anteverted pelvis

Posture Differences in Elite and Plebeian Ancient Egyptians

Posture Differences in Elite and Plebeian Ancient Egyptians

Esther Gokhale
Date

 


This famous bust of Nefertiti (c. 1370 – c. 1330 BC) exhibits a forward-protruded head. Original image courtesy Wikipedia user Philip Pikart under CC-BY-SA 3.0.

In my travels, I enjoy visiting museums. In a concentrated space and in a short few hours, I am able to travel back in time and over large distances, and compare people from different cultures. What a remarkable gift from the craftspeople of the past!  

Many museums have a well-developed Egyptian collection. The Egyptians’ expertise in preserving their dead as well as the dry Egyptian climate has yielded a bounty of specimens from the distant past. Egyptian artifacts are often spectacular and modern audiences are drawn to Egyptian mummies, pyramids, thrones, and temples. So we get to enjoy glimpses into ancient Egypt remarkably easily.

Most people from the past, as evidenced by ancient art and sculpture, had excellent posture and musculoskeletal health. The pharaohs and upper crust of ancient Egypt, however, stand out as exceptions. Sitting on their thrones or standing in special ceremonies, they almost always have tucked pelvises and forward-protruding heads. Nefertiti (as seen above) is an example of an Egyptian royal who has her head “parked” extremely forward. Correspondingly, examinations of the mummified remains of pharaohs report advanced arthritis in the joints — much like what we find in modern populations.
 


Renenutet (shown here) and her husband Runy were part of Egyptian nobility in the reign of Seti I (1294 - 1279 BC). They served in local temples. Notice her tucked pelvis and protruded head and shoulders that are similar to problematic modern posture.


This relief from the 18th dynasty (c. 1335 BC) shows a royal couple (possibly Akhenaten and Nefertiti) in a garden. Notice their posture shows similar distortions to those we see in modern times: tucked pelvis, locked knees, lack of abdominal tone, and forward-protruded head. Original image courtesy Andreas Praefcke on Wikipedia.

By contrast, carvings and sculptures of Egyptian laborers — carrying palanquins, rowing ceremonial boats, and doing other manual work — have beautiful and healthy posture. They model an anteverted pelvis, erect spine, and vertical neck similar to those seen in non-industrial cultures the world over.


This funerary offering bearer (c. 1980 BC) shows excellent posture: a J-spine with anteverted pelvis and elongated spine, and posterior shoulders.


This close-up of the funerary offering bearer above shows her feet pointed slightly outwards and the placement of her behind behind her.


The workers on this funeral boat show excellent posture as they transport coffins in Ancient Egypt (c. 1980 BC).


This ancient Egyptian worker exhibits a perfect hip-hinge with shoulders remaining back.

What are we observing here? What made the pharaohs suffer the same poor musculoskeletal health we do? Was it affluence? Was it a departure from a working-class lifestyle? Was it a sedentary lifestyle? Was it fashion? 

If you live in a large city, you almost certainly have access to a collection of Egyptian art. The next time you visit the collection, please tell us about your observations. Or take a few photos and post or send them to us so we can comment on them.

How to Sit on the Floor, Part 1: Cross-legged Sitting

How to Sit on the Floor, Part 1: Cross-legged Sitting

Esther Gokhale
Date

This is the first post in our multi-part series on floor sitting. For Part 2 on squatting, click here.

Sitting cross-legged on the floor is common in many cultures around the world, and has become popular in some segments of modern Western societies.

 


This Druze woman who I met in Israel has sat cross-legged all her life. She runs a hospitality business — all the food is laid out on the floor and the guests sit along the periphery of the room. She is at ease in this position for extended periods with her back remaining upright and relaxed.
 


In this temple in Bhubaneswar, devotees sit cross-legged for extended periods in performing rituals.
 


These Buddha figures in Thailand show relaxed, healthy, upright cross-legged sitting posture.


For those who grew up sitting on the floor (thus maintaining their original muscle flexibility and joint mobility), sitting on the floor is comfortable and healthy.

 


Babies in any culture have the capacity to sit cross-legged with healthy upright posture. This is Monisha White, Esther Gokhale’s youngest child.

 

It comes in handy at sporting events, in working with young children or with objects on the floor, or in a minimalist context. For people who did not grow up sitting on the floor, though, it can cause a host of problems.

When we are born, our hip, knee, and ankle joints are not yet made of bone, but rather of cartilage. The cartilage ossifies with a timeline that is specific for each joint. The hip socket, for example, is made of three cartilaginous plates at birth. The first pair of these plates ossifies at age 2; the last pair ossifies at age 16. We know that ossification patterns are influenced by mechanical stresses, so it is a commonsensical argument that the habitual positions a person assumes during the ossification period in childhood will dictate how the hip joints (and other lower body joints) set. Someone who has not sat on the floor since being a baby will have a different hip architecture than someone who sat on the floor to eat and squatted to use the toilet growing up. The shape of the joint will be different, as will its range of motion. Some joints have a “use it or lose it” mentality! Additionally, the muscles around these joints will have resting lengths that are adapted to the habitual positions. With muscles, it is simply a matter of stretching to get them to cooperate and be comfortable in new poses. For the bones and joints in an adult, however, things are more fixed. It is unlikely that any amount of practice could find us comfortable and sitting healthily in the lotus position for the first time as an adult.

In this first post of our multi-part series on floor sitting, we will teach you how to modify cross-legged sitting so it is more accessible and healthy for your modern body.

 

How the “pros” do it

Having grown up with this position since early childhood, people like the Thai woman below are able to preserve a healthy base anteverted pelvis and a well-stacked, relaxed, and upright torso.

 


This Thai woman sits through a prayer ceremony sitting cross-legged. Notice her upright and relaxed torso atop an anteverted pelvis.
 


In a tribal market in Orissa, this woman sells pots and roots while sitting cross-legged for hours comfortably.

 

The problem in modern cross-legged sitting

This position tends to tuck the pelvis in people who did not grow up sitting cross-legged. The pelvis is limited by the external hip rotators as well as by the shape of the hip socket itself. Without an optimal alignment of the pelvis, you will be stuck between two poor choices: relaxed and slumped, or upright and tense, each of which causes different kinds of damage.

 


Cross-legged sitting on the floor for modern urban people usually involves a tucked pelvis.

 

     
A retroverted (tucked) pelvis often results in a relaxed and slumped torso (left). Being upright on a tucked pelvis requires tension in the long back muscles (right). This is not a sustainable or healthy position for long periods.

 

The fix: use implements (pillows, wedge, blankets) under your bottom to help facilitate rotation of the pelvis. Allow the legs to be lower than the hips to accommodate tight external rotators and the shape of the hip socket.

 


A support under the sitz bones facilitates sitting cross-legged in a healthy way — upright and relaxed.

 

Do you use any of these techniques? Do you have props that help you sit on the floor more comfortably?

How to Play the Guitar with Good Posture

How to Play the Guitar with Good Posture

Monisha White and Esther Gokhale
Date

Maintaining healthy posture during the activities you are passionate about is SO important. Good form will allow your body to partake in your favorite activities pain-free now and into the future. It often gives the additional benefit of performing better (because of a steadier hand, improved blood flow,...or just increased comfort and relaxation). We've seen a lot of musicians have to stop playing their instrument due to pain, and able to return to playing after learning the Gokhale Method.

A few months ago, I noticed that Nolan was playing guitar with a tucked pelvis and neck forward and I snapped this photo:


Forward head position puts strain on the neck muscles and threatens the cervical discs, ligaments, and nerves.

 

He asked how to play with good posture, so I put him in a stacksitting position and had him hold the guitar so it was slightly tilted towards him. He was able to keep his J-spine and have his neck in a much better alignment:


Sitting well and keeping the neck in good alignment makes playing for long periods of time more comfortable.

 

Esther’s note:

I like how Nolan and Monisha recognize the value of posture improvements without getting overly preoccupied with perfection. Incremental improvements is the best way to make bigger improvements anyway — insisting on perfection overnight comes with its own set of problems. Go, younger generation!!

There’s been a lot of nice music around our home lately. Here is a bonus photo of Nolan singing along to guitar played by a Foundations Course alumnus at our recent South Bay alumni potluck!

 

Here’s one more, in which Nolan is sporting a nice J-spine by using a pillow as a sitting wedge:

 

Nolan’s brothers Bryce and Conner have come to join my household for the summer, while also interning with our company. The Walsh brothers love to play music together as can be seen in the short clips below. We in the family and in the company are excited about the musical evenings and events ahead of us this summer! We’ll also be working on each other’s posture.

 


 

Do you play music? Have you found comfortable and healthy ways to play your instrument?

Fredrik Prost's Journey to Tuva: Posture, Shamanism, and Traditional Life Far Away and Close to Home

Fredrik Prost's Journey to Tuva: Posture, Shamanism, and Traditional Life Far Away and Close to Home

Esther Gokhale
Date

Esther's note: Fredrik Prost, the Saami craftsman and posture student I wrote about in these past blogs:  Fredrik's Journey to a Pain-Free Back, Sleeping on Birch Branches in Samiland, Beauty, Art, and Posture, and Better Posture, Better Sleep, recently journeyed to Tuva. Here is an account he wrote for us about Tuvan posture, culture, and shamanism, including photos he took. It is a rare treat to hear about indigenous people from an indigenous person - one who speaks English well and knows our posture language too!


Tuva is an autonomous republic of Russia that lies northwest of Mongolia in the south of Siberia.

 

This summer I went there to explore the Tuvan traditions, in particular their spirituality.

Tuva is about half the size of France with only 300,000 inhabitants, most of them ethnic Tuvans. The Tuvans have traditionally lived as nomadic herders of sheep, camels, horses and even reindeer.


A group of children herding goats and sheep. The kids start to help out with the herding early - the youngest one here was just seven.

 

The culture is somewhat similar to that of Mongolia - for example, yurt dwellings, which are traditional in Mongolia, are also part of Tuvan culture.

I was interested in the Tuvan culture because I come from a similar culture myself, the Saami of Sweden. Traditionally we are a nomadic people mostly involved with reindeer herding and our traditional dwelling is a teepee. Our spiritual traditions are also similar to that of the Tuvans—generally known as shamanism. The shamanic tradition is surprisingly similar throughout Siberia all the way to Sápmi, which is the Saami area of northern Scandinavia and the Russian Kola Peninsula. For centuries, shamanism in both Siberia and in Sápmi have been under attack from the state governments and other religions. Soviet rule sought to completely eradicate religion in Tuva, and shamanism was driven underground. Despite this, shamanism flourishes once again and is practised openly in both Siberia and Sápmi. In Tuva it even has the status of state religion along with Buddhism.


The stunning landscape of the Tuvan steppe.

As a traditional Saami handicrafter, I have made many drums for Saami shamans. I am also a practitioner of this spirituality, so Tuva, with shamanism as a state religion, was very intriguing to me. Luck would have it that I have a friend in Tuva, a shaman working in their traditions. He invited me there, and naturally I accepted.

I am also familiar with the Gokhale Method, since I suffered from very severe back pain in 2014, and attended one of Esther’s workshops in Germany. So part of the plan for my visit was to also explore the Tuvans’ posture.


My girlfriend Inga-Wiktoria stacksitting on the edge of the boat while fishing on the mighty Jenisej river.

For almost two weeks we traveled around Tuva on dusty roads and in the wilderness. We met a lot of different people, both Russians and Tuvans. As we expected, a lot of people there have quite good posture, since they are involved in a lot of traditional work.


One of our new friends with shoulders back and rib anchor firmly in place.

What struck both my girlfriend and me was that almost all the Tuvans had good posture but the Russians did not. The Russians are a minority in Tuva these days, but historically they have made up as much as 30 percent of the population. So despite living alongside each other they have very different posture traditions—although it has to be said that it seems like the Russians in general have better posture than the average American or Swede.


A Tuvan carrying a heavy load with good back and posterior shoulder posture.


A group of Tuvans in a small village we visited was digging a new latrine; this man worked with really good form, and displayed excellent walking form with feet pointing slightly out and pushing with the back leg and toes.


They took turns digging and the resting position was of course squatting.

In the first week we went to a holy spring not far from the Mongolian border. There are a lot of springs where Tuvans go, which they find healing for various types of illnesses. There are many different springs for heart disease, rashes, and even back pain! These springs are also popular places to visit during summer, and whole families go to camp and relax together. At the spring we visited, there were a lot of Tuvans there and it was immediately clear that Tuvans in general have pretty good posture.


A visitor at the holy spring, stacksitting with thighs angled down and legs slightly open to receive the anteverted pelvis.

We went to a lot of places all across Tuva, which easily could be described as a land of extremes. There are mountains with pine trees, glaciers, as well as deserts where camels live. In summer it can get as hot as 105˚F and in winter minus 60˚F. Back home we rarely experience 85˚F in summer so we really did suffer the summer heat!


Endless roads through the mountains (Esther’s note: Fredrik has made great progress with his posture. When I first met him, he had been doing his carving round-shouldered; he took the instruction of the course to heart and here you see him with very nice posture indeed).

In the mountains we felt more at home both with the temperature and the terrain, and we even met some fellow reindeer herders! There is actually a minority in Tuva working with reindeer in the mountains. They speak a different dialect than the other Tuvans and just like us Saami they live in teepees not yurts.


Our new friends, the reindeer herders of Tuva, and our guide on the right.


Nadeshda showing us one of their skins; the conversation naturally was about reindeers! Shoulders back and good glidewalking.

The connection was instant despite several thousand miles between our two peoples. It really felt like meeting our long lost cousins. We received an invitation to visit them and their main camp, which we unfortunately did not have time to visit on this trip since it was four days away on horseback.


One of the many nomads of Tuva, with really good riding form - straight back and chin angled slightly down.

In the capital of Tuva, Kyzyl, there are shaman clinics where people go to find remedies for all sorts of ailments. At the clinics, which are run by different shaman organizations, shamans work on a daily basis with patients much like an MD in a hospital in the US. At one of the clinics we met Hurugay, a shamaness working for Dungur, the largest and oldest of the Tuvan shaman organizations. She was very welcoming and open about her work and the Tuvan traditions.


Inga-Wiktoria and I with shamaness Hurugay at the clinic in Kyzyl; Hurugay had really good posture, here tallstanding with shoulders back.

We camped for the two weeks of our trip and slept on the ground for most of the time. This was something I did a lot when I was younger but later on learned to fear because of my back issues. Since regaining the posture health I had lost, my back is really a non-issue and two weeks sleeping on the ground was no problem. Tuva gave us a lot, both spiritually and posturally.

Esther's note: A huge thank you to Fredrik for sharing these marvelous experiences and observations with us! Please feel free to comment and ask questions here. 

Working With Scoliosis (Gokhale Method Teacher Cynthia Rose's Back Story)

Working With Scoliosis (Gokhale Method Teacher Cynthia Rose's Back Story)

Cynthia Rose
Date

When I was 12 years old my mother took me to our family doctor for a check up. I remember him looking at me and saying “One of your shoulders slopes down more than the other. Isn’t that interesting!” What’s interesting to me is that the word scoliosis never came up in the conversation and that there wasn’t any further investigation of my sloping shoulder. As a 12-year old I had never heard of scoliosis, so I thought my sloping shoulder was just an oddity I would live with.

It was not until many years later when I returned to school to study massage therapy that I began to notice changes in my spine that manifested as chronic low back pain. I thought it was because of the sitting I was doing in classes or the crawling around on the floor for shiatsu practice sessions. The pain never really subsided, though I did find temporary relief through bodywork and the application of heat. Though the pain was not severe, it was bothersome because it was relentless.

When I was in my early 40’s, I worked with a chiropractor who took a standing X-ray of my complete spine. This was the first time I saw my scoliosis clearly. I also saw how my lumbar vertebrae compromised my discs. No measurements were taken so I don’t know about the progression of my scoliosis over time. But the pain that lived on the left side of my lower back and extended into my left sacroiliac joint was my motivator to do something.

I approached my back pain in a similar way to how I now approach my patients’ complaints as a licensed Acupuncturist and Bowen therapist. I work with a complaint, especially a longstanding one, as a puzzle and pay close attention as I observe changes, both positive and negative. Though there were days when my back felt OK, the exact same pain would inevitably return. I kept trying different things to make it better. Exercise became a big part of my life. Too little exercise resulted in more pain; too much exercise had the same effect.

In 2014, I came across a blog in the NYTimes about the Schroth Method (https://well.blogs.nytimes.com/2014/05/12/hope-for-an-s-shaped-back/). Everything about it sounded promising and I was ready to explore this direction. I found a group of three therapists at Alta Physical therapy in Manhattan that were trained in Schroth and spent about a year working with them. The sessions gave me a deep understanding of what was happening in the curves, as well as the rotations that compensated for the curves. I began to understand what was weak in my back and how I needed to strengthen and stretch to relieve the pain.

The exercises were changing my upper spine more than the lower spine and I began to feel there were gaps between doing the exercises and how I moved in my day-to-day life. I went back to re-read the article in the Times and noticed the many comments on the posting. They included information about other methods, techniques, and braces that had helped other readers. I looked through these and clicked on every link.  This is where I first heard of the Gokhale Method®.

As readers on this blog know, the Gokhale Method teaches you how to sit, stand, bend, walk, lift, and lie in bed with what Esther Gokhale calls “primal posture”. You find the ideal way to stack your bones in relation to gravity so that there is less wear and tear on the structure and less impingement on the intervertebral discs.  For a scoliotic this can be difficult to feel but the method is taught in a way that benefits anyone. Having a clear picture of the twists and turns in my spine from my Schroth work helped me a great deal. I had always felt that posture was contributing to my pain; the Gokhale Method helped me learn, with clarity, the correct way to position my pelvis and my rib cage to optimize my posture no matter what activity I was doing.

I took the six-lesson Gokhale Foundations Class in December of 2014 - about six months into my Schroth sessions - and it made a big difference in how I was feeling and moving through my day. It gave me clarity on where my body should be in space and I felt almost immediate improvements in the frequency and intensity of my pain. The best part was that when I had pain I could ask myself “how am I using my body that could be causing the pain? What could I change that would make the pain go away?” With the Gokhale Method I had specific knowledge of what I needed to change.

The change of my pelvic position from tucked to anteverted took a lot of pressure off of my disc at L5-S1. A tucked position was my default and I had a lot of stiffness around that joint, but even the smallest change to an anteverted pelvis helped me a lot. You can see this in the before and after pictures taken at the class.


Cynthia Rose (after reading 8 Steps to a Pain-Free Back, but before taking the Gokhale Method Foundations course)

 


Cynthia Rose after taking the Gokhale Method Foundations course


Cynthia Rose bending (after reading 8 Steps to a Pain-Free Back, but before taking the Gokhale Method Foundations course)


Cynthia Rose bending after taking the Gokhale Method Foundations course

The Gokhale Method teaches how to elongate the spine in both passive positions (such as sitting or lying) and in active techniques like using the inner corset. This elongation changes the shape of the scoliotic curves in the spine and puts a positive stressor on the bones and muscles allowing them to change in a positive way. For me, this quickly translated to less pain and, over time, I can feel the changes in the muscles on either side of my spine. The pictures below show my back without and then with my inner corset engaged.


Gokhale Method teacher Cynthia Rose shows a view of her scoliosis with the inner corset (right) and without (left)

The Schroth exercises taught me what it felt like to have my curves evened out and my rotations untwisted. I continued doing the exercises for a while. They involved a lot of props (poles, cushions, multiple chairs) and eventually felt too complicated to continue wth them. The Gokhale Method taught me how to move with healthy posture to prevent wear and tear on my structure and reduce my pain. I was able to use what I learned throughout my day and night, withot taking time out to do so.

Not everyone who has scoliosis has pain - I didn’t until my late 30’s. Pain is now one of my reminders to check how I’m using my body; I also use mirrors and my reflection in store windows to take a glance at the shape of my spine. Often, I see the return of my old habit of tucking my pelvis or rounding of my shoulders; I can easily make corrections.

People-watching has become a hobby of mine. The primal posture we teach in the Gokhale Method can readily be seen in people who are from a non-industrialized environment. I live in NYC so there are many of these beautiful people for me to learn from.

The work has had such a profound effect on me, that in 2015 I trained to become a teacher of the Gokhale Method. It has been a valuable asset for many of my acupuncture patients who have chronic or recurrent pain. I am able to teach them posture using the Gokhale Method language I have trained in. It is exciting to be able to communicate with depth and clarity what I use for myself to someone else and to see the changes that can happen in their bodies.

I enjoy being a part of the network of over 50 Gokhale Method teachers around the world all trained by Esther Gokhale. Though her book 8 Steps to a Pain Free Back is a good way to begin changing posture, Esther always recommends getting hands-on instruction from a qualified teacher. I, like many of my colleagues, am available to travel, as well as to answer questions you might have.

 

Forward Pelvis: the Good, the Bad, and the Ugly

Forward Pelvis: the Good, the Bad, and the Ugly

Esther Gokhale
Date


Opinions on what constitutes a pelvic problem abound. The term "forward pelvis" with its negative connotation, has come to be used for an assortment of pelvic / lumbar architectures, some of which, according to the Gokhale Method - are good, and some bad. 

Have you been diagnosed with “forward pelvis” (aka “anterior pelvic tilt”)? If so, you may be concerned about the Gokhale Method recommendation to antevert your pelvis, thinking that this will exacerbate the problem.

Your confusion is not unique. Very few professionals, whether doctors, trainers, or wellness practitioners, differentiate between “forward pelvis / anterior pelvic tilt” and healthy pelvic anteversion. This can lead to poor recommendations like tucking your pelvis or doing crunches.

 


A common approach to fixing pelvic problems in modern times is the pelvic tuck and crunches, both of which carry significant risks. The Gokhale Method has different (and we believe better) solutions to various pelvic or lumbar issues that students may have. 

 

Anterior rotation of the pelvis on its own is not the problem. It’s where else you rotate and how that marks the critical difference between a happy and an unhappy spine.

“Forward pelvis” is vague terminology that is used to describe a variety of spinal architectures that share the common (and not very revealing) element that the pelvis is inclined forward relative to the ground. The term does not distinguish between curves that occur high in the lumbar spine, which are liable to cause pain and dysfunction, and the curve that happens at L5-S1 which is normal and healthy.

Healthy pelvic anteversion occurs only between the lowest of the free vertebrae in a human spine (known as L5), and the top of the sacrum (known as S1). If the L5-S1 angle is intact, it’s possible to stack the entire vertebral column with little effort.

With a "Forward pelvis”, the rotation is not necessarily isolated at L5-S1—in fact, there may be no rotation at all at that point—and usually there is rotation at one or more adjacent vertebrae.
 

Curvature at L5-S1 and lumbar region

Upper lumbar curvature; none at L5-S1

Curvature solely at L5-S1

SPSC Crossfit

Arthur White, MD, The Posture Prescription

©2016 Gokhale Method

8 Steps to a Pain-Free Back

In the Gokhale Method Foundations course, students work with a teacher to find a suitably shaped wedge to support their particular L5-S1 architecture. Once students learn how to sit with an appropriately rotated pelvis, they are often surprised by how effortlessly they can now remain upright. With the pelvis properly anteverted, the rest of the spine stacks and the back muscles can actually relax.


Student Travis Dunn’s Before and After sitting pictures. Taking the Gokhale Method Foundations course helped him find a sweet spot that got rid of his longstanding back problem.

Even though this is how you sat naturally when you were quite small, it can take some coaching to release the muscles previously needed to work to hold you upright!


Nathan White (left), 1993, and Monisha White (right), 1996, displaying the natural and healthy pelvic anteversion shared by all young children. Notice that their pelvises tip forward in isolation from the lumbar spine. 

What is unhealthy about most instances of “forward pelvis”? Let take a look at the physiology of the spine. Your vertebrae are cylindrical bones and in between each vertebra is an equally cylindrical disc that functions as a shock absorber.

 


Your spinal discs are shock absorbers. Most spinal discs are cylindrical in shape.

 

The L5-S1 disc at the bottom of the stack is unique among spinal discs in being wedge-shaped, with the broad edge of the wedge toward the front of the body. If you arch the spine, each cylindrical disc is forced into a wedge shape. Likewise, if the proper anteversion is not achieved at L5-S1, and there is some degree of tucking of the pelvis, the naturally wedge-shaped L5-S1 disc gets pinched into a more cylindrical form. After years of distorting discs in this way, you can expect degeneration, loss of disc height, and potential impingement of the corresponding spinal nerves.

       
When the cylindrical shape of the upper lumbar discs is not respected (left), or the wedge shape of the L5-S1 disc is not respected, there is compression, disc degeneration, and eventually pain and dysfunction.

 

With a return to correct anteversion of the pelvis (and a well-stacked spine), the cylindrical lumbar discs fit cleanly between the cylindrical vertebrae, and the wedge-shaped L5-S1 disc is given its own wedge-shaped space to call home. In this arrangement, the intervertebral discs can properly perform their shock absorber function while maintaining plenty of room for the segmental nerves to exit without compromise.

 

        
Well aligned vertebrae allow the spinal discs to perform their shock-absorbing function without compromise.

 

If you suffer from the variant of “forward pelvis” that includes problematic positioning of higher lumbar vertebrae, this can be caused by several things, each of which requires a different solution. If you are tensing the erector spine muscles (thrusting the buttocks backward or the chest forward), then the solution is to implement techniques to relax those muscles. Massage, stretching, and roller work are all good options. If the problem is a lack of tone in the abdominal wall, then you’ll want to seek out exercises to engage and strengthen the appropriate abdominal muscles.

It benefits pretty much everyone to find a healthy and natural curve at L5/S1 by sitting on a wedge to help tip the pelvis—and only the pelvis—forward, removing any counterproductive muscle tension. We have more detailed descriptions of how to properly “seat” your pelvis between your legs in our book, 8 Steps to a Pain Free Back.


It benefits almost everybody to use a wedge to help tip the pelvis - and only the pelvis - forward. This allows the vertebrae above to stack well without unhealthy muscle tension.

 

The lumbo-pelvic-hip-complex is made up of 15 bones and 29 muscles. With this many moving parts and a general lack of understanding about ideal human form, it’s no wonder that confusing and contradictory information abounds. Our aim is to shepherd you beyond non-specific descriptions of the pelvic area, and guide you towards healthy pelvic anteversion. This can go a long way toward resolving any low back pain and discomfort you have.

 

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.

Six Tips for Springtime Gardening

Six Tips for Springtime Gardening

Esther Gokhale
Date

Spring brings renewal. All around us the earth is alive with the sounds and smells of new life. As the weather grows more inviting, your yard and garden may be calling.  For many people, gardening and outdoor work are favorite pastimes, yet the fear of back pain can be inhibiting.  Let the Gokhale Method help you to thrive alongside your plants!

When planting flowers and digging in the dirt, use hip hinging to save your knees and lower back. Maintain your spinal shape as you bend from the hips. Take a wider stance to reach the ground more easily.  When you feel your hamstrings pulling, bend your knees to keep from tucking.  Check to see that your knees track over your feet and that your shoulders remain back for good blood flow to your arms and hands. Try resting one elbow or forearm on your thigh as the other hand performs your gardening tasks to reduce the demand on the muscles in your back.

 
Hip-hinging stretches the hamstring muscles, increasing their flexibility over time. 


Bend your knees as needed to accommodate tight hamstrings.

For pulling weeds or lifting anything heavy, engage your inner corset and take time to orient your body well. Stay close to the tool, flowerpot or stubborn weeds you are moving. When a task is within easy reach, you are more likely to use the deeper muscles in your back and abs and less likely to twist or distort your spine. For lifting very heavy items, bend your knees more and engage your gluteal and leg muscles. 

Pushing a heavy load is a great way to strengthen your gluteal muscles and improve your glidewalking form. When using a lawnmower or heavy wheelbarrow, squeeze your glutes extra hard to push your back leg into the ground and propel yourself forward. Earth is much more forgiving than pavement, giving you a chance to work on kidney bean shaping your feet and rolling the back foot from heel to toe as you push off.


This man maintains a J-spine shape and engages his gluteus muscles while pushing a heavy wheelbarrow. By doing so, he protects his spine and strengthens these key muscles.

If your knees are healthy, the “B” squat allows you to garden close to the ground while preserving a healthy back shape. Lift one heel off the ground, open your legs to help your pelvis antevert properly, and pivot from side to side so as not to fatigue the muscles of either leg. As with hiphinging, take care that your knees track over your feet. 


Gokhale Method teacher Charlene Hannibal keeps her shoulders back and her neck long as she practices a "B" squat, a healthy way of getting close to the ground.

If you are working on a stationary project, it may be useful to stacksit cross-legged with a wedge. Fold a blanket or mat to create the height that you need.  Sit on the edge of this “wedge” to maintain pelvic anteversion and stay upright and relaxed. Roll yours shoulder back, lengthen your neck and hip-hinge forward to tend to garden tasks.



In people who have tucked their pelvis for years, the surrounding tissues have adapted to this architecture. The muscles and ligaments in the groin, as well as the hamstrings, tend to be short and tight. A wedge compensates for this distorted baseline position and allows you to stack your spine effortlessly and comfortably on its base, and you can sit for extended periods in one position.

Check in periodically with your body. Often when we get involved with consuming activities, our bodies slip back into old habits.  Remember to open your chest and breathe deeply, so earth smells and oxygen flow freely into your system. Take time to enjoy your surroundings. After a day’s work you will feel renewed, refreshed and left with a “good” sore rather than laid up with an aching back!


Best,
Esther

 

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