J-Spine

How Do I Fix My Neck Pain?

How Do I Fix My Neck Pain?

Esther Gokhale
Date

Do you suffer from neck tension, muscle knots, or tingling in your fingers? Do you get frequent headaches?

Or maybe your neck is fine most of the time, but seizes up periodically, leaving you unable to function normally in your job, family life, and recreational activities.

Drawing of woman wearing cervical collar
A soft cervical collar is a common prescription to alleviate neck pain. It can give welcome support in the short term, but doesn’t help to strengthen your neck or get to the source of the problem. Wikimedia Commons

Most neck pain involves compression. 

In modern cultures, the head often drifts forward as we slouch and crane our necks towards our computer screens. The weight of the head, (typically 11 lb. or 5 kg—think bowling ball), then requires the muscles at the back of the neck to contract strongly to keep the head up. This contraction compresses the relatively delicate tissues in the area. Not a recipe for a healthy, happy neck. If you have forward head carriage but are symptom-free so far, keep reading for tips that will prevent future problems with the discs, nerves, blood vessels, and bones in your neck.

Man using desk computer, slumped, with forward head carriage
In our culture slumped desk work posture and a degree of forward head carriage is common. Pexels

Restoring the natural length and position of your neck

Young children, ancestral populations, and people living in traditional societies around the world preserve a natural head carriage that stacks the neck well as part of a healthy J-spine. This allows the head to be balanced with only appropriate muscular effort, and the neck to be tall and free from compression. 

Young child with well-aligned neck
As young children we instinctively align our neck well over our body. Pexels

Restoring mobility in your neck

Perhaps you have experienced increased stiffness and reduced mobility in your neck over the years? Or unpleasant gritty sounds when you turn your head? Beware of exercises that include extreme flexion, extension, or head circles. These movements, taken to the end of your range of motion, can damage your discs and pinch your cervical nerves. If they are a part of your exercise regimen, consider reducing their range. 

Diagram showing the bones, discs, nerves, and major blood vessels of the neck.
There are many delicate and vital structures within the neck, so we first want to align it well. (front view). Wikipedia

In our experience it is best to focus on restoring the neck to a healthy baseline length and shape that centers your head well on your spine. The video below shows you how to proceed:

This gentle movement will help you to find a safe, natural trajectory to get started on gliding your head up and back.

If you have areas of long-standing rigidity or curvature in your neck, it is likely linked to your postural distortions elsewhere in your body, for example thoracic rigidity or a tucked pelvis. 

Expect this to take more time and training to change, for which you will be rewarded with additional benefits including comfort, improved circulation, and increased energy.

Finding your neck strength 

While many of the neck’s structures are delicate, they can also be strong. The deep muscles that are intended to support the neck and keep it tall tend not to get used very much in modern industrial culture and are often weak. Besides doing strengthening exercises, as is common in conventional approaches to neck problems, learning to carry weight on the head is extremely valuable. 

Woman in Odisha, India with a tall, straight neck and functional head posture.
People in traditional societies preserve a taller, straighter neck, and more functional head posture. (Odisha, India)

Cultures that headload suffer much less neck pain than we do and can teach us much about how, where, and why to headload. Not only do these people have excellent neck health, but they also have excellent posture throughout their bodies, and move with elegance and efficiency. Students in our classes begin with light weights to sense the axis along which they need to stack their bones. Over time, the weight can be increased to further strengthen the longus colli, inner corset, and other muscles. 

Student learning to head-load in glidewalking, guided by Esther Gokhale.
The small extra weight of the Gokhale™Head Cushion enables students not only to strengthen the deep neck muscles and lengthen the neck, but also to better orient their entire skeleton. 

My book 8 Steps to a Pain-Free Back has many images of people throughout the world headloading. Healthy head carriage, as opposed to forward head carriage, is an important starting point for this activity. It is not possible to carry significant weight without both the healthy neck alignment and strength to avoid compressive forces.

Woman showing an elegant, well-aligned head and neck (Thailand)
A well-aligned head and neck is both highly functional—and elegant

Because about one in three adults are affected by neck pain every year¹, we introduce techniques for the neck early on in our in-person Foundations course (Lesson 1 of 6), in our one-day Pop-up course, and our online Elements course (Lesson 4 of 18). Here students learn in detail the gentle techniques that gradually return the neck towards the length and pain-free position we all enjoyed as infants. Whatever your age, your neck is something you can learn to once again stack in your favor.

References: 

  1. Institute for Quality and Efficiency in Health Care (IQWiG), “Neck Pain: Overview,” InformedHealth.org, last modified February 14, 2019, https://www.ncbi.nlm.nih.gov/books/NBK338120/.

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. . .

Giving Thanks

Giving Thanks

Esther Gokhale
Date

There are so many things in my life that I feel thankful for, and Thanksgiving gives an opportunity to reflect on these feelings of gratitude. For our newsletter I wanted to share the deep gratitude I have for my personal journey out of back pain, and for how that journey continues as a growing ability to support and empower others in this direction. 

When I came to write this blog post, I quickly realized that this is a daunting task! The truth is that so many people have played invaluable parts, both great and small, in helping me to create the Gokhale Method® that it’s impossible to pay tribute to everyone in a short piece of writing. So I decided there will be other posts of gratitude, including to my teachers, to the people around the globe on whom this work is based, and to our team of dedicated teachers and staff. But on this National Day of Thanksgiving, I’d like to focus on things related to living and working in the US.

Sebastian Münster’s Map of the New World, published in 1540. 
The settling of people from all over the world in North and South America has brought innovation and enthusiasm for new ideas. This is Sebastian Münster’s Map of the New World, published in 1540. Wikipedia

The US has a uniquely multifaceted heritage

I feel grateful to live in the salad bowl that is the US. At its best, the US benefits from embracing ideas and traditions from all over the world. It has a track record of weaving together influences that enhance the richness of life and result in vibrant, new, and exciting ways of solving problems. 

One of the ways in which the Gokhale Method® is quintessentially American is that it draws on healthy inputs from different cultures, theories, technologies, and more. We actively search out kinesthetic traditions of people all over the world, past and present, and learn from the best of what works. Since so many people visit and settle in the US, studying other movement and bodywork traditions becomes especially accessible, whether we are looking at massage, dance, or gardening.

 A baby masseur from India visiting California prepares to massage a baby on her lap.
Nirmala, a baby masseur from India visiting friends in California, prepares to massage a baby on her lap.

Gokhale Method alumna Joan Baez dancing in her kitchen with her friend Jesus Morales (better known as Chuy), who hails from Mexico. He has typically excellent form—his behind stays behind, his back is upright, and his shoulders remain back.

American “can do” can help to solve back pain 

Americans have some qualities in common with teenagers—a boldness to experiment and reinvent ourselves, and a willingness to put ourselves out there without necessarily having the training or experience to get the job done. A can-do mentality with readiness to learn along the way doesn’t guarantee success (according to the US Bureau of Labor Statistics, only 35% of new businesses survive for 10 years), but the businesses that do survive often couldn’t have gotten off the ground at all through more conventional progression and do provide valuable services and products to society. 

I don’t have an MBA, and I started the Gokhale Method 30 years ago with no idea of how to launch a business, manage staff, or use an Excel spreadsheet. Many mistakes happened along the way, and yet our small raft of a company became seaworthy, is still afloat, and continues to set sail in new waters to bring relief to an increasing number of people. 

We have evolved a highly efficient and effective solution to back pain and other debilitating musculoskeletal problems—15,000 people have taken our courses to date, and over 250,000 copies of 8 Steps to a Pain Free Back have sold. There’s much more to be done, though—back pain remains the number one cause of disability globally, and 80% of people in the US alone are expected to experience a significant back problem during their lives. The Gokhale Method mission “to make back pain rare” continues. 

Back Pain Statistics - Top Picks - US back pain statistics from www.thegoodbody.com . 
Each statistic represents a personal story of pain, disability, and often financial stress. www.thegoodbody.com

Innovation is recognized and valued in the US 

I’ve been promoting the J-spine paradigm for over three decades now. (You can read more about spine shape here.) It’s a radical departure from conventional wisdom’s S-spine paradigm, but based on compelling arguments and a growing body of evidence, the Gokhale Method has been welcomed into physician training courses, retreats, and conferences, and will now be the subject of a randomized control trial (RCT) at a major university. This level of openness and acceptance of disruptive approaches is more common in the US than in many other societies. 

Americans love new ideas—even when they’re old ideas!

Back in the 1990s I was studying posture in Portugal, because the average posture in southern Europe was still notably healthier than in the US. While I was carrying my baby on my back, using an African wrap, concerned people who saw me would give well-meaning advice on how to carry a baby properly. Of course, this came from their best intentions to help me take care of my baby, but still, back in the US, I found people around me much more amenable to incorporating such techniques. Here I encounter people wanting to learn this traditional skill I had originally learned from an African friend. 

Esther Gokhale gardening carrying her baby on her back, 2005. 
I am carrying my youngest daughter on my back. This way of carrying infants encourages healthy posture in both mother and child. 

Philanthropy and support

For most of my time in the US I have lived in the Bay area, which happens to have one of the highest densities of philanthropic donors in the US. Innumerable students from the Bay Area and elsewhere in the US over the years have stepped up in a variety of ways to offer support to our organization by way of legal advice, mentorship, business strategy, and funding for research. In 2020 we managed to raise enough money in donations for the randomized control trial (RCT) that is happening in a major university next year, from students who wanted to see the benefits they received from this work extended to a wider public.

Of course it’s natural to have the largest following, and therefore the largest number of supporters, locally. In fact, in spite of the distances, people from all over the globe have stepped up to offer a variety of kinds of support—back pain is truly a global problem.

Our company continues to receive much “behind the scenes” help. Often these supporters stepped up without me asking. A number of people eminent in their field, including musician, artist, and activist Joan Baez, have been extremely generous with their endorsement of our method. We have also received donations—of antique photographs and artifacts showing healthy posture—to the Gokhale Method Institute’s collection. People have come forward and offered us accommodation and venues. There is truly no way that our organization could have reached its current level without all this help.

It especially touches my heart when students are courageous and willing to share their story, be that by talking to others, writing a blog post, or giving a testimonial. This is never an expectation, but another gift for which I am truly thankful as it inspires others to have realistic hope that they too can learn the Gokhale Method and live without pain.

Gokhale Method Alumna Sheila Bond, smiling selfie in countryside. 
Many of our students generously share their stories. Here is Sheila Bond, who was featured in our most recent blog post.

Americans are at the frontier of wearable tech 

Over the last seven years, we’ve developed ground-breaking wearables, including our user-friendly PostureTracker™. No door was ever closed to us for lack of formal training in technology or tech enterprise. We learned as we went along and persisted through to the finish line and now have a unique and sophisticated tool to assist our students in transforming their posture education into posture habits. PostureTracker is now available as an add-on to our in-person Foundations and Pop-up courses, our online Elements course, as well our in-person and online Alumni offerings. Our next deep-dive online Alumni PostureTracker Course starts on January 11 next year.


This clip from our Secrets to Pain-Free Sitting DVD shows students using our PostureTracker wearable.

Being positive is cool in the US

Positive reinforcement as a teaching style, as well as a tenet of company culture, is a data-supported choice that has been widely embraced in the US. I was raised with some degree of the Calvinistic notion that a little negativity is a necessary part of being real. And my own posture training included spurs like, “How can you stand to be so ugly?” (To many of us this will be surprising, but as part of “old school” pedagogy, it’s nowhere near caning school children, which used to be a common practice). So I’m grateful I got to see that authentic positive reinforcement works, works really well, and leaves no scars behind.  

I believe a positive approach is especially important in the field of posture because posture has historically been laced with negative reinforcement, ridicule, and even racism. Posture is a very personal matter for most people, so it is important that people feel safe, embraced, and encouraged as they go about their journey of improving themselves. It is an integral part of our teacher training that a positive stance is woven into our teaching, our touch, and our vision, and I feel grateful for my 45+ years in the US for supporting this. 

Esther Gokhale celebrating, hands high, with Gokhale Method trainees, Germany, 2022.
Julie and I celebrate with our most recently trained teachers—this time in Germany! (Left to right: Michal, Ines, Julie, Me, and Johanna.)

If you would like guidance on any aspect of your posture and spine shape, consider scheduling an Initial Consultation, online or in person, with a Gokhale Method teacher.

If you would like to find out more about how the Gokhale Method can help support you, sign up to join one of our upcoming FREE Online Workshops. . .

The Gokhale Method is Nonnegotiable

The Gokhale Method is Nonnegotiable

Loren Edelson
Date

At the beginning of the pandemic, my tween daughter was the dancer in my house. When her in-person hip-hop class was canceled, she quickly turned online for inspiration, showering me with her 30-second Tik Toks.

I was amused, but resolute that dancing online was not for me. I had my own exercise regime, at the heart of which were a series of Pilates-based exercises that I had incorporated in the hopes of healing a nagging injury. 

But now, 16 months into the pandemic, I’m dancing online too, maybe even more than my 12-year-old. This is thanks to Esther Gokhale and her unbelievably fabulous community who, like me, wanted to find a safe, therapeutic, and fun way of exercising after injuring our backs.

I first heard Esther years ago on a podcast and subsequently checked her book 8 Steps to a Pain-Free Back out of the library. I remember being especially interested in the pictures of women holding their babies so comfortably; I had recently given birth, and I tried my best to imitate the women pictured. 


Me with Baby Yael in 2013. I now see I had a very pronounced S-shape curve. 

From reviewing pictures of myself during that time, I see now that I did a poor imitation, but at the time I didn’t have any pain, so I returned the book to the library. 

However, last November while experiencing non-stop back pain, I purchased the book, which led me to Esther’s website and one-on-one coaching. Six weeks later, after completing the Elements course, this is what I wrote to friends and family in my 2021 New Year’s letter:

I’ve been relearning how to walk, stand, and sleep over the past six weeks. This is what one does when she becomes so desperate for relief from unrelenting sciatica, the kind that starts in the buttock and runs down to the calf. It all began with a yoga injury in May 2019, but the pain became unbearable after our move (hello, stress and grief, and, yes, more disc degeneration.)

An MRI from December 2020 had pinpointed “severe facet arthritis bilaterally” at L4-5, and mild to moderate facet damage elsewhere. I had tried everything from PT to Pilates, from massage to medical marijuana, but what seems to have made the biggest difference is the Gokhale Method, which attempts to reteach the body how to do the work of everyday life without further degrading our discs.

I was skeptical about how much I could actually learn online from a Gokhale coach, given that postural work benefits from hands-on adjustments and corrections. But with COVID-19 raging, this is not the time for in-person classes. Happily for me, my coach was terrific, and after completing the 18 introductory classes, I’m feeling so much better. It’s definitely not a magic bullet, but it’s the best thing I’ve tried so far, and I want to believe that if I keep it up, I’ll eventually be pain free. Here’s hoping I can report that next year.

Seven months later, I am thrilled to say that I am indeed pain-free and living a full life that enables me to care for my family, return to writing, and relaunch my health coaching practice that I had put on hold due to the pandemic and pain.

My recovery has been so complete that in May I undertook training to become a certified canoe instructor and am now teaching at the American Canoe Association’s Camp Sebago in New York. 


Now free from back pain and sciatica I am once again able to canoe.

Even though I feel great, I know that wellness takes regular work, and I’m grateful for the ongoing Gokhale Exercise program. Gokhale Fitness teacher Eric Fernandez has gotten me to enjoy strength training; teachers Kathleen O’Donohue and Roberta Cooks are responsible for me incorporating Moving Meditation into my morning routine, while Esther’s daily 1-2-3 Move program has rekindled my love of dance and taught me steps from traditions that include bharata natyam, samba, capoeira, 50s rock, and reggae. Joan Baez’s music is a fave—she is a student of Esther’s and will often be dancing on the screen with the rest of us. 


Head-loading is a fun way to practice many important posture principles, shown here on the 1-2-3 Move program. 

Esther will also occasionally focus on yoga asanas and offer modifications that have enabled me to safely return to a yoga practice. If you see me balancing boxes (or my canoe) on my head, it’s thanks to all the practice I’ve now had with the Gokhale™ Head Cushion, gently “head-loading” my way to a taller, healthier neck. Thanks to the Gokhale Pain-Free™ Chair and Gokhale Stretchsit® Cushion, I’m also able to sit well at my desk and to drive long distances without pain, something that was impossible seven months ago.

1-2-3 Move often features artefacts such as Greek statues, Indian deities, or photographs of people from different cultures going about their work. Esther points out that examples of healthy posture by Americans are more readily found some generations back, in works such as those by Grant Wood or Winslow Homer.  


A Basket of Clams, 1873, Winslow Homer

My favorite class was the one devoted to the Hindu deity Ganesh, who takes the form of an elephant with a pot belly. While dancing to the “Ballad of Ganesha” by Lil Darkie, we took a cue from Ganesh, who holds himself beautifully, despite his roly-poly largesse. Esther talked about how strong abs are something that everyone, no matter what size, can cultivate. If Ganesh can carry himself well, the rest of us can do so as well. She made a similar point using images of Japanese sumo wrestlers. I deeply appreciate that Esther, raised in India by her Dutch mother and Indian father, takes a global perspective on healing. 


Dancing Ganesh, India, 900–1000 AD, sandstone - Fitchburg Art Museum

As a Functional Nutrition and Lifestyle Practitioner, I’ve come to view the Gokhale Method as nonnegotiable, or what Andrea Nakayama, CEO of the Functional Nutrition Alliance, calls “Tier 1”—the basics that must be in place before supplementation (Tier 2) or any kind of medical intervention (Tier 3). 

Tier 1 includes community support, something that is available in any Gokhale Method group class. These social and emotional components of healing, and the importance of surrounding yourself with healthy posture cues from people, artwork, and music, are frequently discussed during the Q&A on the 1-2-3 Move program. 


In this 1-2-3 Move video, Esther shows how traditional artefacts such as shadow puppets from Java, Indonesia, inspire us to free our arms and open the chest.

The Gokhale Method is not against appropriate medication or procedures. Back in February when I was still having some pain upon waking every morning, I asked Esther what she thought of “injections” as a way to mitigate this. To my surprise she said that she sometimes suggests that her students consider this “Tier 3” approach, but only after they have tried “Tier 1” first. Medical interventions such as injections and painkillers can create a window of pain-relief that enables students to learn to improve their posture and address the root cause of their problem. 

I had already had an injection into my SI joint the previous September, which didn’t give me any relief. So I booked a one-on-one appointment with Esther, who pinpointed an excessive curve in my lumbar area. The transformation I brought about in my spine led to me being used as an example of progress in a blog post about spine shape. 


My “before” (above) and “after” (below) Elements photos show a considerable change from an S-spine towards a J-spine. You can read more about spine shape here.

With ongoing attention to creating more of a J-spine and less of an S-spine I no longer have pain. Perhaps even more importantly, I have greater trust that my body, with the right support, can heal.

Loren Edelson is a Functional Nutrition and Lifestyle Practitioner who writes Given the Givens, a bimonthly newsletter on reaching our full potential, even after receiving a life-changing diagnosis. To subscribe, visit https://loren6c2.substack.com/welcome

Which Shape is Your Spine?

Which Shape is Your Spine?

Esther Gokhale
Date

SCIJ isn’t a very memorable acronym, but the shapes of the letters do accurately represent the four most common spinal shapes. In this blog post you will discover which SCIJ category you belong in, what changes you might want to make, and the first baby steps to improve your spinal shape.


The letter “S” is widely used to describe the conventional paradigm for an ideal shape of the spine. The Gokhale Method perspective is that we need a paradigm shift.


Loren had developed a pronounced S-shaped spine before she took the Gokhale Elements online course. Tightened lower back muscles formed a pronounced lumbar curve, and her upper back had to round over to return her to upright. 

S. This is the spinal shape considered to be normal (as well as ideal) in today’s conventional wisdom. You will find the S template for spinal shape in lay circles, alternative health circles, as well as medical circles. Massage therapists, yoga teachers, physical therapists, and medics, are all taught the S-shape paradigm, which may include arguments about the strength of arches and “opposing curves'' and their ability to absorb vertical load like a spring.

The S-spine consists of a significant concave curve in the lower back meeting a significant convex curve in the upper back. From the Gokhale Method perspective, both curves are exaggerated and can lead to pain and dysfunction. This posture loads the spinal joints and takes a lot of muscular tension to maintain. It is the reason, we posit, that maintaining “good posture” has a reputation for being hard work. If this shape fits your spinal contour, it is unlikely to have been called out by either conventional or alternative practitioners. After all, it is the described ideal. If you have faced the frustration of having your back “go out” soon after an intervention, or your symptoms return again and again, a possible reason is that your S-shaped spine has never been recognized as the root of your problem, let alone be treated. 


This medical illustration (1990) displays the excessive curvature that can result in pinched nerves and compressed intervertebral discs. 

As both the vertebrae and the intervertebral discs have virtually parallel upper and lower surfaces, like a cylinder, the exaggerated curves of the S-spine create pinch points that can impinge on nerves, and cause wear and tear on the discs and degenerative change in the bones. Any of the tissues of the back, shoulder area, and neck might well “complain” about being obliged to maintain these contours.

An ideal first step to improving the shape of your S-spine would be stretchsitting. You can begin to learn stretchsitting here.


The letter “C” describes the most common modern posture of all—slumped.


The C-shaped spine will curve more at the top if we hunch more…


or curve more at the bottom if we tuck more…


either way, a C-shaped spine is bad news for our discs.

The C-spine is the product of slumped posture, with the tail tucked between the legs, shoulders rounded, and head forward. This compresses the front of the spinal discs, squeezing the interior contents (the nucleus pulposus) backward. This is the most dangerous direction to load the spinal discs since the nerve roots exit the spine right behind the discs. Slumping with a C-spine also overstretches and weakens the ligaments around the spine, undermining their ability to maintain the integrity of our all-important spinal column. Many people alternate between forcing an S-shape in their spine in the name of “good posture” (wrong!) and collapsing into a C-shape when they are fatigued from their efforts. Both these shapes in fact cause damage—in different ways—and need to be replaced with a J-shape (keep reading!). 

An ideal first step to improving the shape of your C-spine would be learning to use your inner corset, the deep muscles of the abdomen and back which support and protect the spine. This is explained in detail in my book, 8 Steps to a Pain-Free Back.

Free Chapter of 8 Steps to a Pain-Free Back

As a special gift to newsletter subscribers who have confirmed their subscription, we would like to send you the Inner Corset chapter from Esther's book, 8 Steps to a Pain-Free Back.

Please enter your email address in the field below and you will be sent an email with your Inner Corset chapter. You may receive a confirmation email to sign up to the Positive Stance newsletter first.

Free Chapter of 8 Steps to a Pain-Free Back


The I-spine shape results from a “sinking into oneself” without a significant increase in spinal curvature. 
Older people may develop an I-spine as they lose height due to spinal degeneration. Unsplash

The I-spine is common in older folk living in modern industrialized societies. There are no particularly pronounced contours in the spine, but rather a general “melting into itself” with the disappearance of 1 or more inches in height accompanying the aging process. The shrinkage is often the result of degeneration in the discs or mini-fractures in the vertebrae. Some diagnoses that might accompany this spinal shape include osteoporosis and stenosis. The pelvis is tucked, there is no angle between the buttocks and the back, and the buttocks are underdeveloped. Though the I-shape is most common in older people, it can begin at a young age with tucking the pelvis.


This photo of Taylor Swift shows how a tucked pelvis flattens the lumbosacral angle, and disadvantages the gluteal muscles, combining to produce a flat “behind." 

An ideal first step to improving your I-spine would be to learn stretchlying on your back.

The letter J represents the healthiest spinal shape. 


The shape of this Ubong tribesman’s back is best described as a J-spine.

Though rarely preserved in adults in modern industrialized societies, the J-spine is the shape we all enjoyed as toddlers and is still prevalent in many nonindustrialized areas of the world. This “J” is a modern, stylized “J,” reflecting the relatively straight alignment of the vertebral column and the pronounced angle at the lumbosacral junction. There is no exaggerated lumbar sway or thoracic curvature. You can see this shape embodied in the Ubong hunter’s torso. 


This medical illustration from 1911 more closely depicts the J-shape spine rather than the S-shape of modern conventional wisdom. The only pronounced curve is at the L5/S1 junction at the base of the spinal column.


Since taking the Gokhale Elements online course, Loren has made good progress in losing unwanted curvature in her back. Her upper lumbar spine has straightened out considerably. Over time, given her dedication, we expect to see her most pronounced curve move lower as she continues to cultivate her J-spine. 

If you are interested in restoring your J-spine, we recommend taking our Elements course (one-on-one coaching online), or our Foundations Course (one-on-one or small groups in-person) or Pop-up Course (not available during COVID). These courses teach you to systematically lengthen, strengthen, and remodel your spine to a healthier J-shape in a safe and effective way. 

To gradually and safely improve their spinal shape students learn well-honed techniques using their fingertips to monitor their spinal groove, kinesthetic and visual cues, customized exercises, and visualizations. Because it is still challenging to rely heavily on your proprioceptive sense, we have also developed the PostureTracker™, a tool that tells students exactly where they are positioned using Bluetooth sensor technology. PostureTracker tracks the shape of your spine in real time—it gives immediate and intuitive feedback, is easy to use, and reveals information about your spine that a plain mirror cannot show you. Though PostureTracker is not yet available for sale, it is available as a loner (while supplies last) to students who sign up for the online one-on-one Gokhale Elements course.


If you sway in your lumbar area, PostureTracker will show what is going on with your spine.

To get an idea of the current shape of your spine, view yourself side-on. You can use a mirror, but it is best to photograph or video yourself, or use several mirrors, so that you can observe your shape without turning your head. Take a while to study yourself both sitting and standing. Notice that your spine changes if you alternate between swaying and slumping. You may discover that your habitual posture combines elements from two or more of the categories we have described—for example, you may most closely resemble the I-spine, except that your head and neck jut forward.


The curves in our spines precisely reflect our everyday posture habits.

If you would like a trained eye to help you understand your spinal shape and how to improve it we recommend an online Initial Consultation with a Gokhale Method teacher. In-person Initial Consultations may also be available depending on the COVID status of your area.

Cultivating a J-Spine with Chair Pose (Utkatasana)

Cultivating a J-Spine with Chair Pose (Utkatasana)

Cecily Frederick
Date

As a student and teacher of yoga and practitioner of the Gokhale Method, I choose yoga poses that make good use of my time. “Chair pose” is well worth the time investment. In fact, it has become one of my favorite strength-building postures. It is useful for cultivating a J-shaped spine. It helps increase gluteal tone. It helps to pattern healthy hip movement. It is strengthening for the legs and spinal stabilizers. And, last but not least, it allows a yoga practitioner to smoothly transition between a standing forward fold and mountain pose — without compression of the intervertebral discs.


Cecily Frederick in chair pose with J-spine visible, overlaid with SpineTracker™ snapshot.

   
Detail of Cecily Frederick’s spinal shape in chair pose, overlaid with SpineTracker snapshot.


SpineTracker snapshot of Cecily Frederick’s spinal shape in chair pose.

Chair pose is also Esther Gokhale's favorite way to cultivate strength in all the muscles needed to tallstand well. She recommends it to students who tend to park in their joints (locking the knees and groin, flattening the feet, arching the back and introducing extra curves throughout the spine). After practicing chair pose, the small amount of muscular effort it takes to stand well becomes easy to access.

To practice chair pose, stand with your feet about hip-width apart and kidney bean shape your feet. Reach your arms forward and up as you simultaneously bend your knees, hips and ankles as if you were sitting down and back into a chair. Hold for a few seconds and then press down through your feet (and especially through your heels) to come back to standing while lowering your arms.  

A couple of practice sequences you could consider: 

  • Transition from tallstanding (“mountain pose” or Tadasana) to chair pose and back to tallstanding 4-6 times.

  • Transition from tallstanding to chair pose to an upward forward fold (Urdhva Uttanasana) to chair pose (Utkatasana) to tallstanding 4-6 times.


Cecily Frederick in upward forward fold (Urdhva Uttanasana or hip-hinge).

Five refinement tips

1. Strengthen your butt / spare your knees
To help develop gluteal strength and avoid knee strain, don’t let your knees come forward over your toes as your knees bend. Think about pulling your butt back behind you. Consider using a stool that you position in front of your shins while standing, and don’t let yourself push it forward as you move into chair pose.




Cecily Frederick using a stool to cue chair pose, with help from a friend.

2. Save your discs
To help avoid swaying the back and compressing upper lumbar discs, don’t reach your arms up vertically. Instead let them reach forward. 

3. Settle your pelvis
To help the pelvis to settle well, you might not want the feet and knees too close together. Experiment with different widths between your feet. Remember what you learned in the Foundations Course or Pop-up Course about hip-hinging.

4. Less is more
Don’t force yourself into a deep knee, hip, or ankle bend. Allow your chair pose to begin where it begins. Less is often more in a yoga practice. 

5. Break it down
If you have an injured shoulder you can lower your arms, bring them to your hips or press the palms together in prayer position in front of the sternum.

My Gokhale Method Experience

My Gokhale Method Experience

Aurelia Vaicekauskas, Gokhale Method Teacher
Date

I have been practicing massage therapy and bodywork for over 19 years. I believe in the value of massage and love my work. But over the years I noticed many clients kept returning with the same, or related complaints/injuries, over and over again. And this happened even though they diligently performed PT exercises, stretched, practiced yoga etc. I felt there was something missing, something that could help clients retain the benefits of therapeutic work and maintain their good health. For me that answer came when I learned about the Gokhale Method®, a postural re-education method created by Esther Gokhale, author of the bestseller 8 Steps to a Pain Free Back.

My introduction to the Gokhale Method came through my massage client Susan, a former competitive figure skater and modern dancer who had experience with several forms of bodywork. When she excitedly told me about a wonderful article she had just read in the New York Times about the Gokhale Method, I listened. The whole concept of posture re-education as a means to become free of pain made sense, but with so many different approaches and techniques already out there, I just filed it away to look into later. My “later” came much sooner than I expected. In a few weeks Susan came back for her regular massage and shared with me that she was taking the Gokhale Method Foundations course and how helpful it was.  What I noticed right away in our session were the changes in Susan’s body. The most pronounced improvement was in her lower back. Her spine and pelvis were much more balanced and open, and her hamstrings were no longer tight and congested. I literally felt like I was working on a different person. And what was even more impressive, these improvements persisted over the weeks. That was enough to motivate me to sign up for the course to learn more.

My original intention was to simply experience the work to see if this was something I could recommend to my clients. I didn’t anticipate how deeply the work would affect me. First, what I learned in the course turned my “body worker’s world” upside down. It completely changed my understanding of healthy posture.  Instead of the popular S-spine, considered normal in our society, Esther teaches something very different. She teaches a shape and body architecture shared by our ancestors, some isolated populations today, and young children the world over. She calls this shape a J-spine. And populations with this type of spinal architecture do not experience as much back pain as modern populations do. The lesson is that if individuals get their body parts lined up correctly, they become resistant to injuries and general wear and tear. The Gokhale Method techniques are simple and performed with everyday activities such as standing, bending, sitting, lying down, and walking. The beauty of the method is that once you learn how to apply the knowledge, every task can become therapeutic, whether sitting in a chair, or cleaning house, or standing in a check out line.

 


Anatomy textbooks from 1911 (right) showed healthier spine shapes than more recent textbooks (left).

 

Another unexpected benefit of taking the course was the improvement of my overall health. I noticed that my tension headaches decreased considerably. All of a sudden, I found myself with extra time on my hands since I didn’t need to lie down to nurse headaches. I had more energy. Also, my functionally shorter leg evened out and I no longer needed to trim and hem my “long” pant leg.

Before I was introduced to the Gokhale Method, the concept of good posture was confusing. To sit and stand up straight with shoulders pulled back was tiring and very uncomfortable. Popular guidelines on how to attend to the lumbar and cervical curves, and how to walk did not help me. The Gokhale Method clarified posture for me. I learned that good posture is mainly relaxed, very comfortable, and available to everyone. Now if I feel a headache coming on, it’s a cue to check my head and neck position, and to lengthen the back of my neck.  If my pant leg starts to drag on the floor, I am reminded to work my glutes more in glidewalking…

 


Healthy posture (right), learned through the Gokhale Method, results in a presence that is more upright, more confident, and more open.

 

So yes, healthy posture is an ongoing project for me, but having the right tools has made it very empowering and rewarding. Practicing my posture helps me center myself — I feel grounded and find I move more gently and mindfully throughout the day.

Water Workout

Water Workout

Esther Gokhale
Date

One of the many benefits of having excellent posture is the ability to enjoy an active lifestyle without injury. Conversely, an active lifestyle can help cultivate good posture. While you are still honing your posture, water is a perfect medium to train in since your buoyancy will reduce impact on your joints. In this forgiving medium, you can safely increase your muscle strength, stamina and flexibility while exploring the nuances of natural posture. You can reset movement patterns and connect the dots that make up the Gokhale Method while enjoying the soothing effect of the water on your body and mind.


The butterfly stroke provides an intense workout for the
"rib anchor" muscles.

No matter which stroke you choose, you will have occasion to summon up and strengthen your deep abdominal muscles. These muscles are especially important for the health and safety of your spine.

Breaststroke / Butterfly for Rib Anchor

The internal obliques keep the front of the ribcage flush with the contour of your torso. This “rib anchor” is our best defense against swaying the back. The breaststroke (and butterfly, if you are able) are perfect opportunities to strengthen your rib anchor. In these strokes, there is a strong tendency to arch or sway your back every time you come up for air. Next time you attempt the breaststroke or butterfly, try to come up with your entire upper body, just enough to breathe, without a sway. Your lumbosacral juncture will gain flexibility and your internal obliques will get a challenging workout.


The internal and external oblique abdominal muscles
get a substantial workout in backstroke.

Crawl and Backstroke for Obliques

Asymmetric motions are a great way to strengthen both the internal and external oblique abdominal muscles. When you twist or rotate your body to the right, the external oblique muscles on your left side work together with the internal oblique muscle on your left. The left external oblique muscle rotates your left side forward as the right internal oblique rotates your right side back. Conversely, when you twist to the left, the right external obliques and left internal obliques are engaged.


One way to engage the inner
corset muscles is reach
upwards vigorously as in this
victory gesture.

The arm and leg motions involved in both the crawl and backstroke have a tendency to twist or otherwise distort the torso. If you engage the external and internal obliques appropriately during each stroke, you will tone your obliques as they work to dampen this twisting effect. The result is that the entire body twists rather than just a piece of it.

Adding the Inner Corset

Even if you are conscientiously using your obliques for all three of these strokes, vigorous swimming will include some distortion. To really protect your spine, use your Inner Corset to keep your elongated J-Spine intact. This will have a dual action, protecting the spinal element during your workout, as well as strengthening your deeper back and ab muscles.


Walking in water is a gentle way to
augment your glidewalking technique.

Glidewalking in Water

Even if you don’t swim, water is a soothing and therapeutic medium for practicing Gokhale Method techniques. Glidewalking in water is easy on your joints and provides extra resistance for building strong gluteal muscles and lengthening and strengthening the muscles in your legs. Begin with tallstanding:

1. Kidney bean shape your feet; 
2. Put your weight on your heels; 
3. Antevert your pelvis and engage your rib anchor; 
4. Keep the back of your neck long and your chin down. As you begin to move, imagine yourself walking regally with a basket on your head, or using your legs as poles to punt a boat along a canal.

Enjoy the healing weight of the water. It slows you down, giving you time to become aware of nuances in your gait.

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.

 

Subscribe to J-Spine