BOOK REVIEW: The Harvard Medical School Guide to Tai Chi by Peter M. Wayne & Mark Fuerst

The Harvard Medical School Guide to Tai Chi: 12 Weeks to a Healthy Body, Strong Heart, and Sharp MindThe Harvard Medical School Guide to Tai Chi: 12 Weeks to a Healthy Body, Strong Heart, and Sharp Mind by Peter Wayne
My rating: 5 of 5 stars

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This book provides an overview (and a laymen-friendly literature review) of the scientific findings about tai chi, and it helps a beginner get started in his / her own practice. (Tai chi, short for tai chi chuan, is a Chinese martial art that is called an internal–or soft–style.)

The authors achieve an impressive tightrope act. And they manage to do it in a way that reads sincerely, while at the same time providing useful information for all readers. Often books on the science of Eastern health-enhancing activities (e.g. tai chi, chi gong, or yoga)–even if they are positive on the results of such activities—take digs at people’s beliefs about ideas like chi, prana, meridians, or chakra as the authors attempt to distance themselves from such beliefs. On the other hand, books that cater to the spiritually inclined—even when they are couched in scientific terms—may resort to third-hand anecdotes about the supernatural powers of some ancient master or report methodological train wrecks that support their views alongside sound studies, as long as the latter don’t present any evidence contrary to their belief system. In short, such books often talk in scientific lingo while showing a complete lack of understanding of the scientific method. In this book, Wayne manages to navigate these rocky shores because he’s both a scientist and a longtime tai chi practitioner who genuinely accepts that there may be more at work in the practice than science fully understands. Thus, he knows the importance of testable hypotheses and when a study needs to be validated by more a robust follow-up study, but he also reports on the traditional beliefs and isn’t adverse to writing about studies evaluating the benefits of spirituality (note: showing that being spiritual has benefits doesn’t mean that the benefits result from anything spiritual or supernatural.)

The book has 14 chapters divided into three parts. The first part introduces the reader to tai chi, describes the dimensions along which tai chi has been shown to offer benefits (the authors call these “the 8 active ingredients of Tai Chi,” relating them to pharmacological medicines), and explains how tai chi can be simplified for beginners (even the short form sequences take a while to be memorized—let alone building any grasp of the intricacies of said forms.) The second part consists of six chapters that report the findings of studies on the health effects of tai chi, as well as discussing the possible mechanisms of those benefits. The topics discussed in this section include: increased balance, bone density, pain mitigation, cardiovascular health, mental performance, psychological well-being, and sleep quality. The book’s last part suggests ways in which the reader can build a tai chi practice. The five chapters in this section deal with the interactive practices of tai chi (tai chi isn’t just the solo forms that you’ve seen elderly people do in the park), integrating tai chi with other health and fitness practices, the potential for practicing tai chi at work, the role of tai chi in creative practices, and tai chi as a practice of lifelong learning (this last chapter gives beginners tips about how to start a practice.) There is also an afterword about how tai chi might play a part in building improved health and well-being in the present era.

I found the book to be well-organized to achieve its objective. It’s packed with food for thought. Neophytes will find a lot of benefit in this book, but I suspect even advanced practitioners can glean insights—particularly if said advanced practitioner hasn’t been reading up on the scientific findings. Humor, quotes, and stories are used to lighten the tone and illustrate key points. There are some photos and other graphics where needed (mostly in chapter 3), but they are relatively sparse for a book on a practice like tai chi. (That’s not a complaint. I think there are far too many attempts to teach movement arts through books—an impossible task—and not enough effort put into conveying the kind of ancillary information that is transmissible in book form.)

I’d recommend this book for anyone who’s interested in knowing more about the health benefits of tai chi, and moving beyond the platitudes often heard but seldom evaluated.

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BOOK REVIEW: Why Zebras Don’t Get Ulcers by Robert Sapolsky

Why Zebras Don't Get UlcersWhy Zebras Don’t Get Ulcers by Robert M. Sapolsky
My rating: 4 of 5 stars

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Sapolsky’s book examines why stress and stress-related illnesses are rampant in humans. As the title suggests, prey on the Serengeti Plain, animals that are chased by fierce and fast predators, aren’t nearly so likely to suffer the ill effects of stress—despite living in a harsher world than most of humanity. To oversimplify, this has a lot to do with the fact that one downside of our big brains is an ability to obsess about what has happened and what might happen, and our sympathetic nervous system (i.e. the fight or flight mechanism) can be triggered even when there is no immediate threat in reality. In short, humans can uniquely worry themselves to death. Sapolsky gets into much great detail and lets the reader know what is known and what remains to be uncovered with respect to stress.

In almost 600 pages, arranged into 18 chapters, Sapolsky covers human stress in fine detail. While it’s a book written for a lay audience, it’s not a quick and easy read. The book discusses topics like the action of neurotransmitters and hormones, and, while it assumes no particular science background, it does assume a broadly educated and curious reader.

The chapters begin by looking at the stress mechanism from a physiological perspective. It then considers stress with respect to specific illnesses, the relationship between stress and various other topics in human being (e.g. sleep, pain, and memory.) The final chapter offers insight into how one can reduce one’s bad stress and one’s risk of stress-related illness. Among the most interesting topics are what personalities are particularly prone to stress-related illness and why psychological stress (as opposed to stress based in immediate real world stressors) is stressful.

Sapolsky has a sense of humor and knows how to convey information to a non-expert audience, but this isn’t the simplest book on the subject. It’s an investment of time and energy to complete reading this book, but it’s worth it if one’s interest in the subject is extensive enough. One of the strengths of the book is that it stays firmly in the realm of science. Because stress has been wrongly considered a fluff subject, many of the works on the topic—even those by individuals with MD or PhD after their names—have been new-agey or pseudo-scientific. This book stays firmly in the realm of science. Sapolsky explains what the studies have shown, and he tells the reader clearly when there is a dearth of evidence or contradictory findings.

If the reader has a deep interest in stress-related health problems, I’d highly recommend this book.

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BOOK REVIEW: Yoga Education for Children, Vol. 1 by Swami Satyananda Saraswati, et. al.

Yoga Education for ChildrenYoga Education for Children by Swami Prakashanand Saraswati
My rating: 3 of 5 stars

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This is the first of a two-volume set on teaching children yoga, and was the textbook for the Registered Children’s Yoga Teacher (RCYT) training course that I completed earlier this year. The focus is on integrating yogic teachings as part of a child’s broader education. It’s not just about how one can squeeze some postures into the life of a busy student, but about what yogic education can provide that mainstream education is lacking and how mainstream and yogic education can work together to produce healthier and more well-balanced children.

The book consists of three parts. Part I is entitled “Yoga and Education” and it considers a range of topics at the intersect of yoga and education. Here we learn why formal yogic education begins at age eight, and what the differences between children and adults are as they pertain to learning yoga—and learning in general. This section presents the specific practices that have historically been a child’s introduction into yoga (surya namaskara, nadi shoudhana [alternate nostril breathing], and a specific chant known as the Gayatri mantra.) The tone of the book is scientific, although it does vastly oversimplify some topics—e.g. the deterioration of the pineal gland—over what is being reported by scientists.

The middle section considers yoga as a therapeutic tool for emotionally troubled children, disabled children, and those with juvenile diabetes. This is the shortest part by far. It’s just three chapters, each linked to a subject mentioned in the topic sentence. The chapters are short and general. It should be noted, that the first section also addresses the issue of behavioral problems in a more general and less clinical sense.

The final part of the book, and the largest by page count, is yogic practices for children. There’s a brief section on pre-school exercises. As mentioned, children are formally introduced to yoga around age seven or eight. Younger children’s yoga training best takes the form of play. Therefore, the practices for younger children are more game-like. There’s a section on yoga for the classroom. In other words, practices that one can complete at a desk–as opposed to needing the full mat space.

The bulk of part three is taken up by asana. The postures are laid out as they are in the “Asana Pranayama Mudra Bandha” (APMB) book that is also put out by the Yoga Publications Trust of Bihar. For each posture there’s a line drawing, a description, and a list of benefits and contraindications. In some cases these posture listings look exactly the same as those in the APMB, but in many cases they are “marketed” differently. That is, a posture might be listed by its similarity of appearance to an animal or letter of the alphabet so that asana can be taught in conjunction with other topics—as well as be made more interesting for the young student. The grouping of asana is meant to assist in creating child-suitable lessons (as opposed to being grouped by type of posture–e.g. forward bends, back bends, twists, etc.)

The last part doesn’t deal only in asana, it also talks about pranayama practices suitable for children as well as other common practices like trataka (concentrating gaze) and yoga nidra (yogic sleep.) It’s important to note that not all pranayama practices are deemed suitable for children. Practices like yoga nidra have to be modified for children because they will not be able to sit still for extended periods, and so the yoga nidra practice must be abbreviated. Children may also have trouble following some of the instructions as used for adults.

I’d recommend this book for yoga teachers who are interested in teaching children. There are many unique features of teaching children that must be considered. This volume is under 300 pages, and the second volume is about the same thickness. I haven’t read volume two but it seems to take a similar approach, expanding on some items and focusing on a different set of practices. That volume also apparently reports on the findings of a couple studies on yoga in the educational environment.

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BOOK REVIEW: Embrace the Suck by Stephen Madden

Embrace the Suck: A Crossfit MemoirEmbrace the Suck: A Crossfit Memoir by Stephen Madden
My rating: 3 of 5 stars

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Embrace the Suck is one man’s account of his experience with Cross-fit and other high intensity fitness regimens, including SEALFIT 20X. While Madden comes across as a regular Joe, i.e. not one of those crazed individuals who wreck their bodies through lack of rest, failure to heed the body’s warnings, or by way of starvation diets pursued to get that perfect cut, he’s a cheerleader for Cross-fit. If one is looking for an unbiased account of the strengths and weaknesses of Cross-fit, there are probably more objective accounts of the system’s pros and cons. This book is for someone who’s trying to psych themselves up for high intensity interval training. In that regard, the book does a good job because Madden always portrays himself as a human with the unique set of strengths, weaknesses, and limitations that condition entails. He succeeds because he guts it out in the company of the people around him who are portrayed as being more fit (at least in some dimensions) and driven than he.

Still, Madden’s account does give one a taste of the ugly side of the notoriously cult-like fitness system. For example, there is the trainer who refers to orange juice as poison–because it’s a high glycemic index carbohydrate. Even more disturbing is the wife who chastises him upon seeing a photo of him smiling as he crossed the finish line in a marathon–because it showed he hadn’t pushed hard enough. [Come on, it’s not as if, even if he’d died upon crossing the finish line from exhausting all bodily resources, that some Kenyan wouldn’t have been hours ahead of him.] Madden does include a chapter about pain and injuries, but it just suggests one should know what is run-of-the-mill fatigue and what is an actual injury. He mentions an example of a shoulder injury from his own body that he “should probably get checked out.” Furthermore, the final chapter seems to be a cautionary tale about packing too much training into too few days.

The book lays out the Cross-fit approach to exercise, and explains why it is so successful without getting deeply into the research. For those unfamiliar with high intensity interval training (HIIT), the general principle is that one constantly varies one’s workout, and that said workouts are done at maximum intensity with short and regimented rest breaks (though the core workout—i.e. the so-called WOD, workout of the day, is often quite short, i.e. 15 -20 minutes.) The track record for increasing fitness for this approach is good. Studies have indicated that one can get about the same level of cardiovascular benefit as one does from traditional cardiovascular exercise while building muscle (endurance activities like running pursued in isolation tend to result in muscle wastage) and reducing risk of repetitive stress injuries (because one is always changing one’s workout / movement.)

It sounds like there’s no down-side. The workouts are short (granted you may puke, but you’re out the door in an hour or less.) The benefits are high, and it doesn’t seem to be deficient in cardio—the one area in which one might think it would be. The jury is still out on the injury risk. Cross-fit puts out guidelines (which Madden explains) on how frequently one should take a rest day and on the need for perfect form. Those who follow the guidelines may not have any higher risk than other exercisers (the science remains insufficient.) However, the problem may be that it’s hard to maintain the aforementioned perfect form when a trainer is shouting, “faster, faster, faster” in one’s face. Furthermore, moderation and following rest suggestions has apparently not proven the strong suit for many Cross-fitters, some of whom come down with rhabdomyolysis (a deterioration of skeletal muscle from over-exertion / insufficient rest.)

Diet is, of course, an essential topic for any book on fitness, and Madden touches on the two diets that are popular with Cross-fitters. One of the diets, The Zone, is quickly dismissed as being of little use to him because it requires weighing out one’s food portions, and that level of anal retentiveness is beyond his capabilities. The other diet popular in Cross-fit is the one that Madden practices and addresses in the chapter on diet. It’s the so-called Paleo diet—in which one is supposed to eat like one’s pre-agrarian ancestors–except if it involves a high glycemic index food that our ancestors ate, in which case, no. Madden stresses the 80% rule that other Cross-fitter put him on to. That is, follow the diet in a strict way 80% of the time, but allow for a cheat here and there of no more than 20%. Madden’s approach to diet, like his workout drive, seems more moderate and approachable than that of other individuals one sees in the book.

The most fascinating chapter was his description of completing the SEALFIT 20X challenge. This is a one [long] day program in which one trains like a Navy SEAL. It’s part of a fitness and mental toughness conglomeration headed by former-SEAL Mark Divine. This training is a bit different from the Cross-fit workouts in that endurance is a major challenge, and the mind is challenged as much as the body. I don’t just mean that will is important, but the SEALFIT program tests one’s ability to use one’s brain under the pressure of intense physical training.

I’d recommend this book for those interested in learning about the Cross-fit and SEALFIT 20X experience. If one is trying to get an unvarnished view of Cross-fit, you may want to start with another book before getting to this one. It’s readable and thought-provoking.

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DAILY PHOTO: Fitness Trail

Taken September 20, 2015 in Jatujak Park

Taken September 20, 2015 in Jatujak Park

 

Thailand has some of the best parks in the world. They make the pursuit of fitness easy whether you’re an athlete or an elderly grandma.

IMG_3063 IMG_3079

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BOOK REVIEW: You Are Your Own Gym by Mark Lauren

You Are Your Own Gym: The bible of bodyweight exercisesYou Are Your Own Gym: The bible of bodyweight exercises by Mark Lauren
My rating: 4 of 5 stars

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As the title suggests, this is a guide to bodyweight exercises, and—specifically—periodized callisthenic training without equipment. Periodization is an approach in which the volume and intensity of workouts is in constant flux, as opposed to the regular approach that used to be the norm. It’s with regard to coping with a lack of fixed equipment that this book really seeks to separate itself from the many high-intensity interval training (HIIT) books in bookstores today. Obviously, calisthenics require much less equipment than weight training. However, without at least a pull-up bar and dip bars, it’s hard to get a well-rounded bodyweight workout. You Are Your Own Gym shows the exercises done with makeshift apparatus where necessary. Some of the suggested substitutes look safer than others, and a few of them (e.g. door pull-ups) work muscles a little differently than the basic. However, the examples get one into the habit of considering how one can use one’s environment creatively to get a good workout. [I would recommend exercising caution and safety when using the demonstrated improvised methods.] Even if one has access to equipment in day-to-day life, frequent travelers often have trouble getting a good workout in on the road. This book can be helpful in assisting one in avoiding the dead spots in one’s training regimen due to inability to get to a fitness facility.

The author, Mark Lauren, is a former Combat Controller and Special Operations fitness instructor. For readers who aren’t familiar with the US Air Force, Combat Control is one of two special operations career fields in the Air Force (excepting pilots and crew who fly special operators around.) Combat Controllers usually serve with Army Special Forces, facilitating the provision of air support in the midst of combat operations. Lauren certainly has the bona fides to write intelligently on the subject.

The book consists of 12 chapters, but it’s the penultimate and final chapters that present the meat of the work. Chapter 11 presents a thorough collection of bodyweight exercises organized by the area of the body worked. In most cases, the exercise descriptions include a photo, as well as modifications to provide a more or less strenuous version of the exercise. The latter feature makes Lauren’s program nicely scalable. The reader can optimize exercises to his or her needs.

The last chapter lays out the program. Because varying the characteristics of the workout is the key to the periodization approach, varied workout structures are discussed. These include well-known approaches such as interval sets, super sets, and tabatas, as well as less familiar approaches such as stappers (cycling through a fixed number of repetitions of a few exercises for a set amount of time without rest periods—but with a low enough number of reps to avoid failure) and ladders (i.e. long sets in which one does on rep, rests for one, does two reps, rests for two, etc. up to just before the point of failure, and then working back down to one rep in a symmetric manner.) While one can certainly make up one’s own workout with the knowledge gained to this point in the book, there are 10-week sample programs at four different levels (starting with beginners and working toward advanced practitioners of calisthenics.) If you’re not sure which level is right for you, the author provides a set of exercises that one should be able to carry out as a minimum to begin work at a given level.

The first ten chapters deal with a range of subjects including: diet, strength training myths, motivation, intensity, and the nature of bodyweight exercise. These short chapters lay out basic concepts helpful to engage in the program. There are three appendices that discuss equipment issues, a summary of guiding principles, and a discussion of the science of the program. The latter is beneficial, given some claims by the author that old school fitness buffs might find hard to accept–such as the lack of need for high volume endurance activities for cardio (i.e. one doesn’t need go for a run to get cardio benefits.)

I found this book to be beneficial. I like the fact that Lauren addresses the science of the approach rather than just throwing his approach out there with all the fad workouts. I found the advice to be sound, and have become more creative when considering how I can get a good workout on the road as a result of reading the book. As I write this, I’m in the 10th (and final) week of one of the sample workout sequences. I believe I’ve gotten good strength workouts from the program. I enjoy the scalability of the program, and have taken advantage of both easier and harder variants of the exercises.

I’d recommend this book if you’re looking for a bodyweight exercise program—particularly if you travel a lot, don’t have access to fitness facilities, or just like to workout at home.

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7 Stress Fighting Tips with Relevant Monty Python Song Interludes and Book Recommendations

In writing this post, I realized that Monty Python provides the I-Ching of life wisdom. If they don’t say it, it may not need being said. So I’ve let them expound upon my points wherever possible.


1.) Always  Usually look on the bright side: Our brains are programmed to constantly be on the look for potential problems and ruminate over solutions. This isn’t without its advantages. However, as your brain takes flight with this problem anticipation mode, it can begin to taint how one sees the world.

My high school psychology teacher told us a story of what he called the “gestalt of expectations.” The story goes like this: One is driving across southwestern America and there’s a gas station coming up, but one still has half a tank. Being from the East, one doesn’t realize how rare service stations can be in the desert, so one passes it by. Of course one runs out of gas (it wouldn’t be much of a story otherwise.) As one is walking back toward the service station, one begins to obsess over how the service station attendant is going to screw one over. After all, the unknown individual knows one is in a desperate situation. The more one walks under a burning sun, the more one inflates the gas station attendant’s ill-intentions, and one suitably escalates one’s mentally rehearsed response. Finally, disheveled and weary, one reaches the service station. A concerned-looking attendant bursts out of the station to meet one, saying, “Geez, you look beat, what can I do for you?” And that’s when one punches him right in the nose.

BuddhaBrainThe good news is that one can gradually train one’s brain to take a more positive perspective. A neuroscientist, Rick Hanson, has written a few books on how one can go about this cognitive rewiring. Buddha’s Brain is probably the most well-known of these books. The book lays out the science behind the brain and negative thinking in particular, and then goes on to present suggestions as to how one can change this cycle and yield the benefits of a more positive outlook. While the title of this book makes it seems like a religious tract, it’s really secular and scientific. If you’re still concerned, you might check out the more secularly titled Hardwiring Happiness.


2.) Make rest part of the process–and an essential one at that: Duh?  Yeah, it sounds self-evident, but  too many people think of rest as the slacking off that one does between doing “useful stuff.” What isn’t valued is given short shrift. Don’t think of rest as a necessary evil. Equating rest with goofing off results in two problems. First, the obvious one, people don’t get as much rest as they should. Second, while one thinks he or she is resting, one may be under chronic stress (the bad kind) as one’s minds churns over what they should be doing and the adverse impacts of not doing it. Just as one should have rests built into one’s workout for maximal effect, one should have rest times built into the day, week, and year.


3.) Find your bliss, and just do “it”: You probably think that by “it” I’m referring to sex. Actually, sex isn’t a bad “it,”  as its go, but it’s not the only it. Exercise, work the heavy bag, do a vinyasa (yoga flow sequence), go to work solving the problem at hand, or practice your Silly Walk. This also sounds like a “duh!” kind of statement, but far too many people wallow when they feel overwhelmed. What do they wallow in? Negative feelings. They worry that they can’t possibly hit the deadline or find the perfect solution. They worry that they’ll let someone down. They get angry at other people, the world, or a god or gods for putting them in their present predicament. They bristle at the unfairness of the universe. All of this snowballs into a stress monster–to mix my metaphors up nicely. If one can’t meditate or keep one’s mind on one’s breath, one may find relaxation in exhaustion. It’s all about inertia. It’s hard to get moving when one thinks one’s world has gone to shit, but that movement will make one feel much better–even if it doesn’t seem it can solve the problem at hand. One might need to change one’s life’s course altogether and become a lumberjack.


4.) Don’t create false monsters:  Remember what Michel de Montaigne said, “My life has been full of terrible misfortunes most of which never happened.” As this is really just expanding on a point in item #1, instead of elaborating, I will offer you this Monty Python skit to consider.


5.) Exhale: Each exhalation trips the “rest & digest” circuit (i.e. the Parasympathetic Nervous System [PNS])  just a little. Granted, this subtle relaxation effect is easily overwhelmed by the countervailing forces of stressors and even the antagonistic effect of inhalation with its–also minute–fight or flight mode (of the Sympathetic Nervous System [SNS.]) Still, if you don’t know what to do, controlling your breath while elongating each exhalation is a good start. This will help in two regards. First, it helps the PNS gain a little ground. Second, it’ll break your conscious mind’s obsession with the problem (or potential problem) at hand. One’s mind will wander and one will lose track of the breath, but the more one practices quietly returning one’s attention to the breath the better off one will be. Becoming frustrated with these diversions only strengthens the stress monster–so don’t do it.

Relaxation ResponseThe bible of the rest and digest mode is Herbert Benson’s Relaxation ResponseThis book was first written over a quarter of a century ago, but it remains readily available. It’s telling that Walter B. Cannon’s work on “fight or flight” mode predates Benson’s work by such a long time. In other words, the medical and scientific community were researching the body under stress for decades before it ever occurred to anyone to think in terms of rest mode as a state that could be studied and advanced–as opposed to just being the normal state of affairs. This should give one an insight into how the human mind goes about considering problems.


6.) Recognize that stress is like cholesterol–there’s a good kind as well as the bad: Acute stress can serve one well during instances of danger. We have this response for good reason. The problem is chronic stress. When one’s body is in a stressed state, it’s not taking care of general maintenance tasks like healing itself. That’s fine in a short term, but problems compound over time. Chronic stress brings a high likelihood of illness because the body isn’t dealing with its run of the mill chores as it should be.

ZebrasUlcers_SapolskyThere are a number of books that expand upon this issue and which offer advice for keeping one’s stress of a healthy type. Robert Sapolsky’s Why Zebras Don’t Get Ulcers is among the best. It’s a long book and goes into great detail, but Sapolsky’s sense of humor helps to continue reading when the scientific minutiae might seem overwhelming. Another book on this topic that I found to be quite informative was Lissa Rankin’s Mind Over Medicine.  Rankin is a medical doctor, and so she offers a little different perspective from that of Sapolsky. (The latter is a biologist / neurologist.)


7.) Realize that you are a speck in a vast universe and, so, how big or long-lasting can your problem be?: Yeah, it’s a double-edged sword because it’s–in a way–a demoralizing thought as well as a comforting one. Therefore, one should first watch this bit of Monty Python wisdom:


But then one can keep things in perspective through the realization that one is not yet dead.

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.

 

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-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.

 

The Science of Inversions: or, Why and How to Get Off the Wall

IMG_0835Inversions are a class of postures (asana) in which part or all of the body / limbs are raised above the head. The classic inversions are: headstand [shirshasana], shoulder-stand [sarvangasana], plow pose [halasana], forearm-stand [pinchamayurasana], and handstand [adho mukha vrksasana], but there are many more–some of which are easier and others of which are more challenging than these basics. Other than a few partial inversions (e.g. down-dog [adho mukha svanasana] and leg-up-the-wall pose), inversions tend to be daunting for beginners (and even intermediate students) at a mental as well as a physical level.

In this post I’ll focus on headstands. Most students seem to achieve shoulder-stands and plow pose relatively easily because it feels more stable. I’ll note that those two asana require as much or more care and caution as any inversion given the flexed state of the neck. On the other hand, by the time one is perfecting one’s handstand, one will likely be over the issues that I’m addressing in this post. I’ll save those poses for a later post with a different thrust.

Let’s first consider the effect inversions are supposed to have (and then the effect they tend to have in reality.)

What inversions are supposed to do:  The story is supposed to go like this: 1.) The body inverts. 2.) Our body’s sensors recognize that the blood flow to the brain is far beyond its needs.  3.) The body quiets our vital signs.

What inversions (too often) actually do: It may surprise some readers that inversions are supposed to have a calming effect because the chain of events is often as follows: 1.) The body inverts. 2.) The amygdala fires, triggering the physiological responses associated with fear. 3.) One’s conscious mind imagines the pain and suffering of falling. 4.) The amygdala fires some more. One is in “fight or flight” mode, and the flight the body wants to make is to a right-side-up position.

While I’ve had to work hard to improve my inversions, I had a much easier time with this issue than many. Before you dismiss me as a narcissist, let me state unequivocally that I have no special gift for inversions . I’m not claiming to be a yoga prodigy by any stretch. Why was it easier for me? I’ve practiced a martial art for many years that required training in breakfalls (ukemi.) Therefore, I had no particular fear of falling over onto my back, because my body is trained to tuck and roll. [My only fear when I first started doing headstands in studio sessions was that someone, e.g. the teacher, would walk into my blind spot. Note to all: don’t walk behind someone’s back when they’re inverted unless you’re sure you’re out of the “timber” zone.]

Why are breakfalls so beneficial to the development of one’s inversions?  Because it allows one to get off the wall. A lot of practitioners get addicted to the wall. “Addicted” may sound like a harsh term, but like addicts they think they can quit anytime and that they will quit at some undesignated point in the future–sometimes they do, but often they don’t. Reliance on the wall is reinforced by the fact that one may find one can only spend a couple anxiety-filled seconds inverted without the wall, but one can spend minutes comfortably against the wall. There’s a reason for this great disparity, and understanding this reason is crucial for knowing why doing 2 or 3 seconds unsupported (at first) is better for one’s long-term development than staying for three minutes leaning on the wall.

Here’s the deal. When you invert, your body needs to make subtle corrections to keep you on balance–at least until you reach the level of yoga genius. If you stand up with your feet together, your eyes closed, and you pay attention to your feet and legs, you’ll see that this is true when you’re upright as well. It’s just that your body is used to being upright. It knows how to make all these micro-corrections without conscious thought. The good news is that one’s nervous system rapidly learns to do the same thing when one is upside-down. When I say “rapidly” I’m not talking about the first, second, or even the twelfth time you try to do an inversion. [Trust me, despite what your mother may have told you about her darling genius, you didn’t achieve stability upright on your first few tries either.] The first several times, you’ll fall down almost immediately. However, if you keep trying, your body will learn and you’ll achieve progressively longer inverted stays. You can’t make these corrections at the speed of conscious thought. But the beauty part is that your body will learn to achieve stability solely through practice without any intellectual activity whatsoever.

Why doesn’t your body learn this when you use the wall? The cornerstone biological principle for those interested in fitness, movement, and sports is: Your brain and body are lazy; they will not develop any capability that you don’t force them to by challenging activity. Your muscles don’t get bigger without overloading them and causing little micro-tears in them that they must heal up better than before. Your bones don’t get more dense unless you put more load on them (see: Wolff’s Law.) And your nervous system will not wire itself to keep you upright in an inversion if you’re propped up against a wall. You can invert against a wall for a thousand years and not get the same benefits as from an hour of struggling to get off the wall. This principle is reflected in nature from Darwinian evolution onward.  Gazelles don’t learn to run 500 miles an hour. Once it can accelerate (on average) fast enough to survive the cheetahs that prey on it, it passes on genetic material and the evolutionary pressure is off. Gazelles don’t keep getting increasingly faster than their predators for shits and giggles.

Incidentally, this is also why you should keep challenging yourself, and not rest with getting the basic form. There’s always somewhere new to take it. For example, one can look at moving between splits like so:



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Alternatively, one can work on a different form of the pose, such as the tripod headstand. Transitioning from crow pose [kakasana] to tripod headstand is a good way to start to learn the bodily control that will serve one well in intermediate and advanced practice.



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Yet another option is to practice a controlled descent. The inverted “L” is quite a challenge. Not as one might think because it requires tremendous core strength, but because it requires gradually leaning into the direction of falling backwards in order to counterbalance the weight of your legs.




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A few notes on headstand breakfalls:

– Make sure you have room in all directions to fall without crashing into anything or anyone. While it would be nice to always fall back onto one’s feet, it’s neither realistic nor beneficial to your development. Why not? If you’re always distributing your weight to fall onto your feet, you will be keeping muscles tense and will have trouble finding a relaxed state of balance. Furthermore, there is a tendency toward panicked motion if one starts to lose balance in the wrong direction, and speed is your enemy in inversions.  (One wants to do everything from entering the inversion to falling in as slow and controlled a manner as one can possibly manage.) If you get your feet up high enough to be on balance, you need to accept the fact that you’re as likely to roll onto your back as on to your feet.

– If one is doing the basic forearm-supported headstand, don’t tightly interlock one’s fingers. “Tightly” is the key word here. It’s alright to interlock your fingers, but one doesn’t want to create ridged hands such that one’s neck rolls over a 3 to 4 inch (7 to 10 cm) ledge if one falls backwards.  One wants the hands to collapse.

– Tuck and roll. Don’t reach back with your foot / feet and try to arrest your fall. If you have enough strength, flexibility, and timing to make that work you probably don’t need my advice and haven’t read this far. (i.e. you have advanced gymnastic skill.) If you’re the more typical yoga practitioner, you’re more likely to injure your back, toes, feet, or some combination thereof by arching into a back-bend to arrest your fall.

– Counter-intuitively, you probably don’t want to put anything behind you to soften your fall. You don’t want your spine rolling over surfaces that are at different levels–even if one them is relatively soft. It’s usually best to roll over a level surface, even if that surface may be a bit hard. Furthermore, if you think you’re going to save yourself by working entirely on a softer surface, you’ll probably find yourself falling more often and for a longer period. Softer surfaces are harder to maintain balance on. That’s why one of the primary ways that we make an exercise more challenging is to do it on a softer (more rolly) surface.

– Don’t let your neck crumple. On a related aside, never look around while you’re in a headstand. If you need to see something, e.g. the teacher’s demonstration, come out of the headstand.

– However you come out of an inversion, don’t neglect the counter-pose. For the headstand, child’s pose is a common counter posture, and you should spend some time there upon exiting the pose.

– It’s best to begin one’s practice of inversions under the supervision of a qualified teacher. As one develops confidence and one’s body begins to learn how to maintain stability, one can make these postures an increasing part of one’s practice.

It’s hard to get get a good sequence of pics to show how to breakfall–given my limited photography skills, that is. But here’s my attempt.

So it begins with crumpling balance

So it begins with crumpling balance

Get those fingers open so your neck doesn't flow over an interlocked fist

Get those fingers open so your neck doesn’t flow over an interlocked fist

Tuck and roll

Tuck and roll

Don't arrest your roll.  Let momentum carry you forward. Gradually dissipate the energy.

Don’t arrest your roll. Let momentum carry you forward. Gradually dissipate the energy.

Happy inverting.

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.