by Timothy
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Happy, Healthy Warrior Pose |
Science reporter William Broad, who a year ago woke the proverbial sleeping (downward facing) dog of the yoga world with his NY Times Magazine article How Yoga Can Wreck Your Body, is back at it. This time he’s claiming—based on a review of injury statistics—that men are at much greater risk of serious injury from yoga (see Wounded Warrior Pose). The claim may or may not be true, but I don’t think you can really tell from the data he presents. I plan on writing more about this topic in my next email newsletter, but wanted to respond to Nina’s query for the blog today.
As Broad makes clear in his book, The Science of Yoga (from which the first Times yoga article was excerpted), the subject of his inquiry is the physical practice of yoga as found in most classes. He’s not talking about meditation, chanting, selfless service or spiritual development. Even so, styles of asana practice, different teachers and classes vary enormously. It’s my feeling that Broad’s failure to account for these differences could entirely explain his findings.
Back when I was taking a lot of classes of different styles (which I’m not doing anymore, so if things have changed I’d love to get feedback from readers), I found that in the more meditative and restorative classes, I was often one of the only males in the room. But in some of the more vigorous and acrobatic classes, the gender split was closer to even. Thus, men having a higher incidence of yoga injuries could simply be a reflection of their favoring the kinds of classes where injuries seem more common, and not actually reflect any greater vulnerability to injury.
It is also my experience (and that of most yoga teachers I’ve spoken with) that people who are more flexible are generally at greater risk of injury, particularly for injuries like hamstring muscle tears, and overstretching of the ligaments. It varies from person to person obviously, but on average men are much stiffer than women, and seemingly less prone to these types of injuries.
Many yoga injuries—again based on my experience, since we lack data—happen when people are trying too hard to achieve a particular result. Your foot won’t go into Lotus pose, for example, so you pull a little harder to get it into position, and in the process tear ligaments in your knee. But before that happens, the body almost always gives warning signs, such as pain or strained breathing. If you decide to ignore them and power your way through, problems may result. Both men and women can do this, but if I had to guess I’d say men are more likely to, so in this way may be at higher risk.
William Broad loves to create controversy. Beyond claiming that yoga can wreck your body, he has also written that yoga can make you fat, and that the entire practice started out as a sex cult (neither of which is true). Statistically speaking, if Broad’s analysis is correct (and given the methodological problems in how he did his analysis—see Is Yoga Really Dangerous for Men? Dr. Ram Rao Weighs In—I don’t think we can know), men may indeed be at higher risk of injuries when practicing asana, but this may miss a larger truth. My guess is that if a man practices less demanding forms of yoga, or any style of yoga in a less aggressive and more mindful way, that his risk probably isn’t any greater than that of a woman, and may even be less. Uh oh, there’s a potential future headline for Mr. Broad: Women at Greater Risk of Yoga Injuries! You heard it here first….
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Dr. Mccall, I am 74 years old and just started doing yoga about 6 years ago. I have always been physically active with pilates, wt. training, cycling and I only wish I had started doing yoga a long time ago. Yoga has not caused me any injuries. In fact, I have a history of a T11 compression fx (1999) which fused onto T12 causing a kyphosis and rotary scoliosis with resulting disc pressure and sciatic n. irritation with L buttock pain and numbness down the left calf. McKENSIE EX. HELPED SOME BUT NOT COMPLETELY, EPIDURAL SHOTS AGAIN HELPED TEMPORARILY BUT THE PAIN AND NUMBNESS PERSISTED UNTIL I STARTED DOING YOGA. AFTER ABOUT ONE MONTH THE NUMBNESS DISAPPEARED AND HIP PAIN WAS LESSENED. THIS WAS ENCOURAGING AND AFTER 5 OR 6 MONTHS THE HIP PAIN WAS ABOLISHED COMPLETELY. I FIND THAT I AM MORE FOCUSED, HAVE BETTER RANGE OF MOTION AND BREATHE EASIER AND BETTER ESPECIALLY WITH MY CYCLING. I WILL CONTINUE WORKING ON MY YOGA ROUTINE UNTIL I HAVE NO BREATH. THANK YOU FOR YOUR WORK AND INFORMATION.
Although the most males I have have ever practiced with is 2 (besides myself making a total of 3!) I have found the teachers encouraged/offered differing levels of difficulty and we, as men, do what we can based on our abilities and limitations. I've not been in any "macho" type settings where competition seems rampant. Having said that, I have practiced with my 20 something daughter who claims the classes I attend are a bit slow for her and she wants a more flowing, aerobic type of class. I prefer to get into a pose as best as I can while taking my time while finding my edge. She struggles with this idea and maybe younger men out there are having the same issues? Does this lead to injuries? Not sure
I think there is some anecdotal truth in what you are saying. The patience aspect of being willing to investigate the moment by moment experience in the asana is perhaps a bit challenging for some younger practitioners. The Vini Yoga perspective addresses this issue in the stages of life concept. Youth is focused outward as they learn to see themselves in relation to others. As we get older perhaps introspection and how we see ourselves in relation to our "self" may become more of the focus. Just an idea.
Well, I was just discussing this with a student of mine. It seems that in the U.S. (as that is my only point of reference) the more reflective classes are being edged out in favor of more exercise oriented classes. This may be due to individuals not being so much concerned with being in the pose(s) as much as with doing poses.
A teacher that can elucidate the particulars of alignment can make the practice challenging. However, if the student wants to 'feel the burn' so to speak, then alignment, strength and breath are lost causes. So then, when jumping from pose to pose or attempting a more challenging pose, without real knowledge of how they work, the stage is set up for injury to occur.
When injury occurs, the smarter students begin to address alignment and the strength and focus to be obtained thereat (sp). Styles such as the Ana Forrest Style and its offshoots are very demanding but they really focus on alignment (not pure iyengar, mind you, but fairly close). However, AF style demands that one be 'PRESENT' and many poeple have a hard time with being present.
At 52+ years, I am still doing things in yoga that most active 20 – 30 somethings cannot. I would not teach those things in class because most students are still learning alignment concepts. I take it up to a point but I always 'Stress Alignment'.
A good number of these injuries may be due to over-zealous teachers, aggressively practicing students, inattention to alignment or any combination of the three. The more that students are made aware of their edge, and I have seen some things out there that make me cringe, the more conscientiously students will approach their prctice . . . . at least, the ones that GET IT.
Acrobatic aside
People who are more flexible are generally at greater risk of injury, particularly for injuries like hamstring muscle tears, and overstretching of the ligaments. Yoga Injuries can happen when people are trying too hard to achieve a particular result.