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Counter Poses and students with back (or other) issues

 
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freeyourjoints



Joined: 13 May 2011
Posts: 9
Location: new york city

PostPosted: Wed Feb 15, 2012 3:39 am    Post subject: Counter Poses and students with back (or other) issues Reply with quote

Hi Bernie,
Love your site and I spend lots of time on this board reading your thoughtful and insightful answers. I have a student who attends my Yin class whom I also work privately with. She suffers from long term, chronic low back pain. Her pain is mostly in the lower lumbar spine and in the area of dense connective tissue above and around the sides of the hips. Nothing shows up on her medical tests to indicate what is causing the problem. An Osteopath did find that she was very low in vitamin D, and he said that this could be the cause. I believe that a big part of her pain is caused by years of misuse. She is a singing and piano teacher who spends most of her days sitting at her piano and turning to talk to and teach her students. I have given her a few Yin poses to do daily and recommended that she practice only Yin and Restorative Yoga at this time. All of the poses that I recommended are forward bending or side bending poses. Back bends are very painful for her and even lying on her back in Savasana is painful. In my Yin training and all of my other Yoga teacher trainings, counter poses are emphasized as an important part of every practice. In the case of my student though, I cannot add counter poses to her forward poses. In her case, is she not receiving the full benefit of a balanced practice if I don't add counter poses to her forward bends?
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Bernie



Joined: 23 Sep 2006
Posts: 1014
Location: Vancouver

PostPosted: Sat Feb 18, 2012 7:16 am    Post subject: Counterposes Reply with quote

I can well believe that after years of repeatedly stressing her lower back that your student now has issues. Prof Stuart MGill discusses these types of lower back problems often in his research, books and DVDs. I can give you some of his thoughts, but I am not a doctor and can't prescribe what your student "should" do. You may want to check out McGill's site and books yourself to learn more.

Soft tissue damage is hard to detect, but pain is usually a good sign that there is something wrong. Healing can be accelerated by mobilizing energy through and to the area but the trick is to find out how much movement is best. Too little and no healing occurs, too much and the area just becomes more damaged. McGill's findings suggest that we can mobilize and strengthen the lower back area if we do it with the spine remaining in neutral. He recommends poses like plank or crocodile to strengthen the core muscles on all sides of the lumbar, while keeping the spine "straight" or neutral. I have found crocodile and the side versions to be very good. Balancing Cat (he calls it Bird Dog) can also be very effective.

Now both of these are yang exercises. In Yin Yoga we are trying to strengthen the deeper tissues. In yang yoga we are targeting the muscles. I think your student should employ both modalities but she needs to go slowly and make sure her own doctors are onside with the plan.

You have already prescribed some yoga practice for her and that's great. I would hope that in her restorative yoga there is some gentle yang practices as I described above (and these can be very gentle! A balancing cat and crocodile with the knees on the floor should be doable by most students.) If back bends are painful, then you are right to avoid them, for now. And that brings us to the question of counterposes.

If your student can't do a back bend, what counterpose should she do after forward folds? Well, that can depend on what type of forward fold she did. For example, for some people doing Butterfly what I see if the upper back in extension and not the lumbar spine. For them a counterpose like Anahatasana may be all they need. For really flexible students, after a fold like Straddle where they just flop down on the floor, again their lumbar is not flexed but rather their hips are in flexion, so some hips extension may be what they need: Swan or even Camel for the very flexible, may be good.

However, lets assume your student is doing something like a Butterfly and her lumber is flexed and she is feeling it there. How to give her some relief? If you can't do any extension of the spine, try twists. Twisting is a counterpose for almost any spine movement. The idea of the counterpose is just to get energy flowing again to the area just worked. While counterposes are desirable, they should never be as deep as the initial pose.

Another idea: you said that lying on her back is painful - but can she lay on her stomach? If so, that is a gentle backbend position for the lumbar. Maybe that could work for her. And if that works, does she have the hip flexibility to do Sleeping Swan? That could be another possibility that she can work up to (but not quite yet because getting into it might be challenging.)

I hope these ideas help. Let us know how it goes.
Cheers
Bernie
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