Fit to Print Volume 24 Issue 4 December 2015 | Page 19

Mind Body Spirit by Karen Britton Got Your Back Yoga Can Provide Relief for Your Back Pain S tretching is a valuable component of a treatment plan for anyone plagued by back problems. Supple, wellstretched muscles are less prone to injury, while less flexible muscles and connective tissues restrict joint mobility, which increases the likelihood of sprains and strains. In particular, stretching the hips and gluteus muscles, along with strengthening your core, will not only increase flexibility but may relieve back pain, help prevent injury and allow you to recover from injuries more quickly. That's because the muscles of the hips and gluteus attach to your spine, and if they are tight, that can cause back problems. For many, yoga can provide relief. You might be thinking, yoga? I'm not flexible enough for yoga." Remember my mantra: You do not need to be flexible to start yoga, yoga will make you flexible! It's like saying you're not strong enough to lift weights. If you have back issues, it's always a good idea to check with your chiropractor, back specialist, etc. to obtain a diagnosis of what's going on with your back before starting yoga. Different back conditions will respond to certain yoga postures and while others should be avoided. A professional diagnosis will help determine the appropriate yoga postures. For example, twists and backbends may be good for some individuals, but they may not be appropriate for others. There are even static holding poses in yoga that focus on posture and breath that can be done in a chair or on the floor. So the key to using yoga to treat your back pain is first to understand the cause of your condition. Sciatica, for example, is not a condition; it's a symptom of an underlining condition. Check with your doctor if you are having sciatica pain. Many people with this symptom can practice yoga, which may help heal the underlying condition. Others may need a more modified yoga practice while they continue to work with a doctor, chiropractor or other back specialist. Here's an example of how your condition might modify your practice: if you have sciatica you may need to avoid doing a downward facing dog or forward bending, or you may need to modify the pose by bending your knees and coming down only half-way. Or perhaps a different posture will be beneficial to you. Another posture, sun salutations, which are a type of warm up in yoga, may need to be avoided or modified. The key is to always let the instructor know your symptoms and conditions. There are other forms of warming up that might work for you. The general rule should be: try a posture, but if it does not feel right, do not do it. Your body knows! If your body does not agree, don't do it. If your body agrees, move within your own limits. Don't be concerned with how you look—be concerned with how you feel. Hip and gluteus stretching along with core strengthening may be very safe and effective when practiced this way. It's very important to note that while stretching, breathing is extremely important. Without proper breathing, “Listen to your body, it’s the only one you have. If you don’t, your body will remind you and perhaps not so pleasantly.” stretching will not be as effective, and could cause injury - the last thing you want when you are trying to heal yourself! Breathe mindfully, remaining focused in the moment, and become aware of your sensations, such as tightness or pain. Do not push or force your way into the posture, but rather stop, take notice, breathe into it. Feeling the breath and how it affects your body is of utmost importance. Also, stretches need to be held for a period of time and not rushed. Try not to have conversations while stretching unless it’s with your instructor so you can focus fully on you. While there are several muscles that connect to the spine, one particularly important one is the psoas. It’s a primary connector between the torso and leg. It is a deep muscle, connecting the lumbar to the femur. It affects posture, helps stabilize the spine, and if not stretched, can be a significant contributor to low back and pelvic pain. The psoas major plays a big role in a group of muscles called hip flexors. Together they contract to pull the thigh Holidays 2015 FIT to Print and torso toward each other. Hip flexors can become short and tight if you spend most of your time sitting, as many of us do, or by repeatedly working them in exercises such as sit-ups, bicycling, and certain weight training. Tight psoas can cause serious postural problems. Standing up, it pulls the low back vertebrae forward and down toward the femur, often resulting in overarching the lumbar spine, called lordosis, a common cause of low back pain and stiffness. Tightness of the psoas may also contribute to arthritis in lower back joints. It’s also important not to over-stretch the psoas and weaken it, which can cause another postural problem, in which the pelvis is pushed forward of the chest and knees. This misalignment, along with tight hamstrings, can pull down on the sitting bones, resulting in a vertical sacrum (instead of a gentle forward tilt), a nd a flattened lumbar spine. Without the normal curve of the lower back, it can become weakened and prone to injury, especially the intervertebral discs. To avoid misalignment from overstretching it's very important to be focused and feel how your body it reacting. Slightly engaging your lower belly while doing some postures will not only help the back, your core will also strengthen and tone. In some postures, the pelvis is tilted, but one must remember to tilt it only slightly and not to tilt the pelvis too far forward or not tilt at all, just engage the lower abdomen. Your instructor can help you with the specifics depending on the pose and your condition. The beauty of yoga is that it provides stretching while also strengthening the body. Various postures require you to engage the lower abdomen while holding the pose while other postures focus more on the core. And breathing exercises cleanse the body by massaging the organs as well as tone the abdominal muscles. Even if you are limited in doing some postures, you can do breath work and still attain positive results. All told, yoga offers a wonderfully balanced and complete approach to coping with and overcoming back pain. Give it a try! Karen Britton is a certified Yoga Instructor and a regular contributor to these pages. She teaches Yoga classes and programs at Fitness Incentive. 19