16/01/2026
Years ago I worked with a 92-year-old lady who came in for a consultation. She wasn’t in much pain beyond some tension in her right foot.
What she did have was what many would describe as “terrible” posture. A pronounced forward head, rounded shoulders, and a stooped spine that had clearly adapted over decades. From a purely structural point of view, you might look at her and assume discomfort, limitation, or fragility.
But none of that was true.
She moved with confidence, felt stable on her feet, and most importantly, she was comfortable in her body. Her posture wasn’t a problem to be fixed, it was simply her body’s long-term adaptation to life, gravity, habits, and time.
This is a powerful reminder that structure alone is not a reliable predictor of pain.
We often assume that poor posture, asymmetry, or “wear and tear” must equal pain, yet this isn’t how the human body works. Pain is influenced by many factors, including nervous system sensitivity, stress, beliefs, movement confidence, sleep, and emotional load. Not just how someone looks or how their spine appears.
That 92-year-old lady is living proof that a body can look far from “perfect” and still feel safe, capable, and pain-free.
Which is why chasing perfect posture, alignment, or structure in isolation rarely solves pain and sometimes distracts us from what actually matters: how supported, resilient, and regulated the body and nervous system feel.
Posture isn't completely irrelevant but it is just part of the puzzle, not the whole picture.