exercise

Each generation brings fresh perspectives to the way they live their lives. 

Each generation finds its own way of looking at things…Image from Pixabay

One trend to emerge from the Millennials (born 1981–96) and early Gen Zs (born 1997–2012) is self-optimization. 

Personal optimizers are aiming to optimize their productivity, happiness, intelligence, and health. If personal growth is about doing the right things, then personal optimization is about doing things right.

Healthy posture and a pain-free body enable you to optimize your work, rest, and play! Image from Pickpik

So what do self-optimizers work on?

Optimizing can be about doing what you are doing better, faster, with fewer resources, to higher quality, and with better results. The optimizers’ mindset needs self-awareness: awareness of your preferences, and what choices you are making every day—look at all the options and pick the best one. 

Some examples of self-optimization include exercising regularly, taking care of your diet, managing time and stress, and getting enough sleep, all with the aim of making your body and mind more resilient against fatigue, negative mood, and illness.

Broadly speaking, optimization is the act of changing an existing process in order to increase the occurrence of favorable outcomes and decrease the occurrence of undesirable outcomes. And this is exactly what the Gokhale Method® does—it enables people to exchange unhealthy, damaging, painful posture, for healthy, healing, pain-free posture. This allows you to meet your potential for musculoskeletal health.

Gokhale Method students can use the latest biofeedback tech with the Gokhale PostureTracker™ to assist in optimizing their posture.

Healthy posture helps you walk your talk

Healthy posture gives you a body that is upright but relaxed, and super-comfortable to live in, with an athletic bearing that says you are ready for life. People instinctively perceive this in others, and it makes a positive impression. 

Wealth coach, life coach, and entrepreneur Ramit Sethi saw himself in a photo taken from the side, and didn’t like what he saw. Presenting himself well is a priority for Ramit, so he went looking for help—he had no idea if such a thing as a posture coach existed. Back last December, he spoke generously on his YouTube channel about his sessions with Gokhale Method teacher Cynthia Rose, which he described as “life-changing.” 

Ramit explains how he optimized his Gokhale Method sessions to a busy schedule in NYC. For Ramit, healthy, good-looking posture is one of life’s riches.

Rahul shares his posture optimization on Google

Rahul Reddy runs his own business doing analytics for internet startups. Before his Gokhale Method course he wrote, “As a result of many hours at my desk I’ve lost strength, flexibility, and most certainly good posture. My goals are: 

1) Better posture and physical activity habits on work days. I have picked up bad movement and posture habits as I spent more time building my business. 

2) Rebuild my strength in other activities—I maintain a small vineyard, and work with clay… and I did enjoy doing more with my hands during the pandemic. 

3) Continuous improvement and future-proofing. 

Rahul took our in-person Foundations course, and later our online Elements course. Among the many techniques he has learned in becoming pain-free, he knows to externally rotate his legs, roll open his shoulders, open his chest, lengthen his neck, and engage his inner corset. Rahul now enjoys a more stable, athletic, and symmetrical stance.

Rahul was delighted to get out of pain and enjoy his activities more than ever by learning the Gokhale Method. Thank you for your Google review, Rahul!

Don’t be a posture pessimizer

Ok, that’s not a real word, but if you are a posture pessimist then you might find yourself saying things like, “I think I inherited my bunions,” or “Everyone in my family has a rounded upper back,” or “Nobody in my family has a butt,” or “I’m learning to live with my back pain.”

These statements are usually premised on misinformation, or are wanting in alternative points of view and experiences. For example, a posture optimizer will know:

• Bunions happen due to poor stance and undue pressure on the first metatarsophalangeal joint.
• A rounded upper back is often a result of tucking the pelvis.
• A flat butt simply points to the fact that you haven’t yet learned to use your buttock muscles in walking.
• Just because back pain is common does not make it normal! We should expect to not have it.

You don’t have to be a Millennial to be an optimizer! Every generation stands to gain from being inspired by healthy, pain-free posture. We are passionate about helping all people discover their best, pain-free selves.

Best next action steps

If you would like to optimize your posture, get started by booking a consultation, online or in person, with one of our teachers.

You can sign up below to join any one of our upcoming FREE Online Workshops…

Taking the daily classes has helped me perfect the practice and really get the nuances. I am now able to accomplish the rib anchor, which I was struggling with. Also, the daily motivation that I get from checking in and feeling the energy from the group—it has just been an amazing opportunity.
Elizabeth Kubicki, Gokhale alumna

Gokhale Method® teacher and editorial writer Clare Chapman explores the When and Why of Gokhale® Exercise with its creator, Esther Gokhale.

Clare: Can you tell us how the Gokhale Exercise program got started?

Esther: For a long time now, our teachers and I have been surprised at how much our alumni—graduates of our courses—can forget. This despite their being delighted by the courses and their results. Of course, it shouldn’t be surprising at all, given that humans have forgetting curves as surely as they have learning curves, and that our beginner courses cover a lot of material in a short time frame. 

The forgetting curve was developed by German psychologist Hermann Ebbinghaus and depicts the way learned information falls away over time. Research confirms that, on average, students forget 70 percent of what is taught within 24 hours of a training experience. 90 percent is forgotten within a week. Image: www.organisingstudents.com.au

On January 1, 2020, I decided to try a new format—an online 21-day challenge. Each broadcast was short, reminding alumni of one basic principle of the Gokhale Method that would be familiar, if semi-forgotten. I chose it to be an exercise program to additionally fill the well-understood need for more movement in daily life.

Esther answers a question from Gokhale alumna Elizabeth Kubicki about the posture principle of straightening the back leg in speed walking.

Clare: And before long COVID hit, correct?

Esther: Yes, along with shelter-in-place orders. It became clear people would be stuck in their homes without their usual access to sports and exercise facilities, or their usual interventions for their aches and pains. We had a tested offering whose value had suddenly increased dramatically—it felt important to continue the program, and also to open it up to a wider audience. It gathered a large number of daily participants and evolved to include a great variety of music and dance, art, anatomical education, community and mutual support. Many participants told us that this is what kept their bodies and spirits afloat through the dark period of the pandemic.

Clare: How did Gokhale Exercise evolve its current format?

Esther: Gokhale Exercise started with 1-2-3 Move, which uses dance as the vehicle for posture education and entertainment. It continues to this day without having missed a beat! The 13-minute class is our main program, focusing on 1 posture principle, 2 dance moves, and 3 images. It is preceded by a joyous, free-form, 15-minute Dance Party.

Dance is a human universal, and besides providing a fun way to revisit posture principles, it improves cognition, staves off dementia and depression, brightens spirits and community feeling, and more. Traditional dance is especially true to our ethos of taking lessons from other cultures. Various members of our teacher team contribute: Sabina has deep knowledge of blues and swing styles, Eric loves Latin, and Lang is expert in Capoeira and Brazilian dance moves. My passion is Indian, Brazilian, and Congolese dance​​. . .

Gokhale Exercise has now blossomed into multiple offerings, adding Gokhale Fitness, Moving Meditation, Fitness for Cyclists, and Yoga, with an increasing number of teachers offering their expertise throughout the day. 

Gokhale Exercise teachers enjoy sharing their movement expertise with a “Gokhale filter.” 
Top left to bottom right: Roberta, Julie, Esther, Kathleen, Eric, Sabina, Tiffany, and Lang.

Clare: Can you say more about how these different forms of exercise encourage healthy posture?

Esther: Every 1-2-3 Move class uses traditional rather than modern dance moves. This comes with a level of reassurance about their suitability for the human body; we know these moves have been vetted by entire populations who didn’t have modern pain. 

Gokhale® Yoga, Moving Meditation and Gokhale® Fitness also explore posture principles that are not emphasized or respected in the average class: anchored ribs, recruiting the inner corset, kidney-bean shaped feet, etc. Respecting the body’s natural blueprint enables us to increase fitness, strength, and flexibility without risking injury. 

Across all the classes we follow a Posture Principle of the day—for example, Healthy Rotation of the Torso—so whichever class(es) students participate in, they get the range of healthy posture reminders they need at regular intervals. 

Each Gokhale Exercise email comes with a daily Posture Principle image to remind and inspire. This vintage baseball illustration shows healthy rotation of the torso while keeping good form throughout the body.

Clare: Who attends the Gokhale Exercise program?

Esther: Classes span a variety of pace and challenge, so for example, our Gokhale Moving Meditation classes are gentle enough for even the most physically challenged members of the community, while Gokhale Fitness pushes almost everybody’s boundaries (while giving easier modifications of the exercises offered). 

Clare: Is the Gokhale Exercise program suitable for beginners?

Esther: The ideal starting point for beginners is to take one of our comprehensive courses (the in-person Foundations course, or one-day Pop-up course, or our online Elements course). This is especially true for those suffering pain or dysfunction. In these courses, students can learn with optimal sequencing and detail, and get the one-on-one attention they need. For students who would like a free introduction to the Gokhale Method we recommend signing up for an in-person or online free workshop. For comprehensive personal advice, consider taking an in-person or online Initial Consultation to determine which course is best for you. 

Many people start with the Gokhale Exercise program because it has a free trial week and costs very little thereafter—we are glad to be able to provide this service for people who cannot afford our courses or who are curious to see what our offerings are like. Having the program open to the public also means that alumni can invite their friends and family members along to try it without any obligations.

Clare: What is next for the Gokhale Exercise Program?

Esther: We want all our students to have a minimum of one month’s live support, available every day, as they approach the end of their courses. So we are delighted to announce that all our valued alumni—from the in-person Foundations, Pop-up, or online Elements courses—will be gifted a free month’s membership of our Online University, which includes the Gokhale Exercise program!

Online University member Claire Phillips explains how membership has inspired her progress.

In addition to Gokhale Exercise, our Online University additionally offers two 45-minute Live Chats every month with me, Esther Gokhale. Topics include flexibility, the human spine, posture and emotional health, to squat or not to squat, and more. There is also unlimited access to our On-Demand Video Library of over 60 topics including advanced posture techniques and practical applications like gardening, cooking, etc.

Clare: Thanks Esther, Gokhale Exercise is an inspiring and continuing journey!

FREE 10-Day Back to Basics Challenge

Alumni often tell us they get a lot of benefit from reviewing the basics—so we are also offering an exciting Back to Basics Challenge, designed for alumni, but also open to beginners, as part of our 1-2-3 Move program and starting September 26 for 10 days.

Here is the Challenge:

Each class will review a different Posture Principle, with exercises for practice and challenge. We have prepared a downloadable booklet for participants to print and journal their postural changes and progress. 

How to take part:

Online University and Gokhale Exercise members automatically qualify for this challenge—their daily emails will tell them about it. 

People who have not yet taken a Gokhale Method course and who are therefore not alumni are also welcome to join, and listen in to the Q&A sessions by signing up to our Gokhale Exercise program with a monthly subscription—with our free trial you can test it without any obligations.

We look forward to seeing both new and familiar faces! 

Gokhale Method alumnus Ben Bernstein PhD appreciates daily reminders of what to work on.

People are sitting poorly and continue to blame sitting for their back pain. We believe the solution to this problem is more urgently needed than ever… and that the solution is now more readily available than ever, given one of the Gokhale Institute’s recent projects. I am excited to tell you about The Secrets to Pain-Free Sitting, a pledge show we made with producer Frank Zamacona for American Public Television (APT). 

The Secrets to Pain-Free Sitting TV show teaches techniques to sit comfortably, including using your backrest to give gentle traction to the spine. Here I am helping Susan van Niekerk, a key member of our admin team, to stretchsit. 

Gokhale Method teacher Eric Fernandez enjoys a reclined version of the highly therapeutic stretchsitting technique. 

Sitting has become a problem

In recent years people have become confused about and even afraid of sitting. Sitting is considered problematic in our society, both because it is associated with an unhealthy level of inactivity, and because it is generally done with poor posture, leading to discomfort and pain. 

In recent decades a range of books and audiobooks have given the impression that sitting is the enemy of movement. In truth, both are important and both need to be done well. 

Inactivity has been baked into aspects of our culture for many decades, caused by various factors including long hours of desk work, the design of our environment, and car use. I have long advocated frequent exercise breaks from sedentary work, as well as active recreation. We recently started Gokhale Exercise as a contribution to positive change in this area, and it’s already helping our Alumni community to get fitter, stronger, and more flexible while they continue to improve their posture. By learning good form while exercising, they are also reducing their risk of injury and wear and tear.

The pain and discomfort that many people experience when seated for any period of time understandably gives sitting a bad reputation. Given that the mission of the Gokhale Institute is “to make back pain rare,” should we be discouraging people from sitting? I don’t believe so. 

I prefer to celebrate the fact that sitting is a natural, universal, and important human activity. I would go so far as to say human civilization requires it. There are many tasks that benefit from the rest, stillness, and mental focus afforded by sitting. Imagine nursing a baby, playing the piano, writing a book, creating pottery, watching a movie, eating a meal, or taking a flight, without being able to sit!

Sitting has enabled human civilization to develop all manner of skills, talents, and ideas. Unsplash(bottom image)

The Gokhale Method® approach to preventing and healing back pain is based on observing traditional societies around the world where people report very low levels of back pain and few other musculoskeletal problems. People in these traditional societies have maintained healthy posture and also sit as part of their daily lives, sometimes for long periods doing crafts or preparing food. And they sit on all kinds of seats, not only on the floor or squatting. The key is that they sit well.

People in different traditional societies all over the world share the ability to sit well. Here you see people in Africa, Thailand, and India.

Gokhale Method students learn these natural posture principles, plus the techniques they need to implement them. They discover healthy ways to go about their daily tasks, work, sports, hobbies, and even sleep positions. This process builds strength and resilience in the body, minimizing compression, tension, and degeneration. 

Since the COVID-19 pandemic, there have been reports of and also research into an increase in back pain¹. There are likely several reasons for this increase which are related to sitting poorly. Many people switched to working from home, hunching over laptops, rather than using their usual office workstations. There was also much more remote working in general as, where possible, activities that had been done in-person switched to online platforms. For example, the Gokhale Method, in addition to teaching in-person Foundations and Pop-up courses, developed our online Elements course. 

This graph shows an increased number of tweets in the US about back pain in November 2020, during the pandemic, as against the lower number of such tweets the year before.¹ www.ncbi.nlm.nih.gov

Years of experience assure me that not only can sitting be pain free, but that it can be done in ways that are positively therapeutic for the back and spine. This knowledge is exactly what we want to take into the American home with our 45-minute show. Below is a trailer to whet your appetite!

Enjoy this short preview of what’s in store with our Secrets to Pain-Free Sitting TV show.

The network uptake for Secrets to Pain-Free Sitting has already exceeded expectations. The show began airing on June 2, 2022, and as I write this, 32 networks have already screened the show. You can find the air dates for Secrets to Pain-Free Sitting in your area here. Should you need to request for it to be shown in your area, you can email APT at [email protected]. We hope you will enjoy watching it and recommend it to your friends and family. 

To complement the TV show, we are offering a number of special online workshops where you will be coached in 5 Top Tips for Sitting Well. In these bespoke workshops Gokhale Method teachers will be helping me to give you personal attention and answer your questions. I look forward to seeing you there! 

References:

¹ Krzysztof Fiok et al. “A Study of the Effects of the COVID-19 Pandemic on the Experience of Back Pain Reported on Twitter ® in the United States: A Natural Language Processing Approach.” Int J Environ Res Public Health. May 2021; 18(9): 4543. PubMed (Apr 25 2021) doi: 10.3390/ijerph18094543

Our Free Online Workshop program continues as usual:

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)

   
If you’ve found yourself in a slump these past months, you aren’t alone. Exercise can support mental wellness if you go about it skillfully. Image courtesy United Nations COVID-19 Response on Unsplash.

It’s no secret that depression and anxiety are rampant these days. So many people worldwide are feeling the effects of the ongoing pandemic, and dealing with its many, varied results, not to mention other stressors. It can seem that there is so little in our lives that we can have influence over, exacerbating feelings of powerlessness and depression.

In addition to the range of standard therapeutic interventions like psychotherapy and medication, there’s something all of us can adopt that will help boost our mood: adding exercise to our routine. However, it pays to be skillful in trying this approach. Here are a few practical pointers for how to realistically approach exercise when you’re depressed.

When you’re just starting (or even simply trying) to emerge from your chrysalis, it’s important to be gentle with yourself and set modest, realistic goals. This extends to starting exercise while also dealing with depression. Image courtesy Miriam Fischer on Pexels.

If You’re Depressed, Set Small Exercise Goals
When someone is depressed, it’s crucial to have realistic expectations for how much exercise they are likely to be able to do. A depressed person isn’t merely being “lazy,” and can’t simply “snap out of it” and go run a marathon; there is a physiological cause at work. In severe cases, it can take significant effort merely to get up out of bed. Because of this, setting the bar low and taking a gentle approach is the most likely to yield good results.

Could you commit to taking a few deep breaths when you get out of bed? Or how about a little no-judgment, freestyle dancing?

Finding alternate ways to connect during COVID times can be a great boost to our well-being, both physical and mental. Image courtesy United Nations COVID-19 Response on Unsplash.

Exercise in (Virtual) Company to Combat Isolation
Just like the “oomph” to easily get out of bed, both motivation and accountability can be hard to come by for people dealing with depression. I recently came across a great quote by Keith Johnsgård, PhD, emeritus professor of psychology at San Jose State University and author of Conquering Depression & Anxiety through Exercise. “Having social support for exercise is crucial when you’re depressed,” he says. “A lot of folks won’t exercise on their own, so I tell patients to enlist a family member or good friend to be their exercise partner. It should be someone who is willing to help them...exercise every day.”

Considering the limitations of the pandemic, virtual fitness is a great option for connecting with others safely. If you have a low day you have the option to turn off your camera and still participate without “showing up” — you won’t have missed a session, and odds are you will feel all the better for it.

Exercise in ways that improve flow in your body
According to Chinese medicine, “liver Qi Stagnation” is a common contributor to depression. The solution is to get the Qi flowing; exercise and movement are important ways to make that happen. If you prefer to think in terms other than Chinese medicine, exercise stimulates both blood circulation and our natural “happy hormones”. At a moderate intensity, 20 minutes or so of exercise stimulates the body to release endorphins, giving the “runner’s high” that joggers so enjoy. 

Less talked about are the benefits of low-intensity exercise sustained over time. Even at this level, you can feel better because your brain chemistry changes. Dr. Michael Craig Miller, assistant professor of psychiatry at Harvard Medical School writes "In people who are depressed, neuroscientists have noticed that the hippocampus in the brain—the region that helps regulate mood—is smaller. Exercise supports nerve cell growth in the hippocampus, improving nerve cell connections, which helps relieve depression." 

Just like the rest of nature, our bodies require a lack of impediments in order to function optimally. According to traditional Chinese medicine, getting your liver Qi flowing with exercise is one way to help clear the stagnation of depression. Image courtesy Tom Fisk on Pexels.

Some forms of exercise offer benefits beyond the usual and customary. Exercise that improves your body architecture, posture, and movement patterns, sets you up for benefits 24/7 — your flow is augmented even as you sleep, sit, and stand, and you are much more likely to proceed doing your daily activities with the same health-enhancing form.

In the Gokhale Exercise program, born on January 1, 2020, the focus is on one movement principle a day — this keeps it digestible and fun, even if you are starting off feeling a little (or a lot) glum. Even through a Zoom window, it’s possible to siphon a little of the high energy that has built in this community over the past year and uplift your mood. In addition to high spirits, the community is generous in sharing their discoveries, thoughts, and feelings. For many who have written emails to me, as well as for myself, the support has been invaluable through difficult times.

Would you like to let us do the heavy lifting and just show up to one of our daily programs? Change the course of your New Year with a new exercise program, new habits, and bolstered spirits. 

SUBSCRIBE NOW
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Good posture is so important for any workout or athletic endeavor. Exercise of the day: planks!

People often lose their structural integrity by dropping their hips and letting their lower back arch, or by tucking their pelvis, rounding their back, and pushing their shoulders forward.

Left: Poor form marked by dropped hips and arched back. Right: Poor form marked by rounded back and forward shoulders.

It does take more work for your abdominal muscles, particularly your internal obliques, to maintain proper form...but when you're planking, isn't that what you're going for?? Don't fool yourself into thinking you're getting a better workout by doing a longer plank with bad form!

Characteristics of a good plank include an elongated J-spine, an anteverted pelvis, and shoulders that remain back.

Keep in mind that you are a precision instrument — you have intricate parts that have a very particular baseline architecture. When you stray from the baseline and then load the structure in exercise, you may be irritating tendons, bursa, and muscles, stressing bony surfaces in ways that cause bone spurs to form, and blocking circulation. People sometimes look to exercise to fix alignment, but it’s best to focus on alignment directly to fix alignment. This is usually obvious in inanimate objects. If your car has a crooked axle, you know it needs to be fixed directly; you wouldn’t think to drive extra hard to fix the axle! It’s similar in your body — fix your alignment to make your exercise safer. And as a bonus, you’ll get more out of your exercise, too!

The American College of Physicians (ACP) has just issued new Clinical Guidelines for the non-invasive treatment of non-radicular lower back pain (pain that does not radiate from and is not caused by damage to the spinal nerve root).

Since the last guidelines were issued in 2007, the ACP has dramatically revised the medical solutions commonly offered for back pain. Many interventions that were once routinely administered to back pain patients, having proven to be ineffective or counterproductive for back pain, are no longer part of the guidelines for doctors. Surgery, cortisone and nerve blocking injections, X-rays, and MRIs are all discouraged in back pain cases where they used to be a part of standard care.

A lot of the what used to be standard of care for back pain is no longer recommended.

The new guidelines issued last month also discourage the use of pain medications as a treatment for back pain. The recommendation is based on extensive data showing that pain meds (whether over-the-counter, prescription NSAIDs, or opioids) are ineffective in back pain treatment. Strong painkillers may help to mask symptoms, but do little to actually treat the cause of pain. As painkiller addiction has become a serious large scale problem, it is commendable that the ACP has taken this bold move to discourage the overuse of a common but ineffective and potentially harmful intervention.

The new ACP guidelines discourage the use of pain medication to treat back pain.

What is sadly missing in the guidelines is an enthusiastic endorsement of any intervention. Physicians and patients are advised to try non-drug therapies, but this is followed by the lukewarm statement “physicians should select therapies that have the fewest harms and costs, since there were no clear comparative advantages for most treatments compared to one another.”

In 2017 mainstream medical practice, there is still no satisfactory understanding of the root causes of back pain, nor robust treatment to eliminate it. I dream of a future when randomized controlled trials (RTCs) validate what Gokhale Method students and teachers experience, and what our recently collected data and the data on healthoutcome.org suggest. Imagine if the Gokhale Method became part of standard protocol for back pain! Here are some key ways that would play out:

1. The ACP guidelines correctly recommend that people resume “normal everyday activities” as early as possible. This would take on a whole new meaning! Often, people develop their aches and pains from the ways they slump-sit, round-bend, jerk-walk and so forth. How could sending such a person back to their “normal” everyday activities constitute a sensible measure? The Gokhale Method would help these people transform their slump-sitting and arch-sitting into stretchsitting and stacksitting. They would learn to hiphinge not round-bend, and glidewalk not jerk-walk. Previously injurious everyday movements become comfortable and therapeutic. Now life becomes a gym and a playground, and the recommendation to do "normal" activity makes eminent sense to the back pain sufferer.

Bending is a healthy everyday activity if and only if one has good form.

The recommendation to do exercise, yoga, and other augmented activity would become a more robust recommendation. With Gokhale Method principles integrated into exercise and yoga, there’s less risk of injury and more leveraged benefits to be had.

Yoga done wth good form bestows many benefits; yoga done with poor form can result in injury.

2. Some medical interventions, that went through cycles of being over-used and then booted out, may well have a new role and relevance when used to supplement a robust postural re-education program. Medical science will continue to improve in determining which interventions work in which circumstances. Pain meds, spinal injections, and even surgery have more of a place as palliative or auxiliary measures if they facilitate new learning which gets to the root cause of the problem. They provide a window of opportunity to learn new posture ways without acute pain and symptoms getting in the way of being able to concentrate and function.

Coupled with posture training, a lot of medical interventions for back pain acquire a new role and relevance.

For example, if someone gets spinal surgery but then goes back to their old habits, their pain is likely to come back, and the surgery may be deemed ineffective. But if instead they use the temporary pain relief from surgery to learn new habits from the Gokhale Method, their pain is less likely to return. In that case, the surgery will have been part of a more integrated and ultimately successful approach.

Similarly a more circumspect use of pain meds could facilitate learning new posture ways, getting to the root of pain, and, in turn, eliminating the need for pain meds.

The Gokhale Method doesn’t just combine well with wise medicine, exercise or therapeutic interventions, it can redefine them. For that reason we’re looking forward to being adopted into standard care guidelines one day—wouldn’t that be lovely?

Join us in an upcoming Free Workshop (online or in person).  

Find a Foundations Course in your area to get the full training on the Gokhale Method!  

We also offer in person or online Initial Consultations with any of our qualified Gokhale Method teachers.

1. Take frequent breaks to stand up and stretch

2. Sit up tall

3. Stretch out on your side

4. Or your back

5. Take time to play

6. And exercise!

7. Bend at the hips

8. You can sleep on pillows

9. Or hard surfaces!

10. Great strength requires great rest

11. Sometimes it’s good to push your limits of strength,

movement,

and patience and persistence

12. Surround yourself with loved ones

13. And lastly, enjoy yourself!

In this season of shorts and bikinis it is easy for us to pick ourselves apart. Wanting to take care of our bodies is a natural, healthy impulse, but when it gets focused on body image it can become an unhealthy obsession. You can help transform negative thoughts about the shape of your body, or the wrinkles on your face, into positive ones by focusing on posture.

Young children have great posture, great strength and flexibility, and an intact sense of self.

Posture helps us work on our bodies in a healthy way that gives immediate rewards for little effort and no expense. Short of pricey interventions, those wrinkles won't disappear. Exercise can help us lose weight and become stronger, but it won't happen overnight. With posture, however, you can improve your physical appearance and feel healthier in a matter of seconds. You'll increase circulation, improve your breathing, begin to build muscle in the core and buttocks, and find an outlet for the mental energy that would usually fixate on the shape of your thighs or the bulge around your middle. 

The Greeks placed a great emphasis on form - and the beauty that goes with it.

With posture we can let ourselves obsess a little. Check that every vertebra in your spine moves with your breathing. Squeeze the glutes on the rear leg with every step you take.

Teacher Charlene Hannibal showing excellent form in performing ballet. Her torso retains it’s original shape as her arms and legs are compellingly expressive.

By remembering to angle the pelvis forward, roll the shoulders back and glidewalk, we can focus all that mental energy on something that will help us rather than hurt us.

I've used this technique successfully with high school girls whose body image had deteriorated to the point where it was contributing to anorexia. By giving these young girls another outlet for their desire to control their bodies and their lives, we slowly replaced unhealthy obsessions with healthy ones.

Esther teaching posture / dance to a group of teenagers in high school. This is an age at which it is very important to establish a sense of self that is health-based rather than fashion- or imperfection-based.

It's a good thing to care about our bodies, but we need to care in ways that promote health, rather than destroy it.

Best,
Esther

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