Hip tightness or pain is a frequent complaint of many. Sometimes this arises from lifestyle patterns, and other times from a previous injury that needs a little TLC. There are indeed many causes of hip pain. If you suffer from any pain that causes you to abstain from activities you previously engaged in, a trip to the doctor is warranted. For many people yoga and physical therapy can help.
The hip joint is an amazing structure. It is made up of the femur (thigh) bone, and the pelvis. The top of the femur has a knobby protrusion on it that fits snugly into a concave area in the pelvis. Muscles, ligaments and tendons all give stability to this joint. The design of the hip joint allows for lots of motion. Additionally, it is able to handle the load of the upper body, even as we carry heavy objects, walk up stairs, or engage in sports. It’s designed to do all this with efficiency and grace as we propel forward through our days on our two legs.
However, as with any fine machine, we need to take good care of the hip joints for them to be at their best. Today’s lifestyle of relative immobility can cause tension and tightness in the hips. Since we sit with our hips bent for hours on end, the hip flexors at the front of the thigh get tight. These muscles shorten which can cause pain in the low back, hips and knees. If you have tension in any of these areas, or feel pain while walking, then you may be able to find relief from movement, stretching, and strengthening. Ideally, you should try to stretch and strengthen all the muscles that attach at the hip….those on the front, back and sides of the thigh.
Yoga can really help create more openness in tight muscles. If you want to try a yoga class to help all your body parts feel better, try one of my weekly offerings. I teach Healing through Yoga (Wednesdays at 5:30 MT) and Unwind the Spine (Fridays at 4:30 MT). To try some postures on your own, some good choices to keep your hips happy and healthy are:
Anjaneyasana (Low Lunge)
Paraghasana (Gate Pose)
Virabhadrasana 1 (Warrior 1)
Trikonasana (Triangle Pose)
Figure 4 Stretch
Vasisthasana (Side Plank)
Setu Bandha Sarvangasana (Bridge Pose) (Also one-legged bridge for strengthening)
Denver got a big dump of snow this past weekend……2 feet at my house! As a life-long Coloradoan I know that if I want to eventually get out of my driveway, I have to shovel several times before the snowfall ends. NOW I’m even careful and conscientious about HOW I shovel. Shoveling snow always reminds me of my last semester of PTA school. PT and PTA students hear over and over about body mechanics and how NOT to hurt yourself while working with patients. We’re even graded on it! On winter break before my last semester of PTA school I managed to strain a muscle in my back. Mostly I did this by transferring my Dad (who was sick and deconditioned from a long hospital stay) by myself. Then a week later I shoveled the snow in my driveway at breakneck speed ( and bad body mechanics). This sealed the deal….the back pain was excruciating! The PTA Department Head clucked at me when I told her why I had to postpone updating my CPR certification, because after all……I should have known better. P.S. Physical Therapy folks ALWAYS want to know how you injured yourself. It’s so tempting to make up a zany story to tell them.
This experience has brought me a few pearls of wisdom. First, don’t beat yourself up for doing something that you could have done better or differently. In the moment, you did the best you could. Second, shovel snow with mindfulness. Some things to remember are: Don’t rush through it. Be conscious of your movements. Don’t twist your spine as you toss snow to the side. Bend at the knees (don’t hunch the back). As you bend the knees and get snow on the shovel, brace the shovel against your leg and use it as a lever to lift. Take breaks. A great snow shoveling break is to look up at the tree branches covered in snow. After all, why not enjoy the beauty of the snow? Ask for help if it’s available. Rest after you shovel, then do a few stretches. I teach two weekly classes that are well suited to back pain; Healing through Yoga (Wednesdays at 5:30) and Unwind the Spine (Fridays at 4:30). If you want a quick practice to do on your own, a great yoga sequence for your back is:
Supta Padangusthasana (Supine Hamstring Stretch)
Figure 4 (Piriformis) Stretch
Setu Bandhasana (Bridge Pose)
Apanasana (Knees to Chest Pose)
Balasana (Child Pose)
Eka Pada Rajakapotasana (Pidgeon)
Adho Mukha Svanasana (Downward Dog)
Malasana (Squat) or Ananda Balasana (Happy Baby)
Try to hold each of these postures (except Cat/Cow) for at least 6 breaths. This gives the muscles time to release. If you’d like a personalized sequence or an individual session focused on your health goals, please drop me a line at firstname.lastname@example.org. You can also sign up for a class or private session by clicking here.
“Degenerative Disc Disease”…..those words uttered from your doctor’s mouth can make you feel downright ancient. The simple truth is that as we get older, some wear and tear is going to happen. But seriously….do they have to tell us we’re “degenerating?” Are we degenerating? What does this term “Degenerative Disc Disease” (DDD, for short) mean?
First, let’s take a look at the spine. It’s made up of a bunch of vertebrae stacked on top of each other. Between each vertebrae are the intervertebral discs. The discs are squishy structures that are made up mainly of water and collagen. Their job is to help stabilize. cushion, absorb pressure, increase flexibility, and protect the nerves. That’s a lot of work these little squishy wonders do! Unfortunately, over time, the discs show signs of wear and tear. They lose moisture and squishiness and are less effective. Often an individual can have this degeneration without any pain or other symptoms. DDD happens when this normal process of degeneration causes pain or disfunction. For some, the pain can be constant and unrelenting. For others, it is intermittent. DDD most often occurs in the low back or in the neck. In this post, we’ll focus on the low back.
One of the best ways to help alleviate low back pain from DDD (and other conditions) is to strengthen the deep abdominal muscles. Many yoga and fitness classes focus on strengthening these core muscles. Doing so increases support for the low back. Other great activities to practice are walking, swimming, and stretching. Stretching and movement increase blood flow to the disc, and thus facilitates the healing process. Physical therapy, regular yoga practice, and Functional Yoga Coaching can help as well. A sampling of yoga postures that work well to decrease the pain and discomfort associated with DDD are: