Yoga for the Treatment of Pain in the Rehabilitation Patient


Words to look for

Words to avoid

Restorative

Bikram

Gentle

Hot yoga

Therapeutic

Ashtanga

Viniyoga

Vinyasa flow

Meditative

Power yoga

Yin yoga

Forrest yoga

Ishta yoga
 
Yoga nidra






Beginning Practices


While it is optimal to begin a yoga practice under the guidance of a professional, there are some simple techniques described here, which can have powerful effects when practiced regularly. Try reading them to patients, or photocopying them and giving them to patients to take home. Before beginning any of these practices, help your patient find a relatively comfortable position. This can be sitting in a chair, against a wall, or on a cushion, but it is important to maintain a neutral spine position as much as possible, using cushions or blankets as needed for support. The techniques can also be practiced lying on the back or with a rolled blanket or pillow under the knees for support. It is reasonable to try all of the techniques, then pick one or two that resonate most strongly, working up to practicing for 20 min, twice a day, every day.


A Simple Vinyasa, Linking Breath and Movement


Inhale while lifting the arms up; exhale while lowering the arms down. This can be a big or a small movement, using one or both arms. The important part is to move in one direction for the entire duration of the inhale, and another direction for the entire exhale. If the arms have limited mobility, any body part and/or movement can be selected, such as lifting and lowering the chin, bending and straightening the knee, rotating the palms up and down, and separating the hands, then bringing them together. Inhale, moving in one direction; exhale, moving in the other direction, concentrating on linking breath with movement.


Cat/Cow


This movement helps to gently mobilize the spine and to loosen the muscles used in breathing fully. From sitting, standing, or balancing on the hands and knees, inhale and bring your chest forward, arching the back, looking up slightly, and opening the chest muscles, like a cow, then exhale and round your back, moving your chin towards your chest, and tucking your tail bone, like a cat. Repeat this movement with each breath. Make the length of the movement match the duration of the breath. This is a good practice to do before starting any of the other techniques.


Mindfulness/Breath Awareness


Close your eyes and tune into your breath. Don’t try to change anything, just notice what is happening. Notice the quality of the breath … is it shallow or deep? Where do you feel it the most? Is it in your nostrils, your lips, your belly, or your chest? See if you can feel your ribs moving, or the way your clothing feels on your skin as you breathe. Notice the length of the breath to see if your inhalation and exhalation match, or if one is longer. Any time your mind wanders, just bring it back to the breath, noticing that the breath is a reflection of the mind and vice versa. See if you can become curious about each breath as it occurs. Don’t worry if the mind wanders; every time you notice it and bring it back, you are training the mind to be with the present, while learning to notice thoughts/emotions without getting carried away by them.


Lengthen the Exhale


This breathing pattern increases parasympathetic tone and is very calming. Close your eyes, and tune into the natural rhythm of the breath. Next time you inhale, count the length of the inhale. On you exhale next, see if you can lengthen the exhale. For example, if you breathe in for a count of 4, see if you can breathe out for a count of 6. Continue breathing in this way, making the exhalation longer than the inhalation. If you become short of breath or anxious during this practice, just take a few breaths without counting, until you are ready to begin again. A slow, steady exhale can help you to calm your nervous system.


Nadi Shodana (Alternate Nostril Breathing to Balance Brain Activity)


Close your eyes. Notice the flow of breath from your nostrils, which will most likely be more dominant on one side over the other. This practice will aim to even out the flow of air through the nostrils. On an inhalation, imagine breath flowing only through the right nostril, pause, and then imagine exhaling only through the left nostril. Pause again, then inhale through the left nostril, pause, and then exhale through the right nostril. Pause. Repeat this pattern, until it feels as if air is flowing equally between both nostrils. If imagining this is difficult, you can use your right hand to open and to close each nostril as you breath, using your thumb and ring finger to alternate the flow of breath, resting the index and middle fingers on the forehead. When the breath feels as though it is flowing evenly through both sides, lower the hands and rest in this state of balance for several minutes, or as long as you’d like.

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Aug 26, 2017 | Posted by in Uncategorized | Comments Off on Yoga for the Treatment of Pain in the Rehabilitation Patient

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