from the post-Gupta period (7th - 8th century AD) shows excellent form. He has a well-stacked spine, open shoulders, and an elongated