aging

We assume in our culture that aging will necessarily be accompanied by a loss of height, increasingly stooped posture, loss of muscle strength, and a precarious inability to balance. But is this really the inevitable trajectory? Here we look at why this occurs and focus on how a healthy gait can help us maintain good balance throughout life, including into old age.

Walking sticks and poles help prevent falls but are poor compensation for loss 
of natural stability and balance from the feet and buttocks. Unsplash

Falls can have fatal consequences for the elderly, potentially resulting in broken bones and a cascade of problems that can ensue from hospitalization, injury, surgery, and immobility. Scientific data followed by the U.S. Department of Health and Human Services (HHS) has linked several known risk factors, attributing most falls to muscle weakness and problems with balance and gait. Conversely, elderly people who maintain their strength and ability to balance have been shown to mostly avoid trips, slips, and falls.

The importance of the glutes

When it comes to balance, there is good evidence to confirm that the role of the gluteal muscles (buttocks) is key. Research¹ has shown that having strong gluteal muscles and hip abductors differentiates non-fallers from fallers. These muscle groups include gluteus medius, a muscle that we pay a good deal of attention to in both our online Elements course and in-person Gokhale Method Foundations Course. 

 
The gluteus medius muscles form the
upper outer quadrants of the buttocks. Wikimedia

 
Healthily developed gluteus medius muscles are clearly visible 
in these Ubong tribesmen. (Borneo, Indonesia)

The attachments of gluteus medius high on the pelvis and wide at the hip joint position it to play an important role in steadying us when we walk. With a little coaching, it is easy to monitor its degree of engagement with the fingertips. This is also a good way of ensuring that other important muscles in the area are performing their function.

People who walk well use their back leg and glute strongly 
to propel themselves forward and maintain their balance.

Should I do glute exercises?

Well-targeted exercises are an effective intervention for jump-starting weak and sleepy glutes, and are therefore included in our courses. But your glutes would like around 5000 reps a day to maintain a good baseline tone—enough to drive most of us crazy. Fortunately, Nature has a saner solution—walking. Rather than dedicating a large percentage of your disposable time to doing exercises, if you walk well, squeezing your glutes, each step becomes a rep.  

Note the bean-shaped contours of this woman’s feet. (Odisha, India, 2017) 
She has strong, even inner and transverse arches 
giving the foot convexity rather than a collapsed shape.

Feet

At the other end of our walking gear are our feet. We treat our feet somewhat like prostheses to be shoved into shoes, with little regard for their function. But healthy feet are critical in gripping and grabbing the contours of the ground, even through shoes, as part of maintaining our balance. 

Natural gait includes a grabbing action by the foot as the glute contracts, with the back heel staying down
on the ground well into the step.

Glidewalking

A natural gait that makes good use of the glutes and feet is so rare these days that Gokhale Method teachers call it “glidewalking” to distinguish it from the various poor gait habits and compensations that most people develop in industrialized societies. 

Walking distortions

Monty Python’s “Ministry of Silly Walks” comedy sketch, starring John Cleese. 

The Monty Python “Ministry of Silly Walks” sketch shot to fame in 1970 and is still absurdly comic. Its silly walks are hilarious and clearly extreme, but some of their genius lies in their exaggeration of truth as they magnify the distortions and quirks that can be observed in our individual walking patterns.

A common walking distortion occurs when the pelvis is tucked under. Tucking the pelvis disadvantages the muscles of the glutes and feet which are designed to propel us forward. Without this propulsion from behind, muscles in the front of the body such as the psoas and quadriceps are obliged to take their place and pull us along. These muscles cannot give us the same stability however, and our ability to balance or catch ourselves from falling is reduced. 

Non-industrialized populations the world over, despite their varied environments and cultural habits, share a common gait pattern. This photograph (Laurence K. Marshall) reveals no appreciable differences in walking between individuals, male or female, child or adult. 

By contrast, if you observe a tribe or family of Kalahari Bushmen you might detect slight nuances, but each individual shares the same essential gait pattern. This is also observable in our young children and is preserved in the art and film of our ancestors prior to the 1920s.

All of the upside, none of the downside

While it’s true that any type of walking may bring benefits such as cardiovascular fitness, interaction with others, connection with Nature, and a low carbon footprint, there will be downsides for your balance if you have a poor gait pattern. A habit such as landing heavily means that your weight is committed forward too early in your step, removing the ability to side-step a loose tile or slippery floor. Many people lean backwards slightly as they walk, making them more prone to their heels slipping underneath them. By contrast, glidewalking is well balanced and stable, which lends it an innately peaceful and dignified quality. 

Gokhale Fitness teacher Eric Fernandez and Gokhale Moving Meditation teacher Kathleen O’Donohue take online participants through balance exercises and movements.

It’s not just an age thing

Many younger people with poorly developed walking muscles and a “flat butt” find themselves prone to falls and injury but are likely to put it down to poor coordination and clumsiness. Whatever your age, if you often feel unstable, trip frequently, notice that you struggle to stand on one leg in yoga classes, or cannot shift your weight smoothly in Tai Chi/Qigong, it is definitely worth looking at ways to improve your balance and movement.

Strengthening the gluteus medius muscles prepares you for glidewalking.

Learning to glidewalk

The best and safest starting point for learning glidewalking is to strengthen and become very familiar with using your gluteus medius muscles. You can find our favorite glute strengthening exercise, “leg raise,” in the exercise appendix of my book (pg. 213), “8 Steps to a Pain-Free Back”.

Or watch our Online University video clip here.

For those who are willing and able to follow detailed instructions, Lesson 8 in “8 Steps to a Pain-Free Back” takes you through the phases of glidewalking step-by-step. 

If you have the resources, I recommend contacting a Gokhale Method teacher who can coach you and tailor lessons to your needs. 

You are also invited to join me for the Free Online Workshop, Sturdy, Upright, and Tall: Posture for Aging, on June 29 (5 p.m. PT). Best foot forward!

          1. Mario Inacio et al., “Gluteal Muscle Composition Differentiates Fallers from Non-fallers in Community Dwelling Older Adults,” BMC Geriatrics 14, no. 37 (March 2014), https://doi.org/10.1186/1471-2318-14-37. 

Hunching over or rounding the upper back is often regarded as a hereditary characteristic. I frequently hear people say, “my back is stooped just like my mother, and her mother had it too.” 

Is a hunched back Nature or Nurture?

I agree that hunching is certainly a family trait—but it is largely a learned one, not inherited. 

We mostly learn our posture from our parents and family members. As we grow up, the role models around us in wider society also hold sway. Unfortunately, in our culture, these are usually pretty poor examples to follow. Our relationship to healthy posture has steadily been eroded over the past one hundred years, as I explain in my book 8 Steps to a Pain-Free Back.

Healthy, open posture, as shown here, was typical in Western societies until the late 19th and early 20th centuries. (Print donated by the Mendocino County Museum to the Gokhale Method Institute’s collection).

While it is true that some people have a greater genetic predisposition to these distortions, e.g., they may have slack ligaments which easily allow them to occur, these changes generally only manifest when a particular area of the body is subjected to sustained and inappropriate loading. When a person retains or relearns healthy posture, genetic predispositions have little opportunity for expression and for distortions to take hold.   

This mother in Burkina Faso positions her head, neck, shoulders, and arms in a way that is harmonious with retaining an upright and mostly flat upper back. Her child is also experiencing healthy posture—his arms and shoulders posterior, his chest open.

This well-meaning mother is unfortunately encouraging her daughter to round her back as she exercises. Pexels

Why does the upper back hunch?

In some respects, developing a rounded back is not dissimilar from developing bunions—both distortions are the body’s adaptation to a lack of support in the right place, and consequent overloading somewhere else. 

Bunions can form when the joint at the base of the big toe repeatedly takes weight that should be in the heel bone. This can be due to wearing a pointed or high-heeled shoe, or simply from habitually standing with weight through the forefoot rather than the heel. 

The upper back rounds when it is made to carry and counterbalance the weight of a forward hanging head, neck, shoulders, and arms. In healthy posture the upper body is supported by a more vertical J-shape alignment of the spine and the deep postural muscles, or “inner corset.” This prevents the spine from collapsing into an S-shape, C-shape, or I-shape. You can read more about spine shape here.

Sir Charles Walker, a British member of Parliament, being interviewed. A tucked pelvis will often result in a rounded upper back and forward head carriage. Channel 4 News (UK)

How to improve rounded, head forward posture

One of the best steps towards finding your J-spine alignment is to realign your head over your body. To develop the deep cervical muscles which counter excessive neck curves, I recommend using the Gokhale™ Head Cushion, which was specifically designed for this therapeutic purpose. It mimics the beneficial effects of head loading, but with a safe amount of weight for people in a society unpracticed in carrying on the head. 

People who carry weight on their head push up against it using their deep neck muscles (longus colli) and inner corset. Their central axis remains tall, with no rounding of the upper spine.

Caution: If you have any neck pain, or suspicion of herniation or other degeneration in the neck, do not do this exercise.

Headloading is a rarely taught but highly effective means of lengthening, strengthening, and aligning the neck, and freeing the upper back.

Upright and open posture is your birthright

By not hunching you can:

• Maintain your full height
• Retain a more youthful appearance
• Avoid muscular pain and tension, especially in the back and neck
• Avoid nerve pain, impingements, and poor circulation in the shoulders and arms
• Encourage the “inner corset” muscles to support and protect the spine
• Avoid compression and degeneration in the spine, including bone, discs, and nerves 
• Reduce your risk of osteopenia and osteoporosis in the spine as the bones receive
  the healthy stress they are designed for
• Enjoy healthier breathing and digestion

Hunching is not an inevitable part of aging

Often people start to notice they are hunching in middle or older age, maybe because it has become more pronounced. Hunching usually starts as a postural habit much earlier in life, yet goes largely unnoticed if there is little stiffness or pain in the area—and it is not yet linked negatively to associations with the aging process. In many traditional cultures people preserve an upright posture well into old age.

A lifetime of seated work does not make hunching inevitable, as the upright posture of this Ecuadorian backstrap loom weaver shows.

This elderly man in Indonesia has retained posterior shoulders and a wide, relatively flat upper back. Unsplash

This elderly farmer from the Yogyakarta region of Indonesia has preserved an open chest and shoulders that rest back. Unsplash

At whatever age you notice rounding in your back, it is important not to see it as inevitably leading to an extreme kyphosis (severe outward curvature) in the upper spine. Sometimes students come to us in dismay, perhaps shocked to have recently seen themselves so hunched in a particular photograph or video. Rather than despair, use this highly pertinent data as a springboard and incentive to return toward the healthy alignment you had as a young child. 

A young girl washes eggs for market near Falls Creek, Pennsylvania, 1940. She inclines slightly forward and lengthens the back of her neck to attend to the task. Her shoulders remain posterior, her chest open—no rounding over! Pinterest

How to mobilize a stiff upper back

In most situations using a suitable roller is my favorite way of mobilizing the upper back. It can ease stiffness in the vertebral joints, soften tight muscles, and improve circulation to the area. To ensure you get all of these up sides and none of the potential downsides from roller work, there are some important guidelines to follow:

• Use a roller that is the right size, density, texture, is non-slip, and robust. The Gokhale™ Roller meets these criteria.
• Rolling needs to be done with a safe technique and healthy postural form, not threaten injury to your back or neck.
• New freedom in the upper back must be balanced with healthy posture to improve muscular tone and alignment. This prevents newly acquired “give” in the area from resulting in further rounding.

Caution: If you have osteopenia or osteoporosis, or suspicion of herniation or other degeneration in your spine, do not do this exercise.

The Gokhale™ Roller has been specifically designed to help you on your posture journey towards a happy, hunch-free back.

How the Gokhale Method resolves hunched posture

Posture education often starts when people analyze their online or in-person Initial Consultation photographs with a teacher. Gokhale Method® teachers have a lot of experience in reassuring people who have a kyphosis (rounded upper back), explaining the mechanisms that got them hunched, and the logical steps they can take to turn this unwanted trajectory around. The Initial Consultation starts the process of students fine tuning their ability to read posture. It can be a revelation. 

Initial education in Gokhale Method techniques and the resulting changes can be rapid. Most students soon realize how amenable to change the arrangement of the skeleton and soft tissue can be. Changes to rounded posture are not only possible, but almost guaranteed as students progress through our in-person Foundations or Pop-up course, or online Elements course.

In the case of bony rigidity that has been in place for decades, we work to get improvement around fixed areas, and to prevent it from getting worse. With persistence and patience, a surprising degree of bony changes can take place over time. As with all body tissue, bone constantly renews itself in response to the way it is arranged and used.

Felicia Grimke, aged 32, was a very hunched and pain-plagued office worker.

Now a Gokhale Method alumna, Felicia continues to enjoy working on healthy posture and is virtually pain-free for the first time in many decades.

Many of our students have generously shared the story of their journey out of hunching and pain. Do be inspired by Felicia Grimke’s recent post on overcoming hunching, How the Gokhale Method Solved my Neck Pain and Transformed my Life, and sign up for one of our free online workshops below. 

Photo courtesy Norman Crawford.

Norm, a hydrologic analyst and author now 82 years of age, originally hails from Alberta, Canada. When Norm was 16 years old, he accepted a summer job in Lake Louise (also known as Lake of the Little Fishes by the local Stoney Nakoda people), a location in the Canadian Rockies so known for its rugged beauty that it is frequently included on lists of “Wonders of the World.” This breathtaking landscape formed the backdrop for Norm’s lifelong love affair with the outdoors. Decades later, Norm still speaks of Lake Louise with understated reverence.

Lake Louise, Alberta, Canada, where Norm first fell in love with hiking. Photo courtesy Kevin Noble on Unsplash.

These days, Norm still loves spending time being active outdoors. When he’s home and not working on flood research or his novel, a favorite activity of Norm’s is walking the Stanford hills and campus. His family also owns a small cabin in the mountains near a lake he enjoys circumambulating daily. Perhaps it was his early exposure to the wilderness of Lake Louise which planted the seed of his passion for outdoor activity, a healthy and restorative passion he continues to feed.

Norm has been fortunate to enjoy “quite a bit” of mountain hiking in his life: here he is summiting Mt. McArthur. Photo courtesy Norman Crawford.

Challenges to walking and hiking

Not long ago, however, Norm’s treasured outdoor activity began to be interrupted by lower back and leg pain. After only 30 minutes of walking, he would be in enough pain to have to stop and stretch out his legs. He’d then be able to continue for another 5-10 minutes before needing to stop again. The pain was significant enough that he was starting to avoid walking even his usual Stanford route. At the mountain cabin, he noticed himself avoiding the routine, 2-hour “rocky walk” around the lake, fearing pain. To be suddenly unable to take this routine walk was quite a disruption. Norm was afraid he’d have to give up the mountain hiking he’d enjoyed since his teenage years. More than that: he was also afraid of consigning himself to a shorter life of poorer quality. He’d seen similar effects firsthand after his father experienced a severe pole-vaulting leg fracture at age 45, and didn’t want that for himself. Norm decided to do something about his pain, rather than settle for a life like his father’s had become after his injury. He also wanted to strengthen his core, behind, and legs.

As Norm puts it, “it’s troubling to get old,” but he also sees aging, in part, as a state of mind. “It’s not true to say that I’m still 20,” he says by way of example, but “there’s a way to do things that you have not done before and to expand what you know.” Norm’s willingness “to try out other things” than what might be strictly familiar speaks to his adventurous approach to life and clearly benefits his mindset. As a hydrologic researcher, he’s enjoyed visiting countries where he couldn’t even begin to read the language, let alone speak it. More recently, since he’s begun Gokhale Method lessons and Continuing Education, Norm’s interest in retooling habitual behavior has benefitted not only his posture, but his enjoyment of life.

One of the important lessons Norm learned was the sequence of muscular contractions and relaxations that constitute walking. The Orissan man above shows the beginning of the relaxation phase of a stride — his left posterior chain muscles relax as his right leg takes on a more active role. His left foot’s shape continues to hold its own at this instant.

The Gokhale Method supplies Norm with very specific ways to strengthen his back and other muscles, as well as new ways of moving and walking. These techniques are drawn from nonindustrialized, indigenous cultures —  cultures which Norm considers “less stressed” than ours. The specificity of the Gokhale Method techniques contrast with Norm’s earlier experience with the Alexander Technique, which he does not recall being as methodical and technique-oriented.

Our founder Esther Gokhale lives and teaches close to Norm, so he’s been “fortunate enough to take classes with the source,” and Norm holds her teaching expertise in high regard. Norm considers the lessons reasonably priced, particularly compared to the costs of MRIs and conventional medicine. He began lessons with Esther nearly a year and a half ago. Initially, Norm attended the lessons, listened to the instruction, and started working on the techniques, but admits he “didn’t really do things daily.” Eventually, he heard Esther say that if he wanted to gain more robust benefits, he’d have to perform the techniques daily. That shift from occasional to daily practice was when he began to see “major results.”

These before-and-after images and SpineTracker™ readings of Norm's hip-hinging indicate one way he has learned to protect his posture.

The benefits of adaptability

Since taking a Gokhale Method Foundations Course and Continuing Education, “what used to happen” to Norm in terms of pain “just doesn’t happen” anymore. That treasured 2-hour walk around the lake at the mountain cabin is something he wouldn’t hesitate to do now. Closer to home, he walks the same hour-plus Stanford routes he used to walk and doesn’t need to stop and doesn’t even feel uncomfortable. With a grin, Norm jokes that the results of treating his pain through posture seem to him like “black magic!”

Norm is living proof that, at any age, humans can learn and adapt to new situations, and can do things we’ve never done before. Rather than allowing himself to become “self-contained and narrow” in the way he does things as he ages, Norm prefers to change course and branch out, much like water does as it flows tirelessly around obstacles.

Like the water he’s researched for decades, Norm has found ways to respond and adapt to changing circumstances. Photo courtesy Ezra Comeau-Jeffrey on Unsplash.

In Norm’s own words:

When asked to say something about myself, my first impulse is self-aggrandizement, e.g. claiming I was born in a cabin I built myself. This impulse can’t survive the light of day, but if this text decamps and merges with late night camp-fire talk, beware. My work is hydrologic analysis and I have been fortunate to travel and work in many places in the world, including villages in the Amazon that have limited contact with the outside world.

I want to talk about teachers, and what we learn and don’t learn, and whether or not this changes with age. We do learn at an extraordinary rate between birth and age four; if you see a newborn and a four-year-old together, how could that transformation happen? College freshmen and graduates are different, but not that different. If you do reach seventy, or eighty, what then? Have you learned all that there is to learn?

People like these Orissan potters were the models for Norm’s posture transformation.

Specifics, my inner editor demands. OK. I’ve had the good fortune to meet teachers over my eighty-plus years and retain some of what they had to say; in high-school an English and a physics teacher. In college, still more – a mathematics professor (whose name I don’t remember) who said the increase in computational speed (then about five orders of magnitude) would change human life. The teachers I remember had discovered or realized truths and wanted to make these truths known.

So, what happens with age? Things I could do at sixty-five, eighteen-hour mountain climbs, become problematic. I would love to do those climbs but my body says, “You can’t be serious.” I have to deal with loss. My mother-in-law, who lived to 102, said, “Old age is not for wimps.”

This elderly Orissan woman’s presence in the marketplace communicates a peaceful approach to aging. She actively participates in everyday life — her biceps tone tells that story — even as she sits out the most arduous tasks.

Dylan Thomas wrote, “Do not go gentle into that good night-” How can that be done? Esther Gokhale is a teacher. Listening to Esther, and learning finally that I had to work at the Gokhale Method, I found I could defeat sciatica. My expectation that ‘things get worse with age’ proved false.

Eighteen-hour mountain climbs? Not yet. Maybe next year.