balance

Healthy Posture for Better Sleep

Healthy Posture for Better Sleep

Esther Gokhale
Date

Signs of good sleep include taking less time to fall asleep and not waking up often or for long periods. And although the American Academy of Sleep Medicine (AASM) and the Sleep Research Society (SRS) recommend adults sleep at least seven hours a night,¹ over one-quarter of us fall short of this recommendation.² There are many factors contributing to this lack of sleep, and back pain is certainly one of them. 

Poem about sleep on sunset photo background.

When I had herniated my disc, it was the most sleep-deprived time of my life. I recall regularly walking around the block during the night, just to ease my back spasms enough to catch a few more hours of sleep. That was long before I knew the measures the Gokhale Method® now teaches to reduce such pain, accelerate healing, and prevent recurrence. For anyone in that situation, techniques like stretchlying and inner corset are no-brainers! 

But the most common—and most under-recognized—reason for our tossing and turning and sleep deprivation is less dramatic than a herniation, or even pulling a muscle. The numerous microaggressions that our bodies suffer during the day due to poor posture, predispose you to a nighttime beset by jangled nerves, tense muscles, and areas of inflammation. This is disruptive to both mind and body, especially in the hours when you want to rest and rejuvenate.

Woman cleaning a window with hunched shoulders and a curved neck.
Poor use of our body during the day can unwittingly store up nighttime aches and agitation. Image by Andrea Placquadlo, 2017

Will the right mattress help me sleep?

In much of the world people sleep on the floor, often on just a throw or thin bedroll. In hot countries the floor is often the coolest place to be, and if your culture generally enjoys healthy posture and a low prevalence of back pain, lying on the floor can be perfectly comfortable. Most people in industrialized and postindustrial societies, however, have not preserved natural length, shape, and health in their spines, and therefore require more support and cushioning from their bed. 

African villager comfortably reclined on a hard log.
A lengthened, supple spine can tolerate even an unforgiving surface, such as this log.

The most important thing to avoid is a sagging mattress or bed springs that let your spine fall into a compressive curve. As a general rule, the greater the number of springs/coils a mattress has, or the better quality the memory foam (some mattresses have both springs and a foam topper), the better the support you get for your weight and contours. However, I have known many people pay handsomely for mattresses that promise a lot but deliver little, so I recommend taking advantage of “try before you buy” deals.

I have also heard from many of our students over the years that their existing mattresses have, to their joy, become comfortable. In other words, as their posture has improved, more naturally aligned bones, relaxed muscles, and appropriately spaced discs and nerves, are happy at last. Their body is now comfortable, and their brain is no longer waking them to tell them something is hurting—insomnia resolved. One student reported that having learned the Gokhale Method she even said goodbye to a lifelong recurring nightmare!


There are many delicate and vital structures within the spine, as shown here in the neck. They require healthy alignment and length, rather than compression, to be happy (front view). Wikipedia

What is the best sleeping position?

In addition to healthy posture and moving as you are meant to during your daily activities, there is a lot you can do at night to arrange yourself well, encouraging muscle relaxation and improved circulation for healing. Comfortable sleep is sometimes the first place that you can break a pain cycle and start to mend. 

The Gokhale Method offers two main techniques for transforming your sleep: stretchlying on the back, and stretchlying on the side. These are taught in detail in our in-person Foundations course, and online Elements course. You can also learn all the steps involved from my book, 8 Steps to a Pain-Free Back, or DVD, Back Pain: The Primal Posture Solution. You can get started with our free Gokhale® Moment video (below) for stretchlying on the back.  

No special equipment is required for stretchlying—just learn the principles and moves involved, and how to arrange your pillows accordingly.

One breakthrough for many people is to use a pillow under the knees when lying on their back. This accommodates a tight, shortened psoas muscle, rather than let it pull on the lumbar spine. Though this pulling sometimes goes unrecognized at night, it can result in a back so stiff the following morning, it can be hard to move or dress yourself. 

Two diagrams showing lying figures, with and without a swayed back .
Placing a pillow under your knees when lying down accommodates tightness in the psoas and avoids pulling on the vertebrae and surrounding tissues to which it is attached.

Snoring and sleep apnea

Snoring elicits reactions ranging from hilarity to fury. It can be transitory, due to a cold, for example, but persistent snoring can be embarrassing for the snorer and disruptive for others. Snoring may also be a precursor to other breathing and health problems; if you snore, you might benefit from working with a health professional. 

From a postural viewpoint, some overly tight muscles, including the psoas and the erector spinae, will contribute to arching your lower back or pulling your head back. The resulting additional weight from your throat and tongue on your airways could give rise to mouth breathing, thus aggravating both snoring and sleep apnea. 

The gentle sloping arrangement of the pillows in stretchlying, combined with lengthening of the neck, helps to keep the airway clear and well aligned downward, reducing symptoms. This is helpful both when the condition is mild, and also when a CPAP (Continuous Positive Airway Pressure) machine is used. Our techniques can also be adapted with extra pillow elevation, and the side-lying position is of particular help with breathing difficulties.

Antique tomb sculpture of reclined boy on sloping pillow, Öhringen church, Germany.
Antique tomb sculpture shows how people positioned their pillows in earlier times—without sway in the back or neck. (Öhringen church, Germany.)

Best next action steps 

If you would like help with your sleeping positions, get started by booking a consultation, online or in person, with one of our teachers. Sweet dreams!

Photo of reclining baby floating in a ring and wearing shades.
With the right help, we can all relax to sleep—like a baby!

References:

¹ Watson, Nathaniel F., M. Safwan Badr, Gregory Belenky, Donald L. Bliwise, Orfeu M. Buxton, Daniel Buysse, David F. Dinges, et al. 2015. “Recommended Amount of Sleep for a Healthy Adult: A Joint Consensus Statement of the American Academy of Sleep Medicine and Sleep Research Society.” Journal of Clinical Sleep Medicine 11 (6). https://doi.org/10.5664/jcsm.4758.

² “QuickStats: Percentage* of Adults Aged ≥18 Years Who Sleep <7 Hours on Average in a 24-Hour Period,† by Sex and Age Group — National Health Interview Survey,§ United States, 2020.” 2022. MMWR. Morbidity and Mortality Weekly Report 71 (10): 393. https://doi.org/10.15585/mmwr.mm7110a6.‌

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

Wake Up Your Glutes, They Snooze, You Lose

Wake Up Your Glutes, They Snooze, You Lose

Esther Gokhale
Date

In surveys of what people find physically attractive in a partner, a shapely butt is often highly rated. Perhaps it’s no surprise, but if you want, there are even apps to help! So, are good-looking glutes all about sex appeal and filling out our clothing in a flattering fashion? While these concerns may be valid, it is also true that well-toned glutes have many other, profound, but less widely recognized attributes. 

This blog post takes a look at the bigger picture of glute function. You may be surprised to find out just how much your glutes can contribute to healthy posture and a pain-free body.  

Glorious glutes—not just a “nice to have”

Your glutes potentially form the largest muscle group and have the largest impact. Most of us realize at some point in our lives, perhaps due to overdone squats or steep hill climbing, that the glutes are major players in sports and exercise. But if we don’t need them for competitive sports or challenging hiking, is it still worth investing in them for better returns? Let’s take a look at the dividends.

Reduce stress on your lower back

Glutes have a crucial role in offloading stress from the lower back and sacroiliac joints. When the glutes are weak, the lower back muscles work harder to try and stabilize the pelvis and trunk, leading to overuse and pain. When the glutes are strong, along with the inner corset, they steady the pelvis and lower back. This reduces the risk of wear and tear to discs and bones, nerve pain, and muscle spasm in the area.

Time lapse photos by Eadweard Muybridge (in book) of man speed walking, naked.
Vigorous and/or repetitive movement, without the gluteal strength and pelvic stability shown here, leaves the back and spine more vulnerable to damage. (Photographs by Eadweard Muybridge, 1872​​1885)

Avoid sciatica and piriformis syndrome 

True sciatica occurs when there is pressure on the sciatic nerve, usually from a herniated disc or degenerative changes in the spinal joints. The symptoms may be numbness, tingling, burning and/or electrical shock-like pain. It usually extends from the buttock down the leg, and sometimes the foot, on one side. The Gokhale Method helps by restoring the anteverted position of the pelvis, and decompressing the lumbar spine where the sciatic nerve roots exit. We call the resulting natural alignment a J-spine.

Piriformis Syndrome is a condition characterized by pain, tingling, or numbness in the buttocks and often down the leg. It occurs when the piriformis muscle compresses or irritates the sciatic nerve. The sciatic nerve passes under (or, in some individuals, through) the piriformis muscle, and is particularly prone to overwork and disturb the sciatic nerve if its neighbor, gluteus medius, is not doing its duty. The Gokhale Method encourages healthy pelvic positioning and gluteal function to allow the sciatic nerve free passage through the area. 

Front and side-view diagrams of sciatic nerves in skeleton/body.
The profile view (right) shows swayed, leaning back posture, which causes problematic tightening in the posterior chain muscles and compresses the lower spine, including its discs and nerves. 

Make your movement strong, flexible, and stable

Your glutes are the powerhouse muscles that propel you in climbing, squatting, running, jumping, and more. They also work to control those movements, and are key to maintaining your balance. But glutes are not just for vigorous exercise…

In walking, it is your glutes that enable you to correctly achieve forward motion, rather than relying overly on your psoas and quads, shuffling, or falling forward. Glute activation brings a natural smoothness and grace to walking that we call glidewalking. Glidewalking allows your front foot to meet the ground deliberately but lightly, which is gentle on your joints; it also stretches your psoas with every step. 

 


Long jumper Khaddi Sagnia of Sweden uses her glutes to power the run up and propel her amazing jumping…and also to glidewalk away.

Muscles support a healthy metabolism 

The muscular system plays an integral role in our body’s metabolism. Well-used muscles will be larger, helping to burn calories rather than store them. This can help to keep insulin levels low in the blood and can contribute to a healthy metabolism and weight range. 

Man at His Bath, toweling dry, back view, oil painting by Gustave Caillebotte, 1884.
Well-toned glutes contribute to a healthy muscular and metabolic system. Man at His Bath by Gustave Caillebotte, 1884.

The foremost antiaging strategy—beautiful buttocks!

Never mind face yoga, cosmetic lifts, or surgical implants. Rather than costly interventions that do nothing to stop you losing your balance, strength, and mobility, embrace the art and science of how to rejuvenate your body by learning to move as you are meant to. Healthy posture can greatly improve your body’s architecture, self-confidence, health span—and your appearance as a bonus!

 Infant standing aligned on bike pedal, back view; contrast with elderly person teetering with cane.
As infants (left) we instinctively align ourselves well, making good use of our muscles. In our society, adopting poor postural habits as we go through life results in lack of healthy muscle tone, like “glute amnesia”—flat, wasted muscles that have forgotten how to work (right).

Best next action steps

We invite you to join us for a themed Free Online Workshop: Wake Up Your Glutes, They Snooze, You Lose, on Friday, September 6 at 12:30 pm PST, in which you will learn how to make every step a rep! A replay will be available over the weekend if you cannot join live. So sign up, and you will also receive a special offer.

This workshop launches our 21-day Strong Glutes, Strong Body Gokhale Fitness challenge, which will run from Sept 9–29, to help you continue to build strength and improve your posture.

How to Get and Keep Strong, Flexible, Pain-free Ankles.

How to Get and Keep Strong, Flexible, Pain-free Ankles.

Esther Gokhale
Date

We have long ago ditched any Victorian shyness around showing our ankles, thank goodness. In fact, they have become a fashionable part of the body to celebrate with short pants and an ornamental tattoo. But unfortunately for our ankles, the picture is often not so rosy as the years go by…

Photo of woman’s ankle, extended, showing rose tattoo.
Healthy ankles can serve both fashion and function! Image from Pickpik.com

You might be surprised to learn that some of the fastest growing orthopedic surgeries are for ankle fusions, and partial and full ankle replacements. Though still less common than the 790,000 knee replacements and 544,000 hip replacements¹ done every year in the U.S., the number of total ankle replacement surgeries has grown to over 10,000² per year, and these are expected to overtake fusion surgeries.

Surgeries have pros and cons

When ankle damage is beyond the reach of physical therapy, ankle surgery is an option. Various procedures are used for treating post-traumatic, osteoarthritic, and inflammatory arthritic ankle conditions. While we recognize that continual improvement is being made in these surgeries, and welcome the mobility life-line they offer to many, ankle surgery can also leave patients with a relatively small range of motion in the joint, wound complications, and residual pain.

Maintaining quality of Life

Good ankle function is clearly important for enjoying life’s pleasures, such as dance, sports, and being in nature—but it is also about being pain-free, being able to keep a job, avoiding fall injuries, and maintaining independence. 

        Photos of older couples, showing walking with ease, and difficulty, with a crutch.
Being able to walk with ease and pain free ankles (left) makes life more doable and enjoyable. Image from Pexels(left img, right img)

What causes ankle pain and degeneration?

Ankles become problematic for a number of reasons. Some of our students trace their issues back to old injuries, such as broken bones or “rolling the ankle” and tearing ligaments. And it is true that less than optimal healing or poor rehab can have ongoing consequences, or issues that surface in later years. 

The muscle spindles within and the bands of ligamentous tissue that bind the ankle are especially rich in sensory organs called proprioceptors. These are important for sensing our balance and how we perceive the location and movement of our body parts. Thus, incomplete recovery from ankle injuries can leave us more prone to poor coordination and falls.  The long tendons running from the various lower leg muscles through the ankle to move the bones of the feet want to be strong, as do the connective tissues, giving our legs power and stability. 

Diagram of the lower limb from knee down, showing foot tendons and tibialis anterior. 

The tendons of long muscles such as the tibialis anterior (shown in red) cross the ankle, inserting to work the toes and forefoot. The ankle is bound by strong ligaments. Wikimedia

People sometimes tell me that they have inherently weak ankles, like one of their parents. While our DNA clearly shapes our structural inheritance, a more likely cause for the actual manifestation of ankle problems is poor use of the joint due to problematic posture. A poor gait pattern is often learned from our parents, or role models, influencers, or well-intentioned but misguided coaches. 

Motion is lotion—plus strength and flexibility

From a Gokhale Method® perspective, the root cause of ankle problems in our society is varying combinations of poor posture and insufficient use. Even on flat terrain, walking as we were designed to involves a considerable range of motion—the back of the ankle and Achilles tendon gets stretched as the back heel stays toward the ground, and then the front of the ankle is opened wide as we push off using the toes.  

As we came to work ever more sedentary jobs, walking shorter distances along flatter surfaces in our offices and malls, our ankles do less and less. In centuries past our feet would work hard to grab the textured surfaces of rough earth or cobblestoned streets on which we walked barefoot, or in lighter-soled shoes. Going uphill and downhill makes even more demands on our ankle structure, as do naturally challenging surfaces such as tussock grasses and scree-covered hills. 

Male Indian traditional dancer, showing foot turnout 90°
Traditional dance forms as diverse as the Indian Bharata Natyam, classical ballet, Irish dancing, and Samburu tribal dance from Kenya, all employ considerable ankle strength and flexibility. Image from Pixabay and Wikimedia

Let’s strengthen our ankles 

Consider your starting point. Don’t go straight into a new or strenuous activity if your ankles have been used to taking things easy! At best you could feel very sore, at worst you risk an injury—the very opposite of what you want. If you are recovering from injury or surgery, we advise you to check with your preferred health practitioner.

Photo of a child's feet on a rock-climbing wall.
If we are lucky, we will gain healthy ankle strength and flexibility as we grow, and maintain it throughout life. But many of us in our society need help to do that. Image from Pexels

Rather than rotating your ankles, which is a commonly given exercise, we recommend you take a look at our free Inchworm and Toe Tap videos (below). Start each exercise gently with a minute’s work on each foot daily, and build up from there.

These are highly functional exercises that can immediately benefit your walking. Although you focus on moving your feet, you will feel your ankles and lower leg muscles working hard as well.

In time, these movements, and others we teach on our in-person Foundations course, one-day Pop-up course, online Elements course, and Gokhale Exercise program, will help to make your walking more balanced, smooth, and powerful. After all, walking well is nature’s way of maintaining your foot and ankle health, giving you the thousands of reps per day that your feet were designed for. 

For our Alumni, we are pleased to announce the return of our popular Advanced Glidewalking course, starting Monday, October 7, 12 p.m. (PST).  You can book your place here.

Best next action steps 

If you would like to improve your ankle function and comfort, 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

 

References:

¹ Joint Replacement Surgery.” n.d. Rheumatology.org. https://rheumatology.org/patients/joint-replacement-surgery#.

² Penner, Murray J., Gregory C. Berlet, Ricardo Calvo, Eric Molina, David Reynolds, Paul Stemniski, and W. Hodges Davis. 2020. “The Demographics of Total Ankle Replacement the USA: A Study of 21,222 Cases Undergoing Pre- Operative CT Scan-Based Planning.” Foot & Ankle Orthopaedics 5 (4): 2473011420S0038. https://doi.org/10.1177/2473011420s00381.

 

Freedom from Pain This July 4

Freedom from Pain This July 4

Esther Gokhale
Date

Today, those of us in the U.S. celebrate our nationhood. On July 4, 1776, the Declaration of Independence announced colonial freedom from Great Britain; our history has included the winning of many more freedoms since. In various and sometimes contradictory ways, our society continues to defend much cherished freedoms, and also to aspire to new levels of freedom.

Photo of Abraham Lincoln reading with his son.
Abraham Lincoln is remembered for preserving the union of the U.S.. This 1864 photograph of Lincoln with his son, Tad, shows the upright posture characteristic of our ancestors. You can find it alongside many such examples in my book, 8 Steps to a Pain-Free Back.

One freedom that everyone wishes for is to live and move free from aches and pains. I feel privileged that all day, every day, I get to support people in this basic endeavor. Our team of teachers is delighted to pass on to others how best to be in our bodies. We all want our bodies to be a source of true support, good health, and enjoyment for us, rather than a source of misery and a hindrance.


For too many of us, freedom in our body and delight in our physicality was left behind in childhood. We want to regain that pleasure! Image from Pexels

Your body is your primary instrument for existing in the world; it either supports or undermines each of your endeavors. Our intellectual, emotional, and physical selves can be severely challenged by musculoskeletal pain. A body that works well for us is more useful, more productive, gives us more scope to interact positively with others, and brings us more joy.

Young man breakdancing
Enjoyable physical activity should be with us through all stages of life. Image from Pexels

Yet sadly there continue to be many ways in which our natural joyful physicality is undermined by our thinking, and the dominant paradigms around it. We are almost always born into this world highly functional, yet we get molded by misguided conventions and ill-conceived furniture into structures that systematically wear us down. A second whammy comes from not recognizing the red flags, and instead, normalizing them and lowering our expectations. Examples include “It’s normal to have disc degeneration by middle age”, or “We haven’t yet fully evolved to be upright”. The interventions we are offered to relieve pain symptoms, such as anti-inflammatory shots, while having a role to play, do not tackle the underlying causes of musculoskeletal pain, or offer solutions. We need freedom from this complex and catastrophic construction.

Four chairs of poor design for spinal health.
Poorly designed chairs such as these are a root cause of unhealthy posture and “ordinary” mechanical back pain. Learning to position our pelvis and spines well, in chairs that encourage healthy sitting, is an important part of the solution.

Could we use this Independence Day to awaken to the fact that we are actually very well designed? To realize that what is actually normal for us is to move and live mostly pain-free, and that our pain signals are an understandably unwelcome yet helpful nudge to move us in the right direction. To whatever extent you may need help in interpreting discomfort and understanding your particular posture puzzle, we are here to support you.

While the
Gokhale Method®
 is sometimes thought to be about static posture, our method is equally about how to move well. Healthy posture is one frame in a motion picture. Collectively, these frames give you better balance, coordination, and flow. Everyday movements like bending and walking are a pleasure and are liberating, instead of being painful and restrictive..

Alumna Anissa Morgan tells the story of freeing herself from her “decade of darkness”. Anissa continues to enjoy improvement and to recommend the Gokhale Method.

The techniques and principles that restore our bodies’ freedom are taught in logical sequence and detail in our in-person Foundations course, one-day Pop-up course, our online Elements course, plus our Gokhale Exercise program. These offerings enable you to “move like you are meant to.”

Join us for a special online free workshop, Move Like You are Meant To, on Sunday July 7, 11 a.m. PST, where you can ask questions about how the Gokhale Method can help you to find and enjoy greater body freedom.

Best next action steps 

If you would like to find greater freedom in your posture and movement, 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. . .

How to Climb Stairs Part 1: Onward and Upward

How to Climb Stairs Part 1: Onward and Upward

Esther Gokhale
Date

Few of us, wheelchair users excepted, pass a day without climbing steps or stairs. Students often ask if posture has any bearing on how best to do this—and the answer is yes! Our approach to pain-free, healthy posture works precisely because it helps you with all your daily activities. This blog post is the first of several containing introductory tips for using steps and stairs. We will focus here on how to power yourself upward.

Steps and stairs—the benefits

If you are looking to maintain or improve your cardio fitness and lower body strength, climbing steps and stairs will check that box. For example, this could be opting for the stairs rather than the elevator at work.

A young man and woman ascending stairs side by side.
Choosing to take the stairs over the elevator is an easy way to build movement breaks into your day. Pexels

Or, if you have a suitable baseline fitness, you can also use steps, stairs, or gym machines, to up the challenge in your training sessions.

Gokhale Fitness teacher Eric Fernandez on a step machine.
Gokhale Method teacher Eric Fernandez being put through his paces on a step machine.

If you have mobility issues, perhaps due to joint injury, degeneration, or poor balance, using stairs could be something you need to take, literally, one small step at a time, and possibly with the help of a healthcare professional. However, once steps and stairs are appropriate for you, then, whether you are at the level of post-op rehab, or athletic training, the healthy postural form taught by the Gokhale Method® will make your efforts safer, encourage healing rather than damage, and make each step you take more efficient and powerful.

Safety first

Whatever your fitness and mobility level, first check that you can use steps and stairs safely:

  • Use a handrail if that’s right for you 
  • Ensure good lighting in the area
  • Watch out for wet, slippery, or unsound surfaces such a torn carpet or loose tiles
  • Watch out for untied shoelaces, trailing clothing, and other trip hazards 
  • Wear well-fitting, non-slip shoes

Start with your stance

Angling your body forward slightly will be of immediate advantage. It will put your behind behind you, placing your glutes in a position of mechanical advantage where they can work optimally. The glutes are an important part of the posterior chain, that is, muscles in the back of the body, which need to play a prominent role in powering you forward. 

The body wants to angle forward in line with the back leg when walking up steps. ✅

Most people overly rely on pulling up their body weight with the anterior chain when they climb. This overuses the major hip flexor (psoas), and thigh muscles (quads). It is a pattern that usually arises because the pelvis is tucked, sending the “behind” underneath. With the pelvis tucked, the glutes are unavailable to contribute the forward propulsion that makes climbing easier.

A woman climbing steps with a tucked pelvis.
Climbing steps with a tucked pelvis disadvantage the posterior chain muscles that do this job best.

Squeeze those glutes for both stability and lift

As you stand on one leg and prepare to step up, adopt your forward stance and contract the glutes of that standing leg strongly. Gluteus medius will stabilize your leg and pelvis and help maintain your balance, while gluteus maximus will propel you forward and up to the next step.

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 gluteus maximus is the largest and most superficial of the buttock muscles, and pulls your leg back. When one leg is fixed on the ground, as during walking or climbing steps, its muscular contraction will propel the body forward. The gluteus medius is closer to the hip joint, higher, and further out to the side, where it helps in maintaining balance as well as adding momentum. 

glutes of the supporting leg actively contracting climbs steps, back view.
Notice the glutes of the supporting leg actively contracting.

In addition to climbing stairs becoming easier, contracting your glutes has the additional advantage of giving you a more athletic appearance by toning and lifting your buttock muscles.

Work those calves and spare your knees

Lower down your posterior chain, your calves and feet are designed to do the job of propelling you upward. When the calf muscles of your standing leg contract, they lift your heel, driving your forefoot against the ground and your body up. Without the calves providing propulsion, too much heavy lifting will be relegated to your quads, which is likely to overload your knee joint. 


Most people are aware of their more visible calf muscle, gastrocnemius (in red); underneath it lies the deeper soleus (in green). They both contract to point the forefoot down, driving the heel and leg upward when the front of the foot is on the ground. Wikimedia

Using your calves will mean that your feet and ankle joints also get healthy work and movement. Often people climb stairs with their ankles fixed, having become accustomed to walking on flat urban surfaces—little wonder this joint becomes stiff, weak, and injury-prone. Climbing stairs with good postural form will lend your ankles much-needed mobility, and bring a welcome boost to the circulation in your lower limbs.  

This slo-mo video shows the calf muscles of the rear leg contracting during the step up.

If you are not sure if you are activating your glutes as well as you might, you can find instructions in my book, 8 Steps to a Pain-Free Back, or sign up for my Free Online Workshop, Wake up Your Glutes: They Snooze, You Lose, on January 12, 1:30 pm PT. 

If you would like more nuanced guidance on how to navigate steps and stairs, or on refining your glute squeeze, 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. . .

Balanced Walking in Older Age

Balanced Walking in Older Age

Esther Gokhale
Date

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

Guest Blog: Woodland Workouts – a great place to test your new-found Gokhale Method skills!

Guest Blog: Woodland Workouts – a great place to test your new-found Gokhale Method skills!

Olly Selway
Date

 

I like to exercise in the woods. There! I’ve said it. I’ve said it aloud too - so there’s no going back. Truth be told, I’m much happier here among the trees than the squeezing between the pec-decks and stationary bikes at my local globo gym. I even prefer it to pounding the streets or hiking through the fields. In fact I prefer it to pretty much everything.

There’s something primal about the woods. It’s not just the smells, the sounds of the whispering trees, the presence of birds and other wildlife, or the dappled sunlight effect that the forest canopy casts on the ground. I think it goes further than that.

It’s a place where human beings seem to instantly feel at home; an environment that at once welcomes and intrigues. For me, being in the woods puts humans back where they belong, back where we started before the first of our species walked out of the forest on two legs and into the African savannah.

Of course you could argue that other environments could be thought of as just as natural for humans - the desert or the mountains, for example. What’s different about the forest though is that you can’t see it all at once. Upon a mountain top, you can gaze out over acres of terrain at one glance. In the Sahara you can cast an eye over mile-upon-mile of undulating dunes if you stand on top of a high one. In a forest however, only as you walk through it are its secrets revealed to you. You stumble from one little discovery to the next with a surprise around every corner.

I don’t just walk in the forest though. That’s enjoyable enough but there’s so much more fun to be had. No, I use the forest as my gym. There’s far more to do there than there is at your local LA Fitness centre. You just need to know how to use it.

There’s no end of challenges when you learn how to spot them. Can I jump that log? Can I vault that broken stump? Can I balance on this branch – or hang underneath that one – or move hand-over-hand along it?

Now you might be wondering what any of this has to do with posture or the Gokhale Method? What’s easy to forget is that posture is just a snap shot of movement. If you can move successfully between a range of different but correct postures, we can say that you ‘move well’. The challenge of moving well only becomes real when we are asked to engage in real, complex and unique movement patterns.

Ok, so you’ve used the Gokhale Method to improve the way you stand, sit and lie down. Maybe your back pain has cleared up? Maybe you no longer feel like a hunchback when you look in the mirror? That’s great! But that’s not the end of the Gokhale Method or your quest to make the most of the body you’ve been given.

The next test is to use your new-found sense of balance, posture and grace in an increasing number of more challenging ways. And, to my mind, there’s nothing outside of the woods to beat this.

As you walk through a forest you’ll notice the floor beneath you is uneven. Can you keep your foot arches nicely intact and your ankles, knees and hips in alignment? Or do you allow your knees to pitch inwards, your shoulders to pull towards each and your head to be pushed out, grimly, in front of you? If you can learn to control your posture while moving in a complex environment like this, you’re well on the way to mastering your body. It’s both the training and the test. You’ll move with greater efficiency and grace, be protected from injury – and certainly enjoy yourself a whole lot more!

There’s something to look for with every step. When you notice you’re going to have to duck under a low branch, do you find yourself rounding your back and tucking your head into your shoulders? Or do you hinge neatly at the hips, while keeping your back straight and true?

Another example: try walking along a log. You’ll find you’re much more balanced if you engage your inner corset and ensure you’re using your rib anchor. In fact, the extra stability you gain from appropriate use of your abs and obliques will extend into every movement.

If you try to lift a sizable log from the ground but don’t do it from a healthy start and end posture, your body will tell you about it. You might get away with reaching for your toes badly under ordinary circumstances – but try it before lifting a heavy weight from the ground and suddenly all Esther’s teachings make sense. (In fact many powerlifters and strongman competitors unconsciously employ the skills and positions that Gokhale Method student practice – that’s what makes them so successful.)

Whether you’re jumping, crawling, climbing, lifting or carrying, these principles will all still apply. You can’t really break the rules. You can only break yourself against them.

When I take new clients into the forest to train I find there are two things that make them feel pretty darn stiff the next day, even if to my conventional gym goers it appears that they’ve only done a light workout.

Firstly their bodies go into positions that they would otherwise never find themselves in. Joints will go through a much wider range of motion that they are used to, making this excellent mobility work. (If you’ve tried taking a huge first step to get off the ground and onto the first branch of a tree, you’ll know what I mean.)

Secondly, every movement is unique. Because each inch of a wood is different, individuals must adapt their movement in complex and subtle ways each time. Every muscle and every joint has a part to play. There's no machine isolating muscle groups as there will be in your local LA Fitness center. Movement faults or postural issues have nowhere to hide.

The mind-body link has a large role to play here too. To respond to this environment fully, you must be highly alert: alert to the branch you might walk into; alert to the shifting terrain under your feet; alert to the position of your body in space; and alert to how you’re controlling your body in this ever changing landscape.

The overall benefits of a workout like this are entirely holistic. Because we never use sets and reps, improvements are harder to measure yet easier to feel. We’re simultaneously addressing mobility, strength, speed, stamina, balance, movement skills - and, of course, bodily awareness in the form of the Gokhale Method.

The better you apply your refined awareness skills the more quickly the other benefits will follow, all the while protected from injury by the balance, alignment and stability that the Gokhale Method confers. Twenty minutes on a stationary bike while staring at a LCD screen just doesn’t compare!

My hope is that one day we will all return to moving, standing and sitting as humans have for thousands of years (and as some indigenous people still do.) I hope also that we will reject the artificiality of gym exercise and get back to performing authentic human movement in the sort of environment in which our bodies and minds have evolved to thrive.

By Oliver Selway
Author of Instinctive Fitness

www.instinctive–fitness.com

www.woodland-workouts.co.uk

Book available from Amazon: http://amzn.to/2vPiIA8

 

 

 

 

 

 

Join us in an upcoming Free Workshop (online or in person).  

Find a Foundations Course in your area to get the full training on the Gokhale Method!  

We also offer in person or online Initial Consultations with any of our qualified Gokhale Method teachers.

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