internal rotation

Getter Taller as You Age!

Getter Taller as You Age!

Esther Gokhale
Date

It is not uncommon for students to show up at our courses aware they have lost several inches of height since their youth. In our culture it is a widely held expectation that you grow up, and then, at some point in later life, start getting shorter again. We all see friends, neighbors, or family members who are on the downward run of this trajectory, and it is virtually common lore that you will “shrink” or stoop in later years.

Cartoon showing growing up, from a baby to an elderly stooped man with a cane
Losing height in later life is characterized as inevitable in our society. Image from Freepik

Can I expect to lose height as I age?

It is true that trauma, malnutrition, or conditions such as degenerative disc disease or osteoporosis can lead to loss of height. But our experience of working with many thousands of people over the past three decades has shown that most height loss is due to poor posture.

Let’s consider the most common reasons that people lose height:

  • A tucked pelvis: The pelvis is actually in its tallest orientation when it is anteverted, which means slightly tipped forward, rather than the commonly advocated “neutral pelvis.” Pelvic anteversion is evident in our infants, our ancestors, and those living in traditional societies today, and is what we teach our students. 

Drawing of a tucked pelvis and an anteverted pelvis, with lumbar vertebrae
The tucked pelvis (a) is shorter and does not allow the spine to stack well on the sacrum and retain its height. More height is evident in the anteverted pelvis (b). 

  • Unhealthy spinal curves: 

Three drawings of sitting with different pelvic positions and spinal architecture
Sitting or standing with a tucked pelvis (a.), expect to see the spine adopt a compressive C-shape. This rounding of the back reduces overall height in sitting, standing, and walking. Trying to sit up or stand up straight with a tucked pelvis (b.) takes a lot of muscular tension to maintain and excessively loads the lumbar spinal joints and discs. And it also makes you shorter, not taller! A healthier arrangement (c.) allows the spine to stack in more of a J-shape, formed by a distinct L5-S1 angle, and then ascending with less curvature along the remainder of the spine. This taller spine provides space for the intervertebral joints, discs and nerves.

  • A weak inner corset: Weak inner corset muscles allow undue pressure and wear and tear on the tissues, discs, nerves, and bones of the spine. This is a major cause of and contributor to degenerative spinal conditions. All can result in a visible loss of height and thickening around the waist area.
  • Unhealthy bending: A lifetime of rounded bending overstretches the dorsal ligaments of the spine and produces excessive kyphosis, or rounding of the upper back—stooped posture.
  • Forward head posture: A tucked pelvis and/or rounded upper back projects the neck and head forward. This brings excessive muscle tension and compression in the neck and upper back as the muscles endeavor to hold the head upright. 
  • Collapsed foot arches: Loss of the natural arches displace the bones and weaken the tissues of the feet, causing localized problems such as plantar fasciitis, Morton’s Neuroma, and bunions. Height and healthy function can additionally be lost through internal rotation in the knees and hips. 

Photo of stooped elderly lady using her walker
Most people in our society can expect to live into advanced years—but often with considerable physical and mobility challenges. Retaining or regaining healthy posture is key to remaining free from such disability.

Most of us are taller than we think! 

It is neither inevitable nor natural to lose height as you get older. In fact, we have found that it is possible for most people, including those with degenerative conditions, to regain some height!

For a period in pre-COVID days we diligently measured the height of our students before and after they took their Gokhale Foundations Course. They averaged a height increase of two thirds of an inch (1.7 cm). 

Sometimes people discover that they have stooped for years: through doing desk work in poor furniture; bending poorly; as the result of a physical or mental health crisis; or perhaps since trying to hide growth spurts in adolescence. Many of our students have a sudden awakening to the fact that they are taller than they thought. They report feeling elegant, stronger, and healthier.

Photo of two elderly active men bending to mill grain in Portugal.
Moving like we are meant to, for example using a healthy hip-hinge like these two Portuguese workers, preserves height well into older age.

It always astonished me how students seemed more delighted to measure taller than to get out of pain! Reflecting on this, I think students have often been hopeful that their pain will resolve, but are actually surprised when they find they have recovered long-lost height. For both reasons, I share their joy!

What works to restore healthy height and posture.

Clearly, gaining height doesn't happen within a weekend course through any sort of magical “regrowth”! Nor do you get there by redoubling your efforts to “stand up straight.” But you can make transformational changes by addressing the way in which you align your feet, legs, pelvis, spine, and head. And while many of our students gain an inch or more over time, even a millimeter of regained height can be the change from impinged nerves to a pain-free existence.

Molly, a student who is nearing the end of her online Gokhale® Elements course, just wrote us:

I've been fortunate to have a very active lifestyle these 67 years. As I age, I see some effects of gravity and poor habitual posture showing up. A diagnosis of osteopenia and osteoporosis has me on alert. I was exposed to the Gokhale Method® years ago by a yoga teacher and read Esther's Book 8 Steps to a Pain-Free Back. Now, I see great results from having a one-on-one online Gokhale teacher providing additional tips, cues, and feedback. In my annual check-up last week, I had gained a half inch (1.3 cm) in height! This is great news for my spine! Thank you, Gokhale Method.

A Gokhale Method student is taller in her “In Progress” than her “Before” photos
Molly used to lock out her knees and sway her back in standing (left). She is making great progress (right) as she softens her knees, aligns and lengthens her spine with a more relaxed lower back and tall neck, and rolls her shoulders back home. 

My colleague Julie Johnson and I offered a special workshop called Women’s Empowerment Through Posture this week and were overwhelmed by the level of registrations and interest in this topic. Aging well without shrinking is one aspect of what we will be covering in our brand new group offering Women’s Empowerment Through Posture. Join us for six one-hour group sessions, in which we will work together to transform your posture to find a new level of confidence, relaxation, comfort, and self awareness—as well, of course, as helping with aches and pains. 

Best next action steps 

If you would like to know how to restore or make the most of your natural height, get started by booking a consultation, online, or in person with one of our teachers. 

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

How To Go Down Stairs (Part 2)

How To Go Down Stairs (Part 2)

Esther Gokhale
Date

Are you beginning to wonder if you will need to set up your bed in the living room? Do you think twice about visiting places with stairs? Do you have a friend or older relative facing this kind of challenge? 

Welcome to our second post on navigating steps and stairs. Our first post looked at how to power yourself up stairs—this one talks about how to come down stairs. This kind of “life exercise,” done skillfully, can be transformative and gives many benefits beyond getting you to where you want to go.

Two women descending steps.
Going down stairs is a functional exercise that doesn’t need a gym. Freepik

Walking downstairs gets you fitter than walking upstairs! 

Dr Michael Mosley, a well-known BBC health journalist, has a favorite study that had people walk either up or down the stairs of a 10-story building twice a week, using the elevator in the other direction. Both groups saw improvements in many health outcomes—but those walking down the stairs—perhaps surprisingly—did better. They were fitter, had a lower resting heart rate despite doing less cardiovascular exercise, lower insulin sensitivity, lower blood fat levels, better bone density, superior balance, and twice the improvement in muscle strength. You can read more about the benefits of eccentric rather than concentric muscle action here.

Safety first

Whatever your fitness and mobility level, follow these measures to use steps and stairs safely:

  • Use a handrail if appropriate
  • Watch out for slippery or unsound surfaces and trip hazards 
  • Wear well-fitting, non-slip shoes

Start with your stance

When descending stairs, it’s especially important to maintain a well-balanced stance from start to finish. You want to position your body in a shallow zigzag squat, or “ready position.” We teach this stance in detail in our in-person Foundations and Pop-up courses, and our online Elements course. As the name suggests, this stance makes us available for action and quick reaction.

Martina Navratilova ready for the ball, Prague Open, 2006.
A zigzag stance or “ready position” readies us for dance, sport, or stairs. Martina Navratilova ready for the ball, ECM Prague Open, 2006. Wikimedia

The benefits of a zigzag stance for walking down stairs

Having your behind behind with your torso angled forward from the hip joint while descending stairs has several benefits:

  • It keeps your center of gravity further back so you are less likely to fall. By contrast, if you tuck your pelvis, your center of gravity goes further forward, making it more likely you will slip. This is familiar to anyone who has been on a ski slope.
  • Your head aligns over your feet, allowing you to see where you are placing your feet more clearly. 
  • It makes it easier to antevert your pelvis and direct body weight through your knees in a healthy way. 
  • It is good practice for other activities like bending, sitting, squatting, and more. 

Man walking down steps with a healthy zigzag stance.
Gokhale Method teacher Eric Fernandez descends steps maintaining a zigzag stance.

Your glutes help you keep your balance

In coming down steps and stairs your glutes contribute to the important job of stabilizing your hips, pelvis, and sacroiliac joints. Together with other muscles they play a key role in keeping you balanced over your standing leg as the other one is smoothly lowered to the next step. The importance of our glutes for achieving stability through the hips and pelvis is one of the areas of convergence between conventional advice and the Gokhale Method®. Having your behind behind you in a zigzag stance enables the glutes to work optimally.

Try hovering in your zigzag stance for a while on one leg—you will soon feel your glutes working. Be sure not to tuck your pelvis, as this interferes with the glutes’ stabilizing ability.

Anatomy drawings showing gluteus maximus (left) and, underneath, gluteus medius (right). 
Knowing where your buttock muscles are situated can help you visualize them working: gluteus maximus (left) and, underneath it, gluteus medius (right). 

The quadriceps lower you down—as well as take you up

When descending stairs, the back leg quadriceps work eccentrically to lower you with control as your front foot approaches the step below.

Anatomy drawing showing the quads
The “quads” are four muscles on the front of the thigh that insert at the knee. Wikipedia


Notice the quads of the supporting back leg working to lower the body’s weight.

Externally rotated feet v. internally rotated feet

Another important ingredient in coming down stairs is external rotation of the feet and legs. This is the natural angle for the feet, and encourages optimal alignment of the knees, hips, and pelvis. 

Woman in Odisha, bare feet pointed outward, close-up from behind 
The feet of this woman in Odisha, India, have retained a healthy angle outward.

Externally rotated feet are also preferable to feet straight ahead as this enables more of your standing foot to contact the step securely while you lower your other leg. 

Feet descending steps, externally rotated, front view.
Externally rotated feet encourage healthy alignment of both the foot and leg.

Internally rotating your feet will, over time, collapse your arches, and create bunions and knee problems. You will also be more likely to trip over your toes. If you currently have this habit, adopt a mild turnout of about 5° to give your muscles and joints time to adapt to change. You can read more about foot angle here

Feet descending steps, internally rotated, front view.
Internally rotated feet are problematic for your structure, and your safety.

Best next action steps for newcomers

If you would like insight on your posture, consider scheduling an Initial Consultation, online, or in person.

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

Running: Part 6: Upper Body

Running: Part 6: Upper Body

Michelle Ball, Gokhale Method teacher
Date

Welcome to the sixth blog post in our series on running. My name is Michelle Ball, and I am a Gokhale Method® teacher living in Tasmania. I am also a lifelong runner and am passionate about sharing the benefits of healthy posture with the running community, be that beginners, seasoned runners, or anyone in between. Even if you walk rather than run, the posture principles outlined in this post can still help you to enjoy an active and pain-free body well into old age.

Running with a well-positioned upper body

In this post we will consider the upper body. Runners are inclined to pay far less attention to the upper half of the body than the lower half, as they focus on gait pattern, cadence, footwork, and propulsion. This is hardly surprising, but the lower body, while super-busy, really is just half the story. 

Healthy posture in the upper body brings the following benefits:

  • Protected spinal structures
  • Improved biomechanics
  • Unimpeded flow and momentum
  • Support that makes the body feel lighter
  • Athletic appearance

4 elite female runners in profile showing healthy form.
Healthy posture principles are important for the upper body as well as the lower. Implementing them can both protect your spine, and bring mechanical advantage to your running. Unsplash

I have found the upper body principles that we teach in the Gokhale Method® in-person Foundations and Pop-up courses, and our online Elements course, made a world of difference to my running. Let me share some key points with you. . .

Anchoring your ribs

As explained in my previous post, Running: Part 5: Anteverted Pelvis, a forward leaning position when running helps to avoid compression in the lower back. In our culture it is common that people have tight lower back muscles (erector spinae), and weak opposing muscles of the torso (internal obliques). This creates a sway back, which pulls the torso into a backward leaning position. A deliberate forward lean will help counter this. 

Gokhale Method teacher Michelle Ball running angled forward, side view.
Here you can see me keeping a consistent forward angle throughout my torso, neck, and head.

Most people will benefit from some degree of forward rotation of the thorax to fully correct a sway and bring their torso into a straight and healthy alignment. This adjustment can be made and maintained by engagement of the internal oblique muscles, or rib anchor, as we Gokhale Method teachers call it. The rib anchor can be learned with a simple but precise maneuver which you can learn here

Female runner (upper body) in profile showing swayback and lifted chin.
Overly contracted back and neck muscles can give a misleading feeling and appearance of being upright. In reality, overly muscles are pulling the lumbar and cervical spine into compression, threatening discs and nerves. Pexels

Deeper support and protection for your spine

Running is classed as a “high impact” activity. This is one reason to run with the best posture and technique you can. Even if you are running smoothly with impeccable form, running will generate additional forces that impact the spine on landing. Perhaps that is how “jogging” got its name! 

Using your inner corset while running lends natural protection to the joints, discs, and nerves of the spine in two important ways. Firstly, it creates and maintains length, and secondly, it confers stability, preventing untoward twisting, forward, back, and sideways movement. The trunk and pelvis remain a single unit, with no jiggling from micro-flexing and extension, or bobbing up and down—and the head travels at a continuous level, sparing the neck. In these respects good running form is the same as good walking form. The spine and its tissues are saved from both acute injury and long-term wear and tear. How to find and deploy your inner corset is explained in detail in Esther’s bestselling book, 8 Steps to a Pain-Free Back.

An S-shaped spine medical illustration from 1990, and a J-shape spine from 1911.
These two medical illustrations from 8 Steps to a Pain-Free Back show how, in modern times (e.g., 1990), deeper spinal curves have come to be regarded as normal and desirable. The Gokhale Method advocates a return to a straighter, longer spinal shape (e.g., 1911). 

Avoiding neck pain while running

Deep engagement of the inner corset will preserve length in the lumbar spine, and this supportive structure also encourages length in the cervical spine, or neck. In addition, locally, the longus colli muscle, which attaches to the front and side of the neck and upper thoracic vertebrae, needs to be engaged to draw the neck back into a tall, lengthened position in line with your body. 

 Anatomical drawing of the longus colli muscle.

The longus colli muscle (seen here in red) draws the vertebrae of the neck back into a healthy, tall, and spacious alignment. Wikimedia

Gliding your head up and back, while allowing your chin to rest down, will provide stable and relaxed carriage for your head, and a happier neck. You can learn how to glide your head back here.

Woman running with head and neck back in line with body, side view
Your head and neck want to remain back in line with your body, even as you lean forward. 

Man running with tucked pelvis, internal rotation of feet and legs, rounded torso, and forward head carriage
You don’t want to jut your chin forward and let your head literally run ahead of you. Pexels

Trunk stability

The trunk stability that protects the spine also enables efficiency when running, as energy is not dissipated into incidental movements that detract from forward motion. It enables all propulsion to be well channeled, rather than just pulling the spine around. As running expert Marc Cucazella reminds us, ‌“You‌ ‌can’t‌ ‌fire‌ ‌a‌ ‌cannon‌ ‌from‌ ‌a‌ ‌canoe.”‌ In the upper body this propulsion comes from the arms.

Arm movements in running

Whereas in glidewalking the arms largely rest, in running the arms actively contribute to propulsion and alternate with the leg action. In sprinting the arms are especially important, moving straight forward and back like pistons on either side of the body. The arms‌ ‌are bent at‌ ‌45 degrees ‌or‌ ‌slightly‌ ‌more,‌ with the hands‌ ‌moved ‌in‌ ‌a‌ ‌circular‌, ‌‌rearward‌ ‌pull motion,‌ ‌‌as‌ ‌if‌ ‌you‌ ‌were‌ ‌chopping‌ ‌wood.‌ The arms‌ ‌then‌ ‌recoil‌ ‌forward,‌ ‌very slightly rotating‌ the shoulders‌.‌ What you don’t want is the arms to be crossing the midline of your body and pulling you off balance. Arm action can be much more relaxed at an easy jogging pace or in distance running. 

4 elite female sprinters in profile showing strong arm action.
The vigorous piston action of the arms in sprinting requires a well-configured shoulder joint. Unsplash

Whatever your running speed, it is extremely important that the shoulders be well positioned, so that the joint—where the bone of the upper arm, shoulder blade, and collarbone meet—can connect well, and the soft tissues, nerves, and circulation can function optimally. You want your shoulders to be happily at home in their natural, posterior position. You can learn how to roll your shoulders back here.

Open, posterior shoulders will also help you to access breathing in your upper chest. If you tend to hunch forward, draw your elbows more together behind you to assist the external rotation of your shoulders.

Relaxed and bouncy shoulders

In gentler jogging and long distance running, the shoulder area can be more relaxed. Healthy alignment within the shoulder joint is still important for the hundreds of to-and-fro arm reps, and to cushion the impacts traveling through the joint with every stride. A healthy postural relationship between the upper back, the shoulder girdle, and the neck will help the shoulders to be responsive rather than held tight, and to bounce a little as you run. 

Anatomical drawing of the trapezius muscle.
The trapezius muscle is at the center of healthy upper back, neck, and shoulder posture. It helps the shoulder to lift, lower, and gently bounce through impactful movement. Wikimedia

Stick or twist?

The synchronized alternation of arm and leg movement is vital for momentum and balance during running. This will be integrated by the torso twisting somewhat. There is a counter movement of pelvic rotation backward as the chest moves forward on the opposite side. The key is neither to over stiffen, nor over twist the torso. A stiff body keeps the hips from extending fully, can shorten your stride, and puts more pressure on the knees and leg joints. Over twisting can cause a “sloppy” run and impinge on the spinal joints. This is where staying tall with a strong inner corset is invaluable, as the inner corset allows healthy rotation both through and beyond it.  

In particular, avoid an upper/lower torso separation with twisting happening almost entirely at the T12/L1 junction, where the ribs meet the lumbar area. Twisting here is sometimes misguidedly encouraged to help power the arms, especially in fitness walking classes. However, there is no ball and socket joint at T12/L1 that makes swiveling here a good idea for the spine! 

South African sprinter Wayde van Niekerk running, side view
This runner’s torso shows considerable rotation, but it is distributed along the spine—it does not twist at just one point. South African sprinter Wayde van Niekerk sets a world record at the 2016 Olympics. Alessandro Bianchi / Reuters

Olympic gold medalist Tirunesh Dibaba running, front view
Olympic gold medalist Tirunesh Dibaba also shows even rotation of her torso from hip to opposite shoulder. I’ve also noticed that most East African runners have a significantly higher arm carriage, and are among the best runners in the world. Bretta Riches – Run Forefoot

If you would like guidance on any aspect of your posture and/or running, including your head, neck or shoulder position, consider scheduling an Initial Consultation, online or in person, with a Gokhale Method teacher.

Here are previous running posts you might like:

Running P1: Introduction, Esther Gokhale

Running P2: Meet Your Feet, Michelle Ball 

Running P3: How to choose running shoes, Michelle Ball 

Running P4: Taking care of your knees, Michelle Ball

Running P5: Anteverted Pelvis

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.

Running: Part 5: Anteverted Pelvis

Running: Part 5: Anteverted Pelvis

Michelle Ball, Gokhale Method teacher
Date

Welcome to the fifth blog post in our series on running. My name is Michelle Ball, and I am a Gokhale Method® teacher living in Tasmania. I am also a lifelong runner and am passionate about sharing the benefits of healthy posture with the running community, be that beginners, seasoned runners, or anyone in between. Even if you don’t run, but do want an active and pain-free body well into old age, this blog post is for you!

What is an anteverted pelvis? 

Pelvis refers to the bony pelvis, and means basin, or bowl, in Latin. Anteverted means tipped, turned, or inclined forward, from the Latin ante to go before or in front, and vertere to turn. So we are referring to a pelvis that tips forward. 


The angled belt line of the Ubong tribesman on the left shows that his pelvis is anteverted—mildly tipped forward. Contrary to popular belief, an anteverted pelvis does not cause excessive lumbar lordosis (sway back) when there is a healthy angle at the L5-S1 junction. His back remains surprisingly straight by conventional standards. 

Three standing figures in profile showing anteverted, “neutral”, and tucked pelvis
(a.) An anteverted pelvis facilitates heath posture. The commonly advocated “neutral pelvis.” (b.) is actually mildly tucked and does not allow the correct lumbo-sacral angle and stacking of the spine. (c.) A markedly tucked (retroverted) pelvis leads to a tense, compressed lumbar area, or to slumping., 

How an anteverted pelvis benefits the spine:

As you see in the image above, an anteverted pelvis (see example (a.)), is the foundation for a healthy, straighter, more vertical spine, which does not sway or round. It provides the correct orientation for the sacrum to support the L5-S1 disc, which is wedge-shaped, and then for the L5 vertebra and those above to stack well. A tucked pelvis, over time, will likely cause the L5-S1 disc to suffer wear and tear, bulging, or worse, and put pressure on the sciatic nerve roots.


(a.) An anteverted pelvis preserves the wedge-shaped L5-S1 disc. (b.) A tucked pelvis cannot accommodate this and the lower discs will suffer undue pressure and bulging toward the nerve roots.


Like the Ubong tribesmen and people throughout the nonindustrialized world, these elite runners show both an anteverted pelvis and an upright torso. Unsplash

Running leaning forward

Some running coaches teach a forward lean of the torso, which I agree reproduces some of the benefits of a healthy L5-S1 angle for runners who are currently stiff at that joint and therefore slightly tucked if they remain upright. Leaning forward helps compensate for any lack of L5-S1 angle, and harnesses power from the energy of impact when the back leg pushes off. 

Leaning forward is strongly advocated in the ChiRunning technique, which was developed by Danny Dreyer. You can watch Esther in conversation with Danny here, where he explains his approach.

Graphic over photo of runner in profile showing benefits of leaning forward 
Danny Dreyer advocates a forward lean when running, with shoulders, hips and ankles aligned. This is a useful technique to help orient the pelvis, especially if the L5-S1 angle does not allow for the torso to be upright. It also provides additional momentum.


World-renowned Kenyan runners often run with a good L5-S1 angle that anteverts the pelvis, combined with only a slight forward lean. Flikr

Powerful glutes 

An anteverted pelvis also confers mechanical advantage to the buttock muscles. With the behind behind, they can contract powerfully to pull the legs back and aid propulsion. Under-developed glutes are a common casualty when the pelvis is tucked. 


You can see here that I am running with my pelvis anteverted, and a slight lean forward, both of which put my glutes behind to help power my stride.

It is important that, in an effort to get your behind behind, the anteverted pelvis is not mimicked by simply sticking your bottom back with tension (sway) in the lower back. The pelvis needs to settle into anteversion naturally, with healthy articulation at the L5-S1 joint, relaxed back muscles and hip joints, and healthy alignment throughout the body. Gokhale Method teachers have the techniques and expertise to help you get there without inadvertently creating more postural problems. 

Young woman running with behind behind but swayed back
This runner has her behind behind her—but, as the creases in her top confirm, she is tensing her back into a sway and lifting her front ribcage to get there. Pexels


This footballer has his behind behind with an anteverted pelvis that articulates at L5-S1. His torso remains largely straight, which enables him to twist with good length in his spine, rather than compounding compressed discs and nerves. Pixabay

I find it interesting that a forward-leaning stance which aligns the torso with the extended back leg and supports pelvic anteversion is also a key ingredient in learning to glidewalk. Glidewalking is taught in detail in our Gokhale Method® in-person Foundations and Pop-up courses, and our online Elements course. Glidewalking produces a natural, smooth and powerful gait, which in particular strengthens the glutes and the feet. Students who have learned glidewalking find their running improved by the Downtime Training™of simply walking—but walking well. 

Good hip health

The anteverted pelvis is part of nature’s blueprint for healthy human posture and sound biomechanics. It is no surprise therefore that it confers many benefits throughout the body. An anteverted pelvis gives the best fit and function for the hip joints, avoiding the misalignments that occur with tucking. Poorly aligned hips can cause bursitis, labral tears, and osteoarthritis within the joints, and soft tissue issues such as muscle strains, tendonitis, and ITB (iliotibial band) problems further down. 


Jogging or walking with a tucked pelvis encourages tight hip joints, internal rotation of the feet, legs, and hips, rounding of the torso, and forward head carriage. Pexels

Pain in the knees, lower legs, and feet 

When runners get pain in their knees, lower legs, or feet, one of the last places they are likely to look for a remedy is their pelvic position. They are far more likely to blame their shoes! While the right shoes are important, (see Running P3: How to choose running shoes), it is often a revelation for runners to realize how the angle of the pelvis affects their gait. 

One serious problem with tucking the pelvis that hits runners particularly hard is excessive heel strike. While this may also occur in walking with a tucked pelvis, running or even slow jogging will mean that an unduly forward thrusting front leg will suffer more impact. This may result in not only wear and tear, but immediate and painful damage, as the femoral head (top of the thigh bone) is jammed back into the hip socket, and the knee joint of a more forward and likely more straightened leg is jarred.  Sticking the heel forward is like ramming the brakes on while still stepping on the gas! The answer to a thudding heel strike is not to buy excessively padded shoes, but to antevert the pelvis.


A tucked pelvis points the thighs forward, resulting in an excessive heel strike and jarring through the front leg knee and hip. sportssurgeryclinic.com


This runner has her behind behind, but the orientation of her pelvis comes from a
swayed lumbar area, not from L5-S1. The front of her rib cage and chin are pulled up.
She is about to heel strike—bad news for her straightened front leg and hip joint.
Unsplash

Doing a much better job, an anteverted pelvis:

  • Puts the muscles and soft tissues, especially the glutes, in a position of mechanical advantage, without threatening the lumbar spine
  • Enables better weight distribution and therefore bone health 
  • Places the thigh in a healthier position to absorb forces in the hip socket 
  • Allows landing with a bent front knee, with better shock absorption 
  • Facilitates a light heel/midfoot landing, avoids excessive heel strike, is more energy-efficient

Female runner in back/profile view showing good form and anteverted pelvis 
This runner has good form. Her behind is behind because of a pronounced angle at L5-S1 (anteverted pelvis). Her back remains largely straight, her shoulders back, her neck tall. She will land without unduly jarring her joints. Unsplash

Support for the pelvic organs 

An important benefit of an anteverted pelvis is that the bones of the pubis are able to play their part in supporting the pelvic organs. Organ prolapse and incontinence can affect everyone, especially as we age, and is also a common problem in our culture for women during or after pregnancy. When the pelvis is tucked the organ support is overly reliant on the soft tissues of the pelvic floor, such as the Kegel muscle.

 Two diagrams in profile showing anteverted and tucked pelvis effect on pelvic organs.
(a.) With an anteverted pelvis, the pubic bone is positioned to support the pelvic organs. (b.) With a tucked pelvis, the Kegel muscle is obliged to assume this role.

There is nothing worse than getting a run in and having to use the bathroom, especially if there is not one available! Heather A. Dunfee is a physical therapist in the Mayo Clinic Healthy Living Program, and a certified Pregnancy and Postpartum Corrective Exercise Specialist. She does not refer specifically to the anteverted pelvis, but she is clear that tucking the pelvis is bad news:

For runners, good alignment can help your core to better absorb impact, preventing leaks. For example, a slight forward lean helps to put your deep core "canister" in the best alignment to do its job. Think about stacking your rib cage over your pelvis, something that comes naturally when running uphill. . . Hills are great because they force the body into a position of rib cage over pelvis and untuck the bum.

If you would like guidance on any aspect of your posture and/or running, including pelvic position, consider scheduling an Initial Consultation, online or in person, with a Gokhale Method teacher.

Here are previous running posts you might like:

Running P1: Introduction, Esther Gokhale

Running P2: Meet Your Feet, Michelle Ball 

Running P3: How to choose running shoes, Michelle Ball 

Running P4: Taking care of your knees, Michelle Ball

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.

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