hypermobility

Podcasts are one of my favorite media. It’s hard to reimagine a time when you couldn’t take your pick and enjoy their entertaining and compelling content. Over the years I have been invited to be interviewed for many podcasts about the Gokhale Method®, and for this blog post I would like to introduce you to three of my favorites, which I hope you will now enjoy if you haven’t done so already.

My Body Odyssey

A recent interview was for the Fluent Knowledge series, My Body Odyssey. Fluent Knowledge introduces their audience to experts who convey knowledge on important issues, topics, and trends in wellness, neuropsychology, media, and politics. It was a pleasure to discuss the root causes and solutions of modern back pain with them. 

Artwork by Emily Crocetti for Esther Gokhale podcast with My Body Odyssey for Fluent Knowledge

For the podcast I introduced Fluent Knowledge to my friend and advocate of the Gokhale Method, Dr. D.J. Kennedy, Professor and Chair of the Department of Physical Medicine and Rehabilitation at Vanderbilt University Medical Center, who you can hear in the brief audio clip below.

The podcast is an elegant production, weaving the Q&A between the interviewers and myself, along with Dr. Kennedy’s commentary and that of back pain contributors, in a well-constructed and informationally rich blend that is easy to listen to. I particularly like that it covers both the Gokhale Method’s respect for the ancient roots of healthy posture, and our engagement with modern science and technology to confirm and augment the efficacy of our teaching.

My cohosts were Brittany Thomas and Robert Pease, and it turned out that Robert was one of the 80% of Americans who suffer back pain. Hearing back from Robert recently, I am delighted to share that he is already experiencing substantial improvements by implementing Gokhale Method techniques: 

Fluent Knowledge also featured a complimentary blog post with an interesting timeline of posture pioneers which you can find here.

Screenshot from fluentknowledge.com

Listen to the My Body Odyssey podcast:  on Apple on Spotify  

Hypermobility Happy Hour

My second podcast pick goes back to June 2020 and a talk with Kerry Gabrielson, founder of the Hypermobility Happy Hour. Kerry’s podcast grew from her own experience, and is dedicated to discussing hypermobility conditions, including Ehlers-Danlos Syndrome (EDS). 

Artwork from Hypermobility Happy Hour

We talked about how COVID-19 had necessitated further development of our online teaching, giving rise to our Elements course. Kerry was quick to appreciate its potential for widening access to the Gokhale Method and enabling a greater impact on our runaway U.S. back pain statistics with a relatively low-cost, noninvasive approach.  

One of the challenges we both appreciated was the roller-coaster of raised and then crushed hope that many back pain sufferers ride. Musculoskeletal problems can be especially unpredictable for people with hypermobility conditions, and stabilizing the joints through healthy postural alignment, and knowing the techniques to get there, are key.

I was pleased to offer HHH listeners some practical posture guidance—how to engage their inner corset, the column of muscles in our torso that protects our spine from compression and jarring:

Since the podcast, we have been able to update Kerry on the launch of PostureTracker™, our 2-sensor Bluetooth wearable and app. I am particularly excited about its applications for people with hypermobility. For example, they can be particularly prone to hyperextension in the knee joint in standing, walking, and running, but PostureTracker™ can catch this in real time, giving users visual, audio. or vibration feedback and allowing them to self-correct. Kerry and I look forward to future conversations.

                 
PostureTracker™ will alert wearers when they inadvertently hyperextend their knees (a.). With Gokhale Method techniques and know-how they can then correct this habit and return to a safe range of motion (b.), preserving healthy knee joints.

Listen to the Hypermobility Happy Hour podcast:  on Apple    on Spotify    on SoundCloud

So Frickin’ Healthy 

My third podcast is Back in the Game, a podcast for So Frickin’ Healthy, hosted by Megan J. McCrory and Danna Levy Hoffmann. For this podcast I was joined by Gokhale Method teacher Julie Johnson.

Artwork from So Frickin’ Healthy

I experienced a serious episode of back pain while pregnant—in Julie’s case, her back pain started after giving birth to twins. If your posture is not as healthy and your structure not as robust as it might be, the extra stress of pregnancy or birth can be “the straw that breaks the camel’s back.” 

It is worth saying here that in pregnancy our structure has to contend not only with the additional weight of a baby (or two), but also the effect of increased relaxin. Relaxin is the hormone which helps loosen muscles and ligaments in the pelvis so it is ready for birthing, but it can also bring greater mobility throughout the body. This can leave a pregnant woman especially vulnerable to back and joint issues, including flat feet. And if you already have hypermobile joints, you can all too readily find yourself in extra trouble. 

Fortunately, as I, Julie, and the many Gokhale Method Alumni can testify, by aligning our bodies well and avoiding the pitfalls of poor posture it is possible to get “back in the game,” active, and pain-free once again.

Listen to the So Frickin’ Healthy podcast:  on Apple    on Spotify   

Spread the word

If you would like to let friends and family know about the Gokhale Method approach to back pain, please share our podcasts. 

Catch our new podcasts in the “In the News” section of our free newsletter Positive Stance (subscribe). You can find all our podcast recordings here on our website. 

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. . .

Flexibility in the body is generally regarded as a plus, and most people want more of it. Flexibility is seen to enable a wide range of motion, avoid muscle pulls, and spare wear and tear in overly tight joints. But like most things in life, you can have too much of a good thing. In this blog post we are going to look at why excessive mobility has a downside and how healthy posture can mitigate that.

An exceptional range of motion makes for a very “bendy” looking body. Enter the age-old art of the contortionist, a mainstay of acrobatic troupes, circuses, and fairs, which for centuries have enthralled and appalled audiences in equal measure. 

“The most Extraordinary Posture Master.” Wikimedia
Engraving of Joseph Clark of Pall Mall, London, England, by Thornton, c. 1690

What is hypermobility?

An unusual degree of flexibility is still sometimes referred to as being “double-jointed,” but this is poetic license and inaccurate—hypermobility is a better term. Hypermobility is usually due to laxity in the ligaments that holds one bone to another, forming the joint. Hypermobility enables more rotational movement in ball and socket joints such as the hip, more “bend” at hinge joints like the knee and elbow, and also larger angles of bend between the vertebrae of the spine. Hypermobility can be genetic, acquired by persistent over-stretching, or a combination of both. 

The Beighton score, along with other criteria, is used to assess hypermobility. It gives 1 point for each elbow and knee that hyperextends by 10 degrees or more (4 points), 1 for each little finger that bends back by 90 degrees (2 points), 1 for each thumb which can be touched to the forearm (2 points), and 1 for touching the floor with the palms. Wikimedia

Hypermobility can do damage

Unfortunately, there is a high incidence of injury associated with over-stretching ligaments, which lack abundant blood supply to repair themselves and the elasticity to return to their baseline length. Most professional dancers, gymnasts, or acrobats are trained from an early age to further enhance their natural flexibility with stretching regimens. But this can be taken too far. 

Israeli rhythmic gymnasts at the 2012 London Olympics. Note the hyperextension of the center gymnast’s standing leg,
 which bows backward. Wikimedia

A memorable example of taking flexibility and stretching to the point of damage was the career of gymnastics champion Olga Korbut. Having won gold at the 1972 Olympics she toured West Germany. In her autobiography she wrote, “During that tour of Germany, the lumbago in my back began to hurt more and more. The Novocaine injections took away the pain for a while, but I needed time to rest and heal. By the end of the tour, I walked as though I had a stake in my spine.” 

Olga Korbut demonstrating her prowess on the beam. Her upper lumbar spine is being pushed into significant curves. Alchetron

Protecting the spine

It is common to find vertebrae that have become hypermobile where the adjacent section of spine has become stiff and lacks movement. This can be a particular issue in movements such as a golf swing, where it is important that the rotation be distributed appropriately through the whole body rather than achieved by an extreme twist between a few vertebrae.

Tiger Woods follows through with rotation throughout his body, not just twisting at the waist. Flickr

Hypermobility in the spine can result in damage to all its structures. The vertebrae may lay down problematic extra bone in an effort to protect the area. The discs are also at risk of wear and tear and herniation, and the nerves risk compression. Muscles may become hypertonic (held tight) or spasm in an effort to stabilize the area and protect the delicate structures of the spine.

If you do have a genetic disposition to hypermobility, then it’s important to have adequate strength in the muscles surrounding the affected joints to maintain good alignment. Equally important knowledge of healthy posture will ensure you know how to find and keep ideal alignment. 

Protecting elbows and knees 

If you have hypermobile elbows and are on all fours, don’t “park” into those joints. You want to retain a little “give” at the elbow creases. This works the muscles around the elbow joints, affording them protection and encouraging the hands to also be responsive rather than compressing the wrist joints as they take all the weight. 

Avoid locking out your elbows, which pushes into the joints and further distends their ligaments. In the example above, the hands are inactive and all the weight is pressed into the wrist joints. Freepik

Similarly, if you have hypermobile knees, you don’t want your knees to go past straight to bow backward when standing. If this is a habit for you, join me on the 1-2-3 Move program on Monday, September 6 and I will show you a couple of dance techniques to displace this habit. You can also join Eric for Gokhale Fitness on Tuesday, September 7 when he will share an exercise approach to maintaining healthy knee joints.

If you would like to join either or both of these classes 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 or guest teachers 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)
Gokhale Moving Meditation with Roberta is Mondays at 2 p.m. and with Kathleen is Wednesdays at 12 p.m. (Pacific Time)

Flexibility in your body is a wonderful thing. It looks good, and feels good, but requires some wisdom in its usage. The Gokhale Method® approach to movement and exercise is always holistic, supports good posture habits, and develops the necessary strength to protect the joints from injury. 

If you would like an expert one-on-one assessment of your posture and flexibility you can arrange an Online Initial Consultation or take an in-person Initial Consultation if you have a Gokhale Method Teacher near you.