Pain sufferers find relief in 19th-century practice

The Alexander Technique is spreading in popularity, but it takes time and can be expensive.

May 27, 2008 at 10:41PM

David Koffman has spent most of his 34 years as a student, hunched over a desk piled high with books or curled over a keyboard, one hand on the mouse. Over time, the historian and doctoral candidate from Brooklyn developed the same bad posture common to desk jockeys and computer users everywhere, with the same physical complaints -- chronic neck pain and backaches.

Physical therapy didn't help. Then a couple of fellow academics recommended the Alexander Technique, a centuries-old method that teaches movement with awareness, more fluidity and less stress. After four months of lessons, Koffman is still at his desk researching and writing, but he is more conscious of his posture. The result is less pain and muscle tension.

"My body has made its own corrections," he said. "There's still some pain; it's not totally gone. But I understand that I still have some more work to do."

The Alexander Technique, developed in the 19th century by an Australian actor, Frederick Alexander, to combat chronic laryngitis, was once the exclusive province of stage performers. Actors, vocalists, musicians and dancers sought training in the technique to move more freely, combat stress and improve their performances. Today, however, with a growing number of instructors in 42 states, including Minnesota, the Alexander Technique is beginning to go mainstream. Office workers, graduate students, busy parents and arthritic retirees alike are seeking out teachers to learn how to undo years of bad body habits.

It takes time and money

Proponents say the Alexander Technique has helped them fight the pain and muscle tightness hampering their favorite activities, be it gardening or tennis. But it takes time to learn and the instruction, which is not covered by insurance, can be costly. Nevertheless, some medical professionals recommend the technique as a lower-cost alternative to back surgery.

In a typical lesson, the instructor uses words and gentle hands to focus students' attention on longtime habits and teach them new ways of moving to correct poor posture and release built-up muscle tension. Through repetition, students eventually let go of bad habits and replace them with more efficient, freer motions.

Julie Brundage, 36, a native of Irmo, S.C., gives private lessons to about 15 students out of a tiny studio in midtown Manhattan. On a recent afternoon, Koffman perched on a chair next to a wall of mirrors, his head up, eyes forward, feet flat on the floor. Brundage was addressing Koffman's complaints of wrist pain. She knelt beside him and gently placed one hand on his upper arm and another on his wrist.

"You're releasing out your shoulder," Brundage instructed, as she carefully pulled Koffman's arm away from his body. "Now, drop the top of your shoulder here, widen across the chest, and drop the elbow. There!"

Koffman's shoulder relaxed and his arm appeared to lengthen.

"That gives you a little more rotation," Brundage said. "How does that feel?"

"Better," Koffman said. "More relaxed."

"It's not about getting it right, about getting it perfectly," Brundage said after the lesson. "It's about being able to imagine it softer, freer, more expansive than before. And you only have to get as soft, free and expansive as you feel like taking the time and energy to do."

Popularity is spreading

As the demand for lessons has spread beyond the performing arts world, so has the number of teachers certified by the American Society for the Alexander Technique. According to AmSAT spokeswoman Dana Ben-Yehuda, there were about 600 instructors nationwide in 2003; there are almost 1,000 today.

Ben-Yehuda, an instructor in the San Francisco Bay Area for six years, says only about half of her students are stage performers. The rest are people concerned about poor posture, muscle stress, or lack of coordination or balance. They found out about the technique through word of mouth or the Web. The most common complaint is pain, either from repetitive motion injuries or from aging.

But proficiency in the technique takes time. According to the AmSAT website, it can take up to 30 lessons before students are able to practice on their own. And the lessons are not cheap. A private session ranges from $60 to $120 for 45 minutes, depending on the city and the instructor's experience. Moreover, insurance plans generally won't cover the lessons because the Alexander Technique is considered education, rather than a medical treatment.

Despite the financial and time commitment, practitioners such as Koffman keep coming back.

"It's not a quick fix; it's really far, far from it," Koffman said. "It's reconstructing something that's kind of fundamental, like the way you walk, the way you sit, the way you stand -- things that you think are just the way you do it. But you know when you're doing it the relaxed way."

about the writer

about the writer

DARA L. MILES, Columbia News Service