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Spotlight on Iyengar Yoga

No matter what style of yoga you practice, your yoga has probably been influenced by B.K.S. Iyengar . The huge popularity ... (continued)

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Yoga With a Herniated Disk

I am a 31-year-old male with a herniated disk in my upper back at T3-4 and in my lower back at S5. Which asanas would create space at these levels and re-nourish the disks?

By Roger Cole

—Randy Jellen, Lisle, Illinois

Roger Cole's reply:

First of all, your yoga program should be tailored to your individual needs by an experienced teacher; some postures that are wonderful for one person may bad for another. That said, most of the postures you practice should probably be modified with props—your teacher can show you how to use blankets, blocks, bolsters, straps, and other props to put gentle traction on your spine.

Here is some general advice for protecting your back after disk injury:

  • While your back pain persists, do not bend forward past 90 degrees with straight knees.
  • Avoid all seated forward bends.
  • Avoid rounding your back.
  • If a pose causes any pain, tingling, or numbness, stop immediately.

Bear these cautions in mind as you practice this list of asanas that many people with disk problems find helpful. They may be practiced in the order presented, but it is not essential. You can start out with just one or two postures, then gradually add more over several days or weeks. You can consult B.K.S. Iyengar's book Yoga: The Path to Holistic Health (London: Dorling Kindersley, 2001) for photos and detailed descriptions of many of the poses.

Editor's Note: Please be aware that by clicking on the links below, you will not find the fully modified versions of the poses described. They are simply to be used as a guideline. To correctly modify the poses for disk problems, be sure to follow the detailed instructions described in this article.

Roger Cole, Ph.D., is a certified Iyengar Yoga teacher and a research scientist specializing in the physiology of relaxation, sleep, and biological rhythms. He trains yoga teachers and students in the anatomy, physiology, and practice of asana and pranayama. He is based at North County Yoga Center in Solana Beach, California, and teaches workshops worldwide.

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Reader Comments

Carol

I am a lean 63 yr. old female who had a discectomy last August. I have done lots of racewalking and have been teaching yoga for the past 4 years. Suddenly, it seemed, I was unable to get into several poses because of sciatic pain down my rt. leg. It took several months of doing various things (chiropractic, epidural, physical therapy) and NOT teaching yoga - to no avail - before a neurosurgeon suggested a discectomy on my L5/S1 disk. He is very conservative and only after an MRI did he suggest the surgery. I am pain-free now, 7 months later, but am being very cautious in what I do and how I move. The neurosurgeon was very tactful but said basically that the cause was just wear and tear because of my age and that I need to be more careful so as to not reinjure myself. I wonder if I'll ever teach yoga again. I'm so gunshy. Here I thought I was doing only good things for my body, prided myself on how fit I was - and then to get sidelined with this. I am SO grateful that the pain is gone but I hate that I am now so cautious. I would like to find several safe yoga postures to do, that I can teach to others, that won't come back to bite me in 4 years.

wylliam

I agree wirh mark u. - these comments worry me. The individual injury needs to me addressed on an indiviudal basis. Even then I worry about the treating doctor. I was referred to "the best back specialist" that Beth Israel had to offer. I told him i was concerned about my depression setting in and weight becoming a problem since my injury (I am unable to cycle anymore out since he diagosed my L4/L5 - L5/S1 herniations. I specifically asked what if anything I should to for exercise to try to stave off the feelings of depression i get when i am unable to workout for a few days let alone an indeterminate amount of time. He recommended i get a membership to a pool in the middle of the winter, except I was unemployed and had nowhere in NYC that I could afford to use a pool.Then he said well "definitely no running", and I said "That's okay, i only walk for fun, but I can't run. All I have ever done is cycle, which is why you said my back is in the shape its in." Then, as if he did not hear a thing i just said, he replies "Oh yeah, cycling is great exercise - you can definitely do that - no problem." I don't trust this doctor. or the other 2 physical therapist he had recommended me to. I am losing faith. When (Not if, but WHEN) I heal, I want to help people prevent back injuries so they don't have to go throught the fear, the pain, and the endless parade of uncaring "medical professionals (who don't return calls for 5 days).
I pray for the healing of every other injury and prevention of all others!

Page

I am a small 68 yr. old female and have a bulging disk at L4-5 that presses on the scaitic nerve. I was told by the neurosurgeon NOT to do any hyperextension (bending backward), bending side to side, or twisting motions. All of that pretty well eliminates a lot of yoga moves. I do all of the core and hamstring strengthening exercises given by the PT as well as the IT band stretches (Swan), and can do the forward bends. Walk 2 miles 2 X day. I sure do miss all of the intense yoga and pilates classes! Old age is not for sissies!

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