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Back pain.

 


Stuart
Novice

Jul 18, 2001, 9:52 PM

Post #1 of 5 (238 views)
Back pain. Can't Post

A couple of years ago I was told I had a Spondylolithesis. The last lumbar vertebae had moved forward and the height of the disc below it was diminished causing acute and chronic pain. I was advised by a physiotherapist and an osteopath to avoid 'hyperextension' of the spine, which I think is basically bending backwards, which could aggravate the problem.

I still have some pain but have started yoga again after leaving it for a few years. I'm worried about back bends and haven't attempted any yet and wont until the back is stronger. What should I do?

erin
Enthusiast

Aug 1, 2001, 4:50 AM

Post #2 of 5 (236 views)
Re: Back pain. [In reply to] Can't Post

If you can obtain the book called "Back Care Basics" by Mary Pulling Schatz, MD it would be very helpful for you. She outlines all of the poses that would be beneficial as well as contraindicated to someone with your ailment. I recommend it to all of my students with back problems. It not only advises what to do but explains and illustrates how to go about it with the use of props, etc.
Good luck. If you can't find the book let me know.

Erin
Charlotte, NC

Stuart
Novice

Aug 1, 2001, 12:06 PM

Post #3 of 5 (235 views)
Re: Back pain. [In reply to] Can't Post

Thank you for the recommendation. I'll look out for it.

anatomist
User

Aug 2, 2001, 12:09 AM

Post #4 of 5 (234 views)
Re: Back pain. [In reply to] Can't Post

If your yoga teacher isn't a stickler about not "hingeing" in the spine, find a new one or figure out a way to learn about it for yourself. If you are going to be able to bend backward at all, it needs to be a very smooth and gentle curvature, with the angle between each consecutive vertebrae exactly the same. The way to do this is to gradually develop Herculean strength in your lower back and butt muscles, and never bend your spine backwards unless it is encased in flexed muscle. This goes for everyone, but I would say especially for you.

Almost every Yoga book I see shows someone hingeing their spine in a wanton and cavalier fashion to show off in an impressive pose - usually on the cover. Never relax your lower back and buttocks and push yourself into Cobra with your hands, or relax into any hyperextended position, EVER! Forget about Camel and backward bridges on your hands and feet.

Do low bridge with a block between your knees and feet and a block's width between the heels and butt. Come up by moving your knees forward, moving from the inside of the shins. When your knees stop moving forward, you stop - your spine will be straight, not hyperextended. Challenge the pose by straightening one leg and keeping everything else the same - no drop in the hips.

If that goes OK, maybe you could move on to Locust with the leg lift only - ankles, heels and balls of the feet pressed together, lifting from the shins. From what the doctor told you, doing the front lift of locust will involve risk, and I wouldn't advise you to try it, but if you do, maintain the feet as above, press down with the feet and thighs, and have someone press down hard on your calves and resist upward vigorously, then lift the torso. The lift should come from the butt and lumbar and it should be very small, but the feeling of muscle contaction large. Be careful!

Needless to say, if you feel any signs of acute pain, stop and regroup. Perhaps you could look for an sport or spine MD who is sympathetic to your desire to be active and open to things like yoga. I was actually referred to my teacher by a young Sports Med MD, who took the classes with me!

Hope this helps.
K.

jerry
User

Aug 13, 2001, 1:57 AM

Post #5 of 5 (233 views)
Re: Back pain. [In reply to] Can't Post

I have ankylosing spondylitis (and Crohn's') and have been practicing Iyengar yoga since 1993. You need to do backbends every day, but your back bends need to be completely supported. Here are some things that I find helpful:

Backbend over a roll: Take a rolled up sticky mat and lay on it with it placed just below your shoulder blades. Make sure that your head, neck, and very top of the shoulders are supported. If you feel compression in your lower back, elevate your knees.

Supta Virasana: I use a block, two bolsters, a chair, and 2 to three blankets. I'll stack the bolsters on top of each other, stager them, and then place the chair over the bolsters. I stager all three so that my back is supported in three places. Then I'll use the blankets to support my head, neck, and top of shoulders.

I like to follow my backbends with a SIGNIFICANT number of twists and paschimottanasana over a bench.

Remember: DO NO HARM. Be patient with yourself. Your progress will be one thousand times slower than the average person.

Hope this helps,
jerry