Intended for healthcare professionals

Lessons From Everywhere

Instinctive sleeping and resting postures: an anthropological and zoological approach to treatment of low back and joint pain

BMJ 2000; 321 doi: https://doi.org/10.1136/bmj.321.7276.1616 (Published 23 December 2000) Cite this as: BMJ 2000;321:1616
  1. Michael Tetley, physiotherapist
  1. 27 Cunningham Hill Road, St Albans AL1 5B

If you are a medical professional and have been trained in a “civilised” country you probably know next to nothing about the primate Homo sapiens and how they survive in the wild. You probably do not know that nature has provided an automatic manipulator to correct most spinal and peripheral joint lesions in primates. In common with millions of other so called civilised people you suffer unnecessarily from musculoskeletal problems and are discouraged about how to treat the exponential rise in low back pain throughout the developed world. Humans are one of 200 species of primates.1 All primates suffer from musculoskeletal problems; nature, recognising this fact, has given primates a way to correct them.

The study of animals in the wild has been a lifelong pursuit. I grew up with tribal people and in 1953-4 commanded a platoon of African soldiers from nine tribes, who taught me to sleep on my side without a pillow so that I could listen out for danger with both ears. I have organised over 14 expeditions all over the world to meet native peoples and study their sleeping and resting postures. They all adopted similar postures and exhibited few musculoskeletal problems. I must emphasise that this is not a comparison of genes or races but of lifestyles. I tried to carry out surveys to collect evidence but they were meaningless, as tribespeople give you the answer they think you want. They often object to having their photographs …

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