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9 11 Anxiety and Yoga

by Baxter

The Amygdala

Some years ago, when Nina and I were working on a series of yoga classes for stress management, I read the book The Relaxation Response by Dr. Herbert Benson, and an interesting finding from the work he did has stuck with me. He noted that his blood pressure patients who meditated regularly not only saw improvements in their blood pressure readings, but they also had certain substances in the blood stream that increased or decreased. One of those substances was lactate, or lactic acid, which is a byproduct of cells using sugar or glucose for fuel. It had already been noted back in the 60s that folks with anxiety disorders often had elevated levels of lactate in their bloodstream compared to individuals without anxiety. Since meditation seemed to lower lactate levels, it seemed like a great potential treatment.

More recently, an article in Scientific American looked at lactate and other markers in the body that could account for why some folks develop panic disorders, an extreme form of anxiety. Studies done in the last two years point to the pH in the brain as a possible causative factor in the experience of fear, and by extension, anxiety. It seems a more acidic pH in the brain is associated with more active trigger of the fear centers in the brain. In fact, there are receptors at individual synapses, the spaces between to nerve cells, that respond to elevated levels of acid. In the area of the brain strongly associated with the emotion of fear, the amygdala, this increase in local pH can trigger fear responses.

They also noted that carbon dioxide levels, when increased in the blood stream and the brain, lead to greater acidity. And other studies have demonstrated that patients with panic disorders are more likely to have an event if they inhale a higher concentration of CO2, compared to non-anxious individuals. These researchers also addressed the lactic acid phenomena that Dr. Benson noted years before: patients with panic disorder tend to generate excess lactic acid in their brains. We all generate lactic acid in our brains as sugars are burned as fuel, but in people with panic attacks, even normal mental activity to lead to an accumulation of lactic acid in the brain.

So if a decrease in pH in the brain—whether due to CO2 build up or lactic acid build up in certain areas of the brain—could be a trigger for anxiety and panic attacks, how could yoga diffuse this situation? Well, way back in the 60s it was already observed that the “relaxation response” that arose from simple meditation practice could lower the pH in the blood stream. This might indicate that it could be lowered in the brain, too. So I’d give high marks to establishing a regular meditation practice, even if only for ten minutes at a time. Secondly, certain pranayama practices could theoretically lower blood CO2 levels slowly and gradually, but whether that would lower CO2 levels in the brain is uncertain. That sounds like it would be worth a trial, however. And finally, the authors of the study noted that “one of the many beneficial effects of aerobic exercise training (like running or cycling) is that metabolically active tissues (including the brain) become more efficient at consuming–removing—lactic acid.”  And although not all yoga asana practices are aerobic, some are to a certain degree. So, physiologically, your asana practice, especially if it is more vigorous, could be the third prong in your yoga tools approach to anxiety, panic attacks and fear.

Here is a link to the 2010 SA article here so you can get more details on the work I’ve alluded to: scientificamerican.com. And may you and yours be safe and anxiety free this 9/11 anniversary. 

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Energizing Yourself Overcoming Styana and Alasya Rerun

by Nina

Women and Birds at Sunrise by Joan Miro*

I don’t know about you, but Ram’s post The Dangers of Being Sedentary scared me a bit. 

Findings from a recent study showed that individuals who sat for more than 11 hours daily were 40 percent more likely to die within the next three years than those who sat for four hours or less daily—even when people’s physical activity at other times of the day was accounted for. Studies have also indicated that sitting daily for less than 3 hours and watching TV for less than 2 hours extends life expectancy by an estimated 1 to 2 years. Studies reported in the prestigious journals Lancet and the British Medical Journal suggest that a sedentary lifestyle is the cause of one in 10 deaths worldwide. It’s now known that Americans are working less (26 minutes a day less compared to Y2007) and idling off more. Adults in the U.S. spend an average of 55 percent of their day engaged in some kind of sedentary behavior (see Sedentary behaviour and life expectancy in the USA: a cause-deleted life table analysis).

In his post, Ram identified two obstacles that cause us to be sedentary: styana (inefficiency, idleness, procrastination, dullness) and alasya (laziness, sloth). The problem is, how do we overcome these obstacles? I mean, we all basically know that sitting around all day isn’t a good thing, but after hours of doing it—so many of us sit at desks all day or have long commutes—inertia tends to set in. And this can create a lot of resistance to the idea of getting up to practice yoga, even if you know it will be good for you and that you’ll feel better afterward. You think: Oh, I just don’t feel like it today—maybe tomorrow.

"Old man, stiff man, weak man, sick man, they can all take practice but only a lazy man can't take practice." — Sri K. Pattabhi Jois

I know this because even after years of practicing yoga at home on my own, I sometimes notice that tendency in myself. I do have some tricks up my sleeve, however. And I thought today would be a good day to share them, so you’d have some new ideas for fighting both styana and alysya.

My first trick is a mental one: I tell myself that I don’t need to do a full practice, that I can just do one single pose, you know, like Downward-Facing Dog. But I might want to warm up a bit before that one, so, let’s see, maybe a Half Downward-Facing Dog at the wall followed by a full Downward-Facing Dog on my mat. And guess what, by that time, my energy starts flowing and my momentum starts to build, and I end up doing a full-length practice.

My second trick is to pick a pose to start that will energize me, even just a bit. I know that moving with your breath is a good way to fire up your energy. So standing in Mountain pose and raising arms overhead on the inhalation and down by your sides on the exhalation is a good way to energize yourself, maybe even shake off a feeling of depression, and that can lead to some other vinyasas or who knows where.

But if you don’t feel like standing up—yeah, I know, sometimes you just don’t—you can get on your hands and knees and do the Cat-Cow pose, inhaling as you come into the Cow position (the sway back position) and exhaling as you come into the Cat pose (the arching position). That leads very nicely into Downward-Facing Dog pose, and then maybe Standing Forward Bend, by which time you might feel ready to stand up on your mat!

My third trick is that when I’m feeling particularly tired or lazy, I tell myself that I can start lying down. Ah, yes, lying down sounds real good.

Often I start with Reclined Leg Stretch and other reclined hip openers, and even just moving my legs around gets me in the mood for a Downward-Facing Dog pose (and helps make that pose easier), which in turn leads....

Another way to energize yourself is to open your chest, and that’s also a good way to counteract all the forward bending you’ve been doing by sitting down for hours. Good news is this is also something you can do lying down. Try a passive backbend over a blanket roll or a bolster for three or more minutes (see Featured Pose: Supported Backbend). Then roll over and see what you might feel like doing next. Lately I’ve been starting by doing a reclined shoulder opener that my teacher often has us do in the middle of class: lying on your back, with a strap just above your elbows, bring your arms up and overhead (if they don’t reach the floor, try holding a block between your hands). Three minutes of that, and if I’m not ready for Downward-Facing Dog pose, I might procrastinate a bit with some reclined hip stretches. It’s all good. 

And if this strategy doesn’t work? What if you only end up doing just the one or two poses? Well, that’s much better than nothing. It might even start a new habit that will allow you to gradually grow into a longer practice over time—my own home practice started with me practicing just a few poses. And, besides, you can always try again in a couple of hours....

Of course, what I’ve mentioned here are just a few of many possibilities. Readers, how do you shake off your lethargy and start moving? I’d love to hear your recommendations.

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Wordless Wednesday Over and Over

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Bowlegs Doctor Who and Yoga

by Nina

I see your bowlegs, Doctor!

When Matt Smith became the eleventh incarnation of Doctor Who, I had a surprising reaction. I didn’t think oh, he’s so cute or, oh, he’s way too young to play Doctor Who or, oh, when are they going to have a female Doctor Who (okay, I did think that). Mainly I thought, oh, my, what bowlegs you have, Doctor! That’s because since taking Donald Moyer’s course called "Seeing and Understanding Bodies," I notice a lot of interesting variations in human bodies, and I could see Matt Smith’s bowlegs even through his pants.

Bowlegs (Genum varum) is a condition in which when a person stands with his or her feet together, the knees remain wide apart (see Doctor Who above). Did you know that we all start out life bowlegged because of our folded position in our mother's wombs? By around age three, we can usually stand with our ankles apart and our knees just touching when our feet are together. Hyperextended knees resemble bowlegs in this way, however, so if you’re not sure which you have (or which your student has), see Hyperextension of the Knees and Yoga, which contains a simple test you can do.

I was going to go into a whole long thing about what causes bowlegs (diseases, such as rickets, some professions, like being a jockey—maybe the reason so many Japanese people are bowlegged is because of the way they sit—and possibly the natural anatomical structure of the hip joint and the position of the thighbone within it). But the real question is: why do we care if someone has bowlegs? The answer is that because people with bowlegs tend to bear weight unevenly on their hips, knees and feet (the outer sides of these joints bear more weight), uneven stress and wear on those joints could lead to the early onset of arthritis. 

By working with your alignment in your yoga poses, you can learn to bear your weight more even in your asanas and, with that new awareness, in your daily life as well. My teacher Donald has bowlegs himself, so I decided to chat with him about his ideas about working with this condition in yoga practice. And the result is this post.

Bowlegged people tend to stand on the outer edges of their feet with their feet slightly turned out and your feet are your foundation in your standing poses (and while you are walking!), so I’m going to begin with some suggestions about the feet. After that, I’ll make some suggestions for working with your legs.

Working with Your Feet

In Mountain pose (and variations of it), stand with your feet in line with the center of your hip joints, rather than touching each other. This way your legs will be less bowed and you’ll carry your weight a bit more evenly. Then, align your feet by making the second foot bones (the second metatarsal that connects to the second toe) rather than your toes parallel with each other. Once your feet are aligned, consciously bring some weight onto the ball of your big toes and roll your first foot bone (the first metatarsal that connects to your big toe) toward the midline of your body. 

In all your standing poses, align your front foot so your second foot bone is parallel with the edge of your mat using the same techniques described above. And for both feet, consciously bring more weight onto the inner edges of your feet, also as described above.

Because people with bowlegs tend to walk on their outer feet, use this new awareness of distributing your weight more evenly on your feet while you move through your day, so you walk on your inner as well as your outer feet.

Working with Your Legs

In your standing poses, after aligning your feet, you should focus on strengthening your inner legs, taking some of the weight off the outer legs. Using props can help you focus on the inner leg muscles.

In Downward-Facing Dog pose (Adho Mukha Svanasana) and Standing Forward Bend (Uttanasana), you can put a block turned on its narrowest side between your upper thighs (and, if you wish, a strap around the thighs to help keep the block in place and give you awareness of your outer thighs). To use this propping in Downward-Facing Dog, you’ll need to place your feet closer together than usual. Then use the touch of the block against your thighs to activate your inner thigh muscles. Use the awareness you develop in these two poses to activate these same muscles in all your standing poses.

You can also use Tree pose (Vrksasana) to help activate your inner thigh muscles, as you press your inner thigh against your raised foot at the same time you press the foot against your thigh.

In standing poses in which you can’t place a block between your legs, such as Extended Side Angle pose (Utthita Parsvakonasana) and Triangle pose (Trikonasana), you can work with a partner. Have your partner stand behind your back foot, and then use a strap around the upper inner thigh of your back leg to gently pull back your inner thigh toward the thighbone.

Because your outer calves are also overdeveloped compared with your inner calves, you can also work on strengthening your inner calves. You can stand with a block between your calves to learn how to activate this area in the same way you did with your inner thighs.

In your everyday life, you can bring this your new awareness of your inner legs into your movements as you walk and go about your day.

In all standing poses, you can bring your legs into a straighter alignment by consciously moving your leg muscles so that the median line of your calves is aligned with the median line of your hamstrings. To do this, move your inner calves toward your inner leg and outer calves toward your outer leg, Likewise, move your inner hamstrings toward your inner legs and outer hamstrings toward your outer leg. How does that feel to you? Is your weight more evenly distributed? You can practice also these same techniques to align your straight leg or legs in seated poses, such as Seated Forward Bend (Paschimottanasana), when you can get a good look at your legs and how your movements affect the alignment.

In general, with all these suggestions, just experiment and see if any of the techniques feel good to you. For example, many people with bowlegs feel a burning sensation on their outer feet in Widespread Standing Forward Bend (Prasarita Padottanasana). Shifting some of your weight to your inner feet (as described above) may alleviate that pain, making you feel more comfortable in the pose. Sometimes the good feeling you have may be just a sensation of energy moving more freely through you. And if anything causes pain or serious discomfort, please come out of the pose or return to another way of practicing it.

If you have other suggestions for working with bowlegs, please let us know!

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