- Physical Therapy and the Alexander Technique

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The Alexander Technique:
Education for the Aching Back

by Deborah Caplan, MA, PT
Certified Teacher of the Alexander Technique

Back pain is one of the most common yet perplexing conditions encountered by the medical profession. Whether the cause (disc protrusion, muscle tension, arthritis, spinal curvatures, etc.) is difficult or easy to determine, providing effective treatment is often the major problem.

Herein, I believe, lies the explanation: most patients with back pain need to be educated in correct use of the back in daily activities in addition to receiving any indicated treatment Such instruction should be an integral part of all treatment programs. Few people with back pain realize that they often sit, stand or bend incorrectly and thereby re-injure the back and prevent it from healing.

During the many years I have worked as a physical therapist, teaching the Alexander Technique to patients with back pain has proved to be one of my most rewarding experiences. The benefits of Alexander's work are manifold.

There are a few ways in which I find the Technique of particular value to back pain sufferers. One has to do with an important discovery Alexander made while developing his method: he was having a problem with the way he used one part of himself -- the voice -- but found he could not solve this problem without correcting the way he used his total self.

This approach -- dealing with the totality to solve a specific problem -- is particularly valuable when treating back pain. A problem may manifest itself in one part of the back (lumbosacral disc, to give a common example), but cannot be expected to improve permanently unless the entire body is used in a well-organized way during all activities. In helping resolve a back problem, a teacher of the Alexander Technique emphasizes correct use of the entire body, and simultaneously helps the student increase the beneficial effects of any physical therapy or other treatment prescribed.

The Alexander Technique provides a solution to another problem relevant to back pain. It is true that many back problems are caused or aggravated by mechanical stresses placed on the spinal column. However, I disagree strongly with those medical specialists who believe back pain is the inevitable price we pay for the luxury of walking on two feet. The fault lies not with gravity or our uprightness, but with inadequate use of an evolutionary gift: that of conscious awareness and control of our supporting musculature. By applying the principles of the Alexander Technique, we can use this conscious awareness to eliminate harmful use and replace it with beneficial use. This skill is valuable for all to have. For those with back pain, it is a necessity.

Perhaps the most dramatic way Alexander's work benefits people with back pain is by eliminating the feeling of helplessness many of them experience. With most back pain cases, the ultimate responsibility for getting better lies with the patient, not the physician. Alexander's work gives the patient the tools needed to take on this responsibility. Correct use of the entire body during all daily activities is, for many, the real remedy for an ailing back. Often, the best "medicine" is actually education.

Deborah Caplan is an Alexander Technique teacher and physical therapist. She studied with F.M. Alexander, is a founding member of the American Center for the Alexander Technique, and was formerly affiliated with New York University Medical Center. She is the author of Back Trouble: A New Approach to Prevention and Recovery (Triad, 1987). She has also produced a video based on this book and a video introducing the Alexander Technique. Back Trouble, Deborah Caplan's videos, and a great many other books about the Alexander Technique can be ordered at The Alexander Technique Bookstore (USA) in Association with and The Alexander Technique Bookshop (UK) in Association with

For more information about the Alexander Technique visit: The Complete Guide to the Alexander Technique

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