decompression

August is peak holiday time across the northern hemisphere, and many of us who live here will find ourselves poolside, or even better, in it!

Being in water has the natural advantage of lifting weight off the joints while providing gentle resistance training. Aching backs or knees can find relief from compression in the natural buoyancy that water provides. This has made pool exercises a popular prescription with physical therapists over many years, especially for post-operative or post-injury rehabilitation. 

On land, to relieve pain and compression, people usually use elaborate measures like inversion tables, traction units, or going to outer space! In the Gokhale Method we provide decompression for the lower back relatively simply with the Stretchsit® Cushion or the nubs on our Gokhale™Pain-Free Chair. But stepping into water is the simplest of all, giving you freedom of movement and the ability to strengthen yourself simultaneously.

Pool exercise also provides a fun and refreshing environment for exercise in summer heat waves! Wikimedia

This blog post gives you three ways to harness the unique benefits of being in water to practice and develop healthier posture. These exercises are challenging enough to do as a stand-alone workout or as a way to prime your swim session.

Healthy posture habits honed in water will benefit your daily life on land, as well as giving you greater stability and power for your swimming or other sports. 

For safety and best results, I recommend that you progress the session in the order given here, starting with Exercise 1 and, once you are familiar with it, move on to Exercise 2 and finally add Exercise 3. 

1. Stabilize your spine by using your inner corset

You will use a natural brace of muscles as you walk across the pool. It will give you the stability you need to cut through the resistance of the water without wobbling and threatening the alignment of your spine. 

Imagine you are getting into ice cold water. Feel how all the muscles around your middle can contract and make you more slender. You want to work hard enough to feel this from deep in the pelvis all the way up to your rib cage. You want to feel the muscular engagement all the way around your mid torso, like a tightly laced corset. 

The muscles of the inner corset include the deep intrinsic back muscles, the abdominis transversus, and the obliques. 

Gokhale Method teacher Eric Fernandez shows how engaging the inner corset draws the abdomen in and makes the torso slender.

This is one way of recruiting your “inner corset," which will help stabilize your spine as you walk and is key to swimming with a more streamlined, efficient stroke. We teach this technique and others in more detail in our in-person Foundations course, one-day Pop-up course, our online Elements course, plus our Gokhale Exercise program. You can read more about your inner corset here.

2. Headload to lengthen your neck and to find deep spinal support

In industrialized cultures we have an epidemic of forward head carriage, putting enormous strain on the neck and structures throughout the back. Finding healthy alignment through your neck, combined with the inner corset, helps your whole spine to support itself well. Resting even a modest additional weight on the head can help us to find our vertical axis and stand tall. This is the reason I developed the Gokhale™ Head Cushion. 

Headloading encourages recruitment of the deepest muscles of the inner corset and the neck, especially the longus colli at the front of the spine. 

In the pool I suggest you use what you have at hand—your hands! Rest them on your head and push up against them with your head. Keep your nose and chin angled downward. Proceed very gently if you have neck issues. You can gradually build up the intensity over a number of sessions. 

Gokhale Method teacher Clare Chapman headloading in the pool using the weight of hands and arms. Create space between your shoulders and your ears—keep your shoulders down as your neck grows tall. 

Establishing healthy length in your neck will help you to retain a straighter, more spacious alignment while swimming, especially in breaststroke where people tend to crane their necks to hold their heads above water. Consider training to swim with your head in the water, if you do not do this already, which will enable a much healthier alignment of your torso, neck, and head.

Especially when you raise your arms, you may need to use your rib anchor muscles to prevent your back from swaying.

3. Power up your walking using your feet and glutes

Many of us compromise our walking by overusing our quads and hip flexors (psoas muscle) and underusing our glutes. We predominantly reach our front leg forward in our strides, instead of generating propulsion from the rear leg with our glutes and foot muscles. 

Our ancestors and many people living in more traditional or nonindustrialized societies—where joint and back pain are rare—walk using their glute and foot muscles more than we typically do.

As you walk in the pool, make each step a rep. Each step wants to progress through a pose that includes a straight back leg and a bent front knee. As each leg goes back behind you in turn, squeeze your buttock muscles on that side. Engage the upper outer quadrant of your glute pack. This is not the kind of glute squeeze that clenches your lower butt cheeks together and tucks your pelvis. 

Gokhale Method Alumna Christine Andrew working hard to achieve healthy walking form in the buoyancy and resistance of water.

Grab the floor of the pool with the whole sole of your foot, and then push off from your toes. Focus on maintaining the convex foot shape as you do this. Propel to glide forward, not bounce upward.

Eric actively grabs the floor of the pool with each foot to pull the body forward and then push back.

Putting it all together: Aim to keep healthy form and walk as smoothly as you can through the water. This develops both healthy length and muscle power in the right places.

If you notice your back arches back as you walk, take smaller steps and lean more forward until you master the art of keeping your spine stable with the rib anchor and inner corset techniques. Enjoy!

Best next action steps for newcomers

If you would like to know which posture changes will help you be pain-free and functional, schedule an Initial Consultation, online, or in person.

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Before I settle in to recount my back pain story, let me fetch my Gokhale Pain-Free™Chair. This is the chair I now use for all my writing, and that’s important, as I am an author of mystery short stories, and spend many hours composing at my desk. Pain-free, I’m now glad to say.

Since retiring from over four decades as a trial lawyer, I write about The Sleuthing Silvers, Barb and Bernie. This image is from my website, sporting my detective shades. www.thesleuthingsilvers.com

I’ve had back problems for many years and coped with it by going to any number of orthopedists, chiropractors, physical therapists, and neurologists. In my experience, doctors (general physicians) can’t do much for ordinary mechanical back pain, other than advise on painkillers.

That management worked for some 25 years, and then I started having chronic pain that wouldn’t respond to my usual formula and go away. I was becoming somewhat desperate as it affected my whole life. I was grumpy enough by nature before the pain started, but became much more grumpy after! 

My rheumatologist, who I’d seen many times, said, “Well, you might want to read this book.” I had never read a self-help book for my health—I just generally don’t believe in them—but I was so desperate that I went ahead and bought Esther’s book, 8 Steps to a Pain-Free Back. 

I actually liked the subtitle, “Remember When It Didn’t Hurt.”  You do remember how when you were younger, even if you had back pain, it would be a little bit better each day. You could count on it being better tomorrow, and then soon you would be fine. That certainly wasn’t happening.

Esther’s Book was the only self-help book I ever bought—reluctantly.

I was cynical going into this work, and admit I had a very negative attitude. I had already made some of the arguments against working with my posture that were anticipated in the book—you’re too old for this, it’s too far gone…Yet I have come around to endorsing all the amazing testimonials I read in the book. Because I live in the same location as Esther, I actually know many of the doctors and patients quoted in the book who experienced transformational results with the Gokhale Method.

So I read the introduction. That’s what really did it for me—it’s so persuasive, and it’s so simple—it’s something you then want to do. So I started to antevert my pelvis. After months of pain, I woke up the next day and felt noticeably better. I thought, well, this must be a mistake. The following day I was substantially better, and the next day after that I was pain-free and have been ever since. 

I was just blown away by this, and so read the whole book that explains the Gokhale Method. Esther focuses on her subject like a laser beam. I got the impression she knows the spine as well as anyone on earth. I wanted to meet Esther Gokhale, and as we both live in Palo Alto, I was able to do that and take the six Gokhale Method Foundation's Course lessons. 

The in-person  Gokhale Method Foundations' Course originated in Palo Alto and is now taught by teachers in many parts of the globe. Our online Elements course makes the Gokhale Method accessible to students the world over. www.maps.google.com

When we met, even Esther was surprised by my body’s rapid positive response to the Gokhale Method. She explained to me that I had actually been lucky to have gotten positive results having immediately anteverted my pelvis. Attempting to antevert the pelvis to start with is not recommended as most people have some stiffness at the L5-S1 joint and are therefore likely to sway higher in their lumbar spine as they try to get their behinds behind them, creating even more compression in that area. Alternative techniques, designed to first bring healthy length into the lower spine, are advised as an initial phase. It seems I was lucky—one of a small percentage of people with sufficient protective stiffness in my lumbar area to avoid any sway and additional damage.

(a.)                                           (b.)

Most people will inadvertently sway their backs when trying to stand or sit upright with their behinds behind them (a.). This tightens lower back muscles and compresses the lumbar vertebrae and discs. To avoid this, the Gokhale Method first teaches techniques to elongate and stabilize the spine (b.). 

Anteverting my pelvis made a huge difference to me. I had been doing all the wrong things to my spine, such as sleeping in a fetal position, but soon I learned how to sleep, sit, stand, and walk without compressing my spine. In fact, I could now decompress my problematic area around L5-S1. I came to understand how much of our modern furniture puts us into compressive shapes that tuck the pelvis under, pinching the L5-S1 disc and causing it to bulge back toward the nerves. 

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

When I first showed up for the lessons, I explained that I thought the introductory chapters said it all, and that the rest of it was somewhat repetitive. But I was wrong. Every chapter will give you a little something that may look inconsequential, but the magic is in the detail! And even though I was doing very well with the book, the precision adjustments and personal coaching I got from having the lessons made a huge difference.

These things were so simple, made such sense, and worked. Even while I was so thrilled to have found this work, I also felt very angry that nobody else had been able to tell me these things. I have seen umpteen specialists over the years, and no one ever mentioned the Gokhale Method. The upcoming Randomized Control Trial that has apparently been funded entirely by satisfied students will hopefully put the Gokhale Method on their radar. I would like to see the Gokhale Method become a prominent part of every doctor’s prescription for back pain.

It makes sense that changing your posture can make a huge difference to structures as sensitive as your spinal nerves. Just a millimeter either way can determine whether you get agony, or relief from back pain. I also appreciate the wider health benefits of making these posture shifts. I’ve noticed that my organs work better, and my breathing is better. 

I now realize it’s not sitting that’s the problem. The issue is the furniture you choose and how you sit. The Gokhale Pain-Free Chair helps me to stretchsit, decompressing my lower spine.

My understanding of the relationship between breathing and the inner corset is much clearer from having had the lessons. Reading the book did not make it clear to me how muscle tone in the abdominal wall would act to resist any ballooning outward when breathing, and translate into healthy movement in my back with every breath. What Esther calls our “inner massage therapist.” Lessons enabled me to get that. 

I used to get tired and sore standing in line for just a few minutes. More recently, after about 10 minutes in that situation I thought, “Hey, something’s different, I should be tired by now,” and I realized that standing with my weight in my heels, my body aligned as I learned from the Gokhale Method, I felt fine! Cumulatively these details really work. 

Enjoying pain-free time with my granddaughter and her American Girl Tea Party puzzle.

When I first read the chapter on glidewalking, I thought I needed a PhD in mechanical engineering to understand it! But in the lessons, you get it bit by bit, and the teacher gives exactly what the student is ready for. When I was younger, before I had had so much back pain, I loved to walk—I would walk 40 minutes every day. Then I had a hip replacement in 2018, and since then I have had problems. Esther showed me how my left gluteus medius was weak, and had likely caused my piriformis (a deeper external hip rotator) to overwork and cause other problems. 

I’ve been keen to improve my walking. Here I am hiking in the Tahoe National Forest, California.

This is a quote I can relate to: “Nature has placed mankind under the governance of two sovereign masters, pain and pleasure. It is for them alone to point out what we ought to do, as well as to determine what we shall do.” Anglo-American philosopher of law and social reformer Jeremy Bentham, 1748–1832. Portrait by Henry William Pickersgill (d. 1875). Wikipedia

I’m in the early days of my journey and I’ve only finished the course recently. I’m tempted to declare myself “cured” and move on—I can bike ride, swim, and ski without any pain. I’m hopeful that I’ve mastered and internalized what I need to know and keep doing to get on with my life. But I will stay in communication—I can set up an appointment anytime if I need to—all I want is to remain pain-free. I’m so grateful to the Gokhale Method and all who are associated with it. It has changed my life. 

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. . .