One of the popular classes I taught when I first opened the studio was Back Care Yoga. It was regularly well attended because back pain is so prevalent within our society—many of us will have troubles with our back at some point in our lives, and for many it can be a long battle with chronic pain and limitations. One of the reasons I took it off the class schedule was because I found myself conflicted knowing that not all back problem should be treated the same. This left me limiting the potential of some of the students (to err on the side of caution for those who’s condition demanded more restriction than others), and this left me feeling like I could do better for each participant.
Back pain can come from many sources. Within the spectrum of back problems causing pain and dysfunction, there are acute conditions and chronic conditions, which need to be managed differently. There are specific diagnoses, such as disc bulges/herniations or stenosis, which require their own understanding of movement limitations and treatment, while less-descript diagnoses may require less restriction and general reconditioning. There can also be a range of mechanical issues stemming from a variety of sources. For example, severe tightness in the surrounding muscles and fascia can impede functional movement and produce pain; or conversely, laxity and hypermobility of an area creates excessive movement, inflammation and pain. In these two conditions the treatment plan can literally be opposite—one needing more stretching the other needing more strengthening respectively.
Regardless of what is happening in your back, one thing is for certain, in all my years of working in the industry of physical therapy with people in pain, no two conditions are exactly the same, and the ‘one size fits all’ approach just doesn’t work. This is why I have decided to offer an educational workshop called Back Care Therapeutics where each participant will come away with a better understanding of their own unique condition so that he or she will better understand what is needed to improve their pain and function, but also have a clearer understanding of what they should avoid in yoga. This workshop will be offered in conjunction with a Back Care Yoga Series, which will allow for individual accommodations and pacing, and offer the participants an opportunity to practice what they have learned.
I am very excited about this new offering. Knowledge is power, and I truly believe, within every individual, she or he has the potential for healing themself, and yoga can an amazing tool to set you on this path.