Immobilization/shutdown/dissociation/frozen, a trauma response built into the nervous system

Back in March 2012, I posted that I had started reading Peter A. Levine’s latest book, In An Unspoken Voice: How the Body Releases Trauma and Restores Goodness. My post included excerpts from Levine’s description of being hit by a car and his experience afterwards.

His experience serves as a useful model for being and staying present through trauma and recovery. He knew how to allow his body and emotions to process naturally so that he did not get stuck in a traumatic state (i.e., PTSD).

Well, I am still reading that book. It’s very, very rich. Some parts are rather scientific. I’m taking my time to really understand it.

Levine uses polyvagal theory (I just posted an interview with Stephen Porges, who came up with the theory) to explain the states that people experience and can get stuck in from traumatic experiences.

Because Somatic Experiencing Practitioners and other therapists (as well as astute loved ones) who are helping someone recovery from trauma need to know which layer of the nervous system is dominant at any given time in a traumatized individual, I am going to describe them.

First, the primary job of our nervous system is to protect us. We have senses that alert us to danger. We may react to a perception of a threat in our bodies before it ever becomes conscious in the mind. That’s because the autonomic nervous system (which is not under our control) is involved when trauma occurs. We react instinctually.

This is good to know. It means that your trauma reactions are automatic, not something you can control, so there’s no need to feel shame or blame yourself. You were doing the best you could.

There are two defensive states that occur when encountering trauma: immobility/dissociation/shutdown (freeze) and sympathetic hyperarousal (fight or flight).

I’m going to write about them in separate posts to avoid being too lengthy.

The more primitive nervous system state is immobility. (Primitive in that evolutionarily it comes from jawless and cartilaginous fish and precedes sympathetic hyperarousal.)

It is triggered when a person perceives that death is imminent, from an external or internal threat.

Levine also uses the terms dissociation, shutdown, and freeze/frozen to describe this state. Note: If you’re an NLPer, dissociation means the separation of components of subjective experience from one another, such as cutting off the emotional component of a memory and simply remembering the visual and/or auditory components. (Source: Encyclopedia of NLP)

Keep in mind that Levine is talking about dissociation as an involuntary post-traumatic physiological state that trauma victims can sometimes get stuck with. There may be some overlap. According to Levine, symptoms of being in this state include frequent spaciness, unreality, depersonalization, and/or various somatic and health complaints, including gastrointestinal problems, migraines, some forms of asthma, persistent pain, chronic fatigue, and general disengagement from life.

Levine notes:

This last-ditch immobilization system is meant to function acutely and only for brief periods. When chronically activated, humans become trapped in the gray limbo of nonexistence, where one is neither really living nor actually dying. The therapist’s first job in reaching such shut down clients is to help them mobilize their energy: to help them, first, to become aware of their physiological paralysis and shutdown in a way that normalizes it, and to shift toward (sympathetic) mobilization. 

The more primitive the operative system, the more power it has to take over the overall function of the organism. It does this by inhibiting the more recent and more refined neurological subsystems, effectively preventing them from functioning. In particular, the immobilization system all but completely suppresses the social engagement/attachment system.

Highly traumatized and chronically neglected or abused individuals are dominated by the immobilization/shutdown system.

Signs that someone is operating from this state include:

  • constricted pupils
  • fixed or spaced-out eyes
  • collapsed posture (slumped forward)
  • markedly reduced breathing
  • abrupt slowing and feebleness of the heart rate
  • skin color that is a pasty, sickly white or even gray in color

Brainwise, volunteers in the immobility state exhibited a decrease in activity of the insula and the cingulate cortex. In one study, about 30% of PTSD sufferers experienced immobility and 70% experienced hyperarousal, with a dramatic increase of activity in these brain areas. Most traumatized people exhibit some symptoms from both nervous systems, Levine says.

I feel the deepest compassion for people in this state, because I have experienced it myself: the spaciness, depersonalization, sense of unreality, and passive, disengaged attitude toward life. It was many years ago. If I could, I would reach back in time to that injured woman and give her resources she just didn’t have back then.

I feel so grateful for the trauma recovery work I’ve done, both with a therapist and on my own. I haven’t experienced immobilization for years, except briefly.

Next up: sympathetic hyperarousal/fight or flight.

An interview with Stephen Porges: polyvagal theory, or how the nervous system is affected in autism, ADHD, borderline personality disorder, and trauma

Nexus, Colorado’s Holistic Health and Spirituality Journal.

This interview with Dr. Stephen Porges, whose career is based on understanding the evolution of the human nervous system, outlines some of the basics of polyvagal theory.

This theory is being tested in trauma recovery sessions. It’s exciting because it helps explain how and why people freeze or experience fight-flight reactions in response to trauma — and the route back to normal, healthy functioning, no matter how long ago the trauma occurred or how often it happened.

Polyvagal theory is increasingly becoming part of the training of bodyworkers, therapists, and educators. In a future post, I will describe how to tell which nervous system (freeze, fight or flight, or parasympathetic) is dominant at any given moment.

This theory is based on an in-depth understanding of the vagus nerve, also known as the 10th cranial nerve, which wanders (the Latin word vagus means wandering, like vagabond and vagrant) from the brain stem down through the body, affecting the face, heart, lungs, and gut.

The brain evolved hierarchically in vertebrates, and the neural circuits of the older nervous systems are still present, accessed hierarchically.

RD: So one thing happens then another thing happens then another thing?

SP: Right. This influences how we react to the world. The hierarchy is composed of three neural circuits. One circuit may override another. We usually react with our newest system, and if that doesn’t work, we try an older one, then the oldest. We start with our most modern systems, and work our way backward.

So polyvagal theory considers the evolution of the autonomic nervous system and its organization; but it also emphasizes that the vagal system is not a single unit, as we have long thought. There are actually two vagal systems, an old one and a new one. That’s where the name polyvagal comes from.

The final, or newest stage, which is unique to mammals, is characterized by a vagus having myelinated pathways. The vagus is the major nerve of the parasympathetic nervous system. There are two major branches. The most recent is myelinated and is linked to the cranial nerves that control facial expression and vocalization.

Here’s how it works in action:

SP: Let’s say you’re a therapist or a parent or a teacher, and one of your clients, students or children’s faces is flat, with no facial expression. The face has no muscle tone, the eyelids droop and gaze averts. It is highly likely that individual will also have auditory hypersensitivities and difficulty regulating his or her bodily state. These are common features of several psychiatric disorders, including anxiety disorders, borderline personality, bipolar, autism and hyperactivity. The neural system that regulates both bodily state and the muscles of the face goes off-line. Thus, people with these disorders often lack affect in their faces and are jittery, because their nervous system is not providing information to calm them down.

RD: How will polyvagal theory change treatment options for people with these disorders?

SP: Once we understand the mechanisms mediating the disorder, there will be ways to treat it. For example, you would no longer say “sit still” or punish a person because they can’t sit still. You would never say, “Why aren’t you smiling?” or “Try to listen better” or “Look in my eyes,” when these behaviors are absent. Often treatment programs attempt to teach clients to make eye contact. But teaching someone to make eye contact is often virtually impossible when the individual has a disorder, such as autism or bipolar disorder, because the neural system controlling spontaneous eye gaze is turned off. This newer, social engagement system can only be expressed when the nervous system detects the environment as safe.

There’s much more fascinating information you can read by clicking the link at the top of this post.

Altucher on oxytocin and polyvagal theory, with humor

10 Unusual Ways to Release Oxytocin Into Your Life Altucher Confidential.

I love this guy. He’s so real. I can only wish I was as good a writer as James Altucher.

He tells about being caught shoplifting as a kid, his disgust for going to the bathroom, cortisol, stress, the vagus nerve, a photo of a woman’s tattoo of “Fight or Flight”, and oxytocin.

There’s another photo of a foot with the chemical formula for oxytocin tattooed on it.

Then he lists 10 ways to increase your oxytocin levels.

One of the ways happens to be shooting guns. I don’t think that one would work for me. Loud sudden noises like gunshots make me really jumpy. That’s cortisol, not oxytocin. Maybe that’s a guy thing?

I would replace that one with getting a massage. I notice that with almost everyone, receiving massage decreases their cortisol. I can tell from feeling their energy before and after, gauged by how they move and their voices.

For others, especially those who are accustomed to regular massage, an hour or so of good bodywork vastly increases their oxytocin. They are all soft and mellow and receptive and happy afterwards.

I would also add rocking a sleeping baby, but you might have had to nurse your own baby first to get that feeling.

The rest of Altucher’s recommendations for increasing oxytocin work. Even using Facebook! And I especially like his strategy for dating.

I will tell you my pre-date secret. In the brief period when I was single in between separation and re-marriage I had a technique before every date. I would watch either Michael Cera doing comedy or Louis CK doing standup. This would get me laughing, make my oxytocin hormones go on fire, and then I’d go right into the date, with all my sex hormones raging. Plus. I would be temporarily funnier, with a half-life of about two hours. I knew after four hours I would be boring again so the date would have to be over by then. I do this before talks also.

How to have good boundaries: the third energy

In the energy of being grounded, you learned that you have a space, a position on this planet. You fully connected your energy with the earth’s energy and felt the strength and power of that.

Then you learned about being centered in your own energy, further strengthening your felt sense of yourself.

Having boundaries involves knowing where you end and not-you begins, and knowing when and how to protect and defend that space and give others their space. This is the third energy.

Have you ever experienced someone’s bad boundaries? Perhaps they stood too close when they were talking to you. Perhaps they got in your face or stepped on your toes. Or someone touched you inappropriately, or worse. Connect that to how you felt in your body. Uncomfortable, crowded, resistant, fearful, violated, powerless, worthless, what else might someone feel whose boundaries have been crossed?

We’re often not really aware of our boundaries until someone violates them. This can distort our boundaries. Think of all the incest, physical abuse, emotional abuse, rape, molestation, sexual abuse, child abuse, and more-power taking advantage of less-power stories that you’ve heard, seen on TV, or read about. There’s a lot of suffering in this world because of this type of behavior.

When someone’s boundaries have been violated, their sense of their own boundaries can easily become distorted, or maybe it wasn’t that strong to begin with. Part of recovery is restoring those boundaries and strengthening them by learning how to better protect and defend your space. Without doing this, people can suffer for years, by being distant and isolated, by violating others’ boundaries, or both. Having a good sense of boundaries has a positive impact on social and intimate relationships and your trustworthiness in general.

This energy is important for feeling like you can be yourself in the world and be safe, for trusting life. This is a huge component of well-being, and most of us have no real training in it.

Here’s how you begin to experience your boundaries:

The first boundary is your skin. Everything inside is you; everything outside is not you. Stand up and get centered and grounded. With your hands, pat yourself from head to toe and back up again. Feel your skin with your hands, your hands with your skin. Take your time and really notice. Appreciate your skin.

Did your skin notice the rhythm of your hands patting? Did you notice changes in sensation as you patted different areas of your body? What does your skin do for you?

Close your eyes and imagine the distance where you feel comfortable when talking to another person. Imagine them walking up to you. How far away do you want them to stop? (Or if you’re with someone, talk to them and notice the distance.) Notice if the distance is different with different people. Imagine your mother, your best friend, a lover, a stranger.

Next: If a growling wild animal were to slowly walk toward you, and you couldn’t run, how would you set a boundary? Think of the length of your leg. You could kick the animal if you had to. (But hopefully you can avoid hurting any animal.) So the length of your legs creates a boundary.

The length of your arms forms another boundary. You can use your arms to push someone out of your space. If they got even closer, you could bite them to get them out of your space.

This next experiment requires a partner. Stand several feet apart, grounded and centered.  Extend your arms and notice that boundary. You may feel that arm’s-length space as a column that extends from the ground to over your head. This is an important boundary.

Now face your partner and slowly walk toward them, arms extended. Stop with your palms against your partner’s. Notice how you feel. Determine who is Partner A and who is B.

With palms still together, A steps into B’s space and tries to get closer. B pushes A back to the comfort zone. A: Really push! B: Tell A “This is my space. Get out of my space!” as you push them back. Feel the effort.

This is going to feel uncomfortable at first. It’s not so hard for children, so pretend you’re on the playground if that makes it easier. I hope you’re breathless from the effort and laughing when you’ve each done it!

Boundaries are a lot more complex than centering and grounding because they’re relational and situational. Maintaining good boundaries requires your attention, especially in new relationships, when someone’s behavior changes toward you (or yours toward them), in new situations, when meeting people from other cultures.

Being able to say “no” without alienating someone is also part of the art of setting good boundaries. Have you ever been roped into doing something you didn’t want to do? That could be a whole blog post or maybe even a book!

Quickly, here’s how I like to do it: I appreciate the other person’s intent, and then tell them no. I may tell them why, but I don’t have to.

Other person: MaryAnn, we’d love to have you on that committee.

MaryAnn: I appreciate you thinking of me, but I cannot take that on at this time. I have too much on my plate already, and I doubt I could do the job as well as someone with more time. Have you thought of asking Lucy?

You get the idea! That’s the nice way. If someone is persistent, don’t hesitate to get tougher. “Absolutely not!”

Good luck with sensing your boundaries and making them real. Thanks to Brian D. Mahan, SEP, for inspiring me!

Awareness through hearing: a three-minute exercise

All experience is embodied!

I feel like shouting that from the rooftop right now after several days of learning from and working with Bryan Mahan, Somatic Experiencing Practitioner.

There is no separation of body and mind except the one that the mind makes. When that happens, it’s called “not being in your body”. It’s also beginning to dawn on me that perhaps that is what “ego” is—and that is my mind playing and making busywork!

This may be a complete no-brainer (hah!) to you, but I can tell you that most people do not fully inhabit their bodies.

So here’s a three-minute experiment that could be quite profound in you experiencing life-as-it-is:

Use a timer. Spend one minute listening to actual sounds in your external environment. Notice whatever sounds enter your ears, even the background noises like the air conditioning that you usually tune out, as well as voices, TV, whatever, in the foreground. Notice sounds coming in your left ear and sounds coming in your right ear and sounds coming in both ears. Notice changes in sounds, rhythms and silence and pitch, as well. If your attention wanders, quickly bring it back to just listening.

After the minute is up, check in. What is the state of your bodymind?

Now spend one minute listening to your internal sounds. Swallow and notice the sound. Notice the sounds of your breathing, inhaling and exhaling. Notice your stomach rumbling. Is there a constant internal background noise? Do you have a sense of hearing your heartbeat or pulse? Notice pauses and rhythms.

Check in. What are you feeling? How are you experiencing yourself?

Now spend a minute letting your mind operate as it usually does. Notice your internal dialogue. Notice the quality of the dialogue. Is it wandering? Choppy? Inquisitive? Doubtful? Opinionated? Judgmental? Are there pauses, or is it constant? Is there a voice? If so, whose?

Check in. What’s happening?

I can tell you what my experience was.

After the first two exercises, I felt calm and present in my body. My mind thought, “I like this really hearing. There’s a lot of richness there. I feel happy.”

After the third exercise, I felt separate from my environment, with very little body awareness. I felt not present. I felt caught up in the future (“What’s for dinner?”—even though I’m not hungry at all) or the past (“Whoa, that was a bad experience”). My mind evaluated, “I don’t feel very calm or happy when I’m in my head like that.”

Now I could certainly write a long blah-blah-blah about this experience and what it “means”. I’m not.

I’d rather that you just let your experience speak to you itself. What literally makes you happy?

The simplest way to improve your posture

If you’re at all familiar with this blog, I bet you think I’m going to say meditation. Guess what? Ha ha, I’m not!

It’s way simpler than that:

Whenever you’re doing something that does not require use of your hands, turn them so that they’re palm-side up (see the picture above). You also can do it while standing or walking, leaving your arms down at your sides and turning your palms so that they face outward in the direction you’re facing.

This palms-up position may be familiar to committed meditators and yogis who practice shavasana, but it’s foreign to those of us who spend a lot of time at a computer, behind the wheel of a car, holding babies, making lattes, or doing pretty much anything else that requires constant hand use. Even when we’re not using our hands, it’s just habit to sit, walk or stand with our hands facing down or behind us.

Wait for it — there’s a meridian connection: 

In acupuncture, the meridians that run along the inside of the arm, from the chest/underarm to the palm, are Heart, Pericardium and Lung….

Here is just a smattering of the functions each meridian is involved in (there are many more):

  • Heart: breathing, cardiac function, sleep, emotional balance and heat regulation.
  • Pericardium: breathing, blood circulation and upper digestive function.
  • Lung: breathing, immune function, perspiration, body temperature and urination.

…our lifestyles force our hands and arms into an almost constant downward/backward position, creating a tendency to slouch forward. This causes us to cave our upper bodies inward, crunching the Heart, Pericardium and Lung meridians.

Allowing these meridians to flow more freely optimizes their ability to perform their respective functions.

These three meridians are all yin meridians, flowing from the torso to the fingertips.

This is a mudra (energetic gesture in Hinduism and Buddhism). The palms-up mudra, you might have guessed, has to do with receiving energy from spirit or the universe, with allowing. It has to do with being open and surrendering yourself to the Mystery.

Try it when you think about it. Let one or both palms rest facing up, or outward if you’re on your feet. Notice the subtle but significant changes in posture.

Then make it a habit.

Thanks to Sara Calabro for this article.

How do you soothe yourself? Here are some of my favorite ways.

Self-soothing is an activity that nearly anyone can learn and get better at. It encompasses techniques and behaviors that we can use to soothe our emotions when ruffled, disturbed, distressed, overwhelmed — when we encounter difficult situations in life.

Self-soothing means not going to others expecting them to make you feel better. Of course, if we’re lucky, we have healthy loving people in our lives who help us feel better, but what if they’re not around? And…how can you become one of those healthy, loving people?

Self-soothing is a skill that you can cultivate to take better care of yourself.

You start with recognizing when you need soothing. It starts with self-compassion. Maybe you experienced a bad day at the office, an argument with a loved one, an unpleasant bit of news, mistreatment by a clerk, a fender bender, or all of these things.

Can you treat yourself as well as you would treat a friend in these circumstances if you had the resources to treat your friend really well? If you’re not your own best friend, who else is going to be?

You probably already use some self-soothing techniques without thinking about it. What do you do that brings you pleasure? I’m not talking about special techniques like EFT or NLP. This post is about ordinary things that people can do to soothe themselves, by themselves.

Here are some of my favorites –and I believe it’s good to have many self-soothing techniques in your repertoire that you can draw on when you need to. It’s a way of adding richness to your life, and you can share these with others, enhancing their lives as well.

For visual refreshment, I love walking in botanical gardens, especially Japanese gardens. I love looking at landscapes, cityscapes, sunrises, sunsets, and the star-spangled night sky — the big picture.

I buy myself flowers on occasion, and depending on the flowers, the color and shape not only please my sense of sight, the fragrance pleases my sense of smell.

Walking on a scenic trail or kayaking or paddleboarding on water is very pleasant, and the sensations of movement, temperature, and more just add to my pleasure.

Traveling to a beautiful place is awesome! I love Maui and West Texas for the gorgeous — and very different — scenery. Those landscapes feel very friendly to me.

Reading a good story takes my mind off my problems and sweeps me up into some other story.

Music is one of the greatest soothing inventions ever. Hearing a beloved golden oldie, music that you associate with good times and good feelings, or listening to new music that engages and calms — those can shift your comfort level profoundly. A couple of my favorites are Wachuma’s Wave and Chakra Chants.

Listening to a waterfall, rain falling, the ocean — the sounds of water definitely soothe me.

I just love listening to Mango purr. Listening to someone read some good writing aloud is also quite pleasurable.

I adore smelling fragrant flowers, any essential oil, herbs and spices and fresh produce, and teas. I once grew a rose called Souvenir de la Malmaisson that smelled so much like a fine wine, just the fragrance was intoxicating. It was like catnip is to a cat. I wanted to roll in it!

Petrichor is the word for the smell of rain. I wish I could bottle it because it’s always so refreshing!

Soothing touch includes feeling soft, sensual textures in bedding and clothing. Curling up is relaxing. So is tuning into the sensations of just breathing. Of course, you can touch yourself pleasingly, and I need not say more!

To some people, exercise soothes. They love sweating. I love yoga and dance. The movements please me and wake my body up pleasingly.

Be careful about soothing yourself with taste. It is the self-soothing method that many people use to the exclusion of all others, and it can easily result in weight gain and/or an unbalanced diet and dis-ease. Be mindful — take tiny bites, eat slowly, let your taste buds savor — and have lots of other self-soothing techniques.

Another fine thing you can do is to take a happy memory and relive it as fully as you can, re-experiencing the sensations and emotions.

Finally, laughter soothes jangled nerves, aching hearts, hurt feelings, failures, and disappointments. At some point, you’re ready to laugh again.

In that case, watch a good, funny video, listen to a funny audiotape, or read a funny book. To each his or her own. Steve Martin, David Sedaris, George Carlin, Saturday Night Live, Christopher Guest, Ellen deGeneres, Monty Python — there are lots of funny, funny performers, films, and books available that you can bust a gut enjoying.

If you have any favorites not listed here, I welcome you sharing!

I’ve touched 100 naked people

I realized today after carefully counting that I’ve touched 100 naked people in the last 7 months. That probably makes you wonder if I’m a sex worker.

I’m not. I’ve been a student of massage therapy since June 2011, and I’ve worked on my fellow students and teachers, many of my friends and family, and clients at the student clinic.

I’ve worked on many of these people several times. When I complete just 10 more massages in the intern clinic, I’ll have completed the requirements for graduation and will have given about 150 massages.

Every person I’ve touched has gotten my full attention, presence, and skill. Even that one person who happened to be my fourth recipient in one day, when it crossed my mind that I felt tired and cranky — I pulled myself out of that mindset, got a second wind, and gave them my best.

A naked and vulnerable human on the table in front of me is a divine gift with whom I hold a sacred contract to give my best.

Every person I’ve massaged has contributed immensely to the intelligence in my hands, heart, instincts, and awareness.

Most people are fairly silent when receiving massage, their attention on their bodies or breath or my hands, I presume, or perhaps their grocery list. I don’t read minds, so I don’t really know.

Silence helps me work.

Some people stay mentally alert and present the entire time. Some sink quickly or slowly into a state of deep relaxation, that state of no effort where the body is being breathed, the mind is loose and free, and imagery bubbles up out of darkness. Some fall asleep. Their snoring tells me.

Sometimes I go into a trance with you, and those are the best massages.

I watch and listen to you breathing. I feel your pulses. I see your scars — the ones on your skin and the emotional ones like the chronically rounded shoulders, that one tight hip, the rigidity in your torso. Sometimes your bodies tell me stories, of weight gained or lost, an old injury with a long recovery, a recent injury complete with road rash, surgery, playing a sport, working out regularly, working at a computer.

No one — so far — has had a perfect body. I belief that’s likely a myth created by airbrushing.

I’ve learned that nearly everyone has some tension in their shoulders — in the upper trapezius muscle, to be specific.

The low back is also a popular place for tension and pain to hang out. It’s amazing that by working on your rectus abdominis (the abdomen’s six-pack), the front and back of your body become balanced and your low back pain goes away.

I’ve learned that due to handedness, no one’s upper trapezius muscles are exactly symmetrical.

Some people think they’re relaxed, but when I pick up their arm or leg, they have a hard time letting go of control, giving me the full weight.

Some people want more pressure, some less. I’ve gained strength in my arms and hands and can now deliver more consistent firm pressure.

I’ve worked on fat people, skinny people, people with chronic health problems, healthy people, a lot of people stressed out from office work (I’ve posted before about too much sitting), an age range from 11 to 85, people with tight bodies and loose bodies, and one pregnant woman.

All precious.

When I worked on my daughter, memories of her infancy arose, and I realized that everyone who gets naked on my table is just this:

an old baby
no longer tiny or quite so helpless
nonetheless innocent and vulnerable like a newborn

I’ve learned that some people are not very knowledgeable about their own bodies, misnaming their body parts, unaware of tensions, oblivious to the postural or movement habits that cause them pain — that they’ve unconsciously created for themselves.

Your body tells the truth. It can’t lie.

Why aren’t body awareness and anatomy taught at home and in schools?

There are certain massage strokes that tend to get sighs of relief and moans of pleasure. I’ve developed an opening routine that opens.

Receiving massage is all about you becoming more alive and your nervous system waking up, your body shedding tension and moving into relaxation and pleasure, not to mention improving your circulation, breath, brainwaves, mood, compassion, immunity, energy flow, digestion, posture, alignment, balance, movement, and presence.

In many ways, allowing me to massage you is like letting me to take your armor off — the armor you probably weren’t aware of putting on until you started feeling tense or in pain.

Everyone can benefit from taking their time getting up afterwards, not rushing off in their cars to get somewhere else, not re-engaging their left brains too quickly.

Yes, leave your armor off for a while and stay for a cup of tea with me.

6 experienced yoga teachers talk about the anatomy connection

This group interview was originally published in YogaCityNYC Yoga Weekly. Because I couldn’t directly link to the article, I’m including it in its entirety below, because yoga and anatomy are two loves of mine that should go together like a hand in a glove.

Six Experts on their Favorite Topic

Quick Question: Where is your calcaneus?*

Anatomy is a complicated subject. Many yoga teachers and students are intrigued by the names of the bones yet studying it in detail gets passed over in most yoga classes – if it is discussed at all. YogaCity NYC’s Margie Suvalle sat down with six experts to find out how they learned more about their muscles and joints, why it is necessary, and where to learn more about anatomy.

Why did you get interested in anatomy?

Paula Lynch: My parents’ heart disease.  I had to learn a lot fast, so I studied the heart and cardiovascular system.  From there, I started to study physiology and then the muscular system.

Jonathan FitzGordon: When I started doing yoga I had a lot of flexibility, but no strength.  I got hurt and ended up having knee surgery. If I didn’t know how my body worked, then how could it heal?

Genny Kapuler: I took a class at NYU with Andre Bernard, Anatomy for Dancers, and I wanted a greater understanding of the body, so I continued to study for the next ten years with Bonnie Bainbridge Cohen.

Jason Brown: I got injured a few times early on in my yoga practice, either because of a teacher’s instruction or my own fault. As a teacher, I felt ill prepared to answer questions.

Amy Matthews: I was a dancer and we had a weekend on anatomy and I realized how much I didn’t know.  I wanted to know how I use my body, the movement, the muscles and the anatomy.

Joe Miller: My interest started with artistic anatomy when I was painting and drawing skeleton positions and continued to expand when I started teaching yoga.  I did several trainings that focused on anatomy and I ended up getting my masters in applied physiology.

Do you think the average yoga teacher knows enough about anatomy and how long does it take to learn the basics?

PL: People are more interested these days. The average training is just a starting point. But people need to pursue it on their own, really understand it. Are they interested? What are their students asking of them?  How much do you need to learn? The process of learning is ongoing.

JF: No. You don’t need to know anything about anatomy to lead a class, but you do if you want to teach. How long does it take – everyone is different.

GK: Without knowing too much you can lead students and give them direction and guidance. But Iyengar, where I studied, teaches a certain amount.

JB: Absolutely not! There just isn’t enough time spent on anatomy during teacher training. It takes a year.  I created a nine-month program where students meet for three hours a week and then can apply the knowledge to their teaching.

AM: No, because people come out of a 200 hour training with 20 hours of anatomy, which is only a taste. For each person, learning is individual.  You can be a great teacher and not know a lot about anatomy.  However, if you don’t know something, don’t say anything.

JM: You don’t need an anatomical background to be an effective teacher.  You do need to pay attention and know the basics of human movement, the alignment of asana.  The more you know the more it will enrich your teaching and give you more depth. The Yoga Alliance says a minimum of twenty hours gets you started, but you need continuing education and to study on your own.

Do you think that more anatomy should be taught in teacher trainings?

PL: During the 200 hour training there should be more integration of the information.

JF: It takes a lot of time to learn anatomy, so you need to be taught well.

AM: Yes, there should be more taught.

GK: The teacher trainer decides.  Different people are drawn towards certain knowledge.

JB: Yes, that is why I started my program Anatomy Studies for Yoga Teachers.

What part of the body fascinates you the most?

PL: The respiratory and cardiovascular systems and the physiology mechanism and muscular housing of it all.  Sensing more clearly, breathing.

JF: I am obsessed with the psoas.

GK: There is not one part that fascinates me because it is always changing.  I guess right now it would be my sense of smell.

JB:  The knee.  It is my favorite joint to teach.  It is weight-bearing and takes a lot of force, it is intricate, delicate and important.

AM: Embryology and the origin of tissue.  It starts one place and ends up elsewhere.  The muscles and the skin are closer than the muscles and the bones, so exploring movement from that place.

JM: The nervous system and relaxation.

What is the most vulnerable part of the body during asana practice?

PL: The lumbar spine is already compromised and vulnerable.  We ask a lot of that area and weaken it and then add the stress of asana.

JF: The psoas.

GK: It’s individual.

JB: The knee is very delicate.  The bones don’t support it, the muscles and ligaments support the soft tissue.

AM: It depends on the person and the asana. Where there is a lot of movement is the most vulnerable.

JM:  There is not one part.  However, the most common ones are the knee, the shoulders, the wrists, the lumbar and the cervical spine.

People constantly complain about lower back issues.  What should a yoga teacher do when someone comes into class complaining of back pain?

PL: Ask a lot of questions and listen.  The more information you have, the more you are able to help your student.  From the information, figure out which poses to avoid and which ones will stretch and strengthen.

JF: Instruct them to stop tucking their pelvis because it is compromising the ligaments and IT joint.

GK: If the SI joint is thrown out, then sync the hips in and keep the lumbar spine vertical.

JB: It is usually caused by tight glutes and hamstrings.  Show modifications.

AM: Back pain can be caused by many things.  Ask question about what kind of pain the student is experiencing.  Knowing the sensations can help them identify what it is and how weight travel in the spine.

JM: Think about long-term health, how are your movements creating the problem.  Is it extension or flexion?  Don’t push through the pain, find modifications and ask for help.

What role does anatomy play in the classes you teach?

PL: Anatomy is integrated into the whole class.  It is the environment, not the backdrop.  It is unavoidable because the body is the classroom.

JF: It is everything.  My classes are hard because I pound it to the ground, how it all works and more.

GK: It is the main idea that I use.

JB: Anatomy informs the sequencing and alignment cues in my classes.  It is under the surface.

AM:  Anatomy is the jumping off point.  It is something physical to check in with in all of my classes.

JM: It enriches my teaching and creates an understanding of alignment and instruction.  It is always clear and accurate.

What three books do you most recommend?

PL: The books by Dr. Ray Long, an orthopedic surgeon and long time Hatha Yoga practitioner. “Yogabody: Anatomy, Kinesiology and Asana,” by Judith Hanson Lasater. It is digestible and specific.  Lastly, “Light on Pranayama,” by BKS Iyengar because it is poetic and really explains the respiratory system.

JF: “Taking Root to Fly”, by Irene Dowd, “Human Movement Potential” by Lulu Sweigard and “Rolfing”, by Ida Rolf

GK: “Atlas of Human Anatomy”, by Frank Netter, “The Thinking Body”, by Mabel Elsworth Todd and “Primary Anatomy” by John V. Basmajain.

JB:Kinesiology: The Skeletal System and Muscle Function“, by Joseph Muscolino.

AM:  Netter,“The Body Moveable”, by David Gorman and of course “Yoga Anatomy,” which I co-wrote with Leslie Kaminoff.

JM: Netter, Judith Lasater’s “Yogabody”,  “Yoga Anatomy” and “Anatomy Trains”, by Thomas W. Myers.

Bios:

Paula Lynch is a YogaWorks Certified Instructor and is affiliated with the YogaWorks Teacher Training programs. Her teaching style is influenced by the meditative flow and heat of Ashtanga yoga and the precision and playfulness of Iyengar yoga.  www.yogapaula.com

Jonathan FitzGordon has been teaching yoga since 2000.  He is a Level II Reiki practitioner and the creator of the FitzGordon Method, a core walking program.

Genny Kapular has been teaching yoga for over 30 years.  She is a Intermediate Junior III IyengarTeacher. As well as a practitioner of Body-Mind Centering.  Before teaching yoga, she was a modern dancer for many years.

Jason Brown is the creator of Zenyasa Yoga, which synthesizes Zen Buddhism, vinyasa yoga and mindfulness-based conditioning exercises.
He teaches classes at the Zenyasa Yoga Studio on the Upper West Side, as well as Anatomy Studies for Yoga Teachers & Movement Professionals.

Amy Matthews is a certified Laban Movement Analyst, a Body-Mind Centering Teacher an Infant Development Movement Educator and a yoga therapist and yoga teacher.  She teaches an Embodied Anatomy & Kinesiology course at The Breathing Project.

Joe Miller has been teaching at OM Yoga since 2000.  He is on the OM Yoga Teacher Training faculty and is the Dean of OM Yoga anatomy studies. He has his Masters in Applied Physiology from Columbia University.  Joe recently started an anatomy-related blog: Yoga Physiology.

*Calcaneus is your heel bone.

-Margie Suvalle

Leslie Kaminoff reviews “The Science of Yoga: The Risks and the Rewards”

This book, The Science of Yoga, written by a New York Times science writer, was at the heart of the recent controversy about yoga injuring people as posited in a New York Times article.

Leslie Kaminoff has posted two video responses to the article. (See my previous post to view them.)

This third video is his response to the book, which he recommends that all yogis read — and then gives a mixed review.

Correlation is not causation, as Kaminoff says. If you cite how many people are injured doing yoga, but fail to compare it to injuries from any other physical activity, there’s no perspective — and that’s a journalistic failure. Broad apparently does not come across as a credible science writer because of this in Kaminoff’s eyes, which is disillusioning considering the NY Times’ “gray lady” status among newspapers, but putting forth questionable data supports his agenda — and sells books.

Of course, journalism has been in the fire for years. Maybe Fox News is the equivalent of Bikram.

Watch the video to find out what Broad’s agenda is. You might be surprised that he picks on individuals (especially one whose Ph.D. came from an institution that ironically Broad finds not credible, and a small organization, the International Association of Yoga Therapists).

Yoga helps by magnitudes more people than it injures. Just make sure you get a good teacher who knows anatomy, and keep in mind that it’s your responsibility to be aware of your body and to set your limits to protect yourself.