Healing Sciatica
Transcription
Healing Sciatica
Healing Sciatica Through Ashaya Yoga™ Todd Norian Healing sciatica (inflammation of the sciatic nerve) is possible. This article will explore an approach through the alignment-based method of Ashaya Yoga™. The techniques are simple and effective. Most sciatic pain arises from standing, sitting, or walking with poor alignment, specifically in positions in which the thighbones are forward and externally rotated. When the femurs are forward of their optimal placement, the muscles of the lower back contract and can pull the lumbar spine into a flattened position. Tight hamstrings further exacerbate the flat back condition. When the natural curve of the lower back is lost, the spinal discs squeeze posteriorly and can press on nerve roots. The thighs likewise govern the lower back. A thighs-forward posture tends to make the lower belly and pelvic floor droop and lose tone. In addition, the shoulders tend to slouch and the throat slides forward and becomes loose (which can gradually create loose “jowls”). The head forward position will eventually flatten the cervical curve. For this reason, many people with a flat lower back also have a flat neck, which leaves them susceptible to herniated discs in both locations, which in turn leads to a host of problems that are ultimately avoidable. In order to heal fully, maintain the state of health, and prevent future injury, it is necessary to apply and regularly practice the Four Essentials of Ashaya Yoga™: Open, Engage, Align, and Expand. The First Essential, Open, is the act of softening and remembering your connection to the healing power of the universe. Bring your awareness to your heart, take a deep breath and invite the light of the universe to fill you from within. This will open you to a bigger energy and allow you to let go of self-limiting concepts such as fear, anxiety, and selfdoubt. Perhaps you will recognize that deep down in your heart you are already whole and complete. In addition to creating an emotional response of relaxation and presence, this creates a physiological response that inflates the Pranamayakosha (breath body, or subtle body) in the back, front, and sides of the torso up through the neck and head, lengthens the side ribs, softens the skin, and stimulates the parasympathetic nervous system. theyogaconference.com A second component of the First Essential is preparing and establishing your foundation with precision and care. The foundation of a pose is comprised of those areas in contact with the floor in a given stance or posture. As with any architectural structure, the stability of the structure depends upon the integrity of the foundation. For healing sciatica, ensure that your feet are parallel and hip width apart. Feet parallel is achieved by aligning the imaginary lines connecting the front center of each ankle with the second toe like railroad tracks running parallel to one another. If the feet turn out, which is common, the thighbones will push forward and the lower back will flatten. This position is the recipe for sciatica. The second Essential, Engage, you learn how to fully activate your muscles. This is done energetically as well as physically through isometrics and drawing the muscles from the foundation and periphery into the core of the pose. Using isometrics, you draw your feet, legs, and arms towards the midline without moving your feet. The midline is defined as the central plane or axis between the feet, hands, or arms, or the middle place between the front and back legs in a posture or stance such as Virabhadrasana 1. It is also characterized by simultaneously hugging left to right and right to left. When you develop the ability to utilize this technique effectively, you can engage your muscles evenly on all sides and from all directions. This strengthens and tones the 905.404.9642 body. It also creates support and stability for the joints, which is absolutely necessary for prevention of further injury and maintaining good alignment. In addition, this technique heats up the body and allows for a balanced flow of the body’s fluids, such as blood and lymph, while also increasing the flow of prana. Like the first essential, Engage also stimulates the parasympathetic nervous system due to the brain’s interpretation of the hugging action as indicative of security and safety, much like when someone you love hugs you in just the right way. Part of the reason why I see students return again and again to states of pain is that they have not yet learned to engage optimally. The metaphor for Engage is vitally important since it addresses the application of life energy both on and off the mat. It is easy to avoid genuine engagement or conversely over engage when faced with a particular life experience or challenge. Yoga teaches us the art and mastery of living; that is, how to engage appropriately in any given situation. The Third Essential is Align. This is a broad term for how to align every major joint and part of the body. Within this, there is a hierarchy of alignment, the most important of which is Pelvic Integration. This is what affects sciatica the most. Pelvic Integration comes from the dynamic balance of two actions: 1. Internally rotating the thighs, moving them back (which creates an anterior tilt of the pelvis), and widening them apart without collapsing the knees inward, and 2. Scooping the tailbone down and forward. Thighs back creates a lumbar curve while tailbone in creates length in the lumbar spine. Both curve and length are needed, in that order and in a balanced way, for a healthy back. At the same time, the particular application for one person will be quite different for another given the unique shape and character of each individual’s spine. For instance, someone with an exaggerated curve in the lower back (or sway back) will need to work on scooping the tail bone more and utilize Thoracic Integration (see below). The sciatic nerve comes from the lower back region of L4 to S3 and travels down the posterior pelvis and leg, under the piriformis muscle (for 17% of the population, the sciatic nerve runs through the middle of the piriformis), and down to the foot. It is the next Toronto event is April 9-12, 2015 To heal any part of the body, it is ultimately necessary to look at the whole since every part of the body is in relationship to every other part. thickest and longest single nerve in the body and is about the width of your thumb. This nerve can become compressed, irritated, and inflamed through many lower back dysfunctions including herniated discs and Piriformis Syndrome, the tightening of the piriformis muscle (which emerges from the anterior sacrum and attaches to the greater trochanter). The piriformis can tighten and in fact spasm when the lower back curve becomes overly diminished. The Fourth Essential is Expand. Once you open to the universal, have released stress, hugged into the midline to strengthen and tone your muscles, and aligned the bones in a complementary way to locate the dynamic balance in the middle, it’s time to stretch. Doing the first three Essentials before stretching prepares you to stretch safely with support. Most injuries come from stretching without maintaining muscle tone or stretching while misaligning and then weight bearing. Expansion has to do with stretching away from the core of the pose in all directions, first rooting down into the earth and then rising up and away from the earth. The directionality of Expand is important because in order to rise up, you must first root down. Grounding yourself before you expand will ensure freedom with boundaries and will enable you to maintain stability even as you grow. The metaphor for stretching in this way is indeed in alignment with nature’s way. All plants grow by rooting down first. Only then does the stem rise up toward the light of the sun. In Ashaya Yoga™, we align and stretch according to the principles of nature. Simple Exercise: theyogaconference.com Let’s get back to healing sciatica. In Tadasana, I typically begin with a four inch yoga block placed between the upper inner thighs so there is something to squeeze. The inner thigh muscles are often very weak and are sometimes difficult to engage. Stand with the feet hip-width apart and parallel (second metatarsals and front center of ankle parallel to each other like two railroad tracks). Open to a bigger energy, and then hug your feet and legs in toward the midline. Take your thighs back (keeping the knees slightly bent so as to avoid initiating the movement from your knees) and root down into the big toe ball mounds in order to engage the back of the calves. This will prevent hyper extending the knees, which pushes the thighs forward tightening the psoas muscle, which then irritates the piriformis, which can press on the sciatic nerve. The greater trochanter should be aligned vertically above the ankle. Keeping the thighs back, scoop the tailbone down and forward. Your lower belly should tone when you scoop your tailbone. A common mistake in alignment is to scoop the tailbone and push the thighs forward such that the greater trochanter moves forward of the ankle. When you scoop, you must keep your thighs back. Most people with sciatica don’t really understand this, yet the key to healing is to find the balance between thighs back and tailbone in while maintaining the position of the greater trochanter over the ankle. Healing always takes place in the middle where the polarities find their natural dynamic balance. The next most important alignment technique is Thoracic Integration. This is achieved by 905.404.9642 pulling your front ribs down and back while you inflate the sides of the waistlines back and up. There is an art to performing both Pelvic Integration and Thoracic Integration simultaneously, and it requires some practice as well as a set of experienced eyes to help you achieve the right balance. When Pelvic Integration and Thoracic Integration are done together, your core engages. I call this Core Integration. A great way to feel core integration is to stand in Tadasana. Apply all four Essentials. Then draw the xiphoid process and tip of the tailbone toward each other. The xiphoid process is a tip of cartilage at the base of the sternum pointing downward and shaped like an arrowhead. The tailbone scoops down and forward and the tip of the tailbone draws up the front slightly toward the xiphoid creating a powerful contraction of core energy. Shaped similarly like arrows, these two keys, xiphoid process and tailbone, unlock access to your core which further stabilizes the lower back area which helps to keep sciatic in check. There are additional techniques to optimize all four curves of the spine, as well as alignment for the rest of the body, including Shoulder Integration, Head Integration, Knee Integration, Shin Integration, etc. To heal any part of the body, it is ultimately necessary to look at the whole since every part of the body is in relationship to every other part. For more information, visit www.ashayayoga. com. Check out my Ashaya Yoga™ In-Depth Study/ 200-Hour Teacher Training and my Ashaya Yoga™ Advanced 300-Hour Teacher Training Programs. next Toronto event is April 9-12, 2015