Category Archives: Health

Grow Taller Using the Alexander Technique

‘I was taller after my Alexander lesson!’


This has been said by many pupils over the years and indeed people often do ‘grow taller’ in AT lessons, as a result of undoing the tension that compresses them, pulls them down and ultimately shortens their stature. When they stop pulling down, they can begin to assume their full height.

Our habits of contracting and shrinking into ourselves develop as we express our attitudes and emotions. Thought patterns are very often expressed in the language we use with terms such as ‘getting down to work’ and thinking we need to put our ‘nose to the grindstone’ as we deal with ‘weighty issues’ imply that work requires intensity (in-tense-ity) and a rather heavy-handed approach in order for us to be able to function well. But is this really true?

We also talk of avoiding trouble by ‘keeping our heads down’ and we avoid difficulties by ‘burying one’s head in the sand’. We can feel ‘down hearted’ or ‘down on my luck’….. and so on. Just reading all these idioms which include a ‘down’ concept encourages a heavy and somewhat negative feeling in me! Does the same happen when you read them?

How different my internal experience is if I think in terms of people being ‘poised and ready for action’, alert, aware and focussed so we can work well and ‘lighten the load’. How much nicer to feel ‘upbeat’ and ‘buoyant’ so that we are able to ‘think tall’ and ‘rise above our difficulties’. 

When I asked a pupil recently how her week had been she replied ‘ oh, up and down’ and when I enquired if she meant emotionally or physically she realised that she had meant both and saw how her varying emotions had been expressed by her body, which had been literally going up and down, so that she was shorter when she felt ‘low’ and was taller when her ‘mood lightened’. This is a very clear example of the mind and body acting as one unit, not as two separate parts of us.
Of course we can also contract down into ourselves as a result of an accident or illness and our habits can often add to this problem. I had a pupil who’d had a collapsed lung and he found it hard to maintain an expansive length in his body and he would ‘grow’ about 2 inches (5 cm) in his AT lesson. An important part of his learning was to find out how he could avoid contracting down again during his everyday life, so that his lungs had more chance to expand fully and continue the process of healing. 
Think Tall
I decided to Google the term ‘Think Tall’ and came upon an interesting piece of research by Cornell University that showed people who feel powerful tend to perceive themselves as being taller than they really are.  The research also suggested that people tend to think of tall people as more powerful than their shorter peers – who sometimes get called ‘The Small People’, with rather negative connotations . 
So what happens to us when we pull down and shorten ourselves? Do we unconsciously diminish ourselves and as a result feel less powerful? Or do we in fact shrink ourselves because we feel rather powerless and miserable? Probably both but we do not have to shrink for anyone!
But what happens when we change our habits and stop contracting down, allow ourselves to think ‘up’? Do we begin to feel more powerful as we expand into our true height again – or possibly find our full height for the very first time? Certainly one pupil gave a presentation for work and was consciously using the AT to help her. She was far less anxious than she had been on previous occasions and she was surprised to discover that she felt taller than usual at the end of it! Perhaps she found herself feeling more powerful than before?
By learning and using the Alexander Technique we can become more self-aware so that we can more easily answer questions such as these and have more skills to help ourselves maintain our full height – something that is also important as we get older. Even when life is tough, we can choose not to crumple but remain poised and balanced. And if you want to step into your power, think tall!

High Heels – the Inside Story

High Heels? How can people feel comfortable in them?

An Alexander Technique teacher trainee at LCATT sent me this X Ray photo of someone’s foot inside a stiletto shoe, which he had found on the AT Global page on Facebook. I find this photo very uncomfortable to look at, realising just how much damage is being done not only to this woman’s (?) foot but also her back.

When I was a ballet dancer and was regularly doing pointe work, my feet would have undergone similar distress, although the toes would have been lengthened out and we were taught how to use pointe shoes and how to look after our posture – and we didn’t walk around on our toes for long periods of time! Even as a young dancer, I would never wear stilettos.

Thankfully, when I stopped dancing I began learning the Alexander Technique which, amongst other things, helped my feet to free up and my potential bunions began to right themselves enough not to be a painful problem.

Feet that are squeezed into pointed high heels as above, day after day, do tend to get damaged and the whole body gets thrown out of kilter, causing many problems. A good number of women have lost their balance and fallen off their high heels, spraining and even breaking their ankles. The Achilles tendon can shorten so the foot cannot rest on the ground fully, the woman’s posture can become distorted so that an over-arched spine or lordosis can develop, creating backache, plus toes can become quite mal-formed and painful….. and more

Is all the damage to our bodies really worth it, just for fashion?

For a further discussion on this topic, you can read my article Back Pain and High Heels.

Alexander Technique and Anxiety Conditions

Anxiety and Stage Fright

The Alexander Technique is well known for helping with our posture and with back problems but not so many people realise it is a useful tool to use in conditions of stress and anxiety. There is a lot of anecdotal evidence of this and I personally know that it can help, from my own experience. However, there is little scientific evidence as yet to support this idea.   Some people that have for years found the AT can help with anxiety, are musicians and other performers, who have found the Technique invaluable to them in coping with stage fright.
William Hurt is one such artist who uses the AT to help with performance anxiety as quoted on the DVD shown below.
 
It’s not just performers that can benefit from the calming aspects of the Technique – we all can. Almost everyone experiences anxiety at some point in their lives and the strength of anxiety can range from situations when we are just mildly worried about things, through to conditions such as performance anxiety, panic attacks or post traumatic stress disorder.
 

Using the Alexander Technique during an eye operation.

 
A pupil of mine mentioned that she sometimes has panic attacks and one of the things we have been working on in lessons is the idea of not reacting to anxious thoughts by tightening up her muscles and restricting her breathing. This not only helps reduce tension but can help to stop the anxiety from building up. 
 
Shortly after starting AT lessons, this pupil had to have an eye operation for which she was sedated but only to the level where she could still talk – and she could still see the surgeon as he was performing the operation. This understandably lead to her feeling a bit anxious but she was pleased to be able to tell me that “When I used the Alexander Technique, I stopped myself from having a panic attack during the eye operation”.
 
It was quite impressive for her to be able to use the Technique so well after just 5 lessons. Fortunately, she was asked to lie down in the semi-supine position for the operation and the fact that she had been practising the AT lying down procedure regularly, in this position, would undoubtedly have helped her to remember what she had learned in her Alexander lessons. My pupil found she could use the AT during the operation in order to help herself stay calm, so that she avoided building up lots of tension and was able to keep her breathing more regular and easy. It also helped her that a nurse sat and held held her hand throughout the operation, something we could happily see more of in the NHS. 
 

At the Dentist…..

 
Another excellent time to use the AT is when we visit the dentist, where people experience different levels of discomfort and anxiety whilst receiving treatment. It can be very tempting to pull our head back with loads of tension in the neck, whilst holding the jaw open stiffly during dental procedures. However, we can use the Technique to keep our jaws more free, to look after our necks and backs and to help ourselves be calmer as we lie in the dentist’s chair.
 
Another bonus is that it’s helpful to have something else to think about, other than the drill or whatever bit of metalwork is filling our mouth at the time! 

After a diagnosis of long-term illness

It can be very reassuring to know that we can use the Alexander Technique to help us cope with a huge range of different situations and conditions. 
“My aching legs, though, were the precursors of a more serious, long-term endocrine condition.  My energy, memory, and stamina were affected and I had constant muscle pain. I continued with AT which helped me to cope with the worst.  Lying in the AT position made it less necessary to take pain-killers and helped me to be more calm and not to panic about the future of this illness”.
 
Individual lessons are regularly available. You can contact me here.

How Best to Carry a Baby?

Carrying styles affect a baby’s spinal development

There is an interesting illustrated article about a baby’s spinal development and how it is affected by the manner in which the baby sleeps in strollers and car seats, or whilst he is carried by adults – well worth reading if there is a baby in the household.

The main theory put forward in the article is that the best position for the baby is to be carried in a sling facing into the parent’s body, so that the head, neck, back and legs are supported and are therefore in a good position for their correct development. This position allows the baby to have close physical contact with a parent which aids good psychological development. It also lets the baby move and make body-adjustments in response to the parent’s movements and this develops the baby’s musculature. Being held in a more upright position also allows the baby to see and learn about the outside world. 

Strollers and Car Seats can leave Babies Crumpled

Interestingly, the article suggests that even laying babies flat on their backs is unhelpful. I agree that if babies spend a lot of time on their backs in strollers and car seats, their movements are very restricted and they are unable to move around much, so they cannot develop the necessary muscle-use in their necks, spine and legs. But, in my opinion, babies in so called ergonomic strollers are rarely ‘flat on their backs’ but are often left (by their parents) helplessly ‘crumpled up’ which could damage their their spines – and cannot help their breathing and digestion, come to that. How aware are you of your baby’s back and neck when you carry him, or leave him sleeping in a stroller? Do you check to see if he needs to be re-aligned, so that he’s not left sleeping in a contorted or crumpled position?

A baby lying flat in a cot has ample room to move around freely when she wishes to, so she can move into all sorts of positions. This is also true when a baby is allowed to lie on the floor to play, where she can explore the world and develop appropriate muscle strength and a capacity for exploration. I know one toddler who spent so much time in a stroller or being carried around that she’s very passive, does not show much curiosity about the world and was slow in trying to walk.

What about the Parent’s Back?

What isn’t mentioned in this article aimed at encouraging people to carry babies in slings, is the state of the parents’ backs when carrying a baby this way for long periods of time. I have taught parents and grandparents who have come for AT lessons because they have developed lower back pain and shoulder ache, partly through carrying an increasingly heavy baby around in a sling. This can happen because they have not been aware of their own body use so have not maintained the length in their own lumber spine, which can then become over-arched, compressed and tense, causing pain.
It is so easy as a new parent or grandparent to put all’s one’s attention on the baby and to forget to look after your own body as you lift, carry and bend over those precious but heavy and wriggly little bundles. This gets particularly difficult if you are feeling sleep-deprived and exhausted! How aware are you of what happens in your own body when you bend over to attend to your baby, or carry her, or anything else that is heavy that can put pressure on your spine? 
If you have some AT lessons, you learn to become aware of your own body use and how to maintain a freely lengthening back during all your daily activities and it can become possible to carry a baby in a sling in an appropriate way, look after the baby’s wellbeing and look after yourself at the same time. That has to be good – and I wish I had learnt the Technique when my children were babies, so that I could have looked after my own back rather better than I did.

Guidelines for Treating Back Pain?

New US Guidelines for the Treatment of Lower Back Pain

These new guidelines are medically-based, as would be expected but there is a welcome emphasis on encouraging the reduction of invasive procedures and the use of steroids and narcotics to reduce the symptoms.

I haven’t read the whole paper but I thought it was unfortunate that this abstract makes no mention of the use of the Alexander Technique to treat back pain – which has been shown in a major Research Trial published in the BMJ in 2008, to be more effective in helping people with chronic lower back pain than were massage or even a Doctor’s standard back care regime!

I was one of the STAT registered teachers selected to teach on the ATEAM trial and have worked with many people with back pain amongst other problems that bring people to me to learn the Technique.  In Alexander lessons, people learn to use their bodies in a more balanced and less tense manner whilst performing ordinary activities, so that their backs are more aligned and able to lengthen out, which gradually reduces problems such as lower back pain.

The fact that the AT really can help reduce back pain on a long term basis was scientifically proved in the research study and the conclusions of the ATEAM Research Trial were that One to one lessons in the Alexander technique from registered teachers have long term benefits for patients with chronic back pain’.

BMJ 2008;337:a884

Headache Prevention

Headaches are discussed in the media

The fact that the frequent use of painkillers can actually give us headaches, is once again being brought to the attention of the public – and a good thing too. ‘Medication overuse headaches’ is the term given to describe the preventable condition, in which we can become habituated to the painkillers so we try taking more in order to bring about relief – but only end up by making the situation worse.

It is therefore necessary for people who have been constantly taking painkillers to come off them but, like coming off other drugs, there are withdrawal symptoms and as the BBC news item put it ‘this will lead to about a month of agony as patients contend with regular headaches without pain relief, until symptoms eventually improve’.

This is obviously a situation worth avoiding!

So what can people do, other than reaching for drugs when they first get headaches? Well, using the Alexander Technique can be amazingly helpful here, particularly if the headaches have been brought about through stress, poor posture and/or general mis-use and tension. 
What Pupils Say
A new pupil told me yesterday that ‘I sat waiting for a train and thought about freeing my neck and my jaw and I actually managed to stop my headache from developing! So I avoided taking any paracetamol, which is what I would have done before I started having AT lessons’. This way of reducing headaches is surely preferable to using painkillers, if they can be avoided.

Another pupil, who came to me after having had major brain surgery also described, in her testimonial, how the AT had helped her with her ‘horrible headaches’  that she’d had since childhood. This pupil had previously ‘tried many things over many years to help reduce the frequency of the headaches’ and she said that taking Alexander lessons with me had changed things for her so that ‘I rarely get headaches any more because (Hilary) helped me teach my body to relax away from the bundle of tension it had become’. 
It would almost certainly have helped this pupil to avoid years of headaches, if she had been able to have AT lessons as a child, which would have helped her avoid the tension patterns and postural problems that she had developed as she grew up.

Working out why we get headaches, is an important part of being able to avoid them and factors such as tension, the way we use our bodies and even what we eat can play a part in bringing about headaches. Severe or frequent headaches can be a symptom of a medical condition that needs treatment, so do consult a Doctor in such cases. 
However, for the headaches that most people experience, learning the Alexander Technique so that you can use it as an invaluable first step to take and is far more beneficial to use it rather than automatically taking painkillers that have been shown to work less and less well over time, until they cause pain and many problems. Use the AT regularly and save painkillers for occasional use – they will work better for you and you will feel healthier.
International Alexander Awareness Week Taster Workshop ~ 7 August 
If you would like to find out more about the Alexander Technique I will be running a free Taster Workshop on 7 August in Islington N, as part of International Alexander Awareness Week. Individual lessons are regularly available in Stoke Newington N16.

The Alexander Technique and Gardening

Apply the Alexander Technique Whilst Gardening
Gardens keep on growing and there are lots of plants needing to be tidied up, cut back and pruned. And the grass needs mowing too….
Gardening involves using our bodies in ways that many of us just don’t do in our daily lives. People often spend days sat at a desk, then do a sudden heavy bout of gardening, which can involve movements such as:
Stretch, reach, twist, bend, kneel, climb, balance, cut, saw, chop, dig, push, pull, carry, and finally sweep…

Quite a work-out – and it can be easy to strain muscles or hurt your back doing all this work. So when you are involved in activities such as gardening, be aware and remember what you have learnt in Alexander lessons. Don’t rush into things but pause, take a moment to think about how you are going to use your body when doing the next job. Give yourself directions, remind yourself not to tighten everything up ( tension is not the same thing as strength). Avoid pulling your head back but to allow your spine to lengthen into all your movements, so that you protect your neck and back.

When you need to bend, be aware of your movements and hinge forwards freely from your hip joints, adapting the monkey position as the woman in this (un-posed) photo is doing (although ideally the movement is made without a hand on the knee) and you will be more likely to avoid the back pain that so often happens after spending hours bending, mowing and digging.

Monkey whilst gardening 23-07-2012 .jpg

Equally, take care when you have to reach and to look up, in order to prune trees and bushes. Allow your neck to freely maintain as much length as you can, regularly undoing any contracted muscles whilst working. It’s great to use the active rest procedure afterwards, to allow your body to let go of any tensions that have built up whilst working.
Look after yourself and you will enjoy your gardening – and your garden – even more!

Hearts and Minds

Heart v Mind: What Makes us Human?


This is an excellent programme shown on BB4 0n 10 July 2012, so it will still be available on iPlayer for a while to come.

David Malone explores our society’s conflicting views of the heart, with the view from people with a poetic sensibility describing the heart as being central to our emotional states, whilst a more anatomical, mechanical approach sees the heart purely as a pump which is part of our physical make-up.

Contemporary research is taking place which bridges this gap and shows that the physical  heart has neurones that bring about changes, for instance in the heart-rate, in response to our empathic and emotional reactions.  

This is a fascinating programme that questions the mind-body split that F M Alexander was always challenging in his writing and when teaching his Technique. Keeping an awareness of these issues during Alexander lessons will surely enhance both the teaching and the learning experience.

This programme is well worth watching. Visit iPlayer to see it here 

Tain’t what you do but the way that you do it….

Ella Fitzgerald’s ‘Tain’t what you do but the way that you do it’ 


Now that’s a great song and it has been suggested that it could be called ‘a hymn for the Alexander Technique’. Thanks to Margaret Almon ( US mosaic artist) for that great idea.

One of the main tenets of the Technique is precisely this, to be conscious of the way we perform our various activities, so that we can choose the most free and easy way of using our bodies for the task at hand. F M Alexander used to refer to the ‘means whereby’ we perform an activity as being crucial to the health of our bodies. He was adamant that when we get caught up in ‘end gaining‘, for instance when doing something like dancing or playing sports, we very often injure ourselves because we forget to pay attention to the way we do it and then self-medicate to cope with the pain we feel as a result..
This isn’t just something for high flyers to think about, it applies to everyday actions too. A pupil who came to me after a nasty bike accident, which had resulted in her experiencing lots of pain, said to me after she’d had a number of lessons and had taken herself off painkillers:
I now think painkillers are like evil tempters into end-gaining. It’s as if they say to you “go on, take me and do it all anyway” even when you know it would be best to stop that activity because it will hurt if you go on.’ 

Well put!
Think about how you work. When you sit at a desk, you can have the ‘perfect’ chair, desk and set-up at your disposal but if you sit in a distorted, collapsed or tense manner, giving yourself too few rests and keeping on working in order to to complete the latest deadline, you are likely to give yourself aches and pains – or may even develop more serious problems. However, when you learn to act with awareness and consciously use your body in a more balanced, poised and freely relaxed manner, pacing your work to a suitable level for your own needs, you can look after yourself and help prevent problems from developing.
If you would like help in finding out how to do this, you may like to try some Alexander lessons where such issues can be explored and worked on. 
You could also come to my next Taster Workshop on 21st April and find out more about how the Technique can help you if you learn it.
There’s a lovely version of Ella Fitzgerald singing ‘Tain’t what you do but the way that you do it’
on YouTube but for some reason I’m unable to link to it here, sorry.

Ban Backward-sloping School Chairs

One Cause of Back Pain
 
Richard Brennan, an Irish Alexander Technique teacher has created a petition which I fully support, that asks for backward-sloping school chairs to be made illegal in Ireland. However, I would also like this to happen in the UK – and elsewhere.
 
Why? Well the backward slope of the chair offers poor support to children’s backs and the backward angle of the seat encourages the child to curve their spines over their work, rather than to hinge forwards from the hip joints – a movement that allows the spine to remain lengthening. A long spine is a strong spine.
 
Backward Sloping School Chairs Cause Back Pain
 
BackCare UK and STAT argue that these chairs are a major cause of back problems in adults, as a result children using them for hours on end at school – because curling forwards in this way for hours on end encourages the mis-use of their bodies which causes damage such as kyphosis, resulting in back pain for many people later in life. (If you would like to see what kyphosis looks like, see my previous Blog entry here.)
 
Photos Copyright: Richard Brennan
 
Richar Brennan seated.jpg
Children who end up curving down over their desks may be learning with their heads but their bodies are being badly educated! Our language encourages a downward contraction as we work – for instance ‘Nose to the grindstone…. Getting down to work… She had her nose in a book…  I must say that adults have similar problems when using backward sloping chairs, whilst many pushchairs that crumple up a baby’s spine are problematic as well.
 
brennan4.jpg
Using a seat wedge can help a child remain poised even in a backward sloping chair but how much better if the chairs were designed for people, not just for stacking.
 
 
Child Sitting.jpg
 
Of course, children can still slouch and end up with back pain,  even if they have the ‘perfect’ chair and desk to sit at and ultimately it is the way they sit and use their bodies that is crucial. Children can learn the Alexander Technique, which will help them to minimise the problems associated with poor body-use and this will help them avoid pain in the future. This process will be so much easier if children are also given decent seats to sit on whilst they are growing up, developing their own posture and learning how to use their bodies.
 
Sign the Petition
 
So please support Richard Brennan’s petition. Visit the URL below, Sign up and draw this issue to the attention of policy makers: