Physical Therapy

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…

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. 

       
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. 

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. 

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.

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.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Best next action steps 

If you would like to improve your joint health, get started by booking a consultation, online or in person, with one of our teachers. 

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

If you have had back pain, odds are that you have visited either a physical therapist or a chiropractor. They are the most frequented medical practitioners for all types of structural pain, and our teacher community has been enriched by both these (and many other types of) practitioners. For this post, I have invited Vera Baziuk, a chiropractor and Gokhale Method® teacher based in Edmonton, Canada, to join me for a Q&A. We would like to share with you how she sees the interface between chiropractic and our method. 

Gokhale Method teacher and chiropractor Vera Baziuk.

E: How did you first discover the Gokhale Method?

V: I was researching the best home exercises and stretches for certain patients for back pain relief. I felt that this was a missing component in chiropractic for fully resolving back pain. I stumbled upon an interview with you and Dr. Mercola. What you said in the beginning about the J-spine grabbed my attention. I immediately went to the Gokhale Method website and downloaded your book, 8 Steps to a Pain-Free Back

This was one of those career aha moments, when I know on an inner, deeper level, that something is right and what I need to be doing. I began looking into teacher training in November 2019, however, teacher training was not going to be possible with a three-month-old, and I still needed to take the Foundations course. Then COVID hit.

I took the online Elements course in the spring/summer of 2020, right in the middle of COVID, and waited for the announcement of teacher training. In fall of 2021, I gained in-person experience in a Pop-up class in Palo Alto. That weekend was amazing! I had never felt quite the stretch before as when Esther adjusted my stretchsitting. I shall never forget that initial amazing feeling of lengthening in my erector spinae muscles and ultimately the spine. I wanted everyone I knew to feel how good that felt. If I wasn’t hooked before, I was after that class! 

Gokhale Method teacher Sabina Blumauer guides a student in stretchsitting.

E: Were you initially skeptical about the Gokhale Method?

V: No, I wasn’t. The interview I heard between you and Dr. Mercola made complete sense. The book and Elements made a well-presented argument for the natural J-shape of the spine, supported by analysis of body mechanics, muscle contraction, and relaxation. Hundreds of photos showed how the spine looks when posture is done well in daily activities—and how things look when it is not. It became evident that poor posture was the real culprit to back pain. And that the posture pot of gold is still attainable at any age. 

E: Do you see any divergence between chiropractic and the Gokhale Method? 

V: The main thing I encounter, from fellow health professionals and patients, is confusion about healthy spine shape and pelvic position. 

For example, in conventional trainings, having an anterior pelvic tilt is equated with having an excessive lumbar lordosis. The Gokhale Method makes the important distinction between upper lumbar lordosis (undesirable) and L5-S1 angle (desirable). The Gokhale Method also uses more descriptive and “sticky” language when it comes to spinal shape—instead of talking about lordosis and kyphosis, we refer to J-spines, C-spines, and S-spines; this helps students understand what they need to embody more accurately and easily. This is explained and illustrated in detail in your book, and also addressed in a blog post on spine shape and another on pelvic angle.

E: Has the Gokhale Method complimented your practice as a chiropractor?

V: Incorporating the Gokhale Method into my practice is a natural fit because, ideally, there is an active and passive component to most healing. 

Passive care is when the chiropractor (or therapist) does something to you, like an adjustment, mobilization, TENS, ultrasound, laser, soft tissue therapy, or acupuncture. While these modalities can be effective in providing relief from pain, they often do not solve the root cause of the problem. Unfortunately, perhaps due to persuasive marketing, people often expect entirely passive solutions for their back pain. They begin to believe that a magic bullet for back pain relief exists.

Here I am giving a patient a chiropractic adjustment. This is an example of passive care, using diagnostic skills and clinical knowledge, plus hands on techniques, to effect change.

Active care consists of therapists providing tools to their patients/clients that they can use in their day-to-day lives to help them in recovery. These may be cryotherapy or heat, exercises to strengthen muscles and stretches to lengthen muscles, nutritional advice to improve healing, stress management tips, and general physical fitness recommendations. This active care component is critical in creating lasting, functional changes.

The Gokhale Method provides high quality active care. It is an educational intervention that teaches and empowers people to make gentle changes to their body 24/7, often with both immediate and cumulative benefits. I don’t know of any other intervention that does this so comprehensively and also includes the J-spine paradigm. 

E: So you see the Gokhale Method and chiropractic as working together? 

V: Yes, absolutely. The Gokhale Method helps chiropractic adjustments hold more effectively and chiropractic adjustments give people a welcome jumpstart on feeling better. 

Most people who come for chiropractic treatment have sustained a lot of damage over the years in their muscles, tendons, ligaments, discs, and joints, so experiencing a break from their cycle of pain is very welcome. But partial or repeated short-term relief from pain is ultimately unsatisfying, both for the patient and practitioner. The Gokhale Method offers ways of transforming the postural habits that caused the problem in the first place. I find that, given most people’s starting point, a combination approach restores function, gives long term relief, and improves comfort along the way. 

My Gokhale Method students find learning how to rest and sleep in comfortable, therapeutic positions makes an invaluable contribution to their recovery. Here I am teaching stretchlying.

E: What impact has the Gokhale Method had on your thinking about chiropractic? 

V: I feel like my eyes have finally opened. For example, revisiting my textbooks, I noticed that references to posture are minimal and often an afterthought. Dr. David Magee is a well-respected physiotherapist who has written numerous classic orthopedic and physical examination books that both chiropractors and physiotherapists still learn from today. I began to wonder why, in one of his books, Posture Assessment is Chapter 15 of 17? It should be Chapter 1! Nearly all musculoskeletal conditions are a direct result of poor posture. 

E: Do you discuss the subject of posture with your patients?

V: I now see my patients’ complaints through the Gokhale lens, with posture as the starting point. Looking at someone in the past, I could see their posture was not ideal, but I still dealt with their presenting complaint in parts, not as a whole. For the past year, I have switched my filter and now consider all musculoskeletal pain in relation to posture. 

When speaking to patients for the first time, I begin to paint the picture of what healthy posture looks like and how their current posture compares. We then explore options to solve the problem with some immediate pain relief solutions and a longer-term relief and prevention strategy—the Gokhale Method. 

Teaching my Gokhale Method students healthy bending not only enables them to avoid future back pain flare-ups and protect against damage, it also brings many other biomechanical benefits—such as natural length in the hamstrings and improved hip joint mobility.

For existing patients, I periodically offer observations on how their current posture is very likely contributing to a flare up or increase of pain from their last appointment. Many wholeheartedly welcome hearing more about the Gokhale Method.

E: Can you share a specific case where the Gokhale Method has enhanced the outcome for a patient?

V: In September of 2023, I met Kay Chui Lee, who is happy to share his journey. He was referred by a massage therapist, and presented wearing a cervical collar for an acquired torticollis (neck twist to one side). His posture was a significant C-shaped spine, with a very tucked pelvis and his hips parked forward. His erector spinae were perhaps the tightest I have ever felt. In addition, he had tight sternocleidomastoid, scalene, levator scapulae, and trapezius muscles. His gluteal muscular tone was weak. 

Kay Lee started as a chiropractic patient, and, to best serve his needs, I also encouraged him to enroll in the Gokhale Foundations course. He stopped wearing his cervical collar about halfway through the course. After the course, his neck and head rotation to the right had improved and there were times when Kay was able to look straight ahead. 

A combination of the Gokhale Method and chiropractic treatment is enabling Kay Lee to gradually become more upright. His head and neck are returning to a more natural, comfortable, and symmetric alignment. 

He walks daily, practicing what he learnt in glidewalking, and reports doing so without the fatigue he used to feel after a walk. He sleeps better and can manage his day with greater comfort. The texture in his erector spinae muscles is softening and he reports less pain with muscle work. To date, Kay continues with chiropractic treatment and there are ongoing improvements. I am hopeful that with alumni classes, online or in-person, he will continue to improve.

E: Thanks, Vera, for sharing how you are using chiropractic alongside the Gokhale Method. I am sure your insights will help both our students, and chiropractors and their patients, to embrace this complementary pairing with a new level of confidence.

Best next action steps 

If you would like to improve your posture, 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…

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

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

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

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

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

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

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

1. Stabilize your spine by using your inner corset

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

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

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

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

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

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

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

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

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

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

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

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

3. Power up your walking using your feet and glutes

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

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

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

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

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

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

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

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

Best next action steps for newcomers

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

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

ALL OF ME

In December 2020 I received an email from Gokhale Method® offering a five-day trial period of exercise classes and dance parties with posture lessons. Every day for five days! I was thrilled to receive this email and joined on January 1. From day one I knew I had found something very special.  

Before the COVID-19 pandemic, I swam to stave off the pain I felt in my back and hips. But when the virus struck, I wasn’t able to swim. Eventually my back pain returned to being constant. This showed me that being dependent on an external circumstance, swimming in this case, to feel good, could not give me everything that I needed to heal. 

January 1, 2021, day one of my five-day free trial of the Gokhale Method daily program. It was about the inner corset and how it protects your back.

Those first five days were like a prayer being answered. I thought, “this is the place where I can learn how to care for myself day by day." Three weeks later I decided to take the online Elements course. With each lesson, I learned new ways to relieve pain in my body and gained confidence that I could help myself if pain returned. Fortunately, I could take the lessons at my own pace which allowed me to take my time and savor what I was learning. Some positive results came very quickly for me, and yet there is a lot more depth left for me to appreciate. For both these reasons, it was with deep gratitude that I came to write this article.  

As a very young girl I was confident in my body. Being athletic, I felt I could do anything. I was just me. . .whole. That all changed growing up in a troubled family. Mine was a childhood of great conflict and uncertainty. But I was resilient, so I forged ahead.

Here I am, aged 18.

In my late twenties I fell through a porch, leaving one leg on the deck and the other dangling below. Alone, I pulled myself up. It was a terrifying experience and had a strong physical impact. Sitting became possible for only short periods at a time. I was profoundly uncomfortable with no ease or let up. Doctors couldn’t find anything “wrong” with me —no broken bones or serious injuries that X-rays could detect. A chiropractor told me my pelvis was twisted from the fall. This was a helpful diagnosis but he treated me for nine months with no change. So began my search for something that would permanently help me. Yoga, swimming, massage, physical therapy, chiropractic; you name it, I tried it—everything mainstream and more. All were helpful in some ways, but none resulted in lasting improvements.

Me in 1997, aged 40. I would tend to lock my knees and park my abdomen forward, creating sway and compression in my lower back. 

My search continued for 32 years. My back would give out, I would have to lie down for days, and then slowly over weeks I would loosen up and go on. My chosen profession in the Fine Arts is of a physical nature, allowing me to move around frequently throughout the day. This was my saving grace, because moving kept some of the muscular tightness at bay. 

Leaning in to paint book covers contributed to my hunching. I needed to learn how not to round my back and hunch my shoulders.

Sensing there was an emotional connection to my physical pain, I continued searching and exploring different avenues for a deeper understanding of why I was still “not right.” Talk therapy was enormously helpful. The fall had scared me. So had other experiences in my early life. Even with all this therapy work, the pain persisted. Over time I gained in self-confidence and felt reconciled to what I had to deal with—occasional debilitating bouts of back pain—and I moved on with my life. Things could be worse, I thought to myself. Years later the answers to my predicament became clearer as I took on the role of a caregiver. I imagine as I write this that many readers will understand from personal experience what it is like to care for someone who is ill and relies on you heavily.

Caregiving became a central focus in my daily life as I cared for my mother and later my sister. Caring for them made for conflicted feelings. As my mother’s condition worsened I took on more responsibilities for her care. One day she asked me, “why are you helping me?" It floored me, though I knew why she asked. Why would you care for someone who did not care for you? All I could say to her at the time was “because I love you, and you deserve it." She did not believe it—I was conflicted. But deep in my heart I knew she did deserve my help. This is what family does, right? I had to care for her, love her, show her that she was worthy. I do believe that we are all worthy of love and care. For myself, I wanted to learn what it is to have a positive experience of family.  

The Dust Bowl book. (Buttons, tin type photos, hand-painted paper, birch bark.) A central focus of my work is to give attention to the unseen in plain sight. From the tiny bits on the forest floor to the unrecognized work that women do daily. Now after many years I understand hiding was my main way to feel safe, unrecognized, and unseen.

But it wore me down. It was almost more than I could bear, and my body caved in on itself. I stiffened with fear and worry. My shoulders slumped forward and my back rounded. It was a relief when my mother quietly passed away in her apartment.

The Dust Bowl, closed. Its insides are hidden.

Several years later I drove to Georgia with my husband and our pup, Ace, to bring my older sister home to Massachusetts so I could care for her. We had seen each other only a few times in 40 years. We were sisters but you wouldn’t know it. She needed help and care desperately. I knew I had to step in.

I made this piece when my sister was diagnosed with cancer. Dark and light come together. My photographs are not enhanced—these are printed on tissue paper, then applied to the frame like gold leaf. The black handmade paper is arranged edge-on.

That was nine years ago. Through those years we got to know each other and grew as close as she would allow. Several times she asked me nearly the same question my mother had, “Why are you helping me?" And again I said, “because I love you, you deserve it.” But I was angry with her for the hurt and pain she caused in our childhood. Even though I had grown a deep emotional understanding of myself by that time, I still didn’t recognize what was happening in my body. Again my body stiffened and caved in.

My mother and my siblings. I am the worried looking one on her lap.

Caregiving wore me down and filled me up, leaving room for little else. The burden from stress, worry, responsibility, and physical strain, is exhausting. Along with that, the sense of connection and privilege of being trusted and important to the people who needed my help filled me with wonder, love, and self-confidence. I held up and helped out. This is as it should have been in many ways, except one—I could not find effective or adequate ways to care for myself at the same time. 

I have learned for myself how interconnected everything is. I used to think that we were made up of separate parts—a mind, soul, spirit, body. I sought out solutions to my pain as though I was made up of these different parts. It was as if, like jigsaw puzzle pieces put together in the right place, I could become whole. This did not work for me.  

A limited edition of 39 copies, published by 21st Editions. As a bookbinder I co-designed and created many editions. This is one of my favorites. I painted linen papers for these covers. Each set is different. All stages of production are by hand.

Book cover opened. It took me a long time to find the integration within myself that I could create in my artwork.

Now I understand things differently. I believe there is an interrelated dance to the patterns we develop. These patterns play out over and over again. Our own individual ways of moving our bodies are part of the constellation of being who we are and how our life experiences inform our reality.  

While I was still taking the Elements course and attending the daily program, the puzzle pieces started coming together. Sometimes, while dancing in class, I’d be swept away in movement, crying and integrating the grief my body was holding. All while moving with better posture!

Tucking my pelvis and rounding my back as I am doing here was a self-protective postural habit—almost like a turtle’s shell. 

Now I prefer to hip-hinge and my spine, back muscles, and neck are much happier!

It’s been 13 months since my first Zoom classes. I still show up for the daily classes and dance my heart out. Moving as freely as I can, feeling myself move through space, sensing the physicality inside of me. How does it feel to anchor my ribs? What’s it like to roll my shoulders back and feel their weight as they hang by my sides or float around? I feel alive and connected to me. I feel wonderful sensations of flow as I move around the room. 

I loved painting these lines, which are covered in tissue paper. This is the flow I had been searching for and have now found for my body/self.

This work with the Gokhale Method teachers and the online community continues to be full of opportunities and I am still learning. My latest adventure with this wonderful work is using the PostureTracker™! This is an amazing tool that gives real-time feedback on my body’s movements and is rapidly deepening my understanding of my posture habits.  

PostureTracker used to show how I habitually contracted the back of my neck and lifted my chin up (left). Now it is helping me to learn and maintain a much healthier, tall neck position (right). 

Aligning my body in healthy posture so that I can move with ease is my goal. I am simply engaged in the process of making the unfamiliar familiar. Over time I will be “at home” standing tall with ribs anchored, shoulders back, arms hanging comfortably by my sides, and strong feet beautifully supporting all of me.

Here I am seeing that my back remains unswayed using the Upright and Relaxed PostureTracker™setting.

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…

Back, neck, and joint pain may be flaring up for many of us, especially those who have come to depend on palliative interventions such as massage, chiropractic, and physical therapy.

Does it seem to anyone else like the ribbon of life just tangled dramatically? It makes sense to feel this way — we’re living in a rapidly changing world with new information coming our way all the time. One way we may be physically experiencing that change is in our daily pain levels, which can increase due to myriad reasons: working from home on unfamiliar furniture, stress manifesting as tension in the body, eroded sleep quality from anxiety flare-ups, childcare we are suddenly having to do unassisted. Now, more than ever, we are forced to visit the root of the problem because our usual methods for temporary relief — such as massage therapy and chiropractic — are unavailable or inaccessible. These are marvelous interventions, but now we have an opportunity to address things ourselves. What do we do when we can’t physically visit our massage therapist or chiropractor or physical therapist and our aches and pains are spiraling out of control?

Massage is a worthy therapeutic intervention, but largely inaccessible during shelter-in-place restrictions. Posture re-education, on the other hand, is something you can learn online and put into practice immediately.

This is actually the perfect time to learn, revisit, and refresh skills to relieve your own back, neck, and joint pain without relying on recurring treatments from outside professionals. In the new world of COVID-19, the ancient wisdom and Primal Posture of the Gokhale Method are even more relevant than usual. We’ve had these tools on our side for decades, and our ancestors and forebears have had them for countless generations. Let’s now put them into practice with the goal of self-sufficiency.

To help with this, we’d like to remind you of our no-cost offerings which you can regularly access from your home. Here’s an example to introduce (or re-introduce) you to the fundamental Gokhale Method technique of stretchsitting, a way to gently lengthen your spine through traction and take pressure off compressed discs, nerves, and tissues. You can use equipment already found around your house, such as a rolled-up towel, or a Stretchsit® Cushion if you have one available. If you are even more fortunate, you own a Gokhale Pain-Free™ chair. Even if you’ve learned stretchsitting previously, refreshers are great at a time like this.

In the coming weeks, we’re further expanding our online offerings to include practical new material you can access from the comfort of your own home. Join us for new free teleseminars, posture workshops, online consultations, and online lessons to improve your quality of life without putting others or yourself at risk. Due to high interest, our next free teleseminars (taking place today, April 2, 2020) will revisit the topic of exercise breaks for calm and productivity. Each of our teleseminars is offered multiple times on the same day for ease of scheduling. Coworkers, friends, and family are welcome!

Social distancing can be a perfect time to learn some practical new posture skills alongside those in your household.

We also hope to support many of you with one-on-one online posture sessions, where our qualified teachers can provide personalized coaching on leading a pain-free lifestyle. Email our Customer Support team today so they can connect you with Gokhale Method teachers experienced with online teaching. Your body and mind will thank you, long after restrictions have been lifted. Consider it a gift to your future self and to future generations. Wishing you good health!

We’re all in this together. Hang in there!

We set a high bar for our six-lesson Gokhale Method Foundations course. We expect our students will 

1. Sit, stand, walk, lie, and bend in new (old!) and better ways
2. Experience significantly less pain and more function
3. Expect more from their body and life. 
4. Use the word “life-transforming” somewhere in their evaluation forms.

Even with this high bar, a student sometimes surprises us with the extent or speed of their progress over the course. Abigayil Tamara is one such student - here is her story. 

My Experience With the Gokhale Method
~Abigayil Tamara, MA, MSW

I looked into the Gokhale Method after someone in a grocery store told me how much it had helped his mother. 

My back issues began over 34 years ago, in 1983. I was given epidural injections. When I reached the point where I was unable to sit down, I had my first back surgery, a laminectomy on L4/L5, L5/S1. After the surgery, I used a walker for many years. In 2009, I had a second back surgery, a fusion at L4/L5, L5/S1. My third and fourth back surgeries In 2013 and 2016 involved removal of previous hardware, and fusion of L1-S1. Besides walkers, canes, and mobility scooters, I also had a service dog with a harness that I used for balance and support. Over the years I have worn a number of braces including two substantial back braces and braces for both legs. My back issues had resulted in burning in both calves and feet, and bursitis in both hips with pain extending down my right leg.  I have had numerous tries of Physical Therapy, the most successful being Aquatic Physical Therapy in a warm water pool. Since my last surgery I have seen three Physiatrists and two Internists, one with an Anesthesiology specialty, in my search to heal my back, resolve severe pain, increase my functionality, and be able to stop wearing the brace I had worn for over ten months following the last surgery.

With my history, I wasn’t sure that the Gokhale Method® was going to be able to help. I attended the Free Workshop, and then had a consultation with Esther Gokhale. I found her extremely knowledgeable, and able to immediately offer help for my situation. She taught me how to engage and develop my Inner Corset. I then started the Foundations Course individually with Monisha White. After the first session with Monisha I was able to discontinue use of my back brace and haven’t needed it since. With Monisha’s help I was able to continually improve my posture, with Stretchsitting (I love shoulder rolls), Stacksitting, Tallstanding, Stretchlying (side and back), Glidewalking, Hip-Hinging, and wonderful Kidney-bean shaped feet. Because my back was very stiff and painful, lying down and going to bed had been extremely difficult activities. Once I learned Stretchlying, lying in bed was very comfortable, and I looked forward to getting into bed.

Having spent years as a teacher and in helping professions, it is always wonderful to find others who are passionate about their subject matter and able to teach in a way that enables others to absorb the information and apply it in their lives. This has been my experience with the Gokhale Method®. Demonstration, visuals, positioning my body, review, practice, and homework involving reading and exercises continually reinforced the information.

I own the Gokhale Pain Free™ Chair and two Stretchsit® Cushions (one permanently in my car, and the other for use on chairs at home or other places), and these help me sit comfortably. 

With the conclusion of the six session Foundations Course, I am engaging in continuation of the learning. It is important to me to build on current knowledge, to continually practice, stay engaged with others on this journey and learn new information. I am a senior with years of having a compromised back. I was amazed that in a short time with the Gokhale Method I was able to make significant changes to enhance the quality of my life. I am hopeful that others will learn this information and avoid the many years of suffering that characterized my life. I am very appreciative of Esther Gokhale’s work, and grateful for the many methods she has developed to help others.

Stretchsitting®

The difference in neck curvature between the two is particularly marked

Stacksitting®

Note the strong improvement in shoulder and head placement

Hiphinging

Abigayil will now build up the flexibility and strength she needs to deepen her bend, instead of compromising her spine above her fusions to reach the ground

Tallstanding®

Notice how much stronger and more confident Abigayil appears while standing, after!