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Eva Norlyk Smith, Ph.D.

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Practicing Safe Yoga -- 5 Tips to Avoid Injuries

Posted: 01/11/2012 7:08 am

Can yoga wreck your body? A recent article in the New York Times argues that it can, quoting the increase of yoga-related injuries in recent years as the number of yoga practitioners has soared.

Indeed, the number of yoga injuries treated in emergency rooms or doctors' offices rose to 5,500 in 2007, according to the Consumer Products Safety Commission. The same year, the number of yoga practitioners reached an estimated 15.8 million. That pegs the number of injuries at 0.035 percent, or about 3.5 out of every 10,000 practitioners.

Can weight training wreck your body? Between 1990 to 2007, an estimated 970,000 weight training-related injuries were treated in U.S. hospital emergency rooms, according to the American Journal of Sports Medicine. That's an average of 57,000 injuries per year among an estimated 37 to 45 million practitioners, or roughly 0.12 to 0.15 percent, about 1.2 to 1.5 out of every 1,000 practitioners.

Can golfing wreck your body? In 2007, an estimated 103,000 of the nation's estimated 26.2 million golf players visited the emergency room for golfing-related injuries, according to data from the Consumer Products Safety Commission. That's 0.39 percent, or 3.9 out of every 1,000 golf players incurring an injury.

Any type of physical activity aiming to increase fitness carries with it a certain degree of risk. Pegged next to the injury rate of common physical activities like weight training and golf, however, yoga comes across as far safer than even a relatively innocuous activity like golf (ignoring for the moment that yoga is not just about fitness).

Exercise improves health by challenging the body, triggering changes that make the body stronger: increased muscle mass, stronger bones, greater flexibility, coordination and range of motion -- depending on what is targeted. That is the core of what makes exercise work, but that is also what makes any type of exercise program carry some degree of risk.

As the above statistics indicate, however, making claims about the injury risks of yoga without backing them up by the relative percentage risk is at best poor reporting, at worst could discourage someone from trying yoga who might otherwise benefit from the practice.

Yoga has more than 50 well-documented health benefits according to Dr. Tim McCall, author of Yoga as Medicine. Numerous studies on yoga as therapy demonstrate that yoga offers not just effective stress management, but also is a useful complement in the treatment of diabetes, cancer, MS, heart disease, back pain and many more conditions. Physicians, for example Dr. Loren Fishman, have effectively used yoga in the treatment of numerous debilitating musculoskeletal issues, including rotator cuff tears, back pain, sciatica and much more.

That being said, any type of physical activity that challenges the body should be practiced with awareness and caution. To help you develop the safest possible yoga practice, follow these five tips:

1. Adopt a beginner's mind. You wouldn't go into an advanced ballet or kickboxing class without working your way up through the basics first. Yoga may look comparatively more simple, but it's not. Start with a series of yoga classes targeting beginners, which introduces you to the basics in a systematic way. Not all studios offer intro courses for beginners, so look around. Make sure you build a solid foundation of knowledge of alignment before you try your hand at more challenging classes like a rigorous Vinyasa flow class or a hot yoga class.

2. Learn to listen to your body. In any yoga class, your body, not the teacher, is the real guide to what is best for you. Listening to your body and honoring its signals is key to a safe practice. If something doesn't feel right, ease out of the pose. If something feels like a strain, you're pushing too hard. If your body feels like it needs a break, relax back in child's pose.

3. Do your own pose, not your neighbor's. For most of us, the mind tends to overrule the body. So if the person next to you gets her face all the way down to her shins in Paschimottasana (seated forward bend), by golly, you're gonna get there too, no matter how much your hamstrings howl. However, yoga at its essence is about getting in tune with your body. The only right way to practice a pose is to practice it in the way that honors where your body is at, and not trying to force yourself into your neighbor's pose.

4. Look for your intelligent edge. Look for the sweet spot in every pose. That is where you are challenging the body and yourself, but still staying completely within your comfort zone. Your intelligent edge is that place in the posture where you are feeling a soothing stretch and your muscles are working, but there is no pain, strain or fatigue.

5. Pick the right teacher and approach. When it comes to practicing and teaching yoga, it's not a one size fits all. Yoga teachers vary in approach, style, experience and training. If you're young and fit, you will be able to handle a wide range of yoga styles and classes. On the other hand, if you're a 50+ year old male with super tight hamstrings just starting out, it may be better to start with individual yoga sessions with an experienced teacher. The same thing applies if you have any injuries or physical limitations you're working with. Let your teacher know before the class, and don't be shy to ask if the class will still be suitable for you. If the teacher isn't able to offer specific feedback related to your condition, that's a good indication the teacher might not a good fit for you.

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Can yoga wreck your body? A recent article in the New York Times argues that it can, quoting the increase of yoga-related injuries in recent years as the number of yoga practitioners has soared. Ind...
Can yoga wreck your body? A recent article in the New York Times argues that it can, quoting the increase of yoga-related injuries in recent years as the number of yoga practitioners has soared. Ind...
 
 
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03:39 PM on 01/30/2012
Could not agree more or have said it any better myself. Thank you Dr. Norlyk Smith!
09:06 PM on 01/16/2012
Unfortunately, just doing the 5 tips to avoid injuries only scratches the surface to a sound pain and injury prevention protocol. 1. How can a person really know his own alignment without getting a proper screening by the right doctor? 2. How can a person discern between a good pain and a bad pain? 3. How does a person really know what poses are best for his/her particular body? 4. How can a person really know WITH CONFIDENCE their sweet spot? 5. With everyone claiming to be an expert how can the average beginner really know what to look for in a teacher? The answers to these questions and much much more are answered in www.xposedbook.com. I have been practicing 20 years and have had many experienced yogis come into my office injured following your 5 recommendations....it is simply not enough. I am glad the recent NY times article has stirred the pot so to speak to hopefully create much needed awareness on this topic. Keep in mind I am very pro yoga and only want to help reduce risks and boost benefits for the yogi. Be well and thank you for allowing me to comment.
10:36 AM on 01/16/2012
Great article and response. Yoga is a personal journey. Everyone is somewhere along a path. Focusing on what your body is doing and feeling is the most important thing you can do in a room full of people. Do what you can do and growth will happen over time.
07:02 PM on 01/14/2012
Delighted to read this intelligent and well researched article refuting the preposterous claims made in that silly New York Times article - which, I have to admit, I read as a spoof. As one who has been teaching and practising Yoga for more than twenty five years, I have been astounded at the level of 'interest' this article has generated. You never know, it might turn out to a good thing - sometimes the most negative publicity turns out to be the most potent.
04:37 PM on 01/14/2012
As a yoga teacher I can't tell you how many people have asked me about that NY Times article this week. Thank you for this smart and well researched response to it! I'll be sharing your article with my friends and students!
12:42 PM on 01/13/2012
Thanks for writing this article, I thought the article in the NYT last weekend was sensationalist reporting, written about extreme cases.
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DavidMG
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02:16 PM on 01/14/2012
I agree. Only Americans could make Yoga competitive. Yoga is one of the most beautiful fitness techniques ever developed and the beauty thing is that you only compete with yourself and you don't need heat, belts & blocks or aerobic speed. You especially don't need competitions - because every one is a winner.
Nancy Alder
yoga teacher, writer and mom to elves
08:12 PM on 01/12/2012
To keep oneself safe in yoga we need to remember that we are our own best advocates, no matter how much we trust the teacher, the practice or the asana. Yoga is a whole self practice and therefore denying ourselves by engaging in an approach that is harmful is actually doing the opposite of what yoga really is in my mind. I came up with a list of 8 ways students can actively practice self-advocacy in a yoga class http://t.co/YhTd7iAP. I think it is complimentary to what you have posted here. thanks!
06:00 PM on 01/12/2012
Excellent response to that NYT article
11:45 AM on 01/12/2012
Thank you for this article. I am a fitness professional who recently began a yoga program. I love it, and it does so much good for my body.I have been weight training and running for over 20 years.
Ironically, my dad sent me the NY Times article and said he was worried about my doing harm with power yoga. I assured him it is safe, especially given the other activities I participate in.
11:39 AM on 01/12/2012
Yoga asanas are physical exercises, and yes you can get hurt doing them. The yoga community shouldn't be overly defensive about this point. One can easily come up with reasons why safety is an issue when doing yoga asanas. Here are my Top 7 reasons:

http://virtualsatsang.wordpress.com/2012/01/10/7-reasons-why-safety-is-an-issue-within-yoga/
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07:08 AM on 01/12/2012
I would only add: Leave your EGO at the door the same way you leave your shoes....and that includes the teacher!!

@tweetasana - yoga, short and 'tweet'!
06:40 AM on 01/12/2012
If you read the NYTimes article quickly then you may form the opinion that no one, or very few people, can safely practice yoga. I disagree with this conclusion. I do agree with the final quote in the article with one word added in all caps: "‘[Yoga] is not a panacea or a cure-all. In fact, if you do it with ego or obsession, you’ll LIKELY end up causing problems.’

I have studied yoga for 22 years and have been a yoga teacher since 1994. I am certified as a Professional Level Kripalu Yoga teacher. What I find most misleading about the NYTimes article is that it does not examine whether different types of yoga might be more likely to cause injury than others. Kripalu yoga emphasizes body awareness and safety and is about listening to your own body, going at your own pace, and using the physical yoga as a form of meditation.

Of course, you can get injured in a Kripalu class just as you can get injured doing any activity. However, Kripalu yoga does not include headstands and handstands and other risky postures. Kripalu yoga is not about learning to stand on your head. It is about learning to stand on your own two feet.
05:47 PM on 01/11/2012
This is such a helpful perspective on yoga injuries. While yoga includes an element of exercise, it is really a practice of self-awareness. Most injuries occur in an environment that is lacking this reflection; your 5 tips bring the practitioner back to what's important in a yoga practice.
04:01 PM on 01/11/2012
great article! thank you! as a daily yoga practitioner, i was really concerned after reading the same NYT article.....then i started to really think about the numbers and reached the same conclusion as you....that the author had a crappy cognitive grasp both of statistics and of causal relationships....so thanks again for writing and addressing!!! :)
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chiodo08
...why do republicans HATE America?...
12:43 PM on 01/11/2012
EGO is your biggest nemesis in this practice. I agree and have written on all of the above. It goes without saying. But knowing your limitations and respecting them should be at the forefront of your practice. Stay within yourself and LOSE your peripheral vision.
07:09 PM on 01/11/2012
This is true for any physical activity. The NYT article is just a small account, yes people can get hurt. I bet more people slip and fall on ice in NYC, this article was just picking on yoga he got some folks attention.
05:21 AM on 01/13/2012
Actualy its both, stay with youself and with the way you meet the world, most of us need some reality checking at some time and our relationship to 'other' is a good way to do this. Peripheral vision is a wonderful asset and most of the information goes sub-cortical to parts of the brain that are pre-language and therefore also pre-judgement. Its what we then do with the information and how we interpret our experience that makes the difference. If you are a teacher its a useful learning tool to observe this process. We take everything with us onto the mat, that is not a bad thing and is an opportunity to adress some of these blindspots. For sure some people need to spend some time with themselves, at the same time its a natural process to at some point reference both outside and in, to not spend too much time exclusively with either. In one sense there is no difference.
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chiodo08
...why do republicans HATE America?...
09:35 AM on 01/13/2012
I speak of when you practice in a studio...I agree, peripheral vision is our reach. I am talking about when you're in the studio and worried more about the people around you than staying within yourself and connecting your breath,

Nice take...very well thought out and articulated