Back pain can be quite tricky. The large majority of Americans will suffer from issues regarding their back at some stage during their lives. Moreover, for a third of them, therapy and treatments simply won’t resolve the issue. This is when back problems will generally become chronic. Is there a real remedy out there like yoga for back pain or Pilates that can permanently get rid of back pain?
Unbeknownst to most who live in the western world, there are several cultures around the globe where the problem of back pain barely exists (if at all). There is such a tribe in the center of India where they reported basically none at all. The discs of their spines regarded few signs of degeneration as people grew older.
A well-known acupuncturist from Palo Alto, California believes that she may have discovered why they report significantly less instances of back pain. She’s trekked around the globe studying cultures with few accounts of reported back pain. She studied how they sit, stand, and walk. Today, she is sharing her conclusions with back pain sufferers in efforts to help people across the United States.
Around 20 years earlier, Esther Gokhale began to have issues with her back after she’d been pregnant with her first child. “It was an excruciating pain. I could not sleep at night,” she claimed. “I was going for walks around the block every two hours. I was completely crippled.”
Esther had what is known as a herniated disc (A condition which refers to a problem with a rubbery disk between the spinal bones). Eventually she needed to have a surgical operation to rectify it. However, after about a year, she had another herniated disc. “They wanted to conduct another another surgery on my back. You do not want to make a habit out of back surgery,” she says.
Being fed up with the pain and surgeries, Esther needed a permanent remedy for her back pain. She was not swayed Western medicine could provide it. Esther began to think outside of the box. An idea came to her: “Visit cultures where they aren’t experiencing these crippling problems and find out what they are doing differently.”
So Esther researched discoveries from anthropologists, like Noelle Perez-Christiaens, which assessed postures of these indigenous cultures. Likewise, she researched physical therapy techniques, like the Feldenkrais Method and the Alexander Technique.
During the following ten years, Esther traveled to populations around the globe that are distant from modern, Western life. Esther traveled to Aboriginal tribes in Australia, small fishing villages in Portugal, the mountains of Ecuador, and remote tribes in West Africa.
“I visited villages where every child under age four was crying because they were scared to see somebody with white skin — they had never seen a white person before,” Esther says.
Esther had taken video and photo of people that sat on the ground weaving, walked with buckets of water on their heads, or collected firewood for hours.
“I have pictures in my book of two women who worked seven to nine hours everyday, bent over, gathering water chestnuts,” Esther said. “They’re actually quite old, but the truth of the matter is they don’t have any back pain.”
Esther attempted to find out what all of these different peoples had in common. The very first thing that arose was the curvature of their spines. They have a regal-like posture that it is quite compelling, and it is very different from American’s spines.
When you view the shape of an American’s spine from the side, it is shaped like the letter S. It bows outwards at the top and inward towards the pelvis.
However, Esther did not see the S-shaped spine in people who do not have pain in their back.
“That S shape isn’t natural,” Esther says. “It is a spine with a J-shaped that you want.”
As a matter of fact, if you take a look at depictions from the works of da Vinci, or even a book from Gray’s Anatomy circa 1901, the spinal column is not at all like a deeply curved S. It is quite a bit flatter down to the pelvic area.Near the pelvis, it bends outward to push the buttocks out. Again, so that the spinal column appears more like a J than an S.
So Esther conducted several exercises (as we discuss toward the end) to force her spinal column into the ideal J shape. Over the course of doing these simple exercises and maintaining proper postures as much as possible, he back pain actually subsided completely.
Then Esther also realized she had the potential help others as well. She developed this set of exercises into a routine anyone could follow, wrote an entire book about it, and even started a studio in the downtown Palo Alto area to teach classes.
Moreover, she has helped Matt Drudge from the Drudge Report and YouTube CEO Susan Wojcicki. She has even taught classes at Facebook, Google, and companies around the US. In Silicon Valley, she is referred to as the “posture guru.”
Every year, doctors from around the Bay Area refer numerous patients to Esther. Dr. Neeta Jain is one of them, an internist working at the Palo Alto Medical Foundation.
Yoga For Back Pain?
She puts Esther’s techniques in the same category as Pilates and yoga for back pain. The fact that her techniques haven’t been testing in a clinical trial doesn’t bother her at all.
“If people are discovering things that are helpful to them like yoga for back pain, and it isn’t doing any harm, then why should we have to wait for a trial?” Jain asked.
“The J-shaped spine is what you will see in statues of Greek gods and goddesses. It is also what you see in young children. It is good design,” Esther says.
However there still is a big looming question here: Is Esther right? Do people in Western cultures just don’t know how to stand properly anymore?
Scientists just do not know yet, says Dr. Mummaneni, a neurosurgeon at the University of California, San Francisco’s Spine Center. There is yet to be a conclusive medical study on traditional cultures to understand why some report lower numbers of back pain cases, he says. The fact is, science has yet to document the shapes of their spines.
“I would love to go and take X-rays of indigenous peoples and compare it to those of the Western world,” Mummaneni said. “I believe that it would be quite helpful.”
However there are a many reasons why postures of Americans, along with the shape of their spinal column, might might vary from those of indigenous cultures, says Dr. Mummaneni. To start, Americans tend to be much taller and heavier.
“Lets say you have a quite a bit of fat built up in the belly. That would likely pull the weight forward around the lower lumbar or bottom of your spine,” Dr. Mummaneni said (read here how to correct this). “This would force the spine to bend, so people that are thinner in physique most likely have less of a curvature” hence they are more likely to have a spinal column that resembles a J rather than an S.
Westerners, especially Americans, are also not quite as active as those in traditional cultures. “I think especially the sitting down and sedentary lifestyle leads to a lack of muscle endurance and tone. This furthermore leads to a lack of postural stability due to the muscles tending to get weaker” says Mummaneni.
Most people know that having weakness in the ab muscles can quickly lead to back pain. In fact, Mummaneni claims that strengthening the core muscles may just be the very secret to Esther’s and all indigenous cultures’ resolution of back pain.
To put it another way, it is not specifically that the spine shaped like a J is the ideal spinal shape or even the healthiest. It is what actually goes into that J shape of the spine that makes the difference. “You must make use of abdominal and back muscle strength to get your spinal column to resemble this J shape,” Say Dr. Mummaneni.
So Gokhale may have somehow discovered a method to teach people to reinforce their core strength building routines without them ever even knowing it.
“Yes I certain believe think you’re correct,” say Mummaneni. “You are absolutely not going to go from the S shaped to the J shaped spinal column without presenting solid muscular strength in your core, and I believe that is the very key here.”
So traditional peoples around the globe do not have some sort of cure-all for preventing or relieving back pain. They just have strong abdominal muscles. Likewise, their lifestyle forces them keep them strong even as they grow older.
Esther’s Five Techniques For Improved Posture And Reduced Back Pain
Try these exercises while you are sitting at the dinner table, working at your desk, or walking around (or watch the videos from the Yoga Burn system).
- Shoulder roll: Americans tend hunch forward letting their shoulders droop where our arms are in front of us. This is not how indigenous populations carry their arms, says Esther. To remedy this, slowly pull the shoulders up, push them back and then let them drop like a shoulder roll. You should feel a bit of a stretch in your collar bones. Now your arms should hang by your side with your thumbs pointing outward. “This is the way all your ancestors parked their shoulders,” Esther says. “This is the natural architecture for our species.”
- Lengthen the spine: Adding more length to our spines is quite simple, Esther says. Careful not to arch your back, take deep breaths in and feel your self growing tall. Keep this height as you exhale. Breathe in and keep repeating this to grow even taller and keep that new height as you exhale. “It takes some effort, but it really strengthens your abdominal muscles,” Esther says. An inversion table is another way to stretch out your spine.
- In several indigenous cultures they squeeze their gluteus medius muscles every single time they take a step. That is one reason why they have such prominent buttock muscles that help to support their lower backs. Esther claims you can start developing the same type of butt by contracting the buttocks with every step you take. “The gluteus medius is the one you’re after here. It’s the one high up on your bum,” Esther says. “It is the muscle that keeps you perky, at any age.”
- Don’t put your chin up: Instead, add length to your neck by taking a lightweight object, like a bean bag or folded washcloth, and balance it on the top of your crown. Try to push your head against the object. “This will stretch the rear of your neck and allow your chin to angle down in a relaxed manner and not in an exaggerated way” Esther says.
- Do not sit up straight: “That’s just arching your back and getting you into all sorts of trouble,” Gokhale says. Instead do a shoulder roll to open up the chest and take a deep breath to stretch your spine.