Feel Better – Look Better
Poor posture is readily acknowledged but rarely proactively
addressed in the gym. We all know that
we don’t stand or sit as straight as we should - when’s the last time you got
within a foot of your car’s headrest? What’s more worrying in my opinion is
that all too often we accept poor posture and the daily aches and pains it
brings with it.
What would you give to get rid of your lower back pain,
headaches, aching joints and sore muscles? Some of these things actually become
so much a part of life for some of us we don’t even stop to consider how good
we COULD feel without them. Of course there are some conditions that will
affect posture on a structural level and therefore concessions must be made in
your training to work around them.
Trauma, for example, may render a particular joint or muscle incapable
of performing certain movements but your best efforts should be made to keep
things working as much as they possibly can.
There are all manner of reasons as to why our posture can
suffer, not least our deskbound way of life, stress levels (stress and
psychology as a whole play a huge part in posture) and a cervical spine more
adept at looking down at a mobile phone than holding our head up.
Posture is partly down to awareness and conscious thought
but it CAN be trained. I don’t like my clients to try and force themselves into
‘correct’ posture but instead to learn what it feels like through good exercise
technique in the gym. This is largely because trying to hold yourself
consciously in position every second of every day in the vain hope that it’ll
stick usually ends in new problems and an awful lot of frustration.
We inevitably end up avoiding certain movements, activities
or exercises that we either find difficult or altogether impossible, rather
than questioning WHY we can’t perform them correctly or without pain. By
eliminating the movements we struggle with, we inevitably favour exercises that
we CAN do (largely because they make use of - rather than conflict with- our
imbalances) and often this only serves to exasperate the issue that was
hindering us in the first place. Gradually over the course of time we will
notice that our progress is slowing and our repertoire is dwindling.
People will also claim that it is a question of what you are
trying to achieve through your training and therefore whether a particular
exercise is essential in the first place. Are barbell deadlifts and squats
essential? Certainly not in most cases, but desirable? Oh yes! They are both
incredibly valuable movements that a healthy body should be capable of
completing accurately. They will have a positive effect on posture itself (when
done correctly), athletic performance and on body composition as a whole.
At any given moment in time you may not be able to complete
a particular exercise with proper form to keep you safe, and therefore
alternatives must be employed to work the same muscle group in a safer
manner. This should be a means to an end,
not the permanent solution that it usually becomes. We should be using these
alternatives to help correct the imbalances that forced us away from our
original plan in the first place. Yes, you should use an alternative but with a
view to improving your posture to a point where the original exercise can be
completed safely.
I can fully understand (first-hand, trust me) how
frustrating it can be having to take steps backwards to correct an inherent
flaw or imbalance with our posture that is preventing us from completing a
seemingly non-essential movement in the gym. After all you could just do
something else instead right? That, however, is wilfully disregarding what your
body is trying to tell you – something
isn’t right, help!
In the simplest and
most painfully honest of terms – we don’t want to take the time to correct
these problems when we could just bypass them and get on with the elements of
the ‘fun stuff’ that we can manage.
Diagnosing the causes of poor posture can be complicated and
the correctional techniques very particular – even as Personal Trainers it can
often fall outside of our level of expertise and more often than not requires
the input of more than one profession to get the complete picture. Certainly it
is not in the realms of self-diagnosis. It can be confusing as the pain caused
can often be referred from an entirely different area of the body and often the
reported problem is in fact a symptom of compensation being made to accommodate
a less obvious problem.
When injured, the body can make neurological alterations
extremely quickly (hours, not days) that will alter how your bodyweight is
distributed in order to protect the afflicted area and allow you to carry on
with life. This however can instigate a posture-destroying domino effect as one
joint/muscle compensates for another and this in turn effects how the next
joint/muscle in the chain is loaded. And so on and so on…
Below you will find out about some of the more common
postural imbalances we encounter here at TSC. Look familiar?
Kyphosis
The term Kyphosis refers to a rounding of the thoracic or
sacral regions of the spine. Whilst a
healthy spine will have a natural thoracic curve (20-45 degrees) anything
beyond 45 degrees is considered as Hypokyphosis and could result in pain,
breathing and digestive difficulties as well as neurological compromise (loss
of balance/coordination).
There can be several causes of an excessive kyphosis namely:
- Poor posture (postural kyphosis – most common).
- Malformation of vertebrae (Congenital Kyphosis).
- Degenerative diseases (Arthritis).
- Developmental problems (Scheuermann’s disease,
Osteoporosis).
- Trauma of thoracic vertebrae.
Most of these conditions require medical intervention
depending on the severity and cause of the curvature. These could range from corrective
braces to surgical procedures and - in the instance of degenerative conditions
- specific exercises to prevent stress fractures of the vertebrae that can
worsen the condition. As a general rule, these cases are best referred to a
specialist, and those suffering from osteoporosis or arthritis should be
advised to avoid any exercise requiring ANY degree of spinal flexion. For this
reason we will concentrate on remedial exercises to address postural kyphosis
only.
Forward Head Posture
(FHP)
Forward Head Posture (FHP) can result from muscular
imbalances in the cervical flexors and extensors that require redressing in
order to return normal position as well as range of movement.
FHP can also be caused by of more widespread tightness in
the both anterior and posterior thoracic musculoskeletal system (tightness of
the pectorals, latissimus dorsi, anterior deltoids and abdominals, as well as
elements of the rotator cuff or reciprocal weakness in the rotator cuff and
rear deltoids and rhomboids). In other words it is often a product of
underlying kyphosis.
Anterior and
Posterior Pelvic Tilt
An anterior pelvic tilt occurs when the hip flexors
(iliopsoas, illiacus and rectus femoris) shorten and the hip extensors
(gluteus, hamstrings, and adductors) lengthen causing the front of the pelvis
to drop and the back to rise*.
It should be noted that this, in my experience, is the most
common postural issue we see in the gym due to the sheer amount of time we
spend sitting down – stretching the extensors and tightening the flexors for
hours at a time almost every day of our lives.
Inversely, posterior pelvic tilt occurs when the hip flexors
lengthen and the hip extensors shorten causing the front of the pelvis to rise
and the back to drop**.
The pelvic angle can be assessed simply by finding the
anterior superior iliac spine (ASIS) and posterior superior iliac spine (PSIS)
processes of the pelvis and measuring their relationship to one another. Without radiography, it is impossible to
calculate the precise pelvic angle, but with a normal tilt using this method
the ASIS should be 6-13 degrees below the PSIS and the angle tends to be
slightly greater in women and slightly more acute in men.
*It should be noted that in the instance of an anterior tilt
the muscles affecting the hip joint form a ‘force couple’ with corresponding
muscles of the abdomen (rectus abdominis, obliques) to produce the position and
therefore both must be taken into consideration when attempting to correct
posture.
** The muscles affecting the hip joint during a posterior
pelvic tilt with form a ‘force couple’ with the erector spinae in precisely the
same manner.
The Road to Recovery
So how can we improve our posture and get our bodies back to
working the way they should do? In essence it is a very simple and methodical
process:
1. Acknowledge your
limitations. To start with, identify the exercises or activities you can do,
either at all or with perfect form. If there isn’t a traumatic or structural
reason as to why this is the case then we may be on to something.
2. Yoga. Taking a
Yoga class is a pretty good way to find out how your body moves – or not as the
case may be. Since being injured myself, I cannot advocate this discipline
enough, and there is good reason why Yoga has been adopted by more and more sportspeople
the world over. Even if it’s not
something you continue to use as part of your overall program, it might just
highlight something that is clearly out of place.
3. Don’t accept the
aches and pains. If something hurts – get it looked at! Too often people
carry on with training whilst injured and just try to work around it. Stop it -
it may well lead on to bigger issues if left unchecked.
4. GPs are not your
best port of call for musculoskeletal problems. GPs are brilliant professionals
but this isn’t their area of expertise – they can refer you to someone (and
more often than not should do) but I can’t accept the “go home and rest”
response when they can’t work out what’s wrong with you in
the measly 10 minutes they get.
5. Don’t disregard a
diagnosis because it doesn’t correspond with a previous one. Different
professionals come at things from different angles, this means that they often
cite different reasons for the same overall problem. Sadly they may all be
right!
6. Do not give up.
I have trained for years for various different reasons. I’ve done a bit of
everything from training for aesthetics (we were all young once) to sporting
performance and I can honestly say that this is by far the most rewarding use
of my time. You will still have bad days from time to time but the days when
that pain isn’t there are worth every second of toil in the gym.
I hope that from the sheer size of this article you can
appreciate the complexity of the subject in question. I hope you can also tell
how passionate we are here at TSC to helping you be the healthiest, happiest,
pain-free version of yourself. Please feel free to make an appointment with one
of the team to discuss your posture and the best course of action.
Patrick Latter
Personal Trainer and Fitness Instructor