Esther Gokhale's back book changed my life!
I was gifted 8 Steps to a Pain-Free Back by a friend when I was going through a weeks-long period of intense back/nerve pain. It's not an exercise book as such - more of a posture book - how to sit, stand, lie down, and walk with posture that maximises our spinal and muscular strengths and minimises degenerative harmful positions.
Because I have a large herniation in my lower spine, I skipped a few chapters (as advised by the book) and went back to them later after having practiced the other lessons. From the get-go, I learned that I have a habit of pitching forward ever so slightly when I stand, with my weight less on my heels than on my balls of my toes. This is probably because locking the knees means you don't have to balance as much. And I had some serious unbalancing injuries in my 20s and 30s (ACL reconstructions in both knees). But what this leaning does is weight the delicate front bones of your foot rather than the stronger broader bone of your heels. AND it stresses your joints and muscles. AND it causes a spinal misalignment.
Correcting this is a VERY small physical/postural shift that you might not even notice with the naked eye, but as you probably know, very small shifts can change/help a lot. But I have to unlearn a position I've been "practicing" for 20+ years. You can imagine how many times a day I have to remind myself to shift my weight onto my heels, if I even remember. But if I do, I retrain and strengthen the right muscles, relieve joint pressure, support spinal health, reduce knee pain, and so on.
This is an example of the kind of lesson Gokhale goes through in detail when she shows us how to tall-stand, or stack-sit, or glide-walk, or hip-hinge, or stretch-lie: how to position your shoulders and neck (when you drive or type), how to activate your inner corset (when lifting anything), how tip your pelvis forward (anteverted) when you sit or stand, rather than tucking it (which compresses your spine in all kinds of bad ways), and so on.
I even got Gokhale's stretch-sit cushion for long drives. Sitting was particularly painful for me and I ordinarily have long drives at least once a month. The cushion is a bit pricey ($50), but it's helped me tremendously - I no longer sink/slouch into the curve of the chair back, and I can keep my spine in gentle traction using the little soft nubs on the cushion as a guide. Also adjusting the mirror when my back is stretched and supported makes it easy to notice when I slip down.
I would suggest pairing the Gokhale book with Saloni Sharma's "The Pain Solution" which recounts some great anti-inflammatory nutrition plans and mindfulness and other non-surgical ways to deal with pain. I used Sharma's visualization tactic to imagine what kind of pain-free life I wanted to lead, started a daily meditation habit, as well as a month-long sobriety kick (to address inflammation), and then dove into Gokhale's book.
It's probably going to take me weeks or months or maybe even years to fully absorb all the posture lessons, but I'm determined to do it. The testimonials scattered throughout the chapters speak of miraculous-sounding recoveries from very serious injuries and conditions. I never want to go through the horribly painful episode I just had, so here's to becoming one of Gokhale's success stories.