This is part of a series about Injuries In Yoga.
The single most common injury that we see in the yoga world is a hamstring attachment injury. It happens due to over-stretching the hamstrings. Since so many postures and exercises target this muscle group on the back of the thighs, what often ends up happening is we over-stretch and the tendon that attaches the hamstrings to the sit bones gets damaged. Quite often, we mistake this new, intense sensation for a "deeper" hamstring stretch, so we continue to push (or more often pull). This makes it worse, and many of us don't realize there is an injury until serious damage has been done.
Stretching the hamstrings has become central to many styles of yoga. Like many other physical elements of modern practice, this emphasis comes from gymnastics, contortion and dance. In any given class, we may stretch the hamstrings from numerous positions: standing, seated, legs together, legs split, one leg, both legs, etc.
This injury creates pain at the point where the hamstrings attach to the sit bones (ischial tuberosities), at the base of the pelvis in the back, pictured to the right and circled in red. It can be painful in forward folding positions, and may be sore after class so that it hurts to sit down. It is sometimes called "yoga butt". This injury is so common that almost half of yoga practitioners---men and women---have it currently or have had it in the past.
Common postures that could strain the hamstrings are: Hands to Feet, Standing Separate Legs Stretching (pictured above), Standing Bow, Standing Splits, Stretching, Separate Legs Stretching and Tortoise, etc. Take a moment to notice the similarities in these positions, pictured below. They all tilt the pelvis forward with relationship to the femur (thigh bone). This makes the hamstrings long, which is why we feel the "stretching" in the back of the leg. The deeper these postures are, and the harder we push them, the more likely it will be to damage the attachment of the hamstrings.
HOW TO HELP
First and foremost: rest. I know you don't want to hear this, and resting can be a real challenge for the mind and ego. This injury can take months or years to heal, and the more we aggravate it the longer it will take. Avoid forward folds for several months. Seriously! You can still do lots of other exercises and postures, but avoid forward bending of the hip for awhile. DO NOT STRETCH YOUR HAMSTRINGS!
Second, don't overstretch the hamstrings, even after you're healed. The natural range of motion of the hamstrings only gets the femurs (thigh bones) to about 90 degrees with the pelvis when the knees are straight. This means that the vast majority of contortion-influenced yoga postures that "stretch" the hamstrings take it too far, which is why injury is so common. You might not be able to do Standing Splits with the same picturesque beauty, but you will be able to walk and sit without pain.
Third, strengthen and shorten the hamstrings. We did a whole blog on this, where we explain a handful of postures and exercises that will make the legs strong and help prevent injury. These include Balancing Stick, Squatting, Bridge and Jastiasana.
The most important thing to take away from this is that you can get hurt from yoga practice. If you have pain at the back of your hip, the top of your hamstrings, at or near your sit bones, and this is exacerbated when you do forward folding postures, STOP IMMEDIATELY! It is very likely that you are damaging the upper attachment of the hamstrings. Take the time to let it heal, and then perhaps adjust your approach to the physical postures so that they have less likelihood of injury.
Over the past few months, we have heard increasingly loud calls for talk about injury in yoga. So many students are hurt or have pain, and they don’t know what it is, how it happened or how to fix it. Some are even told by their teachers to push through the sensation to continue deepening the physical postures. After all, these exercises and postures are supposed to be healing, right? When we describe the common yoga injuries, students are both 1) shocked that you can get hurt doing yoga, and 2) surprised to hear us describing the pain and difficulty that they experience.
Yes, yoga can hurt you. It’s true. If you’ve practiced the physical forms of yoga that are popular in the West for more than a few months, chances are you’ve been injured or know someone who has. This is not to say that physical yoga practices are inherently dangerous or should be avoided. The same risk is present in virtually any physical activity: basketball, running, bowling. Anytime we use the body in a repetitive way and push it to go farther and farther, the risk of injury is quite high. We generally don’t know the limits of our capabilities until we go too far!
Yoga is mostly thought of as a healing, healthy and therapeutic form of exercise, not to mention safe. Since most of us approach the practices thinking they will help us, we overlook the possibility for injury until it’s too late. It is especially true in the yoga world, where we want to believe that it only has the ability to make us better, more open, happier, peaceful versions of ourselves. The idea that any of these practices could injure our bodies, nervous systems or minds feels foreign and even contradictory. So all too often we disregard it. Until we get injured. Even then, we may think it was our fault, that we weren’t doing the practice right, because a “healing” practice couldn’t possibly be dangerous.
But injuries are quite common in yoga. And each style has its own tendency toward certain imbalances, as the stress and repetition in each practice are a little different.
We are going to do a whole series of posts about Injuries In Yoga. We will go into some depth about the most common injuries we see, which include hamstring attachment strain, hip impingement and labral tear, meniscus tear in the knee, supraspinatus damage in the shoulder, bicep tendon strain in the shoulder, sacroiliac instability in the low spine, and neck pain in the base of the neck. All of these can be created or exacerbated by physical yoga practices.
For now, we want you to know that yoga can injure you, especially if you think it never will. Always take care and try to understand what you’re doing and why. Some intense sensations are safe and even beneficial, while others are not. Use caution and ask your teacher if you’re not sure. If they tell you that you won’t hurt yourself in yoga, get a new teacher.
If you have an injury or had one in the past that you’d like to tell us about, please comment or message. Let us know your experience!
Hardly a day goes by when someone doesn't ask us, "Is Bikram Yoga the same as Ghosh Yoga?" It is a valid and interesting question, as plentiful yoga systems seek to separate themselves from the competition with novel methods and attributes. The two methods are closely related, since Bikram Choudhury learned at Ghosh's College. But there are some fundamental differences that keep the two systems from being synonymous.
First, let's look at what they have in common.
Most of the exercises in Bikram Yoga are recognizably from the Bengal region of India, where Ghosh's College is located. The previous students of Ghosh taught these same postures and exercises like Half Tortoise, Rabbit and Standing Head to Knee. And several of the postures, like Stretching, Cobra, Locust, Bow and Corpse, are traditional yoga asanas found in older texts. Notably missing from both Bikram and Ghosh yogas are exercises like Up-dog, Down-dog and Warriors One and Two which come from South India and have made their way into most vinyasa yoga styles.
Another element shared between Bikram and Ghosh yogas is the alternation of effort and rest. Each posture is held in stillness for a brief period and followed by an equal portion of relaxation. While standing, the practitioner simply stands still, though some of the older Ghosh students insisted on lying down between exercises. During postures on the floor, relaxation happens by assuming the Corpse posture. This is a distinctive element of these styles, setting them apart from the popular flowing methods that link stationary positions with fluid movements and Sun Salutations.
It can seem obvious, but both Bikram and Ghosh yogas are fundamentally designed to help the student be healthy. This is similar to all the yoga in Bengal, where the postures are done to help the organs, circulation, digestion or some other element. They generally have a therapeutic purpose. This intention can be contrasted with many vinyasa styles of yoga that originated in the performative gymnastics of Mysore. Those styles, like Ashtanga Vinyasa and its descendant "flow" methods, have become more therapeutically focused over the ensuing decades. But the origin of flowing yoga was performative.
Now, let's look at what is different between Bikram Yoga and Ghosh Yoga.
The method of Bikram's yoga is largely defined by its style of instruction, the rote utterance of prewritten commands. Teachers of the style can be judged by the quality of their "dialogue." Many paraphrases and copycats have popped up, but Bikram's original is still considered by most to be the gold standard. This rote instructional style is nowhere present in the teachings of Ghosh Yoga, where the majority of verbal instruction is simply counting the duration of each exercise.
Also central to Bikram's style is a heated room, a characteristic that finds no expression in other manifestations of Ghosh's style. In India, they turn on fans or air conditioning when the day gets hot, or they forego the scorching parts of the day altogether.
A SET SEQUENCE
The two differences above are somewhat peripheral to the essence of the methods. The irreconcilable difference between these two systems is Bikram Yoga's unchanging set of exercises. The same 26 postures are "prescribed" for every student no matter their age, ability, experience, goals or ailments. Central, indeed fundamental, to the Ghosh system is a unique prescription for each student. It would be unheard of to assign the same practices to different people, especially without learning their strengths and weaknesses.
Because Bikram Yoga is defined by its specific and repeated set of postures, and Ghosh Yoga is defined by its attention to the individual, it is impossible to conclude that Bikram Yoga and Ghosh Yoga are the same thing. They certainly share several key elements, namely their postures, the alternation of effort and relaxation, and therapeutic intent. But the defining characteristics of Bikram Yoga like rote instruction, added heat and especially a single unchanging set of exercises separate it substantially from Ghosh Yoga.
"Locking the knee" is a concept in yoga that was popular in the 60s and 70s, including the styles of BKS Iyengar and Bikram Choudhury. It originally comes from weightlifting, where full extension of the knee joint and concerted contraction of the quadriceps are paramount. You will still hear weightlifters talk about "locking out" to refer to the full straightening of a joint that is under stress.
For the most part, this concept has dwindled in the yoga world due to the confusion it causes. There are at least 3 different meanings to the phrase "lock the knee," depending on what position you are in and who you're talking to. An anatomist has a different definition than a Bikram Yoga teacher.
These are the three meanings:
1. CONTRACT THE QUADRICEPS
This is the original meaning of the term as it comes from weightlifting and bodybuilding. Used in quadricep-heavy exercises like squats, "lock the knee" meant to straighten the knee as much as possible by squeezing the quadriceps with great force.
In the yoga world, this has also become a way to relax or stretch the hamstrings, since engaging the quads naturally causes the hamstrings to disengage. In addition, it is sometimes believed that engaging the quadriceps, which causes the kneecap to lift up, will protect the knee joint from hyperextension. (It won't.)
2. RESTING THE FEMUR ON THE TIBIAL SHELF
Anatomically speaking, a normal knee has the ability to hyperextend by a few degrees. It can go past the 180 degrees of a straight leg by about 4-6 degrees. When we are standing and our legs are bearing weight, we have the ability to hyperextend the knees and "rest" them on the tibial shelf. They settle back and the muscles of the leg relax, allowing us to stand for long periods of time without using much energy.
When the knees are resting in this manner, they are "locked." To unlock them, there is a specific muscle (the popliteus) that unlocks the knees before they return to normal function.
This definition of a "locked knee," which is essentially slight hyperextension, is often conflated with the first: contracting the quadriceps. Unfortunately, the combination of hyperextension and contracted quadriceps will accentuate the knee's tendency to hyperextend and possible create instability.
3. ENGAGING ALL THE MUSCLES AROUND THE KNEE
Normally, the contraction of the quadriceps is accompanied by a relaxation of the hamstrings, and vice versa. It allows for effortless movement of the knee back and forth. But this relationship can be overridden with conscious effort and control, contracting both sets of opposing muscles simultaneously. In yoga parlance this is called a bandha, a "lock."
When opposing muscle groups around a joint are consciously contracted together, the joint does not move. On the contrary, it becomes immobile and quite stable. This is often done to create stability and pressure gradients that effect the blood and heat flow in the body.
As you can see, the phrase "lock the knee" can mean a handful of different things. And it is important to note that the interpretations can conflict with one another. The first involves engaging the quadriceps while relaxing the hamstrings; the second involves relaxing both the quadriceps and the hamstrings; and the third involves engaging both the quadriceps and the hamstrings.
With the forthcoming translation and publication of Labanya Palit's book from 1955 (please support the project here), we have instruction from yet another of Bishnu Ghosh's students. Much of the information is similar to the other instructors in the tradition, reinforcing our understanding of the goals and practices.
Some practices that Labanya instructs are less common, and it is illuminating to place them in the context of history. One of these peripheral postures is Standing Hand to Toe, pictured above.
This posture involves balancing on one leg and holding the toe with the hand. It is a relatively less difficult version of the popular Standing Head to Knee, since Hand to Toe allows the body to be more upright and only one hand needs to reach forward. This makes balance a lot easier.
In 1938, Buddha Bose (pictured above, right) instructed the posture with a little twist, holding the foot with the opposite hand. This adds an element of crossing the body, which can make balance more difficult. But it allows a little twist, so it doesn't require as much flexibility in the lifted leg/hamstring.
Now, Labanya (pictured above, left) has a version where the toe is held by the hand of the same side. This is similar to the yoga traditions of South India like Krishnamacharya and Iyengar. It doesn't cross the body but requires a little more flexibility in the lifted leg.
As mentioned above, either of these positions is useful for anyone who struggles with the full expression of Standing Head to Knee. They require less strength and control, so they are great for beginners and older students.
Please support the Kickstarter campaign to translate and publish Labanya's book, as well as research the forgotten women of yoga.
"Suck your stomach in!" goes a common instruction in yoga class. This cue is present in a lot of different lineages and styles, and goes to the heart of an important conversation in the yoga world: What are we teaching?
Let's explore the meaning of this instruction, beginning with the elements involved. Namely, the "stomach" and "sucking in."
What is the stomach?
It is an organ in our digestive tract. It is high in the abdomen, just below the ribs and diaphragm. It is the first place our food goes after we chew and swallow it.
How do we suck the stomach in?
We don't. We can't. The stomach itself has muscles that help us in digesting and passing food through our system. But they are involuntary muscles that we can't consciously control. This instruction, "Suck the stomach in," refers to the stomach in a much more general and imprecise way, where "stomach" actually means "abdomen."
The muscle that pulls the abdomen in is called the transverse abdominis. It wraps around the belly like a corset, helping us breathe and stabilizing the spine when needed. If you are wondering what if feels like, exhale your breath forcefully and feel the sides of your abdomen. They will be tight and contracted. This is your transverse abdominis.
What are we actually teaching?
That brings us back to the instruction, "Suck your stomach in." If we take the instruction at its word, it is impossible. The stomach's position cannot be changed consciously nor can its muscles be contracted consciously.
The only way that this instruction makes sense is if we interpret "stomach" to mean "abdomen" and proceed to contract an abdominal muscle that "sucks in."
Also, if our students take us at our word (which I hope they do), they are learning that the stomach is something that can be "sucked in," which it is not. This is worrying, essentially teaching an inaccurate and incorrect concept to unknowing students.
The easiest of fixes
This instruction can be modified ever so slightly to become an effective cue. "Pull your abdomen in" or "pull your belly in" are both anatomically sound and they accomplish the desired result: contraction of the transverse abdominis. They remove the danger of propagating false information to our students and encourage them to learn the correct way.
Put your forehead on your knee!
We've all heard this instruction thousands of times. The phrase and its variations have become synonymous with correct practice of "head to knee" postures. The problem is this: the forehead touching the knee should be a result of the correct muscular usage, not the end goal.
This may be a surprise, but there is little to no benefit in touching your head to your knee. Unless you are making the argument that the head benefits from its contact with the knee (which it might, due to a nerve plexus or gland), or the knee benefits from its contact with the head, it becomes obvious that the value of the position lies somewhere else, even if the well-known signifier of the posture is the famous "head on the knee."
The distinct benefit comes from using the abdominal muscles (rectus abdominis) to bend the spine forward, compressing the organs, glands and intestines; and from forward- bending the neck, compressing the throat. These two foundational elements are then accentuated by what the rest of the body is doing, whether balancing on one leg as in Standing Head to Knee, maintaining external rotation of the opposite hip as in Seated Forehead to Knee, or kneeling as in Rabbit.
Sometimes the cue---to put the head on the knee---and the posture work together. Great! The muscles in the neck and abdomen engage, the spine bends forward, the throat and abdominal contents get compressed, and the head touches the knee.
But often the instruction and the posture don't work together. Our head may be able to touch the knee without the valuable engagement, bending and compression. We get the end result of the cue, so we think we are benefitting from the posture. But the important parts of the posture are left undone.
Those that struggle with "head to knee" poses will get great benefit in finding their abs and contracting them as best they can. Will their head get close enough to touch their knee? Maybe, but maybe not.
Those that are stronger should try to get their head closer to their hip than their knee. This will continue to develop their abdominal strength and compression past the point of their head on their knee.
"Touch your forehead on your knee" can be a great visual cue. However, as practitioners and teachers, we need to remember cues are attempting to make an action happen in the body. They are not the goal in and of themselves.
Ghosh Yoga Teacher Training is four weeks long without stopping. Each day we arise early to do pranayama (breathing) practice, and the day is filled with lecture, discussion, practice and teaching. It is an all-consuming, immersive experience, and it is intended to be that way.
We believe in the immersive approach as opposed to the more sparse (and, admittedly, convenient) approach of weekends or short sessions.
The mind is driven by habits, and the strongest habits we have are what we call everyday life. This includes when we get up, what we eat, where we go, what we do, and most importantly, what we think. Yoga practice is above all things a reconfiguring of the habits of the mind. So if we were to spend a day or two in practice and study only to be followed by an entire week of our usual daily habits, the progress made in practice would be undone.
The best way to make lasting change in the mind is to undertake new habits for long enough that they stick. Inevitably, we come face to face with our habits after about a week of committed practice. The body and mind resist the transformation, seeking their old, comfortable ways. We feel exhausted and at the end of our rope.
But when we persist through this stage, the mind begins to relinquish its old habits and identities. This is when yogis talk about finding "new reservoirs of strength" or "powers I didn't even know I had." In the simplest terms, this is the mind becoming willing to change, especially in terms of who we think we are.
Many yoga schools offer the convenience of weekend trainings or a few days per month. There is value in these because they allow people to learn and study while still tending to the necessities of daily life like work and family.
But we are firm believers that the practice of yoga is one of recognizing the habits of the mind on the way to changing them. For this to occur, we need to spend significant time committed to practice and study, until our ingrained mental ruts reveal themselves.
Knowledge is power. Our understanding of the world around us and our place in it directly affects our ability to function effectively and attain happiness or success (or both), or whatever it is that we seek. As a teacher you pass information and the ability to think to your students, making them more powerful. The better you are as a teacher and the more knowledge you provide, the more powerful your students will become.
This power dynamic can create tension between the teacher and student. Many teachers are afraid of the power that the student will gain if they offer all their knowledge. Won't the student then be equal to the teacher? Or perhaps even better? So the teacher limits the knowledge they offer, only providing part of the information to prevent the student from rising too high. Or they may belittle their students, criticizing and insulting them to remind the students how low they are. This keeps the student---in the teacher's mind, at least---below the teacher.
How do we avoid this? By embracing the possibility that our students will become greater than us. Hoping for it. The value of our students is not in the way they build us up, looking up to us admiringly as all-knowing gurus. The value of our students is the way they are individuals with unique experiences, minds and ability to think. Their value is the same as ours, the same as anyone's, to recognize the things that need to be done to make the world better. To have the knowledge and courage to pursue them.
One of our favorite quotations is credited to Ralph Waldo Emerson, "The greatest way to honor one's teacher is to obliterate him." This contains a great lesson for the student and the teacher. The goal of both parties is the transfer of knowledge and understanding, which is not to be confused with doing things the way they've always been done.
A successful student will be able to think independently of the teacher. A successful teacher will embrace and encourage that independence.
As the year turns over, we quickly shift from looking backward---"what happened this year?"---to looking forward. I have mixed feelings about New Year's resolutions because they encourage us to be dissatisfied. It would be better to focus on contentment, as Ida writes in a new blog.
The more I practice, teach and study I am shocked by the way my mind changes. I see things so differently now than I did when I started learning about yoga years ago. I suppose it shouldn't be surprising. How could we possibly have clear vision or intention when we are beginning on a new path? Each bit of practical experience and insight necessarily changes our perspective.
Lately, I have been studying the Bhagavad-gita, and it is so clear which passages are speaking to my present situation: Actions should not be undertaken for the benefit of myself or my ego. When I say this out loud, it seems obvious and silly. But which of our actions are not designed to benefit ourselves?
When I say things so people understand my intelligence, I am serving my ego. When I eat the food I "like," I am serving my sensory desire. Even when I study and learn, am I doing it just to develop my sense of accomplishment and my ability to excel in the world?
It is increasingly important to me to recognize and subvert these thoughts and actions. Instead, my actions should be directed toward the service of others. The difficult part for me to understand is do I do this for the benefit of myself or other people? Even that dilemma is addressed in the Gita. One who performs apparently selfless actions for his own benefit is ignorant, while one who takes no credit and accepts no personal benefit is wise.
This is my goal: to serve with no agenda. To recognize the emergence of my ego and discard it, so my actions build the good of the world at large instead of just myself.
Scott & Ida are Yoga Acharyas (Masters of Yoga). They are the head teachers of Ghosh Yoga. This blog is about their experience with yoga practice, study and teaching.
- Make the Hamstrings Strong, Not Long
- Understanding Chair Posture
- Lock the Knee History
- It Doesn't Matter If Your Head Is On Your Knee
- Bow Pose (Dhanurasana)
- 5 Reasons To Backbend
- Origins of Standing Bow
- The Traditional Yoga In Bikram's Class
- What About the Women?!
- What About the Hips?
- Why Teaching Is Not a Personal Practice
- The Central Psoas
- The 113 Postures of Ghosh Yoga