lumbar curve

A New Perspective on the Neanderthal Spine

A New Perspective on the Neanderthal Spine

Esther Gokhale
Date

October 16 is World Spine Day, which makes this the perfect time to share with you a fascinating piece of recent research about the human spine. 

In April I was contacted by Scott Williams PhD, Associate Professor at the Center for the Study of Human Origins, Department of Anthropology, New York University. He and his team of anthropologists had recently published a scientific paper— which concluded that understanding the spines of Neanderthals, a human ancestor, may explain the back pain experienced by humans today.

Who were the Neanderthals?

The Neanderthals populated Europe and Asia between about 400,00 and 40,000 years ago. Neanderthals became extinct, but are considered one of our most recent evolutionary ancestors. Research shows there is DNA evidence that they interbred with early human populations¹. 

Neanderthal man squatting down with hunted animal.
The Neanderthals were adept hunters who controlled fire and made shelters, clothing, and artifacts. Wikimedia

Neanderthal skeleton, reconstructed and standing.
The Neanderthal skeleton was shorter, and its bones heftier and more robust than those of modern humans. Rather than being a hunched “caveman,” recent research suggests their posture may have been entirely upright. Wikimedia

Comparing Neanderthal and modern spines

Examination of the bones of Neanderthal lumbar spines has indicated that they curved less in the lumbar area than modern human spines studied in the U.S. and Europe. Because a significant degree of lumbar curve has commonly been associated with the ability of bipedal humanity to stand upright, Neanderthals have long been assumed to have had an intrinsically different posture from modern humans. 

However, Professor Williams was able to come to a different conclusion because, like the Gokhale Method®, he realized that “modern” human posture itself has been subject to change in just the past few hundred years. 

Williams and his colleagues compared preindustrial to postindustrial spines of male and female modern humans from around the world against samples of Neanderthal spines. His samples included more than 300 spines—that’s more than 1,600 vertebrae.

Williams acknowledges that because lower back curvature is made up of soft tissues (i.e., intervertebral discs), not just bones, their spine shape cannot be known with certainty. “The bones are often all that is preserved in fossils, so it’s all we have to work with,” he adds. Nonetheless, the distinctions in spine formation that Williams and his team found strongly suggest different degrees of curvature.

What Williams’ research found about modern human spine shape

Williams’ research indicates that there has not been just a one-time dominant spine shape in modern humans, but that spine shape changed over the period of the industrial revolution. Overall, Williams found that spines in postindustrial people showed more lumbar wedging (which produces curvature) than did those in pre-industrial people. 

 

Anatomical illustration showing positive, neutral, and negative angles in vertebral bodies.
This illustration detail from Professor Williams’ paper shows increasing, unchanged, and diminishing angles of wedging towards the back of lumbar vertebrae (B). Academic.oup.com

Williams observes:

Past research has shown that higher rates of low back pain are associated with urban areas and especially in ‘enclosed workshop’ settings where employees maintain tedious and painful work postures, such as constantly sitting on stools in a forward leaning position. . . A pre-industrial vs. post-industrial lifestyle is the important factor.

Research fits with the Gokhale Method

In his paper Williams cited my book, 8 Steps to a Pain-Free Back, as it details how posture and spine shape have changed progressively since the industrial revolution. It explains that industrialization led to the break in transmission of traditional ways of living and working. For example, people have always sat to do tasks—but it’s how they sat that changed and caused problems. 

Painting by Winslow Homer showing women mending fishing nets, 1882.
Human beings have always sat to do tasks, from nursing infants to decorating artifacts. The important thing is to sit well. Winslow Homer, Mending the Nets, 1882 (detail). nga.gov

Industrialization also resulted in new but mistaken paradigms of “natural” spine shape in furniture design, fashion, and even medicine. My book advocates for the J-shaped, pre-industrial spine rather than the  postindustrial, S-shaped spine, which causes lumbar compression, wear and tear, and pain. You can read more about spine shape here.

The Gokhale Method advocacy for the J-shape is based on observing that it remains intact in our children, largely in our track and field athletes, and consistently in adults living in non-industrialized regions or in traditional societies. And these people report significantly less back pain than the 80% of American adults who suffer incapacity with back pain at some point in their lives. 

An S-shaped spine medical illustration from 1990, and a J-shape spine from 1911.s

This illustration from 8 Steps to a Pain-Free Back shows the more recent S-shape spine (left) that would likely create “wedging” in the intervertebral discs and bones subject to extra curvature, and the earlier J-shape spine that does not have this compression (right) .

Conclusions about the Neanderthal spine and understanding modern back pain

Williams’ research concludes that the Neanderthals’ spines were significantly different from those of postindustrial people but not from pre-industrial people. By examining only the spines from modern people who lived in the industrialized world, past researchers have mistakenly assumed that the distinctions between Neanderthal and modern spine shape were due to evolutionary development rather than social and cultural changes. Williams says:

Diminished physical activity levels, bad posture, and the use of furniture, among other changes in lifestyle that accompanied industrialization, resulted, over time, in inadequate soft tissue structures to support lumbar lordosis during development. To compensate, our lower-back bones have taken on more wedging than our pre-industrial and Neanderthal predecessors, potentially contributing to the frequency of lower back pain we find in post-industrial societies. 

Medical illustration of J-shaped spine showing vertebral wedging and spinal curves.
This illustration shows how angles of vertebral wedging contribute to spinal curvature. 

The idea that the lumbar spine of our Neanderthal ancestors was relatively straight is not so shocking to those of us who already recognize that it makes sense for bipedal spinal health. And the wedging of the postindustrial vertebral bones is a fascinating discovery, which shows the degree of adaptation possible within the human body, although it is clearly not preventing back pain! 

Cartoon showing evolution of man from ape to upright to hunched over computer.
The evolution of humankind has been associated with changing posture in many versions of this cartoon. Pinterest

This fascinating research suggests an ancient and more natural way to be which, while preserved in some parts of the world, we’ve largely lost in our culture. But it can be and is being relearned. If you would like guidance on any aspect of your posture and spine shape, consider scheduling an Initial Consultation, online or in person, with a Gokhale Method teacher.

If you would like to find out more about how the Gokhale Method can help support you, sign up to join one of our upcoming FREE Online Workshops…

Reference:
¹ Scott A. Williams et al., “Inferring Lumbar Lordosis in Neandertals and Other Hominins.” PNAS Nexus 1, no. 1 (March 2022): pgab005, https://doi.org/10.1093/pnasnexus/pgab005.’

How to Choose a Backrest

How to Choose a Backrest

Esther Gokhale
Date

This blog post is about sitting with a backrest, which could be the back part of a chair, or something added to the chair for additional support and comfort. 

bald man with tattoo holding lower back, back view
A well-designed backrest can contribute to a healthier back—but a poorly designed one can cause tension and pain. Pexels

Support and relief

Virtually any backrest will give relief that a tired back will appreciate. Support is certainly preferable when we sit for longer periods of time to enjoy reading, TV, a movie, or, if we are lucky, live theater. 

With the trunk slightly inclined against a backrest, there is less compressive force due to gravity acting on the spine. In addition, the trunk stabilizer muscles get a break. When we are driving or traveling by plane or train, a backrest also confers additional protection from vibration or any untoward impact. 

Backrests can certainly improve your comfort but it is also true that many do more harm than good. It makes sense to be discerning about your backrests and to understand the ways in which they can help or hurt.

Shaping your back 

There is unfortunately a significant disadvantage that is built into most modern backrests. A backrest will shape your back as you lean into it and almost all backrests introduce excess curvature, with a significant concave curve in the lower back (lumbar area) and a significant convex curve in the upper back (thoracic area). This is driven by the incorrect paradigm of the S-shaped spine.

1990 medical illustration of S-spine
This medical illustration of a spine (1990) is S-shaped, displaying the excessive curvature that can result in pinched nerves and compressed intervertebral discs. Traite d'Anatomie Humaine

This spinal shape is considered to be normal (as well as ideal) in today’s conventional wisdom. Physical therapists and medics are taught this S-shape paradigm, which is explained in detail in my book, 8 Steps to a Pain-Free Back, and in our blog post Which Shape is Your Spine? 

The S-shaped spine has become the concept that determines the design of our furniture, including backrests for chairs and car seats. 

Mesh lumbar support in car
Most backrests follow the S-shaped spine paradigm and are designed to give “lumbar support.” This creates exaggerated curvature and compression in the lumbar spine.

AstroPro gaming/office chair
Office and gaming chair backrests are often engineered with exaggerated contours. These distort the spine’s natural alignment. Such excessive curves curtail the spine’s ability to lengthen.

cream leather easy chair with circular base
This style of easy chair has less drastic curves but will still result in some lumbar and upper back distortion; it also pushes the shoulders and head forward. Back2.co

red upholstery sun lounger, reclined
This lounger has a mild thoracic curve which still encourages the upper back to round. 

What you want is a backrest that reflects and promotes the healthy spinal shape that we all enjoyed as toddlers and is still prevalent in many nonindustrialized areas of the world. The shape of a modern letter “J” is a good shorthand to describe this relatively straight alignment of the vertebral column and the pronounced angle at the lumbosacral junction. Unlike the S-shaped spine, there is no exaggerated lumbar sway or thoracic curvature. You can see this shape embodied in the Ubong hunter’s torso shown below. It is J-shaped rather than S-shaped. 


These Ubong tribesmen have a J-spine.

1911 medical illustration of J-spine

This medical illustration from 1911 more closely depicts the J-shape spine rather than the S-shape of modern conventional wisdom. The only pronounced curve is at the L5/S1 junction at the base of the spinal column.

A backrest with gentle traction

Beyond supporting a healthy J-shape in your spine, ideally a backrest would also stretch your spine, especially in the lumbar area. With a little know-how you can get hours of therapeutic traction into your day, reducing pressure on your spinal discs and nerves and improving circulation in the surrounding tissues. We call this combination of healthy shape and traction stretchsitting.


This schoolboy in Brazil has healthy posture and instinctively uses the backrest to stretchsit, lengthening his spine. 

How to choose a backrest

  1. If your chair’s backrest already offers some friction (e.g., textured fabric) and you don’t mind adjusting it when you sit, a folded towel can serve you adequately for stretchsitting. This video will show you how.
  2. Our Stretchsit® Cushion creates healthier contours and provides traction with its soft, grippy nubs. It comes with extension straps that hold its position without repeated adjustments.

Gokhale Method Stretchsit® Cushion on cream easy/office chair
The Gokhale Method Stretchsit® Cushion comes with adjustable straps and can transform most chairs and car seats.

Esther teaching Stretchsit® Cushion stretchsitting on folding chair, 3 images
Teaching stretchsitting with a Gokhale Method Stretchsit® Cushion on a folding chair.

  1. The Gokhale Pain-Free™chair is designed to provide healthy contours and traction for stretchsitting. It has the additional advantage of having a built-in wedge, a waterfall front, and other features making it suitable for stacksitting (sitting without a backrest). 

The Gokhale Pain-Free™chair 
The Gokhale Pain-Free™chair has a custom forged “back upright” (the metal piece that goes between the seat pan and the backrest) to allow your behind to be behind. This allows your spine to have a healthy J-shape. The backrest has sticky nubs sewn into it to provide therapeutic gentle traction.

Free Online Workshop

If you would like to find out more about healthy sitting, including using a backrest, sign up for my FREE Online Workshop.

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