Anatomy – Muscular System

Review of book by Leslie kaminoff and amy matthews

woman doing push ups
Photo by Karl Solano on Pexels.com

On to chapter three of Yoga Anatomy. The muscles around my right hip are always tight. As I mentioned before my right leg is shorter than my left leg by a hair. I usually do not notice this unless I under use or overuse my body. Lately I have been trying to do more cardio and the increase in repetitive movement has aggravated all the muscles around my hip and knee.

This chapter on the muscular system begins by stating the purpose of muscles is to move the bones in the correct place so they can do their job. I’m thinking of how much more my right leg and hip muscles must have to work to keep my bones on that side in the right place to balance my movement. I don’t walk with a limp and usually do not notice much difference but just the bit more they have to do is noticeable when I change my activity.

in reviewing muscle anatomy the book describes the 3 types of muscles, skeletal, cardiac and smooth. It also discusses how muscles actually consist of 4 different types of tissue: muscle tissue, connective tissue, nerves and blood vessels. When you consider how much goes into making a muscle work you can’t ignore how integrated each body system is. Also the concept that they are different types of muscles leads to that different parts of the body govern the different muscles. The skeletal system is govern by our somatic nervous system and for the most part conscious thought. It’s the one we have awareness of controlling. Cardiac muscles and smooth muscles are governed by the autonomic nervous system and the endocrine system (through hormones). We don’t have conscious awareness of control of these areas but if you can learn how to influence you autonomic nervous system then you can influence these muscles.

The book goes on in detail to describe how muscles work in pairs through contraction only. This I decided to not review as much because of the technicality and because for me this part is not as relevant at this time as the other information they focused on. This other information is related to the idea of muscle relationships through pairing, layering, and chains.

One of the suggested exercises is lying in relaxation pose and the instruction is to wiggle your fingers and follow the movement up your arm to your spine and then moving the spine to see what other body parts move as a chain reaction. This to me was actually relaxing and somewhat meditative. I felt like I was observing ripples and waves in my body. I like that analogy. It made me think of how fluid my body can be versus how choppy and “crunchy” it feels sometimes walking when I’m feeling pain.

In talking about muscle chains and following movement the book again referenced “Body Mind Centering” and “the Bartenieff Fundamentals”. In looking up “BMC” I found this definition:

“Body-Mind Centering® (BMC®) is an integrated and embodied approach to movement, the body and consciousness. Developed by Bonnie Bainbridge Cohen, it is an experiential study based on the embodiment and application of anatomical, physiological, psychophysical and developmental principles, utilizing movement, touch, voice and mind. Its uniqueness lies in the specificity with which each of the body systems can be personally embodied and integrated, the fundamental groundwork of developmental re-patterning, and the utilization of a body-based language to describe movement and body-mind relationships.” –https://www.bodymindcentering.com/about/

In regards to the Bartenieff Fundamentals I found this description from Wikipedia:

Bartenieff Fundamentals are a set of principles for “corrective body movement”[1] developed by Irmgard Bartenieff, who studied with Rudolf Laban and colleagues in Germany (1925). After coming to the United States in the 1940s and becoming a physical therapist, Bartenieff developed the method in the form of a set of exercises, based on concepts and principles of kinesiological functioning, that can be extended into all types of movement possibilities. Bartenieff in developing this work fused her studies in both Laban movement analysis with Physiotherapeutic principles and the influence of both is a strong component of the Fundamentals.”

I am interested in learning more about each of these and plan to do a bit more research on these. This chapter on the Muscular System ends by saying that if we think all muscles in a body are supposed to work like the corresponding muscles in someone else’s body we are missing the awareness and possibilities of new patterns and new movement that may be possible for the individual. We are all so different and just because a series of exercises work for one person, it doesn’t mean it’s the best thing for another. I do like that when we practice yoga postures as they are described in the sutures we teach ourselves to explore the posture with ease and discovery versus being just performative or for an end result. This approach allows us to grow and learn while we are becoming stronger or more flexible.

Regarding my muscles in my right leg. I have decided to do more exploring in my morning yoga practice which has caused me to rethink what might be good for my body. I realized that as I get older I do feel more brittle and “crunchy” and that if I can create more fluid movement like with good posture when I walk or trying more flow with my yoga postures when I practice I feel better. I also am noticing how proper alignment with my posture makes everything better. It takes practice though which is what I’m trying to be more consistent with.

Anatomy – Introduction to My Deep Dive

First book study – “Yoga Anatomy” by Leslie Kaminoff and Amy Matthews

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During the past few years I have acquired so many books that I keep meaning to read and study. I have decided that I wanted to start a simple book study for my blog. That way not only do I have something to hold me accountable to read these items but also I can share what I’m learning to others. The plan is to basically summarize what I learn and give some ideas of how to put the information into practice, whether it be for the individual at home or for me to to incorporate in the clinic.

Being on the mental health side of things, I do not have a lot of training in anatomy. Therefore, I decided to start my study off with a somewhat deep dive into anatomy with this book by Kaminoff and Matthews. The first chapter is titled, “Anatomy as a Story”. This short chapter introduces the points the authors are hoping to bring home in their book. The main concept they seem to be focusing on is that anatomy through the language of biology and yoga are just two different maps to explore the body. Both are curated and both provide one lens to look through to see the same thing. The authors do want to point out when we do study movement we are not just looking at one body system (muscular/skeletal) but looking at all the systems working together.

The first 3 chapters are devoted it appears to the major systems associated with movement: Skeletal, Muscular, and Nervous. One main reason for working in yoga therapy to my practice is that I know and see on a daily basis how these three systems are intertwined. In trauma treatment especially we are trying to get a person out of their thoughts and to break away from those torture loops in their head. Ironically in traditional psychotherapy we do this with talk and processing thoughts and feelings. Not really getting out of the head huh? Movement of the body is the best way to cut through the thought jails. Moving the body will impact the nervous system in a way just pure communicating and processing cannot. It is something we will tell a client to do as “homework” but there’s usually too many distractions in the average person’s home to accomplish too much meaningful homework. Something so valuable needs to be done in a dedicated session.

women performing yoga on green grass near trees

Yoga Therapy vs Psychotherapy

Over the past pretty much 10 years I’ve been slowly but surely working toward getting my Yoga Therapy Certificate with the International Association of Yoga Therapists. I finally completed that task last month. I had finished up my training with an absolutely wonderful studio out of San Francisco, Purusha Yoga School. I met some amazing people and learned so so much. I am actually sad that it is over more than excited about the certificate. Anyway it has always been a dream of mine to incorporate more yoga into my mental health practice. This has been difficult because my profession is Clinical Social Work and there is a very strong business model for a therapy practice that utilizes insurance and out of pocket. The clients I see need to be able to use their insurance and I don’t want to be so boutique that I can’t cater to the average working person whom is most likely not going to pay my hourly rate weekly. Some can and will because of the benefit, but most of us want to use our insurance if we have it.

So the challenge has been how do I work in yoga therapy since insurance doesn’t cover that. Well through this last training I have received so much insight how this all could work and finally decided to take the jump and transition my practice to something much more holistic. It is very exciting for me.

I think understanding how yoga therapy and traditional psychotherapy are similiar and different is really good to keep as a fore front as I chart this next course. Here’s a brief comparison of the two:

Both Yoga Therapy and Traditional Psychotherapy are the same in the following ways:

Both

  • Work on rewriting negative thoughts/experiences into something more positive that helps get a person unstuck and to move toward  optimal wellness.
  • Work on understanding where a person is  on their journey toward wellness and meet the client where they are at.
  • Are confidential
  • Use skills of motivational enhancement therapy and cognitive behavior therapy
  • Set up SMART (specific measurable, attainable, relative, time sensitive) goals for treatment.
  • Teach mindfulness and relaxation skills
How Yoga Therapy and Traditional Psychotherapy are different:
  • Traditional Psychotherapy uses predominantly talk and utilizes one or more of the many models of psychotherapy available to Licensed Counselors.
  • Yoga therapy uses the framework of the 8 limbs of yoga to build a treatment plan.
  • Yoga therapy uses Sanskrit terminology to identify and explain concepts while traditional psychotherapy uses western medical terminology.
  • Yoga therapy uses the chakra system to assess health and to inform treatment planning.
  • Yoga Therapy  follows ayurvedic principles to guide treatment.
  • Most traditional psychotherapy is covered under insurance; yoga therapy is not.

As you can probably see they do have a good bit that overlaps. So the plan is for the business to focus primarily where the two overlap. The majority of Yoga Therapy can be billable with insurance as long as it follows psychotherapy models. I still plan to offer classes that are geared more on teaching versus therapy and those would be out of pocket.

So it’s a new chapter for Grounded for Peace. We start off the transition this summer with offering more specific yoga therapy individual sessions and some small therapeutic groups that incorporate specific strategies in Meditation, Breath work, and Relaxation. As times goes and when I am able to add more staff, we will begin offering more targeting therapeutic groups for anxiety, addiction, and trauma.

If you are interested in knowing more about upcoming groups, click on “Contact Us” at the top and leave us a message.

Back Pain and Exercise

 

In sessions, I hear a lot about chronic pain, particular back pain.  Many folks are  becoming more and more skeptical to the use of pain killers with all the headlines about the opioid epidemic.  They want to look at other options for pain and/or reduce their personal use of opiates and other pain killers.  Exercise comes up with mixed thoughts and feelings.  On one hand they hear that the increase of exercise can help with circulation, healing, and tension related to pain.  On the other hand, the wrong exercise or the wrong amount can cause serious damage and create more problems.

A recent article in the October 2017 edition of Scientific American highlights some research on this topic.  The research looked at over 300 individuals with chronic back pain and prescription painkillers.  They assigned these individuals to either a program of yoga, physical therapy, or a program of educational materials.  What they discovered is that the individuals in the yoga and physical therapy groups were able to significantly reduce their use on pain killers than the control and education only group.    The author described the yoga that was prescribed in the group as gentle stretches including cat/cow and child’s pose.

The article spoke to the evidence that what seems to work best is an overall combination of tools, which could be medications and movement.  When speaking to one’s primary care physician or pain treating provider, asking about other options for pain relief in addition to medications is recommended.  If there are no structural reasons for the pain or damage to any vertebrae many times movement is preferred over medications.   Although even with structural problems with someone’s skeleton, increasing flexibility and circulation is beneficial and necessary for healing.  Muscle relaxers may help obviously with muscle tightness, but you may get much more with exercise such as overall increase in circulation, relaxation and strengthening of muscles.

Bottom line seems to be that there are benefits to medication but much more for adding the right exercise with or without the medication.   Figuring out the right exercise may take a little research and time.  Speaking to qualified professionals familiar with one’s unique health history and getting a list of options to choose from is the best place to start.   A physical therapist is also a great place to start but if you want to try something at home, one could always begin with asking their healthcare provider to explain first off which exercises they shouldn’t do and why.  Then at least  an individual is able to stay safe while they sample different exercises to try at home.  As with any exercise program, when you find something that works, it’s the consistency that will give you the most benefit.   It’s better to start small and keep going than start too big and feel like you can’t keep it up due to time or energy.

How Meditation Affects the Brain

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I’m facilitating a new class, Monday Yoga /Wellness Class, that starts Monday June 20 at 7pm (space is limited so contact me if you are interested.)

This class is aimed at developing an individual wellness/meditation practice.  We will do yoga postures to let go of any tension and to open the body up for relaxation for the first part of the class.  The rest of the class is focused on progressive relaxation, breathing, and a variety of meditative techniques.   (Props, chairs, and mats are available).

I have many people who come to see me that want a meditation or a yoga practice at home.  I created this class to help with that.  We will be exploring not only how and why to prepare before meditation but also will practice different meditative techniques for students to “try out”.

We will also discuss how meditation affects the brain.

The research is suggesting that a regular meditation practice (15-30 minutes a day) can increase gray matter in the brain, build new connections, clean out plaque that causes dementia, reduce the size of the amygdala which causes the fight or flight response, and increase our resiliency to cortisol (stress hormone).

There are many reasons to work on a meditation practice, especially if you are trying to be healthy and/or reduce stress and its effects.  Of course this should be easy enough, right? Why is sitting 15-30 minutes every day so difficult to maintain (and for some even start)?  One is that sitting in general can be painful and uncomfortable. Two, establishing any new habit or change is difficult. Consistency, consistency, consistency.  The mantra for true success ……Oh if developing consistency itself was easy.

Even if you practice now and then, it is better than none at all.  I would encourage everyone to try for 5 minutes and go from there.  You may surprise yourself that you can actually develop your own practice if you keep coming back to it when you think of it, no matter how long the in-between.

One also does not have to just “sit”.  I’m also hoping this new class will educate students on what is meditation by research standards vs other definitions.

Here are some links that discuss the effects on the brain from meditation and the research behind it:

Psychology today

Mindful.org

Washington Post

How to Start a Breathwork Practice

keep calm and breath pdf

Breath is a powerful connecting force between the mind and the body.  Building and expanding on our breath not only increases vitality and energy, it can also be an amazing healing tool.  Although it is recommended to have an experienced teacher before beginning any significant breathwork practice, anyone can initiate this journey with some simple steps and create a 15 minute practice.  This practice can be added to a regular yoga asana practice or meditation practice.

  1. Identify a dry comfortable area to practice in.
  2. Limit distractions such as turning off or down your cellphone
  3. Wait a little after eating so you don’t have a full stomach. A little water before starting can be helpful.
  4. Avoid coffee before practicing.
  5. Decide on time to practice. Early morning is an ideal time to practice before your money cup of coffee/tea.
  6. Lie on your back or find a comfortable sitting position.
  7. Begin by just observing and tracking the breath as it comes in through your nose and down your windpipe into your diaphragm and track as it exits the body.
  8. Spend 5-10 minutes practicing observing.
  9. Spend the next 5-10 minutes focusing on long slow exhales.
  10. Sit in quiet for 3-5 minutes with normal breath.

At this point the work is on being the observer. Breathwork is not completed by “controlling” or forcing the breath, it is done effectively by observing and “playing” with the breath. If your goal in breathwork is increased vitality and wellness, then the safest way to begin your practice is by observing where you are first.   This takes time and cannot be determined with one breathing practice session but must be observed over time.  Variables like a new stressor or trying something for the first time can alter your baseline habits.  Overtime however one can determine the average count and length of the breath and identify a good goal to work on.  The goal is usually in lengthening both inhales and exhales comfortably without strain.  This will increase vitality.  However sometimes a person may need more help specifically with inhaling or exhaling and a trained instructor can guide the person in their practice.  There are also techniques like holds and various therapeutic practices that can target a particular healing aspect of the breath.  For more information on pranayama, a good book to reference is The Yoga of Breath: a Step-by-Step Guide to Pranayama by Richard Rosen.

Personal Practice Challenge – Self Judgment

The third sections of Judith Hanson Lasater’s book “Living Your Yoga” focuses on Self-Judgment.  She reminds at the beginning of the section of the yoga sutra that says the posture should be “steady and comfortable”.    She then goes into describing how we set certain expectations on ourselves and have certain thoughts in regards to our practice that gets in the way of our personal practice.  She discusses how we are a culture of “No pain, no gain” and how this is not necessarily the focus in yoga.

Her suggestions for this month is 1)Write down your internal dialogue right after your personal practice.  Keep notes brief and do not try to interpret. Keep track and note how the dialogue changes over time. 2) If you find yourself forcing in asana or other parts of your live ask, “is this in the spirit of yoga?” 3)If you notice that someone else is judging you, don’t be quick to agree or to internalize the judgment.  Think about what happened and agree only if his assessment aligns with yours. 4) If you are going into a situation about which you feel anxious, tense, or afraid say to yourself, “I am perfect just as I am” 5) Rather than approaching your yoga practice from an attitude of no pain, no gain, how about no pain, no pain? and 6) Do not criticize yourself, anyone else, or anything for one hour.  If this feels like too much, commit to doing it for the next 5 minutes.

These suggestions or homework feels quite freeing to me.  We spend so much of our time worrying about not meeting expectations that we forget the only real expectations are to grow and learn.  This should be interesting  lesson in letting go.

Personal Practice Challenge – Discipline

The next section of Living Your Yoga is on Discipline or as Judith puts it “practice in action”.  She starts by suggesting in order to begin practicing discipline to keep it simple and achievable.  The disciplined practice should focus on being mindful during the practice.   She discusses making a list of things you always want to do but never seem to have time doing them, such as meditation, exercise, writing, taking a walk, reading a good book.  She advises using a timer and setting for only 15 minutes and to do this every day.  She continues to explore that before each designated activity take a moment to declare the intention of what you are trying to do and afterwards to express gratitude for having the time to do it.  She suggests not going over 15 minutes and doing this for every day until maybe you decide to replace it with another activity.

Other Discipline practices she suggests include:

  • Do one thing at a time.
  • Commit yourself to doing what is possible.  Make a list of what you have to do tomorrow and eliminate activities that are unnecessary, reschedule those that can be and should be postponed.
  • Take a nap every Sunday.
  • Slow down in what ever everyday activity you choose such as driving, speaking or walking to you care.  Begin each activity with one gentle inhalation and follow it with a calm exhalation.
  • Take a lunch break every day.
  • For the next 3 days write down what you do in half-hour increments.  This exercise will help you discover your free time.  Now take a break instead of adding another activity and do something restorative like yoga or painting/artwork.

Importance of living “my yoga”

Judith Hanson Lasater in her book “Living Your Yoga” discusses that in order to develop a personal practice you have to well…make it personal.  She suggests in her first section to develop a list of what is important to you about living your yoga.  Now yoga is not necessarily asanas or poses so “your yoga” really can refer to any of aspect of yoga.  I would go further to say that it refers to any part of “spiritual/wellness practice”.  So whether one does sun salutations in the morning or a daily Christian devotion it is their practice and therefore has importance to the individual that practices it.  So what is important about my wellness and/or spiritual practice?   For me it is consistency. I really need something consistent that keeps me balance.  I also need a practice that helps me maintain mindfulness so that I develop the awareness to know what parts of my body are harboring stress or if I’m am emotionally eating and not just eating for nutrition.  I also need a practice that keeps me strong and healthy.   Finally I need a practice that calms me and provides me a space to be me and connect with my inner peace.  She suggests revisiting this list on occasions to see if anything has changed or needs to be added.

Why I began Practicing Yoga

Okay it’s 5:50am on a Tuesday.  I just said my mantra and did a couple of sun salutations.  Now I’m going to address the next part of building awareness, answering the question of why I began practicing yoga.

I actually started interest in yoga when I was 16 when I first saw Jan practicing yoga on Three’s Company rerun. (i know I’m dating myself.)  It at the time just seemed exotic and new.  My mom was working at a library and would come home with order forms for new books.  I think I built up quite a yoga collection for our small local library…  Well yoga then took on new meaning when I went to college and actually found a well trained teacher.  I always felt so good after the classes that I think it just sealed my quest to do more.

So since college in 1995, I’ve been on my committed yoga quest which has led me to being a registered yoga instructor and working on a yoga therapist certification.  But besides it feeling good I’m not sure I’ve answered the question yet although in my head that could qualify.  However to elaborate a little more,…  Yoga has given me a road map that makes sense.  A road map to being calm, handling life hardships, handling life joys, finding out what I really like, and staying grounded through it all.  It has given me a feeling of connectedness that has changed my perception of where I fit into this universe and has given me profound comfort in knowing I have a place in it all.  Every time I practice or study yoga, I feel I gain another piece to a puzzle.

There’s so much there and it’s fascinating to me that the development of yoga is so old and so way way before me.  Yoga is a practice that has been tried and tested over and over.  You of course get out of it what you put into it so just a few Sun Salutations in the morning and no other study or practice may not  be life changing but the funny thing about yoga is that once you go down the path a few sun salutations could open the door to something life changing.. And let’s face it,  the bottom line is it just feels good.