science

Make 2024 Your Year to Say Goodbye to Back Pain

Make 2024 Your Year to Say Goodbye to Back Pain

Esther Gokhale
Date

It’s early January. New Year’s resolutions have swung into action, and many of them involve improving our health. With the impetus of a fresh start, we throw ourselves into ditching poor habits and cultivating better ones. It’s no surprise that January sees the highest gym sign-ups and enrollments for dietary regimens! Other resolutions include getting more sleep, meditating, or learning a new skill—self-care for the mind as well as the body. 

 Photos of gym stretching, meditating, healthy food, and cycling.
Most of us will have made a New Year’s resolution in at least one of these areas. 

Posture—a missing pillar of health

One little-recognized yet equally important pillar of health is posture. At age 27, I had thought I was active, fit, and robust, yet found myself in excruciating back pain with a newborn baby to care for. Long story short, by changing my posture—the way I sat, stood, bent, walked, and even slept—I lost the pronounced sway in my back, recovered my natural J-spine, and have been pain free, active, and thriving ever since. There is more about what I learned from my teachers and developed into the Gokhale Method® in this recent blog

Image of Esther Gokhale’s MRI showing a large herniation at L5-S1.
An MRI scan revealed the cause of my sciatica and severe back pain—a large herniation at L5-S1.

Picture an active, pain-free future 

Imagine a future with virtually no back pain, no need for joint replacement, an absence of repetitive strain injuries, and comfortable feet, neck, and shoulders. This was a reality for our ancestors. . .and there is nothing they had that we can’t regain! Our bodies are malleable, and we can learn to move naturally—in fact, healthy posture is written into our DNA. Sometimes the required changes feel strange, but there’s a sweet spot sensation to them, and they often feel strangely familiar. Gokhale Method teachers have a lot of experience in guiding students to make these changes efficiently and effectively. We’ve already guided tens of thousands of people out of back pain and musculoskeletal problems. No doubt some of them started that journey with a New Year’s resolution! 

 

Esther Gokhale helping student Ann Murtagh with her glidewalking.
Gokhale Elements alumna Anne Murtagh from Ireland joined our two Alumni Days in Germany this fall. Here I am helping Anne to refine her glidewalking.

The key to manifesting good intentions 

Life is busy, and self-care resolutions can be hard to keep. A posture resolution is different in an important regard. Yes, it does take some investment of time to learn, but following that it will save you time—you will be walking faster, sleeping more effectively, and saving time spent seeking care for aches and pains. Rather than being an additional undertaking or needing hours of sessions per week, changing your posture is more a matter of living daily life differently. And you are rewarded with all sorts of benefits, like improved appearance, a more positive outlook, and improved digestion, breathing, sexual function, and elimination. Out with the old posture that caused you tension, compression, and pain, and in with a new, more relaxed, efficient and effective way of being in your body. 

Our students trust the Gokhale Method for valuable information and insights taught in logical steps. They also appreciate quality backup from whatever props, coaching, technology, alumni programs, and online community they need to succeed. Here is a what Gokhale alumnus Sachin Deshpande has to say:

It is not an overstatement that the Gokhale Method changed my life and reduced 99% of my body pains—back, foot, knee, elbow, and more. It takes a month or two to grok the concepts, and then real benefits begin. I would suggest both reading the book and taking the classes (which are quite affordable).

Gokhale alumnus Sachin Deshpande reading 8 Steps to a Pain-Free Back by Esther Gokhale.
Sachin (pictured above) found the Gokhale Method through my self-help book, 8 Steps to a Pain-Free Back. This doubled as a textbook when he took the Foundations course. You can read Sachin's story here

The past, the present, and looking to the future

Students sometimes remark on the historical data that is an essential ingredient of the Gokhale Method. We draw extensively on ancient and ancestral roots, referring to both science and cultural artifacts to learn posture wisdom from the past. We are also very much in the present, offering in-person courses around the world and embracing today’s online and wearable technology to deliver remote learning. As we travel forward into 2024, we very much hope you will be with us for a healthy, pain-free future.

Roman marble portrait carving of the god Janus, facing both ways to past and future.  
The Roman god Janus gave his name to the month of January. He was the god of beginnings, transitions, time, doorways, gates, passages, and endings. He was often depicted facing both ways, to the past and to the future. Note his healthy head and neck posture! Image from Wikimedia

Best next action steps

If you are new to the Gokhale Method, get started by booking a consultation, online, or in person with one of our teachers. Or you can sign up here
for our special New Year Free Online Workshop Start 2024 Pain-Free with the Gokhale Method, Tuesday, January 9, 12 a.m.1 p.m. (PST), to find out how the Gokhale Method can help you.

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

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.’

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