rounding

Pants, Posture, and a Pain in the Back

Pants, Posture, and a Pain in the Back

Esther Gokhale
Date

As we transition from the winter months into spring, many of us will search in our wardrobe for lighter weight clothing and perhaps some lighter colors. One thing we often overlook when it comes to choosing clothing is how it affects our posture—including whether it risks giving us back pain, or helps to resolve it.

In this blog post I would like to consider two main posture criteria when choosing pants: 

  1. Do the pants allow healthy pelvic anteversion, or do they tuck your pelvis?
  2. Do the pants allow healthy bending from the hips?

Woman with stroller wearing skinny jeans that tuck her pelvis.
Tight-fitting jeans and pants may restrict the hips and tuck the pelvis. Pixabay

Do your pants allow for a healthy pelvic position, or tuck your pelvis?

Tucking the pelvis has been perpetuated by the fashion industry for over a century. Since the 1920s many modern clothes have been designed and modeled to reflect this fashionable pose, which has now become common in our culture. Unfortunately a tucked pelvis:

  • Compresses your L5-S1 disc and nerves
  • Compresses your pelvic organs
  • Distorts your hip joints
  • Rounds your upper body forward and/or sways your back

French fashion magazine cover showing two women with tucked pelvis, 1920s.
This French fashion magazine cover from the 1920s shows the new “relaxed” posture which translates as tucking the pelvis and slumping.

How fashion pants are cut to tuck

In the case of jeans and fitted pants, cutting them with less fabric in the rear means that the gluteal muscles don’t have enough room to settle naturally behind and the pelvis is forced into a tuck. With the glutes more underneath than behind (they are called your “behind” for good reason!), these muscles are mechanically disadvantaged. They will consequently work less well to propel you forward in walking, which causes a loss of muscle mass and a weaker, flatter butt. As clothing manufacturers then produce pants to fit this shape, the cycle is perpetuated.

Dress pants are usually designed to hang best on a tucked or retroverted pelvis, albeit less severely tucked than with tight jeans. They are usually tailored with a horizontal waistband. In the Gokhale Method® we teach that a naturally well-positioned pelvis is anteverted, which is best matched by a waistband that angles down slightly in the front, and a cut that is roomy behind.

Two Ubong tribesmen from Borneo, Indonesia, back view
Children, our ancestors, and people in traditional societies such as these Ubong tribesmen from Borneo, have the pelvic anteversion that is natural for our species—and report remarkably low levels of back pain. 

Three drawings of lower spine and pelvis, tucked, anteverted and swayed.
A tucked pelvis (a) compresses the front of the lower lumbar discs, and stretches the muscles and ligaments of the back. An anteverted pelvis (b) angles down at the front allowing the lower back to stack straight. This requires a healthy angle at the L5-S1 junction at the base of the spine.
Tilting the pelvis forward without a healthy L5-S1 (c) sways the back and compresses the back of the lumbar discs.

Choose pants that are designed to allow movement

In general, activewear such as pants for yoga, climbing, hiking, and horse riding will be better cut than fashion wear and allow for anteversion of the pelvis. Horse riding pants often have a generous amount of fabric in the seat as this sport generally encourages a high level of activity in the glutes and includes healthy instruction on pelvic position.

Four images of Esther Gokhale dancing in riding pants.
Two of Esther’s favorite pants are horse riding pants, manufactured by Horze. They are ideal for Gokhale Exercise sessions. (1-2-3 Move, Freedom in Clothing, September ‘22.)

Unfortunately, even clothing designed for exercise can reflect the same unhealthy form that dominates the fashion industry. Don’t assume that just because a pair of pants or leggings are sold for fitness and made from stretchy fabric that they won’t nudge you into a tuck.

We find many of our students have been misguidedly coached to maintain a tucked pelvis, especially in weight training and certain ab exercises. These students, eager to remain active but desiring to lose poor posture habits, respond especially enthusiastically to the cues we teach in our in-person Foundations course, one-day Pop-up course, and our online Elements course, and are able to maintain good posture habits in our Gokhale Exercise program.

Woman sat on floor with tucked pelvis and rounded back reaching forward.
Exercises done with a tucked pelvis and rounded back will reinforce poor postural habits and can damage the spinal discs and ligaments. Pexels

Do your pants pass the hip-hinge test?

Whenever you try a new pair of pants, give them the “hip-hinge test”. Hip-hinging is the way that you instinctively bent as a young child, and it is the way your ancestors bent. It continues to be used by people living in traditional societies around the world. Hip-hinging describes a forward bend that happens at the hips as the pelvis rotates on the thigh bones while the back remains straight, as opposed to a bend that happens in the spine and rounds the back. 

Painter tucking his pelvis and rounding his back to bend.
This painter is tucking his pelvis and rounding his back to bend. Pexels

Drawing, The Carrot Puller, woman bending, by Van Gogh 1885.
This woman’s clothing allows her to externally rotate her legs, rotate her pelvis on her thigh bones, and keep her back straight. Drawing by Van Gogh, The Carrot Puller, 1885. Arctic

The major benefits of hip-hinging are that it preserves the spinal discs and nerves, mobilizes and lubricates the hip joint, and preserves natural hamstring length. By contrast, rounding the back damages the spinal discs, nerves, and ligaments, allows the hips to stiffen, and permits the hamstrings to adjust to a short resting length. 

In my field research and teaching, I see a strong correlation between those who bend well and those who live pain free well into old age, while those who round their backs often experience pain no matter how young they are. I’ve found that traditional and ancestral clothing tends to be looser to allow the freedom of movement needed to hip-hinge. 

Esther Gokhale holding up traditional Thai pants to camera.
These traditional hand embroidered Yao pants from the highlands of Thailand have a gusset in the center, allowing plenty of room for bending and stretching. (Alumni Live Chat, February ‘22.)

The hip-hinge test has two criteria—you want freedom of movement, plus you don’t want your intergluteal cleft (otherwise known as butt crack!) to be exposed.

Man bending with tucked pelvis, rear view, showing intergluteal cleft.
It’s easy to spot when pants don’t allow enough room for bending and encourage the pelvis to tuck! Flikr

Having discovered the benefits of hip-hinging, many students find they no longer want to settle for restrictive pants or jeans. They usually consider getting rid of these items a good trade-off for the pain relief and increased function that comes with this change.

Are some brands better than others for healthy posture

It’s our company’s goal that one day unhealthily cut pants will not be viable in the marketplace—but we will need a few more years to get there! In the meantime, when you do find a really good fit, you might want to consider buying additional pairs to future-proof yourself against the vagaries of fashion. 

I generally steer clear of recommending brands because their styling can change. Also, what fits one person well may not work for another. That said, please comment below if you have a favorite brand or style that you have found to be posture-friendly.

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. . .

Home Exercises Part 3: Cat-Cow

Home Exercises Part 3: Cat-Cow

Esther Gokhale
Date

This is our third blog post in the series where we put popular exercises under scrutiny to examine how they stack up—or not—against the principles of healthy posture. Here we are looking at “Cat-Cow,” a common exercise for mobilizing the spine.

Cow is one of the “holy cows” of conventional exercise. Done on all fours, it puts the spine into extension (swaying). It is paired with Cat, which puts the spine into flexion (rounding). Alternating between these postures is widely considered to be a good or even necessary exercise for mobilizing the spine.


Cat-Cow is widely considered to be a good mobilizing exercise for the spine—but there is a big downside. Pixahive

Alternating between extreme extension and flexion stresses the joints of the spine, which then sustain wear and tear. It also results in the surrounding muscles stiffening to protect the spine. True, it can feel good to stretch out tight muscles in this way, but rather than relying exclusively on repeated extension and flexion, it’s better to address the underlying cause of the stiffness, which is usually poor posture. People with good posture are not compelled to do this sort of exercise. 


Arching the back (above) and slumping (below) are common but damaging postural habits 
that we do not want to reinforce in our exercises.
Freepik

In addition to the real-time wear and tear in the spine, Cat-Cow reinforces the poor postural patterns of arching and slumping that are common in our culture. 

Many of us arch the lumbar spine to be “upright.” This compresses the discs, nerves, and soft tissues of the lower back which leads to degeneration, pain, and dysfunction. It is also common to slump the upper back when sitting or standing. This progressively overstretches the spinal ligaments, increasing kyphosis. Cat-Cow augments both these common characteristics of modern posture. 


Cow (above) can deepen and compress an already tight lumbar curve. Cat (below) will then overstretch an already rounded upper back.
Both movements compound common posture problems.

If the chin is lifted and the neck is swayed in Cow, this will additionally put pressure on the cervical joints.

Due to its horizontal orientation, without an awareness of healthy posture, this is an exercise that encourages the abdominal muscles to “switch off” rather than retain a healthy baseline tone. Hanging the abdomen from the lumbar area like a deadweight encourages exaggerated distortion of the lumbar spine.   

After compressing the lower back in Cow pose, most people then round into Cat to stretch it out. Training the upper back to hunch in Cat will then send the shoulders and head further forward in daily posture. Rather than mobilizing the spine, Cat-Cow can create a destructive spiral of a tight lower back and an overstretched upper back. 


Rather than encouraging even length throughout the spine, Cat-Cow pushes deeper into the existing curves. Freepik 

If you are concerned that the yoga or exercises you do could be exacerbating a habit of arching and/or slumping, we recommend exploring how to modify your regimen in an Initial Consultation. You can arrange an Online Initial Consultation or an in-person Initial Consultation if you have a Gokhale Method® Teacher near you.

The 1-2-3 program on Monday, August 9 will show you how to do a modified Cat-Cow. In Cat you will learn to stretch the upper back without overdoing it, and how and why not to round the lower back in the process. In Cow I will teach how to restrict the concave sway in the lower back while giving a satisfying stretch through the thoracic spine where it will do no harm. You will learn how to invite the right amount of movement in the right parts of your spine.

If you would like to join the Cat-Cow class but have not yet subscribed to the 1-2-3 program, sign up now for your 7-day Gokhale Exercise Free Trial.


1-2-3 Move happens daily with Esther at 9:45 a.m. (Pacific Time)
Gokhale Fitness with Eric runs Mondays, Wednesdays, Fridays from 7–7:25 a.m.
(Pacific Time), and Tuesdays, Thursdays, Saturdays from 3–3:25 p.m. (Pacific Time)

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!
Pinterest

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. 

Subscribe to rounding