Stop Standing Up Straight – Do This Instead |Posture Doctor

If you have been suffering from swayback for many years, tucking the ribcage is likely to make you feel uncomfortably hunched at first. This in turn creates a need to release your rounded shoulders and lengthen the spine from the neck.

When the normal lumbar (lower back) curvature becomes exaggerated and the pelvis tilts forward (anterior pelvic tilt), you have a condition known as hyper-lordosis, or swayback posture. It is frequently the result of long-term efforts to “sit up straight” or “stand up straight.” It can also stem from stresses encountered in extreme physical activities such as gymnastics, ice skating and ballet, and even from some extreme postures found in yoga.

You are at greater risk of swayback posture if you have had multiple pregnancies, if you are overweight, or if you sit for long periods.

The conventional remedy for swayback posture is to intentionally tuck the pelvis – consciously tilt it back, in order to flatten the lower back curve – but this can cause further problems. It is true that tucking the pelvis usually flattens a swayback; it often feels good too, because it stretches out the low back muscles. Unfortunately tucking the pelvis also compresses and compromises the lower spinal discs. 

Learn to tuck your ribs


A better way to address a swayback is to learn how to tuck the ribs. Imagine your ribcage to be a giant vertical egg. Tucking the ribs involves rolling your ribcage (egg) forward, so as to make the lower border of the ribcage sit directly over top of the pelvis. Re-aligning the ribcage lengthens the lower back, causing your swayback curve to flatten to a more normal position.


https://youtu.be/4Inkvyroavo

Unfortunately this rib tuck exercise is usually quite difficult for those who need it most. If you have been suffering from swayback for many years, tucking the ribcage is likely to make you feel uncomfortably hunched at first. This in turn creates a need to release your rounded shoulders and lengthen the spine from the neck. Below is a list of some of the signs and symptoms you may notice if you have swayback posture:

  • weak stomach muscles
  • lower back pain
  • leg and buttock pain
  • tight lower back, groin and hip muscles
  • protruding belly
  • backward-leaning stance

This list is only a guide. You may have many of these signs, or just a few. You may also have signs and symptoms not noted here. The list is simply to assist you in recognizing whether you have  swayback posture.

What causes a swayback?


  1. Muscular imbalances
  2. Loose ligaments
  3. Long-term attempts to maintain extreme postures
  4. Excess body weight

Muscular Imbalances:


Many of the muscles responsible for posture and body movement are found in “pairs”. One muscle (or group of muscles) moves a body part in one direction, while the paired muscle moves the same body part in the opposite direction. The two sides of such a pair are said to be “opposers”, since the effort of one side opposes (works in the opposite direction to) the other side. The efforts of both sides of a muscle pair may also be exerted at the same time, to provide the tension and support needed to hold a body part steady in a desired position.

When one of the muscles of a pair becomes stronger than its opposer, we say that the stronger one has become dominant. Dominant muscles tend to become short, tight and over-aroused – or facilitated – neurologically. The weaker opposing muscle becomes long and under-aroused, or passive. 

The dominant muscles are short, tight and often painful, while the weak muscles may appear prominent (protruding belly and pronounced bottom). Although these muscular imbalances are fairly predictable, individual differences do of course exist.

Because posture and muscular imbalances affect the way we move, problems in one area lead to problems in other areas. Swayback posture often contributes to the development of round shoulders and forward head posture.

Loose Ligaments:


Swayback posture often develops early in life. Multiple factors contribute to development of a hyper-lordosis, including injury, genetics and being born with loose ligaments and joint hyper-mobility.

In a normal body, ligaments (tough tissues that connect bones to other bones) have a natural tightness that restricts movement to within a normal range. This creates good, stable joints. Someone with loose ligaments may easily develop some degree of joint instability, predisposing the body to abnormally extreme movements and postures, and often resulting in injury.

Children with loose ligaments have a greater-than-normal range of movement; as a result, they often make great dancers, gymnasts and figure skaters, where extreme lumbar extension is regularly performed. These extreme postures commonly lead, later in life, to the problems and injuries associated with swayback posture.

Extreme Postures:


Certain sporting activities and exercises encourage over-extension of the lumbar spine, combined with frequent repetition of movements. For example:

  1. some extreme yoga positions
  2. gymnastics
  3. dance
  4. figure skating (which includes many extreme dance positions)
  5. exercises which repeatedly shorten hip muscles (ice skating, sprinting)
  6. sitting for long periods*

* In many ways, sitting works like an extreme exercise. Remaining seated with your hips flexed for hours on end may lead to short, dominant hip muscles and eventually to swayback posture.

Body Weight:


Recall that with swayback posture, the pelvis tips too far forward, and the lumbar curvature becomes exaggerated. Pregnant women (usually in the third trimester) and people who carry excess weight in the abdominal area (pot belly) are at a higher risk for swayback posture.

A pot belly puts more weight in front of the body’s centre of gravity and has the effect of tipping the pelvis too far forward, leading to hyper-lordosis or swayback posture. It goes without saying that managing weight gain is absolutely crucial to preventing the development of a sway back. One of the biggest mistakes I see people make is attempting to correct posture before losing weight. This will only lead to frustration and limited success.

During pregnancy, high levels of progesterone lead to looser ligaments. While these hormones are critical for a successful pregnancy, they also make unintended and uncontrolled extreme movements more likely, putting you at greater risk for sprains, strains and swayback posture. A strong, balanced posture leading up to pregnancy is the best prevention against future posture problems.

Being able to recognize the problems associated with your swayback posture, and practicing exercises tailored to your specific posture needs, is the key to maintaining ideal posture.

Regaining attractive, youthful posture should be the goal of anyone who wants to enjoy a healthy, active life, improve confidence and body image and ultimately slow the effects of aging.

Further Reading: How to Fix a Swayback by Dr Paula Moore

Do I Have a Scoliosis – 5 Clinical Signs

The cause of a large proportion of scoliosis is unknown. Approximately 30% of scoliosis appears due to genetic defect (funny shaped vertebra and rib malformations). Many more girls than boys are diagnosed with scoliosis and are usually between the ages of ten and skeletal maturity (around age 21).

Scoliosis is a curvature of the spine that causes both the spine and ribcage to rotate. As a result of this, the shoulders, trunk and hips are often asymmetrical. This can lead to muscular and/or joint pain, loss of confidence and early wear and tear, or osteoarthritis.

Scoliosis comes from the Greek word skolios, meaning twisted or crooked. There are two types of scoliosis – structural (a fixed curve that doesn’t straighten out when bending) and a non-structural scoliosis (a non-fixed curve that straightens with bending and is often due to a leg length deficiency or poor postural habits).

The cause of a large proportion of scoliosis is unknown. Approximately 30% of scoliosis appears due to genetic defect (funny shaped vertebra and rib malformations). Many more girls than boys are diagnosed with scoliosis and are usually between the ages of ten and skeletal maturity (around age 21).

Other causes of scoliosis include nerve or muscle disease, infection, radiation, trauma, tumour and arthritic joint disease. If you are interested, you can read a more detailed account in my best-selling book, The Posture Doctor.

If you are worried that you or your child may have a scoliosis, there are a few signs you should look for:

5 clinical signs of scoliosis


1. One shoulder is noticeably lower than the other. Look in the mirror or have someone else check from behind.

2. Rib prominence causes your shoulder blade to protrude or one breast appears noticeably larger.

3. One hip may appear elevated with asymmetrical body contours.

4. A noticeable difference (asymmetry) in skin creases appear on your flank.

5. Something just doesn’t look right.

I can’t stress this sign enough. So many of my clients come to me asking for a Posture Analysis saying ‘something just doesn’t look right when I look in the mirror.’ Human beings are bilaterians. That means that we are the same (symmetrical) on either side of our central axis or center of gravity. We have two ears, two eyes, two arms, two legs, two kidneys, two ovaries etc. This is nature’s clever design. Symmetry is perceived as being more attractive.

Symmetry has been extensively studied in relation to attractiveness and what we do know is that symmetry is a visual cue for attractiveness. Chances are that if you think something is really wrong with your posture (which shows up as body asymmetry) when you look in the mirror, you are probably right, because it makes you feel less attractive. This is why we like ourselves in some photographs but not in others. The photos that catch our differences in symmetry are the images that make us cringe.

Of course attractiveness is only one of many good reasons to improve our posture. Do you think you have a scoliosis? Please share below.