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CAUTIONS
Just as the Hippocratic Oath states “first do no harm,” the first principle of yoga
is ahimsa, which translates to nonharm. To avoid harm, it is important to know
your body and adapt or modify poses and practices based on your needs and
health conditions. Everyone is different, so use these pages as a general guide.
Injuries in yoga do happen, as
they do in all types of physical
activity, from walking down the
stairs to lifting weights at the gym.
A meta-analysis of randomized
controlled trials, however, found
that yoga is as safe as other types
of recommended exercise. In fact,
yoga may be safer than many
forms of exercise because it often
incorporates slow transitions,
present-moment awareness, and
an emphasis on nonharm.
That said, if you believe that
yoga practices are powerful
enough to profoundly benefit you,
you must also acknowledge that
yoga has the power to harm, and
you must treat it with that level of
respect. To prevent injury, therefore,
practice the first two limbs of
yoga—the Yamas and Niyamas—
both in yoga class and in life (see
p.205). It is also advisable to bear in
mind the following guidelines:
•
We all have differently shaped
bones and bodies, so poses will
look different when practiced by
different people. Some postures
may not be accessible to you
without modifications
•
Allow recovery after strains,
sprains, tears, breaks/fractures,
surgery, or wounds. After surgery,
ask your surgeon for guidance
CAUTIONS
•
The point of yoga is not to
be able to perform an asana
perfectly, or to do any particular
technique or pose. Enjoy the
journey of self-exploration!
•
Avoid anything that causes
pain or increases existing pain
•
Be careful of sharp sensations
inside the body or sharp, shooting
sensations down the limbs
•
Avoid anything that causes
numbness in the limbs.
CONDITIONS
The following pages outline any
cautions and considerations for
specific health conditions that you
should bear in mind when practicing
yoga, as general guidance. However,
you should always ask your
professional medical team what
is right for you. If in doubt, work with
a qualified yoga professional, such
as a yoga therapist.
Acid reflux/GERD/heartburn
Be careful of or avoid any full or
partial inversion where the head
goes below the heart, and fast
breathing (kapalabhati).
Ankylosing spondylitis
Be careful of spinal flexion
and move slowly into gentle
spinal extension.
anxiety/tendency toward
panic attacks
Be careful of inversions, backbends,
fast breathing (kapalabhati), or
holding the breath (kumbhaka)
during symptoms.
Arthritis (including osteoarthritis
and rheumatoid arthritis, and other
conditions that involve joint
inflammation)
For osteoarthritis and rheumatoid
arthritis, avoid anything that
increases joint pain, and focus
on modifying poses for comfort,
strengthening, and learning to
meditate to cope with pain; for
rheumatoid arthritis, avoid hot
yoga and overheating.
Asthma
Be careful when practicing
backbends, holding the breath
(kumbhaka), and fast breathing
(kapalabhati); avoid intense back
bending during symptoms.
Bursitis and tendonitis
Avoid anything that increases pain
or swelling; rest the affected area
during acute stages.
Carpal tunnel syndrome
Be careful of or avoid arm balances
or weight bearing while wrists are
extended (e.g. Plank or Crow pose),
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