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‘Posture Guru’ Shares Her Tips
Advanced Back and Neck Care • July 6, 2015

By BECKY WORLEY
June 22, 2015 1:23 PM
Good Morning America ( link to article )

Back pain is an epidemic. It could be caused by our more sedentary lifestyle, a few extra pounds around the middle or looking at the phone for hours each day. But Silicon Valley posture guru Esther Gokhale says in non-industrial cultures, back pain is practically non-existent. Why?

She thinks is because our spines have recently changed shape, so she has created an entire method to change that shape and reduce pain. Gohkale says it’s a method for sustainable posture that could lead to a reduction in back pain. Her fans are legion and the medical community has taken note as it searches for alternatives to pain pills, surgery and braces.

She says children natively have this posture and before the industrial age, so did our great-great-grandparents. But then something changed: Activity lessened, our gaze moved to small tasks with our hands and our idea of sitting and standing properly morphed to something more erect. Gokhale channels my grandmother: “’Sit up straight.’ That’s what moms have been telling their kids for decades; usually in a frustrated way, because it clearly doesn’t work. Maybe for 10 seconds and then the kid goes back to slumping.”

So Gokhale says “Sit up smart.” She has seminars, videos and books that espouse her techniques and the traditional medical community is taking note. Dr. Praveen Mummaneni, neurosurgeon and co-director of the UCSF Spinal Center says that while no studies of non-industrial populations have been done to directly support Esther Gokhale’s research, the techniques resonate. “It’s a very good visual. The J-shape is a very good visual that I think a lot of people will recognize, looking at that from the side and in thinking about their own posture, and it’s straight forward to remember,” Mummaneni says.

In our posture session, Gokhale taught me some basic ideas that have helped me focus on my posture. As she says, “My methods are simple, but not easy.” I agree: in the days following our session, I try to put her ideas into practice; posture is a discipline!

How to sit in a chair: the behind goes behind
Gokhale says we were taught to tuck our pelvis when we sit, “imagine you have a tail. The way we’ve been instructed to sit is to tuck that tail under our behinds. But I want you to push the tail out and let it go out the back of the chair.” I find this pelvic tilt is freeing, and Gokhale says you can reinforce it if you sit for long periods by using a pillow to wedge your pelvis forward and force your behind, behind.

Power your posture from the rear
Gokhale coaches her students to access the muscles of the gluteus maximus to hold the ”J” shape in their backs and stack their spine in vertically. “Make every step a rep.”

Gokhale says strengthening the posterior chain of muscles in the gym is good, but if you can recruit those muscles with every step, clenching the upper outside quadrant of your backside as you walk, you will do much more for your overall posture and pain reduction.

Lengthen the spine and hook your mid-back on a support
Whether it’s typing at a keyboard or holding the steering wheel of a car, when our arms go forward, our shoulders follow and we end up in a “C” shape. Gokhale says to use a towel, a jacket or she sells tethered pillows that fasten on. She says lean forward, use your arms to push down and lengthen the spine as you then lean back and hook your mid-back onto that cushion.

This move was enlightening for me. I felt like it created a stacked spine that rested comfortably. More than traditional good posture, I found this easier to maintain over time.

Roll the shoulders back
As I spoke with Gokhale the first thing I noticed was that every five minutes or so she would roll her shoulders back, one at a time. In the past I thought of good posture as lifting the entire rib cage and pushing it forward.

In truth, my posture came slouching down seconds later when my attention turned elsewhere. But if I just focus on my shoulders, I find that I have a little more hold time before they drop forward again.

Gokhale has free videos on her website demonstrating some of these techniques and she also sells her book, pillows and chairs there.

 

January 31, 2025
Originally posted on January 30,2023, this article has been updated on August 24, 2024 to reflect the latest research and statistics. Our editorial team has ensured you’re viewing the most current data on this topic. Need help or have a question? Email us.
September 23, 2024
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August 7, 2024
Ronald Grisanti D.C., D.A.B.C.O., DACBN, MS, CFMPXylitol and Erythritol are commonly used by those wanting to lose weight or who are diabetic. Many people use artificial, low-calorie sweeteners to reduce their sugar intake. It's found in chewing gum, toothpaste, sugar-free candy, baked goods, and more. According to a June 2024 study, high levels of xylitol and erythritol, sugar alcohols and low-calorie sweeteners used in many foods and products, has been associated with an increased risk of a major cardiovascular event, like a heart attack or stroke and death. The researchers in this study analyzed how xylitol impacts heart health in over 3,000 patients in the U.S. and Europe. The team of researchers, led by Dr. Stanley Hazen at the Cleveland Clinic and published in European Heart Journal on June 6, 2024 showed that having the highest blood levels of xylitol is linked with a 57% increased risk of a major cardiovascular event compared with lower levels. The Reason Why Xylitol and Erythritol May Pose a Cardiovascular Risk? Blood components called platelets help blood to clot. The researchers found that both erythritol and xylitol made platelets more sensitive to blood clotting signals. . Additionally, taking a single 30-gram dose of xylitol increases blood levels 1000-fold within 30 minutes – this increase can stimulate blood clotting, which is concerning for people with existing heart disease. These results suggest that consuming erythritol and xylitol can increase blood clot formation. This, in turn, could increase the risk of heart attack or stroke. What Products Commonly Include Erythritol and Xylitol? Chewing gum Candy Ice Cream Breath mints Some Dietary supplements Mouthwash Toothpaste Sugar-Free Desserts Liquid compounded medications Commercially produced: Baked goods, beverages, candies, chewing gums, chocolates, tabletop sweetener packets, ice cream, puddings, jams and jellies, fruit preparations, biscuits, and sauces Dr. Grisanti's Comments For now, I recommend being cautious using products with xylitol and erythritol in it, – particularly those with cardiovascular risk factors. Although some people will say the research may be flawed, I have to wonder if the people against this new study have an agenda that places the public at risk. All in all, I say why take the risk. I prefer to err on the side of caution and simply stop consuming food items that have erythritol and xylitol in it. Using xylitol and erythritol in the small amounts typically found in chewing gum, toothpastes, and mouth rinses seems to be safe. But using it in very high doses and long-term isn't a good idea. It does not mean throw out your toothpaste if it has xylitol in it, but we should be aware that consumption of a product containing high levels could increase the risk of blood clot-related events. If you're looking for a sweet treat, the only sweeteners I stand behind are organic, 100 percent stevia or monk fruit extracts. Remember simply read the labels of the items you eat or drink if you want to know if xylitol and erythritol has been added. --------- ATTENTION DOCTORS, ALL HEALTHCARE PRACTITIONERS, PATIENTS and POTENTIAL NEW PATIENTS If you found this article of value may I ask if you can tell your friends and colleagues about Clinical Rounds. This is a great introduction to the field of functional medicine as well as having the opportunity to stay current on the latest medical news on a variety of important health issues. Here is the webpage to subscribe: http://www.clinicalrounds.com References: https://www.nih.gov/news-events/nih-research-matters/xylitol-may-affect-cardiovascular-health https://www.nbcnews.com/health/heart-health/xylitol-linked-increased-heart-risk-reconsider-sugar-substitutes-rcna155688 https://www.nhlbi.nih.gov/news/2024/common-sweetener-linked-potential-cardiovascular-risks https://academic.oup.com/eurheartj/article/45/27/2439/7683453 https://www.washingtonpost.com/wellness/2024/06/06/xylitol-sugar-artificial-sweetener-heart/ https://www.nih.gov/news-events/nih-research-matters/erythritol-cardiovascular-events https://www.nature.com/articles/s41591-023-02223-9 https://academic.oup.com/eurheartj/article/45/27/2439/7683453 https://academic.oup.com/eurheartj/article/45/27/2439/7683453 ** Always consult with a physician or healthcare practitioner with significant integrative or functional medicine training before starting any of the above recommendations. You can find a qualified and certified functional medicine practitioner by going to: www.FunctionalMedicineDoctors.com The information on this website is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice. It is intended as a sharing of knowledge and information from the research and experience of Dr. Grisanti and his functional medicine community. Dr. Grisanti encourages you to make your own health care decisions based upon your research and in partnership with a qualified health care professional. Visit www.FunctionalMedicineUniversity.com for more information on our training in functional medicine. Look for practitioners who have successfully completed the Functional Medicine University's Certification Program (CFMP) www.functionalmedicinedoctors.com . This content may be copied in full, with copyright, contact, creation and information intact, without specific permission, when used only in a not-for-profit format. If any other use is desired, permission in writing from Dr. Grisanti is required
May 1, 2024
https://www.functionalmedicineuniversity.com/public/2017.cfm ** Feel free to use this article on your website. and have it linked back to www.FunctionalMedicineUniversity.com ** Read my past articles: http://www.functionalmedicineuniversity.com/public/department88.cfm ATTENTION DOCTORS AND ALL HEALTHCARE PRACTITIONERS Tell your friends and colleagues about Clinical Rounds . This is a great introduction to the field of functional medicine. Here is the webpage to subscribe: http://www.clinicalrounds.com Take care, Ron P.S. Please visit our facebook page and "Like It" Of course if you really like it. :) http://www.facebook.com/pages/Functional-Medicine-University/161486170671332
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https://www.functionalmedicineuniversity.com/public/2012.cfm ** Feel free to use this article on your website. Compliments from Functional Medicine University . ** Read my past articles: http://www.functionalmedicineuniversity.com/public/department88.cfm View Rick Bramos Fitness YouTube Channel https://www.youtube.com/channel/UC_x4I27Z0DfYkfcroXxAhcA/videos Here is Rick's New Video of the Week: https://youtu.be/Pk9FeTKlufU Rick is now offering phone consultations for those wanting to lose weight or simply to improve their fitness. Rick can be reached at 2days2fitness@gmail.com for more details. ATTENTION DOCTORS AND ALL HEALTHCARE PRACTITIONERS Tell your friends and colleagues about Clinical Rounds . This is a great introduction to the field of functional medicine. Here is the webpage to subscribe: http://www.clinicalrounds.com Take care, Ron P.S. Please visit our facebook page and "Like It" Of course if you really like it. :) http://www.facebook.com/pages/Functional-Medicine-University/161486170671332
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https://www.functionalmedicineuniversity.com/public/2006.cfm ** Feel free to use this article on your website. All I ask is to add at the bottom of the article: Compliments from Functional Medicine University and have it linked back to www.FunctionalMedicineUniversity.com ** Read my past articles: http://www.functionalmedicineuniversity.com/public/department88.cfm ===================== View Rick Bramos Fitness YouTube Channel https://www.youtube.com/channel/UC_x4I27Z0DfYkfcroXxAhcA/videos Here is Rick's New Video of the Week: https://youtu.be/Pk9FeTKlufU Rick is now offering phone consultations for those wanting to lose weight or simply to improve their fitness. Rick can be reached at 2days2fitness@gmail.com for more details. ===================== ATTENTION DOCTORS AND ALL HEALTHCARE PRACTITIONERS Tell your friends and colleagues about Clinical Rounds . This is a great introduction to the field of functional medicine. Here is the webpage to subscribe: http://www.clinicalrounds.com Take care, Ron P.S. Please visit our facebook page and "Like It" Of course if you really like it. :) http://www.facebook.com/pages/Functional-Medicine-University/161486170671332
By Ronald Grisanti D.C., D.A.B.C.O., DACBN, MS, CFMP March 13, 2024
https://www.functionalmedicineuniversity.com/public/2000.cfm ** Feel free to use this article on your website. Compliments from Functional Medicine University . ** Read my past articles: http://www.functionalmedicineuniversity.com/public/department88.cfm ===================== View Rick Bramos Fitness YouTube Channel https://www.youtube.com/channel/UC_x4I27Z0DfYkfcroXxAhcA/videos Here is Rick's New Video of the Week: https://www.youtube.com/watch?v=W__EwtXJkyY Rick is now offering phone consultations for those wanting to lose weight or simply to improve their fitness. Rick can be reached at 2days2fitness@gmail.com for more details. ===================== ATTENTION DOCTORS AND ALL HEALTHCARE PRACTITIONERS Tell your friends and colleagues about Clinical Rounds. This is a great introduction to the field of functional medicine. Here is the webpage to subscribe: http://www.clinicalrounds.com Take care, Ron P.S. Please visit our facebook page and "Like It" Of course if you really like it. :) http://www.facebook.com/pages/Functional-Medicine-University/161486170671332
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