How to fix your forward head posture | Cranial nerves

Do you have forward head posture, or do you have a friend or family member who does? Perhaps you’re always telling them to stand up straight, but they just can’t seem to do it. Let’s talk about the neurology and physiology behind forward head posture and most importantly, what you can do about it.

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Three things that contribute to forward head posture:

  1. Decreased tone in the trapezius muscle and increased tone in the sternocleidomastoid muscle

This is typically due to some kind of breathing dysfunction. That can be from an airway issue such as nasal valve collapse, deviated septum, chronic allergies, jaw issues, enlarged tonsils, just to name a few, which contributes to poor breathing mechanics, breathing more from the neck and shoulders as opposed to the abdomen and diaphragm. It can also be caused by a stressful event, trauma, or even chronic ongoing stress. This specific imbalance in these muscles is what contributes to forward head posture. Additionally, people that have asthma or COPD will almost always have a forward head posture.

2) State of the nervous system

If you are in a chronically stressed state, perhaps a fight or flight state, or even a freeze state where you feel shut down, how you hold your posture will be impacted. Your posture is your story and how you present yourself to the world. Do you walk into a room with confidence and standing up tall, or do you feel shy, reserved, and rounded forward? All of your thoughts, emotions, beliefs, and activities impact your posture. We can’t simply think about your forward head posture as a plumb line.  It is so much more than that. 

3) Scars

No matter where the scar is or how old it is, it can affect your breathing, emotions, and movement. Scars contribute to postural changes, shifts in the nervous system, and contribute to muscle imbalances. It’s important to look at any scar in your body no matter where it is or what it’s from, and begin to address the scar from a fascial perspective. This means that doing scar work can influence your emotions, breathing, and movement. 

Now that you have three causes, let’s talk about three solutions. So, when we’re thinking about how we’re going to shift this forward head posture, we have to think beyond just simple exercises such as chin retractions and thoracic mobility. We have to think about the cranial nerves because they are impacting our nervous system, facial expression, and whether we’re in a state of social engagement, which means we’re mindful, joyful, and grounded. We’re going to address this more so from a cranial nerve perspective and optimizing breathing so that you can make a change immediately. You can also have a cumulative effect the more that you do these.

What I would recommend before you start the exercises is to have someone take a side view picture of your forward head posture. Then, take one again after you finish the exercises to see if there is a change. There absolutely should be at least a subtle change if not a very noticeable change. 

Three solutions for forward head posture

Three solutions for forward head posture

1) The Basic Exercise

With this, you’re putting input to the back of your head and looking with your eyes to create more blood flow around the brainstem. This is where the vagus nerve originates. What happens when we’re not in a state of social engagement is our first two vertebrae can become slightly misaligned. By bringing blood flow to the area and stimulating the vagus nerve can bring the first two vertebrae back into alignment, which means we’re back into a state of social engagement. This can impact your forward head posture almost immediately.

To perform the basic exercise, interlace your fingers and bring them behind your head. Look with your eyes only in one direction until you sigh, swallow, or yawn. When you’ve done that, repeat on the other side. This should take approximately 30 to 60 seconds, however, it can take longer depending on if your nervous system is ready to relax 

2) The Salamander Exercise 

This is also a cranial nerve reprogramming exercise, which will help to create more space in the chest cavity, the heart, and the lungs, therefore impacting breathing and forward head posture.

To perform the salamander, assume a table position. Look with your eyes first and then your head as you bring your ear to your shoulder and hold that for 30 to 60 seconds. Repeat on the other side again making sure you lead with your eyes, then side bend your head bringing your ear towards your shoulder. 

3) The Trapezius Twist

This is essentially waking up all of the trapezius muscles. It’s not stretching or strengthening them. It’s just waking them up, which means there will be an immediate change in posture, breathing, forward head posture, as well as overall posture. Especially after you’ve been sitting for some time, get up and do these three twists! You won’t be disappointed.

To perform this exercise, start with your arms grasped together at waist level rocking back and forth. Next, move your arms up to the heart line rocking them back and forth. Lastly, raise your arms slightly above your shoulders and once again rock them back and forth. You should do about five to ten repetitions at each position. 

There you have it, some causes for forward head posture and most importantly some solutions. We do have to remember that with forward head posture it becomes a vicious cycle because the more forward the head is the more blood flow that is constricted from the vertebral arteries. This means less blood flow to the brain. It also is affecting our airway which means it’s impacting our lymphatic system, hormonal system, and causing inflammation in the body. It’s really important to understand the neurology and physiology of forward head posture and begin to think about it from a much different perspective rather than simply corrective exercises like the chin tucks, upper back stretches, and retractions. We want to think of it especially from a nervous system perspective.

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How to Map Your Own Nervous System: The Polyvagal Theory

How to Map Your Own Nervous System: The Polyvagal Theory

With anxiety, depression and stress on the climb, have you ever wondered how you can understand your reactions to life’s challenges and stressors? Or maybe you wondered how you can become more resilient? Did you know that you can map your own nervous system? This is such a powerful tool that can help you shift the state of your nervous system to help you feel more mindful, grounded, and joyful during the day, and more importantly during your life. Before we discuss how to map your nervous system, let’s break down the autonomic nervous system a bit more.

The terms “fight or flight” and “rest and digest” are typically what we refer to when discussing this autonomic nervous system. However, there are three different aspects of the autonomic nervous system referred to as the polyvagal theory, developed by Dr. Stephen Porges. The vagus nerve, referred to as the wandering nerve in Latin, is one of the longest nerves that originates in the brainstem and innervates the muscles of the throat, circulation, respiration, digestion and elimination. The vagus nerve is the major constituent of the parasympathetic nervous system and 80 percent of it’s nerve fibers are sensory, which means the feedback is critical for the body’s homeostasis. This amazing vagus nerve is constantly conveying information back to our brain. For example, when we take slow deep breaths, we are stimulating the vagus nerve. This will cause the release of a neurotransmitter called acetylcholine, which signals back to the brain to create this relaxation response. Pretty amazing, wouldn’t you say?

When we are in this stressed state or potentially anxious state, then we cannot be curious, or be empathetic at the same time. In addition to not being able to be empathetic or curious, we are also not able to bring the prefrontal cortex, the part of the brain responsible for executive function,  communicating, guiding, and coordinating the functions of the different parts of the brain, back online. This essentially means that we are not able to regulate our attention and focus. Sound familiar?

Three nervous system states

  1. First, our “fight and flight” response is our survival strategy, a response from the sympathetic nervous system. If you were going to run from tiger, for example, you want this response to save your life. When we have a fight response, we can have anger, rage, irritation, and frustration. If we are having a flight response, we can have anxiety, worry, fear, and panic. Physiologically, our blood pressure, heart rate, and adrenaline increase and it decreases digestion, pain threshold, and immune responses.
  2. Second, we have a “freeze” state, our dorsal vagal state, which is our most primitive pattern, and this is also referred to as our emergency state. This means that we are completely shut down, we can feel hopeless and feel like there’s no way out. We tend to feel depressed, conserve energy, dissociate, feel overwhelmed, and feel like we can’t move forward. Physiologically, our fuel storage and insulin activity increases and our pain thresholds increase.
  3. Lastly, our “social engagement” state is a response of the parasympathetic system, also known as a ventral vagal state. It is our state of safety and homeostasis. If we are in our ventral vagal state, we are grounded, mindful, joyful, curious, empathetic, and compassionate. This is the state of social engagement, where we are connected to ourselves and the world. Physiologically, digestion, resistance to infection, circulation, immune responses, and our ability to connect is improved.

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polyvygal chart
Adapted by Ruby Jo Walker

As humans, we have and will continue to experience all of these states. We may be in a joyful, mindful state and then all of a sudden due to a trigger, be in a really frustrated, possibly angry state, worried about what may happen to then feeling completely shut down. This is human experience. We are going to naturally shift through the states.

However, when we stay in this fight or flight or this shut down/freeze state, that is when we begin to have significant physiological effects and also mental/emotional effects. As I mentioned earlier, this could be an emergency state. This can also be a suicidal state, if we are in this shut down mode for too long. If we are in a fight or flight state, we can have constant activation of our stress pathway, also known as the HPA axis, and we can really impact our stress hormones, sex hormones, our thyroid, etc. This stress will have significant inflammation effects on the body as well. All of these states can have considerable effect on our overall health, positive or negative, of course. Also, you can not get well if you are not in your “safe” state. No treatment intervention or professional will help you if you are not safe. This is why it’s really important to identify the states for each of you.

How can you map your nervous system?

  1. Identify each state for you.

The first step is to think of one word that defines each one of these states for you. For example, if you are in your ventral vagal state, this is also called the rest and digest state, you could say that you feel happy, content, joyful. etc.

When you are in your fight or flight state you could use the words worried, stressed, overwhelmed, etc.

In the freeze state you could use the words shut down, numb, hopeless, etc.

The first step is identifying the word that you correlate with each of those three states. This is really important because then you’re able to recognize which state you are in and identify with it quickly. This will allow you to really tune into your body and understand how you feel in that state, so you can help yourself get out of it.

2. Identify your triggers and glimmers.

You’ll want to identify triggers for your fight/flight state as well as your freeze state. These could be things like a fight with your boss, an argument with your spouse, a death of a loved one, if someone cuts you off while driving, etc. It is whatever things that cause you to feel stressed. You want to eventually have at least one trigger, if not many, written down for each of those states.

Glimmers are the things that bring you to that optimal nervous system state. It could be something as simple as petting a dog or something bigger like going on a vacation.

Click here for Deb Dana’s Worksheet to Map Your Nervous System

Summary

Once you can identify what those states are for you, then you can recognize what your triggers and glimmers are for that state. You can really begin to make a profound difference in your nervous system state. You can take ownership of what’s happening to your body, you can tune in to what’s happening, and know how to regulate your emotions and your responses to stress. Ultimately, this is how we can begin to develop resilience. This means being able to have respond appropriately to life’s challenges, go to that fight or flight state for a short period, and then return back to your state of social engagement. That should happen a few times a year not multiple times a day, or every day for that matter. To truly enjoy life, returning to your state of safety where you are mindful, grounded, and joyful, is a practice. It can start with mapping your own nervous system.  

If you need help on your journey, please reach out!

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Other things that may interest you:

How to test your vagus nerve

How to improve your vagal tone

HOW TO TEST YOUR VAGUS NERVE | Polyvagal Theory

Did you know that you can test your vagal nerve function, and not only can you test it, but you can begin to tap into the healing power of the vagus nerve? Your vagus nerve is responsible for the regulation of internal organs such as digestion, heart rate, respiratory rate and impacts certain reflex actions like coughing, sneezing, and swallowing. It is critical to optimal health and you can tap into it-but first, find out what state you’re in.

The Polyvagal Theory

Before we jump into how you can assess the vagal nerve, let’s talk a little bit about the autonomic nervous system. We used to think of the autonomic nervous system as simply fight or flight or rest and digest. However, Dr. Steven Porges’s work shows us that there’s much more to it and there are actually three circuits of our autonomic nervous system. This is referred to as the polyvagal theory.

Essentially we have our fight or flight state, which is also considered our sympathetic spinal activation. We also have our dorsal vagal state, referring to the most primitive vagal nerve, and indicates we are in a freeze state. This means we are shut down and feel hopeless. We are disassociated from ourselves and other people.

Lastly, we have the ventral vagal circuit, which means we are in a state of social engagement-a state of safety. This means we are connected to the greater world. We’re connected to ourselves. We are joyful and mindful. All three of these are critical and during the day we go through all of these different circuits, but most often we don’t even recognize that we do because we go through them so quickly. However, we can get stuck in these. We can get stuck in a fight or flight stress response where we’re constantly worried, anxious, frustrated, or irritated. It’s also easy to remain in a shut-down mode. We of course could be mindful and joyful. We’re constantly fluctuating.

polyvygal chart
Adapted by Ruby Jo Walker

Check out our previous blog on “How to Map your Nervous System” here.

Breaking that down a little further, let’s speak about the ventral vagal nerve. This originates from the brainstem just as the dorsal vagal nerve does. This innervates most of the muscles of the throat, such as the larynx, pharynx, uvular muscles as well as the levator palatini muscles in the back of the throat. Whereas our dorsal vagal nerve, which is more subdiaphragmatic, innervates the muscles of the stomach, liver, and digestive system. It also does innervate the muscles of the heart and lungs. Just a reminder, the dorsal vagal nerve is impacting that freeze state, shutdown mode, whereas the ventral vagal is eliciting that sense of inner calm and relaxation and is associated with our state of safety or state of social engagement.

Testing Ventral Vagal Function

You may need a partner for this. This is a really powerful technique that can have a profound impact on how you address your body. Remembering where all the powerful neural innervations are, one of the innervations of the ventral vagus nerve is the throat.

  • Grab a partner and a flashlight.
  • Have your partner look at the inside of the mouth at the back of the throat at the uvula that drops down right in the center.
  • Now, perform an “ah, ah, ah” sound.
  • When you open your mouth, you can use a tongue depressor or your fingers to push down your tongue so the uvula and soft palate can be more visible.
  • The examiner is going to look at the uvula to see if there is a deviation to one side.  
three mouths anatomy
Adapted from Stanley Rosenberg’s Healing Power of the Vagus Nerve

What you’re looking for, specifically, is if there’s any deviation from one side to the other. If the uvula pulls over to one side, then that is indicative of ventral vagal nerve dysfunction. If it moves up symmetrically, then that means that you are in that state of social engagement. So, if you have the soft palate moving up on one side, let’s say it’s moving up on the left side, and not moving up on the right side, then that would be indicative of a dysfunction of the pharyngeal branch of the ventral vagal nerve.

Now, that you’ve tested let’s move into how to stimulate the vagus nerve.

Vagus Nerve stimulation: The basic exercise

If your test indicated that you had a ventral vagal nerve dysfunction, perform the basic exercise for vagus nerve stimulation.

  • Lie on your back on the ground.
  • Interlace your fingers and bring them behind your head- right at the base of the skull
  • Look with your eyes to the right until you sigh, swallow, or yawn, and then repeat on the other side.
  • You may blink during the exercise.

Now that you’ve stimulated it, retest your vagal nerve and see if there was a change.

This is just one way to measure your autonomic nervous system function. This is also just one way out of many to stimulate your vagus nerve. However, recognize there are so many ways to become more aware, more in tune, and map your nervous system. You are completely in control of what’s happening in your life.

I want to give a huge thank you to Dr. Steven Porges for all of his amazing work in this area, as well as Stanley Rosenberg, for their contributions to this area of life-changing research. Make sure to check out the book, Accessing the Healing Power of the Vagus Nerve, by Stanley Rosenberg.

If you’d like to schedule a free 15-minute virtual discovery session, please email drarianne@themovementparadigm.com or text 302-373-2394 to schedule. We’d love to help you get healthy again!

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