“Our relationship with Food can be too little, too much, or wrong.
According to Āyurveda, even the best food eaten in the wrong amount,
or at the wrong time, or with the wrong attitude
will fail to nourish and even disturb the system.
The same could be said for Yoga Practice.”
– Paul Harvey
Back pain is unique to each person. While it may be a structural issue, stress, mood or poor sleep may all be at the root of the problem. Becoming aware of the various different factors provides a better understanding of the pain and how to address most appropriately. All of these factors form part of the 121 Yoga process and the appropriate application of Yoga for the individual and their particular needs.
Key related extracts from an article published in the Irish Independent:
Back Pain is common
While back pain can be very painful and worrying, it is very common and rarely dangerous. A total of 84pc of people worldwide will experience back pain during their lifetime. It is equally common across all age groups; from young to old and doesn’t get worse with age. Therefore, it should not be seen as a result of ageing or “wear and tear”. Mostly people recover reasonably quickly, and many recover without the need for treatment. Some people experience repeated episodes of back pain which can be distressing, but again these are rarely dangerous.
Scans for back pain are rarely needed and can be harmful
Most people believe that a scan (for example an X-ray, MRI) will identify the cause of their back pain. However, the scientific research shows that scans are only needed when a serious condition is suspected (cancer, fracture/broken bone, infection). Luckily, these serious conditions are rare and account for approximately 1pc of all back pain worldwide.
The back is NOT that vulnerable to damage
Most people think the spine is something that needs to be protected. This is incorrect and has led to the provision of information and treatments that promote fear, protective guarding, avoidance and disability. Common examples include: “Your joint/pelvis/disc is slipped/out of place.”
People often move differently when in pain, giving the impression that something has gone out of place. However, scientific research has clearly shown that these structures do not go ‘out of place’ or ‘slip’.
The back is designed for bending and lifting
Like other body parts (for example the knee), the back is designed to move and adapt to many activities. It is important to be conditioned to lift; and shown how to lift heavy things correctly and safely. The back is designed to move and adapt to many activities. In the same way that a person can get a sore knee after doing an unaccustomed activity, people can get back pain when they lift something awkwardly or something that they aren’t used to.
You can have back pain without back damage or injury
The traditional view is that pain is a sign of injury or damage. While some back pain may be related to a sudden, repeated or heavy-loading event, we now know that the volume switch for back pain can be turned up by many other factors also. These include physical (minding/guarding the back, avoiding movements), psychological (fear of damage/pain or not getting better, low mood/depression, stress), health (being tired and run down, low energy), lifestyle (sleep problems, low levels of physical activity, being overweight), and social (poor relationships at work or home, work satisfaction, stressful life events like a death or illness) factors.
This means that you may feel more pain when you move or try to do something, even though you are not damaging your back. Ever have a headache when you are stressed, sad, tired or run down? Back pain is no different. For many people, back pain can occur from just a minor mechanical trigger, like picking something up from the ground or rolling over. In this situation it is due to the spinal structures being sensitised due to other factors such as sleeping position or stress.
Don’t take back pain lying down and don’t rush for surgery
Since people often think they have done damage when they get back pain, it is common for people to go to bed and rest until all pain is gone. However, there is very strong evidence that keeping active and returning to all usual activities gradually, including work and hobbies, is important in aiding recovery. While you may feel relief from rest initially, prolonged rest is unhelpful, and is associated with higher levels of pain, greater disability, and longer absence from work.
Surgery is rarely an option for back pain. There are some uncommon back conditions where there is pressure on the nerves that supply the leg and the patient gets leg symptoms such as pain, pins and needles or numbness. For these conditions surgery can help the leg symptoms but it is important to understand that surgery is not always required.
Exercise is good for back pain but people are often afraid
Contrary to popular belief, exercise is helpful for back pain….
It is emerging that the amount of exercise you do is more important than the type of exercise. More than 30 minutes per day has the greatest health benefits but any amount you can manage will result in benefit. The benefits of exercise even include reducing the risk of developing back pain.
Strong meds do not have strong benefits for back pain
Many people think strong pain needs a strong painkiller. This is not true. If you have a new episode of back pain, you should start with a simple over-the-counter painkiller and not rush for prescription medications. Scientific research has shown that strong painkillers such as those containing an opioid do not provide greater pain relief over simpler options, and actually have greater potential for harm.
Buyer beware: internet, fads, fashions and bandwagons
Be wary of commercial sites that are selling a product. We hear daily claims about miracle cures and best treatments for back pain in the media and on the internet.
Back pain can be cured
The thinking around the spine is distorted and infused with panic. Of course you can injure the back – but be confident that it will get better. It is common for people to be told that they cannot change their pain and they have to live with it. The evidence doesn’t bear this out. The back can also recover.
Think of it like an ankle sprain. It is incredibly painful at the start but it gets better with graduated activation. Avoiding movement would not help an ankle sprain, and the same goes for a back injury or back pain. The pain experience is unique to you and can involve an interplay of many different factors. It therefore makes sense that all of these factors must be considered in addressing your back pain. This could explain why many different treatments for pain fail in the long term as they only look at one piece of the puzzle.
Link to full article published in the Irish Independent.
Books in the bookcase leading me to read. Apt quote around my Yoga group this evening.
” The mind is part of a team, along with the body, the breath and the senses. Everything that we do is a product of that team, but the mind is generally the boss……..We know that the state of the mind affects the breath and, luckily for us, the opposite is also true”
What are we Seeking – TKV Desikachar
“While it is theoretically possible for the body, the breath, and the mind to work independently, it is the purpose of Yoga to unify their movement. In our very first practice classes, we will experience this unification. What appears as Yoga to an outsider is mainly the physical aspects of our practice. They will not be aware of how we breathe, how we feel the breath, and how we coordinate breathing with physical movement.”
TKV Desikachar – Religiousness in Yoga, ch2, p13
“Begin your practice from where you are,
finish your practice where you are going.”
– TKV Desikachar 1978
Shared from Paul Harvey’s Yoga Journal
“Our practice needs to become a celebration of what we have.
Rather than what we have, becoming a reason not to practice.”
shared from Paul Harvey’s Yoga Journal
Q: Why have the breath envelop the movement?
A: “Mastery of the Āsana is about mastery of the breath in the form not just the form itself.
The best reference for observing that there is a quality of grace, as well as power within the achievement of the form, is a long smooth breath.
In terms of movement this notion means that you can be sure these qualities are embedded by keeping the breath longer than the movement.
This also offers an experience of stillness and an observation point for any stresses arising from the performance of the Āsana.
As mentioned in the original article around this topic there are also other levels beyond the four I discussed.”
The above is a question raised in response to the post ‘Keeping the Breath Longer than the Movement” together with Paul Harvey’s answer.
“A man in Ireland broke his leg and spent 10 days in the hospital after injuring himself in a surprising way — while practicing yoga.
The 38-year-old yoga enthusiast fractured the thighbone on his right leg while doing a difficult seated yoga pose known as Marichyasana posture B in his morning yoga class, according to a new report of the man’s case, which was published online Oct. 9 in the journal BMJ Case Reports. The pose involves sitting down, with the knee bent and drawn up to the chest, and then bending the torso toward the floor. “
“At the time of his injury, the man was practicing Ashtanga yoga, a physically demanding style, for an hour every morning.Research suggests that injuries from this style of yoga are more common in the hamstrings, knees and lower back, according to the report.”
credit for image: © BMJ 2015
“In the emergency room, the man could not straighten out his right leg, and needed IV morphine to dull his pain. X-rays showed he had a “low-energy femoral shaft fracture.”he had a “low-energy femoral shaft fracture.”
The “low energy” term refers to the amount of force that causes the bone to break, said Dr. Andrew Moriarity, an orthopedic resident at St. James’s Hospital in Dublin, Ireland, who treated the man and co-authored the case report. Low-energy fractures are sometimes called “stress fractures.”
“Although yoga is considered a gentle mind-body practice, injuries can and do happen, especially as the activity’s popularity rises. Still, this type of fracture is extremely rare in a young, healthy person, and it’s even more unusual for it to occur due to yoga, the researchers wrote in their case report.”
Two weeks before the fracture occurred, the man felt a dull pain in his right thigh. He sought advice about the problem from a physical therapist, who diagnosed it as a muscle strain in the man’s quadriceps, telling him he could return to yoga.”
“But that probably wasn’t a good idea,” Moriarity said.
“The pain he felt in his thigh was likely a stress fracture, a warning of impending fracture if he continued to apply stress to this area,” Moriarity told Live Science.
“To treat his femoral shaft fracture, the man needed surgery to insert a titanium rod inside his thighbone, which would allow him to walk safely,” Moriarity said.
“The reason this man sustained such a rare injury from practicing yoga, Moriarity said, “was likely due to repetitive stress on the thighbone, combined with a weakened bone state, known as osteopenia“
“Indeed, a bone scan taken at the hospital revealed that he the man had did in fact have osteopenia, a condition in which his bone density is lower than normal, which could increase his risk for low-energy fractures, Moriarity explained.
“Five months after his release from the hospital, the man could walk almost pain free and had resumed practicing yoga, but was doing only less-demanding postures.”
”Progress must be seen as the distance from the starting point,
rather than the more usual reference of the distance from the finishing point.”
– Notes from Paul Harvey’s first seminar with TKV Desikachar in Cambridge in 1976
Shared from Paul’s Yoga Studies Blog
“Duḥkha is a disturbance of the mind. While sometimes the words sorrow, misery, and disease are used to define duḥkha, it is best identified as a feeling of restriction.
Somehow something deeply disturbs us and we feel restricted.
This restriction is duḥkha…….
We all aim to remove duḥkha……..
That is what Yoga is trying to do.”
TKV Desikachar, Religiousness in Yoga
With plenty of focus on Mindfulness today,
Mindlessness is crucial to our mental health too.
Spacing out out from time to time is beneficial for our psychological health,
during these periods creative insights happen.
“In looking at how to deepen (rather than broaden) our personal practice choosing to focus on exploring the breath can be a key to unlocking the mystery of the relationship between body, breath, mind and beyond.
Here we can think of the deepening into our practice arising through progressively slowing the patterning of our breathing. To do this we have to reconsider our practice, not in terms of what we do with our body but what we do with the breath within our body.
This means firstly knowing what is our basic practice breath rate per minute and then progressively slowing that rate as we progress from Āsana, through to Mudrā and then to Prāṇāyāma.
For example when working with Āsana we can start with four breaths per minute, then with Mudrā slow it to three breaths per minute and finally with Prāṇāyāma, slow it again to two breaths per minute.
An accomplished practitioner may be working with three breaths a minute in Āsana, two breaths a minute in Mudrā and one breath a minute with Prāṇāyāma.
Whereas a less experienced practitioner may be working on five breaths a minute in Āsana, four breaths a minute in Mudrā and three breaths a minute in Prāṇāyāma.
The starting point does not matter and is something that is appropriate to the history, health and training of the student. What is more important is that no matter where we start from, the journey into the mystery of the breath and its relationship to the slowing of psychic activity, is through the progressive slowing of our breathing patterns.
This is realised within the long term developmental refinement of the practice limbs of Āsana, Mudrā and Prāṇāyāma within our journey into the evolution of Haṭha Sādhana towards Rāja Sādhana.”
“The person who taught me how to vary postures, to bend the legs, to turn the neck, all the simple and complicated variations, as necessary, is Krishnamacharya. It is important to vary each posture according to the individuals requirements.
Further, he also introduced the use of other aids or supports, so that the person gets the benefit of a posture through other means when he is not able to do the posture itself. This can involve sitting on a chair, using a roll, using supports, etc., the use of other means to help a person achieve certain results.”
– TKV Desikachar from lectures on ‘The Yoga of T Krishnamacharya’, given at Zinal, Switzerland 1981.
” The movement of the breath is a mirror to the movement of the mind.”
– Haṭha Yoga Pradīpikā Chapter Two verse 2
“The spirit of viniyoga is starting from where one finds oneself.
As everybody is different and changes from time to time,
there can be no common starting point,
and ready-made answers are useless.
The present situation must be examined and
the habitually established status must be re-examined.”
– TKV Desikachar
“The greatest gift of practice is faith”