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What are some disadvantages to walking upright? The Hidden Health Costs of Bipedalism

4 min read

According to the Global Burden of Disease study, back pain is the largest contributor to disability worldwide, a consequence of the upright posture. So, what are some disadvantages to walking upright, beyond just a sore back? Our evolutionary history reveals significant physiological trade-offs that continue to affect modern human health.

Quick Summary

The upright posture of humans, or bipedalism, places significant stress on the skeleton, leading to chronic back and joint pain, pelvic issues, and circulatory problems like varicose veins.

Key Points

  • Spinal Strain: The human spine's S-shape, a necessary adaptation for balance, places significant vertical stress on the vertebrae and discs, leading to prevalent lower back pain and injuries.

  • Joint Wear and Tear: Concentrated body weight on hips and knees increases susceptibility to conditions like arthritis and long-term joint degradation.

  • Circulatory Demands: Our upright posture forces the heart and veins to work against gravity, often resulting in poor circulation in the legs and conditions like varicose veins.

  • Difficult Childbirth: The shift to bipedalism required a narrower pelvis for walking, which complicates childbirth and increases its risk due to the simultaneous evolution of larger infant brains.

  • Reduced Stability: Balancing on two limbs is less stable than on four, making humans more vulnerable to falls and serious injury, and one-leg injuries can be particularly debilitating.

  • Compromised Foot Function: Our feet, repurposed for load-bearing, are prone to issues such as fallen arches, plantar fasciitis, and ankle sprains due to the compromises made during evolution.

  • Increased Risk of Hernias: The vertical orientation of our internal organs can create pressure on the abdominal wall, leading to a higher incidence of hernias compared to quadrupeds.

In This Article

The evolution of bipedalism, or walking on two legs, was a pivotal moment in human history, freeing our hands for tool use, improving our ability to see over tall grasses, and increasing travel efficiency. However, this adaptation came with a host of physiological compromises and weaknesses that still impact our health today. Our modern bodies contend with chronic pain, orthopedic issues, and other vulnerabilities that are a direct result of our upright stance.

Skeletal and Joint Strain

Distributing all of our body weight onto just two limbs and the associated structures has led to several common skeletal and joint problems. The human spine, which evolved from a more stable horizontal structure in our ancestors, became a compromise of curves when tilted vertically.

  • Chronic Back Pain: The S-shaped curvature of the human spine helps with balance, but it is less stable than the horizontal spine of quadrupeds. This places significant stress on the vertebrae and discs, leading to slipped discs, back pain, and even spontaneous compression fractures.
  • Joint Arthritis: The hips and knees, now bearing the entire weight of the body, are more susceptible to wear and tear over a lifetime, increasing the risk of osteoarthritis.
  • Foot Problems: Our feet evolved from grasping appendages into a load-bearing platform. This transition was, as one expert described, a "paper clips and duct tape" solution, leading to a foot that is still prone to injuries. The consequences include fallen arches, plantar fasciitis, and ankle sprains.

Circulatory System Challenges

The move to an upright posture fundamentally changed the demands on our circulatory system. While a quadrupedal heart pumps blood horizontally, a bipedal heart must work harder against gravity to circulate blood to the brain and feet.

  • Varicose Veins: To counter gravity, our leg veins have valves that prevent blood from pooling. However, over time, these valves can weaken, leading to blood retention and the development of bulging, twisted veins known as varicose veins. Standing for long periods exacerbates this issue.
  • Blood Pressure Issues: The circulatory system's constant battle with gravity can contribute to blood pressure regulation problems, especially during changes in posture.

Reproductive Compromises

One of the most profound disadvantages of bipedalism is the impact on human reproduction. The reshaping of the pelvis, necessary for efficient upright walking, also narrowed the birth canal. This created an evolutionary dilemma.

  • Difficult Childbirth: The narrow pelvis, combined with the evolution of larger-brained babies, makes human childbirth more difficult, painful, and dangerous compared to other primates. This is why human mothers universally seek assistance during birth, unlike most other mammals.

Other Vulnerabilities and Weaknesses

Bipedalism also introduced other unique physiological flaws that were not present in our quadrupedal ancestors.

  • Hernias: When our ancestors stood upright, their intestines shifted from a supported, horizontal position to a vertical one. The body wall, specifically in men where the testes descend, was not fully optimized for this change, creating a weak point where intestines can push through, resulting in hernias.
  • Reduced Stability: Walking on two legs is inherently less stable than moving on four. This makes humans more susceptible to falls, which can lead to serious injuries, especially in the elderly. A single leg injury is far more debilitating for a biped than for a quadruped.
  • Loss of Arboreal Skill: Our non-opposable big toe and less flexible foot are better for pushing off the ground but make us clumsy and less efficient at climbing trees compared to other primates. This trade-off was a compromise for gaining ground-based mobility.

Bipedalism vs. Quadrupedalism: A Comparison of Evolutionary Trade-offs

Feature Bipedalism (Humans) Quadrupedalism (Apes)
Spinal Structure S-shaped, vertical, less stable under vertical load; prone to back pain and disc issues. C-shaped, horizontal, functions as a stable suspension bridge.
Pelvic Structure Shorter and broader; narrows the birth canal, leading to more difficult childbirth. Longer and narrower; supports internal organs horizontally and allows for easier birthing.
Joint Load Concentrated on hips and knees; higher risk of osteoarthritis over a lifetime. Distributed across four limbs; reduced load on individual joints.
Circulatory System Pumps blood against gravity; higher risk of varicose veins. Pumps blood more horizontally; less demanding on the venous system.
Stability Less stable on two legs; higher risk of falls and more vulnerability from leg injuries. More stable on four limbs; more resilient to injury on a single limb.
Hand/Arm Use Hands are freed for tool-making and carrying objects. Hands are primarily used for locomotion; less dexterity for complex tasks.

Conclusion

Our ability to walk upright is a defining characteristic of our species, enabling incredible feats of tool use, endurance, and exploration. However, this evolutionary advantage came at a physiological price. From the chronic back pain that plagues many, to the increased risks during childbirth and the susceptibility to conditions like varicose veins and hernias, the disadvantages of bipedalism are a constant reminder of our compromised evolutionary heritage. By understanding these inherent weaknesses, we can better manage and mitigate the health challenges that come with our unique vertical stance. Learn more about human evolution from credible sources like the Smithsonian's Human Origins Program, which offers extensive resources on the topic.

Frequently Asked Questions

Chronic back pain is often an unfortunate side effect of walking upright. The human spine was adapted from a horizontal structure to a less stable vertical position, which places immense stress on the vertebrae and intervertebral discs, contributing to slipped discs, pain, and other issues.

Yes, our upright posture is a primary factor. The human heart must work against gravity to pump blood from the feet and legs. This constant struggle can cause the valves in leg veins to fail over time, leading to blood pooling and the development of varicose veins.

The evolution of bipedalism required a narrower, more bowl-shaped pelvis to support the torso during walking. This change, combined with the evolution of larger-brained babies, made childbirth significantly more difficult and risky for humans than for other primates.

The human foot was adapted from a flexible, grasping appendage into a rigid, load-bearing structure for bipedalism. This evolutionary compromise makes our feet susceptible to problems like collapsed arches, plantar fasciitis, and painful ankle sprains.

Yes, balancing on two limbs is inherently less stable than using four. This makes humans more vulnerable to losing their balance and falling, which can result in serious injuries, especially as we age.

Yes, the shift to an upright posture placed the internal organs in a new vertical position, putting pressure on the abdominal wall. In males, where the testes descend, this created a weak point, leading to an increased risk of inguinal hernias.

The joints in the hips and knees bear the entire weight of the body while walking upright. This significantly increases the amount of stress and wear and tear over time, which can contribute to the early onset of osteoarthritis in these joints.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.