Posts by Priti Radhakrishnan, JD


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Bye-Bye Back Pain!

My back’s been bugging me lately. I figure my life is kind of like a doctor’s — I see clients for several hours a day, am constantly on my feet, and have started to feel a tightness in the low back that sometimes aches. Similarly, all my physician friends have been telling me how tight their low backs feel after long shifts at the hospital. This one is for you guys!

Recently, I realized that I have been relieving that compressed-back feeling in the wrong way: I kept arching my low back (think cat-cow from yoga), or twisting side to side in a futile attempt to get the tight, painful feeling to go away.

Then I discovered a little trick for low back decompression that helped immensely:

Stand facing a wall and place your hands on the wall, lower than shoulder height. Walk your feet back a few steps, flex your hips, and lower your back into a flat, “tabletop” position (so that your back is perpendicular to your thighs). If this position is difficult, slightly bend your knees. Think of your ischial tuberosities (sits bones) reaching back toward the wall behind you. Now think of letting those sits bones turn upward towards the ceiling. You will probably feel a lengthening in the hamstrings; you might even feel a stretch of your lumbar spine. Breathe in, and breathe out. As you exhale, think of your femur heads dropping back into the hip socket. Think of space being created between your lumbar verterbrae. Breathe again, and decompress.

Staying in this position, think of your sits bones changing position, from pointing towards the ceiling to reaching toward the floor. In reaching them toward the floor, find a place where your tailbone drops and becomes heavy, forming a tucked position. Breathe deeply and allow your quadratus lumborum to lengthen (remember your QL extends between your iliac crest and your bottom rib).

Now bend your right knee, and let your left sits bone reach long behind you. Then switch, bending your left knee, and letting your right sits bone reach back. Feel the fascia along your back and gluteal muscles release. Breathe deeply and switch back and forth.

Doing this stretch daily should help you feel some relief – enjoy!

About the author

Priti Radhakrishnan is a Pilates teacher at Kinected, in New York city. In addition to her journey as a Pilates teacher, Priti has worked for nearly a decade as an attorney fighting for access to affordable medicines for patients living in poverty in the developing world. She loves to combine therapeutic Pilates with her experience working in clinical and low-income settings: her dream is to ensure that Pilates is available to everyone, regardless of economic status.

Watch your back!

“Let’s face it”, I told my sister earlier this year. “At the rate your shoulders have been elevating, they will be past your ears by graduation.”

“Not fair”, she retaliated. “I’ve been working hard. Med school is no cakewalk!”

No one says that the path to becoming a doctor is easy. So those of us who work in the movement world often worry about our friends in the medical arena. As Matt McCulloch, a Master Pilates Trainer in New York City, says: Watching students progress through medical school calls to mind a “reverse evolution,” as their thoracic spines become increasingly rounded and the students subsequently lose a few centimeters in height (and he should know, he met his wife while she was in med school!). Between studying, heavy pockets on white coats, and leaning over hospital beds, White Coat Kyphosis has become today’s norm.

There is a solution: watch your back.

I put this solution to the test earlier this year. I gave my sister 3 simple tasks to do to ensure that her spine remained erect, and that her shoulders stopped rising like lava bubbling out of a volcano. The tasks involved paying attention to 3 parts of the body: Read More »

How Dr. X got his groove back

I have a friend. Let’s call him Dr. X. And like many of my other close friends and family members, as he went through medical school and residency, he lost his core.

Before Dr. X became an M.D., homeboy had it goin’ on! He was fit, he played all kinds of sports regularly, went to the gym often, and even let it drop to the ladies that his six-pack was in fiiiine shape. But with the long study hours, the all-consuming focus on medicine, and the insane hours of lectures, rotations, and residency, everything changed. And he started to notice changes around his middle, as his rectus abdominis slackened and (gasp) love handles started to appear. His low back had even started to hurt.

He was determined to get his groove back. He called me up and bemoaned the physical changes, asking for advice. Talking to the ladies was not feeling the same. He still had at least six years left of residency and fellowship – what to do?

Read More »