Monday, June 30, 2008

Neck and Shoulder exercises for Spondilitis

Neck and Shoulder exercises for Spondilitis
General Information

Donot overdo exercising, especially in the beginning. Start by trying the movements slowly and carefully.
Donot be alarmed if an exercise causes some mild discomfort which lasts a few minutes. However, stop doing any exercise that aggravates pre-existing pain. That is, donot force movements past the point of pain(unless instructed to do so by your doctor. If the pain is more than mild and lasts more than 15 or 20 minutes, do no further exercises, until you see your doctor.
Isotonic Exercises (contraction with movement)
These ecercises will restore movement to the injured area, as well as help relieve pain associated with stiffness.
(exercises 1 to 4 - neck; exercises 5 and 6 – neck and shoulder; exercises 7 and 8 shoulder).
Click on the images for bigger image


Isometric Exercises: (contraction without movement):These exercises will help restore and maintain muscle strength to the injured neck or shoulder. Donot hold your breath while doing an isometric exercise; breathe out vigorously as you strain during the exercises.
Exercises 9 to 12 neck; exercises 13 and 14 shoulder).

Moist Heat (during or before exercise)
Moist heat will help relieve pain by increasing the blood flow to the muscles. You can often increase the effectiveness of isotonic exercises by performing then in a hot shower, or following the application of hot, moist towels.
However, in some injuries, and especially during the first day after an injury occurs, you may obtain added relief from pain by the application of cold instead.

How to be kind to your Neck and Shoulders

Sitting: Keep your chin tucked in (not up) and your neck drawn back. Use a hard chair with support arms. Do not slouch; keep the entire length of your spine up against the back of the chair. Use the arms of the chair to support your arms, which will help prevent undue strain on your neck due to forward thrust.

Standing: Keep your chin tucked in (not up) and your neck back. Also try to stand with your lower back flat. Never bend over without bending your knees; this will better enable you to keep your neck and shoulders drawn back and erect.

Sleeping: Do not sleep on your stomach. The preferable way to sleep is on your side. Maintain your neck and head in a normal position by adjusting your pillow accordingly and keep your arms down. If you prefer to sleep on your back, out your pillow under your neck as well as your head. The pillow should support the neck and head in a neutral position. Avoid extension of neck.
It is advisable to use a bed board or a firm orthopedic mattress. You may also use a contoured pillow, instead of trying to manipulate a regular pillow under your neck.

Relaxing: Do not be on a Sofa to watch television. Use a firm chair. Do not use soft, fluffy pillows to prop up your head while reading.

Driving: Sit high in the car. Your seat (preferably hard) should not be too far back or too low so that you will not have to stretch up and forward to see over the steering wheel. You may find a polyurethane pad of value in helping to provide support. It should be 1 to 2 inches thick, a wide as your back, and high enough to reach your shoulders.

Lifting or reaching: Bend your knees and use your leg muscles to lift. Avoid sudden movements. Keep the load close to your body, and try not to lift anything higher than your waist. If you have to reach a shelf higher than your head, stand on a stool. Try to avoid reaching or looking up for any length of time.

Working: Do not overwork yourself. If you work at a desk all day, get up and move around whenever you get a chance. It may be advisable to do a set or two of your exercises during a break from work.

Self-massage: Massaging the neck and shoulder muscles often relaxes them and also serves to relieve tension and reduce spasm.

Exercise: Get regular exercise (vigorous walking, bicycling , swimming etc. ) once your pain is gone. But always start slowly to give your muscles a chance to warm up before attempting anything strenuous.

See your Doctor: If your neck or shoulder acts up … if the pain gets worse … see your doctor; do not wait until your condition gets too severe.

Pawanmuktasana Series - Anti Rheumatic Group (contd) - 3

Pawanmuktasana Series - Anti Rheumatic Group (contd) - 3

Elbow Bending: Sit in base position or a cross-legged position. Stretch the arms in front of the body at shoulder level. Hands open and palms facing up. Bend the arms at the elbows and touch the fingers to the shoulders. Straighten the arms again. Upper arms remain parallel to the floor, elbows at shoulder level. Repeat bend and straighten arms 10 times. Inhale while straightening the arms. Exhale while bending the arms.


Shoulder socket rotation: Sit in base position or a cross-legged position. Place fingers of left hand on left shoulder and fingers of right hand on right shoulder. Fully rotate both elbows at the same time in a large circle. Try to touch elbows in front of the chest on the forward movement and touch the ears while moving up. Stretch the arms back in the backward movement and touch the sides of the trunk while coming down. Inhale on upward stroke and exhale on downward stroke. Practice slowly 10 times clockwise, then 10 times anticlockwise.
Benefits: The shoulder asanas are helpful in cervical spondylitis and frozen shoulders. They also maintain the shape of the shoulder and chest.

Neck movements:

Stage 1: Sit in the base position or cross-legged position with hands resting on the knees in padma mudra (right hand above left hand, both hands in the lap) . Close the eyes. Slowly move the head forward and try to touch the chin to the chest. Then move the head as far back as comfortable. Do not strain. Try to feel the stretch of the muscles in the front and back of the neck and the loosening of the vertebrae in the neck. Inhale on the backward movement and exhale on the forward movement. Practice 10 times.
Stage 2: Remain in the same position, keeping the eyes closed. Face directly forward and relax the shoulders. Slowly move the head laterally to the right and try to touch the right ear to the right shoulder without turning the head or raising the shoulders. Now move the head laterally to the left side and try to touch the left ear to the left shoulder. Do not strain. Inhale on upward movement and exhale on downward movement. Repeat 10 rounds.

Stage 3: Remain in base position. Keep head upright and eyes closed. Gently turn the head to the right so that the chin is in line with the shoulder. Feel the release of tension in the neck muscles and the loosening of the neck joints. Now slowly turn the head to the left as far as is comfortable. Do not strain. Inhale while turning to the front. Exhale while turning to the side. Practice 10 times on each side.
Stage 4: Remain in the same position with the eyes closed. Slowly rotate the head downward, to the right, backward and then to the left in a relaxed, smooth, rhythmic, circular movement. Feel the shifting stretch around the neck and the loosening up of the joints and muscles of the neck. Inhale while the head moves up. Exhale while the head moves down. Repeat 10 times clockwise and 10 times anti clockwise. Do not strain. If you feel dizzy, open your eyes.

Benefits: All the nerves connecting the different organs and limbs of the body pass through the neck. The muscles of the neck and shoulders accumulate tension. These asanas release tension, heaviness and stiffness in the head, neck and shoulder region.

Contra-indications: These four neck movements should not be performed by elderly people and those suffering from low blood pressure, very high blood pressure or extreme cervical spondylosis. Patients with cervical spondylosis shpuld strictly avoid forward bending of the neck.

References:
1. Sadashiv Nimbalkar: Yoga for Health and Peace, Yoga Vidya Niketan, Bombay.
2. Swami Satyananda Saraswati: Asana Pranayama Mudra Bandh, Bihar School of Yoga, Mungher, Bihar, India.
3. Rashmi Rastogi: Managing Prostrate Related Problems with Yoga , Project Report, Teachers Training Course, Yoga Vidya Niketan.

Pawanmuktasana Series - Anti Rheumatic Group (contd) - 2

Pawanmuktasana Series - Anti Rheumatic Group (contd) - 2

Full butterfly: Sit in the base position. Bend the knees and bring the soles of the feet together, keeping the heels as close to the body as possible. Relax the inner thigh muscles fully. Hold the feet with both hands and gently jump your knees up and down. Try to touch the knees to the ground on the downward stroke. Do not use any force. Practice upto 30 up and down movements. Maintain normal breathing unrelated to the practice.


Hand clenching: Sit in base position or any cross legged position. Hold both arms straight in front of the body at shoulder level. Open the hands, palms down and stretch the fingers as wide apart as possible. Close the fingers to make a tight fist with thumbs inside. Again open the hands and stretch the fingers. Repeat 10 times. Inhale on opening the hands. Exhale on closing the hands.

Wrist bending: Sit in base or cross-legged position. Stretch the arms in front of the body at shoulder level. Keep palms open and fingers straight throughout the practice. Bend the hands backward from the wrists as if pressing the palms against a wall with the fingers pointing towards the ceiling. Now, bend the hands forward from the wrists so that the fingers point towards the floor. Elbows to be kept straight throughout the practice. Do not bend the knuckle joints or fingers. Repeat 10 rounds of this up and down movements. Inhale with the backward movement and exhale with the forward movement.

Wrist joint rotation: Sit in base position or any cross-legged position. Back straight. Extend right arm forward at shoulder level. Make a fist with right hand , thumb inside. Left hand may be used as support, if necessary. Now, slowly rotate the fist about the wrist, keeping the palms facing downwards throughout the rotation. Arms and elbows should remain perfectly straight and still. Make as large circles as possible. Practice 10 times clockwise and 10 times anticlockwise. Repeat with the left fist.
Wrist joint rotation can be practiced with both arms together. Rotate both fists (10 times) together in the clockwise direction. Repeat the rotation in anticlockwise direction.
Another variation is that rotate both the fists in opposite directions (10 times) and then reverse the direction (10 times).

Benefits: The hand and wrist asanas are beneficial for arthritis of the related joints.

…… to be contd

Monday, June 16, 2008

Pawanmuktasana Series - Anti Rheumatic Group - 1

Pawanmuktasana Series - Anti Rheumatic Group - 1

The word pawan means ‘wind’ or ‘prana’ mukta means ‘release’ and asana means ‘pose’.
Therefore Pawanmuktasana Series means a group of asanas that remove any blockages which prevent the free flow of energy in the body and mind. These practices are also referred to as ‘sukshma vyayama’ or ‘subtle exercises’. The anti-rheumatic group is concerned with the loosening up of the joints of the body. It is excellent for those with rheumatism, arthritis, high blood pressure, heart problems or other ailments where vigorous physical exercise is not advised.

Base position: All the practices in this section are performed in the base position.
Sit with legs outstretched. Place palms of the hands on the floor to the sides and just behind the buttocks. Back, neck and head should be straight and elbows straightened. Taking the support of the arms, lean back slightly. Relax the whole body in this position with eyes closed.

Toe bending: Practice 1: Sit in the base position. Lean back a little , using the arms to support the back. Keep the spine as straight as possible. Be aware of the toes. Move the toes of both the feet slowly backward and forward, keeping the feet upright and the ankles relaxed and motionless. Hold each position for a few seconds. Repeat 10 times. Inhale as the toes move backward, exhale as the toes move forward.
Ankle bending – Practice 2: Sit in the base position. Keep the feet slightly apart. Slowly move both the feet backward and forward , bending them from the ankle joints. Try to touch the feet forward , bending them from the ankle joints and then draw them back towards the knees. Hold each position for a few seconds. Repeat 10 times. Inhale as the feet move backward. Exhale as the feet move forward.

Ankle rotation: Sit in the base position. Separate the legs a little, keeping them straight. Keep the heels on the ground throughout the practice.
Stage 1: Slowly rotate the right foot clockwise from the ankle 10 times. Then repeat 10 times anticlockwise. Repeat the same procedure with the left foot.
Stage 2: Place the feet together. Slowly rotate both feet together in the same direction, keeping them in contact with each other. Donot allow the knees to move. Practise 10 times clockwise and 10 times anticlockwise.
Breathing: Inhale on the upward movement. Exhale on the downward movement.

Ankle Crank: Sit in the base position. Bend the right knee and bring the foot towards the buttock. Turn the knee out to the side and place the foot on the left thigh. Make sure the ankle is far enough over the thigh to be free for rotation. Hold the right ankle with the right hand to support the ankle. Hold the toes of the right foot with the left hand. With the aid of the left hand, slowly rotate the right foot 10 times clockwise , then 10 times anticlockwise.
Repeat with the left foot placed on the right thigh. Inhale on upward movement. Exhale on downward movement.
Benefits: All the foot and calf asanas help in returning the stagnant lymph and venous blood. They thus relieve tiredness and cramp and prevent venous thrombosis.

Knee bending: Sit in the base position. Bend the right knee and clasp the hands under the right thigh. Straighten the right leg, pulling up the kneecap. Keep the hands under the thigh but straighten the arms. Do not allow the heel or toes to touch the floor. Bend the right leg at the knee so that the thigh comes close to the chest and the heel near the buttocks. Keep the head and spine straight. This is one round.
Practice 10 rounds with the right leg and then 10 rounds with the left leg. Inhale while straightening the leg. Exhale while bending the leg.
Knee crank: Sit in base position. Bend the right leg at the knee as described in knee bending above. Place the hands under the right thigh and interlock the fingers or cross the arms holding the elbows. Raise the right foot from the ground. Rotate the lower leg from the knee in a large circular movement. The upper leg and trunk should be completely still. Rotate 10 times clockwise and 10 times anticlockwise.
Repeat with the left leg. Inhale on the upward movement. Exhale on the downward movement.
Benefits: Since the knee joints bear the whole weight of the body and has no strong muscles for support, it is most vulnerable to injuries, sprains and osteoarthritis. All the knee asanas strengthen the quadriceps muscles and the ligaments around the knee joint. These asanas rejuvenate the joint by activating the healing energies.


…… to be contd

Yoga for Seniors

YOGA – AN INTRODUCTION

What is Yoga ?
The word Yoga is derived from the sanskrit verb ‘Yuj’, which means to join. Yoga means the joining or union of an individual with the supreme reality, ie. the Brahman. Yoga is a whole discpline consisting of many parts or components called ‘Angas’ or limbs. These angas are not steps of a ladder. Angas are separate but inter-related parts like the petals of a lotus. The angas differ according to each school of thought. Patanjali’s Yoga Darshan, written by Patanjali is possibly the oldest text on Yoga dating back prior to 200 B.C. Patanjali’s system of Yoga consists of eight parts (Ashtanga Yoga) - Yoga of eight limbs also known as Hatha Yoga. Ha and Tha are symbols. Ha means the sun and Tha means the moon. Sun and moon are the indicators of duality of the world. Since Yoga science teaches us how to keep a balance in a life full of dualities it is called Hatha Yoga.
In Ashtanga yoga, an eight-fold path is advised for the upliftment of body , mind and spirit. These parts are:
Yama - the rules to be followed by the aspirant while living in society.
Niyama - the set programme to be adopted by an aspirant for his personal development.
Aasana - a steady and pleasurable psycho-somatic pose (ie. one involving body and mind together). Asanas are countless in number.
Pranayama - the lengthening of period between inhalation and exhalation (expansion of Prana) as also disciplining the entire process of respiration.
Pratyahara means withdrawal of senses.
Dharana means fixation of the mind on some object. Normally the mind is restless by nature and shifts from object to object. In Dharana, the mind is directed towards a single object.
Dhyana means meditation, ie. continuation of one-pointedness of the mind on the object. When the mind is trained to fix itself on any object ie. perform Dharana, it gets the power to concentrate in an unbroken flow on that particular object. This is known as Dhyana.
Samadhi means self realization or complete absorption. This is the ultimate aim of Yoga in which the mind reaches the highest bliss.

Yama, Niyama, Asana, Pranayama are clubbed together as Bahiranga Yoga (outer yoga) and are practiced for mental and physical health. The practice of Bahiranga Yoga helps the aspirant attain allround health of body and mind and also enables him to achieve success in Antaranga Yoga. Dharana, Dhyana and Samadhi are considered part of Antaranga Yoga (Inner Yoga). Pratyahara (withdrawal of the senses ) is considered by some as a bridge between Bahiranga and Antaranga Yoga.

What is Health ?
The World Health Organisation has given an apt definition of health: “ Health is a state of well being - physical, mental and social; it is not a mere absence of disease or complaints.” Health or well being depends upon nourishment, activities (physical and mental) and rest. If any of these is excessive or meager, there is an imbalance which leads to ill-health. Health depends on five main factors viz. genetic endowments, environment, intake of food, thoughts, emotions etc., activities of all kinds and rest. Yoga influences the last three factors beneficially. Hence, adopt as a way of life and practice it regularly as per your capacity and needs throughout your life.

Difference between Yogabhyas and Physical Exercises:
Regular Yogabhyas develops self confidence, boosts vitality and induces a feeling of stability – it improves the health of the body and mind. Yoga is not a kind of physical exercise. The objectives of different types of exercises such as sports, wrestling, athletics, judo, gymnastics etc. are to achieve health, strength, speed skill, dexterity, agility, cardio-vascular efficiency, competence etc. However, the objectives of Yogic practices is quite different. Yogic practices results in an improvement in the tone of the vital organs and important muscles. It increases one’s neuro-muscular coordination and helps in achieving integration of body systems and personality. Our daily chores, instead of appearing to be a burden, become easy and pleasant. In physical exercises, the emphasis is on maximum use of energy. In yogabhyas, on the other hand, this is to be avoided consciously. Minimum expenditure of mental and physical energy along with slackening of effort is the keynote of the technique of performing the Asanas. As one’s age advances, there is no better and easier method than Yogabhyas for maintaining the health of the body and mind.

Who can perform these Asanas ? The answer is: excepting small children and insane people, all – weather adolescent, young , old or very old according to their condition and capacity. They may even be diseased or very weak, yet they can practice Asanas. One’s sex, religion, culture, nationality or occupation does not come in the way of practicing Yoga. Any willing mature person can practice Yogabhyas.

Patanjali’s yoga sutras related to Asanas emphasizes Sthiram Sukham Asanam meaning Asanas are steady postures affording pleasure. While in a Yogic Asana, one should experience pleasure - both physical as well as mental. For this Patanjali has suggested that while getting into or maintaining an Asana, one should minimize efforts – (Prayatna shaithilya). Asanas should be performed with ease. There should not be any conscious efforts for this. Also, the mind should be fixed on the infinite one (Ananta).

Differential (Partial) Relaxation : While performing Asanas one should “practise differential relaxation”. In any Asana, some parts of the body – certain muscles – are actively involved in achieving the posture. Differential relaxation means relaxing those parts and muscles of the body that do not actively participate in the Asana. Eg. in Bhujangasana, the lower part of the body, from toes to the waist , lies on the floor. The upper portion is curved up with the help of back muscles. So practicing differential relaxation in Bhujangasana means totally relaxing the muscles of the lower part of the body, the arms, the face etc. Long and regular practice of Conscious Differential Relaxation (CDR) will lead to Unconscious Differential Relaxation (UDR). Only those who master the application of differential relaxation will get real pleasure and joy out of the Yogic practices.

Pranadharana (Fixation of the mind on the breath) is an essential part of the Asana technique. Pranadharana is the most simple yet effective method of engaging the mind, making it pointed and preparing it for meditation. Prana means breath and Dharana means fixation of the mind. While practicing Pranadharana, the Yoga aspirant has to fix his / her mind on the incoming and outgoing breath. The mind is thus trained and conditioned.

Guide lines to be observed when practicing Asanas.
Time of practice: Asanas may be practiced at anytime of the day except after meals. There should be a gap of atleast four hours after a meal. The best time , however, is brahmamuhurat – two hours before and including sunrise. In the evening, the two hours around sunset are also a favourable time.
Place of practice: Practice in a well ventilated room where it is calm and quiet.
Blanket and clothes: Use a folded blanket of natural material for the practices as this will act as an insulator between the body and the earth. Do not use a mattress , which is spongy and filled with air as this does not give sufficient support to the spine. During practice it is better to wear loose, light and comfortable clothing.
Asanas are not competitive: even when performing in a group, never compare yourself with others. Be aware of your limitations and never ever exceed your capacity. Gradually, with practice, Your body’s flexibility will increase and you will perform the Asanas better.
Slow and controlled movements (no jerky movements) and co ordination with breath: Quick , sudden and jerky movements for attaining and releasing the posture may be harmful and painful and also use up excessive energy. Asanas are meant to induce calmness in the mind and body, hence they have to be performed slowly with full awareness. Asanas aim to slow down breathing to improve exchange of oxygen and carbon dioxide. The muscles have to be stretched in a relaxed manner.
The importance of relaxing muscles: Muscle in our body is never completely relaxed; it is in slight contraction state called muscle tone, which is essential to respond to stimuli. The posture of our body depends on the tone in the muscle. Most forms of exercises tend to contract the muscles (Isometric contraction). During Yogasanas muscle contractions are isotonic ie. when the muscle is stimulated, muscle length changes, but the tone remains the same. Yogasanas emphasise on stretching and strengthening the muscles (Isotonic) . In asanas, muscles are stretched by assuming various body positions which apply an elongation to a particular muscle group. Stress-induced tautness of the muscles can be eased with the practice of various asanas.
Awareness: Be fully aware of the asana being performed and focus on breathing. This helps achieve clarity of thought and one-pointed concentration.
Maintenance of the final pose: In the final pose, specific muscles and organs of the body are influenced. Certain organs are given the best possible squeeze or massage and extra blood is directed to or removed from those regions. This period of immobility is the time when profound and beneficial changes occur in the body. Deep states of concentration can be reached if the asanas are held for extended periods of time. Correct breathing at this time enhances the effect of the asana by increasing the squeeze / massage, stimulating the exchange of oxygen and carbon dioxide in blood.
Relaxation after completion of the asana: As important as the asana itself. The organs and muscles return to their normal shape. They are flooded with an influx of purified blood that has been squeezed out during the asana. Respiratory and circulatory systems come back to normal.
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