This month our Ask the Expert for July Heather Elton answers a question sent in by a fellow yogi. Heather has been practicing yoga since 1986, and is currently teaching Ashtanga and Vinyasa Flow yoga in London. She also teaches on international yoga retreats and workshops, including teacher training in Goa.
Q: I have a Sacral
illiac joint injury flare up!
I have experimented with
specific asanas to support and strengthen this area, but it still remains. What is your advice?
A: Inflammation of the
Sacroiliac (SI) joint is believed to be caused by a disruption in normal
movement of the joint. If there is inflammation in the SI joint then the
portion of the sciatic nerve that runs directly in front of the joint can also
be irritated. The area is very
complex and if you feel no relief from my suggestions below, it’s important to
seek expert medical advice.
Sacroiliac (SI) joint
problems are common for yogis, especially those who practice ashtanga. I
suffered from chronic sacroiliac pain for two years early on in my practice and
received chiropractice treatments as well as other forms of therapy. It was during a private yoga session with
Glenn Ceresoli, an Iyengar teacher from Australia, that the problem was finally
solved . He told me to do Supta Padangusthasana (Reclining Big Toe Pose) against the wall. The
effects of this posture were immediately beneficial and I did it daily for six
months. To this day, I’ve not had sacroiliac problems again.
To do Supta Padangustasana,
lie down on your back with your legs straight and push both feet against the
wall. It’s important to have the same pressure on the legs as if you are
standing upright, so you can work the legs properly. Make sure the spine is
straight, the sacrum is moving towards your heels, and the shoulder blades are
moving down your back towards your waist. Relax the head and let the chin drop
towards you throat to lengthen the back of your neck. Then, raise your right
leg and place a yoga belt over the ball of the right foot, so that the foot is
straight and the mounds of the big toe and little toe can be activated. Pull
the little toe down towards your right ear. Do not take the right leg further
than 90 degrees. It should be completely straight. Once you are in the pose,
try to extend your right sacrum towards the wall and push your right thigh away
from your chest. The left leg should be working strongly with the left thigh
rolling inwards. Continue to push the left leg into the wall and try to get the
back of the thigh and knee on the floor. Stay a few minutes in the asana and
then do the other side. Don’t forget to breath. Expand the ribcage on the
inhalation and contract it on the exhalation. Breathe through your nose and
focus on the breath.
Once you’ve completed Supta Padangustasana on the right side, move right
leg to the right into Parsva Supta Padangustasana. It is important in this
asana that both SI joints, especially the left one, remain on the ground. You
can attach the belt around the right foot and put the long end of the belt
securely under your shoulder blades. Then pull on the belt to bring the leg
into the hip. (This is a nice way to support the weight of the leg.) The right
thigh is externally rotated and the sensation is one of pulling the leg into
the hip socket. It’s preferable that the leg doesn’t go to the floor. Squeeze
both hips together and activate Mula Bandha. Next, cross your right leg
over the body to touch the floor on the left side. This pose is excellent for
sciatica. Pull the hamstrings back into the hip and lengthen the big toe
forward.
Supta Padangustasana stabilises the sacrum if done correctly and lengthens
the major muscle groups (hamstrings, quads, adductors and IT band) that connect
the legs to the pelvis. If the leg muscles are too tight they can pull on the
lower back muscles. If they lengthen there will be less pressure on the sacrum.
Virhabhadrasana 2 (Warrior II) can be especially dangerous if you lunge
forward from Adho Mukha Svanasana (Downward Dog) and Janu Sirsasana (Head to Knee pose). Make sure your front hip bones are
symmetrical so the sacrum can be level. Try to feel the front groins
descending, the front hips lifting, and the coccyx moving downward.
Emotionally and
psychologically, lower back issues often stem from feelings of being
overwhelmed or having no support. The spine is your main support and when it’s
in pain, you can feel very vulnerable. At the time of my sacroiliac pain, I was
in a relationship that I felt was unsupportive. Interestingly, after the
relationship ended, my pain also vanished. It’s
important to remember that injuries arise for a reason that could be mental,
emotional, and physical.
Injuries remind us
to pause and analyse what’s going on in our lives. Injuries can be
teachers and if you listen closely enough, they will reveal what is wrong in
the connection between body and mind. It’s important to back off and not
re-injure yourself, yet at the same time, learn to do your practice
respectfully and gently. Yoga is therapy.
For more information about Heather please visit www.eltonyoga.com
Keep your eyes peeled for August's Ask the Expert, who will be appearing on our blog in the next few days!