Showing posts with label pain. Show all posts
Showing posts with label pain. Show all posts

Saturday, August 3, 2013

Interview with Kino MacGregor: Thoughts on meditation, menstruation, pain, and chocolate

A few weeks ago I reviewed Kino MacGregor's new book, The Power of Ashtanga Yoga, on the blog. As a follow-up, Kino agreed to answer a few questions for the blog! I am super honoured and appreciative that she took time out of her busy schedule to answer my random philosophical musings... So please read, digest, enjoy, and comment!

Oh, and have you entered the giveaway yet for the chance to win a fabulous lavender silk eye pillow from Barefoot Yoga? No? What are you waiting for?

------------------------------------------------------------------------




Interview with Kino MacGregor

YG: You don't talk much in your book about meditation, but I know from your other writing that you have a personal meditation practice. I have heard Ashtanga practitioners argue that the Ashtanga asana system is a complete practice that already incorporates elements of pranayama, pratyahara, dharana and dhyana, so there is 'no need' to meditate. What brought you to a meditation practice and what are some of the effects that you have experienced?
KM: My interest in Ashtanga Yoga came from a desire to quiet my mind and live a more peaceful life. When I went to Mysore to study with Sri K. Pattabhi Jois I would ask him whether I could try meditation practice and he would often respond that if I tried to sit for a long period of time my mind would not be settled. The tool of the physical practice of Ashtanga Yoga is meant to train the body and mind to be strong and steady so that it is fit for deep states of concentration (dharana). The experience of meditation (dhyana) is only possible when the mind is able to maintain continuous unbroken connection with the object of meditation. Most often we experience distractions that draw the mind’s point of focus away. It is not that the traditional practice of Ashtanga Yoga does not recommend meditation but that it is only recommended as a practice when the student is ready. Guruji would say that it would never harm us to sit and try to meditate but that if we merely sit and think for the whole time devoted to meditation that it was “no use”.
My mind is not naturally calm, in fact, it is more naturally jumpy and kinetic. I turned to the discipline of Vipassana meditation to train my mind to steady and strong. I’ve done three 10 day Vipassana meditation courses and I plan on taking another. My daily sitting practice settles my mind. Working with the mind without the addition of a physical posture helps me focus more clearly on the subtle body and the subconscious emotions. Some days (maybe most days) I end up just sitting and thinking as Guruji warned, but other days I am able to slip into a thoughtless, wordless connection with the inner self. When that happens my sense of peace is restored as a deep and fundamental level.  I think every student of yoga can benefit from at least five minutes of seated meditation practice as a supplement to daily asana practice.

YG: I was so appreciative to find that your book had such an emphasis on the spiritual journey that is the heart of yoga, especially given that modern yoga sometimes seems so far removed from its roots as a journey of self-realization. On my blog a while back I mused about how as a yoga teacher, I often contribute to this narrative by assuming that my students are seeking a predominantly physical practice and being too 'shy' to introduce the idea of spiritual transformation for fear that students will run away screaming that you're trying to induct them into a cult. Can you share any advice for teachers who are hoping to incorporate some of these teachings into their asana classes?
KM: The thread that connects all human beings is inherently spiritual. We are drawn to yoga in yearning for a direct experience of the true self.  The epiphany moments of our lives are not based in purely physical experiences, but are a blend of the emotional, physical, mental and spiritual. If you speak from your direct experience of the inner work of the yoga practice you will open a door for others to attain that same experience. If you want to introduce the spiritual essence of the practice to your students the key is to keep it based in your real world experience. If you find yourself speaking too esoterically or too intellectually then people won’t be able to relate. The spiritual side of the practice is an invitation to go deeper.

YG: In your book you talk about how the practice of yoga is not just about performing asanas, but is about transforming the way we live our lives and our relationship to ourselves and the world around us though the yamas and niyamas. You talk passionately about adopting a vegetarian diet as a way of practicing ahimsa towards our planet. What are some of the other practical ways that you live your yoga off the mat? 
KM: Ahimsa, non-violence, is the first of the yamas on the Ashtanga Yoga path and it is a conscious choice to allow peace to be a value. Not only is it asked to live a non-violent life but true ahimsa asks you to leave the world a more peaceful place.  If it is possible to do less harm by eating a vegetarian diet, is it possible to actually heal the planet with a new type of agriculture or paradigm about food?  If it is possible to do the daily sadhana of Ashtanga Yoga, is it possible live every moment in accordance with the yoga lifestlye? For example, when you speak are your words aligned with the yogic path? Adopting a non-violent style of communication is an important conscious step for yoga practitioners. This speaks to the ability of yoga to transform your personal life because our personal relationships are our foundation.

YG: Related to that last question, there has been some critique within yoga community in recent years for being too inwardly-focused, or glorifying the personal journey at the expense of a healthy engagement in the outer world. What led you to look outwards and commit yourself to teaching and sharing yoga with the world?
KM: At some moment there is no difference between the outer journey and the inward journey because what you seek to share with the world is what you seek to discover within. As you delve deeper and discover new layers of the inner self then you will be drawn outward to share that with others.

YG: There is quite a discussion going on in the blogosphere at the moment about pain and Ashtanga. You talk a little bit about pain in your book - what advice do you have for people who are trying to decide whether to "take it and practice with it" or to "back off if it hurts"?
KM: Pain is an important part of the yoga student’s journey. The Yoga Sutras of Patanjali state that when dukha (suffering) arises it is associated with the purification of obstacles. If you run from every painful circumstance you will create aversion towards pain. Aversion towards pain is a stated obstacle in the Yoga Sutras. That being said, when pain arises we do not necessary need to hunker down and just “take it”. It’s a sign from the body that some obstacle has arisen and we need to develop a new way of relating with that pain. For example, instead of fighting against it or running from it a way to practice when pain arises is simply to “be” with the painful experience, not going any deeper and especially not to the point of injury, but just allowing the pain to be as it is without any judgment, placing the pain in the purity of the light of awareness. If you allow the pain to simply speak to you it might tell you that the muscle fibers are burning but not being hurt or it might tell you that the joint is impinged and that you are at risk of injury. Once you have that clear sight you can take appropriate action that is based on clarity rather than fear. This is the liberation that the practice offers all students.
Pain in the practice is a great teacher of our emotional response to pain in our life. What do you do when you experience uncomfortable life experiences? Do you run, escape, avoid, fight or collapse? The experience of pain in your yoga practice gives you the forum to develop a new neurological response to adversity in life so that when you come face to face with difficulty you will learn how to walk the middle way between attachment and aversion into a clear, strong path forward and appropriate action.

YG: In my review, I mentioned that I’m surprised that your book doesn’t include any mention of contra-indications for the postures, could you explain what your reasoning was behind that choice?
KM: I believe that with practice and careful direction from a teacher all the postures of the Primary Series can be made accessible over time. It is more important for me to focus on technique that will one day lead to your experience of the posture. I gues I believe, perhaps, naively, in the limitless potential of the human spirit and that yog is an expression of that. In my book I advise students to follow the traditional method and not skip ahead more fun looking postures but to stay at their places of difficulty allow those postures to teach them. While there are clearly some medical conditions that requires extreme care, such as people with auto-immune disease, people who have suffered a heart attack or stroke, or diabetics, the postures can be modified to suit their conditions with the guidance of a qualified teacher. Pregnant women can also continue their practice under the guidance of a qualified teacher.

YG: I really enjoyed the section in your book when you talked about overcoming gender stereotypes (your own and other people's) in your practice. (I was particularly amused by the quote you shared from P. Jois saying that "before, not possible" that women could have performed "correct asana!")  One issue that has always brought up passionate discussion in my teacher trainings has been whether or not to practice during your menstrual period. If it's not too personal, would you mind sharing how you deal with this in your personal practice and/or any advice you have for women practitioners?
KM: Guruji advised women to take the days of heaviest flow of the menstrual cycle (usually one to three days) totally off. The downward flow of energy during that period directly opposes the idea of yoga practice which seeks to bring energy up the spine. The  ovaries are also in a state of flux during which it is not advised to squeeze on them with the deep work of the bandhas. I’ve noticed that women who practice too regularly during their menstrual cycles sometimes experience disruption of the cycle or even infertility. If a woman wants some activity during the cycle I recommend going for a walk, taking a bike ride or even doing some easy restorative yoga but not the intensive Ashtanga Yoga practice.

YG: Ok, enough of the heavy stuff! You and your husband are not only married but you run Miami Life Center together. I'm marrying my partner and best friend early next year, any advice?
Kino: If you are going to work with your life partner I can suggest to set up clear boundaries for work and private life. Tim and I recently switched roles, where he is now the Director of our yoga center in Miami, Miami Life Center and I am focusing more on developing my own teaching both at the center and in my workshops and trainings. I wanted more time to focus on my writing, my online classes and videos and new ventures that I simply didn’t have time to look at while I was involved in the daily operations of a business.

YG: I travel a lot so I know the importance of getting your luggage right. When you travel, what is in your suitcase that you simply can’t live without?
KM: I am attached to my electronics and I love watching movies on my iPad on longer flights, so I need a constant power source. I always have a power adapter for international travel and a double USB cigarette charger with me to plug into the power outlets on airplanes.

YG: Anything else you'd like to share with us? Such as, your thoughts on chocolate-chip cookies or any great books you've read recently?
KM: My favorite chocolate dessert is a really rich lava cake.  I’m a little obsessed with sprouted almonds right now—I think they’re amazing with a little sea salt  and dehydrated to be super crunchy.
I love a really good novel. One of my favorite all time books is The Wind-Up Bird Chronicle by Haruki Marukami.

Kino MacGregor is an international yoga teacher, author of two books, producer of six Ashtanga Yoga DVDs, writer, vlogger, world traveler, and co-founder of Miami Life Center (www.miamilifecenter.com). You can find details of her current book tour, her books, DVDs, videos and other goodies at www.kinoyoga.com.


------------------------------------------------------------------------

Wow. Some amazing and inspirational words there! I suddenly have a massive craving for chocolate cake... What about you, readers?

Wednesday, July 24, 2013

Thoughts on pain in yoga: 4 types of pain and how to practice with them

 
Last week there was some lively discussion in the yoga blogosphere about pain in yoga practice. As you can imagine, commentators had a wide range of opinions, ranging from: "if there's no pain you're not practicing hard enough" and "injury is inevitable in yoga, just get on with it", to, on the other side of the spectrum "if your practice injures you, you are letting your ego dominate" and "if it hurts, you're doing it wrong," and of course everything in between.

I remember my early yoga teachers talking on occasion about "good pain" versus "bad pain", which is pretty vague and therefore not very helpful. In addition, pain is highly subjective and each individual has a very different tolerance to pain depending on their individual physiology and their past experience (just imagine if a full-grown woman began screaming and wailing in public over a skinned knee; yet it's perfectly understandable that a 4-year old would).

From my perspective, it's not very useful to make generalisations about pain except to say that we will all experience it at some point or another. You really cannot know what another person's individual experience is, or judge whether their pain is "transformative" or just really, really annoying.

I do think it's useful to reflect on a few different types of physical pain and how these might affect our yoga practice. Here are four main types that I can think of:

1) Muscular pain: It is perfectly normal when you are working the body in new ways and pushing your limits to experience some soreness afterwards. This kind of muscular pain is usually isolated in areas of the body that you've been working hard, and might feel like tightness, stiffness, achiness or soreness, and is a sign of a normal, healthy body that is getting stronger and more flexible. Especially if you are practicing on a day-to-day basis, you are going to feel the residue of yesterday's practice when you first step on the mat. Generally with muscular pain of this kind, you can take a few deep breaths, observe the sensations, and keep going through your practice.

There is a big difference between observing pain and ignoring pain. In yoga, we never ignore any sensations. Observation is critical: if you have muscular pain that gets steadily worse, or the area where you feel pain starts to become inflamed, you may have an injury.

2) Joint pain: Joint pain is probably the most important type of pain to recognise in yoga. Joint pain can be dull or acute, but generally it's pain that you feel deep within your body around your critical joints: ankles, knees, hips, shoulders, or anywhere along your spine. It might feel like pressure building up against something solid. Other symptoms of unhappy joints include swelling, unusual stiffness or soreness in these critical joints, and continued discomfort when you use the joint throughout your day.

Joint pain is a serious sign telling you that you are doing something that is wrong for your body. If you try to "push through" joint pain you may end up with a very severe injury - the kind that will be with you for the rest of your life. In my experience, joint pain in yoga often occurs when people try to force their way into a pose that their body is not fully ready for: for instance, injuring your knees while trying to force your body into full lotus position. Joint pain is the type of pain that you work around in your yoga practice, never through. Often this might mean refining your technique or changing your alignment to reduce stress on joint, or modifying a pose.

3) Acute pain / injury: Acute pain is a sharp, intense pain that can't - and shouldn't - be ignored. Pain from an injury is not necessarily acute - it may vary in intensity, but it will usually be accompanied by other symptoms include feelings of heat, swelling, or redness over the affected area.

Unfortunately, injuries can occur suddenly and there may not be any warning signs. In yoga, especially if we are pushing our physical limits, injuries can occur in any number of ways. They can happen to you in your very first class or your thousandth, while trying a new pose or doing a pose you've done a dozen times. Often injuries occur when we push ourselves too hard or try things we are not quite ready for, trying to run before our muscles have really got the hang of walking. Sometimes we don't fully realise that we've injured ourselves until after our practice is over. The first few hours after an injury are critical, so it's important if you do injure yourself to immediately stop and look after yourself, whether that means applying an icepack or seeing a doctor. This can make the difference between a speedy recovery and a long, slow one.

When you're dealing with an injury (whether it happened in yoga or off the mat), the only yogic thing to do is to practice ahimsa (non-harming) and to let the injured area rest, so it can heal.

4) Chronic pain / recovering injury pain: Many people come to yoga because of pain. This is a totally different type of pain than the previous three, which we are assuming occurred during your practice, because this is pain that you are living with everyday, and bringing to your yoga mat.

Chronic pain or the pain of a recovering injury is different for everyone, so there's not a lot of use generalising here. The best advice I can give is to work with an experienced teacher or a yoga therapist to find the right mix of practicing with, through and around your pain, and devising practices that will help you feel better, and not make your pain worse.


So to sum up:

Type of Pain Feels like Practice recommendations?
Muscular Soreness, tightness Breathe through it and observe how it changes.
Joint Pressure, swelling, stiffness, inflammation Practice around it, never push through!
Injury Acute pain, swelling, redness, heat Rest and heal! Practice around it.
Chronic Constant, of varying intensity Practice with, through or around, depending on the individual case.


Readers, what are your thoughts and experience? Would you group things differently or could you add to this summary from your experience?

Thursday, August 23, 2012

Taking Yoga (Injuries) Seriously


I usually don't weigh in on the heavy yoga debates, and I'm not about to start now. I have the curse of always being able to see both sides of an issue. But this article about how a woman quit yoga after an injury has been making the rounds and caught my attention.

A few bloggers have criticised the author of the article for quitting, but personally, I don't see that as an issue. Yoga is a personal practice, not a panacea. It's not right for everyone and not everyone will like it. Some people will quit.  So what? The author of the article made her choice, learned something about herself in the process, and found a physical practice that she thought suited her better. It sounds like a happy ending to me.

The issue that I have is that this woman was medically diagnosed with high blood pressure and was not aware, or made aware, of the potential impacts, or told that she shouldn't be doing inversions, especially not intense inversions like headstand and handstand.  The resulting injury she suffered led her to quit yoga, rather than to quit inversions - which is her personal choice and it's really not my place to judge, opine, or argue with that. It's a free world, as they say.

From my perspective, reacting to tales of yoga injuries by denying them, defending yoga, or attacking the injured person or their teacher is not a constructive response. Yoga-asana is a physical discipline and the possibility of injury is always there. Find me one yoga practitioner who has never felt the twinge of over-stretching a muscle, fallen over while attempting a balancing pose, received a bad adjustment, or simply wound up feeling dizzy or nauseous while practicing. I think it's our responsibility to acknowledge that the risks are there and to do our best to become safe and knowledgeable practitioners and teachers. We need to remember that the principles of Ahimsa (non-harming), Aparigraha (non-grasping), and Satya (being truthful), among others, are more important to a yoga practice, or teaching yoga, than the asanas.

Being a pragmatist, I have tried to draw out some lessons from this story, and here are a few that I can think of.

1. If you have a medical condition, discuss it with your doctor and your yoga teacher, and do your own research, so that you can make safe choices - and then make them! (Ahimsa!) Don't make the mistake that this woman made, of keeping silent about her new medical condition and finding out the hard way what the consequences were. If neither of them know what to tell you, find a new doctor or a new teacher! And of course, do the research yourself - including drawing on your personal practice - so that you can make safe choices. Everyone is different - it's ok to explore and test your boundaries and find out where your personal limits are - but don't ignore them (Aparigraha - let go!).

2. If you are a teacher, know your contra-indications and always state them. (Satya!) In the reality of teaching large-group classes, we can't always know the medical histories of each and every one of our students. But we can take 10 seconds to make sure we talk about the contra-indications of the classes we are teaching and the poses we are instructing.  Especially with "higher-risk" poses like inversions. [I say higher risk because in a person with untreated high blood pressure, holding a long inversion could potentially lead to serious medical complications, possibly even a stroke. And that deserves to be taken seriously.]
  • Because students often come in late, what I have found best is to make a short announcement after the opening meditation or when I bring the class to standing for the first time. I talk about the level of the class, and if it's a physically demanding class (as I usually teach), I warn people that it might not be appropriate if they are pregnant, or have medical conditions or injuries. 
  • When I talk about contra-indications, I often say "please". As in, "were going to do shoulderstand now, but if you have high blood pressure, please don't go into this pose straight away - just relax until I can come around to you".
This also means learning about conditions that might affect your students as they age - more and more people are practicing or even starting yoga in their golden years, and it's worth the extra study to find out about osteopenia/osteoporosis, high blood pressure or Type II diabetes, for example.
 

3. If you are a teacher, create a safe space, and actively encourage people to acknowledge their bodies' limitations and explore alternatives.  This doesn't mean you can, or should, force people to stay within artificially drawn boundaries. But you should be able to set the foundation for your students to make informed choices, and create an atmosphere where nobody feels pressured to go too far. (Ahimsa again!)

I'd love your comments and thoughts... Readers, from your experience, what would you add to these suggestions?

Sunday, April 8, 2012

Simple excercises for wrist pain


Wrist pain can be a serious disturbance, both in daily life and on the mat. Although by no means a substitute for seeing a qualified doctor or therapist, here are some simple exercises that can help to release strain in the wrists and build up their strength and flexibility.

You don't have to have done any yoga to do these stretches! However, keep in mind that these are NOT intended for anyone who has or is recovering from a serious injury, and remember that in yoga, pain = no gain: so if you feel pain in any of the stretches, stop doing it immediately.

I'll start with some simple exercises, and then include a few general tips about wrists in yoga practice at the end of the post. Unfortunately I don't have my camera handy, but I will update this post at a later date to include some pictures!

Simple exercises for stretching and strengthening the wrists

Remember that yoga works through a combination of movement, intention and breath! So before you do these stretches, establish a deep, even breath. As you go through the exercises, keep the rhythm of the breath in mind, and focus your awareness on the sensations you are feeling.


1. Circles with fists
  • Start in a kneeling position, and stretch your arms out to either side (keeping the shoulders relaxed as much as you can).
  • Beginning on an exhalation, make fists with the hands, squeezing tightly. As you inhale, flex the fingers and thumb out as wide as they will go.  Repeat this 5-10 times.
2. Press/pull
  • Next, inhale and press the palms away from you and spread the fingers wide (as if you were pushing away two walls on either side of you). Exhale and bring the tips of the fingers and thumb together in a "point", and draw the point down towards the floor and maybe even farther back towards your body.
  • Repeat this inhale/exhale 5-10 times
  • Come to the inhale (palm press) position. Engage the arm muscles and really press outwards through the palms as if you were pushing away two walls on either side of you (recollections of Star Wars, anyone??). Stay for 5 breaths.
  • Come to the exhale (pointing) position. Draw the "point" towards your body and stay for 5 breaths.
  • Experiment with moving the wrists in slow circles, with the hands in either the palm press or the "point" position. Do this for 5-10 breaths and then switch directions. Get creative - see if you can have one wrist go one way and the other wrist move in the opposite direction!
  • Shake out the wrists
 3. From all fours
  • Begin with the palms flat on the mat, fingers spread wide. Lift all the fingers up off the mat, and then from thumb to pinky press them all down again, and then from pinky to thumb, lift them up again. Do this a few times.  You can also lift one finger at a time and then replace it.
  • Very gently, turn the right fingertips back towards the body, placing the palm on the floor, and stretch the wrist in this reversed position. If it feels ok, you can also gently wiggle the fingers and thumb here. Hold for about 5 breaths then repeat on the left hand.
  • If the above two felt good, you can also repeat this turning the hands to the right, and then to the left. so that if you had an imaginary compass, you would have completed the exercise with the fingers pointing in all four main directions.
  • Very gently, lift up the right hand and place the back of the hand on the floor, with the fingertips pointing towards you.  Waggle the fingers and thumb slowly a few times. Then draw the tips of the fingers and thumb together in the "point", lifting the fingertips off the floor to point up towards your body. Be very gentle and only go as far as feels ok.  After 5-10 breaths, release and do the other side.
  • Come back to kneeling, and gently massage the wrists and lower arms, or shake the wrists out to release any other tension.

 Some general tips about wrists in yoga asana

source: yogatuneup.com
If you practice yoga asana, some types of postures can put a lot of strain on the wrists, which are pretty complex and delicate things!  In particular, downward facing dog can really put the wrists under stress if you are new to yoga or holding the pose for a long time.  Here are some tips that hopefully can help.

  1. Always check the alignment of your hands in downward dog. Ideally, your hands should be as wide apart as your shoulders. Wrist pain in yoga can sometimes originate from the shoulders, so really check this if you aren't sure! You can use a bit of chalk or a crayon to mark where your shoulders are on the mat if you are lying down, and then place the hands accordingly. Next, fingers should be spread, with the middle fingers pointing straight forwards and the thumbs pointing towards each other. This should make it so that the creases of the wrists are aligned parallel to the front edge of the mat.
  2. Practice your alignment and taking weight onto your hands by using a wall: placing your hands at shoulder height, palms against a wall, fingers spread as wide as you can, and push your palms strongly into the wall.  Practice pressing evenly through the palms and engaging the muscles of the arms. Then, gently lean towards the wall, bringing a bit of weight to bear onto the hands, and practice holding for 5-10 breaths.
  3. Try to press evenly through the hands, especially by pressing through the base of the thumb, the base of the index (pointer) finger, and the outside edge of the hand.  Also, take some of the load into the lower arms by pressing the fingertips into the mat and strongly engaging the muscles in the forearms.
  4. Consider using some support, especially if you are new to yoga or have very delicate wrists. One option is to place a foam block under each hand - this is a great way to do downward dog in general, and also works for other poses with funky wrist alignment (note: if you are doing this, it helps to put the blocks against the wall to make sure they don't slip, especially if doing a pose like urdvha dhanurasana).  Another option is to use a rolled up yoga mat or a nice firm blanket at the top of your mat, and place your hands on it rather than the floor.
  5. Modify the pose: Respect your body and don't push it too far! For downward dog, another alternative if your wrists are bugging you, say in a vinyasa class, but you still want the benefits of the pose, is to bring your forearms to the floor for a modified downward dog (also called dolphin pose).
  6. If you are doing stronger postures like arm balances, you can create a more forgiving surface for your hands by folding up your mat or using a firm folded blanket or a towel (make sure your hands won't slip).
I hope that helped! Any experiences or tips to share?

[top image from: source: biggmotivation.com]