stretchsit

Written by Lori Szalay, Gokhale Method Teacher

Here’s a little story I’d like to tell,

Some of you may know it well…..

Twas the day of the Foundations Course and all through the room,

Backs, necks, shoulders and much more were aching and there was a feeling of doom.

The stretchsit cushions were attached on the chairs with care,

A Posture Poised Teacher was there with knowledge to share.

The students knew they would learn to stretchlie to be comfortable in their beds,

As visions of a pain-free life continued to dance in their heads!

With compressed spines, slouchy shoulders and many with rounded backs,

Each had their own concern yet all eager to learn the posture modification facts.

When they lengthened their spines and used the stretchsit cushion for traction,

They sighed with relief from such a simple therapeutic action! 

Next was the shoulder roll…forward, up, back and down,

There was a sound of a crackle, a pec stretch….. but not a single frown!  

Onto the feet, to reshape them like a “Kidney Bean,”

It lines up your knees and hips….if you’ve done it you know what I mean!

With the illusion of helium filling up in their heads,

Their necks elongated, going from pressed down to much taller instead.   

With their inner corset engaged and ribs anchored in,

Standing up proved to give a feeling of being a bit thin.

With feet shaped just right and weight shifted back on their heels,

Each stood so straight…. it really was a big deal! 

As they anteverted their pelvis, tipping forward a slight,

Their ‘bum’ floated back and up…. and landed just right!

Keeping their upper body strong… shoulders back, neck straight,

Each knew healthy posture was part of their fate!

As they learned to bend using a technique call ‘hip-hinge,’

Having flexible hamstrings and hip-rotators is how to avoid any muscle twinge!

Checking the ‘groove’ assuring their back stays tall,

Realizing each hinge is a bend…. no matter how big or small!

Next onto Glidewalking, a four part check list straight from the book,

Now using their muscles with every step they took!

To the sound of music and courses they came, 

They walked and practiced each part by name….

“Keep your heel down, leg straight and extended back,

Squeeze your glutes, land with a soft knee…..Relax!

There is so much more to learn and much more to tell,

If you are student of the Gokhale Method you know all this too well!

If you are thinking about taking the course, do not fret or hesitate,

Log onto the website, register to take the course and begin your Posture Fate!

One more thing to leave you as I go…. Happy Holidays to all and a "BIG HO-HO-HO!!"

Earlier in the history of our company, we didn’t intend to create any posture products and thought education alone would be sufficient. We still stand by our philosophy that education is the most important ingredient in restoring primal posture.  

Posture braces, seat cushions, and shirts are not able to take the place of hands-on coaching to establish posture ideals or healthy ways of getting to those ideals. The Gokhale Method trains people on the look and feel of healthy posture; now you can choose aids wisely to support you.

Posture devices as seen above usually induce people to switch from one bad posture (slumping) to another (arching). Most people believe they need to "sit up straight." In fact, arched posture can do as much harm as slumping does. Hands-on training by a Gokhale Method teacher can teach you truly healthy posture; following that, a reminder system, whether like the one above or a simple alarm that goes off periodically, will induce you to reset yourself in a healthy way.  

There’s no magic cushion, or brace, or buzzing device that will give someone perfect posture without hands-on coaching. But over the years, our students' input and feedback taught us to see that there is significant value to be had from certain types of posture aids.

We still teach the use of a towel as a great stretchsitting device, but before we developed the Stretchsit Cushion, we frequently received feedback about how people found it difficult—or impossible—to use a towel on their wooden chair, their plastic outdoor furniture, or their slippery office chair. They hated trying to use rubber bands and bungee cords and clothes pegs, and having to refold or readjust the towel to be the right size.

The towel method works for some seats, but many students found it frustrating to set up or adjust.

We kept hearing, “Can’t you just make something I can throw on a chair easily?” So we listened.

Having the Stretchsit Cushion in your car means you spend significantly less time setting up and adjusting your cushions, and it can't slip out of place!

Developing and manufacturing a product was new for me and for the company, so it took a few tries to get to where we are today. I learned a lot about persistence.

Our first round of the Stretchsit Cushion, V1, had oval rubber nubs. Pro: very sticky! Con: the stitches tore through the rubber from the shear forces of stretchsitting—people stuck too well! It’s better that the compression forces went to the nubs rather than the discs in people’s back, but our customers were naturally disappointed when their cushions failed.

This was V1 of the Stretchsit Cushion.

Instead of endlessly replacing products, we moved on to a tougher, textured nub that is stuffed with foam to be more durable.

The Stretchsit cushion's nubs are now made from a strong, textured material that will provide friction without ripping.

A lot of nubs to help a lot of spinal discs!

Additionally we switched to stronger, more color-fast fabric so cushions in cars or sunlit rooms don't get sun-bleached. We also used a more durable foam for the body of the cushion - one that is malleable enough to accommodate many spine shapes, but strong enough to stand up to wear and tear over time without deteriorating.

The front panel of the cushion created by a seamstress using a sewing machine.

It took us several rounds of production to get to the great cushion we have today. We were determined to not compromise on the quality of the materials or the function of the product. When we first started designing the cushion, we didn’t know all the factors we would have to take into account to reach a really high standard. Now we are proud that our cushion receives very few complaints and an awful lot of praise!

The Stretchsit cushion is available from a teacher near you, our website, or Amazon.

FAQs

Q: Where can I purchase a Stretchsit Cushion?

A: If you are taking a Gokhale Method class, we recommend purchasing one directly from your teacher. Otherwise, you can buy them from our website or from Amazon.com. You can save on bundles of 2 or 3 cushions, available only through our website.

Q: Why is there such firm / soft foam in the cushion? Wouldn’t a softer / harder cushion be more comfortable?

A: There are research studies showing that medium-firm mattresses provide people with the most comfort and support. We’ve discovered this to be true for our stretchsit cushion as well. On one hand, we wanted it to be supportive; on the other, we wanted it to be comfortable and conform to a variety of body shapes. We played with the hardness of the foam and of the nubs, and after many iterations have come to a harmonious place, similar to a medium-firm mattress.

Each nub is stuffed with foam of an appropriate density so it will protrude from the cushion without being uncomfortable against the back.

Q: Why isn’t the Stretchsit Cushion cheaper, when I can find $25 foam cushions at stores like Bed Bath & Beyond?

A: We find our Stretchsit Cushion is actually less expensive than high-end lumbar supports or memory foam pads, but yes, there are cheaper foam cushions on the market. Many of these cheap options deteriorate quickly, and aren’t dense enough to provide significant support (although they will soften a hard or rough surface, if that is all that is desired).

In the Gokhale Method philosophy, lumbar supports do not solve, and may exacerbate, the problem of compression by causing a sway in the lumbar spine (lumbar supports are designed to encourage the S-shaped spinal ideal that we teach away from). What’s needed is a thoracic support that offers friction, which isn't possible with a simplistic single block of molded foam and a fabric cover.

A typical lumbar support cushion may exacerbate a sway and doesn't support a J-spine.

To provide function and comfort at the standard we hold ourselves to requires a higher level of sophistication, which we’re very happy to have reached in the Stretchsit Cushion. The production process for our cushion is rather intricate, and to make small high-friction nubs of appropriately strong material requires the individual nubs to be worked by someone using a sewing machine rather than industrial sewing. This, and the quality of our materials, is what dictates the price of our cushion. We receive numerous reports on how much benefit people get out of their cushions, so we consider that although it can seem expensive at first, when the cushion is considered as an investment in the health of your spinal discs, nerves, and vertebrae, it is really a steal!

Q: Should I buy your cushion and use it with my current chair or buy the Gokhale Pain Free Chair?

A: You will need the cushion for your carseat and in chairs that you have no control of. We sell a bundle of three cushions because people frequently want one for the car, one for their work chair, and one for their computer chair at home.

If you are in the market for a chair, the Gokhale Pain Free chair is a marvelous investment. It has a 10 year warranty on parts (here too we did not skimp on quality or function), and will support you in stretchsitting (it has a built-in stretchsit cushion) as well as in stacksitting (it has a built-in wedge). It has other helpful features like a “mushroom top” seat to facilitate external rotation of the legs, and no armrests so you can come in close to your work surface (if your shoulders are properly rolled open, you will not miss the arm rests). No other chair has these features.

The Gokhale Method Pain-Free Chair has a built-in Stretchsit Cushion and a built-in wedge with additional nubs in the seat for greater traction.

That said, if you are financially pressed, we recommend economizing by buying the Stretchsit Cushion and using a folded blanket for stacksitting. These inexpensive additions to your chair allow you to achieve healthy posture; the drawback is that it won’t look as elegant and you will need to adjust your implements periodically.

Watch our videos for guidance on using your Stretchsit Cushion:

Most of us spend a good deal of time in our cars, commuting, chauffeuring kids around, doing errands, or if we’re lucky, heading out to an adventure spot. Much of this time is spent being physically uncomfortable, especially if the car was manufactured in the last decade. There seems to be a downward spiral of poor posture and design that reflects poor posture - which in turn worsens posture. How can we break this cycle?

The industry standard for human form reflects the average in society: shoulders forward, S-shaped spine, and forward head. Car seats are designed to fit these features.

A checklist for healthy posture when driving includes:

1. Shoulders:  back and down
2. Neck: elongated and stacked over the spine
3. Bottom: well back in the seat
4. Spine: elongated and well-stacked

Modern car seats often make these simple posture practices challenging or impossible. The good news is that it’s relatively easy to fix almost any kind of carseat to make it conducive to good posture. 

1. Shoulder positioning. You may find that the “bolsters” in your carseat get in the way of placing your shoulders back.
   

   The bolsters add considerable horizontal curve to this seat upright, and prevent the arms and shoulders from resting back beside the torso.

   
   The origin of bolsters lies in the racing car industry - bolsters keep racing car drivers in their seats as they whizz around corners at high speeds. For those of us not compelled to turn corners at 100 mph, the bolsters are an annoyance that make it impossible to set the shoulders in a comfortable and healthy place. Solution: Build up the backrest area between the bolsters, so your torso is no longer sunk between the bolsters with your shoulders forced forward. Depending on how much your car’s bolsters protrude, a towel folded over a couple of times may suffice, or you may need a much thicker support. When I travel, I use rental cars. With each rental car, my first action is to profile it: will a single Stretchsit cushion suffice or will it need additional thickness? Technique: After adding some thickness to the mid-portion of the chair upright, move one shoulder at a time a little forward, a little up, and then significantly back and down. Once you have your shoulders back in place, you may discover you need to move your seat closer to the steering wheel to comfortably hold the steering wheel. Be sure to keep a safe distance from the airbag. 
    
2. Neck support. Have you noticed that many car headrests push your head forward uncomfortably? The degree seems to get worse with the years. Headrests now have a new official name, which is “head restraint.” They are shaped to stick far enough out that the head is resting against the headrest and would not have any space in which to whip backward in the event of a collision. 
   
   
   The head restraint, as headrests are now named, reflect, and perpetuate, forward head posture.
   
   The standard that determines the extent to which the head restraint juts forward is the Crash Test Dummy. The Crash Test Dummy was modeled on a person with typical Forward Head Posture, and therein lies the rub.
   
   
   
   The Crash Test Dummy has forward head posture
   
   When I taught a workshop to the designers at Johnson Controls in Ann Arbor, they pointed to my Stretchsit cushion and remarked “the reason your products are popular is that we’re legally obliged to design seats the way we do.” It is sad when designers become constrained by deterioration in people's posture. 
   
   
   Forward head posture is now so common it negatively influences car headrest design.
   
   Solution: Very similar to the solution for bolsters, but the extent of how much you build up the central portion of the backrest now depends on how much the head restraint juts forward. DO NOT turn the headrest around 180 degrees or remove it or sit forward in your seat - in case of an accident, this would put you at risk of severe damage from whiplash. Technique: Determine the best posture you are able to assume in your neck. Now pad the central portion of the backrest so that the headrest works to rest your head against. Elongate your neck in any of the five ways described in 8 Steps to a Pain-Free Back, and “hook” the back of your head against the headrest so your neck is getting a gentle stretch. 
    
3. Setting the bottom back in the seat. This is not a problem in most cars. Some notable exceptions are: 

• very old cars whose seats have worn down so your bottom sinks into a “cave.” 
  
  
  Some carseats wear out in ways that create a "cave" for your bottom to sink into. 
  
  Solution: build up the cave to horizontal or near horizontal. Do not build it up to be a wedge - wedges are helpful for stacksitting, but not for stretchsitting, and in a car you want to stretchsit, not stacksit.  
   
• Bucket seats: Ouch. Solution: It’s very difficult to fix these. I recommend starting from scratch - go to Relax the Back, buy a seat to place in your bucket seat, and modify as needed.
  
  
  Bucket seats are very difficult to modify so they support healthy posture
   

4. Spine support. Does your car seat have lumbar support? This is based on conventional wisdom about an S-shaped spine being normal and healthy.
   
   
   An unhealthy amount of built-in lumbar support in a carseat.
   
   My experience is that it causes extra curvature in the spine, tight back muscles, degenerated discs, and arthritic changes in the vertebrae. Solution: What you really need is a thoracic support that you can stretch your back against. Technique: Use a Stretchsit cushion (if you have a fabric seat, a folded towel can also provide the grip you need) suspended behind your mid-back. Follow the instructions in 8 Steps to a Pain-Free Back to stretchsit and put your lower back into a gentle, comfortable amount of traction. 

So what can you do to set your car up for healthy posture?

• If you're in the market for buying a car, examine the carseat. Some brands are better than average in the design of their seats. The Fiat 500, for example, has a head rest that works with healthy neck posture, and has bolsters that do not extend all the way up shoulder level. 
  
  
  The Fiat 500 is an example of car model that has a relatively well-designed carseat.
   
• The Stretchsit cushion is remarkably effective in mitigating a lot of flaws in carseat design. It can neutralize the effects of exaggerated lumbar support, deep bolsters, and head restraints that jut forward too far. In addition, it facilitates stretchsitting, which is healthful in itself, but also dampens the effect of bumps and jolts in driving, especially on bumpy roads.  
  
  
  The Stretchsit cushion helps transform poor carseats into healthy carseats.
   
• Set yourself up with good posture. No matter how good your carseat is, there is no substitute for knowing what to do in your own body. Stretchsitting, which is one of the easiest Gokhale Method techniques, is well suited to driving. Lengthen your spine against a support at the level of your mid-back, roll your shoulders back, elongate your neck against the head rest, and enjoy the ride!

Our cushion ships with Amazon Prime from Amazon Exclusives.

For our full range of products check out the store.

What kind of car do you drive and how well do the seats work to support you? How have you improved your carseat?

I'm reaching out to pregnant women today, because I've been reflecting on a clinical study that captures the scope of the problem of lower back (lumbar) pain in expectant mothers and because I have all too vivid memories of how lower back and sciatic pain affected me when I was nine-months pregnant with my first child. This crippling pain continued for a year, at which point I had back surgery that provided only temporary relief. This painful chapter in my life is what started me on my path to understanding the causes and treatments for back pain.

Lower back pain and pregnancy--it's a problem!

If you're pregnant and have lower back pain, you're not alone. A 2004 study (Low back pain during pregnancy: prevalence, risk factors, and outcomes) published by Yale researchers in the American Journal of Obstetrics & Gynecology found that nearly 70% of the 645 pregnant women responding to a 36-question survey reported lower back pain during their current pregnancy. The researchers also found that:

• Pregnant women who have experienced lower back pain prior to their current pregnancy (e.g., during their periods, during a previous pregnancy, prior to ever becoming pregnant) are particularly susceptible to lower back pain
• Lower back pain disturbed the sleep of 58% of study respondents
• Lower back pain negatively impacted the daily lives of 57% of the women surveyed
• Two-thirds of women surveyed in this study did not share back-pain problems with their pre-natal caregivers and--if and when they did--only one-quarter of  these caregivers recommended any kind of treatment

Because I know that lower back pain in pregnancy is a manageable and in most instances a preventable problem, it's of course best if women who plan to become pregnant prepare their bodies for the dramatic physical, musculoskeletal, and hormonal changes that lie ahead. This, as the study confirms, is especially important for women with a history of back pain. But because so many expectant mothers are--at this very minute!--experiencing lower back pain and, in many instances, not seeking or receiving help, this is the topic I'll focus on for now.

The lumbar spine is the region of the spine between the rib cage and the pelvis

Body stressors during pregnancy

I'll start by stating the obvious: During pregnancy a woman's body undergoes a number of changes, many that are inherently stressful. These of course include:

• Extra weight
• A shift in the center of gravity
• The impact of of the hormone relaxin on ligaments

If, as we consider the lumbar region of the body, we reference the very pregnant Mandy in the photo just below, we can begin to imagine why lower back pain can be a problem for some 70% of expectant mothers.

Mandy at 39 weeks + 4 days

By allowing the weight in her expanded belly to pull her lumbar spine into an exaggerated arch, Mandy is shifting her center of gravity forward, with the result that not only is there too much arch in her spine, there's too much weight on the front of her feet. To counter the arching of her spine and to lengthen and flatten the lumbar region, Mandy would need to use her internal oblique muscles to rotate her ribcage forward. This action, which is vital to proper alignment of the spine and good posture, is what I call "anchoring" the ribs. (Rib anchoring is discussed in greater detail and demonstrated in the video, below.)

What's healthy about Mandy's posture is that she is anteverting, or tilting forward, her pelvis. An anteverted pelvis helps prevent lower back pain because it allows for a natural stacking of the vertebrae, as well as a healthy alignment of the spine over the legs.

Extra weight

Where Does the Extra Weight Go During Pregnancy? (WebMD helpfully breaks this down.)

• Baby: 8 pounds
• Placenta: 2-3 pounds
• Amniotic fluid: 2-3 pounds
• Breast tissue: 2-3 pounds
• Blood supply: 4 pounds
• Larger uterus: 2-5 pounds
• Stored fat for delivery and breastfeeding: 5-9 pounds

   Total: 25-35 pounds

Extra weight and foot structure. I've know for a long time that weight gain from pregnancy (in concert with the effects of the hormone relaxin) impact the feet and can increase a woman's shoe size by half a size or more, so it was interesting to review results of a study published in the March 2013 issue of the American Journal of Physical Medicine & Rehabilitation. The study, Pregnancy leads to lasting changes in foot structure, reports that for 60% to 70% of the 49 participants, their feet became longer and wider and, on average, the height and rigidity of their arches significantly decreased. Study authors also observed that the loss of arch height seems to be permanent, and that the first pregnancy may have the most significant impact on the feet.

Center of gravity

With pregnancy comes a shift in the center of gravity that can be compensated for with good movement patterns and by engaging the internal oblique muscles, which run along the side of the abdomen at about the level of the waist. These muscles can be used to flex the thorax forward and prevent the lower back from arching.  (The thorax is the part of the body between between the neck and the abdomen.) By rotating the ribcage forward and, once again, lengthening and flattening the lower back to "anchor" the ribs, even women well advanced in their pregnancy can maintain a comfortable center of gravity. Shifting the weight back solidly on the heels is also a good thing, because it counters distortion in alignment, while also offering the advantage of not overspreading the feet, which can result in loss of structure.

Relaxin

Pregnant women need to take especially good care of their ligaments because the hormone relaxin, which is produced by the ovaries and the placenta and which helps prepare the expectant mother's pelvis for delivery, also works to remodel other soft tissues, cartilage, and ligaments in the body. As a result, pregnant women are at risk of losing structure--for example (and as described above), in the feet.

The seated woman has made room for her belly, but by leaning so far back she strains her neck and her back. Visual cueing for poor posture surrounds this woman--as it surrounds us all!

Lower back pain and pregnancy--some solutions!

Authors of the "Low back pain in pregnancy" study, cited above, also make the point that lower back pain can start at any point during pregnancy. This means that whether a woman is one-month pregnant or on the cusp of giving birth, she may be experiencing pain in her lower back pain--pain the Gokhale Method helps address.

Healthy spinal curvature, as shown here, can be maintained throughout a pregnancy.

The good news is that by making adjustments women at every stage of pregnancy can prevent lower back pain from occurring, or--if pain is already an issue--take real steps to manage this pain.

Six tips

1. Anchor your ribs
2. Engage your inner corset
3. Hinge your hips when you bend
4. Stack your weight over your heels
5. Engage your gluteus medias muscles when you walk
6. Stretchlie on your side with supportive pillow

While the suggestions I outline in this post can begin to make a difference, much more can be gained from enrolling in the Gokhale Method Foundations Course, watching the DVD Back Pain: The Primal Posture Solution, and reading (and repeatedly referencing) 8 Steps to a Pain-Free Back. ('Where to learn more' details are provided at the bottom of this post.)

1. Anchor your ribs

With regard to the rib anchor, it's important to know that the ever-growing baby is potentially pulling the mother's back into an arch. An expectant mother who gives in to this pull will be increasingly swaying her back, which can cause lower back pain and other problems. Anchoring the ribs involves keeping the lower border of the rib cage flush with the abdomen. This lengthens the back and helps to frame and lengthen the lumbar spine. By engaging internal oblique muscles as the baby gets bigger, the expectant mother not only reduces the risk for lower back pain, she also gets very valuable abdominal muscle exercise during pregnancy. This not only negates the problem of lower back pain, it makes pregnancy an opportunity to strengthen abdominal muscles, rather than a liability to lose muscle tone.

http://www.youtube.com/watch?v=bLrBJzrMTxA

Keeping abdominal muscles nicely toned before during and after pregnancy perhaps even more ties in with engaging the inner corset, which is at the core of Tip Number 2.

2. Engage your inner corset 

Anchoring the ribs and periodically engaging the inner corset--that is, contracting the deep muscles in the abdomen and back to lengthen and support the spine--is the ticket to well-toned abdominal muscles before, during, and after pregnancy. No matter how pregnant a woman is, these muscles can be entirely engaged, which is especially beneficial, given that the usual abdominal exercises--for example, lying on the back and doing crunches--are not recommended.

© Gokhale Method: Inner-corset muscles should not be engaged all the time, however. Instead, pregnant women (and everyone else!) will benefit from contracting deep back and abdominal muscles, off and on, over the course of the day.

3. Hinge your hips when you bend

Everybody needs to hip-hinge when they bend, but this is especially important for pregnant women. This is because lowering the body by bending with the knees and curving the back (as is so common in our culture) puts added stress on the spinal discs at a time when the discs are already being challenged by the additional weight of the pregnancy.  Keep in mind that the front of each disc in the curve being formed when the back is bent is compressed, pushing the contents of the discs backward, toward the spinal nerves. All authorities agree that this is a risky direction to distort the spine. The features of hip-hinging especially important for pregnant women are to get the legs externally rotated and set apart in a wide stance, so that when they hinge forward, there's room for the belly to settle between the legs. In other words, the legs have to be out of the way, so that the belly can settle between them. If the the knees are not externally rotated, but facing in, then the thighbones will interfere with the torso settling.

Janine Farzin, soon-to-be Gokhale-Method teacher-in-training, hiphinges in Chicago

Because so much bending is involved in motherhood, a very good time to master hiphinging is before and during pregnancy. Doing so will prepare the expectant mother for all the bending that is to come.

4. Stack your weight over your heels

Positioning the pelvis so that it's slightly tipped forward (anteverted) allows for a natural stacking of vertebrae without muscle strain. Vertebral stacking is important for everyone, but a for a pregnant woman carrying extra weight and with an altered center of gravity, it's really essential. Not only does healthy stacking yield good posture that leaves spinal discs decompressed, it also protects ligamental integrity. Ligaments already loosened by the hormone relaxin are less likely to be taxed when bones are correctly stacked. This will also help protect the feet, which--as noted above--are at risk of losing structure.

5. Engage your gluteus medias muscles when you walk

Engaging the gluteus medius, the muscle located in the upper, outer quadrant of the buttocks, helps prevent lower back pain[/caption] Our "glutes," or buttocks, are made up of three major muscles: the gluteus maximus, gluteus medius, and gluteus minimus. Located in the upper, outer quadrant of the buttocks, the gluteus medius is the "middle" muscle, the one that moves the leg to the side and rotates the thigh. Gluteus medius weakness--a study. Because engagement of the gluteus medius plays such an essential role in a healthy kind of walking I have dubbed 'glidewalking,' and because this muscle also plays an essential role in healthy, pain-free posture, I was very interested to learn that researchers at the University of Iowa Department of Orthopaedics and Rehabilitation conducted a study that found a strong correlation between lower back pain in pregnant women and weakness of the gluteus medius. Specifically their 2009 pilot study, Association between gluteus medias weakness and low back pain during pregnancy, found that "pregnant women with gluteus medius weakness were roughly 6 to 8 times more likely to have low back pain than those without weakness." The findings confirm what I have long known from my own research and practice--that strengthening and regularly engaging the gluteus medius is really key.

6. Stretchlie on your side with supportive pillow

Stretchlying on the side--that is, lying with a lengthened back, anteverted pelvis, and knees slightly bent--represents an opportunity to restore healthy architecture during sleep and reinforce the neural pathways that will help create muscle memory for a healthy J-shaped spine (as opposed to a curved C-shaped spine or an over-arched S-shaped spine). Not only does stretchling on the side decompress discs and improve circulation when the expectant mother is at rest or asleep, it also helps create muscle memory for an anterverted pelvis and lengthened spine when she's up and about. For women unaccustomed to what good posture feels like, healthy muscle memory can be hugely helpful. Because the extra weight in the belly tends to pull the expectant mother's spine out of alignment, tucking a soft pillow in under the belly will help her resist the pull of gravity and maintain a neutral position. During pregnancy, anything that spares pull on the skin, muscles, flesh, ligaments, and spine, is a very good thing.

When pregnant and stretchlying on the side, it's important to tuck a soft pillow in under the belly

Model this!

Pregnant women experiencing lower back pain might help themselves by taking posture cues from these illustrations:

This very pregnant figure models very nearly perfect posture[/caption] The image above captures very nice pregnant posture. The woman's back is not significantly arched, her spine is more or less J-shaped, and her shoulders are rolled back.

This French anatomical drawing from 1925 depicts a healthy neutral spine

The illustration just above provides another excellent model for how a pregnant woman can stand without arching her back. Plucked from a 1925 French anatomy book, this image lets me know that the French at that time had right idea about healthy curvature of the spine!

Where to learn more?

The six-session Gokhale Method Foundations Course helps people, including pregnant women, improve their structure and function as they engage in everyday activities.  While my book,  8 Steps to a Pain-Free Back, is most helpful when it's read in its entirety, the following pages expand on the tips outlined in this post:

• Rib Anchor: 39, 84, 140, 198
• Inner Corset: 110,-127, 144, 153, 162-163, 190
• Hiphinging: 150-167
• Stack your weight over your heels:46-47, 138, 142
• Engage gluteus medius muscles when you walk: 168-194
• Stretchlie on your side with supportive pillow: 94-109

The DVD Back Pain: The Primal Posture Solution also features relevant training, including segments on:

• Stretchsitting: Use the back of your chair to decompress your spinal discs and transform sitting into a healthy, therapeutic activity
• Inner Corset: Learn to engage your deep back and abdominal muscles to protect your spine
• Hip-hinging: Protect your spine and knees by learning to bend at the hips
• Stacksitting: Learn how to sit anywhere without slouching, pain or tension
• Tallstanding: Stack your bones well and prevent wear and tear
• Stretchlying: Decompress your spinal discs and nerves while you sleep
• Glidewalking: Learn to walk in a controlled series of forward propulsions that spares the joints

Photo and Video Credits:

The Happy Mother: Johann Anton de Peters, Wikimedia Commons Lumbar Region of the Human Skeleton: Wikimedia Commons Female Back Nude: oil on canvas: Jozsef Rippi-Ronai, Public Domain Mandy at 39 weeks + 4 days: Danielle deLeon, Wikimedia Commons Janine hip hinging: Courtesy of Janine Farzan, Chicago Equadorian figure of a pregnant woman: Walkers Art Museum, Wikimedia Commons Pregnant woman seated on bench: Peter va der Sluijs, Wikimedia Commons Healthy Spinal Curvature Throughout Pregnancy: Public Domain Gokhale Moment, Rib Anchor: © Gokhale Method Gluteus Medius: Creative Commons Model Maria Pesotskaya resting on her side: Anna Kosali, www.annakosali.com, Wikimedia Commons Pregnant Woman Facing Right: Public Domain French Anatomical Drawing, 1925: Public Domain

Thoreau had three chairs

American philosopher-poet Henry David Thoreau wrote in the "Visitors" chapter of Walden, his 1854 account of his life in a cabin he built on the edge of Walden Pond, near Concord Massachusetts:

"I had three chairs in my house; one for solitude, two for friendship, three for society."

I'm a fan of Thoreau, and I favor simplicity. And although I have more than three chairs in my house, I have just one type of chair that has become "go-to seating" for most solitary and social activities--not just for me, but for family members, friends, and co-workers. The chair is the Gokhale Pain-Free™ Chair, and I designed it myself.

Pain-free sitting, at home and at work

If you were to stop by my house today you would find five Pain-Free™ Chairs arranged around our dining room table--a table that has served my family well, not just at mealtimes, but throughout days and nights as a communal work station/library/coffee shop. To some extent I credit this comfortable arrangement for regularly enticing my two daughters home from nearby college and grad school; they continue to be drawn to this familiar setting, in part because it's such a comfortable place to sit. And if you were to pop into our nearby Gokhale Method Institute office you would see that every member of my staff sits in this very same type of chair, not because it's required or because they feel obliged, but because this is their preference. Before the Gokhale Pain-Free™ Chair came to market, our office was furnished with relatively high-end task chairs (Herman Miller and Soma Ergonomics, among others). But when given the option to stay with the chair they had or to switch, everyone opted for the Pain-Free™ Chair.

Keeping it simple

"Simplicity is the law of nature for men as well as for flowers" is something else Thoreau wrote, and I subscribe to this philosophy. Tipping my hat to Thoreau, I would add that simplicity is also the law for chairs--or at least one of the laws. Too many chairs feature gratuitous, even counter-productive, features. It's not so much that--as Goldilocks observed--the chairs are "too hard" or "too soft," it's that many oblige sitters to tuck the pelvis into a retroverted position, a position that leads to tense low-back muscles, slumping, and--over time--problems with spinal discs, hamstrings, and even the pelvic organs. Such repercussions can of course cause discomfort or pain.

Like Goldilocks, I sought a chair that was "just right."

Simplicity was also a guiding principle when I set out to design my chair, in part because when the Pain-Free™ Chair was just a gleam in my eye I interviewed a chair repairman who came to our office to repair the same chair twice; it was one of the relatively high-end task chairs with perhaps one too many features.

Steering clear of bells and whistles

In search of a "just right" chair

One valuable insight shared by the repairman was that he saw a direct link between chairs with a lot of features and chairs with a lot of dysfunction. This was especially true of chairs that recline via levers and were owned and operated by men. Men like to recline more than women, he observed, and while men apparently like to employ all available bells and whistles, they don't necessarily read operational instructions first! Reclining is of course a legitimate position (and in fact I'm beginning to think about designing a high-backed chair with headrest that reclines), but the desire to lean back becomes more urgent when a person is uncomfortable. If a task chair is designed to enable upright sitting and really support a person, then there's no need to recline.

The rationale for my chair

Even among high-priced chairs design flaws are common. The challenge, as I saw it, was to design a simple chair that transforms sitting into a healthful activity that actually feels good.

Gokhale Pain-Free™ Chair

Above all, I wanted to create a chair that promotes the natural stacking of the vertebrae without muscle strain, a chair that would enable two healthy ways of sitting--stretchsitting and stacksitting, techniques demonstrated in the video, below, and more thoroughly explored in the Gokhale Method Foundations course, my book 8 Steps to a Pain-Free Back, and the DVD Back Pain: The Primal Posture Solution. Again, the goal was to keep it simple and incorporate only those elements that absolutely matter:

• Traction on the seatback
• Seatpan with a downward slope
• Adjustable seat height
• Elimination of armrests
• Highest quality materials

The Gokhale Pain-Free™ Chair

My chair, with its respectful-of-the-human-skeleton design, offers a healthful–even therapeutic–alternative for people committed to good posture who want to simply sit without pain. And these are the features that make a difference:

Traction on the seatback

Stretchsit® nubs

Whether people have an upright and tense “S” spine (swayed), a relaxed and slumped “C” spine (rounded), or a compressed “I” spine (collapsed), stretchsitting is an easy way to regain some natural length. For this technique to work, people need a “grippy” support to meet the midback. Located higher than a lumbar support, but lower than the shoulder blades, soft Stretchsit® nubs built into the backrest of the Pain-Free™ Chair enables sitters to "hitch up" the spine and gently stretch the back. This, in turn, decompresses spinal nerves and discs, which not only feels good, but allows stressed-out discs to rehydrate and absorb nutrients from surrounding tissues and renew the process of self-repair. Also, because the seatback stops short of the shoulder blades, it's easy to roll open the shoulders for a relaxed position that promotes healthy circulation in the arms and better breathing.

Seatpan with a downward slope

It's not good to sit the same way all day. Whereas stretchsitting allows for a sustained stretch and is well-suited to relatively passive tasks, stacksitting is generally more versatile because it enables us to reach for what we need and move around. Because we derive different benefits from stretchsitting and stacksitting, and because each lends itself to different tasks, I designed the seatpan of the Pain-Free™ Chair to enable both types of  sitting and make it easy for people to move back and forth.

The seatpan promotes healthy stacking

While the back of the seatpan is flat, the front half, which features "grippy" rubberized patches, slopes downward. This design anteverts the pelvis, tipping it slightly forward to allow the vertebrae to stack easily and naturally and enable the back muscles to completely relax. Again, healthy stacking promotes healthy breathing, which in turn provides a gentle and revitalizing spinal massage. The flat half of the seatpan, which allows for sitting back in the chair and stretchsitting, prevents the combination of anteversion and stretchsitting, which together would introduce sway in the lower back. The seat cushion made of top-quality memory foam is reallycomfy. I designed this so that when people with underdeveloped glutes (something quite common in our culture) take a seat, they will not be the least bit aware of the hard board beneath the cushion--even if they stay seated all day.

Adjustable seat height

In Thoreau’s time people had sufficiently flexible hamstrings to sit comfortably and with naturally stacked spine on chairs of any height. Because people today tend to have less flexible hamstrings, a hydraulic lift helps. My own preferences is to raise the seat a little higher when I'm stacksitting, because this facilitates the downward sloping of my thighs and healthy anteversion of my pelvis. I lower the height of the seat when I stretchsit. Take a look. http://www.youtube.com/watch?v=8mJWP8fWbyg

Elimination of armrests

Why did I opt not to include armrests when I designed the Pain-Free™ Chair? Too often, armrests prevent people from moving in close to their work surface. When we sit upright and relaxed with our shoulders rolled back and well hung, we can move our arms freely, without straining.

Highest quality materials

Thoreau's Cabin

It's no exaggeration to say that chair is as well constructed as it is designed. I chose each part--steel, wheels, hydraulic lift, memory foam, and GREENGUARD-certified fabric--for its top-notch quality and durability...which brings me back to the spirit of Walden and the philosophy of Thoreau: “There is some of the same fitness in a man's building his own house that there is in a bird's building its own nest."When I sit in the chair I'm proud to have designed and now share with others, I think I know what Thoreau meant.

Photo Credits: Henry David Thoreau, 1861: Wikimedia Commons The Three Bears: Arthur Rackham, Wikimedia Commons Goldilocks: Swift's Premium Soap Products, 1916, Public Domain Gokhale Pain-Free™ Chair (and details of the chair): © Gokhale Method Pain-Free™ Chair Tutorial: © Gokhale Method Drawing of Thoreau's cabin from the title page of the first edition of Walden: Sophia Thoreau, Public Domain, Wikimedia Commons