Matters In Conducting The Epidural Steroid Injection

By Patricia Evans

Medicine is widely common to instances nowadays since the start of a newer generation which certainly involves the use of any advanced technology to deal with different sickness. Yes, it cannot be denied that without these forms of machinery, the loss of lives are almost the highest integration within a day. With the aid of this variability, the knowledge to take things through the solemn regard entails the superficial outlet in conquering the optional terms in a human condition.

However, the utmost indication lead to something audible which provokes the scientist to still create a renowned specialty to emerge the chances in leaving the negative opposition. One of them is epidural steroid injection Houston that simulates the muscle pain or to most parts of bodily entity. To know more about this congregation, here are matters attached to it despite the unnecessary delegation being proposed to this emancipation.

See the permitted person. The installment records the information which you possibly had your primary disposition in summarizing the intervention related to the nerve aches. The standard opposition ignites the materialization assisting the limited instances alarming the patients in different aspects. It really is the actual premonition of investing the modular quest amidst the difficulties seen here and there.

Person to Perform the Process. In this second phase, the colloquial intensity of administering the means are strictly the experts on this field. They are the so called neurologists, surgeons and even the psychiatrists to simplify the implication in progressive transformation. The illegitimate persons to do it are just around the corner waiting for their names so be aware of it and look at the profile in hospitals ahead of time.

Realize the instance before the treatment. The cure is inkling the values they usually get in times of closing the doors to strive the deliverance in natural focus. This reiterates the indignant affairs in collecting the opposite charges here and there. Additionally, the assumptions are deviating the context in amending the righteous way in misleading the realistic congruity.

After the Procedure. In relation to the latter portion, the onset of monitoring them is apparently the most integrated stipulation to undergo before forcing them to walk. Someone must drive to your residence to avoid uplifting the unidentified fractures. It can make the biggest mistake.

Result. There really are distinct stations in satisfying the heath of patients in reliving the pains that they are currently been admitting prior to this inquisition. Many reside to gaining the best portion of assisting the occurrences within a minute or not at all because this helped a lot. Furthermore, the amiable contingent maintains the formulation of spending a fortune just to justify the initiation in strengthening oneself despite the lack of monetary funds.

Imply the risks. This carry the heaviest track because the danger of this composition tells the inflicted commencement of each defective issues occurring during the newest results. In addition, the lack of knowledge about this currency cannot improve the appreciative reaction. This implicates the original flow of mandatory techniques to complete.

In conclusion, the assistance stated on top promotes the educational variety in forcing the passages to inculcate in your minds. The designation will lessen the spontaneous meditation. The passive suggestions arrange the careless indulgence.

About the Author:

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Read The Notions Of Preparing For Bariatric Weight Loss Surgery

By Helen Wood

Laparoscopic procedures are focused on easing obesity and assisting clients with severe overweight issues and it focuses on applications of specialized tools for attaining clear images and allowing minor incisions. Written in this article are the definitions of severe obesity, its results, and surgical and medical practices. In addition to that, severe obesity refers to weights which exceed the average ones.

It is connected to developments of chronic issues such as coronary artery disease, diabetes, and hypertension. Various medical methods for its elimination are offered such as exercise therapy, behavioral modification medication, and low calorie diets, but the only procedure which offers lifelong benefits refers to Preparing for Bariatric Weight Loss Surgery. Severe obesity is caused by wide arrays of determinants.

Next, it can result from inefficient metabolism with excessive consumption and low energy production, yet it becomes mixtures of both. Other scientific specifics stated that it can result from inherited characteristics or genes. In other circumstances, environmental, genetic, social, and psychological elements are seen as its sources considering it was encountered through complicated disorders related to metabolism or appetite regulation.

Originally, there are treatment options that include surgical or medical procedures. As mentioned by different studies, it is indicated that your engagement in nonmedical practices or programs have recreated effectiveness after the period of five years. Regardless the presence of nonprescription or prescription methods, no statements of its lifelong profits are constructed.

Also, some practices reduce appetite which causes to decrease of your personal weight, but it drastically increases once those treatments are disturbed. Various efficient programs are applying behavioral enhancement ideas which are combined with increased physical activities and low calorie meals. On the contrary, surgical methods are established since the past forty to fifty years.

Excisions assimilated with those practices are the Rouxen Y gastric bypass, vertical banded gastroplasty, gastric binding, and malabsorbtion procedures. Apart from that, vertical banded gastroplasty centers on making secondary pouch which binds penetrations and outlets on the lower portions. Consequently, it was reorganized with small amounts of mesh to escape disruption and dilation.

Laparoscopic gastric band features the application of collars and belts around the uppermost sections which create fixed outlets and secondary pouches. An adjustable band is being filled with sterile saline and amidst its integrations, outlets are created into smaller components which cause further limitations. Gastric bypass refers to the method which divides the concerned sections and creates secondary pouches.

Furthermore, it may be attached to smaller sections found inside your small intestines and malabsorbtion surgery reduces the dimensions of intestines. Reaching any decisions connected to that procedure needs surgical recommendations and assistance alongside with thinking about your eating lifestyles. In addition to that, its various benefits refer to improved cosmesis, enhanced metabolism, and reduced discomfort.

It would be advisable to acquire a comprehensive comprehension of those procedures where the finest person skilled in providing that specifics is your healthcare specialists. You need to deliberate your conditions, specifications, and preferences with those specialists to comprehend its negative effects and profits. Regardless its advanced practices, its objectives pertain to providing better, longer, and healthier routines for its consumers.

About the Author:

Get an overview of important things to keep in mind when preparing for bariatric weight loss surgery and more information about a reputable surgeon at http://www.lapspecialists.com/seminar.html now.

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Find Out Why You Need To Plan For Oral Cancer Screening Oregon

By Gwen Lowe

Cancerous condition has become the silent killer of many. It is the cause of most of our night mares, its effect are felt far and wide. Its causes are numerous, but its treatments are limited. Cancerous condition can affect any part of your body. It is characterized by abnormal and uncontrollable growth of body cells. Cancerous conditions of the mouth are on the rise among many peoples. This condition may affect cheek lining, gum, tonsils, salivary glands and tongue. It is advisable you see the doctor for oral cancer screening Oregon.

Some of the general symptoms include mouth bleeding. It involves unexplained breeding gums. When you experience this condition, it is always a good idea to visit your dentist for diagnosis. The doctor will screen your mouth for potential cancerous cells and advise you on the way forward.

Ignoring some problems for example, inability to swallow something would be a cause of this problem. People with difficulties in moving their jaws when chewing could be suffering from the same. When these conditions start appearing you should be able to see the dentist in advance to prevent the problem from erupting. Some symptoms would be leading to an intense problem in future.

Cancerous conditions are painful experiences that people would not like to have in life. However, many people undermine the slight symptoms that they experience with these conditions. To avoid and reduce death by cancerous conditions, it is important to ensure that you visit qualified dentists to test if you have the viruses that cause cancerous conditions. When these conditions are not treated, they bring problems in the future.

Mouth cancerous condition occurs when something goes haywire with the normal cell life-cycle. This will cause the cells to grow and reproduce uncontrollably. Some of the risks that lead to mouth cancerous condition include tobacco smoking. Tobacco contains tar and it coat on the walls of the lung making you develop this unhealthy condition.

Sunrays contain ultra violet rays that could cause cancer. Hence, you should avoid prolonged exposure to the sunrays. Sun can cause your lips to dry up and have some painful cracks that bleed regularly. You are therefore advised to apply lipstick on your lips regularly, and also use sunscreen facilities to avoid harmful sun rays.

The reason why you should visit a doctor for cancerous screening is that cancerous disease is curable when it is in its early stages. It is also less expensive when it has not spread to other parts of the body. It is therefore a good idea to visit you doctor regularly. This increases your chances to battle these conditions, if you are diagnosed with it.

Lastly, you should consult the dentist board in your city to advise you one the best cancer-screening expert. These are the people with knowledge and experience and you should always rely on them for help and advice. It is not advisable for the young and old people to ignore the need to screen for this cancerous condition since it may affect anyone irrespective of age and gender.

About the Author:

You can visit www.eugenefamilydentist.com for more helpful information about Learn The Importance Of Oral Cancer Screening Oregon.

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Essential Oil Alternative For Different Uses

By Nancy Murray

The uses of essential oils range from therapy to scent and physical benefits. Some are preferred for medicinal purposes because their natural form makes them free of side effects. Their effectiveness during management of certain conditions has made the extracts a popular choice for domestic health. The challenge arises when you consider the price of these oils. It is too high that common users are looking for essential oil alternative that will still offer these benefits.

Rose is a common extract for aromatherapy and perfume production. It features high in the list of the most adulterated oils. However, difficulty in extraction makes its price out of reach for ordinary buyers. It would take a thousand petals to extract a very small quantity. To substitute Rose, geranium comes in handy. It contains a significantly high amount of alcohol and is also preferred by a large number of women for skin care.

The common name for Melisa is lemon balm since lemon is the extract used in adulterating it. Its extraction procedure requires the use of a lot of plants to get a significant amount of juice. Melisa is a common choice for aromatherapy. It also works perfectly in repelling insects indoors. Two alternatives can offer almost similar benefits. They are bergamot and lavender which are considerably affordable.

Neroli oil is popular in perfumery because it comes with a citric feel. Beyond being used for skin care, Neroli is an effective stress reliever. There are few options whenever you want to substitute Neroli. They include lavender for stress relieving purposes and geranium if your target is skin care. Peppermint also produces excellent results in place of Neroli.

There are oils whose benefits are medicinal. Lavender is among the most popular extracts in this category. It produces excellent results whenever you need to manage skin disorders, disinfect shallow cuts, scratches, acne and insect bites. It has excellent scent properties that stimulate a good night sleep explaining its preference among aroma therapists. Such properties are difficult to match by any extract.

The most celebrated among oils is lemon. It works on the skin surface and inside the body. Lemon is perfect for restoring energy levels and stimulating lymphatic drains. It has a magical power of cleansing toxins from the body. It can promote neurological activities which have an effect of igniting fat breakdown. It is therefore used as a natural weight loss compound. A few drops in your drinking water will help sooth a sore throat.

Tea tree is a very potent essential oil in a class of its own. Its medicinal properties make it a choice for many in fighting bacteria, fungi and viruses. It works excellently in disinfecting wounds and has been used as a substitute for conventional medicine on several occasions. Tea tree comes with a synergistic element that protects the body from developing resistance against antibiotics.

It is impossible to find a perfect alternative for any essential oil. This is primarily due to the variety of benefits each extract offers. However, when targeting a particular benefit like perfume, disinfection, aromatherapy, etc, you have several options. The alternatives should not be used in place of prescribed medicines. These extracts should also be used in moderation and according to researched instructions.

About the Author:

You can find a list of the advantages you get when you use an essential oil alternative at http://www.soseo.ca right now.

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Please go and get a TOTAL physical exam JILL BRZEZINZKI CONLEYS MESSAGE TO ALL WOMEN

First, cancer took her breasts. Then, her breath. And now, the disease has spread to her liver, threatening to take her life.

Jill Brzezinski-Conley has an amazing story, she has lost both breasts to breast cancer at barely 32-years-old. Now, three years later, she found out that she has incurable stage 4 bone cancer. The cancer had already spread to her sternum and bones and the lining of a lung.

Jill Brzezinski-Conley was diagnosed with Stage IIIC invasive breast cancer one day before her 32nd birthday on July 15th 2009 – just 6 months after she married the man of her dreams. Her journey began with the most progressive form of treatment available. Contrary to what most people think, the younger you are, the more aggressive breast cancer can be.

Jill’s treatment included 16 rounds of grueling chemotherapy, 31 rounds of radiation and 4 surgeries including a double mastectomy with additional surgery ahead. During her treatment she suffered a broken rib and endured serious complications after her reconstructive surgery. However her strength and determination proved pivotal, and after 2 years Jill was in remission and now considers herself a survivor.

Unfortunately 12 months later Jill found out she had developed bone cancer and at 35 years old, the prognosis is terminal. Through all of this, Jill has kept her wit, determination, and never ending smile, with no room for self pity, while frequently making jokes about her baldness, lack of eyebrows and eyelashes. Her sense of humor, courage, positive attitude and inner beauty is truly remarkable.

Jill decided to channel her passion to helping other women feel better about themselves and their bodies via this amazing photo shoot. With the help of the talented photographer, Sue Bryce, Jill traveled to Paris for a photo shoot to inspire women around the world over!

JILL'S MESSAGE TO ALL WOMEN.

"I truly hope that after reading this and looking at these amazing pictures, you will please go and get a total physical exam. I kick myself often for ignoring the signs. I only ignored them because I was not educated about Breast Cancer. If I knew then what I know now, I always wonder where I would be today.

I think the hardest time for me is the summer time. I feel my self esteem kind of gets tested. I sit in the pool and I stare at these women who are so lucky to have these beautiful breasts that I once had and maybe I took them for granted.

Then I find myself snapping back to reality and I look down at my breasts and think, why am I even complaining.

I AM ALIVE!"

According to doctors' reports, Jill has only some months left by her to sniff in the fresh air our atmosphere offers.

Breast cancer affects, it destroys, and it kills. It claims the lives of millions every year. Do yourself great good by going for regular TOTAL medical check-up.

Please share this post, you don't know how many lives you'll be snatching from death as you do. Thank you. Remember, "WE'RE BUILDING A CANCER-FREE GENERATION", and together, we'll win.

REFERENCES:
The Breast Cancer Site Blog.
The Courier Journal.
Jill Conley Breast Friends.

Video of the Week Dynamic Triangle Pose Version 2

Compared to last week's Dynamic Triangle pose, this version increases the strengthening of your legs and the sides of your waist, and mobilizes and stretches your arms and shoulders differently. This is an advanced version of Dynamic Triangle pose, so please watch the video for version 1 before trying this one.

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Authentic Yoga

by Nina

On Friday evening, Brad and I went to the Rubin Museum of Himalayan Art in New York City, an exquisite, small museum with a very impressive collection of Hindu and Buddhist art. Our primary reasons for being there were to take a break from our hectic, urban vacation in the peaceful oasis that the museum curators have created and to revisit the permanent collection, which we remembered loving from an earlier visit. And I highly recommend this special museum to anyone who is visiting the city. However, as I gazed at the life-sized facsimiles of an entire sequence of 18th century murals from the Lukhang, the Dalai Lamas’ Secret Temple near the Potala Palace in Lhasa, Tibet, I was struck in particular by a section of one mural (shown above) that depicts meditation and yoga practices in vivid color and detail. Because they were: perfect, clear images of authentic yoga from the 18th century.

You see, by chance, I’m currently reading The Yoga Body: The Origins of the Modern Posture Practice by Mark Singleton, which traces the development of the asana practice that most of us currently consider “yoga” from its hatha yoga roots to the revolutionary work of the early twentieth-century yoga teachers, such as T. Krishnamacharya and Swami Kuvalayananda. I’ve already known for a number of years that, contrary to what is commonly claimed by some teachers and publications, the “yoga” we do these days is primarily a 20th century invention. But this mural from the 18th century (not so long ago, right?) really brought home the message. For what do we see here? Mostly versions of Lotus pose (some with interestingly asymmetrical spines), along with a few standing forward bends and a one-legged standing pose. And I know from my studies, that when the ancient scriptures, such as the Yoga Sutras, refer to “asana,” the poses pictured here are more likely to be what they referred to than the Downward-Facing Dogs, Triangle poses, and Sun Salutations that many of us now consider essential yoga poses. (For further information, see The Yoga Tradition of the Mysore Palace by N.E. Sjoman.) I was quite excited to be able to view these images, which were in some ways what I imagined ancient yoga to be and in other ways completely different than what I’d imagined (such as the dancer-like positions of the torsos in some of the seated poses)

I may write about this more in the future, but for now I just wanted to share this dramatic illustration with you. For you can see at a glance how much yoga has changed in just a few hundred years.

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Excellent Tips To Maximize Your Bodybuilding Routines

From Greek gods to Hollywood action heroes, the symbol of ultimate strength and virility are muscles, muscles and more muscles. Don't just try to live up to seemingly impossible standards--do it. There are ways to build muscle fast and if you're up for it, this article is for you.

Bodybuilding routines are only as effective as the adherence of the practitioner to three important characteristics: a solid weight training program, a balanced diet and quality rest. There are many who are overzealous in working out but without the proper rest and diet, your training won't be as successful as it should be.

The first issue to be addressed is the training. All workouts should always begin with proper warm-up and thorough stretching. This prepares the body for the physical rigors it is about to endure. Start with lesser weights and work your way to the higher loads regularly as you increase in strength and endurance. Keep switching up the reps/sets and weight every couple of weeks so your body keeps progressing.

Go to the gym two to four times a week only. An average of one and a half hours is the maximum workout session you will need, provided you divide your training properly. These split workouts give you the opportunity to make most out of your training by targeting each muscle group with more intensity. An example of such a workout is to train your back and arms on Monday, your chest and abs on Wednesday and your legs on Saturday. If you are building muscle mass, keep cardiovascular workout to a minimum.

This is the easy section on how to build muscle fast-get quality sleep. Because you are only training half the week, make the other days work for you by getting as much rest as you can. When you exercise, you are creating little tears in your muscle tissues and sleep serves to mend these tears. The results are bigger and harder muscles that can better withstand physical strain. Observe those big, muscled trainers who take a break from their bodybuilding; they become bigger in a few weeks. They're not as firm but for you who are starting to build up muscle mass, gaining weight is your focus for now.

Eat a balanced diet. Because you need to gain as much weight as possible, get your calories from food rich in protein and carbohydrates. Lean meat, chicken and fish are good sources of healthy food. There are also muscle building supplements in the market that can help add to your required amount of calories and nutrients. Protein shakes also give an added boost in your workout by fueling your body to perform better.

There are a number of bodybuilding routines that can help give you the body you want--find one that is best suited for your body type. Look over the weight training program you have. Give proper attention to the rest of the ingredients that make your training successful-a healthy diet and sufficient rest; your best body can't be far away.

About the Author:   By Emmanuel Palmer  

Emmanuel Palmer can give you excellent strategies on how to build muscle fast. Get a great body now with the right Bodybuilding Routines.

Video of the Week Immune System Support

by Baxter

Because my new vinyasa is a variation of Reclining Vinyasa 2.0, you might check out that video first, if you have not already practiced it. 

My new vinyasa,Version 2.5, adds in some folding and releasing of the thighs to the hips, which massages and squeezes the groin area of your body. This area has some lymph glands and blood vessels that pass through to your belly and chest. You can add this sequence into any practice focused on improving immune function and lymphatic drainage.

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When Relaxing Isnt Relaxing

by Nina

Cactus Flower by Melina Meza

On Friday, Baxter wrote about how meditation and other forms of conscious relaxation, such as yoga nidra, can be agitating for certain people (see Friday Q&A: Can Meditation Be Dangerous?). I wouldn’t be surprised if that were true for many of us at certain times. Sometimes when you’re feeling anxious or depressed having to sit quietly with your thoughts can be overwhelming. The same thing is true for lying down on your back in Savasana or restorative poses with your eyes closed. Even practicing supported forward bends, which many people find soothing, can cause you to brood rather than quiet down. 

A more active yoga practice will be easier for you when you’re depressed or anxious—the physical challenges and mindful movements will engage your mind—yet it’s still important for you to manage your stress (see One Thing: Yoga, Zen, Whatever). So here are some ideas for different things you can try when classic relaxation techniques just aren’t working for you.

Eyes Open: If closing your eyes in Savasana or any restorative pose causes agitation or brooding, try keeping your eyes open but with a soft focus.

Crocodile Pose: Sometimes lying on your back can make you feel exposed and vulnerable (see Anxiety, Yoga and the Front Body). So try lying on your belly in Crocodile pose (Makrasana) instead to see if that is more comforting. If your lower back curves too much in Crocodile pose, place a folded blanket (long rectangle) under your lower belly. 

If you don’t find Crocodile comfortable, you could try a supported version of Savasana, as raising your torso higher than your legs might feel better than being flat on your back, or even a side-lying Savasana (see Corpse Pose Variations).

Supported Child’s Pose: Like Crocodile pose, Supported Child’s pose allows you to relax without feeling exposed or vulnerable. Many people actually find hugging their bolsters very comforting. You can turn your head to side and keep your eyes open if that helps; just be sure to turn your head to the other side for an equal amount of time.

Supported Inversions: because the Relaxation response is triggered by your physical position, supported inverted poses don’t require a mental focus (see Why You Should Love Your Baroreceptors). So you can keep your eyes open and even listen to music while you are practicing them and you’ll still quiet your nervous system. These are also great alternatives to forward bends, which cause some people to brood and others just find unpleasant. Of course, as with any pose, if you feel bad in an inverted pose, come out of the pose immediately. See All About Supported Inverted Poses to find a supported inverted pose that's right for you.

Choose Appropriate Breath Practices: Never do a breath practice that makes you feel uncomfortable in any way. Practices that encourage you to take a longer and/or deeper inhalation can actually be agitating for people with anxiety. The safest thing to do is just to practice simple breath awareness. But if that isn’t enough to engage your mind and you keep being distracted by depressing or anxious thoughts, try a practice that’s recommended for your particular state (see Balancing Your Emotions with your Breath).

And please let me know if you have any further recommendations! I'd love to add more ideas to my list.

Finally, if you are a teacher who is teaching one or more students with mental disorders, it is always a good idea to let the class know that if anyone becomes seriously agitated, anxious, or depressed during meditation or relaxation, they should stop and raise their hand so you can help them find an appropriate alternative. 

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Why A Glenview Personal Trainer Is The Best Option For Unfit People

By Amanda Baird

Experts have warned that obesity is fast becoming the biggest health problem faced by citizens of developed countries. More people are unfit and it is a known fact that overweight people that fail to exercise are at risk to contract a host of health problems. Regular exercise holds many benefits but some people simply do not know where to start. One of the best solutions is to hire the services of a Glenview personal trainer.

It is ironic to learn that surveys have shown that most overweight and unfit people are aware of the fact that they need exercise and that they are endangering their health. Many struggle to get going and many others say that they do not have the time to follow a proper exercise program. Experts agree that those trying to become fit on their own are most likely to fail. It is better to get professional help and to follow a scientific program.

The services of a private instructor offer many distinct benefits. Clients are more likely to exercise when they have somebody that motivates them and that keep record of the progress made. Professional fitness instructors are also able to devise exercise programs that will suit the needs and schedule of their clients. Many professionals are also able to provide expert advice on diets.

Success breeds success. That is why it is important to have objectives and to record the progress made. Many people give up because they fail to understand that it takes time to get into shape and that it is unrealistic to expect spectacular results immediately. By keeping record it is possible to enjoy a host of small achievements and those achievements will motivate further efforts.

It is true that the services of private instructors can be high. It is important, however, to also consider the cost of failing health. Many people form groups and hire a single instructor for the entire group. Others make use of professional services only to get started. It may also be worth it to find out whether the medical aid scheme offers fitness incentives.

Choosing a private instructor should be done with patience. It is vital to check that he is properly qualified and that he is accredited with an authoritative industry body. Most gyms are able to provide advice and to make recommendations. References should be checked. The fees should be discussed up front and the schedule should be decided before signing a contract.

Getting fit is most certainly an important priority but in most cases it is also necessary to make other lifestyle changes. It is often necessary to embark upon a diet, to stop smoking and to work on dropping other unhealthy habits. However, it is always a good idea to undergo a thorough physical examination at a general practitioner before making major lifestyle changes.

Fit people have more energy and they generally enjoy life more than unfit, overweight people. Hiring a Glenview personal trainer can be the first step towards a more fulfilling, healthier life. Many families embark upon lifestyle changes together and they quickly find that they enjoy more fulfilling personal relationships by simply exercising together.

About the Author:

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Tucking and Tilting the Pelvis

by Baxter

We recently received an inquiry about positioning the pelvis in yoga poses that I thought it worth addressing in a general, full-length post. Let’s start with the question:

Dear YFHA Staff,

The phrases "Tuck in and Tuck out" are very commonly used by several of my teachers. I get so confused listening to those words that these days the minute I hear anything close to "Tuck" my meditative yoga practice goes for a ride. What are the teachers referring to when they use those words? Are they alluding to the movement of sacrum? For eg: in Bridge pose and other supine poses, do you draw the sacrum in (I guess the word is Tuck in) or do you draw it out? Can't we just keep the sacrum in neutral position and still get the benefits of the supine poses?

Yes, dear reader, there is a lot of talk about “tucking” the pelvis these days in the yoga world! Although I don’t hear or use the same exact phraseology as you teachers are using, I think I have a sense of what they are going for. I might suggest the terms “tipping” and “tucking” of the pelvis, as a whole, for what is being suggested. In anatomical terms, the action can take place relative to the top of the upper leg bone, the femur bone.

When you “tip” the pelvis, this means you are rolling it forward and down over the head of the femur, in what is referred to in anatomical circles as anteversion or flexion at the hip joint. This happens to some extent in forward bending poses, like Uttanasana (Standing Forward Bend), when we roll the hips forward and down to initiate the forward bend.This movement also encourages the forward rounding of the lumbar vertebrae due to the effect of gravity, known as flexion of the lumbar spine, in the specific situation of Uttanasana. Yet we are also sometimes encouraged to extend the lower spine, as in a backbend, when entering into some forward bends. In other words, as the pelvis is rolling forward over the thighbones, we simultaneously extend the rest of the spine as in a backbend. This can be a useful suggestion in some lower back injury situations, or if you are focusing on strengthening the extensors of the back body. But it could be just as helpful in some cases, to allow the natural flexion of the lower back in Uttanasana accompany the anteversion of the pelvis.

Tipping the Pelvis (Uttanasana)

The other action, which I call “tucking” of the pelvis, is essentially the opposite action, in which the pelvis rolls backwards over the head of the femur bone.  Anatomically, this is called retroversion or extension of the pelvis. It is an essential action, at least to some extent, when we are trying to do some of our back bending poses, like Dhanurasana (Bow pose) or Urdhva Dhanurasana (Upward Bow pose), which require some length and opening at the front of the hip joint to successfully achieve these more advanced backbends. Just like with tipping, the spine may have a natural inclination that accompanies tucking, like some extension of the spine if we are trying to do Upward Bow or Wheel pose. However, if you observe someone standing in Mountain pose, and ask them to exaggerate the tuck, you will notice that the lower spine rounds back, which actually means the vertebrae are tipping forward into flexion. If you then ask the person to tip the pelvis forward, you will see that the lower spine goes into a backbend shape, bowing forward towards the navel. This indicates that the lower spine is going into some extension.

Tucking the Pelvis (Backbend)

Playing with this movement of the pelvis in Mountain pose is a good way to begin to feel these actions and the results at both the hip joint and the lower spine. You might also start to sense if one way feels more typical of how you hold your pelvis relative to you upper leg bones when standing.  If your teacher was suggesting that more tip or tuck would be better for you, see if his or her suggestion actually does what predicted. Be a little skeptical, especially if you are working with a newer teacher. There is a lot of subtlety to this pelvic alignment, and it first it will likely feel a bit strange, even if it ultimately might lead to better posture and lower back alignment. When looking at supine poses, done lying on your back, face up, you will want to do the same experimenting to see what works best for you.

And I have not even mentioned the movements that can happen between the pelvis and the sacrum, known as nutation and counternutation! Shari and I have written some about that elsewhere, so take a re-read of some of those posts (Friday Q&A: Trikonasana, Janu Sirsasana and the Sacrum and Yoga and the Sacrum if you are not familiar with these terms. Judith Lasater, in her book Yoga Body, has a discussion of what happens in regards to these two actions in forward and back bending poses. There is some controversy about how much nutation and counternutation actually take place in adults in yoga poses, but there is a lot of variability in how much “intra-pelvic” movement (between just the two pelvis bones and the sacrum bone) between individuals from my observations. It is always wise to get the opinion of an experienced teacher who can watch your body move in different poses to see where your fall in this regard.

I would also suggest that you directly ask your teacher to stop and demonstrate the actions of tucking so you can get a clearer idea of what he or she is talking about. Sometimes I find that without that clarity, I am just guessing as to what the teacher wants me to experience. And it would also be reasonable to ask why he or she feels this is important to experience. So, ask the how and the why when these sorts of instructions are creating more confusion than clarity, and rock that pelvis on.

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