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8 Steps to a Pain-Free Back: Natural Posture Solutions for Pain in the Back, Neck, Shoulder, Hip, Knee, and Foot

Esther Gokhale, Susan Adams · 12 HN comments
HN Books has aggregated all Hacker News stories and comments that mention "8 Steps to a Pain-Free Back: Natural Posture Solutions for Pain in the Back, Neck, Shoulder, Hip, Knee, and Foot" by Esther Gokhale, Susan Adams.
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Amazon Summary
Nearly 90% of American adults suffer from back pain, and the number continues to climb. Why does this condition affect so many people in the industrialized world, while in some countries only 5% of adults report back pain? In a quest to find the root cause of back pain, Esther Gokhale studied at the Aplomb Institute in Paris and traveled to parts of the world where back pain is virtually unknown. Her research took her to remote Burkina Faso, rural Portugal, and fishing villages in Brazil. What she learned in each of these places has changed the lives of thousands of people. Preserved in the movements of weavers, millers, and farmers in more traditional societies is ancient body wisdom that prevents pain and enhances health. For the first time, these insights have been brought together in a step-by-step guide designed to help those suffering from back pain re-educate their bodies and regain the posture for which our bodies evolved.
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Hacker News Stories and Comments

All the comments and stories posted to Hacker News that reference this book.
8 Steps to a Pain-Free Back: https://www.amazon.com/dp/0979303605

This book fixed my posture. After reading it, I understood for the first time what it actually means to have good posture.

The book "8 Steps to a Pain-Free Back" talks all about it and has a long-term plan on how to address it for you.

https://www.amazon.com/Steps-Pain-Free-Back-Solutions-Should...

crazygringo
Sorry, but please don't follow the advice in that book, it's terrible.

A far, far better book is "The New Rules of Posture". [1] See my review at [2] which also briefly explains why "8 Steps" is bad.

[1] https://www.amazon.com/New-Rules-Posture-Stand-Modern/dp/159...

[2] https://www.amazon.com/gp/customer-reviews/R2CVZCSXVLQ1EM

A great book that will help with posture, including fixing pelvic tilt, is 8 Steps to a Pain-Free Back by Esther Gokhale [1].

The author traveled around the world and looked through history to find out if we always had such terrible posture. It turns out that industrialized societies put a large emphasis on good posture up until the early 20th century. Even today, great posture can be found in less-industrialized cultures.

The Gokhale method has been a game-changer for many, even though it flies in the face of a lot of modern theories about designing furniture and "good" posture. I've personally met people with arthritis and lower back problems who were able to reduce pain and prevent further damage with this book.

[1] https://www.amazon.com/Steps-Pain-Free-Back-Solutions-Should...

pseudolus
A lot of people swear by the Alexander technique with its emphasis on posture and breathing [0][1]. There are number of studios and videos that go into depth and, anecdotally, it appears to be effective. The referenced wikipedia article also discusses several studies that seem to confirm it as a viable option.

[0] https://en.wikipedia.org/wiki/Alexander_Technique

[1] https://www.alexandertechnique.com/

yeutterg
I've heard good things about it as well!
Backing this up, here's my personal journey: I had back pain for a few years that has been basically gone for six months. A combination of these helped:

* daily inversion (Teeter Gravity Boots on a pull-up bar—I actually pull down on the door frame while inverted for extra decompression)

* daily yoga (at home, from YouTube videos)

* using a standing desk most of the time

* Rolfing about once every eight weeks (type of massage focused on aligning fascia. It's pricey and a little pseudoscience-y but actually works really well)

* occasional targeted sports massage (if I'm crying, I know it's good)

If there's one thing of all those that's made the most difference, it's inversion. I feel so tall now. Seriously, invest in an inversion table or inversion boots if it's safe for you to do this exercise.

My posture is still not where I want it to be, but it's much better than it used to be. I still get tight in the neck (likely due to poor sleep posture). I had chronic pain in my left foot (likely plantar fasciitis) that disappears but comes back about once every two weeks. Both have gotten much better with some targeted yoga exercises, but it's a journey.

I'm slowly going through the book 8 Steps to a Pain-Free Back by Esther Gokhale (https://www.amazon.com/Steps-Pain-Free-Back-Solutions-Should...). The author studied posture in industrial vs. non-industrial societies, and she concluded that most pain is not inevitable. We have just forgotten about the importance of posture in industrialized societies. The book gives you eight sessions to practice primal posture for sleeping, standing, and sitting. I'm thinking about investing $400 in the Gokhale Method in-person course.

I now prioritize flexibility over strength. 20-40 minutes of yoga per day is a large commitment, but it's worth it. I'm still basically as strong as I was when I did CrossFit, even though my "exercise" is limited to yoga, basic bodyweight exercises like pull-ups and inverted sit-ups, and long, meditative walks.

Finally, I make some lifestyle choices around posture. For example, always getting an aisle seat for flights longer than 3 hours, so I can easily get up to stretch and walk around. Choosing a more-supportive chair at a restaurant over a slouchy booth. Not reading in bed often.

If you have back pain, maybe something here will be worth trying to you. Keep at it!

I recommend Gokhale method (https://www.amazon.com/Steps-Pain-Free-Back-Solutions-Should...) which helped me fix my back pain and allow to sit for long periods of time without any problem. This book will teach you how to sit correctly and few other things about your back.
I got a book with lots of helpful diagrams.

http://www.amazon.com/gp/product/0979303605/

I found it to be immensely helpful, and my posture is now dramatically improved. The suggestions are clear and actionable. I'd try to explain them here, but honestly the book will do it way better.

I think that the key for me is to check in with my muscles. When my posture isn't right, I can feel it because the muscles on one side or another (or forward and backwards) of my spine or neck are slightly tense.

I've found that not everyone seems to be able to monitor whether a muscle is engaged or not, but if you can, that's a tell-tale sign that your posture isn't neutral. I learned this technique from many years of karate, honestly no idea if it's transferrable if you don't do any physical activity. I feel like it should be possible, but maybe 10% of people I've described it to can feel it.

Other thing that I know for sure is that physical activity will repair a lot of the damage you can do to your body. When I don't do karate for more than about three weeks, my lower back starts hurting (old injury). Regularly not just stretching it out, but working the muscles in those areas by rotating at the hips (in my case with karate punches) smoothly and repeatedly seems to get a lot of blood flow to the affected area, work out deep muscle spasms that are pulling my spine out of alignment, and basically smooths out the action of the joints in the spine. I'm not sure biking or running would help, but I bet swimming would. Needs to be a fairly full body exercise with rotation action around the axis of your spine I think... at least for lower back.

PS: Also learn good posture from a good yoga or martial arts instructor.

Read books like this: http://www.amazon.com/Steps-Pain-Free-Back-Solutions-Shoulde...

No, you don't need expensive chairs for coding, you don't need to "sit down well" because it is not possible or good for you. Do sit for hours in a "correct" posture and you will discover that your body tries to move constantly from it (blood circulation needs your pressure points to change constantly or bruises will appear).

Instead of buying expensive things go buy experts book on the area of posture, or better, go talk with expert people in the field. Books like this helped me in the past(I had pain in my back years ago) : http://www.amazon.com/Steps-Pain-Free-Back-Solutions-Shoulde...

But I assert you that in the area you live there is already lots of good people that could help you. In my area I found a martial arts expert(that won Olympic gold medals when young) that could identify wrong postures from an eye shot.

PS: I code mostly standing up and with a high stool.

Gokhale's 8 Steps to a Pain-Free Back, via http://news.ycombinator.com/item?id=1739607 (thanks, HN). It's not the best presentation or the best science, but it has ended my back pain and given me awareness of my body. Anyone who sits with a curved back or occasionally lifts heavy objects should read it.

http://www.amazon.com/dp/0979303605/

For those interested, there's a book on this topic that is excellent and provides 8 postures improvements (complete with pictures) that will help keep pain away. http://www.amazon.com/Steps-Pain-Free-Back-Solutions-Shoulde... - there's also an Authors@Google talk by the author on Youtube (http://www.youtube.com/watch?v=-yYJ4hEYudE) if you want a taste before buying the book.
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