hips

In keeping with Claudia’s wishes we are not going to use any photographs of her in this blog post. We are always happy to respect our contributors' wishes for privacy. We are very grateful for Claudia’s generosity in sharing her personal posture journey, and are sure that you, our readers, will appreciate it too.

—Esther Gokhale

How I came to the Gokhale Method

I decided to take the course with Esther in person for a few reasons—firstly, I have received emails periodically about her offerings for some years and actually live close to Palo Alto where she is based. Secondly, I have been having some physical challenges recently. Lastly, my 93-year-old mother passed away in December and I felt that, after settling her estate, taking the Foundations course would make good use of some of what I received. I felt, “this is my gift from my mother.” It would make my mother happy to know this is what I’ve done…

Towards the end of my Foundation course, our garden burst forth with abundant, fragrant plumeria flowers. I brought some to Esther for my lesson and she remembered them very fondly as Champa, or frangipani flowers, from growing up in India. Image by Claudia

Improvements despite hip arthritis and osteoporosis 

A few years back I was walking with a friend and my toe somehow got caught in a brick-paved area—I don’t even remember falling, but found myself on the ground. I broke my humerus and radius. I knew I had osteoporosis, and guessed it had gotten worse—my doctor wanted to put me on medication for it, but the more I read the less I wanted to take that route—so I looked into other possibilities. 

If you are prone to tripping, the Gokhale Method Toe Tap exercise will strengthen your tibialis anterior, the shin muscle whose tendon lifts the front of your foot clear of the ground. 

I fell again a couple of years later and didn’t break anything, but I did say to my doctor how stiff my hips were feeling, despite being so active. He advised me to get an X-ray, which confirmed that I had severe hip arthritis. This surprised me as I am very active and used to run marathons—my doctor told me right away that I should get hip replacements. I thought, “I am going to explore every alternative route.” 

I have also been working on my osteoporosis since my first fall, in 2020. Every week I do Osteostrong®, using weight machines that are geared for building your bones, and take a high-quality calcium and strontium supplement. I think these measures, combined with the healthy posture I learned with the Gokhale Method aligning my bones well to respond to gravity on a daily basis, are producing significant results. I recently got my DEXA scan for the last year and my spine bone density improved by 10% and my hip bone density 20.5%, to which my doctor said “Wow!”. 

Early success motivated me to discover glidewalking

My Foundations one-on-one course was six weeks of learning a couple of new posture techniques each week, and working to incorporate these into my daily life. I worked really hard all week between lessons, practicing and rereading the book—I felt very motivated to be prepared for the next week’s lesson as I was having some immediate success. I often found it helpful to look in the mirror to check my posture learning, just to be sure of what I was doing—for example, to see that I was keeping my shoulders rolled back.

Our shoulders are naturally positioned in a posterior position that gives space for the joint, muscles, tendons, blood vessels, and nerves that populate the shoulder girdle. Shoulder rolls can gradually return hunched shoulders to this healthier arrangement. You can learn to shoulder roll with this free video.

Other new things, such as glidewalking, felt like there was almost too much much to think about when I first learned the techniques, but slowly, steadily, my body just adapted. It was wonderful how all the pieces of the glidewalking instruction came together for me.

I work two days a week and I go for a long walk on my lunch break. With this regular practice, I was able to incrementally regain the flow in my walk… I could just keep going, and I no longer had any of the tension in my hip muscles that had crept in. It was like I just floated along. My body relaxed into it and there was a beautiful, primal familiarity: This is how good I used to feel.

Our natural gait pattern is optimal for our entire structure. For Alumni seeking to deepen their experience of glidewalking, the online Advanced Glidewalking course is designed to do just that. The next course starts October 7. 

How the Gokhale Method helps me at my job

For years I had my own lettering design studio, and then eleven years ago I started working for Trader Joe’s as a signwriter, doing the handwritten chalk boards and pricing signs. 

For those of you unfamiliar with Trader Joe’s signs, here is a taste of my artwork. Image by Claudia

My Gokhale Method course helped me a lot, as we often ended up hunched over our work at flat tables. Esther gave me some suggestions which I try to pass on to the many younger people in their twenties working there who are getting back pain. For example, we have brought in some drawing boards to slant back like easels and enable us to work in a more upright posture at the tables.

In bygone eras people would commonly use a slanted surface or easel for writing, drawing, and painting, rather than hunching over. This drawing is from an 1893 technical journal. Image from Wikimedia Commons

For my hips, the hardest thing is sitting for too long and not moving. Esther encouraged me to take movement breaks to stretch out my psoas and hip muscles, so I get up and find things that need doing around the store. I do have a Gokhale™Pain-Free Chair at home, and I wish I had one at work because I love it. The seat angle of this chair situates my hips perfectly and then I can put my behind behind and let the nubs in the back hold my spine just right. It makes my hips and spine very happy!

This video explains how and why the design of the Gokhale® Pain-Free Chair makes it uniquely comfortable—and therapeutic.

I also pay particular attention to my shoulders and my chin when at work. When I first started with Esther, she told me that I walked around with my chin way up, so I have learned to lengthen the back of my neck and keep my chin down now.

Building on my Foundations course

I finished my Foundations course at the end of June. But there were still some things around hip-hinging that needed gelling for me. So I went back August 1st, and am so glad I got the extra help I needed with my hips. Due to my severe hip arthritis Esther realized that I needed to start with a smaller range of motion and plenty of support, so she came up with ideas like me leaning on a table or wall to bend, and was constantly offering alternatives that enabled me to get a feel for where I was heading. 

One of the details Esther noticed was that I held my lower belly in all the time. All my life I had thought that was important; now I know to practice relaxing that area to allow for the alignment I need at the hips. 

Bending deeply happens most easily with the thighs out of the way (externally rotated and wide) and the lower belly relaxed.

Another thing that I needed to experience was the way that kidney bean shaping the feet enabled the rest of the leg to open up and externally rotate, which again changes things in the hip joint. We did that over and over so eventually I got to feel and manifest that difference. I now know so many aspects of  natural posture that will improve my joint health. 

Our foot’s natural kidney-bean shape and outward angle helps to support healthy hip joint architecture.

Healthy posture and what the future holds

I definitely feel I can go further in changing my posture. I have signed up for the Online University—I often do the daily program, and then there is so much more I can access in the video library. I sometimes find there’s something lands that I didn’t get the first time around. At the very least, I’m inspired by the daily reminder email. 

Each day your Gokhale Exercise email tells you what’s on, and gives you a visual reminder of the daily Posture Principle. 

I still regularly refer to Esther’s book, 8 Steps to a Pain-Free Back, which has so many layers of interesting information that I’m aware I haven’t yet fully absorbed. I am only at the tip of the iceberg with this beautiful Gokhale Method, but it has already been life-changing. This really is life-long inspiration and learning! 

Best next action steps 

If you would like to start or reboot your healthy posture journey, book 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…

If you are prone to tripping, the Gokhale Method Toe Tap exercise will strengthen your tibialis anterior, the shin muscle whose tendon lifts the front of your foot clear of the ground.

In 2014, at age sixty-four, I began to experience pain in my left hip that eventually became quite debilitating. For the first time in my life, I went to a chiropractor, which resulted in relief that lasted a couple of years. By 2015 I had consulted first one, then a second orthopedic surgeon, who recommended a hip replacement due to osteoarthritis. 

The first clinic I went to, I felt like I was visiting a bone and joint factory…I decided to wait. The second place, they were reading another patient’s notes! That doesn’t give you a lot of confidence!! Not feeling completely comfortable with either of the surgeons, I began doing my own research. 

I longed to get back to hiking and walking pain-free.

I’m not one of those people who jump into things, especially surgery. So I went to a clinic where they did a lot of rehabilitative physical therapy and I asked one of the PT’s: of the people you work with who have success with their surgery, which surgeons do they use? And that’s how I found my hip surgeon. After a successful surgery in January 2016, as well as physical therapy sessions with the excellent physical therapist who recommended the surgeon to me, I recovered quickly and was thrilled to resume walking without pain.  

During the summer of 2018, while out shopping, I experienced both of my knees feeling as if they were on fire. My knees continued to bother me, but, afraid an orthopedic surgeon would tell me I needed surgery, I consulted a sports medicine doctor. He performed X-rays and confirmed that I had osteoarthritis in both knees. He suggested physical therapy and braces, as well as steroid shots (which I declined). Physical therapy helped to provide some relief as the muscles around my knees strengthened.

The following year, I read an article by Christiane Northrup, M.D., in which she shared information about the Gokhale Method®. I researched the method and learned that a one-day Pop Up course, one of the in-person ways to learn the Gokhale Method, would soon be offered in a nearby town, Boulder, Colorado. After the course, I did my best to focus on glidewalking, which did reduce the bone-on-bone knee pain.               

    
Everyday activities, such as bending, are taught in Gokhale Method group courses. Bending can be done in ways that align the bones well, use muscles appropriately, and spare the joints. Learning to hip-hinge benefits the knees, hips, shoulders and neck, and more besides.

I made it until June 2021, when I had successful bilateral knee replacements with the same surgeon.  I opted to do them both at the same time to get it over with, but recovery was challenging. After weeks of physical therapy, I was told to just do normal everyday activities. However, I did not feel I was making the progress I wanted.

My husband took these photos of my knee replacement X-rays at my 6-week post-operative follow-up appointment. Our joints are precious things to take care of!

Because COVID was still raging, I joined the new Gokhale daily online program. This enabled me to extend my recovery in a more enjoyable and focused way, and my knees became ever stronger. Even now, if I am unable to participate in the day’s live session, just receiving the email about the topic of the day is a great reminder and encourages me to focus on practice. And I regularly watch the replays if I miss a session.

Gokhale Exercise members receive a daily email outlining the day’s program, complete with an inspirational posture reminder image. This was May 7, 2024.

In February 2023 I began experiencing pain in my hands and my left shoulder. I was diagnosed with Carpal Tunnel Syndrome (CTS) and given exercises and braces for my wrists/hands to wear at night. While the shoulder responded and had some improvement, my hands were still an issue.

At a follow-up appointment six weeks later, it was suggested I could have “a little surgery” on both hands to fix the issue. I looked up information about CTS and the surgery, and learned the pros and cons of having that done. I lived with the pain off and on until this year, when in early 2024 a diagnostic nerve test was performed by a neurologist to check the severity and cause of my particular CTS. Even though C7 (the seventh neck vertebra where nerves to the back of the arm, wrist, hand, and middle finger exit the spinal cord) was mentioned to me during the nerve assessment, the hand specialist who ordered the test did not mention it at a follow-up visit. He suggested surgery on both hands. A day after this appointment, I called the doctor’s office to find out more about possible C7 involvement and to ask if that might be the cause of my CTS. If so, how would surgery to snip the ligaments in my hands fix the problem? Since I never received a response, I did not schedule surgery.  

Pain-free wrists and a mobile neck are important to enjoy my hobbies. Here I am on a painting course that my daughter and I took together.

An X-ray of my cervical spine in March did indicate osteoarthritis in my neck, which in our society would be regarded as “normal” for my age. I discussed this finding with my chiropractor, who uses the Gonstead Technique. She felt confident that regular, gentle adjustments of affected areas, found by palpation and the use of a heat sensor that indicates inflammation, could be successful in eliminating the CTS symptoms. She checked my grip strength and adjusted my hands and wrists. Because I had difficulty using my hands for so long due to pain and numbness, they had become stiff and weak. I was also given suggestions about what I might do to help with my neck after my appointment. This made me once again think about what more I could do to contribute to my own healing.

My neck X-rays showed several areas of degeneration and misalignment that would potentially cause radicular pain. 

It had been almost five years since I first attended the one-day Pop Up course. I would say that up until recently, I had been somewhat “dabbling” in the Gokhale Method, without a full understanding or commitment to change my posture. Although chiropractic treatments helped to relieve my symptoms, I recognized that a healthy baseline posture was lacking, resulting in repeated misalignments. Understanding that an issue with my cervical spine might actually be the cause of my CTS, I finally came to the realization that I had been overly relying on others to fix me, and that I also needed to do everything I could to help myself. Just the thought of yet another surgery became extremely motivating!

That’s when I decided to circle back to the Gokhale Method. During an Online Follow-up with Esther in January this year, I explained that I wanted more confidence about what I should be doing for my posture and wanted coaching. Shortly after, I began the one-on-one online Elements course with Esther, which ended in April. In the early sessions, it was difficult for me to even get into positions that required me to use my hands and shoulders. By about halfway through the course, my pain from CTS had subsided, as well as the stiffness and pain in my shoulders which had not been in the healthy place they should be. I used to change up my mattresses and pillows a lot, but now I realize it’s not all about these external things—good mattresses and pillows can help, but how you position your body makes a big difference. 

On a regular basis, non-genetic scolioses/asymmetries tend to diminish with standard Gokhale Method training—that is, without any special focus. In my case, it reduced the strain on my neck. This surprised and delighted me.

Now for the really great news! I have not experienced CTS at all since completing the Elements course. While I practice healthy posture with my whole body, as everything interrelates, my main focus has been on my neck, head, and shoulder placement. Chiropractic appointments have gone from bi-weekly, to weekly, and now, only occasionally. For weeks now, C7 has not needed an adjustment and it makes my heart so happy when my chiro tells me the instrument that measures heat and inflammation in that area is clear! She has seen how my improved posture is making a difference and has been extremely supportive of the Gokhale Method.  

My exercise and walking had greatly diminished over the years after the onset of osteoarthritis, pain, and then surgeries. My upper body has been my main concern recently, but other techniques, such as glidewalking, have greatly improved my mobility and stamina. I would like to take the Advanced Glidewalking course in the future. I am working my way back to a healthy weight and an active life—thanks to the Gokhale Method.    

In this video I share how glidewalking has enabled me to travel and walk longer distances in comfort.

Best next action steps 

If you would like to improve your joint health, 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…

The best art often communicates on many levels. The Walking Men 99™ exhibit is a great example. It consisted of a frieze of pedestrian crossing icons, photographed and assembled from around the world. At human scale, they mingled with passersby on the sidewalk. 

Walking Men Worldwide™ is a series of public art installations by artist Maya Barkai, which was launched in Lower Manhattan in 2010-2013 (Walking Men 99™), and was followed by a series of installations around the globe. www.walking-men.com

From a posture perspective, signage featuring pedestrians offers us an overview of how modern urban people perceive, represent, and execute walking. Some lean back in line with the front leg, others lean forward in line with the back leg; some land with a bent front knee, others land with a straight knee; some have a straight back leg as the front leg lands, others do not. No other mammal on earth shows such variation in its locomotion!

Does variation in gait matter?

In traditional rural villages across Africa, India, and South America, when I study walking, I see a more uniform walking pattern. This holds true across different cultures, ages, and occupations. Intriguingly, this gait is also shared by our young children, and can be seen in antique photographs, paintings, and sculptures of our ancestors. It results in a uniquely smooth, elegant, powerful walk that is rare enough, it merits a special name, glidewalking. 

Glidewalking describes the healthy and efficient human gait pattern shared across different generations and cultures.

Glidewalking is very different from the various stomps, shuffles, totters, bounces, and other strategies that people in modern urban societies bring to their walking. Any type of walk can get us from A to B, but anything short of what our bodies are designed for is likely to be inefficient and, over time, destructive. Twisting, swaying, slumping, or jerking the spine with every step causes compression, inflammation, damage, and degenerative processes. Suboptimal gait biomechanics are also largely responsible for our epidemic of knee, hip, and foot problems, which include cartilage wear and tear, joint arthritis, and plantar fasciitis.

Take a closer look at walking

In the Glidewalking chapter of my book, 8 Steps to a Pain-Free Back, I included a variety of pedestrian traffic signs to show how they can reflect and promote different gait patterns:

Taking a fresh look at pedestrian crossing signs—from a posture perspective. (Page 170, 8 Steps to a Pain-Free Back)

Most public signage reflects our confusion about walking. Signs often depict walking with either both legs bent, or both legs straight at the same time, or some other compromised configuration.

These airport signs show weight aligned on the front leg and little effective propulsion from behind.

Straighten out your walking

A good first step (literally!) is to learn to straighten your back leg fully. This has numerous benefits: 

• pushes the ground back strongly to propel you forward
• encourages you to lean a little forward rather than backward 
• encourages glute contraction 
• encourages healthy pelvic anteversion
• encourages your back heel to stay down and your foot to be active for longer
• stretches your calves
• is nature’s stretch for the psoas

We recommend you start practicing by walking uphill, or pushing a rolling chair or shopping cart, which makes all of the above benefits easier to find in your body. 

This sign in the Philippines shows healthy walking form, with the torso angled slightly forward and the leg behind straight. Image from Bonifacio Global City

Unfortunately, this guy is not doing such a good job… Image from Angela Bayona(Toggear.com

Notice how these animated walking figures differ…but both have a straight back leg.

Take a step in the right direction 

Over the decades we have worked out how best to guide students through the process of improving their gait. Deeply ingrained poor walking habits can be replaced using tried and tested techniques in a step-by-step process.  This is covered in all of our beginning courses: our in-person Foundations course, one-day Pop-up course, and our online Elements course. 

Alumni can sign up here for our next Advanced Glidewalking Course, starting Monday, June 03, 12:00 p.m. PST and give your walk the green light!

Best next action steps 

If you would like to improve your walking, 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…

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.

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.

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. 

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.

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.

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. 

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. 

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. 

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. . .

This is the second post in our multi-part series on floor sitting. For Part 1 on floor sitting, click here.

Why squat? Squatting isn’t something we do much in industrialized societies beyond childhood, but if you can do it healthfully, it is an eminently practical posture for resting the body while keeping the backside elevated off the ground and the clothing clean, as this woman from Orissa demonstrates.

This woman from Orissa demonstrates a healthy, full squat with foot arches intact and a long, straight spine.

It is also the posture used for toilet activities in places with floor toilets, a trend which has recently made its way to the industrialized realm in the form of popular footstools such as the Squatty Potty. If you have ever gone camping in a place without Port-A-Potties, you have had good occasion to squat!

Using a simple footstool to sit on a toilet, supported with a straight back.

And women worldwide, especially in less-industrialized societies, have long used squatting during childbirth. Talk about ancestral posture.

Like mother, like child.

Women squatting in a tribal market in Orissa to sell vegetables. This is a very comfortable, sustainable posture they have grown up with.

The problem
Most people’s hip, knee, and ankle joints do not bend enough to allow the back to remain straight and the arches in the feet to remain intact.

People in modern societies usually don’t have the hip/knee/ankle structure to do a full squat without rounding the back and compromising the feet.

The fix
Raise the heels or resort to a partial squat or B squat (one heel raised, the other down). Do not settle down all the way down on your haunches.

For most people, squatting with raised heels makes it possible to have a straight back.

A partial squat or B squat, with one foot on the ground (not visible) and the other foot with the heel raised. This facilitates a healthy, straight back posture.

In conclusion, for modern urban people to derive the benefits but avoid the pitfalls of squatting, consider raising your heels, or doing a “B squat” or partial squat. For going to the toilet, a Squatty Potty or low foot bench is useful. We recommend on working on your calf and quad flexibility to get low to the ground towards a squat, but do not insist on a full squat because it will likely involve some unhealthy compensations. And enjoy people watching in cultures where squatting is part of daily living.  Every culture has its facilities and limitations and it’s fun that we’re all different!

This woman squats for hours to add slip onto her pots. Orissa, India.