The Importance of Moving Slowly

When it comes to movement, and the way we live our lives in general, we all have room to slow down and exhale.

You may recall a learning experience in which your Wellness Station practitioner offered you the option of repeating a portion of a movement lesson considering various speeds, such as moving more slowly. Very often we will encourage our clientele to move more slowly than what is typical, which can be challenging and elucidating for many.

Why is it important to slow down?

When we are rushing, it is much more difficult to be embodied in our experience. We are less likely to notice signs of strain on our body tissues, and far more likely to revert back to habitual and stressful movement patterns without even being aware of what we are doing. By moving too quickly, we may miss the opportunity to improve the quality of those moves.

Think about a time you were at a grocery store and you may have been rushing around, trying to get in and out as quickly as possible. Did you forget something? Many of us have been in this situation, and may have even forgotten the very item that caused us to go to the store in the first place! Rather than saving time by rushing, we may have had to make a second trip back to the store to make up for the mistake. The irony of rushing is that it will ultimately slow you down. 

When it comes to engaging in movement, slowing down is extremely important. As part of your therapy at the Wellness Station, we begin to learn new movement patterns. Our job is to help you and your brain identify movement patterns that are less efficient, and develop new ones that are less stressful and more nourishing for your tissues. The purpose is not to practice what you already know, but to build more options in the way you move your body and engage with the outside world.

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Mindfulness Movement Exercise

Take a moment to stand and walk around a little bit. As you do, choose one hand to make a light fist and continue to walk with that hand held in that fashion for 30 seconds to 1 minute, and then release that hand as much as possible. Which hand now feels more relaxed and free and easy? Is it possible that habitually you hold some extra tension in your hands and the contrast between purposeful tension and releasing informs your brain to release more fully? Many of us hold excessive tension in our bodies as we go about our days without being aware. By slowing down and paying attention during our daily movements, we can begin to let go of some unnecessary tension and begin to move with greater ease.

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How can you learn something new unless you truly slow down? Consider learning a new language. If your French teacher spoke a mile a minute, would you have any clue what they were saying? It takes time and attention in order for our neurons to make new connections. Ever heard the phrase “Neurons that fire together wire together”? When we are engaging in new movement patterns, this is exactly what is happening. Neurons in your brain are beginning to “speak” to each other in order to create connections that can be utilized in the future. If the “speaking” is done too quickly, meaningful connections cannot be created or sustained, and learning does not occur. 

Slowing down also will affect our tendency to be kind and gentle to our bodies. If we are rushing, we will be more likely to force our body into a new movement pattern, rather than allowing our brain to lay down and incorporate new connections. Are you willing to be gentle and easy, or is your predisposition to develop frustration or put in excessive effort when your body doesn’t immediately respond? These factors affect the relationship we have with the tissues of our body, and can either perpetuate our patterns of stress and strain, or begin to foster a positive and deeply communicative and compassionate relationship between mind and body.

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Mindfulness Movement Exercise

Take a few minutes to practice doing something much more slowly than you are used to. Consider engaging in mindful walking, perhaps just around the house or on a quiet trail. Walk very slowly, paying deep attention to the way your feet make contact with the ground, your sense of balance, the changing sensations in your body, and anything else that your mind is drawn to. How does this impact your experience of walking? what kind of connections might your brain be making?

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Written by Jacob Tyson, DPT - Physical Therapist, Yoga Instructor and The Wellness Station Team

Osteoporosis and Osteopenia: A Healthy Movement Practice

Are there any special considerations for a movement practice for someone who may be at risk of osteopenia or osteoporosis, or perhaps is already diagnosed with a condition of impaired bone density? 

Absolutely! One size does not fit all when it comes to movement, especially when it comes to protecting the integrity of our bones. At the Wellness Station with our Feldenkrais-inspired approach, it is our job to address osteoporosis and osteopenia with individually-crafted lessons that are unique for every individual. Factors that are important to consider throughout therapy are how to maintain and increase bone density, improve muscular strength and responsiveness, body awareness, and help prevent the risk of a fall or compression fracture.

Here are some key considerations when engaging in yoga or any movement if you are aware that you have decreased bone mineral density:

1. Communicate effectively with your body: 

When we move, we are engaging in a dialogue with our body. We initiate the movement, and it is our job to listen to how our body responds, and modulate our movement based on that response! In other words, what are the subtle signs that we can pick up when we are putting our body through strain? Do we notice when we are doing a forward fold that we feel uncomfortable pressure in our abdomen? Do we notice that the way we pick up a heavy object from the floor causes us to hold our breath and feel a sense of distress? If so, we have to change the way we are moving.

2. Modify movements that put excessive load on the front of the spine or neck of femur: 

The most common osteoporotic fractures are of the front vertebral bones in the low or mid back. Notice in this image the location of the compression fracture is in the front of the spinal bone towards the middle of the back. There are many types of movements that increase load on these bones, such as bending forward at the waist, as well as twisting and turning the body when bent at the waist. When engaging in movement that involves compression of the front spine, consider the load that is going through these bones, and be careful not to push or strain if any discomfort is felt.

Consider a forward fold. Especially if the hamstrings are tight, the spine may become very rounded in this pose, which can put extra load through the front vertebral bodies, especially if we are straining to try to get the hands to the ground.

When modifying your movement practice, consider the intention of the movement, and modify to match the intention but in a safer and more effective way.

The intention of a forward fold is to experience lengthening and relaxation throughout the back of the body, including the hamstrings, gluteals, and muscles of the low back, and the fascia (connective tissue) that runs down the back of our body.

Notice that in this movement sequence, these same intentions are met, but the spine is fully supported by the ground and we are able to move dynamically without increasing the load on the vertebral bodies.

The neck of the femur just below the hip joint is also a common fracture area. Be cautious about poses such as pigeon, as this position subjects that bone to a high amount of load. Many people practice pigeon in a very passive way, which is not helpful for strengthening the bones and the surrounding hip musculature.

Consider these hands and knees variations of pigeon pose. Notice that by performing this “wagging the tail” movement, we are bringing suppleness into the whole spine, and also challenging the weight-bearing leg (the leg that is down on the ground). Notice that “sitting back” into the weight-bearing leg is very similar to the “pigeon” position, but it is a dynamic rather than a passive movement. This challenge can stimulate bone density as well as improve strength and responsiveness of the supportive hip muscles including the gluteals and piriformis.

After you get the hang of wagging your tail, try to make circles! Notice the engagement of the entire body with this dynamic movement pattern.

3. Prioritize extension postures rather than flexion postures

Flexion-based movements such as forward folds are when the spine is bending forward, which puts more compression on the front of the vertebrae. Extension-based movements do the opposite. Also known as backbends in yoga, extension-based postures are very safe for those with bone density loss. Spinal extension helps to reverse the compression on the front of the body, and helps to strengthen the muscles that promote healthy posturing. 

Notice these extension-based movements performed while lying on the belly. This is an excellent way to build strength and awareness of the back side of the body. Notice the balance and stability that is created by performing these diagonal movement patterns  in which the right upper body moves with the left lower body, and vice versa.

4. Challenge your balance with ease and support 

Yoga can be an excellent tool for improving balance, but it is important to be able to maintain stability and ease throughout your standing practice. There is no point in practicing feeling unbalanced, so modify your practice to meet yourself where you are. If you are feeling too challenged and at risk of falling, then this is not doing you any favors. Maintain stability and ease by modifying and using props. My favorite props for balancing poses are the wall, chairs, and even the kitchen counter. By gently contacting one of these props with a hand, we can maintain groundedness, and correct ourselves more easily if we begin to lose our balance.

Notice the use of the wall as a prop to perform this standing side bending and circular movements. This sequence is the same as what we did on hands and knees, but now in a standing position. As balance is a dynamic process, adding movement is more helpful for improving balance compared to holding a static position such as tree pose. Additionally, the weight-bearing leg is being stimulated in a way that will help improve bone density and strength. This is also a great way to warm up the body before further activity such as going on a jog.  

At The Wellness Station, we will help you become aware of habitual movement patterns, yoga poses, and lifestyle factors that may be affecting your bone density and risk of fractures. We will help you develop or modify your movement practice with considerations of your individual needs, medical history, and goals. Every day is an opportunity to get to know your body on a deeper level in order to stay active, healthy, and strong, even with osteoporosis.

Staying Safe and Strong with Osteoporosis

Osteopenia and osteoporosis are conditions that are characterized by a loss of bone density.

Osteopenia- An earlier stage of the disease in which the body reabsorbs bone quicker than new bone is laid down.

Osteoporosis- The progressed form of the disease in which the bones have thinned significantly, contributing to pain, postural changes, and fractures

This thinning is most likely to occur in the vertebral bones in the front of the spine, the hips bones, and the wrists. These conditions are so common that it is expected that 1 in 3 women and 1 in 5 men will suffer from an osteoporotic fracture some time in their lives. If you are over 50, especially if you are female, it is a great idea to consider your risk of developing osteoporosis, and what you can do to improve your bone density and minimize the risk of a fracture as you age. Other risk factors for osteoporosis include having a small frame, having low estrogen (perhaps related to a surgery or a medication), and prolonged use of corticosteroid medication.

It is important to be aware of your bone mineral density as you age by asking your doctor for a DEXA scan. There are also medications that can be prescribed that help bone density, so discuss this option with your doctor if you are at risk of osteoporosis. Lifestyle factors such as adequate dietary intake of calcium and vitamin D (which we can also get from sunshine), and avoiding smoking and drinking can help prevent loss of bone density.

While people at risk of osteoporosis should be mindful about how they move, it is crucial to participate in regular physical activity to keep muscles and bones strong. Weight-bearing exercise is incredibly important for maintaining bone density, as bones adapt to the forces they are subjected too. It is also important to train your balance, as falls in the elderly are commonly associated with fractures.

A regular yoga practice can be an excellent way to improve strength of the bones and muscles, as well as body awareness, balance, and coordination, all critical factors for avoiding falls and fractures. Discuss with your provider how you might develop or modify your yoga practice to maximize bone density and minimize risk of a fracture.

Written by Jacob Tyson, DPT - Physical Therapist, Yoga Instructor and The Wellness Station Team

Stay tuned for Part II for some key considerations for modifying a yoga practice to address concerns about bone density loss.

Paying Attention to Hypertension

If you are an adult living in the US, there is a good chance that you have hypertension, also known as high blood pressure. In fact, almost half of adults in the US have hypertension! Over time, this condition can contribute to heart disease and stroke. Most individuals in this group are actually unable to lower their blood pressure to the recommended values, even with treatment. While genetics play a role, lifestyle factors are a major contributor to blood pressure issues, which may include diet, physical activity, and stress management. In addition, many medications given to individuals with hypertension can actually raise blood pressure! It is important to check in with your doctor or pharmacist regarding how your medications may be affecting your hypertension. 

When we are feeling stressed, agitated, overly aroused, and anxious, we are experiencing an overly activated sympathetic nervous system, known colloquially as “fight or flight”. When the sympathetic division of our nervous system is overly active, stress hormones are released, our blood vessels are constricted, raising our blood pressure. When this happens chronically, our cardiovascular system is strained, weakening our heart and blood vessels. Combine this with less than ideal lifestyle choices and medications that can increase blood pressure, our risk of developing cardiovascular issues greatly increases. 

Management of hypertension is something that may be addressed throughout your care at the Wellness Station. In addition to encouraging healthy practices such as regular physical activity and a diet that is supportive to cardiovascular health, our mindful movement lessons can also impact blood pressure. Our clients are encouraged to participate in therapy in a “parasympathetic” state, also known as rest and digest, contrary to the fight or flight state mentioned previously. We ensure that before participating in movement, the client is in a calm, grounded state. We may engage in meditation, breathing practices or hands-on therapy to help calm the nervous system prior to movement. Mindful, gentle movement and therapeutic touch are excellent ways to ease tension in the body, fostering a state of peaceful relaxation. This allows the blood pressure to lower, taking strain off the cardiovascular system as well as the joints.

Have a question about your blood pressure? Have Jacob take your blood pressure, perhaps before and after your session to see if any change has occurred.

Written by Jacob Tyson, DPT - Physical Therapist, Yoga Instructor and The Wellness Station Team

Finding Peace & Balance

Last month, we discussed how “overdoing it” is done far too often at the expense of our mental and physical health.

How can we counteract the tendency to overdo in order to find more peace and balance in our lives?

Can we do this while still getting done what we need to do each day, as well as working towards our greater goals? 

Besides completely changing the values of our culture, we can make micro adjustments in our daily lives. One option is re-prioritizing. How can we fill up our kettle so we start each day at 100%? Think about the sources in your life that are draining your kettle, and the sources that are replenishing you. Are there certain people or activities that may be draining your energy, and is there a way to spend less of your time and your energy in these situations? How about activities or people that recharge you? Laughing with loved ones, taking a warm bubble bath, going for a walk in nature, delicious healthy foods…

On a neurological level, activities that are taxing and draining will be fueled by the sympathetic nervous system (e.g. fight or flight), in which our heart rate increases, stress hormones such as cortisol and adrenaline flood our system, and physical and cognitive resources are expended. On the other hand, restorative activities allow the parasympathetic nervous system to take over, which slows the heart rate through chemicals such as acetylcholine, promotes feelings of well-being, and replenishes our resources. We must find a balance between both of these states of our nervous system in order to achieve our goals without burning out. Think about what you might re-prioritize in your life that may help shift the balance towards parasympathetic activation.

Another option other than re-organizing your daily activities is to consider the overall intensity that you put into each activity. Is there a way to embody a sense of calm and ease while you are doing something that you normally consider stressful and draining? We have it drilled into our heads that we should give 110% to everything, which from an energetic balance standpoint is actually impossible! How can we be more easy in our bodies and minds so we don’t drain our physical and cognitive resources as quickly?

Think about an activity that is taxing, either physically, mentally, or both. How about doing chores, such as washing dishes? Are you rushing, gripping objects too hard, and holding extra tension in your body such as hiking your shoulders up to your ears? See if you are able to wash dishes with less effort, more ease, and overall less intensity. You might find it to be a more enjoyable experience.

Next time that you notice you are feeling anxious, rushed, or uncomfortable, think about “resetting” by taking three long, slow breaths, trying to focus entirely on these breaths and nothing else. Then continue on, perhaps noticing that a subtle shift has occurred in your experience. If we are able to drain less tea from our kettle with everything we do, we will never approach a low kettle. The more we can slow down and be more mindful about what we are doing, the more we will be able to do over the long term. This will allow us to perform better in our daily lives and be more present for our loved ones.

Written by Jacob Tyson, DPT - Physical Therapist, Yoga Instructor and The Wellness Station Team