BOOK REVIEW: Adventures in Human Being by Gavin Francis

Adventures in Human Being: A Grand Tour from the Cranium to the CalcaneumAdventures in Human Being: A Grand Tour from the Cranium to the Calcaneum by Gavin Francis
My rating: 5 of 5 stars

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Dr. Francis’s book of essays takes one on a fascinating anatomical cook’s tour—literally from head to toe. The book uses patient case histories, tales from med school, great moments in medical history, and even references to art and pop culture to intrigue the reader with the awesome nature of the human body. This isn’t the kind of book that tries to tell one everything there is to know on a subject. Rather it drills deep on specific subjects, but with humor and readability. While the book examines specific issues pertaining to the body part under consideration, it gives the layman reader the necessary background to comprehend even the most complex topics, often through interesting factoids.

In 18 chapters divided into seven parts by regions of the body, one will learn about topics such as: electroconvulsive therapy (ECT), the almost ancient art of cataract surgery, botoxing of Bell’s Palsy patients, how the Epley manoeuver is used to seemingly miraculously cure vertigo through snappy head movements, why Renaissance thinkers thought the soul resided in the lips, why having one’s blood circulated pulselessly causes problems, how a “Brachial stun” immobilizes an arm, why suicidal wrist slashers rarely succeed, where the nail goes in a proper crucifixion, how kidneys became the gift that keeps giving, how a scratch on the hand almost cost a gardener her life and what her liver did to save her, why your bowel movements matter, how fetoliths (i.e. “stone babies”) come to reside in the abdomens of older women, why–in some cultures–it’s necessary to eat the afterbirth while others insist on burying it under the house, why the hip’s blood supply is lacking, and how the foot is really more specialized and consequential to human existence than our hands and their well-publicized opposable thumbs.

My wife got me this book after seeing it on the list of the best books of 2015 put out by “The Economist” magazine. It was an excellent choice and it moved it quickly to the front of my reading list. I’d highly recommend it for anyone interested in science, medicine, anatomy, physiology, or the human body.

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BOOK REVIEW: Why We Run by Bernd Heinrich

Why We Run: A Natural HistoryWhy We Run: A Natural History by Bernd Heinrich
My rating: 5 of 5 stars

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This book is actually several different books woven together. It’s part autobiography of the author’s running life, it’s part a study of comparative biology between various creatures with an endurance bent and humans, it’s part an examination of the evolutionary biology of humanity’s proclivity to run, and it’s part guide to preparing to engage in ultramarathons. Often I pan such books as being unfocused, ill-planned, and—most often—attempts to whip an article’s worth of material into a book length piece. However, Heinrich keeps it interesting enough that I don’t feel it necessary to level these criticisms. Still, my first warning to readers is that one has to read on for quite a while before one gets to the book that one thought one bought—i.e. one that answers the title question of “why WE (i.e. people in general and not the author specifically) run.” In short, you’ll need to have an eclectic set of interests to get through the whole book, but some may find reading only part of it gives them all they wanted from the book.

It should be noted that the book is on its second title. The original title was: “Racing the Antelope: What Animals Can Teach Us about Running and Ourselves.” The author explains in the front matter why the original name was changed (apparently some loud and obnoxious writer had a similarly titled book on a different subject and whined about it.) Changing the title wasn’t required because: a.) titles cannot be copyrighted, and b.) it wasn’t exactly the same title anyway. Still the new, more succinct, title may lead one to expect a succinct book, which this isn’t so much.

Some readers will enjoy Heinrich’s writing style; others will find that it ventures too far into flowery territory on occasion. I did enjoy it. However, I can see how a reader might find some of the descriptive sequences to be excessive–particularly toward the beginning of the book.

While there’s some overlapping and interweaving, one can think of the book in three sections. It’s written in twenty chapters. The first six tell the author’s story of getting into running and his youth. The next eight chapters deal in comparative and evolutionary biology. In general, these chapters look at the biology of other creatures as they pertain to said animals’ ability to engage in running (or activities that are like running in that they involve endurance of muscles and the cardiovascular system.) Also included in this section is the evolutionary biology of humans as it relates to becoming a species of runners. This is the core of the book and was the most interesting section for me. In it, Heinrich considers the endurance activities of insects, birds, antelopes, camels, and frogs. Each of these has a particular relevance. For example, camels are masters of endurance under harsh conditions. Frogs tell the story of the difference between fast and slow twitch musculature (relevant to sprinters versus distance runners.) Antelopes are, of course, the exemplars running in the animal kingdom, but the nature of their running is so different from that of humans (i.e. making quick escapes versus pursuing wounded prey.) The last six chapters can be seen as a guide to preparing for ultramarathon races, but it’s also a continuation of the author’s self-examination of his running life from the time he began ultramarathoning.

I’d recommend this book for readers who are interested in the science of human performance. It’s well written, and the insights it offers into the biology of other animals are fascinating. Whether you read the whole book or just the part that pertains to your interests, you’ll take something away from this book.

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Saving the Knees: Preventing Knee Injuries in the Martial Arts

Public Domain Image from Wikipedia

Public Domain Image from Wikipedia

 

The knee is a hinge joint. It’s designed to flex and extend with the thigh bone (femor) and the shin bone (tibia) in the same plane. A healthy joint can tolerate a certain amount of torquing or poor distribution of the body’s weight on occasion, but repetitive movements of that nature and /or severe uncontrolled movements can lead to permanent damage. Healthy knees are stable when straight (extended), but become slack when bent (flexed.)

 

Knee damage among martial artists is all too common, and the causes may or may not be self-evident. Martial artists whose practice includes kicks that require pivoting on a support leg or which involve landing leaping maneuvers may be intimately aware of the risks. However, the first martial art that I ever trained in had no twisting / pivoting kicks and few leaps (that were rarely practiced), but knee injuries were epidemic. The culprit in this case was low postures which required the thigh to be turned out (externally rotated and abducted) with the knee deeply flexed.

 

Well, I should say those postures were the culprit in conjunction with lack of flexibility and/or strength in all the right places. This isn’t to say that the individuals who developed knee problems weren’t strong or flexible, but the areas that needed work weren’t necessarily the big muscle groups that leap to mind when workout time comes around.   Emphasis on the big muscle groups (quadriceps and hamstrings) with neglect of the muscles involved with adduction, abduction, external rotation, internal rotation and stabilization can create some problems. If you’re a runner or a weightlifter (with good form) you may be able to get away with such a stretching and strengthening emphasis. [Note: I’m not advocating such an approach for anyone. What I’m saying is that if your knee is only worked with the knee straight below the hip and pointed forward in a hinge fashion, your risks are not the same as someone who works with a flexed knee with the thigh turned out. The likely injuries are different.]

Note: Knees pointing the same direction as the toes. (The back knee might be a little far back but that's an issue for the ankle health post.)

Note: Knees pointing the same direction as the toes. (The back knee might be a little far back but that’s an issue for the ankle health post.)

WRONG: Note: if one dropped a line down from the knee it would be well inside the foot. That means the ligaments are having to work too hard and your skeleton isn't doing enough

WRONG: Note: if one dropped a line down from the knee it would be well inside the foot. That means the ligaments are having to work too hard and your skeleton isn’t doing enough

 

To do a posture like the one above, one needs the flexibility to keep the knee wide enough so that it points the same direction as the toes.  The joint shouldn’t be wrenched or torqued with load on it. The four ligaments (Anterior Cruciate Ligament [ACL], Posterior Cruciate Ligament [PCL], Medial Collateral Ligament [MCL], and the Lateral Collateral Ligament [LCL]) and the surrounding musculature keep the joint snug during movements. And, as mentioned earlier, when the knee is deeply flexed it’s more sloppy than when extended.

 

-Increase flexibility in the muscles that internally rotate and adduct  the thigh: When one goes into a wide-legged stance, one’s thigh is pulled away from the body’s center-line (abducted) and the thigh externally rotates. If the muscles that act in the opposite direction (pulling the thigh back on center and rolling the thigh inward) are too tight to allow the knee to move into proper position, then the load of the body weight will be going into the ground through a kinked joint. Furthermore, one will end up torquing through the joint as one moves. Below are a few hip openers that will help one achieve the requisite range of motion.

Utkatakonasana (often called goddess pose) variations will show you whether you're getting your knees and toes in line.

Utkatakonasana (often called goddess pose) variations will show you whether you’re getting your knees and toes in line.

Badhakonasana (often called the butterfly stretch): Work on getting those knees down

Badhakonasana (often called the butterfly stretch): Work on getting those knees down

Place one foot on top of the opposite knee (and vice versa for the other side) carefully shift weight forward. This puts an intense stretch on the hip joint to help rotate the thigh sufficiently

Place one foot on top of the opposite knee (and vice versa for the other side) carefully shift weight forward. This puts an intense stretch on the hip-joint to help rotate the thigh sufficiently

Same as the last from the side

Same as the last from the side

Upavistakonasana: put legs at about 90 degrees relative to each other, and then lean forward with a flat back placing the stomach, chest, and chin on the floor (in that order.)

Upavistakonasana: put legs at about 90 degrees relative to each other, and then lean forward with a flat back placing the stomach, chest, and chin on the floor (in that order.)

Padmasana (lotus): If you meditate in padmasana, you probably already have the range of motion necessary. Note: if padmasana hurts your   knees, you need to go back to hip openers and discontinue the practice.

Padmasana (lotus): If you meditate in padmasana, you probably already have the range of motion necessary. Note: if padmasana hurts your knees, you need to go back to hip openers and discontinue the practice.

 

-Strengthen the muscles that stabilize the knee-joint. One begins this process with the usual suspects of leg exercise. One just needs to focus intently upon alignment. Here are a few of the exercises you may already be doing.

 

Wall squat: just like sitting on a chair with one's back  to the wall--sans the chair.

Wall squat: just like sitting on a chair with one’s back to the wall–sans the chair.

The classic squat

The classic squat

Side lunge: This one is  particularly important to get the knee aligned with the foot.

Side lunge: This one is particularly important to get the knee aligned with the foot.

The basic lunge: can be done stepping forward, backward, or both (the latter in an alternating fashion)

The basic lunge: can be done stepping forward, backward, or both (the latter in an alternating fashion)

 

As one needs more challenge, one can achieve it in the usual ways (single-legged, unstable surface, add weight, or combinations thereof.) Below are a couple of variations that combine single-limbed work with an unstable surface.

 

IMG_1537 IMG_1532

 

-Save static stretching for after the joint has warmed up. It used to be common to begin a workout with static stretching. While few do this anymore, it’s a practice that needs to be replaced. Stretch warm.

 

-Don’t neglect the opposing muscle groups: When I said that one needs to increase flexibility in adductors and internal rotators, that doesn’t mean to ignore the opposing muscles. Nothing  good comes of stretching or strengthening in an unbalanced fashion. Your musculature works as a team with agonists, antagonists, and stabilizers all working  in conjunction to produce effective movement.

 

-Don’t go overboard with stretching: If your aim is to be a contortionist, then by all means go ahead. However, highly flexible martial artists need to be concerned about joint laxity. Laxity is when the joint gets so loose that it’s vulnerable to popping out-of-place.  A martial artist needs a balanced style of fitness. Extreme flexibility results in weakness and lack of joint robustness, just like extreme strength training produces a body that lacks range of motion and stamina.

 

Most importantly, don’t ignore pain when it’s still at the minor twinge point. If you have knee pain you’re doing something that joint doesn’t like. One should reevaluate your movement and, if necessary, considering stepping back from your current practice to work on capacity building exercises.

 

BOOK REVIEW: Faster, Higher, Stronger by Mark McClusky

Faster, Higher, Stronger: How Sports Science Is Creating a New Generation of Superathletes—and What We Can Learn from ThemFaster, Higher, Stronger: How Sports Science Is Creating a New Generation of Superathletes—and What We Can Learn from Them by Mark McClusky

My rating: 4 of 5 stars

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McClusky’s book tells us how advances in sports science and technology are producing a new class of elite athlete. More usefully, it discusses which practices of high-level athletes can reasonably be emulated by amateurs. One may think that what’s good for the goose is good for the gander. In this case, not so much. If shaving a hundredth of a second off your time isn’t going to affect your life’s course, there are many activities of elite athletes that simply aren’t worth the cost (in whatever terms.) For example, the loss of friendships due to rampant flatulence resulting from consuming large quantities of baking soda isn’t worth it if you just want a little bit stronger Sunday cycling ride. (Baking soda [sodium bicarbonate] counteracts blood and muscle acidification during exercise and makes it possible to keep moving strongly when fatigued would normally degrade performance. Incidentally, this practice has been shown to be effective only for events that last between one and seven minutes.) On the other hand, some of the lessons of sports science are relatively low-cost and high benefit, and might be just what one is looking for to improve one’s performance. (e.g. Replacing a pre-workout stretching routine with one of rolling out the muscles.)

Faster, Higher, Stronger consists of twelve chapters, each addressing a different aspect of the application of science and technology to sport, including: training methods, genetics, nutrition, recruitment, practice, performance enhancing substances (legal and illegal), elevation training, and the limits of performance.

One question that has always been of great interest is how much of a top athlete comes from his or her genes? In other words, can anyone can do it–given a willingness to work like a maniac of course. As with many other questions about heredity, it was once thought that there would be a precise answer to this question in the wake of the decoding of the human genome. However, the success of the human genome project showed only that the situation was vastly more complex than we’d imagined. It turns out that having certain genes isn’t the end of the story because there are many factors that influence which genes are expressed. Attempts have been made to put numbers to the influence of genetics. For example, one scientist is quoted as claiming that 50% of oxygen processing capability (i.e. VO2 max) is heritable. This translates to the fact that, while the average Joe has a reasonable chance of engaging in athletics at some level, only a 0.1 to 0.3 % can summit the pinnacle of elite level athletics.

In many ways, science has encouraged coaches, trainers, and recruiters to think outside the box—and to look beyond the traditionally engrained approaches. One fascinating story was that of how the British national rowing team held tryouts based only on height, with experience with the sport being not required. They ended up with a champion rower who’d first entered a boat only four years before. This is part of the evidence that controverts the once popular 10,000 hour rule that was popularized by Malcolm Gladwell–though Anders Ericsson is more properly considered the father of the idea. It turns out that 10,000 hours of practice aren’t required for most activities if one goes about it right.

McClusky spends a considerable amount of space on the questions of what athletes should and shouldn’t consume. In emulating elite athletes many amateurs are working at cross purposes. This is readily seen with the issue of sports drinks. If you’re guzzling down a Gatorade or snacking on Cliff Bars after your run, you may only be ensuring that you continue to gain weight despite working out. On the other hand, you may decide that chocolate milk or beet juice are good choices for you.

I’d recommend this book for those interested in the heights of human performance.

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3 Levels of Movement Coach

I.) New teachers and coaches often over-rely on their personal experience. In other words, one may think that the skills that came easily for one will be a piece of cake for one’s students as well. Conversely, such a teacher tends to be more sympathetic and lax when it comes to skills that kicked his or her own ass. This may work for some students, but it’ll be way off the mark for others. There’s a risk of pushing students too hard on skills that may be dangerous for them, and / or not helping them achieve a breakthrough that they are capable of because of one’s own baggage.

 

II.) The next level of coach recognizes that there are different body types. Such teachers put this knowledge to use in determining what skills present greater or lesser risk for a student given the strength, power, speed, flexibility, etc. associated with such a body. This coach will recommend modifications and capacity building exercises based on the student’s body type.

 

III.) Then there is the coach or teacher who can see the individual idiosyncrasies of a given student’s body and make recommendations based the unique conditions, strengths, and weaknesses of a particular person.

BOOK REVIEW: Zen Mind, Strong Body by Al Kavadlo

Zen Mind, Strong Body: How To Cultivate Advanced Calisthenic Strength--Using The Power Of Zen Mind, Strong Body: How To Cultivate Advanced Calisthenic Strength–Using The Power Of “Beginner’s Mind” by Al Kavadlo

My rating: 3 of 5 stars

Amazon page

This book discusses issues related to a calisthenics-centric approach to fitness. The first thing that one should be aware of is that the book has no such unifying theme as would be suggested by the title. Really, this is a sort of “best of” collection of Al Kavadlo’s blog posts, but—of course—that makes for a really unsalable title. The title is a take-off on Shunryu Suzuki’s Zen Mind, Beginner’s Mind, which is quoted in the front matter. Don’t expect Zen or the mind to formally enter the picture in a major way. I will say that Kavadlo has a Zen approach in that he emphasizes simplicity and paying attention to what one is doing throughout (so many people try to drown out their workouts with music or entertainment.)

I had mixed feelings about this book. On the pro side, Kavadlo is clearly knowledgeable and has a sound and pragmatic approach to fitness. Not only is he not trying to sell you on supplements and fitness fads, he tries to discourage such profit-driven nonsense. You’ll get some good information and sound advice from reading this book. You’ll find out why Kavadlo eschews dietary supplements, how he prepared for a marathon and a triathlon, what advantages calisthenics hold over other strength building activities, and how to avoid injuries.

So what’s the problem with the book? The first problem is rooted in the fact that I paid full price for the book soon after it came out, and–at said price—it’s overpriced for what it is—a rehash of blog posts. It looks like Amazon has dropped the Kindle price. As I said above, I respect Kavadlo’s approach to fitness, and think that he offers some useful insights, but the question is whether you couldn’t get the same insights for less–I think you can. At half the price I paid for this book, I would have been much happier with it. Alternatively, if they had beefed it up a bit—particularly with useful graphics—I might have found it a good buy at the price I paid. The bottom line is it’s a thin book of blog quality material.

My second problem is that they waste too much space with pictures of Kavadlo standing around shirtless in front of random minor NYC landmarks. I understand that a cut, muscular body is the ultimate resume for a personal trainer. However, I suspect that even the ladies and gay men will at some point say, “Enough with the standing around shirtless photos, Al.” For us heterosexual males, the number of these shots is way over the top.

Now, I’m not saying that the number of photos is excessive. They could have used some of that photo space for instructional photos of how to better do the exercises, or to build up to the more challenging exercises. Kavadlo has an excellent YouTube channel, so I know it would be possible to get more photos of him actually doing exercises. (They do have some pics exercise pics, particularly in the sample workout section at the back.)

The book’s 26 chapters are arranged in four parts that deal with background information, calisthenics, cardiovascular workouts, and diet respectively. There is a section at the back that presents a series of sample workouts divided into beginner, intermediate, and advanced levels.

As for my recommendation, I’d say that if you are interested in fitness and see this book at a price of around $4, buy it. However, if it’s at $10, it’s overpriced for what it is. Of course, your views of a fair price may vary. (I should note that I purchased it in Kindle e-book format.)

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Rewiring the Brain about Pain: All That Isn’t Pleasure Isn’t Pain

IMG_0104

I see people staring at the railing on which they will stretch their hamstrings just like they would look at a side-by-side refrigerator unit that they have to move down a flight of stairs, psyching themselves up for the stretch. Or maybe they are weighing the question of whether they really need to stretch as one might ponder whether it would be better to get an engine overhaul or replace a car altogether. The point is that there seems to be an element of anxiety or dread associated with actions like stretching that aren’t necessarily pleasurable.

 

I have a theory about why this is the case.

First, people falsely equate discomfort with pain.

Second, the entire point of true pain is to tell one how not to move so as to avoid exacerbating an injury.

Third, this results in a desire to avoid pursuits that cause such physical discomfort.

Fourth, people create a self-fulfilling prophecy in which they tense muscles in the area of the stretch to counteract the aching stretch, but this just increases the discomfort level.

 

Your body has a clever little device called the myotatic reflex arc (MRA.) That’s when a muscle tenses to avoid injury because the muscle seems to be stretching too fast for comfort. However, that reflex is only relevant to dynamic movement and the fact that it’s a reflex arc means that the signals don’t go through the brain–thus–aren’t consciously controlled. The MRA is different from the tension one holds in a slow and controlled stretch. It’s fun to see people who’ve been encouraged to breath and relax into the stretch realizing that the stretch isn’t as bad as it seems.

 

Of course, many intense physical activities that cause discomfort may also result in a sufficient endorphin (natural painkillers) inflow and adrenaline / cortisol (stress hormones) outflow to result in net feelings of pleasure. While stretching results in endorphin release, the action of holding the muscle stretched may be too much for our natural painkillers to counteract, particularly when one is breathing easily and thus the body is not under the level of whole-body stress that might encourage the big endorphin dumps desired.

 

The problem is that one can’t achieve flexibility without pressing against one’s limits any more than one can make strength gains without lifting more or by employing more repetitions. If one just goes to the point at which one is no longer comfortable, you may be able to prevent losing flexibility, but you’re not going to make gains.

 

Another part of the problem is that people often go into stretching cold, and thus maximize their discomfort. Doing warm-ups and joint articulations before any kind of intense stretching is a good practice. These warm-ups should not test the fullest range of motion, but should move with sufficient quickness to get the muscles and the synovial fluid in the joints warmed up.

 

The problem with seeing stretching as painful is that it discourages it. Some individuals fail to stretch altogether, and others focus only on the major muscle groups (hamstrings and quads) and miss muscles that adduct, abduct, rotate, and generally stabilize and support the primary agonist or antagonist muscle pairing. The most common injury in the Japanese martial art that I study is a knee injury attributable in part to insufficiently flexible external rotators and abductors and the inability to keep the knee in line with the toes–thus putting too much torque on the joint and too much load on the ligaments.

 

Wrong: knee is not pointing over toes

Wrong: knee is not pointing over toes

 

Martial artists, in particular, need to avoid equating discomfort with pain. When discomfort becomes pain, pain becomes agony, and agony become intolerable. There are many factors that can determine the outcome of a combative event, including technical proficiency, physical fitness, and the ability to persevere. The last one may mean the ability to take a licking and keep on ticking as the Timex people used to say.

 

The good news is that it’s possible to rewire one’s brain to avoid equating the discomfort of stretching with pain.

Step 1: Get a yoga face. In the martial arts, we talk about having a warrior face, which is an expression that conveys one’s intensity and seriousness. For yoga and stretching one should ditch the agony face and replace it with a serene face. My personal recommendation is that you aim to emulate the faces on the Bayon at Angkor.

Yoga face as seen on the Bayon at Angkor

Yoga face as seen on the Bayon at Angkor

 

Step 2: Keep your mind on your breath, and away from the sensation of the stretch. There’s a reason yoga teachers harp on breath, it will help one reduce one’s overall tension.

 

Step 3: Stop using the word pain (in your own mind or when speaking out loud) to refer to the feeling of a stretched muscle. You may not be able to replace the word “pain” with something as euphemistic as “stretch bliss,” but try to avoid giving it a name with a negative connotation. It’s simply the sensation of a stretched muscle

 

Step 4: When you find yourself wearing an agony face and squeezing out the protective muscular tension, ease off the stretch until it’s comfortable. Then ease back into the stretch, keeping the surrounding muscles relaxed and the breath even and deep.  You can visualize expelling the tension with one’s exhalation if that helps.

 

Step 5: When you experience real pain, have no guilt about heeding it and giving that part of the body time to heal. Of course, this requires an ability to differentiate stretch sensation from true pain.

 

Now I’ll segue into a discussion of actual pain. When I was having a lot of problems with my lower back–eventually diagnosed as arthritis–I had a bizarro interaction with my healthcare provider. When I first went to the doctor, I faced this unsubtle wall of suspicion because back injuries are a common fraud device for persons addicted to painkillers. That’s because there are many forms of back injury that are hard to witness externally. However, when they x-rayed my back they could see clear indication that something was wrong. Then they were surprised when they tried to foist painkillers on me, and I wasn’t interested.

 

Here is how I look at painkillers. Imagine the “check-engine” light came on in your car, and you took the vehicle to the mechanic. The mechanic has your car for a brief time and comes back to you with a nominal bill. At first you are thrilled, and then you ask the inevitable question, “So what was the problem?” Your mechanic then says, “Oh, I have no idea, I just disconnected the light. That light won’t be giving you any more trouble.” Needless to say, you are decidedly less thrilled. You wanted the underlying problem fixed.

 

Don’t get me wrong, I’m not saying that there’s no place for pain-killing medication. If one has pain that is so severe that one cannot rest, one’s body won’t be able to heal itself properly.

 

However, if you pop painkillers to do away with bodily aches, you should reconsider. Those aches are what being alive feels like, and if they come from exercise or labor they should be welcomed and not be framed in a negative light. If they are an indication of a postural misalignment or some sort of systemic problem, you should look into fixing the underlying problem.

 

[To be fair to my aforementioned doctor, I think people aren’t conditioned to the notion that they are the key participant in their own healthcare and that fixing problems will often require hard work on their part. So a part of the problem in some places–most notably America–is that healthcare isn’t profitable unless they are pushing surgery or expensive medications. However, another part of the problem is that people just want to go to the doctor and have the expert fix them without requiring the personal effort of fixing postural deficiencies or cutting weight. I can understand why doctors are a bit fed up with suggesting people do the work only to get no response. I saw a statistic recently that only 1 in 8 people threatened with a lethal illness would make a behavioral change recommended by a doctor to reduce the threat of the ailment–e.g. stop smoking, stop drinking, cut weight, etc.]

 

 

 

 

 

Wat Po v. Chiang Mai Massage: A North / South Divide?

One of the sculptures in the Thai Yoga outcrop at Wat Po.

One of the sculptures in the Thai Yoga outcrop at Wat Po.

In September I attended the General Thai Massage and Foot Massage courses at Wat Po. The teacher from whom I first learned Thai Massage (a.k.a. Thai Yoga Bodywork or Nuad Bo Rarn) was trained in Chiang Mai by various teachers, and the style he teaches reflects that northern heritage. I was curious to see how the style of massage varied in the south from the northern approach that I had already learned. Would I be in uncharted waters? Or would the Wat Po course merely be a refresher of what I had already learned? These questions were on my mind as I began the course.

 

The answer turned out to be somewhere in between. The Wat Po approach wasn’t radically different from what I had already learned, but neither was it a carbon copy. One could clearly see the common origin of these styles. For yoga practitioners, a reasonable comparison would be to imagine you studied Bihar yoga, and then you sat in on an Ashtanga Vinyasa class. Most of the postures would be similar if not the exact same—e.g. a downward dog is a downward dog. However, the sequence is a little different, you may run into a posture or two that you hadn’t seen before, and there will be many little differences in points of emphasis and so on. The same could be said of two martial arts that have a recent common ancestor art. (However, I think martial arts evolve more rapidly than other systems of movement because there is a life and death urgency to adapt to local conditions, and so martial arts can diverge rapidly.)

 

I won’t get into every little difference in this post. For one thing, the first course I took was a 60 hour (10 day) course, and the Wat Po course was only half as long (5 day / 30 hours.) Therefore, some of the apparent differences might have more to do with the need to conform to time limitations than true stylistic differences. The Wat Po course was designed to impart a sequence that could be done in an hour-and-a-half bodywork session. The first course I took taught some material that was redundant in the belief that one could tailor one’s sequence to the recipient’s needs and / or the masseuse’s preferences.

 

As an example, at Wat Po we didn’t learn any massage of the chest or abdomen, but I was shown (in fact, I was recipient of) the Wat Po approach to abdominal massage and it was pretty much the same as I’d learned previously. In my earlier learning, the approach to energy lines was to stretch (longitudinally) the limb, then apply palm pressure, then work the line (typically with the thumbs), and then one would repeat the palm pressure and finish with a repeat of the stretch. At Wat Po, they went straight for the energy line (sen) and followed that with the palm pressure work. I have no way of knowing whether this difference was more due to timing or style.

 

Before getting into the differences, I will talk a little about similarities. The general approach was the same (e.g. the recipient is fully clothed in a light, comfortable garment(s)) and the massage is ideally given on a thin, dense mattress/pad on the floor–rather than on a table. The general principles of sequencing were the same. Namely, one began at the feet and worked in the direction of the head. Also, when working on a limb, one began at the distal end, worked toward the torso, and then back toward to the starting point. Also, energy line work was done before the stretches.  There were four positions in both styles: supine, side, seated, and prone, and—unlike many other forms of massage—the supine position was at the fore (i.e. neither style emphasized the prone position and back work over the supine in the way other varieties of massage often do.) Both styles of massage (as probably all massage) began with a brief introduction and questioning designed to make sure the individual didn’t have any contraindicated conditions. Both styles of Thai massage began with a moment of prayer or contemplation—this is similar to some styles and different from others and speaks to the traditional nature of Thai massage.

 

IMG_0031

The side and seated sequences were the most similar between the two styles.  I learned more in these sequences in the longer (Chiang Mai) course, but what was included in the Wat Po course was largely the same. Where the stretches were of the same type, they tended to be virtually identical. By that I mean to say that both styles had stretches that weren’t taught in the other style, but where that was not the case, the stretches were indistinguishable. For example, the pictured variant on sarpasana / bhujangasana [snake / cobra backbends] was done in the same manner in either style. (I learned more stretches in the first—Chiang Mai–course, because it was longer.)  Over all, the energy lines (sen) tended to be identical, but there weren’t always the same number of them, nor were the same ones always emphasized. There were some differences in the feet lines that I’ll get into below.

 

Now let’s get to the differences. Starting with some small differences, the manner of palm pressure work was different between the two systems. In the Wat Po style, there was always one fixed point that one hand locked in place while the other hand applied palm pressure. I had previously learned to use both hands in a rhythmically alternating series of palm pressure applications.

 

One little difference that I found interesting involved the technique of closing the little flap over the ears at the end of the face and head massage (both styles close off the ears.) I had been taught to very gently release pressure so as to avoid any kind of popping that might disturb the recipient. However, at Wat Po the instructor taught to vigorously pull the fingers away—resulting in a pop. My guess would be that the idea was to get the recipient’s attention so that one could transition them from the face massage (which notoriously puts people to sleep) to a wakeful state so they could follow instructions for the stretches that followed. (We were taught face massage as part of the seated sequence. Previously, I had learned that this was an option, but that it was easier to do the face massage from supine so you didn’t have to worry about the recipient falling asleep and possibly falling over literally.

 

A final little difference was how the blood stop was done for the lower extremities. At Wat Po, they did the leg blood stop with both legs straight, whereas I had previously learned this technique with an open groin, i.e. the knee pointed out. (Both ways work about the same, but I think it might be a little less awkward to do it with the groin open as one is not in as close of proximity to the recipient’s privates.) The blood stop for the arm was identical.

 

The energy lines are one of the most fundamental aspects of Thai massage, and one would expect little variation in them between styles. This proved largely, but not entirely, true. For example, the leg lines were the same (as one might expect because one cannot stray too far from some lines without getting onto bone.) Also the points at the top of the shoulder, around the neck, the base of the skull, and the scapulae were the generally the same–except more or fewer points might be employed from one style to the other.

 

The arm lines were almost the same. The line on the back of the arm was the same, and the line that goes up the middle of the inner arm was the same. However, there was a second inner line that ran in line with the little finger along the lower edge of the arm (presuming the arm is straight out from the shoulder as it is for massaging the inner arm in both styles.) The lines of the back that were used were different. In my (not very accurate) diagram, the lines 1 and 3 were emphasized in the Chiang Mai style, but 1 and 2 were the lines used in the Wat Po system.

 

Back diagram_CM

 

The greatest divergence in lines and points was in the area of the feet. The best example of this can be seen in the lines of the sole. In the Chiang Mai style I’d previously learned there were five lines that radiated from a point where the heel transitioned into the arch about midway across the foot and went toward the base of each toe. The Wat Po style had three lines that were more or less parallel in line with the big toe, middle toe, and the little toe.  See diagrams.

 

 

The Chiang Mai 5 lines of the sole.

The Chiang Mai 5 lines of the sole.

The Wat Po 3 lines of the sole.

The Wat Po 3 lines of the sole.

 

In summary, the difference between these two styles wasn’t that great. In many cases the techniques were exactly the same, in most they were marginally different, and only rarely were they completely different.  I don’t really have a preference between the two styles. I think which would be a better experience comes entirely down to the skill of the masseuse / masseur.

BOOK REVIEW: Warrior Pose by Brad Willis / Bhava Ram

Warrior Pose: How Yoga (Literally) Saved My LifeWarrior Pose: How Yoga (Literally) Saved My Life by Brad Willis

My rating: 5 of 5 stars

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It may strike one as hokey that this book has one author, but two names on the byline. But, it’s apropos of an autobiography describing the fundamental transformation of a man.

Part I is the story of Brad Willis, a journalist on the rise. Willis goes from stumbling into a reporter job at one of the smallest markets in the country to being the Asia bureau foreign correspondent for NBC (National Broadcasting Corporation, one of the largest American television networks.) There’s no mention of yoga in this part of the book. It’s the story of a driven journalist covering major world events. Willis made a name for himself reporting from Soviet occupied Afghanistan in the 80’s. He tells harrowing tales of covering the drug war in Latin America, the Desert Storm Gulf War, and human trafficking in Thailand. He was also one of the few American journalists to visit North Korea. There was nowhere he wouldn’t go for the story, and he took serious risks along the way. His highly driven nature is the one point of consistency throughout the book. Willis is not a man to do anything half-assed, be it following a story or pursuing the yogic path.

Then Willis’s world was torn asunder by health problems, and this is the subject of the second part of the autobiography. First, a fall caused a hairline fracture in one his vertebrae that became crippling when Willis refused to take time off from work or to do anything for it. He couldn’t be diverted from his on-the-go foreign correspondent’s pace. Considering the dangerous places Willis traveled, it’s ironic that he initially broke his back on vacation at a Caribbean resort while closing a window during a storm. When the deterioration of his vertebrae made work untenable, he underwent a surgery that failed and left him “permanently disabled.”

Then Willis was diagnosed with a cancer in his throat that spread from his tonsils into lymph nodes. On top of the ailments themselves, Willis’s health rapidly declined because he became dependent on painkillers and other prescribed medications, and—against advisement—he began to drink alcohol in conjunction with these meds. Not only did he become hooked on the medications and alcohol, he became dependent on a back brace, a cane, and a lethargic lifestyle that kept the body from healing itself. Yoga is only briefly mentioned in passing in this part of the autobiography.

The third part is about Willis’s transformation into the yogi Bhava Ram, and his successful battle against cancer. After an intervention that resulted in drug rehab, he was referred to a pain center at Scripps that employed alternative therapies. (As an aside, the book is in part an indictment of a healthcare system in which this Pain Center both helped many people and was completely unsustainable because insurance companies could reject claims on the basis of the treatments being unconventional—but because it was staffed by medical professionals it was too expensive for most people to afford without insurance. Willis points out that there was never a rejection of any claim for any of the expensive medications or surgery that failed to helped him, but the Pain Center that put him on the road to good health went under due to failure to pay.) The Pain Center was the key to his turn around. After progressing with physical therapy, biofeedback, and—most uninsurable of all—Jin Shin Jyutsu, Willis is introduced to Yoga.

The final part charts Willis’s pursuit of yoga both through a series of teachers as well as any books that he can get his hands on. He voraciously reads up on the subject, and begins a sadhana (personal practice) that is marked by all the drive he had earlier given to his journalism career. The practice starts out rough. His muscles have atrophied, his spine curved, and he gained a tremendous amount of weight on a steak, potato, and beer diet mixed with a sedentary lifestyle. However, over the period of a couple of years, well beyond when he had been told he would be dead, he transforms his body and his mind through an intense daily practice and an adjustment of his world view.

I’d recommend this book for anyone. It will definitely be of interest to yoga practitioners—though don’t be surprised that yoga doesn’t come into play until the final quarter of the book. It could also benefit individuals with serious health problems as a way to reconsider how they approach health and treatment. Willis points out that falling into the role of victim was one of the main killers. He inherited a bad situation through an accidental fall and a case of cancer that he believed was attributable to his experience in Iraq (i.e. related to depleted uranium shells.) However, it was only when he stopped gorging on food, alcohol, and self-pity that he made a turnaround.

Even if I wasn’t interested in yoga and alternative approaches to healing, I would’ve found this to be an intensely engaging read. Willis’s journalism career gave him a unique insight into some of the major world events of the 1980s and 90’s. Willis builds lines of tension and sustains them. One wonders what will happen to his marriage to a woman who married one man (a confident and successful foreign correspondent in Hong Kong) and found herself in a marriage with another—first a lethargic addict and then a man who sunk himself hook-line-and-sinker into to the yogic lifestyle. One wonders whether his cancer remission will hold. One wonders whether he can keep clear of the pain meds and stick to the life of a yogi. I haven’t read a book that caught me this much by surprise in some time. I hadn’t heard of this book before I bought it, and didn’t have particularly high expectations (it was on sale on Kindle or I probably never would have picked it up), but I quickly became hooked.

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Paleo-Stressing: Acute v. Chronic Stress

"What happened to the good ole days when I ate you people--not lived in your cages?"

“What happened to the good ole days when I ate you people–not lived in your cages?”

Paleolithic dieting is all the rage these days. I’m no expert on the paleo-diet, but–as I understand it–this refers to the practice of eating the foods consumed by our pre-agrarian ancestors. The idea is that if one consumes the foods that our species is evolutionarily-optimized to eating, one will be healthier.  Whether one believes in the merits of the paleo-diet or not on the whole, it’s hard to argue that one wouldn’t be better off eating less highly-processed and highly-refined foods and more things that look like food at a glance.

 

Our diet isn’t all that has changed since the days of our pre-agrarian ancestors. Modernity has brought with it an entirely new way of experiencing stress. Eliminating or reducing stress is a common topic of discussion, but not all stress is created equal. There’s a necessary form of stress, a stress that makes one better, stronger, faster, and smarter. We don’t want to willy-nilly eliminate stress; we want to reduce the wrong type of stress.

 

Our ancestors—like animals–experienced brief periods of intense stress (e.g. saber-tooth tiger attacks), followed by longer periods in which they were free of deadlines, carpools, and after-school activities. Now, no one likes to have a saber-tooth tiger stalking them. It’s unpleasant. Modern humanity has gone to great lengths to eliminate those short bursts of terror, but not without cost. (If you don’t believe me read Robert Sapolsky’s Why Zebras Don’t Get Ulcers.)

 

Whether or not you believe that eliminating acute instances of terrifying stress is bad for mankind, it’s hard to argue that modernity’s leveling process didn’t eliminate stress, but instead resulted in a chronic stress on a smaller scale. People today have impossibly long daily to-do lists, and they have to accept trade-offs between work, family, and personal development.

 

It’s true that you don’t get eaten by a giant cat when you drop the ball, but life is so packed diverse events that one may feel like one is dropping some ball constantly. If your boss thinks you’re a model employee, then your kids are probably going to need therapy. If you have a contented home life, your boss may have his or her eyes open for someone who can give the firm consistently 70+ hour work weeks. If you feel you’re doing alright on both the work and family front, your body and / or mind is probably a train wreck.

 

Chronic [mini] stress may feel better than acute [catastrophic] stress, but it takes its tolls in various ways. First, with our sympathetic nervous system (fight-or-flight reaction) constantly engaged our body’s power to heal itself is reduced. When the parasympathetic nervous system is engaged, the body devotes resources to long-term goals like getting healthier, but in stress mode activities not relevant to immediate survival shut down. This is a great system if you have periodic life and death stress, but is not so good if you’re under constant stress.

 

Second, chronic stress reduces sleep, and sleep is essential to one’s mental and physical well-being. There are a wide variety of symptoms associated with sleep deprivation such as forgetfulness, decreased concentration, decreased alertness, reduced reasoning ability, diminished problem-solving capacity, and depression—all of which can diminish our physical health through accidents, ailments, suicide attempts, and lack of energy for exercise.

 

Third, chronic stress can make one fat, with all the health issues that result. Some people use food as a coping mechanism. Other people eat too fast or choose their food poorly because of time constraints or because they are not mindful of eating as their monkey minds churn at a mile a minute. Then there is the more convoluted and complex issue of cortisol–a hormone released under stress that is linked to weight gain in at least some cases. Even if you don’t have a problem on the calorie intake side, the stressed individual may not do so well on the calorie burning side—either because of a lack of time to exercise or a lack of energy.

 

Modern humans are uniquely suited to chronic stress because we are the only species that achieves the same physiological stress response by remembering and obsessing about a stressful event as experiencing it. Abandoning the modern approach to living isn’t an option most are willing to entertain; but there are ways to combat chronic stress.

 

Move – Meditate – Mindfully Breath: The bad news is you’ve got to shoehorn these activities into your schedule daily (or at least several times a week.) The good news is that they don’t need to take up a lot of your day. There are a number of systems that address all three components in one handy package such as Qi Gong, Yoga, and some martial arts. I don’t think it matters so much which one chooses as how one goes about one’s practice.

 

Movement strengthens and strategically stresses the body, but it also increases one’s bodily awareness so that one becomes aware of how stress is manifesting itself in one’s body. Meditation teaches one how to live in the present moment, and it trains one to recognize the seeds of negative thought and emotion earlier so that one can counter-act them. Obviously, breathing is essential to life, but learning to be aware of one’s breathing patterns and to “manually override” the breath patterns associated with harmful emotional states is a beneficial skill.

 

Massage / Bodywork: Whether self-administered or other-administered (the latter allowing greater distressing–particularly if the masseuse is skilled) massage is an activity, like movement, that can help one become aware of where one is physically holding one’s stress. These physical manifestations of stress can exacerbate the whole experience of stress. One should take time periodically to have bodywork done. A day rarely goes by in which I don’t work on my own neck, shoulders, head, or face, and I occasionally get professional Thai Yoga Bodywork done.

 

The Places that Scare You: Force yourself to go someplace (not necessarily literally a “place”) that scares you once in a while. This needn’t be skydiving or hand-gliding—but it could be. It may be a martial arts class in which one has to put on the gloves occasionally and go at it. It may be joining Tostmasters and having to give a speech in front of a crowd. It may be traveling to some backwater where you don’t know the language, but you want to learn. This is a very personal issue. (i.e. A Type-A personality he-man may not find that skydiving is outside his comfort zone. If so, sorry, skydiving doesn’t count, he may need to learn ballroom dancing, or something else that truly takes him outside being comfortable.) KEY POINT: The problem with hiding from all stressors is that it doesn’t result in a stress-free life, what happens is that smaller and smaller stressors loom bigger and bigger in one’s mind. Which brings us to…

 

Perspective:  One must put life’s challenges in perspective. Each person’s problems are important to them, and I don’t want to diminish anyone’s problems, but—come on—you’re not going to be eaten by a freaking saber-tooth tiger.