tag:blogger.com,1999:blog-38250827378838845852024-03-06T00:52:17.999-08:00Maggie at Yoga PlusMore than a form of exercise - a way of lifeUnknownnoreply@blogger.comBlogger39125tag:blogger.com,1999:blog-3825082737883884585.post-62009204023672700272014-05-13T18:14:00.000-07:002014-05-13T18:21:26.625-07:00'Hope for an S-Shaped Back'Dear Friends,<br />
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I have suffered from scoliosis for many years. Practicing yoga has been key for my personal healing and management of this condition. In my yoga practice I focus on movements that help strengthen muscles and align the body. </div>
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I'm always on the lookout for exercises that help reduce the pain and discomfort from this condition. In the health section of this week's New York Times the article <a href="http://well.blogs.nytimes.com/2014/05/12/hope-for-an-s-shaped-back/?_php=true&_type=blogs&_php=true&_type=blogs&hpw&rref=health&action=click&module=Search&region=searchResults&mabReward=relbias%3Ar&url=http%3A%2F%2Fquery.nytimes.com%2Fsearch%2Fsitesearch%2F%3Faction%3Dclick%26region%3DMasthead%26pgtype%3DHomepage%26module%3DSearchSubmit%26contentCollection%3DHomepage%26t%3Dqry405%23%2Fa%2Bbraceless%2Boptions%2Bfor%2Bscoliosis%2Brachel%2Bpeachman%2F&_r=1&">Hope for an S-shaped back</a> featured a new exercise regime to help scoliosis suffers. Called the <a href="http://schrothmethod.com/">Schroth Method</a> this physiotherapeutic treatment focuses on halting curve progression, reducing pain, and improving posture. These are the same things I have practiced through yoga. Scoliosis treatment is unique to each individual, and it nice to see successful alternatives.</div>
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<a href="http://well.blogs.nytimes.com/2014/05/12/hope-for-an-s-shaped-back/?_php=true&_type=blogs&_php=true&_type=blogs&hpw&rref=health&action=click&module=Search&region=searchResults&mabReward=relbias%3Ar&url=http%3A%2F%2Fquery.nytimes.com%2Fsearch%2Fsitesearch%2F%3Faction%3Dclick%26region%3DMasthead%26pgtype%3DHomepage%26module%3DSearchSubmit%26contentCollection%3DHomepage%26t%3Dqry405%23%2Fa%2Bbraceless%2Boptions%2Bfor%2Bscoliosis%2Brachel%2Bpeachman%2F&_r=1&">You can read the full article here.</a></div>
Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-3825082737883884585.post-10534575541550794792013-08-10T16:30:00.000-07:002013-08-10T16:30:03.276-07:00Pilates vs yoga<br />
I am vacationing in Chiangmai, Thailand and with lots of time in hand, I came across this article.<br />
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After teaching yoga for 15 years, I do agree that yoga is more beneficial to your physical and mental health.<br />
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<article class="post-94859 post type-post status-publish hentry category-ask-well category-featured tag-exercise tag-muscles tag-pilates tag-yoga" id="post-94859" style="border-top-width: 0px; padding: 0px;"><header class="postHeader" style="margin-bottom: 14px;"><div class="postMetaHeader" style="font-family: arial, helvetica, sans-serif; margin-bottom: 2px;">
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<h1 class="postHeading" style="font-size: 3.2em; font-weight: normal; line-height: 1.083em; margin: 0px 0px 2px;">
Ask Well: Pilates vs. Yoga</h1>
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By <a class="url fn" href="http://well.blogs.nytimes.com/author/gretchen-reynolds/" style="color: grey; text-decoration: none; text-transform: uppercase;" title="See all posts by GRETCHEN REYNOLDS">GRETCHEN REYNOLDS</a></address>
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<img alt="Yoga, left, and Pilates, right, strengthen different muscles." height="197" id="100000002380144" src="http://graphics8.nytimes.com/images/2013/08/09/health/09askwell_yoga/09askwell_yoga-tmagArticle.jpg" style="display: block;" width="592" /><span class="credit" style="color: #909090; display: block; font-family: arial, helvetica, sans-serif; font-size: 1em; line-height: 1.223em; margin: 2px 0px; text-align: right;"></span><span class="caption" style="color: #666666; display: block; font-family: arial, helvetica, sans-serif; font-size: 1.1em; line-height: 1.2727em; margin: 3px 2px;">Yoga, left, and Pilates, right, strengthen different muscles.</span></div>
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Is Pilates better than yoga for strengthening exercises?</h2>
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Asked by Rodin’s Muse • 786 votes</div>
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The answer depends to a large degree on what it is you’re trying to strengthen.</div>
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In general, Pilates exercises, originally developed by the fitness trainer Joseph Pilates, target the core muscles around the spine. If your aim is to strengthen your midsection, then Pilates is a fine choice. In a <a href="http://www.ncbi.nlm.nih.gov/pubmed/22357302" style="color: #666699;">small but well-designed study</a> last year, nine sedentary women who completed 36 weeks of supervised Pilates training bulked up their abdominal muscles by as much as 20 percent, while also lessening any existing muscular imbalances there.</div>
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“Pilates can be recommended as an effective method to reinforce the muscles of the abdominal wall and to compensate pre-existing asymmetric developments,” the authors said.</div>
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But whether such training fortifies the rest of the body is questionable. A review last year of Pilates-related science found little credible evidence that the exercises added muscle or incinerated body fat apart from in the midsection.</div>
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Yoga, however, especially hatha yoga, with its flowing poses, may strengthen larger sections of the body.</div>
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“Depending on the specific style, yoga is a quite intensive exercise intervention,” said Holger Cramer, a research fellow in integrative medicine at the University of Duisburg-Essen in Germany, who is studying the physical impact of yoga. A telling <a href="http://www.ncbi.nlm.nih.gov/pubmed/22375247" style="color: #666699;">2011 study</a> published in the Asian Journal of Sports Medicine found that after six months of almost-daily sun salutations (a multipart yoga pose) and no other resistance training, young men and women could bench-press significantly more weight and complete far more push-ups and pull-ups than at the start of the study.</div>
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The upshot? Pilates may be preferable if your primary goal is a solid core, but if you’re hoping to strengthen your upper body and goose your push-up tally, you’ll probably accomplish more with sun salutations and other yoga moves.</div>
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I never understood the reason for bench lifts, as I don't recall a situation outside of the gym where it would have been useful. Perhaps if I were trying to drop a tranny while under a vehicle, something I never did, but overhead presses provide better transfer of strength than bench presses do so I still don't see the reason for bench presses.<br />
<br />
Comparing the side benefit of other exercises for improving strength is interesting, but specificity is still a basic principle that serves as a baseline.</div>
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I'm always happy to read about Pilates. Alongside Yoga, it's a bit of a "David", but hey it's only been around since the mid-twentieth century. I've posted a longer response to this article on my blog. Please visit if you are interested in learning more about Pilates: bodysleuth.com.</div>
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Sigh. All asana practice, aka yoga, is hatha yoga. I think the author actually means vinyasa yoga.</div>
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For the past two years or so Pilates has been part of my well rounded work-out program. I focus on the spine oriented exercises and they do a world of good. A lot of lost flexibility is restored, and I rarely experience the upper back and cervical muscle tension that plagued me most of my adult life. My posture is wonderfully improved and it appears I regained some of the height I assumed was lost forever. None of this happened over-night; I stuck with it and it's as if my spine gradually decompressed.<br />
<br />
Yoga is more of a struggle because I am the least flexible person I have ever known. Some of the stretch sequences always feel wonderful though and I love the sense of community.<br />
<br />
I encourage readers to try different instructors and classes until you find the style or teaching techniques that are right for you. Different strokes for different folks.<br />
<br />
There are lots of ways to strengthen your core. Lots.</div>
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The studies cited do not compare Pilates vs Yoga. There were no direct comparisons, and no control groups. Very poor quality small studies from which no valid conclusions can be made.</div>
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I teach both. NYTimes, where are you getting your information and have you done a Pilates workout lately?<br />
<br />
Hatha yoga refers to the six aspects<br />
pursued to obtain samadhi (mastery of the mind), which itself is one of the eight limbs of yoga (roughly meaning "to yoke".) Asana, the physical poses and postures, is another limb. (As per Patanjali).<br />
<br />
We have begun to refer primarily to the physical practices of asana and pranayama (breath control) as"yoga". The goal is to prepare the body for meditation.<br />
<br />
There are vigorous, fiery, flowing asana practices, and there are measured, controlled, calm asana practices. Sometimes they are the same. Asana practice may be taught as goal oriented but generally it is more experiential, and goals likely to be more qualitative than quantitative.<br />
<br />
There are just as many schools and styles of Pilates (and as much politics.)<br />
I can't speak for the man, but many (and I) see Contrology as absolutely a workout for the entire body, especially when the apparatus is taken in to account. Pilates is totally goal-oriented, with clear progressions- and is almost purely a physical practice (with tremendous mental benefits).<br />
<br />
This is really the biggest difference between Pilates and yoga. Asana and Pilates are really not that different.<br />
<br />
There are Pilates practices that are vigorous, fiery and flowing and that are measured controlled and calm, and sometime the same person needs their workout one way on Monday and the other way on Friday.</div>
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What a disappointing article! As someone already noted, the two studies are comparing apples and oranges -- pilates' effect on abdominal strength vs. yoga's effect on body composition and upper body strength. I have been doing pilates diligently for 5 years, I can attest personally to dramatic changes in my arm and leg strength as well as my overall flexibility (a primary goal of pilates, that goes unmentioned in this discussion). Just as with free weights (which I also did for years), it's easy to measure the changes -- I keep adding springs (resistance) to my reformer settings!</div>
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Yoga is rife with the bodies of the injured.</div>
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Articles like this need to stress a point made by one of the commentators: not every style of exercise is good for everyone. After damaging my hands and arms in a way that required three surgeries, I learned that I should not be doing weights because I am hypermobile and therefore have poor proprioception. Given this, yoga would be the worst possible exercise for me. So I do a truly pathetic form of pilates with an expert teacher in a 1:1 setting.<br />
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Does it frustrate me that I'm only doing my core? Absolutely. But better to do something than nothing - or the wrong thing.<br />
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People are told to see their doctors before starting an exercise program - that doctor should include a physiatrist or someone else who can study how your body is made and suggest an appropriate type of exercise.</div>
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Hatha yoga - "hatha yoga, with its flowing poses" - really? I think it is vinyasa that has the flowing from one position to another. Hatha is stationary, one pose, then the next.</div>
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Hatha yoga includes vinyasa yoga as a subtype.</div>
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Hatha actually includes all the different physical yoga practices (aka asana), including vinyasa (which is what people think of as "flow") and Iyengar (which is closer to what you're describing as hatha). But you're correct in that the author is misusing the term hatha.</div>
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I do both. They augment each other, both in style and substance. Why choose?</div>
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There is too much emphasis on "yoga as a workout" in the West thanks to Lululemon and their constituents. Pilates is for type A people who cannot deal with yoga's quiet parts. There are also too many yoga teachers who are rajasic and burn their student's shoulders out in Chataranga and mindless sun salutations. The Yoga Alliance RYT process is killing yoga with inexperienced teachers with only 200 or 500 hours of training. Yoga is meant to be a life long (and beyond) practice. Pilates just gives you abs.</div>
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I, too, dislike the Western workout, harder and faster approach to yoga. However, breathing with Pilates is integral to the work. I found working out with mindfulness was aperfect fit. I was able to heal a weak, stiff back with Pilates. I was not able to sit upright well enough to do yoga poses. I don't think either should supplant the other.</div>
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If your primarily interested in improving strength, why would you pick either of these activities before more straight forward strength training?</div>
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I agree that it would probably be more useful for strength than messing around with a bunch of machines. I guess my point is that if you're goal is to "bench-press significantly more weight and complete far more push-ups and pull-ups", one is probably better off doing bench-press, push-ups, and pull-ups. Asking which of Pilates and Yoga is better for improving strength is like asking weather it is better to open cans with a hammer or a screwdriver.</div>
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Because yoga is resistance training for those of us who feel uncomfortable or unwelcome in traditional gym settings. Through yoga, I developed more strength - and was able to maintain it - more so than I ever have with traditional weight training. Two routes to the same place. Case in point - when I did my baselining with a personal trainer, I held the wall sitting stance for 5 min. I don't look like someone who could do that - but I beat the best starting time he had among his clients by 45 sec.</div>
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Because some aspect of your health (like hypermobility, high blood pressure, or the like) makes direct strength training dangerous.</div>
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taken directly from the above referenced link on the sun salutation:<br />
"from the present study, it can be concluded that sun salutation is an easier and less time consuming alternative to improve strength, body composition and general body endurance."<br />
if you look at the graphic for sun salutation provided in that study, it requires core strength and core stability to be able to even hold yourself up.<br />
These are two crucial elements in any sound, functional, movement program let alone Pilates.<br />
<br />
And the core is comprised of 29 muscles that wrap around the abs, hips, butt and inner thighs. The core IS NOT just the abs.<br />
Ms. Reynolds, I would have thought you would have done that homework at least before posting this contest between yoga and Pilates.<br />
<br />
I don't agree with your conclusion about which is better at strengthening.<br />
If you do not have a strong/stable and well founded core you are opening up yourself to possible injury somewhere down the line.<br />
<br />
Maybe that's why articles are written on how many injuries there are in yoga classes.<br />
Practice Pilates so it can help build strength to improve your yoga;)<br />
<a href="http://www.movemoretoday.com/" style="color: #666699; text-decoration: none;" target="_blank" title="http://www.MoveMoreToday.com">http://www.MoveMoreToday.com</a></div>
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The Core is not the abs at all. That's old stuff.</div>
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Excuse me, but the article says:<br />
<br />
"after six months of almost-daily sun salutations (a multipart yoga pose) and no other resistance training, young men and women could bench-press significantly more weight and complete far more push-ups and pull-ups than at the start of the study."<br />
<br />
The operative word there is the word "YOUNG"! Thus, the sentence says nothing about middle-aged or older practitioners of yoga.<br />
<br />
When I was younger, my body could do a lot of things it can't now. Let me know when someone studies whether 6 months of "almost-daily" sun salutations result in OLDER people being able to bench-press significantly more weight, etc.</div>
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@Paul Kevin Smith: You are missing my point! There are plenty of Yoga AND Pilates instructors who can do all their "stuff" into their 70's and 80's (in the case of Pilates, that included Joseph Pilates himself and plenty of his followers).<br />
<br />
I don't have a dog in this fight, but my POINT is that the article says yoga lets YOUNG people bench-press more weight & complete more push-ups & pull-ups. That's great for the YOUNG people. But the article says NOTHING to indicate that the same results are true for people in their 40's-80's. When they do THAT study & can give the results, I'll be interested in hearing about it.</div>
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Age is an important factor to consider. Some of the mat work you do in Pilates is not recommended -- and can in fact be damaging -- for older people with neck or spine issues, especially osteoporosis. That curling of the upper spine that you see in the photo on the right should be avoided.</div>
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Anecdotes aren't evidence, but as a middle-aged yoga teacher who works with plenty of middle aged and older students, I have seen that the strengthening benefits of practicing sun salutations applies across all age groups. The only caveat is that you have to be in decent enough shape when you start to make your way through a modified version of the salutation in order to build strength.</div>
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It can also depend on why you're trying to achieve. I used to struggle with back pain and pilates worked great. My doctor told me to stay away from yoga because some of the positions would make things worse. of course, everyone's condition is different so you have to use your own judgement.<br />
<br />
And there's also the matter of learning the correct way to do the yoga poses. A PT friend of mine told me that she gets a lot of patients who have developed serious injuries from yoga becasue they didn't learn the correct way of practicing.</div>
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Pilates is a good option for those who have sustained chronic injury or have issues when doing yoga. (As I have).<br />
As mentioned above, there is often a "fusion" when it comes to certain practices.<br />
For those who can no longer practice in a crowded, fast paced class suggest either therapeutic yoga or pilates. The meditative aspect of yoga practice can be done independently if one likes.</div>
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I sustained a serious and ongoing injury in session two of a four- session beginning yoga class. Could hardly walk for a year. My chiropractor said that one of the unintended consequences of having her practice down the block from a well-known yoga center is that she gets a lot of new yoga-injury patients. Her practice is booming.</div>
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I don't see how these studies can legitimately be compared.<br />
<br />
The purpose of the Pilates study: "to analyze the effects of Pilates on the volume of the rectus abdominis (RA), obliques, and transversus abdominis, with the last two considered conjointly (OT)."<br />
<br />
The purpose of the yoga study: "to evaluate effects of regular practice of sun salutation on muscle strength, general body endurance and body composition."<br />
<br />
Apples and oranges.<br />
<br />
I do Pilates under the instruction of a skilled teacher who makes a point of knowing her clients' physical issues, strengths, and limitations, and who constantly switches up routines and challenges us with additional complexity and subtlety as we advance. Her students do lots of upper-body, arm, leg, and foot work, and though each exercise is usually powered from the core, we are strong head to toe. It is a complete misrepresentation of Pilates to reduce it to a mere core-strengthening discipline.</div>
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Pilates focuses on the core but also on upper-body strength, particularly along the spine and in the shoulders, with its plank moves and "100s.". Mat pilates also includes standing moves that require a great deal of balance and control. To do both yoga and pilates is a great combo, as the breath exercises differ. I do both in a single 90-minute class that starts with Pilates and moves to yoga.</div>
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Absolutely! I found out pretty quickly with my excellent Pilates instructor(whom I've followed to 2 other places besides where I first started up with her)that Pilates, properly taught, is not just all about "abs" although indeed one's whole area in that respect is greatly helped. I found out that classical Pilates mat can be a wonderful all-over-strengthening and balancing-out discipline, and it helps with literally anything else one is doing. I do my basic weight workouts at the gym, cardio, and hoop dance, and Pilates gives me a great body awareness and tensile strength to do all of these.<br />
I'm in complete agreement with Anita above too - my teacher is a lot like hers, extremely thorough in approach. It really is a whole-body discipline that takes a great deal of focus and control, In fact, one of the older names for it was Contrology - very apt, as one finds out when struggling through even some basic Pilates exercises. Along the way, I found out that there's more than one way to get strong. Take a look at any serious Pilates practitioner who has also followed a healthy diet and does some cardio exercise or dancing to compliment - he/she is like a steel spring, compact, but quite strong and able.</div>
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sounds great! Maybe I'll move to Salt Lake City.</div>
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Mat Pilates and yoga overlap a great deal. I've done yoga poses in Pilates class, and Pilates exercises in yoga class. However similar their actions can be, , however, the focus and purpose of these disciplines are very different. In yoga the (physical) aim is to stregthen the back body and let go of the gripping or clenching tendency of the front body. Lengthen and strengthen: the strength should come from your skeletal structure rather than muscle alone. You strive for equipoise, without strain. In Pilates, you do most of your work (hard work) across the front body (many versions and many repetitions of crunches). It is entirely muscle based, and even though posture is key to the princliples of Pilates, you do little balance work. For my body -- middle aged, tense, osteoporotic, and harboring many old injuries -- I find yoga to be the healthier choice. But so much depends on the particularities of ones body, the skill of the teachers, and the forms of yoga and Pilates chosen (Pilates mat vs. reformer, and the many different forms and practices of yoga) that I don not think there is a universal answer to which discipline is better or healthier.</div>
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Right on, as far as what form of either yoga or Pilates to do, along with one's particular body issues. One has to choose wisely. Then, one can proceed and do very well, in one's own time.</div>
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Its all Yoga. Everything is in exercise is Yoga.<br />
Remember.. "A rose by any other name is still a rose.. "<br />
or Yoga by any other name is still Yoga!</div>
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This article did not mention all the other health benefits from a hatha yoga practice - it is a complete system designed to focus beyond the body to keep all the rest of our systems functioning in a BALANCED way (emotions, mental, spiritual). Key word is balance here . .. . thanks so much,<br />
narayani laura</div>
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It seems problematic that the measures of fitness described here correlate directly with exercises at the core of each system. Pilates involves a great deal of abdominal exercise, so of course abdominals would get stronger. Yoga "sun salutations," for their part, include a considerable amount of moving in and through pushup position, yielding arm strength improvements. Why not extend the question guiding this article theme to include other measure of fitness or health that go beyond these rather simplistic conclusions? (Of course, readers might have only very narrow health benefit targets themselves...)</div>
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A good comparision but Yoga is supposed to be much more that a muscle strengthening excercise . The other perceived or real benefits of a mind body union needs to be considered as well.</div>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-3825082737883884585.post-6833742163718624592013-08-10T16:27:00.001-07:002013-08-10T16:27:44.967-07:00After 2 weeks in Chiangmai, Thailand, below is the highlight of my trip. I came here with 6 dear friends from Hong Kong to renew our friendship. These are my friends for over 30+ years. We have yoga, massage, elephant ride, bamboo rafting and visited the Golden Triangle.<br />
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The Golden Temple is a bathroom !! The main temple is white which I will post it in my next blog.<br />
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-3825082737883884585.post-57423996658474040702013-08-10T16:04:00.000-07:002013-08-10T16:04:14.268-07:00Pilates vs yogaWhile vacationing in Chiangmai, Thailand and with lots of time in hand, I came across this article in NY times. I do agree that yoga is more around to your physical and mental health than Pilates. But I do add some Pilates moves in my class.<br />
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<article class="post-94859 post type-post status-publish hentry category-ask-well category-featured tag-exercise tag-muscles tag-pilates tag-yoga" id="post-94859" style="border-top-width: 0px; padding: 0px;"><header class="postHeader" style="margin-bottom: 14px;"><div class="postMetaHeader" style="font-family: arial, helvetica, sans-serif; margin-bottom: 2px;">
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<h1 class="postHeading" style="color: black; font-size: 3.2em; font-weight: normal; line-height: 1.083em; margin: 0px 0px 2px;">
Ask Well: Pilates vs. Yoga</h1>
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By <a class="url fn" href="http://well.blogs.nytimes.com/author/gretchen-reynolds/" style="color: grey; text-decoration: none; text-transform: uppercase;" title="See all posts by GRETCHEN REYNOLDS">GRETCHEN REYNOLDS</a></address>
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<img alt="Yoga, left, and Pilates, right, strengthen different muscles." height="197" id="100000002380144" src="http://graphics8.nytimes.com/images/2013/08/09/health/09askwell_yoga/09askwell_yoga-tmagArticle.jpg" style="display: block;" width="592" /><span class="credit" style="color: #909090; display: block; font-family: arial, helvetica, sans-serif; font-size: 1em; line-height: 1.223em; margin: 2px 0px; text-align: right;"></span><span class="caption" style="color: #666666; display: block; font-family: arial, helvetica, sans-serif; font-size: 1.1em; line-height: 1.2727em; margin: 3px 2px;">Yoga, left, and Pilates, right, strengthen different muscles.</span></div>
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Is Pilates better than yoga for strengthening exercises?</h2>
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Asked by Rodin’s Muse • 786 votes</div>
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The answer depends to a large degree on what it is you’re trying to strengthen.</div>
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In general, Pilates exercises, originally developed by the fitness trainer Joseph Pilates, target the core muscles around the spine. If your aim is to strengthen your midsection, then Pilates is a fine choice. In a <a href="http://www.ncbi.nlm.nih.gov/pubmed/22357302" style="color: #666699;">small but well-designed study</a> last year, nine sedentary women who completed 36 weeks of supervised Pilates training bulked up their abdominal muscles by as much as 20 percent, while also lessening any existing muscular imbalances there.</div>
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“Pilates can be recommended as an effective method to reinforce the muscles of the abdominal wall and to compensate pre-existing asymmetric developments,” the authors said.</div>
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But whether such training fortifies the rest of the body is questionable. A review last year of Pilates-related science found little credible evidence that the exercises added muscle or incinerated body fat apart from in the midsection.</div>
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Yoga, however, especially hatha yoga, with its flowing poses, may strengthen larger sections of the body.</div>
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“Depending on the specific style, yoga is a quite intensive exercise intervention,” said Holger Cramer, a research fellow in integrative medicine at the University of Duisburg-Essen in Germany, who is studying the physical impact of yoga. A telling <a href="http://www.ncbi.nlm.nih.gov/pubmed/22375247" style="color: #666699;">2011 study</a> published in the Asian Journal of Sports Medicine found that after six months of almost-daily sun salutations (a multipart yoga pose) and no other resistance training, young men and women could bench-press significantly more weight and complete far more push-ups and pull-ups than at the start of the study.</div>
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The upshot? Pilates may be preferable if your primary goal is a solid core, but if you’re hoping to strengthen your upper body and goose your push-up tally, you’ll probably accomplish more with sun salutations and other yoga moves.</div>
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I never understood the reason for bench lifts, as I don't recall a situation outside of the gym where it would have been useful. Perhaps if I were trying to drop a tranny while under a vehicle, something I never did, but overhead presses provide better transfer of strength than bench presses do so I still don't see the reason for bench presses.<br /><br />Comparing the side benefit of other exercises for improving strength is interesting, but specificity is still a basic principle that serves as a baseline.</div>
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I'm always happy to read about Pilates. Alongside Yoga, it's a bit of a "David", but hey it's only been around since the mid-twentieth century. I've posted a longer response to this article on my blog. Please visit if you are interested in learning more about Pilates: bodysleuth.com.</div>
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Sigh. All asana practice, aka yoga, is hatha yoga. I think the author actually means vinyasa yoga.</div>
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For the past two years or so Pilates has been part of my well rounded work-out program. I focus on the spine oriented exercises and they do a world of good. A lot of lost flexibility is restored, and I rarely experience the upper back and cervical muscle tension that plagued me most of my adult life. My posture is wonderfully improved and it appears I regained some of the height I assumed was lost forever. None of this happened over-night; I stuck with it and it's as if my spine gradually decompressed.<br /><br />Yoga is more of a struggle because I am the least flexible person I have ever known. Some of the stretch sequences always feel wonderful though and I love the sense of community.<br /><br />I encourage readers to try different instructors and classes until you find the style or teaching techniques that are right for you. Different strokes for different folks.<br /><br />There are lots of ways to strengthen your core. Lots.</div>
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The studies cited do not compare Pilates vs Yoga. There were no direct comparisons, and no control groups. Very poor quality small studies from which no valid conclusions can be made.</div>
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I teach both. NYTimes, where are you getting your information and have you done a Pilates workout lately?<br /><br />Hatha yoga refers to the six aspects<br />pursued to obtain samadhi (mastery of the mind), which itself is one of the eight limbs of yoga (roughly meaning "to yoke".) Asana, the physical poses and postures, is another limb. (As per Patanjali).<br /><br />We have begun to refer primarily to the physical practices of asana and pranayama (breath control) as"yoga". The goal is to prepare the body for meditation.<br /><br />There are vigorous, fiery, flowing asana practices, and there are measured, controlled, calm asana practices. Sometimes they are the same. Asana practice may be taught as goal oriented but generally it is more experiential, and goals likely to be more qualitative than quantitative.<br /><br />There are just as many schools and styles of Pilates (and as much politics.)<br />I can't speak for the man, but many (and I) see Contrology as absolutely a workout for the entire body, especially when the apparatus is taken in to account. Pilates is totally goal-oriented, with clear progressions- and is almost purely a physical practice (with tremendous mental benefits).<br /><br />This is really the biggest difference between Pilates and yoga. Asana and Pilates are really not that different.<br /><br />There are Pilates practices that are vigorous, fiery and flowing and that are measured controlled and calm, and sometime the same person needs their workout one way on Monday and the other way on Friday.</div>
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What a disappointing article! As someone already noted, the two studies are comparing apples and oranges -- pilates' effect on abdominal strength vs. yoga's effect on body composition and upper body strength. I have been doing pilates diligently for 5 years, I can attest personally to dramatic changes in my arm and leg strength as well as my overall flexibility (a primary goal of pilates, that goes unmentioned in this discussion). Just as with free weights (which I also did for years), it's easy to measure the changes -- I keep adding springs (resistance) to my reformer settings!</div>
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Yoga is rife with the bodies of the injured.</div>
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Articles like this need to stress a point made by one of the commentators: not every style of exercise is good for everyone. After damaging my hands and arms in a way that required three surgeries, I learned that I should not be doing weights because I am hypermobile and therefore have poor proprioception. Given this, yoga would be the worst possible exercise for me. So I do a truly pathetic form of pilates with an expert teacher in a 1:1 setting.<br /><br />Does it frustrate me that I'm only doing my core? Absolutely. But better to do something than nothing - or the wrong thing.<br /><br />People are told to see their doctors before starting an exercise program - that doctor should include a physiatrist or someone else who can study how your body is made and suggest an appropriate type of exercise.</div>
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Hatha yoga - "hatha yoga, with its flowing poses" - really? I think it is vinyasa that has the flowing from one position to another. Hatha is stationary, one pose, then the next.</div>
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Hatha yoga includes vinyasa yoga as a subtype.</div>
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Hatha actually includes all the different physical yoga practices (aka asana), including vinyasa (which is what people think of as "flow") and Iyengar (which is closer to what you're describing as hatha). But you're correct in that the author is misusing the term hatha.</div>
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I do both. They augment each other, both in style and substance. Why choose?</div>
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There is too much emphasis on "yoga as a workout" in the West thanks to Lululemon and their constituents. Pilates is for type A people who cannot deal with yoga's quiet parts. There are also too many yoga teachers who are rajasic and burn their student's shoulders out in Chataranga and mindless sun salutations. The Yoga Alliance RYT process is killing yoga with inexperienced teachers with only 200 or 500 hours of training. Yoga is meant to be a life long (and beyond) practice. Pilates just gives you abs.</div>
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I, too, dislike the Western workout, harder and faster approach to yoga. However, breathing with Pilates is integral to the work. I found working out with mindfulness was aperfect fit. I was able to heal a weak, stiff back with Pilates. I was not able to sit upright well enough to do yoga poses. I don't think either should supplant the other.</div>
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If your primarily interested in improving strength, why would you pick either of these activities before more straight forward strength training?</div>
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I agree that it would probably be more useful for strength than messing around with a bunch of machines. I guess my point is that if you're goal is to "bench-press significantly more weight and complete far more push-ups and pull-ups", one is probably better off doing bench-press, push-ups, and pull-ups. Asking which of Pilates and Yoga is better for improving strength is like asking weather it is better to open cans with a hammer or a screwdriver.</div>
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Because yoga is resistance training for those of us who feel uncomfortable or unwelcome in traditional gym settings. Through yoga, I developed more strength - and was able to maintain it - more so than I ever have with traditional weight training. Two routes to the same place. Case in point - when I did my baselining with a personal trainer, I held the wall sitting stance for 5 min. I don't look like someone who could do that - but I beat the best starting time he had among his clients by 45 sec.</div>
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Because some aspect of your health (like hypermobility, high blood pressure, or the like) makes direct strength training dangerous.</div>
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taken directly from the above referenced link on the sun salutation:<br />"from the present study, it can be concluded that sun salutation is an easier and less time consuming alternative to improve strength, body composition and general body endurance."<br />if you look at the graphic for sun salutation provided in that study, it requires core strength and core stability to be able to even hold yourself up.<br />These are two crucial elements in any sound, functional, movement program let alone Pilates.<br /><br />And the core is comprised of 29 muscles that wrap around the abs, hips, butt and inner thighs. The core IS NOT just the abs.<br />Ms. Reynolds, I would have thought you would have done that homework at least before posting this contest between yoga and Pilates.<br /><br />I don't agree with your conclusion about which is better at strengthening.<br />If you do not have a strong/stable and well founded core you are opening up yourself to possible injury somewhere down the line.<br /><br />Maybe that's why articles are written on how many injuries there are in yoga classes.<br />Practice Pilates so it can help build strength to improve your yoga;)<br /><a href="http://www.movemoretoday.com/" style="color: #666699; text-decoration: none;" target="_blank" title="http://www.MoveMoreToday.com">http://www.MoveMoreToday.com</a></div>
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The Core is not the abs at all. That's old stuff.</div>
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Excuse me, but the article says:<br /><br />"after six months of almost-daily sun salutations (a multipart yoga pose) and no other resistance training, young men and women could bench-press significantly more weight and complete far more push-ups and pull-ups than at the start of the study."<br /><br />The operative word there is the word "YOUNG"! Thus, the sentence says nothing about middle-aged or older practitioners of yoga.<br /><br />When I was younger, my body could do a lot of things it can't now. Let me know when someone studies whether 6 months of "almost-daily" sun salutations result in OLDER people being able to bench-press significantly more weight, etc.</div>
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@Paul Kevin Smith: You are missing my point! There are plenty of Yoga AND Pilates instructors who can do all their "stuff" into their 70's and 80's (in the case of Pilates, that included Joseph Pilates himself and plenty of his followers).<br /><br />I don't have a dog in this fight, but my POINT is that the article says yoga lets YOUNG people bench-press more weight & complete more push-ups & pull-ups. That's great for the YOUNG people. But the article says NOTHING to indicate that the same results are true for people in their 40's-80's. When they do THAT study & can give the results, I'll be interested in hearing about it.</div>
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Age is an important factor to consider. Some of the mat work you do in Pilates is not recommended -- and can in fact be damaging -- for older people with neck or spine issues, especially osteoporosis. That curling of the upper spine that you see in the photo on the right should be avoided.</div>
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Anecdotes aren't evidence, but as a middle-aged yoga teacher who works with plenty of middle aged and older students, I have seen that the strengthening benefits of practicing sun salutations applies across all age groups. The only caveat is that you have to be in decent enough shape when you start to make your way through a modified version of the salutation in order to build strength.</div>
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It can also depend on why you're trying to achieve. I used to struggle with back pain and pilates worked great. My doctor told me to stay away from yoga because some of the positions would make things worse. of course, everyone's condition is different so you have to use your own judgement.<br /><br />And there's also the matter of learning the correct way to do the yoga poses. A PT friend of mine told me that she gets a lot of patients who have developed serious injuries from yoga becasue they didn't learn the correct way of practicing.</div>
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Pilates is a good option for those who have sustained chronic injury or have issues when doing yoga. (As I have).<br />As mentioned above, there is often a "fusion" when it comes to certain practices.<br />For those who can no longer practice in a crowded, fast paced class suggest either therapeutic yoga or pilates. The meditative aspect of yoga practice can be done independently if one likes.</div>
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I sustained a serious and ongoing injury in session two of a four- session beginning yoga class. Could hardly walk for a year. My chiropractor said that one of the unintended consequences of having her practice down the block from a well-known yoga center is that she gets a lot of new yoga-injury patients. Her practice is booming.</div>
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I don't see how these studies can legitimately be compared.<br /><br />The purpose of the Pilates study: "to analyze the effects of Pilates on the volume of the rectus abdominis (RA), obliques, and transversus abdominis, with the last two considered conjointly (OT)."<br /><br />The purpose of the yoga study: "to evaluate effects of regular practice of sun salutation on muscle strength, general body endurance and body composition."<br /><br />Apples and oranges.<br /><br />I do Pilates under the instruction of a skilled teacher who makes a point of knowing her clients' physical issues, strengths, and limitations, and who constantly switches up routines and challenges us with additional complexity and subtlety as we advance. Her students do lots of upper-body, arm, leg, and foot work, and though each exercise is usually powered from the core, we are strong head to toe. It is a complete misrepresentation of Pilates to reduce it to a mere core-strengthening discipline.</div>
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Pilates focuses on the core but also on upper-body strength, particularly along the spine and in the shoulders, with its plank moves and "100s.". Mat pilates also includes standing moves that require a great deal of balance and control. To do both yoga and pilates is a great combo, as the breath exercises differ. I do both in a single 90-minute class that starts with Pilates and moves to yoga.</div>
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Absolutely! I found out pretty quickly with my excellent Pilates instructor(whom I've followed to 2 other places besides where I first started up with her)that Pilates, properly taught, is not just all about "abs" although indeed one's whole area in that respect is greatly helped. I found out that classical Pilates mat can be a wonderful all-over-strengthening and balancing-out discipline, and it helps with literally anything else one is doing. I do my basic weight workouts at the gym, cardio, and hoop dance, and Pilates gives me a great body awareness and tensile strength to do all of these.<br />I'm in complete agreement with Anita above too - my teacher is a lot like hers, extremely thorough in approach. It really is a whole-body discipline that takes a great deal of focus and control, In fact, one of the older names for it was Contrology - very apt, as one finds out when struggling through even some basic Pilates exercises. Along the way, I found out that there's more than one way to get strong. Take a look at any serious Pilates practitioner who has also followed a healthy diet and does some cardio exercise or dancing to compliment - he/she is like a steel spring, compact, but quite strong and able.</div>
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sounds great! Maybe I'll move to Salt Lake City.</div>
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Mat Pilates and yoga overlap a great deal. I've done yoga poses in Pilates class, and Pilates exercises in yoga class. However similar their actions can be, , however, the focus and purpose of these disciplines are very different. In yoga the (physical) aim is to stregthen the back body and let go of the gripping or clenching tendency of the front body. Lengthen and strengthen: the strength should come from your skeletal structure rather than muscle alone. You strive for equipoise, without strain. In Pilates, you do most of your work (hard work) across the front body (many versions and many repetitions of crunches). It is entirely muscle based, and even though posture is key to the princliples of Pilates, you do little balance work. For my body -- middle aged, tense, osteoporotic, and harboring many old injuries -- I find yoga to be the healthier choice. But so much depends on the particularities of ones body, the skill of the teachers, and the forms of yoga and Pilates chosen (Pilates mat vs. reformer, and the many different forms and practices of yoga) that I don not think there is a universal answer to which discipline is better or healthier.</div>
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Right on, as far as what form of either yoga or Pilates to do, along with one's particular body issues. One has to choose wisely. Then, one can proceed and do very well, in one's own time.</div>
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Its all Yoga. Everything is in exercise is Yoga.<br />Remember.. "A rose by any other name is still a rose.. "<br />or Yoga by any other name is still Yoga!</div>
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This article did not mention all the other health benefits from a hatha yoga practice - it is a complete system designed to focus beyond the body to keep all the rest of our systems functioning in a BALANCED way (emotions, mental, spiritual). Key word is balance here . .. . thanks so much,<br />narayani laura</div>
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It seems problematic that the measures of fitness described here correlate directly with exercises at the core of each system. Pilates involves a great deal of abdominal exercise, so of course abdominals would get stronger. Yoga "sun salutations," for their part, include a considerable amount of moving in and through pushup position, yielding arm strength improvements. Why not extend the question guiding this article theme to include other measure of fitness or health that go beyond these rather simplistic conclusions? (Of course, readers might have only very narrow health benefit targets themselves...)</div>
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A good comparision but Yoga is supposed to be much more that a muscle strengthening excercise . The other perceived or real benefits of a mind body union needs to be considered as well.</div>
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<br />Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-3825082737883884585.post-21318552634041403412013-04-08T05:12:00.002-07:002013-04-08T05:12:15.215-07:00Heart disease<br />
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<nyt_headline type=" " version="1.0">Culprit in Heart Disease Goes Beyond Meat’s Fat</nyt_headline></h1>
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By <span itemid="http://topics.nytimes.com/top/reference/timestopics/people/k/gina_kolata/index.html" itemprop="author creator" itemscope="" itemtype="http://schema.org/Person"><a href="http://topics.nytimes.com/top/reference/timestopics/people/k/gina_kolata/index.html" rel="author" style="color: #666699; text-decoration: none;" title="More Articles by GINA KOLATA">GINA KOLATA</a></span></h6>
</nyt_byline><h6 class="dateline" style="color: grey; font-family: arial, helvetica, sans-serif; font-size: 1em; font-weight: normal; line-height: 1.2em; margin: 0px;">
Published: April 7, 2013</h6>
<div class="shareTools shareToolsThemeClassic articleShareToolsTop shareToolsInstance" data-description="Research showed that the association between red meat and heart disease risk might be related not just to fat but also to bacteria that thrive on a component of red meat." data-shares="facebook,twitter,google,save,email,showall|Share,print,singlepage,reprints,ad" data-title="Culprit in Heart Disease Goes Beyond Meat’s Fat" data-url="http://www.nytimes.com/2013/04/08/health/study-points-to-new-culprit-in-heart-disease.html" style="float: right; margin: 5px 0px 5px 5px; min-height: 200px; width: 134px;">
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<span itemid="http://www.nytimes.com" itemprop="copyrightHolder provider sourceOrganization" itemscope="" itemtype="http://schema.org/Organization"></span><nyt_text><nyt_correction_top></nyt_correction_top><div itemprop="articleBody" style="color: black; font-size: 1.5em; line-height: 1.467em;">
It was breakfast time and the people participating in a study of red meat and its consequences had hot, sizzling sirloin steaks plopped down in front of them. The researcher himself bought a George Foreman grill for the occasion, and the nurse assisting him did the cooking.</div>
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In a study, meat eaters who ate steak showed a burst of a chemical that increases risk.</div>
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For the sake of science, these six men and women ate every last juicy bite of the 8-ounce steaks. Then they waited to have their blood drawn.</div>
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Dr. Stanley Hazen of the <a class="meta-org" href="http://topics.nytimes.com/top/reference/timestopics/organizations/c/cleveland_clinic/index.html?inline=nyt-org" style="color: #666699;" title="More articles about the Cleveland Clinic.">Cleveland Clinic</a>, who led the study, and his colleagues had accumulated evidence for a surprising new explanation of why red meat may contribute to heart disease. And they were testing it with this early morning experiment.</div>
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The researchers had come to believe that what damaged hearts was not just the thick edge of fat on steaks, or the delectable marbling of their tender interiors. In fact, these scientists suspected that <a class="meta-classifier" href="http://health.nytimes.com/health/guides/nutrition/fat/overview.html?inline=nyt-classifier" style="color: #666699;" title="In-depth reference and news articles about Fat.">saturated fat</a> and <a class="meta-classifier" href="http://health.nytimes.com/health/guides/nutrition/cholesterol/overview.html?inline=nyt-classifier" style="color: #666699;" title="In-depth reference and news articles about Cholesterol.">cholesterol</a> made only a minor contribution to the increased amount of heart disease seen in red-meat eaters. The real culprit, they proposed, was a little-studied chemical that is burped out by bacteria in the intestines after people eat red meat. It is quickly converted by the liver into yet another little-studied chemical called TMAO that gets into the blood and increases the risk of heart disease.</div>
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That, at least, was the theory. So the question that morning was: Would a burst of TMAO show up in people’s blood after they ate steak? And would the same thing happen to a vegan who had not eaten meat for at least a year and who consumed the same meal?</div>
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The answers were: yes, there was a TMAO burst in the five meat eaters; and no, the vegan did not have it. And TMAO levels turned out to predict heart attack risk in humans, the researchers found. The researchers also found that TMAO actually caused heart disease in mice. Additional studies with 23 vegetarians and vegans and 51 meat eaters showed that meat eaters normally had more TMAO in their blood and that they, unlike those who spurned meat, readily made TMAO after swallowing pills with carnitine.</div>
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“It’s really a beautiful combination of mouse studies and human studies to tell a story I find quite plausible,” said <a href="http://www.med.upenn.edu/apps/faculty/index.php/g5165284/p17778" style="color: #666699;">Dr. Daniel J. Rader</a>, a heart disease researcher at the University of Pennsylvania School of Medicine, who was not involved in the research.</div>
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Researchers say the work could lead to new treatments for heart disease — perhaps even an <a class="meta-classifier" href="http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/antibiotics/index.html?inline=nyt-classifier" style="color: #666699;" title="Recent and archival health news about antibiotics.">antibiotic</a> to specifically wipe out the bacterial culprit — and also to a new way to assess heart disease risk by looking for TMAO in the blood.</div>
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Of course, critical questions remain. Would people reduce their heart attack risk if they lowered their blood TMAO levels? An association between TMAO levels in the blood and heart disease risk does not necessarily mean that one causes the other. And which gut bacteria in particular are the culprits?</div>
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There also are questions about the safety of supplements, like <a class="meta-classifier" href="http://topics.nytimes.com/top/reference/timestopics/subjects/e/energy_drinks/index.html?inline=nyt-classifier" style="color: #666699;" title="More articles about energy drinks.">energy drinks</a> and those used in body building. Such supplements often contain carnitine, a substance found mostly in red meat.</div>
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But the investigators’ extensive experiments in both humans and animals, published Sunday in <a href="http://dx.doi.org/10.1038/nm.3145" style="color: #666699;">Nature Medicine</a>, have persuaded scientists not connected with the study to seriously consider this new theory of why red meat eaten too often might be bad for people.</div>
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<a href="http://www.hsph.harvard.edu/frank-sacks/" style="color: #666699;">Dr. Frank Sacks</a>, a professor of cardiovascular disease prevention at the Harvard School of Public Health, called the findings impressive. “I don’t have any reason to doubt it,” he said, “but it is kind of amazing.”</div>
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<a href="http://profiles.utsouthwestern.edu/profile/60931/lora-hooper.html" style="color: #666699;">Lora Hooper</a>, an associate professor of immunology and microbiology at the University of Texas Southwestern Medical Center, who follows the <a href="http://www.webmd.com/diet/features/diet-review-the-caveman-paleo-diet" style="color: #666699;">Paleo diet</a>, heavy on meat, exclaimed, “Yikes!”</div>
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The study does not mean that red meat is entirely bad or that it is best to avoid it entirely, said Dr. Hazen, the lead researcher. Dr. Hazen is the chairman of the department of cellular and molecular medicine at the Lerner Research Institute of the Cleveland Clinic, a nonprofit academic medical center. Meat contains protein, for example, and B<a class="meta-classifier" href="http://health.nytimes.com/health/guides/nutrition/vitamins/overview.html?inline=nyt-classifier" style="color: #666699;" title="In-depth reference and news articles about Vitamins.">vitamins</a>, which are both essential for health. But the study’s findings indicated that the often-noticed association between red meat consumption and heart disease risk might be related to more than just the saturated fat and cholesterol in red meats like beef and pork.</div>
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Dr. Hazen began his research five years ago with a scientific fishing expedition. He directs a study of patients who come to the Cleveland Clinic for evaluations. Over the years, there have been 10,000. All were at risk for heart disease and agreed to provide blood samples and to be followed so the researchers would know if any patient had a heart attack or died of heart disease in the three years after the first visit. Those samples enabled him to look for small molecules in the blood to see whether any were associated with heart attacks or deaths.</div>
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That study and a series of additional experiments led to the discovery that a red meat substance no one had suspected — carnitine — seemed to be a culprit. Carnitine is found in red meat and gets its name from the Latin word carnis, the root of carnivore, Dr. Hazen said. It is also found in other foods, he noted, including fish and chicken and even dairy products, but in smaller amounts. Red meat, he said, is the major source, and for many people who eat a lot of red meat, it may be a concern.</div>
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The researchers found that carnitine was not dangerous by itself. Instead, the problem arose when it was metabolized by bacteria in the intestines and ended up as TMAO in the blood.</div>
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That led to the steak-eating study. It turned out that within a couple of hours of a regular meat-eater having a steak, TMAO levels in the blood soared.</div>
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But the outcome was quite different when a vegan ate a steak. Researchers had hypothesized that vegans would not have as many of the gut bacteria needed to make TMAO, and indeed virtually no TMAO appeared in the vegan’s blood after he consumed a steak.</div>
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“We did not expect to see such a dramatic difference,” Dr. Hazen said.</div>
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Then researchers gave meat eaters doses of antibiotics to wipe out almost all of their gut bacteria. After that, they no longer had TMAO in their blood either after consuming red meat or carnitine pills. That meant, he said, that the effect really was because of gut bacteria.</div>
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Researchers then tried to determine whether people with high blood carnitine or TMAO levels were at higher heart disease risk. They analyzed blood from more than 2,500 people, asking if carnitine or TMAO levels predicted heart attacks independently of traditional risk factors like smoking, high cholesterol and <a class="meta-classifier" href="http://health.nytimes.com/health/guides/test/blood-pressure/overview.html?inline=nyt-classifier" style="color: #666699;" title="In-depth reference and news articles about Blood Pressure.">blood pressure</a>. Both carnitine and TMAO did. But upon further analysis, they discovered that the effect was solely because of TMAO.</div>
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The researchers’ theory, based on their laboratory studies, is that TMAO enables cholesterol to get into artery walls and also prevents the body from excreting excess cholesterol.</div>
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But what is it about carnitine that bacteria like? The answer, Dr. Hazen said, is that bacteria use it as a fuel.</div>
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He said he worries about carnitine-containing energy drinks. Carnitine often is added to the drinks on the assumption that is will speed fat metabolism and increase a person’s energy level, Dr. Hazen said.</div>
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<a href="http://www.ucdenver.edu/academics/colleges/medicalschool/departments/medicine/EndocrinologyMetabolismDiabetes/faculty_staff/Pages/Eckel.aspx" style="color: #666699;">Dr. Robert H. Eckel</a>, a professor of medicine at the University of Colorado and a past president of the American Heart Association, worried about how carnitine might be affecting body builders and athletes who often take it because they believe it builds muscle.</div>
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Those supplements, Dr. Hazen said, “are scary, especially for our kids.”</div>
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Dr. Hazen, though, has taken his findings to heart. He used to eat red meat several times a week, about 12 ounces at a time. Now, he said, he eats it once every two weeks and has no more than 4 to 6 ounces at a time.</div>
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“I am not a vegan,” Dr. Hazen said. “I like a good steak.”</div>
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A version of this article appeared in print on April 8, 2013, on p</h6>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-3825082737883884585.post-57125338390781272472012-09-29T10:31:00.001-07:002012-09-29T10:31:40.588-07:00Grains<br />
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Instead of cooking short grain brown rice, I have been adding the following ( some of them for the first time ). You may get the grains from Bethesda Co-Op at McArthur Blvd. and Seven Locks Road.</div>
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Oat groats, wheat berry, buckwheat groats, pearled barley, whole cracked wheat bulgar, rye berries, short grain brown rice.</div>
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1 cup of the mixed grain</div>
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Soak in 4 cups of water for 1 hr. ( optional, soaking in water will reduce your cooking time )</div>
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Cook for 30 to 40 minutes or until the grain is cooked. Add water if necessary. Pour the excess water and run some water through the grain and serve. </div>
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Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-3825082737883884585.post-61123588192851653532012-09-27T08:27:00.000-07:002012-09-27T08:27:51.004-07:00Rethinking sleep<br />
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OPINION</h6>
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<nyt_headline type=" " version="1.0">Rethinking Sleep</nyt_headline></h1>
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By <span itemprop="creator" itemscope="" itemtype="http://schema.org/Person">DAVID K. RANDALL</span></h6>
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Published: September 22, 2012 <span class="commentCount" id="datelineCommentCount" style="border-left-color: rgb(204, 204, 204); border-left-style: solid; border-left-width: 1px; margin-left: 4px; padding-left: 7px;"><a class="commentCountLink icon commentIcon" href="http://www.nytimes.com/2012/09/23/opinion/sunday/rethinking-sleep.html?pagewanted=all#commentsContainer" style="background-image: url(http://graphics8.nytimes.com/images/icons/multimedia/comment_icon.gif); background-position: 0% 50%; background-repeat: no-repeat no-repeat; color: #666699; padding-left: 13px; text-decoration: none;">185 Comments</a></span></h6>
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SOMETIME in the dark stretch of the night it happens. Perhaps it’s the chime of an incoming text message. Or your <a class="meta-classifier" href="http://topics.nytimes.com/top/reference/timestopics/subjects/i/iphone/index.html?inline=nyt-classifier" style="color: #666699;" title="Recent and archival news about the iPhone.">iPhone</a> screen lights up to alert you to a new e-mail. Or you find yourself staring at the ceiling, replaying the day in your head. Next thing you know, you’re out of bed and engaged with the world, once again ignoring the often quoted fact that eight straight hours of sleep is essential.</div>
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Sound familiar? You’re not alone. Thanks in part to technology and its constant pinging and chiming, roughly 41 million people in the United States — nearly a third of all working adults — get six hours or fewer of sleep a night, according to a recent report from the Centers for Disease Control and Prevention. And sleep deprivation is an affliction that crosses economic lines. About 42 percent of workers in the mining industry are sleep-deprived, while about 27 percent of financial or insurance industry workers share the same complaint.</div>
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Typically, mention of our ever increasing <a class="meta-classifier" href="http://health.nytimes.com/health/guides/symptoms/sleeping-difficulty/overview.html?inline=nyt-classifier" style="color: #666699;" title="In-depth reference and news articles about Sleeping difficulty.">sleeplessness</a> is followed by calls for earlier bedtimes and a longer night’s sleep. But this directive may be part of the problem. Rather than helping us to get more rest, the tyranny of the eight-hour block reinforces a narrow conception of sleep and how we should approach it. Some of the time we spend tossing and turning may even result from misconceptions about sleep and our bodily needs: in fact neither our bodies nor our brains are built for the roughly one-third of our lives that we spend in bed.</div>
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The idea that we should sleep in eight-hour chunks is relatively recent. The world’s population sleeps in various and surprising ways. Millions of Chinese workers continue to put their heads on their desks for a nap of an hour or so after lunch, for example, and daytime napping is common from India to Spain.</div>
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One of the first signs that the emphasis on a straight eight-hour sleep had outlived its usefulness arose in the early 1990s, thanks to a history professor at Virginia Tech named A. Roger Ekirch, who spent hours investigating the history of the night and began to notice strange references to sleep. A character in the “Canterbury Tales,” for instance, decides to go back to bed after her “firste sleep.” A doctor in England wrote that the time between the “first sleep” and the “second sleep” was the best time for study and reflection. And one 16th-century French physician concluded that laborers were able to conceive more children because they waited until after their “first sleep” to make love. Professor Ekirch soon learned that he wasn’t the only one who was on to the historical existence of alternate sleep cycles. In a fluke of history, Thomas A. Wehr, a psychiatrist then working at the National Institute of Mental Health in Bethesda, Md., was conducting an experiment in which subjects were deprived of artificial light. Without the illumination and distraction from light bulbs, televisions or computers, the subjects slept through the night, at least at first. But, after a while, Dr. Wehr noticed that subjects began to wake up a little after midnight, lie awake for a couple of hours, and then drift back to sleep again, in the same pattern of segmented sleep that Professor Ekirch saw referenced in historical records and early works of literature.</div>
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It seemed that, given a chance to be free of modern life, the body would naturally settle into a split sleep schedule. Subjects grew to like experiencing nighttime in a new way. Once they broke their conception of what form sleep should come in, they looked forward to the time in the middle of the night as a chance for deep thinking of all kinds, whether in the form of self-reflection, getting a jump on the next day or amorous activity. Most of us, however, do not treat middle-of-the-night awakenings as a sign of a normal, functioning brain.</div>
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Doctors who peddle sleep aid products and call for more sleep may unintentionally reinforce the idea that there is something wrong or off-kilter about interrupted sleep cycles. Sleep anxiety is a common result: we know we should be getting a good night’s rest but imagine we are doing something wrong if we awaken in the middle of the night. Related worries turn many of us into insomniacs and incite many to reach for sleeping pills or sleep aids, which reinforces a cycle that the Harvard psychologist Daniel M. Wegner has called “the ironic processes of mental control.”</div>
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As we lie in our beds thinking about the sleep we’re not getting, we diminish the chances of enjoying a peaceful night’s rest.</div>
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This, despite the fact that a number of recent studies suggest that any deep sleep — whether in an eight-hour block or a 30-minute nap — primes our brains to function at a higher level, letting us come up with better ideas, find solutions to puzzles more quickly, identify patterns faster and recall information more accurately. In a NASA-financed study, for example, a team of researchers led by David F. Dinges, a professor at the University of Pennsylvania, found that letting subjects nap for as little as 24 minutes improved their cognitive performance.</div>
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In another study conducted by Simon Durrant, a professor at the University of Lincoln, in England, the amount of time a subject spent in deep sleep during a nap predicted his or her later performance at recalling a short burst of melodic tones. And researchers at the City University of New York found that short naps helped subjects identify more literal and figurative connections between objects than those who simply stayed awake.</div>
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Robert Stickgold, a professor of <a class="meta-classifier" href="http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/psychiatry_and_psychiatrists/index.html?inline=nyt-classifier" style="color: #666699;" title="Recent and archival health news about psychiatry.">psychiatry</a> at Harvard Medical School, proposes that sleep — including short naps that include deep sleep — offers our brains the chance to decide what new information to keep and what to toss. That could be one reason our dreams are laden with strange plots and characters, a result of the brain’s trying to find connections between what it’s recently learned and what is stored in our long-term <a class="meta-classifier" href="http://health.nytimes.com/health/guides/test/mental-status-tests/overview.html?inline=nyt-classifier" style="color: #666699;" title="In-depth reference and news articles about Mental status tests.">memory</a>. Rapid eye movement sleep — so named because researchers who discovered this sleep stage were astonished to see the fluttering eyelids of sleeping subjects — is the only phase of sleep during which the brain is as active as it is when we are fully conscious, and seems to offer our brains the best chance to come up with new ideas and hone recently acquired skills. When we awaken, our minds are often better able to make connections that were hidden in the jumble of information.</div>
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Gradual acceptance of the notion that sequential sleep hours are not essential for high-level job performance has led to increased workplace tolerance for napping and other alternate daily schedules.</div>
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Employees at Google, for instance, are offered the chance to nap at work because the company believes it may increase productivity. Thomas Balkin, the head of the department of behavioral biology at the Walter Reed Army Institute of Research, imagines a near future in which military commanders can know how much total sleep an individual soldier has had over a 24-hour time frame thanks to wristwatch-size sleep monitors. After consulting computer models that predict how decision-making abilities decline with fatigue, a soldier could then be ordered to take a nap to prepare for an approaching mission. The cognitive benefit of a nap could last anywhere from one to three hours, depending on what stage of sleep a person reaches before awakening.</div>
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Most of us are not fortunate enough to work in office environments that permit, much less smile upon, on-the-job napping. But there are increasing suggestions that greater tolerance for altered sleep schedules might be in our collective interest. Researchers have observed, for example, that long-haul pilots who sleep during flights perform better when maneuvering aircraft through the critical stages of descent and landing.</div>
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Several Major League Baseball teams have adapted to the demands of a long season by changing their sleep patterns. Fernando Montes, the former strength and conditioning coach for the Texas Rangers, counseled his players to fall asleep with the curtains in their hotel rooms open so that they would naturally wake up at sunrise no matter what time zone they were in — even if it meant cutting into an eight-hour sleeping block. Once they arrived at the ballpark, Montes would set up a quiet area where they could sleep before the game. Players said that, thanks to this schedule, they felt great both physically and mentally over the long haul.</div>
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Strategic napping in the Rangers style could benefit us all. No one argues that sleep is not essential. But freeing ourselves from needlessly rigid and quite possibly outdated ideas about what constitutes a good night’s sleep might help put many of us to rest, in a healthy and productive, if not eight-hour long, block.</div>
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David K. Randall is a senior reporter at Reuters and the <a href="http://davidkentrandall.com/" style="color: #666699;">author</a> of “Dreamland: Adventures in the Strange Science of Sleep.”</div>
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A version of this op-ed appeared in print on September 23, 2012, on page <span itemprop="printSection">SR</span><span itemprop="printPage">1</span> of the <span itemprop="printEdition">New York edition</span> with the headline: Rethinking Sleep.</h6>
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As a new mom of a two month old that sleeps for one 5-6 hour chunk followed by a 30-45 min alert period and another 2-3 hour sleep, I feel surprisingly rested in the morning. So this idea of split sleep really resonates with me!</div>
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At the community college where I work, we recently became the ONLY school in the entire U.S. to lose its existing accreditation FOR ITS NURSING PROGRAM during the 2011-2012 academic year.<br />
<br />
The main problem is that the administrators at all levels wage an incessant war against the instructors (don't ask me why; it makes absolutely no sense to me either).<br />
<br />
And even now when we need everyone to work FOR the college more than ever, the war against the instructors continues.</div>
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At the community college where I work, we recently became the ONLY school in the entire U.S. to lose its existing accreditation during the 2011-2012 academic year.<br />
<br />
The main problem is that our administrators at all levels wage an incessant war against the instructors (don't ask me why; it makes absolutely no sense to me either).<br />
<br />
Yet even now when we need everyone to work FOR the college more than ever, the war against the instructors continues.</div>
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Two comments:<br />
<br />
1) Though it might be our natural sleep cycle to have "two sleeps," our ancestors didn't have light in the middle of the night like we do, unless they all got up at the same time at night and built a fire. So I'm not sure how the reading, studying, watching TV, etc. in the middle of the night fits into this. Certainly that's not a restful as just laying there thinking or having sex.<br />
<br />
2) Many people here are mentioning that a key to their happy sleeping lives is the ability to sleep anywhere and at any time. I think this is great, and I wish I had this skill. Unfortunately, I read a lot of parenting books (and I think I was raised this way, as well) where the author tells parents NEVER to let their child fall asleep anywhere but their own bed, and only during prescribed sleep times. How can children who are raised this way ever grow up to happily takes naps at their desk?</div>
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Another 'boomer', thinking outside the box again...when will we ever stop! Also have discovered the split sleep cycle in my 'retiring' years. I now prefer to sleep 5-6 hrs at night and a 1-2 hr nap in afternoon. I can be very alert at 4:10 pm and almost literally not able to stay awake (unless driving) at 4:15-4:19!! nearly every day. These 2 hr naps were initially so disturbing I consulted my doctor....thanks to this article and people sharing their own experience I can stop being concerned. I feel that this knowledge sharing is only going to get more interesting! Yayyy.</div>
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Good luck changing the military and the sleep patterns of Marines. They go for days without anything but a cat nap and the lack of sleep has contributed to PTSD. Our military in combat are "sleep deprived" and one must think about what this does to their judgment. The Seals on that plane were able to sleep probably because they were so tired they could not stay awake. I have looked into the eyes of Seals and Marines and can see what sleep deprivation has done to them.<br />
<br />
This article fails to include a huge body of research on sleep performed by NIH and NIMH in the 21st century, as well as, other major research institutions. Anecdotal stories of sleep patterns are not sufficient to prescribe how much sleep is appropriate. Many have sleep apnea which influences waking up after a number of hours of sleep.</div>
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I'm just wondering who in their right mind allows a smart phone receiving email or texts to disturb their sleep? What is it doing in the room with you in the first place? And if you live in a studio apt, there are options known as power button, mute button, airplane mode . . . Hello?</div>
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I see you have no teenagers in your house.</div>
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zzzzzzzzzzzz</div>
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This is an interesting and helpful article to those of us who struggle for a conventional eight-hours of sleep. An additionally helpful article providing insight into cultural differences in sleep patterns by New England Journal of Medicine contributor and sleep expert Dr. Robert Sack entitled "Normal Sleep" is online at ---------------------------<br />
<a href="http://www.open-spaces.com/article-v4n4-sack.php" style="color: #666699; text-decoration: none;" target="_blank" title="http://www.open-spaces.com/article-v4n4-sack.php">http://www.open-spaces.com/article-v4n4-sack.php</a> .</div>
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A couple of years ago our power was out for five days as a result of tornados in North Alabama. No lights, no computer, no cellphone service, no television (not a single luxury!). During those days I got the best sleep I have had since I was a child. We fell asleep when it got dark and woke up before it was light, and felt luxuriously rested. This is just an anecdote from which I can draw no scientific inferences.</div>
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The anxiety about "getting to work on time" drove me crazy - and kept me from sleep or made me oversleep - until I removed myself from that artificial schedule.<br />
<br />
Now I find I sleep less but more frequently, and get a LOT more done.<br />
<br />
Throw away the timeclocks and regimented demand of "work hours" by employers, and we'd all be more rested and more productive.</div>
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The "sleep a few hours-wake a few hours-sleep a few hours" routine has only hit me since I turned 60. While I'm up from 2 am to 6 am, I jot down ideas, pay bills online, read, or answer email correspondence. I am fine the next day. I hear the same story from many of my friends. I wondered why Mr. Randall made no mention of the effects of aging on sleep cycles.</div>
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There are so many problems with this article it is hard to know where to begin in pointing them out. First, we are not told what the "firste sleep" and "second sleep" of Chaucer, et al. refer to. It is quite possible that one refers to something like a conventional eight-hour sleep through the night and that the other refers to a mid-morning or mid-afternoon nap. So it is entirely possible that people used to get MORE than eight hours of sleep a day rather than less. Also, the efficacy of naps is not directly linked to how much people are sleeping otherwise. An exhausted person suffering from chronic sleep deprivation will more than likely think better after he/she has had a nap than before. The same may also be true, however, of someone who has gotten eight hours, or more of uninterrupted sleep. Basically, this article offers no evidence whatever to support the inference that we don't need eight hours of uninterrupted sleep. It suggests, in fact, only that we appear to function better the more sleep we get.</div>
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So where do the insane schedules worked by hospital staff fit into all this? What is the efficiency of an emergency room doctor during his 36th straight hour? And, more importantly, when are hospitals going to wake up (no pun intended) and change their schedules?</div>
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Great question! Would like to see a few answers to this.</div>
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Sleep has always been my enemy. For as far back as I can remember I hated to go to sleep. I recall the endless nights of my childhood, laying in bed in the dark totally awake and bored out of my mind. Of course my imagination ran wild in that dark room as I thought about whatever 7 or 8 year old boys think about in the dark.<br />
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There was a time during puberty that dreams were my friends. But the older I became and the more I experienced the unpleasantness of adult life my dreams turned on me. During the years I drank too much I rarely remembered dreams upon waking. During a period of depression following the loss of my first wife I developed reoccurring nightmares. Giant maggots would come out of the walls. I'd find scooped-out cat heads on my elbows and knees. One morning I found myself 40 feet out in my front yard crawling naked, trying to escape the white maggots. I got professional help and things got better.<br />
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I've only ever gotten about 6 hours sleep per night and if that has harmed me, I can't tell it. In my 30s I decided it was pretty dumb to spend all day awake and on guard and then lay down and become unconscious & totally vulnerable for hours at a time. If modern life is so scary, how do we open the gates, let down the fences for hours each night? The bad guys know everyone goes to sleep at night. Why not rob & rape then?<br />
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I lead a normal life despite my lifelong messed up sleep, but my dreams tell me I'm Charles Manson when I'm unconscious...yikes!</div>
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When I entered college as a freshman years ago, they told us that we would learn many things besides the content of the courses. And sure enough, in 8:30 AM chemistry lecture, I learned the knack of falling asleep anywhere, any time. This skill has served me well in adult life and I heartily recommend it.</div>
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Very interesting.<br />
<br />
I'd like to know a lot more about how people in other cultures sleep -- especially those cultures that are relatively unaffected by modern civilization. That should be a strong clue as to what is natural, what kind of sleep humans evolved to have.<br />
<br />
It's well-known that light impinging on the retina, even through closed eyelids, can be a major influence on how long we sleep. So it seems likely that modern artificial lighting plays a significant role in disrupting our natural sleep patterns.<br />
<br />
What is natural for us, of course, probably depends on a number of factors including our individual genetic heritage, the length of daylight, and the weather.</div>
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(The late) Buckminster Fuller, the great inventor and 'thinker outside the box' and creator of the geodomic (sp?) dome commented that he slept for one hour each six hours. The total was four hours per day. And, he said he felt well rested and was active for 20 rather than 16 hours daily.<br />
<br />
He lived to a ripe old age.</div>
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I get impatient with these well-meaning opinion pieces when they attempt to clarify a complex subject matter, then perpetrate new misinformation in place of the old conventional wisdom.<br />
<br />
Mr. Randall you lost me after you wrote this: "Some of the time we spend tossing and turning may even result from misconceptions about sleep and our bodily needs: in fact neither our bodies nor our brains are built for the roughly one-third of our lives that we spend in bed."<br />
<br />
This is simply nonsense. You apparently believe that today's scientists, and you, by extension, know how to design a body and mind that sleep better than the bodies and minds we have now, which were arrived at after hundreds of thousands of years of genetic evolution. These scientists don't even know what sleep is for, and neither do you. It serves multiple functions, the deepest of which we do not understand. How come a person will first go insane, then die after repeated, long-term sleep deprivation? We don't know the answer to this simple question.<br />
<br />
As for the social parameters around getting a decent sleep, most humans simply can't afford the luxury of sleeping whenever and wherever we want to. This was true before the Industrial Revolution when farmers and their helpers had to harvest crops when they were ripe, and it was even more true when workers were turned into machine operators and attendants for factories running at top speed. For ordinary people, this truth will not change, Ambien be damned.</div>
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Sounds like another scheme to make us work longer hours and cram more into every day!</div>
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Since my 30s, I've not gotten more than about six hours. Sometimes a little less, sometimes a little more. I've never felt sleep-deprived or guilty about the fact that I don't rack up eight hours a night. I like to sleep, but I like being awake more.<br />
<br />
During my time as a wage slave, I got the six hours I seemed to need, 12 midnight to 6 a.m., mostly, with only minimal interruptions. Almost as soon as I retired, my body asserted its own sleep requirements pretty quickly, and two patterns emerged. Pattern No. 1 is the more frequent.<br />
<br />
1. Turn in at 10 p.m., awake at 2 or 3, stay up till about 5 or 6, and start the day at 8 or 9.<br />
2. Fall asleep at around 2-3 a.m. and start the day at 8 or 9.<br />
<br />
I count myself fortunate to be able to fall asleep quickly. If I feel inclined to nap during the day, I don't hesitate. Naps seem to have minimal effect on the patterns described above.<br />
<br />
I'm pretty satisfied with my sleep situation overall.</div>
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When this article is linked, the sub-title reads "It's not the quantity of sleep that restores and refreshes, but the quality". This is inaccurate. Dr. Wehr's study observed participants still sleeping 8 hours a night, however these 8 hours were separated into a 5 hour "first sleep" block and a 3 hour "second sleep" block. This suggests that adequate sleep is dependent on both quality and quantity.</div>
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Most people do not need 8 hours sleep. Data from millions of people studied by the American Cancer Society and others show that people who say they usually sleep about 7 hours live the longest. In Japan, optimal survival is associated with sleeping 5 to 7 hours. Since brain-wave-recorded sleep tends to be about 1 hour less, optimal survival is seen in 5-6.5 hours sleep, so far as we can estimate.<br />
<br />
Therefore, if you are not too sleepy in the day, do not worry about sleeping only 5 or 6 hours at night. One of the main causes of insomnia is lying in bed for 8 hours when you really only need to be in bed for perhaps 6 or 7 hours.</div>
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My guess is that sleep needs differ from person to person. I never sleep straight through the night, and always feel the need to sleep come early afternoon. Maybe if I slept when my body wanted to, I'd get a good 4-6 hours at night, and another solid couple of hours in the afternoon, and then perhaps I wouldn't be going around tired all the time.<br />
<br />
I'd be interested to see how productive and successful a company might be if they structured the work day based upon the sleep needs of their employees. I'm pretty worthless for about a quarter of the day when forced to sit at a desk while my body wants to sleep.</div>
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I'm not sure what the point of this article is, other than to advertise the book. Is he saying that, if your work prevents you from getting 8 hours of sleep straight, that should be ok, as long as you can make it up with a nap later? That kind of job probably doesn't allow for a nap. It's true that there are different ways to achieve sleep, based on culture and individual physiology. It's nice that some people can sleep fewer than 8 hours, or in an interrupted fashion, or have a short nap, and feel revived and productive. It's nice that they are pleased with themselves. Those of us who suffer from sleep problems know that there is no simple answer to insomnia. To butcher Tolstoy "All happy [sleepers] are alike; each unhappy [sleeper] is unhappy in its own way."</div>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-3825082737883884585.post-10875990702085777312012-08-24T19:47:00.002-07:002012-08-24T19:47:31.615-07:00I am in my 6th week Asia trip. The countries I visited are Taiwan, Myanmar, Brunei and Hong kong. Below are pictures from Myanmar.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhuv1S6bxDV7lEmiW8bBTR-Z4iThx0S8v-2hmiohxqFmBwCrY-Uxwmto67x4w9wfY4SRzLl06xBmQWzm4_NDiplrUWdEIgPqfD8p-5-O6x5967VcMtuYezhxtlAVM8Y9kVMVsW-TwgZ1Cw/s1600/IMG_1169.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhuv1S6bxDV7lEmiW8bBTR-Z4iThx0S8v-2hmiohxqFmBwCrY-Uxwmto67x4w9wfY4SRzLl06xBmQWzm4_NDiplrUWdEIgPqfD8p-5-O6x5967VcMtuYezhxtlAVM8Y9kVMVsW-TwgZ1Cw/s320/IMG_1169.JPG" width="320" /></a></div>
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This is a monastery in Mandalay Myanmar. The whole building is made of teak wood.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgH5ZSKznpDnVlg-_HkPPSvLa22tO_7-lhyphenhyphenDyxtWpDhmFDtAiT7oObY8TSfn3o-dgn9ppJ3lym5_0XEjROnaN2eBUnnXjJmxSb72v8Hwg6n42S0q0pzPKngGsD-1lSQkUMUq9MYTDdnyUY/s1600/IMG_1096.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgH5ZSKznpDnVlg-_HkPPSvLa22tO_7-lhyphenhyphenDyxtWpDhmFDtAiT7oObY8TSfn3o-dgn9ppJ3lym5_0XEjROnaN2eBUnnXjJmxSb72v8Hwg6n42S0q0pzPKngGsD-1lSQkUMUq9MYTDdnyUY/s320/IMG_1096.jpg" width="240" /></a></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjgqfwpmujb9275YSwiglYYG8tE7vkReRAWGaZ9f99T-Z-C7fAnYOu6Fnn0JQnup0wAIEqVbmmTWwyE9ay3nRUWnLDDNGC9IvoqddVXWWq2GN-WNTDUeM8j6TjblenV3gb_jhZ2VPpS_mE/s1600/IMG_1100.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjgqfwpmujb9275YSwiglYYG8tE7vkReRAWGaZ9f99T-Z-C7fAnYOu6Fnn0JQnup0wAIEqVbmmTWwyE9ay3nRUWnLDDNGC9IvoqddVXWWq2GN-WNTDUeM8j6TjblenV3gb_jhZ2VPpS_mE/s320/IMG_1100.JPG" width="320" /></a></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhXSEkqP0tUIhvGz16HOjC_bXPnwsz7DG0MSB9wCcTk538GFV-kitm1EjK9am2tSPyzwS7ON9f3xeoIFRVGtqRTlyxUW6FUx5-IIcXdG2L3cNCCY5bqygCjxvEsQxeo7WTySIrY8oqqRmk/s1600/IMG_1487.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhXSEkqP0tUIhvGz16HOjC_bXPnwsz7DG0MSB9wCcTk538GFV-kitm1EjK9am2tSPyzwS7ON9f3xeoIFRVGtqRTlyxUW6FUx5-IIcXdG2L3cNCCY5bqygCjxvEsQxeo7WTySIrY8oqqRmk/s320/IMG_1487.JPG" width="320" /></a></div>
When you are cooking for 5,000 monks, you need a shovel and big logs.<br />
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The giant teak woods are for export. Let's hope they still leave some for the planet.Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-3825082737883884585.post-8515380684811034992012-08-01T18:31:00.001-07:002012-08-01T18:31:35.474-07:00How to build a Stupa.<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh4pjfOEoT40efcSw9XfGetE0hpMU9aENBOvQwQskTFnj6nvm4GHowgqX5i_9Sd-z4SXPSy05e1fbcGWVa1b45BH1XaHTj4xeFgHinY3SewHP9nupZWx13lqxz_ytm-U75uDkjfjhPXgcY/s1600/IMG_0969.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh4pjfOEoT40efcSw9XfGetE0hpMU9aENBOvQwQskTFnj6nvm4GHowgqX5i_9Sd-z4SXPSy05e1fbcGWVa1b45BH1XaHTj4xeFgHinY3SewHP9nupZWx13lqxz_ytm-U75uDkjfjhPXgcY/s320/IMG_0969.JPG" width="320" /></a></div>
First you come to work with your lunches.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEidmn-WieYwbyJJYV2g0m3ScCcrGmUTik5s-QUOPUb3mVtYswth7Erz0hcQjhjsv6P0jFHrinkpl1zhr4byFZTYrsr0ghH4YDEfR6C-c5oRHTDEToi8q0vT0d_HgnrVidCMUq7Nun1iQIc/s1600/IMG_0986.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEidmn-WieYwbyJJYV2g0m3ScCcrGmUTik5s-QUOPUb3mVtYswth7Erz0hcQjhjsv6P0jFHrinkpl1zhr4byFZTYrsr0ghH4YDEfR6C-c5oRHTDEToi8q0vT0d_HgnrVidCMUq7Nun1iQIc/s320/IMG_0986.jpg" width="240" /></a></div>
Have a cigar ( Chorot ) first while my ladies do the dirty work. Transporting the sand and cement and mix them up.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhQbD2r-v6vm6H69YajbnNMqay80CJhxV_PUt2jN_FNbWnelpviJAAzZBfll6XvOxx6lVTfFnpmSRvnI52wH5u-Alw97lpzXnW0U7XDDaFg68HX96V7_HBrVIKpe-4nscgbMRmCizfUAss/s1600/IMG_0996.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhQbD2r-v6vm6H69YajbnNMqay80CJhxV_PUt2jN_FNbWnelpviJAAzZBfll6XvOxx6lVTfFnpmSRvnI52wH5u-Alw97lpzXnW0U7XDDaFg68HX96V7_HBrVIKpe-4nscgbMRmCizfUAss/s320/IMG_0996.JPG" width="320" /></a></div>
These are our tools. Not much but get the job done. Do you notice my bamboo handle ? In case you are not aware.<br />
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We don't need wheelbarrow. They are for the jerks in the West ! We recycle our vinyl sacks.<br />
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Our trading partners from Thailand.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjCPcMLFw6_Itmmug_3DxZVA48R9phzu0vAXDeqaLILyQrO4lGMLfth7Fyi1aexCZ-tyMA9RNm_B6TOPbY7wmOpRBr8JT8jwt1OIElzB95DirpQ5vW2DmaxopYEt-h8ZOIMaAAw22zNgV4/s1600/IMG_1004.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjCPcMLFw6_Itmmug_3DxZVA48R9phzu0vAXDeqaLILyQrO4lGMLfth7Fyi1aexCZ-tyMA9RNm_B6TOPbY7wmOpRBr8JT8jwt1OIElzB95DirpQ5vW2DmaxopYEt-h8ZOIMaAAw22zNgV4/s320/IMG_1004.jpg" width="240" /></a></div>
Now that the mixture is ready to go.<br />
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My ladies with hoist them up on shoulders or on head. Little at a time. They are heavy. We ain't going to bust our back.<br />
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Now our men friends will clim down to lay the bricks and mortar them. We, men, are skilled workers. Without us they will not be Stupas !!<br />
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Now you may enjoy my Stupa for centuries to come.<br />
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<br />Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-3825082737883884585.post-26733586955818437982012-07-30T18:38:00.000-07:002012-07-30T18:38:02.105-07:00Bagan, MyanmarWriting from Bagan, Myanmar. It was 27 years ago that I was here. I come back to this historical town of over 3000 pagodas. After spending 8 days in Yangon, I flew up north this morning to begin my 7 days journey covering Bagan, Mandaly and Inle.<br />
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<br />Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-3825082737883884585.post-54118080662591495722012-05-10T18:49:00.002-07:002012-05-10T18:49:44.961-07:00Bone drugs<br />
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<article class="post-76804 post type-post status-publish hentry category-body category-featured category-well-woman tag-osteoporosis entry hentry splitPostView" id="entry-76804" style="border-top-color: initial; border-top-style: none; border-top-width: initial; display: block; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><header class="entryHeader" style="display: block; margin-bottom: 20px;"><h1 class="entry-title" style="color: black; font-size: 3.2em; font-weight: normal; line-height: 1.083em; margin-bottom: 2px; margin-left: 0px; margin-right: 0px; margin-top: 0px;">
New Cautions About Long-Term Use of Bone Drugs</h1>
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By <a class="url fn" href="http://well.blogs.nytimes.com/author/tara-parker-pope/" style="color: grey; text-decoration: none; text-transform: uppercase;" title="See all posts by TARA PARKER-POPE">TARA PARKER-POPE</a></address>
| <span class="timestamp published" style="color: #a81817; font-family: arial, helvetica, sans-serif; font-size: 1.1em; font-weight: normal !important; white-space: nowrap;" title="2012-05-09T18:32:50+00:00"><span class="date" style="color: grey; font-family: arial, helvetica, sans-serif;">May 9, 2012, <em style="font-style: normal; text-transform: uppercase;">6:32 PM</em></span></span> <span class="commentCount meta" style="font-family: arial, helvetica, sans-serif;"><a class="post-comment" href="http://well.blogs.nytimes.com/2012/05/09/new-cautions-about-long-term-use-of-bone-drugs/#postComment" style="background-image: url(http://css.nyt.com/images/blogs_v3/nyt_universal/comments.gif); background-position: 3px 1px; background-repeat: no-repeat no-repeat; border-left-color: rgb(204, 204, 204); border-left-style: solid; border-left-width: 1px; color: #004276; font-weight: bold; margin-left: 3px; padding-left: 15px; text-decoration: none;">80 Comments</a></span></header><div class="entry-content" style="margin-left: 126px;">
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<img alt="An X-ray shows a fracture in the femur of a woman who used Fosamax for seven years." height="253" id="100000001538149" src="http://graphics8.nytimes.com/images/2012/05/10/us/jp-BONE-1/jp-BONE-1-articleInline.jpg" style="display: block;" width="190" /><span class="credit" style="color: #909090; display: block; font-family: arial, helvetica, sans-serif; font-size: 1em; line-height: 1.223em; margin-bottom: 2px; margin-left: 0px; margin-right: 0px; margin-top: 2px; text-align: right;"></span><span class="caption" style="color: #666666; display: block; font-family: arial, helvetica, sans-serif; font-size: 1.1em; line-height: 1.2727em; margin-bottom: 3px; margin-left: 2px; margin-right: 2px; margin-top: 3px;">An X-ray shows a fracture in the femur of a woman who used Fosamax for seven years.</span></div>
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In an unusual move that may prompt millions of women to rethink their use of popular bone-building drugs, the Food and Drug Administration published an analysis that suggested caution about long-term use of the drugs, but fell short of issuing specific recommendations.</div>
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<a href="http://www.nejm.org/doi/full/10.1056/NEJMp1202619?query=featured_home" style="color: #004276; text-decoration: underline;">The F.D.A. review</a>, published in The New England Journal of Medicine online on Wednesday, was prompted by a growing debate over how long women should continue using the drugs, known as bisphosphonates, which are sold as generic versions of brands like Fosamax and Boniva, as well as Novartis’s Reclast.</div>
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The concern is that after years of use, the drugs may in rare cases actually lead to weaker bones in certain women, contributing to “rare but serious adverse events,” including unusual femur fractures, esophageal cancer and osteonecrosis of the jaw, a painful and disfiguring crumbling of the jaw bone.</div>
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Although the concerns about the long-term safety of bone drugs are not new, the F.D.A. performed its own systematic review of the effectiveness of bisphosphonates after years of use. The agency’s analysis, which found little if any benefit from the drugs after three to five years of use, may prompt doctors around the country to rethink how they prescribe them.</div>
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The F.D.A. review analyzes only long-term use and does not address whether a woman should be prescribed a bone drug in the first place to reduce her fracture risk. Because serious complications are so rare, most doctors believe that for women with documented osteoporosis who are at very high risk for spinal fractures, the benefits of the drugs far outweigh the risks. However, some women with moderate bone density and no other risk factors continue to take the drugs for years even though they are unlikely to gain any benefits.</div>
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“I think a lot of people are going to come off this drug,” said <a href="http://www.mmcri.org/home/webSubContent_p.php?list=webcontentlive&catID=3&subCatID=9&userID=rosenc&id=201" style="color: #004276; text-decoration: underline;">Dr. Clifford J. Rosen</a>, an endocrinologist and researcher at the Maine Medical Center Research Institute.</div>
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Bones are in a constant state of remodeling, but after age 30 or so, a woman’s bones start to dissolve faster than they can be rebuilt, and after menopause she may develop thin, brittle bones that are easily broken. Bisphosphonates slow this process. The drugs are incorporated into newly formed bone and can persist there for years, long after a patient stops taking them.</div>
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The F.D.A. report offered little specific guidance about long-term use, saying that the decision to continue or stop treatment should be based on an individual assessment of risks, benefits and preferences discussed between a patient and her doctor. The agency did say that women at low risk for fracture or with a bone density near normal may be good candidates to stop therapy after three to five years, but older patients at higher fracture risk and bone density “in the osteoporotic range” may benefit from continued therapy.</div>
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But <a href="http://www.nejm.org/doi/full/10.1056/NEJMp1202623?query=featured_home" style="color: #004276; text-decoration: underline;">an accompanying article</a> by Dr. Rosen and others, also published in The New England Journal of Medicine, offers more specifics, concluding that the women most likely to benefit from long-term use of the drugs are those who, after three to five years of treatment, continue to have very low bone density, as measured by something called a “T score” that is lower than minus 2.5. Women with a history of spinal fracture or with an existing fracture also are most likely to benefit from long-term use of the drugs, the researchers concluded.</div>
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However, many women who are prescribed bone drugs have been given a diagnosis of osteopenia, moderate to low bone density that is not low enough to be called osteoporosis. These women are unlikely to benefit from long-term use and should probably stop taking the drugs after about three years, the researchers said.</div>
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It is not clear how many women would be affected based on those recommendations, but many women tire of the therapy and stop taking it on their own anyway, partly because of inconvenient requirements like remaining upright after taking the drugs and common side effects of heartburn, nausea and flulike symptoms. Even so, the researchers estimate that perhaps 60 percent to 70 percent of current users would be candidates for stopping the drugs after three to five years.</div>
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The recommendations are based on findings from two industry-sponsored studies led by the University of California, San Francisco, that focused on long-term use of the drugs. A study of Fosamax, which is sold generically as alendronate, continued for 10 years, and a study of Reclast, an injectable form of the drug zoledronic acid, continued for six years. According to the F.D.A. analysis, both studies showed significant reductions in fracture risks during the first three to four years of use but little or no benefit with longer use.</div>
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In the Fosamax trial, 10.6 percent of Fosamax users suffered a fracture during the first three years of use, compared with 21 percent of those in the placebo group, according to the F.D.A. analysis. But there was no benefit seen among women who continued the drug for the next 5 to 10 years. In the Reclast trial, 9.8 percent of women taking the drug suffered a fracture in the first three years of the study, compared with 20 percent of women who were taking a placebo. By four to six years, the benefit had narrowed, with 8.6 percent of Reclast users suffering fractures, compared with 12 percent in the placebo group.</div>
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The two studies did not show any increased risk of serious side effects with long-term use of bisphosphonates, but experts say the studies simply were not large enough to detect a relatively rare adverse event. Even so, there have been numerous case reports of the unusual fractures and other side effects, prompting widespread concern about the risks with long-term use. No one knows how common the femur fractures are, but estimates have ranged from 1 in 10,000 users to 10 in 10,000.</div>
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Women should be reassured that serious complications are rare, said<a href="http://www.epibiostat.ucsf.edu/epidem/personnel/dblack2.html" style="color: #004276; text-decoration: underline;">Dennis M. Black</a>, a professor of epidemiology and biostatistics at U.C.S.F. and the lead author of the article that accompanied the F.D.A. report.</div>
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“The reality is there is a lot of uncertainty in this situation,” Dr. Black said. “The F.D.A. report was very general, and we tried to be much more specific and use evidence from the best trial available. Hopefully people who are using this drug will be reassured.”</div>
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Dr. Rosen said that even though the F.D.A. report was vague on specific recommendations, he was pleased to see the analysis published.</div>
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“It’s a very new thing that they submit a paper to The New England Journal that presents all sides of the argument,” Dr. Rosen said. “I think it’s a good thing, because I’ve been on these advisory committees for years, and we get a big crowd in Washington, but the doctors never see the results.”</div>
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Saved a copy of that picture the 1st time around_ the accompanying explanation: "The femur of [internist] Dr. Jennifer Schneider, who after seven years on Fosamax suffered a nontraumatic femur fracture that took two years to heal."<br /><br />Is there more knowledge about the effects - or lack thereof - of estrogen replacement on bone health - strength, density, the ability to break down and recreate bone - now that we have a somewhat better sense that estrogen is not as dangerous as once tho't?</div>
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Distressingly FDA decisions are showing uncertainty because FDA Authority are lacking of information so that aren't up-dated. That sounds only apparently strange, but it's truth: "The concern is that after years of use, the drugs may in rare cases actually lead to weaker bones in certain women, contributing to “rare but serious adverse events,” including unusual femur fractures, esophageal cancer and osteonecrosis of the jaw, a painful and disfiguring crumbling of the jaw bone". Clearly, FDA ignore the existence of Oncological Terrain-Dependent Inherited Real Risk of oesophageal cancer , Osteoporosis Quantum Biophysical Semeiotic Constitution, and its Inherited Real Risk, a.s.o. Without such a Inherited Real Risk, the related disorder cannot occur.</div>
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Perhaps the bone medications show no improvement after 5 years because they are doing what they are supposed to be doing, .... preventing new fractures. Compare it to the statins for high cholesterol, if a statin is taken for 5 years it prevents heart disease in the future , although the blood tests show normal cholesterol ....<br />The newer bone medicine , ATELVIA, does not cause gastointestinal problems because it is enteric coated, and you do not have to stay upright after taking it on a full breakfast ...<br />The ATYPICAL fractures of the femur are VERY uncommon, somewhere between 1/10,000 - 10/10,000, and occur in women who do not take the medicine as well ... risk of getting killed in your car on the way home tonight is 1/6,000.<br />Oesphogeal cancers from the bone medicine, is so rare it cannot be stated what the true incidence is ...<br />Just be careful before you trash these bone medicines, or worse still , have the older population stop them, and see how devastating a hip fracture really is .</div>
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It is worrisome, especially when we are the guinea pigs. I do think that pharmaceutical companies should not be allowed to advertise on television or radio or in magazines. The way they advertise is misleading.</div>
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I was tested and diagnosed wth low bone density and at risk for osteoperosis at around age 60, and my orthopedic doctor put me on Fosamax. I had no side effects from it. Annual bone density exams showed my bone density was improving. After I had been taking Fosamax for about 6 years, my doc told me I should take at least a two year "sabbatical" and, if my bone density did not decrease, not go back on any drug. He based this on the research described in the article. I do know that my dentist had me on a course of antibiotics before and after doing any work on my teeth while I was taking Foxamax and for two years after I stopped taking it. (And I'm reminded that I should check my records - I'm probably due for a bone density exam this year.)</div>
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I have said this before and I'll say it again.<br /><br />When will this "Health" column deal with the profusion of prescription drug advertising that has permeated our society and, more important, our thinking. There was a time that advertisement of prescription drugs were not allowed on TV. We now have aggressive advertising campaigns that have done nothing for our well being and have done irreparable damage in the amount of confusion and fear mongering.<br /><br />I have yet to see this topic treated with any seriousness from this column and I have no idea why not.</div>
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One thing that is never mentioned in all the comments about thinning bones is that they rarely happen to "plump" ladies. Human bones were meant to weight-bear and if they don't "weight bear" calcium leaches out--this has been well-demonstrated in various space flights and in quadraplegics. We have so much emphasis on thinness that many of our elderly do not have good bones and they don't have any reserve when they get sick. In 40 years as an Emergency RN I never saw a fat lady with a broken hip--I'm sure there were some but they were very few and far between.</div>
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Bone *density* is not the same as bone *strength*. Use weight-bearing exercise such as yoga or weight training to build bone strength.</div>
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The fact that these drugs are often overprescribed is an issue. Women with mild or moderate bone loss might be put on fosamax only to develop a femur fracture as a result of the med...seems counterproductive</div>
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The fact that these drugs are often overprescribed is an issue. Women with mild or moderate bone loss might be put on fosamax only to develop a femur fracture as a result of the med...seems counterproductive<br /><a href="http://www.newsinferno.com/pharmaceuticals/stopping-bisphosphonates-may-reduce-femur-fracture-risk/35593" style="color: #004276; text-decoration: none;" target="_blank" title="http://www.newsinferno.com/pharmaceuticals/stopping-bisphosphonates-may-reduce-femur-fracture-risk/35593">http://www.newsinferno.com/pharmaceuticals/stopping-bisphosphonates-may-...</a></div>
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It's true, Jen, it's almost never black-and-white. But many patients approach their medical decisions as if it were. Our cavalier attitudes - patients and doctors alike - toward pill-popping and surgery are driving much of not just our medical spending, but our medical injuries as well.<br /><br />I'm glad you found relief from your migraine miseries with the right medication. The overall experience in the US, however, is an aggressive over-reliance on medications. Studies show, for example, that aggressively dosing hospitalized diabetics to drive their blood sugar to "normal" levels caused more deaths than a more moderate regimen.<br /><br />Given the risks involved, "All things in moderation" would seem especially apt for our medical care - yet this is more the exception than the rule. And it's our doctors, not the drug companies, that write the prescriptions.</div>
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My doctor stopped my use of Fosamax almost 2 years ago. This is not news. I was not allergic but had been on the drug for at least 6 years and it was not considered effective if used for too long.</div>
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Bone health and strength depends on the health and the strenth of the muscles acting on the bones. That is the simple evolutionary plan of the musculoskeletal integrrity. Thank you for bringing to women, who take Fosamax, Boniva, and Reclast, the dangers of “unusual femur fractures, esophageal cancer and osteonecrosis of the jaw, a painful and disfiguring crumbling of the jaw bone.” For a discussion of crucial metabolic issues concerning bone health, I refer readers to my series of articles on<a href="http://www.wiki-medical.org/" style="color: #004276; text-decoration: none;" target="_blank" title="http://www.wiki-medical.org">http://www.wiki-medical.org</a>.</div>
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I know 3 cases of atypical fractures of the femur, all this without going online.Instead of constant re-modeling of the bone, which involves micro-fractures, these drugs stop re-modeling.What you get is macro-fractures, to the hardest bone in the body.I live in a small community and I have limited contact with other people.I think the problem might be larger than it thought.</div>
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Never take a new drug unless you're likely to die otherwise. It's as simple as that. Do not be the guinea pig.<br /><br />Bone density: Stop smoking and do weight-bearing exercise. Works wonders.</div>
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After 3 yrs. of taking Actonel, I developed major GI bleeds, requiring 2 blood transfusions. Been off the drug since then, but had two wrist and one foot fracture anyway. Now I take Evista, appropriate dosages of Calcium, Vit.D+K, walk daily, eat lots of veggies, and practice Yoga. My last BMD has improved from osteoporosis to Osteopenia, I am happy with this.<br />I agree with the poster about direct to consumed pharma ads, it has to stop.</div>
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Bone health and strength depends on the health and the strenth of the muscles acting on the bones. That is the simple evolutionary plan of the musculoskeletal integrrity. Thank you for bringing to women, who take Fosamax, Boniva, and Reclast, the dangers of “unusual femur fractures, esophageal cancer and osteonecrosis of the jaw, a painful and disfiguring crumbling of the jaw bone.” For a discussion of crucial metabolic issues concerning bone health, I refer readerrs to my series of articles on<a href="http://www.wiki-medical.org/" style="color: #004276; text-decoration: none;" target="_blank" title="http://www.wiki-medical.org">http://www.wiki-medical.org</a>.<br /><br />Majid Ali, M.D.<br />Institute of Integrative Medicine<br />140 West End Ave. New York, NY 10023<br />212-873-2444</div>
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"IOM committee member Clifford Rosen has admitted to receiving financial<br />support from pharmaceutical industry giants Eli Lilly and Novartis, and has<br />served on the speaker’s bureau for Procter & Gamble. Procter & Gamble<br />markets the controversial bisphosphonate osteoporosis drug Actonel®."<br />[Source: LEF].<br />If correct, this sheds the not unexpected deep dark shadow on the accompanying article in the NEJM, where Dr. Rosen is listed as co-author and, seemingly, as a<br />damage control rescuer . . .<br /><br />Here is substantially more on this subject than I could ever say in 100 years,<br />by Dr. Harriet Hall in his blog published on Jan 5, 2010:<br /><br />"Osteoporosis Drugs: Good Medicine or Big Pharma Scam?"<br /><br /><a href="http://www.sciencebasedmedicine.org/index.php/osteoporosis-drugs-good-medici" style="color: #004276; text-decoration: none;" target="_blank" title="http://www.sciencebasedmedicine.org/index.php/osteoporosis-drugs-good-medici">http://www.sciencebasedmedicine.org/index.php/osteoporosis-drugs-good-me...</a><br />ne-or-big-pharma-scam/<br /><br />an enlightening blog with many comments from/among medical doctors.<br />Highly recommended reading.<br /><br />The widely suspected "Scam" starts with a DXA Scan, which may be considered<br />the true and lucrative beginning of the scam; it seems to be controlled<br />(by setting standards, writing/supplying scanning and evaluation software)<br />by the downstream benefactors - a well-greased industry including the radiologic testing labs ("osteoporosis factories"), the highly rewarded specialists evaluating<br />the scans, the GPs, who hand the dire warnings of "Osteoporosis!" (anything lower than -2.5 T score) to the poor patients opening the floodgates of drug treatment<br />to further benefit the pharmacist and Big Pharma.</div>
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Osteoporosis is a REAL medical problem and for anyone who has seen its devastating effects there is no question of its seriousness. Fosamax and other bisphosphonates have saved untold numbers of (mostly) women with the condition from fractures and even death. As with any drug, there are sometimes side effects which turn out to be serious and even life-threatening.<br />A smart doctor and a smart patient will weigh the facts and draw the proper conclusion. Taking the drug and then stopping for a "drug holiday" is an intelligent approach.<br />No one wants to experience sudden thigh bone fractures or necrosis of the jaw; but neither do they want to break a hip and experience its sometimes devastating consequences.<br />Anyone who is cynical enough to infer that this is just a plot on the part of drug manufacturers to make money has not seen first-hand the results of osteoporosis. As someone who was diagnosed with the disease at a young age (and watched her mother and other close relatives struggle with the same disease) I have been taking these drugs for more than 10 years with the appropriate "holidays" in between. The drugs, coupled with a diligent weight training regimen and healthy lifestyle have made it possible for me to escape the fate of so many older women who never had a choice.<br />It's all about moderation and thinking it through with a competent specialist.</div>
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"In an unusual move that may prompt millions of women to rethink their use of popular bone-building drugs" are you KIDDING ME? I think you meant to say, "may prompt millions of doctors to rethink prescribing drugs that are not an absolute medical necessity, haven't been on the market for at least a dozen years, and stop accepting free lunches from their Big Pharma reps."</div>
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Beware of any doctor who reaches too quickly for the prescription pad. Years ago, I declined the hormone replacement therapy recommended by my gynecologist and a few years after that, I declined the biphosphonate, for osteopenia. The MDs keep talking about "rare" jaw necrosis. Ask your periodontist how rare it is and you'll get a completely different interpretation of the figures. MDs tend to dismiss findings in dental research (protecting the turf), but who is likely to know more about teeth, jaws and the mouth, in general: your gynecologist, your internist or your dentist?</div>
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There are safer alternative treatments to bone loss for those who have not yet been diagnosed with osteoporosis, but osteopenia instead. Regular weight bearing exercise and a diet high in calcium and low in acid has been shown to help maintain bone density. These drugs should be used as a last resort instead of the first line of defense.<br /><a href="http://www.losingtogether.com/" style="color: #004276; text-decoration: none;" target="_blank" title="www.losingtogether.com">www.losingtogether.com</a></div>
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I had moderate osteopenia and was on Fosamax for 3 years with minimal improvement, so I went off it and relied on calcium and exercise, again with minimal improvement, but at least no worsening. Then I read that calcium supplements increase the risk of heart attacks and that osteoporosis is least common in Asian women, who consume less calcium than Western women but more vegetables. So I backed off the calcium, increased the vegetables, and am still seeing improvement. At age 65, I'm sticking with exercise and vegetables.</div>
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With a dx of osteoporosis, I took Fosamax once--bad reaction--and then Boniva a few times. But no one could reassure me that taking the drug wouldn't exacerbate my tendency to develop bone spurs and other osseous novelties, so I stopped. Both the drug companies and the FDA know much too little about the long-term effects of drugs prior to approval, and rely upon the consuming public to beta test extended use.<br /><br />If we're going to be guinea pigs, shouldn't we be the ones being paid?</div>
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Osteoporosis is a severe problem and debilitating problem among women in my family. But these drugs scare the heck out of me. For me, taking low dose estradiol seems far less risky and confers other positive health benefits.</div>
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<a href="http://well.blogs.nytimes.com/2012/05/04/the-surprising-shortcut-to-better-health/" style="color: #004276; text-decoration: none;">The Surprising Shortcut to Better Health:</a></h5>
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<a href="http://well.blogs.nytimes.com/2012/05/04/the-surprising-shortcut-to-better-health/#postComment" style="color: #004276; text-decoration: none;">What's your approach to better fitness?</a></div>
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BROWSE BY SECTION</h4>
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FEATURED ON WELL</h4>
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<a href="http://well.blogs.nytimes.com/2012/05/07/infinite-itch-learning-to-live-with-hives/" style="color: #004276; text-decoration: none;">Infinite Itch: Learning to Live With Hives</a></h5>
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<a href="http://well.blogs.nytimes.com/2012/05/04/the-surprising-shortcut-to-better-health/" style="color: #004276; text-decoration: none;">The Surprising Shortcut to Better Health</a></h5>
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<a href="http://well.blogs.nytimes.com/2012/05/03/life-interrupted-cancer-is-awkward/" style="color: #004276; text-decoration: none;">Life, Interrupted: Cancer Is Awkward</a></h5>
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<nyt_headline type=" " version="1.0">Don’t Just Sit There</nyt_headline></h1>
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Anna Raff</div>
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By GRETCHEN REYNOLDS</h6>
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Published: April 28, 2012</h6>
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ONE lesson I’ve learned while writing about fitness is that few things impinge on an active life as much as writing about fitness — all that time spent hunched before a computer or puzzling over scientific journals, the countless hours of feckless, seated procrastination. While writing about the benefits of <a class="meta-classifier" href="http://health.nytimes.com/health/guides/specialtopic/physical-activity/overview.html?inline=nyt-classifier" style="color: #00325b; text-decoration: underline;" title="In-depth reference and news articles about Physical activity.">exercise</a>, my muscles slackened. Fat seeped insidiously into my blood, liver and ventricles. Stupor infiltrated my brain.</div>
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Anna Raff</h6>
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We all know by now that being inactive is unhealthy. But far too many of us think that being inactive is something that happens to other people.</div>
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Studies of daily movement patterns, though, show that your typical modern exerciser, even someone who runs, subsequently sits for hours afterward, often moving less over all than on days when he or she does not work out.</div>
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The health consequences are swift, pervasive and punishing. In a noteworthy recent experiment conducted by scientists at the University of Massachusetts and other institutions, a group of healthy young men donned a clunky platform shoe with a 4-inch heel on their right foot, leaving the left leg to dangle above the ground. For two days, the men hopped about using crutches (and presumably gained some respect for those people who regularly toddle about in platform heels). Each man’s left leg never touched the ground. Its muscles didn’t contract. It was fully sedentary.</div>
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After two days, the scientists biopsied muscles in both legs and found <a href="http://www.ncbi.nlm.nih.gov/pubmed/20798274" style="color: #00325b; text-decoration: underline;">multiple genes now being expressed differently</a> in each man’s two legs. Gene activity in the left leg suggested that DNA repair mechanisms had been disrupted, insulin response was dropping, oxidative stress was rising, and metabolic activity within individual muscle cells was slowing after only 48 hours of inactivity.</div>
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In similar experiments with lab animals, casts have been placed on their back legs, after which the animals rapidly developed noxious cellular changes throughout their bodies, and not merely in the immobilized muscles. In particular, they produced substantially less of an enzyme that dissolves fat in the bloodstream. As a result, in animals and humans, fat can accumulate and migrate to the heart or liver, potentially leading to cardiac disease and <a class="meta-classifier" href="http://health.nytimes.com/health/guides/disease/diabetes/overview.html?inline=nyt-classifier" style="color: #00325b; text-decoration: underline;" title="In-depth reference and news articles about Diabetes.">diabetes</a>.</div>
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To see the results of such inactivity, scientists with the National Cancer Institute spent eight years following almost 250,000 American adults. The participants answered detailed questions about how much time they spent commuting, watching TV, sitting before a computer and exercising, as well as about their general health. At the start of the study, none suffered from heart disease, <a class="meta-classifier" href="http://health.nytimes.com/health/guides/disease/cancer/overview.html?inline=nyt-classifier" style="color: #00325b; text-decoration: underline;" title="In-depth reference and news articles about Cancer.">cancer</a> or diabetes.</div>
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But after eight years, many were ill and quite a few had died. The sick and deceased were also in most cases <a href="http://www.ncbi.nlm.nih.gov/pubmed/22218159" style="color: #00325b; text-decoration: underline;">sedentary</a>. Those who watched TV for seven or more hours a day proved to have a much higher risk of premature death than those who sat in front of the television less often. (Television viewing is a widely used measure of sedentary time.)</div>
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Exercise only slightly lessened the health risks of sitting. People in the study who exercised for seven hours or more a week but spent at least seven hours a day in front of the television were more likely to die prematurely than the small group who worked out seven hours a week and watched less than an hour of TV a day.</div>
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If those numbers seem abstract, consider a blunt new <a href="http://bjsm.bmj.com/content/early/2011/08/01/bjsm.2011.085662.short?q=w_bjsm_ahead_tab" style="color: #00325b; text-decoration: underline;">Australian study</a>. In it, researchers determined that watching an hour of television can snip 22 minutes from someone’s life. If an average man watched no TV in his adult life, the authors concluded, his life span might be 1.8 years longer, and a TV-less woman might live for a year and half longer than otherwise.</div>
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So I canceled our cable, leaving my 14-year-old son staggered. I’d deprived him of his favorite shows on The Food Network, a channel that, combined with sitting, explains much about the American waistline. (Thankfully, my son is blessed with his father’s lanky, string-bean physique.)</div>
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I also conduct more of my daily business upright. In an inspiring <a href="http://www.ncbi.nlm.nih.gov/pubmed/22374636" style="color: #00325b; text-decoration: underline;">study</a> being published next month in Diabetes Care, scientists at the Baker IDI Heart and Diabetes Institute in Melbourne, Australia, had 19 adults sit completely still for seven hours or, on a separate day, rise every 20 minutes and walk leisurely on a treadmill (handily situated next to their chairs) for two minutes. On another day, they had the volunteers jog gently during their two-minute breaks.</div>
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When the volunteers remained stationary for the full seven hours, their blood sugar spiked and insulin levels were out of whack. But when they broke up the hours with movement, even that short two-minute stroll, their <a class="meta-classifier" href="http://health.nytimes.com/health/guides/test/glucose-test/overview.html?inline=nyt-classifier" style="color: #00325b; text-decoration: underline;" title="In-depth reference and news articles about Glucose test.">blood sugar levels</a> remained stable. Interestingly, the jogging didn’t improve blood sugar regulation any more than standing and walking did. What was important, the scientists concluded, was simply breaking up the long, interminable hours of sitting.</div>
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Equally beguiling, at least for me, since I’m shallow, were results from experiments at the University of Massachusetts showing that when volunteers stood all day — nothing else; no walking or jogging; just standing — they burned hundreds more <a class="meta-classifier" href="http://health.nytimes.com/health/guides/nutrition/diet-calories/overview.html?inline=nyt-classifier" style="color: #00325b; text-decoration: underline;" title="In-depth reference and news articles about Diet - calories.">calories</a> than when they sat for the same period of time.</div>
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So every 20 minutes or so, I now rise. I don’t have a desk treadmill; my office is too small, and my budget too slim. But I prop my papers on a music stand and read standing up. I prowl my office while I talk on the phone. (I also stand on one foot when I brush my teeth at night, which has little to do with reducing inactivity but may be one of the more transformative actions I’ve picked up from researching fitness. My balance and physical confidence have improved, and my husband is consistently amused, which is not a bad foundation for marital health.)</div>
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I run for three or four miles most days, too, and grunt through 20 push-ups most mornings. There are health and fitness benefits from endurance and weight training that standing up can’t match. In particular, aerobic workouts have been shown to improve brainpower, and I shudder to imagine the state of my memory if I didn’t run. But I’m not planning any marathons (been there, done that, walked down stairs backward for days). I want foundational health. I want my insulin levels in check and my fat-fighting enzymes robust. I have plans for those extra 18 months of life span that not sitting might provide.</div>
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The “Phys Ed” columnist for The New York Times and the author of a new book on science and exercise, “The First 20 Minutes.”</div>
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</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-3825082737883884585.post-44626290302781654932012-04-29T09:38:00.002-07:002012-04-29T09:38:28.466-07:00Take a deep breath.<br />
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Expectations of intensity — all while having fun — are found throughout the Googleplex. Blaise Pabon, an engineer, uses a bicycle to dart among the company's buildings. <a href="http://www.nytimes.com/slideshow/2012/04/29/technology/Google.html" style="color: #004276; text-decoration: none;">More Photos »</a></div>
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By CAITLIN KELLY</h6>
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Published: April 28, 2012</h6>
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Mountain View, Calif.</div>
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MAYBE it’s no surprise that a yellow-brick road winds through the Googleplex.</div>
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Step onto <a class="meta-org" href="http://topics.nytimes.com/top/news/business/companies/google_inc/index.html?inline=nyt-org" style="color: #004276; text-decoration: underline;" title="More information about Google Inc">Google</a>’s campus here — with its indoor treehouse, volleyball court, apiaries, heated toilet seats and, yes, Oz-style road — and you might think you’ve just sailed over the rainbow.</div>
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But all the toys and perks belie the frenetic pace here, and many employees acknowledge that life at Google can be hard on fragile egos.</div>
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Sure, the amenities are seductive, says Blaise Pabon, an enterprise sales engineer, but “when you get to a place like this, it can tear you apart” if you don’t find a way to handle the hard-driving culture.</div>
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Employees coming from fast-paced fields, already accustomed to demanding bosses and long hours, say Google pushes them to produce at a pace even faster than they could have imagined. Google’s co-founder and chief executive, Larry Page, recently promised on the company Web site to maintain “a healthy disregard for the impossible.”</div>
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Little wonder, then, that among the hundreds of free classes that Google offers to employees here, one of the most popular is called S.I.Y., for “Search Inside Yourself.” It is the brainchild of Chade-Meng Tan, 41, a tall, thin, soft-spoken engineer who arrived at Google in 2000 as Employee No. 107.</div>
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Think of S.I.Y. as the Zen of Google. Mr. Tan dreamed up the course and refined it with the help of nine experts in the use of mindfulness at work. And in a time when Google has come under new scrutiny from European and United States regulators over privacy and other issues, a class in mindfulness might be a very good thing.</div>
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The class has three steps: attention training, self-knowledge and self-mastery, and the creation of useful mental habits.</div>
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If it sounds a bit touchy-feely, consider this: More than 1,000 Google employees have taken the class, and there’s a waiting list of 30 when it’s offered, four times a year. The class accepts 60 people and runs seven weeks.</div>
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Richard Fernandez, director of executive development and a psychologist by training, says he sees a significant difference in his work behavior since taking the class. “I’m definitely much more resilient as a leader,” he says. “I listen more carefully and with less reactivity in high-stakes meetings. I work with a lot of senior executives who can be very demanding, but that doesn’t faze me anymore. It’s almost an emotional and mental bank account. I’ve now got much more of a buffer there.”</div>
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Mr. Tan says the course has received good reviews. “In anonymous surveys, on average, participants rated it around 4.75 out of 5,” he says. “Awareness is spread almost entirely by word-of-mouth by alumni, and that alone already created more demand than we can currently serve.”</div>
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Mr. Tan’s first book, <a href="http://www.harpercollins.com/browseinside/index.aspx?isbn13=9780062116925" style="color: #004276; text-decoration: underline;" title="Publisher’s information about the book.">“Search Inside Yourself: The Unexpected Path to Achieving Success, Happiness (and World Peace),”</a> is out this month, with a foreword by his friend and S.I.Y. collaborator Daniel Goleman, author of “Emotional Intelligence.” In addition to its United States publication by HarperOne, the book is to be published in 17 markets worldwide, from South Korea to Brazil to Slovenia.</div>
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“As technology pushes us faster, we have to adapt to new ways of doing business in this new millennium,” says Mark Tauber, senior vice president and publisher at HarperOne. “We believe that Meng’s book lays the groundwork for a new national conversation about work and what work means to us.”</div>
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But what is Mr. Tan’s ultimate goal? A Buddhist for many years, he says without irony that he wants to create world peace. “I was always very different from the other kids,” he says. “I have an I.Q. of 156. I didn’t play sports. I thought big. I thought I could achieve great things. I don’t want to sound megalomaniac, but my whole life is about doing something for the world, from as far back as I can remember.”</div>
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Born and raised in Singapore, Mr. Tan describes his childhood as “very unhappy.”</div>
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A version of this article appeared in print on April 29, 2012, on page <span itemprop="printSection">BU</span><span itemprop="printPage">1</span> of the <span itemprop="printEdition">New York edition</span> with the headline: O.K., Google, Take a Deep Breath.</h6>
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margin-right: 0px; margin-top: -20px; text-align: center;"><a href="http://well.blogs.nytimes.com/" style="color: #004276; text-decoration: none;" title="Go to Well Home"><img alt="Well - Tara Parker-Pope on Health" src="http://graphics8.nytimes.com/images/blogs_v3/well/well_holiday_post.png" style="border-bottom-style: none; border-color: initial; border-left-style: none; border-right-style: none; border-top-style: none; border-width: initial;" /></a></div><div class="hfeed" id="content" style="margin-top: -7px; padding-bottom: 0px; padding-left: 30px; padding-right: 30px; padding-top: 0px;"><div class="post-72213 post type-post status-publish format-standard hentry category-fitness tag-fitness tag-knee-replacement tag-well entry " id="entry-72213" style="border-top-color: initial; border-top-style: none; border-top-width: initial; padding-bottom: 0px; padding-left: 10px; padding-right: 10px; padding-top: 15px;"><span class="timestamp published" style="border-bottom-style: none; border-color: initial; border-left-style: none; border-right-style: none; border-top-style: none; border-width: initial; color: #a81817; font-family: arial, helvetica, sans-serif; font-size: 10px; font-weight: normal !important; white-space: nowrap;" title="2012-02-27T17:49:16+00:00"><span class="date" style="color: grey; font-family: arial, helvetica, sans-serif; font-size: 1.1em;">February 27, 2012, <em style="font-style: normal; text-transform: uppercase;">5:49 PM</em></span></span><h1 class="entry-title" style="color: black; font-size: 2.4em; font-weight: normal; line-height: 1.083em; margin-bottom: 4px; margin-left: 0px; margin-right: 0px; margin-top: 6px;">Knee Replacement May Be a Lifesaver for Some</h1><address class="byline author vcard" style="color: grey; font-family: arial, helvetica, sans-serif; font-size: 1.1em; font-style: normal; line-height: 1.2em; margin-bottom: 2px; margin-top: 2px;">By <a class="url fn" href="http://well.blogs.nytimes.com/author/tara-parker-pope/" style="color: #004276; text-decoration: none; text-transform: uppercase;" title="See all posts by TARA PARKER-POPE">TARA PARKER-POPE</a></address><div class="entry-content" style="margin-top: 15px;"><div class="w480" style="margin-bottom: 1em; overflow-x: hidden; overflow-y: hidden; width: 480px;"><img alt="" height="322" id="100000001383434" src="http://graphics8.nytimes.com/images/2012/02/28/science/28WELL/28WELL-blog480.jpg" width="480" /><span class="credit" style="color: #909090; display: block; font-family: arial, helvetica, sans-serif; font-size: 1em; line-height: 1.223em; margin-bottom: 2px; margin-left: 0px; margin-right: 0px; margin-top: 2px; text-align: right;">Stuart Bradford</span><span class="caption" style="color: #666666; display: block; font-family: arial, helvetica, sans-serif; font-size: 1.1em; line-height: 1.2727em; margin-bottom: 3px; margin-left: 2px; margin-right: 2px; margin-top: 3px;"></span></div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">By the time 64-year-old Laura Milson decided to undergo <a href="http://health.nytimes.com/health/guides/surgery/knee-joint-replacement/overview.html?inline=nyt-classifier" style="color: #004276; text-decoration: underline;" target="_blank" title="In-depth reference and news articles about Knee joint replacement.">total knee replacement</a> after 12 years of suffering from <a href="http://health.nytimes.com/health/guides/disease/arthritis/overview.html?inline=nyt-classifier" style="color: #004276; text-decoration: underline;" target="_blank" title="In-depth reference and news articles about Arthritis and Rheumatism.">arthritis</a>, even a short walk to the office printer was a struggle.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">After her surgery last August at the Rothman Institute at Thomas Jefferson University in Philadelphia, Ms. Milson spent a week in rehabilitation and says she hasn’t stopped walking since. “My son says to me, ‘You have to slow down,’ and I say, ‘No, I have to catch up!,’ ” she said. “It’s a whole different life.”</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">For Ms. Milson, who lives in Shrewsbury, Pa., replacing the joint in her right knee came with a surprising bonus: a 20-pound weight loss in two months. “I joked with my doctor, ‘I think you put a diet chip in my knee,’ ” she said. “The weight just sort of came off.”</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Now she has joined Weight Watchers to drop a few extra pounds and is training for a three-day <a href="http://health.nytimes.com/health/guides/disease/breast-cancer/overview.html?inline=nyt-classifier" style="color: #004276; text-decoration: underline;" target="_blank" title="In-depth reference and news articles about Breast cancer.">breast cancer</a> walk in October.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">For years surgeons have boasted of the pain relief and improved quality of life that often follow knee replacement. But now new research suggests that for some patients, knee replacement surgery can actually save their lives.<span id="more-72213"></span></div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">In a sweeping study of <a href="http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/medicare/index.html?inline=nyt-classifier" style="color: #004276; text-decoration: underline;" target="_blank" title="Recent and archival health news about Medicare.">Medicare</a> records, researchers from Philadelphia and Menlo Park, Calif., examined the effects of joint replacement among nearly 135,000 patients with new diagnoses of <a href="http://health.nytimes.com/health/guides/disease/osteoarthritis/overview.html?inline=nyt-classifier" style="color: #004276; text-decoration: underline;" target="_blank" title="In-depth reference and news articles about Osteoarthritis.">osteoarthritis</a> of the knee from 1997 to 2009. About 54,000 opted for knee replacement; 81,000 did not.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Three years after diagnosis, the knee replacement patients had an 11 percent lower risk of <a href="http://health.nytimes.com/health/guides/disease/heart-failure/overview.html?inline=nyt-classifier" style="color: #004276; text-decoration: underline;" target="_blank" title="In-depth reference and news articles about Heart failure.">heart failure</a>. And after seven years, their risk of dying for any reason was 50 percent lower.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">The study, presented this month at the annual meeting of the American Academy of Orthopedic Surgeons, was financed with a grant from a knee replacement manufacturer. It was not randomized, so it may be that these patients were healthier and more active to start with.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Still, the researchers did try to control for differences in age and overall health. And the findings are consistent with large studies of knee replacement and mortality in Scandinavia. Given the big numbers in the study and the size of the effect, the data strongly suggest that knee replacement may lead to improvements in health and longevity.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">The theory behind knee replacement, said the study’s lead author, Scott Lovald, senior associate at Exponent, a scientific consulting firm in Menlo Park, is that it improves quality of life. “At the end of the day, we’re trying to figure out if quantity of life increases as well,” he added, noting that the team was conducting a similar review of Medicare data on the long-term benefits of hip replacement surgery.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">The founder of the Rothman Institute, Dr. Richard H. Rothman, who has performed 25,000 joint replacement surgeries in his career, urged caution in interpreting data that are not randomized and controlled. Not every patient with knee arthritis is a candidate for joint replacement surgery, he said.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">“People can tolerate a lot of knee disability for reasons we don’t totally understand,” he went on, adding, “If the pain is acceptable, you live with it; if it’s not acceptable, we’ll operate on you.”</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Dr. Rothman said that whether patients experience better health after surgery depends on motivation — how motivated they were to stay fit before surgery and how motivated they are now to become more active.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">“For the motivated patient, it allows them to walk through that portal and become better conditioned and lose weight,” he said. “It’s not a weight-reduction program. It’s a potential avenue to improve your level of fitness, weight, cardiovascular health and <a href="http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/mentalhealthanddisorders/index.html?inline=nyt-classifier" style="color: #004276; text-decoration: underline;" target="_blank" title="Recent and archival health news about mental health and disorders.">mental health</a>.”</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Edward Moore, a 94-year-old retired chemist in Woodbury, N.J., underwent knee replacement three years ago after pain began limiting his activity. Given his age, his own daughter had worried that the recovery would be too difficult. But Dr. Rothman agreed he was healthy enough for the procedure.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">“I didn’t do much mulling about it,” Mr. Moore said. “It just seemed like the knee would be hampering me for the rest of my life, and that sounded like a bad idea.”</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Mr. Moore said he had an uneventful recovery, and in September, two days after his 94th birthday, he took his wind surfer to Lakes Bay near Atlantic City. “I got up on the board, and I sailed,” he said.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">William Mills, 63, of Philadelphia, had been suffering for about four years with severe pain in both knees when he opted for double knee replacement in 2006. He said his activity had dropped off, and while he could still play golf, he could no longer walk the course. Even going to a restaurant had become a burden if he couldn’t find a parking space nearby.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">“I think one of the things people don’t understand about knees is how bad it is,” said Mr. Mills, a bank executive. “It changes everything. I couldn’t walk two city blocks. It was just slowly but surely changing my life where I was unable to really enjoy things.”</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">But while the rehabilitation of both knees was “the hardest thing I’ve ever done in my life,” he has no regrets. Six months after surgery he took part in a 250-mile bike ride in Germany. He has made a few compromises — he no longer skis, and plays doubles tennis instead of singles — but he says he now rarely thinks about his knees.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">“Before surgery, I felt like I was 10 or 15 years older than I was,” he said. “Now I probably feel like I’m 10 or 15 years younger than I am.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px;">“I can understand why people might live longer, because you want to. You really feel good again.”</div><div><br />
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BRODY">JANE E. BRODY</a></address><div class="entry-content" style="margin-top: 15px;"><div class="w190 right" style="clear: right; float: right; margin-bottom: 1em; margin-left: 12px; margin-right: 0px; margin-top: 5px; overflow-x: hidden; overflow-y: hidden; width: 190px;"><img alt="" height="296" id="100000001372358" src="http://graphics8.nytimes.com/images/2012/02/21/science/21BROD/21BROD-articleInline.jpg" width="190" /><span class="credit" style="color: #909090; display: block; font-family: arial, helvetica, sans-serif; font-size: 1em; line-height: 1.223em; margin-bottom: 2px; margin-left: 0px; margin-right: 0px; margin-top: 2px; text-align: right;">Yvetta Fedorova</span><span class="caption" style="color: #666666; display: block; font-family: arial, helvetica, sans-serif; font-size: 1.1em; line-height: 1.2727em; margin-bottom: 3px; margin-left: 2px; margin-right: 2px; margin-top: 3px;"></span></div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">One morning, a well-meaning swimming buddy called out for all in the Y locker room to hear: “I can’t believe Jane Brody doesn’t do <a href="http://topics.nytimes.com/top/reference/timestopics/subjects/y/yoga/index.html?inline=nyt-classifier" style="color: #004276; text-decoration: underline;" target="_blank" title="More articles about yoga.">yoga</a>!”</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">She was right: I didn’t do yoga and, not knowing what it might offer me, I was loath to try it. I also feared that the meteoric growth of yoga had outpaced the training of quality teachers able to protect my aging body parts.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Now, it seems, my thinking and schedule may be due for a change. After reading my colleague William J. Broad’s new book, “The Science of Yoga,” and observing a class at my local Y, I see there may be a lot more to this centuries-old activity, more to its benefits and its risks, than I had ever imagined.</div><div class="w190 right module" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/global/borders/aColumnHorizontalBorder.gif); background-origin: initial; background-position: initial initial; background-repeat: repeat no-repeat; clear: right; float: right; margin-bottom: 1em; margin-left: 12px; margin-right: 0px; margin-top: 5px; overflow-x: hidden; overflow-y: hidden; padding-top: 5px; width: 190px;"><div class="entry" style="border-bottom-style: none; border-color: initial; border-left-style: none; border-right-style: none; border-top-color: rgb(204, 204, 204); border-top-style: none; border-top-width: 1px; border-width: initial; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 5px; padding-left: 0px; padding-right: 0px; padding-top: 5px; width: auto;"><h5 style="color: black; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><a href="http://well.blogs.nytimes.com/tag/personal-health/" style="color: #004276; text-decoration: none;">Personal Health</a></h5><div class="summary" style="font-size: 1.2em; line-height: 1.4em; margin-bottom: 0.3em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Jane E. Brody writes about consumer health.</div><ul class="refer" style="font-family: arial, helvetica, sans-serif; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 6px; margin-left: 0px; margin-right: 0px; margin-top: 2px; padding-left: 0px;"><li style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/misc/bullet4x4.gif); background-origin: initial; background-position: 0% 50%; background-repeat: no-repeat no-repeat; font-size: 1.1em; line-height: 1.2em; margin-bottom: 2px; padding-bottom: 0px; padding-left: 8px; padding-right: 0px; padding-top: 0px;"><a href="http://well.blogs.nytimes.com/2012/02/06/giving-city-streets-built-in-safety-features/" style="color: #004276; font-size: 1em; text-decoration: none;">Making City Streets Safer</a></li>
<li style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/misc/bullet4x4.gif); background-origin: initial; background-position: 0% 50%; background-repeat: no-repeat no-repeat; font-size: 1.1em; line-height: 1.2em; margin-bottom: 2px; padding-bottom: 0px; padding-left: 8px; padding-right: 0px; padding-top: 0px;"><a href="http://well.blogs.nytimes.com/2012/01/23/dental-exam-went-well-thank-fluoride/" style="color: #004276; font-size: 1em; text-decoration: none;">Dental Exam Went Well? Thank Fluoride</a></li>
<li style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/misc/bullet4x4.gif); background-origin: initial; background-position: 0% 50%; background-repeat: no-repeat no-repeat; font-size: 1.1em; line-height: 1.2em; margin-bottom: 2px; padding-bottom: 0px; padding-left: 8px; padding-right: 0px; padding-top: 0px;"><a href="http://well.blogs.nytimes.com/2012/01/16/personal-health-lifelines-for-people-with-hearing-loss/" style="color: #004276; font-size: 1em; text-decoration: none;">Lifelines for People With Hearing Loss</a></li>
</ul></div></div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">And if the science recounted in this book is correct (knowing Mr. Broad, I have every reason to think it is), my creaky joints and muscles may reap some important rewards from an individualized yoga prescription. I’m especially concerned about my back, which is riddled with narrowed vertebral spaces and prone to spasms and <a href="http://health.nytimes.com/health/guides/disease/sciatica/overview.html?inline=nyt-classifier" style="color: #004276; text-decoration: underline;" target="_blank" title="In-depth reference and news articles about Sciatica.">sciatica</a>.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Mr. Broad said decades of yoga has helped protect his back from excruciating pain initially caused by a ruptured disc. Yet in 2007, even he succumbed to a yoga-induced back injury as he was coming out of a pose called the Extended Side Angle.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">“Recovery took weeks,” he wrote. “But the humbling experience gave me a deeper appreciation for yoga safety.”</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Not all yoga poses are beneficial or safe for everyone, and enthusiasts are hard put to know whether the teacher and class they select are more likely to help than to hurt them.<br />
<span id="more-71873"></span><br />
<strong>Safety First</strong></div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">What I need is yoga therapy, and I can only hope to benefit from it if the teacher is well-qualified. And therein lies the rub.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">As I learned from Mr. Broad’s book, “the United States has no regulatory body for yoga therapy. The field is, on the whole, completely unlicensed and unregulated. There is no such thing as a Registered Yoga Therapist. Applicants for registration usually face no requirements to establish their education credentials, to pass national exams, or to show other evidence of expert proficiency. Registration, in short, bears no comparison to the rigorous world of health-care certification.”</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Anyone who chooses to can hang out a shingle and call himself a yoga therapist. Licensing requirements exist for beauticians and hairdressers, but not for yoga therapists.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">The Yoga Alliance, a national organization for yoga in the United States, fills in this gap with specific training standards that, if met, earn the title registered yoga teacher. The standards involve either 200 or 500 hours of instruction and supervised practice, with specialized training for children’s and prenatal yoga.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">To be sure, the yoga world is rife with true believers, many of whom bombarded Mr. Broad with complaints about an article he wrote in The New York Times Magazine last month <a href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html" style="color: #004276; text-decoration: underline;" target="_blank">chronicling a raft of devastating yoga-induced injuries</a>. But he was also deluged with dozens of personal injury stories that included strokes and ruptured discs.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Among them was that of a 39-year-old man who said in an e-mail that he’d “always been very active,” having “skied, boxed, climbed, surfed, etc.” The man began practicing yoga in 2000 and said he reveled in the meditative aspects of it, in contrast to his more “brutal sports.”</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Then, in 2010, he enrolled in a new class and developed “severe <a href="http://health.nytimes.com/health/guides/disease/spinal-stenosis/overview.html?inline=nyt-classifier" style="color: #004276; text-decoration: underline;" target="_blank" title="In-depth reference and news articles about Spinal stenosis.">spinal stenosis</a>” with debilitating back spasms when the teacher “literally forced me into maintaining an extremely painful Downward Dog.” This is a classic pose in which hands and feet are flat on the floor, knees are straight (though not locked) and the body is bent at the waist at a right angle.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">In a more serious injury resulting from the Downward Dog, a woman in Washington, D.C. suffered a spinal cord infarction, a blockage that caused sudden leg <a href="http://health.nytimes.com/health/guides/symptoms/muscle-function-loss/overview.html?inline=nyt-classifier" style="color: #004276; text-decoration: underline;" target="_blank" title="In-depth reference and news articles about Muscle function loss.">paralysis</a>. She has since regained only partial use of her legs.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Mr. Broad concluded, based on his research, that the benefits of yoga “unquestionably outweigh the risks. Still, yoga makes sense only if done intelligently so as to limit the degree of personal danger.”</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Thus, it is critical to choose your class and teacher carefully. Grace Grochowski, a registered yoga teacher at my local Y who has been teaching for 20 years, recommends that prospective students ask about an instructor’s formal training, tell him or her what they hope to get from the discipline, and report any injury, ache or health condition that might affect their participation.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">The teacher should be willing to suggest changes in the moves you attempt or even say that the class may not be right for you.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">“A good teacher listens and makes appropriate suggestions,” Ms. Grochowski said. Though her popular class is large, she regularly walks among the participants, correcting and modifying their poses and suggesting alternatives.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Most important, Randi Baker, one of her students, told me, is to “never go for the burn. If something hurts, don’t do it.”</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><strong>Real Benefits</strong></div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Many of the oft-touted virtues of yoga have yet to be established in well-designed clinical trials, Mr. Broad wrote, and some popular claims have been shown to be bogus, like the belief that yoga breathing suffuses the body with extra oxygen or that it revs up metabolism and can foster weight loss. (Yoga actually slows metabolism, though its relaxing effect may reduce stress-related eating.)</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Good scientific studies, including many supported by the National Center for Complementary and Alternative Medicine, an arm of the National Institutes of Health, have demonstrated that regular yoga practice can improve cardiovascular risk factors like elevated <a href="http://health.nytimes.com/health/guides/test/blood-pressure/overview.html?inline=nyt-classifier" style="color: #004276; text-decoration: underline;" target="_blank" title="In-depth reference and news articles about Blood Pressure.">blood pressure</a>, blood sugar, blood<a href="http://health.nytimes.com/health/guides/nutrition/cholesterol/overview.html?inline=nyt-classifier" style="color: #004276; text-decoration: underline;" target="_blank" title="In-depth reference and news articles about Cholesterol.">cholesterol</a> and clot-inducing <a href="http://health.nytimes.com/health/guides/test/fibrinogen/overview.html?inline=nyt-classifier" style="color: #004276; text-decoration: underline;" target="_blank" title="In-depth reference and news articles about Fibrinogen.">fibrinogen</a>, and it can raise blood levels of protective antioxidants.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Yoga was shown to improve balance in elderly women and thus may reduce their risk of falls, a leading cause of injury-related death in older people. And, I was pleased to learn, perhaps by enhancing blood flow and the production of growth factors, yoga can counteract the deterioration of spinal discs, a plague of millions of Americans, young and old.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Possibly through its stimulation of the vagus nerve, yoga appears to counter inflammation throughout the body, and may reduce the effects of diseases like<a href="http://health.nytimes.com/health/guides/disease/systemic-lupus-erythematosus/overview.html?inline=nyt-classifier" style="color: #004276; text-decoration: underline;" target="_blank" title="In-depth reference and news articles about Systemic lupus erythematosus.">lupus</a> and <a href="http://health.nytimes.com/health/guides/disease/rheumatoid-arthritis/overview.html?inline=nyt-classifier" style="color: #004276; text-decoration: underline;" target="_blank" title="In-depth reference and news articles about Rheumatoid arthritis.">rheumatoid arthritis</a>. And by relieving physical and mental stress, which can erode the tips of DNA, which are called telomeres and program cell death, yoga may slow biological aging and prolong life.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px;">A more immediate benefit, to which Mr. Broad devotes an entire chapter, is yoga’s apparent ability to revitalize a person’s sex life by producing surges in sex hormones and the brain waves associated with sexual arousal. Just don’t try to act on this stimulation in class.</div></div></div><div class="entry-meta" style="clear: both; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 10px;"><ul class="entry-tools clearfix" style="clear: both; display: block; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 11px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="email-this" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: initial initial; background-repeat: initial initial; display: block; float: left; font-family: arial, helvetica, sans-serif; font-size: 1.1em; font-weight: bold; line-height: 1.25em; padding-bottom: 5px; padding-left: 0px; padding-right: 28px; padding-top: 5px;"><form action="http://www.nytimes.com/mem/emailthis.html" enctype="application/x-www-form-urlencoded" id="emailThis_71873" method="post" name="emailThis_71873" style="display: inline; font-size: 1em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"></form><a class="post-email" href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?scp=1&sq=jane%20brod&st=cse" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/blogs_v3/nyt_universal/emailthis.gif); background-origin: initial; background-position: 0px 3px; background-repeat: no-repeat no-repeat; color: #004276; font-size: 1em; line-height: 17px; padding-bottom: 0px; padding-left: 15px; padding-right: 0px; padding-top: 0px; text-decoration: none;">E-mail</a></li>
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<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">Boston</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 368px; word-wrap: break-word;">What bothers me is the popular insistence on mixing up the physical effects of yoga with all manner of new-age claptrap, which is well attested in many of the comments here. People get carried away with the "exotic" nature of it, and insist that "there must be something to it", throwing away any shred of rational thought.<br />
<br />
These true believers are quick to dismiss injuries - anybody who hurts themselves following their guru's instructions must have been misunderstanding or doing it wrong - there is no possibility that the instructor was simply following a pre-scientific prescription which might not have been suitable for the situation.<br />
<br />
Folks, yoga (like tai chi) is a form of exercise. It's not magic. It does not "purge toxins" any more than comparable physical activity. Its instructors are not mystically enlightened, and more importantly, are not doctors. Nobody has ever been able to conclusively demonstrate the existence of "prana" or "qi" or "bio-energy" - and for anyone who can, there is a sweet $1M prize available from of <a href="http://jref.org/" style="color: #004276; text-decoration: none;" target="_blank" title="jref.org">jref.org</a> !<br />
<br />
Exercise can certainly have positive effects, and coming up with systems that make the exercise more interesting, offer low-impact training for the elderly or infirm, or provide for cultural studies is great - I practice Asian martial arts because it's far more fun than simply doing cardio. I'm not suggesting yoga is *bad*. But this is the 21st century, can't we dispense with the pseudo-scientific baggage already?</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?comments#permid=32" id="permalink32" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Feb. 21, 2012 at 12:07 p.m.</a></li>
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<li class="comment" id="comment5569619" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 45px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5569619" style="float: right; width: 434px;"><div class="commentHeader wrap" id="permid31" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Wellness Minded</li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">Texas</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 368px; word-wrap: break-word;">I am so late with Yoga, but better late than never. My sister had been begging me to go to a yoga retreat in Thailand with her for about 3 months. I was so busy with work and family priorities that I just wouldn't make any time for it. Long story short I ended up going last month and it was the greatest sense of renewal and rejuvenation that I've ever experienced to say the least. I would recommend that everyone go on a yoga retreat at least once in their life so that you can seclude yourself and really get the undisturbed therapeutic benefits of the practice. And to experience that in Thailand was totally serene.<a href="http://www.yoga-thailand.com/" style="color: #004276; text-decoration: none;" target="_blank" title="http://www.yoga-thailand.com/">http://www.yoga-thailand.com/</a><br />
Om :)</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?comments#permid=31" id="permalink31" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Feb. 21, 2012 at 12:06 p.m.</a></li>
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<li class="comment" id="comment5569615" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 45px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5569615" style="float: right; width: 434px;"><div class="commentHeader wrap" id="permid30" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">bhc</li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">blanchester,oh</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 368px; word-wrap: break-word;">The last sentence is a real enticement to do a lot of yoga. Thanks for trying this practice and letting us know about your findings and thoughts. B</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?comments#permid=30" id="permalink30" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Feb. 21, 2012 at 12:06 p.m.</a></li>
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<li class="comment" id="comment5569444" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 45px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5569444" style="float: right; width: 434px;"><div class="commentHeader wrap" id="permid29" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">LaurelM</li>
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</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 368px; word-wrap: break-word;">I am a physician and mom, who began practicing yoga in my late 40's, with knee and lower back injuries already from other activities (yes, cycling too can injure your knees!). I quickly learned that yoga could help with these injuries, but it could also cause them to flare up. When I asked myself which teachers, classes, and videos were helping rather than hurting, I found myself focusing on Iyengar yoga. Iyengar developed his approach to yoga, which emphasizes modifying poses with props such as blocks, straps, etc, after he was injured himself in a motor vehicle accident. A lead teacher in my local Iyengar studio teaches back care classes (she has scoliosis herself). I love working with older teachers who have experienced injury themselves. Yoga makes me feel more fully alive, and has expanded my physical and mental--spiritual?--capabilities. By all means practice yoga, but with care and with a careful teacher.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?comments#permid=29" id="permalink29" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Feb. 21, 2012 at 12:06 p.m.</a></li>
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<li class="comment" id="comment5569107" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 45px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5569107" style="float: right; width: 434px;"><div class="commentHeader wrap" id="permid28" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><a href="http://timespeople.nytimes.com/view/user/64734091/activities.html" style="color: black; font-size: 1em; text-decoration: none;">Brian</a></li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">NJ</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 368px; word-wrap: break-word;">Many people view Yoga s only exercise and this can be damaging to the output that yoga offers. Besides a routine that allows the body to cleans itself of toxins and stress, yoga also has properties of extreme relaxation, rejuvenation and renewal.<br />
<br />
It has taken us hundred of years to finally make yoga mainstream and I hope that its counterpart - ayurveda, makes its way to our lives sooner rather than later. An ancient indian health system, ayurveda is an amazing supplement to yog and our health by assessing our bodies make, type, and problem and integrating the roots of nutrition into our every day. Through change in diet, herbs and balance (yoga and meditation) we begin to renew ourselves on a cellular level.<br />
<br />
Unfortunately, the drug companies would never touch this because it isn't synthetic.. That's an oxymoron if i've ever seen one.<br />
<br />
-Brian<br />
<a href="http://www.progressivetransformation.blogspot.com/" style="color: #004276; text-decoration: none;" target="_blank" title="http://www.progressivetransformation.blogspot.com">http://www.progressivetransformation.blogspot.com</a></div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?comments#permid=28" id="permalink28" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Feb. 21, 2012 at 9:46 a.m.</a></li>
<li class="commentReply" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1em; line-height: 1.5em; margin-right: 5px; padding-bottom: 0px; padding-left: 8px; padding-right: 0px; padding-top: 0px; text-transform: uppercase;"><a href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?scp=1&sq=jane%20brod&st=cse" id="commentReplyLink_5569107" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">REPLY</a></li>
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</ul></div><ol class="commentsListNested" id="replylist_5569107" style="margin-bottom: 5px; margin-left: 0px !important; margin-right: 0px !important; margin-top: 0px; padding-left: 0px;"><li class="comment firstComment lastComment" id="comment5569962" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 0px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 26px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 32px; width: 32px;" /></div><div class="commentContainer element2" id="commentElement2_5569962" style="float: right; width: 386px;"><div class="commentHeader wrap" id="permid28_13" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Mike W</li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">Boston</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 328px; word-wrap: break-word;">It's much more likely that the drug companies would never touch this because the FDA requires that they demonstrate proof that their products do what they claim.<br />
<br />
If you (or anyone else) can demonstrate these claims of "cellular renewal" or "toxin cleansing" in an objective manner, I suggest they apply immediately for the JREF $1M prize. If these are real effects, winning the prize would be incredibly easy.<br />
<br />
<a href="http://www.randi.org/site/index.php/1m-challenge.html" style="color: #004276; text-decoration: none;" target="_blank" title="http://www.randi.org/site/index.php/1m-challenge.html">http://www.randi.org/site/index.php/1m-challenge.html</a></div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?comments#permid=28:13" id="permalink28_13" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Feb. 21, 2012 at 12:03 p.m.</a></li>
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<li class="comment" id="comment5569101" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 45px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5569101" style="float: right; width: 434px;"><div class="commentHeader wrap" id="permid27" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Robert S</li>
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</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 368px; word-wrap: break-word;">Centuries Old ?<br />
<br />
Is postural yoga really centuries old? If you think so take a look at <a href="http://www.openthemagazine.com/article/living/not-as-old-as-you-think" style="color: #004276; text-decoration: none;" target="_blank" title="http://www.openthemagazine.com/article/living/not-as-old-as-you-think">http://www.openthemagazine.com/article/living/not-as-old-as-you-think</a> and <a href="http://www.amazon.com/Yoga-Body-Origins-Posture-Practice/dp/0195395344/ref=sr_1_1?s=books&ie=UTF8&qid=1329834926&sr=1-1" style="color: #004276; text-decoration: none;" target="_blank" title="http://www.amazon.com/Yoga-Body-Origins-Posture-Practice/dp/0195395344/ref=sr_1_1?s=books&ie=UTF8&qid=1329834926&sr=1-1">http://www.amazon.com/Yoga-Body-Origins-Posture-Practice/dp/0195395344/r...</a><br />
They assert that postural yoga is a very recent development and that the only physical aspect of the centuries old yoga was breath control.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?comments#permid=27" id="permalink27" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Feb. 21, 2012 at 9:45 a.m.</a></li>
<li class="commentReply" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1em; line-height: 1.5em; margin-right: 5px; padding-bottom: 0px; padding-left: 8px; padding-right: 0px; padding-top: 0px; text-transform: uppercase;"><a href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?scp=1&sq=jane%20brod&st=cse" id="commentReplyLink_5569101" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">REPLY</a></li>
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<li class="comment" id="comment5568232" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 45px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5568232" style="float: right; width: 434px;"><div class="commentHeader wrap" id="permid26" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Cheryl</li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">Boston</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 368px; word-wrap: break-word;">Downward Dog is not done with a bend at the "waist." The "bend" is the hinge at the top of the legs, so the spine elongates. It looks like an upside down "V," not a "U."</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?comments#permid=26" id="permalink26" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Feb. 21, 2012 at 9:38 a.m.</a></li>
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<li class="comment" id="comment5568211" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 45px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5568211" style="float: right; width: 434px;"><div class="commentHeader wrap" id="permid25" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">sui generis</li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">Mass</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 368px; word-wrap: break-word;">At age 69, my testimony on behalf of yoga would inform you that a mere once-a-week class of gentle yoga at my neighborhood studio improves my quality of life significantly. I know, it's anecdotal evidence only, but my outdoor pursuit (other than dog walking) is golf. Regular yoga practice has kept my back, neck, shoulders and hips in shape enabling me to walk and enjoy the game.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?comments#permid=25" id="permalink25" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Feb. 21, 2012 at 9:38 a.m.</a></li>
<li class="commentReply" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1em; line-height: 1.5em; margin-right: 5px; padding-bottom: 0px; padding-left: 8px; padding-right: 0px; padding-top: 0px; text-transform: uppercase;"><a href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?scp=1&sq=jane%20brod&st=cse" id="commentReplyLink_5568211" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">REPLY</a></li>
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<li class="comment" id="comment5568199" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 45px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5568199" style="float: right; width: 434px;"><div class="commentHeader wrap" id="permid24" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Naomi</li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">Concord MA</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 368px; word-wrap: break-word;">In my experience, one of the biggest factors that contributes to yoga injuries is that often, when people get injured, they simply do not return to class. In that situation, the teacher never gets feedback about what the specific instruction was that could have been misinterpreted and was therefore dangerous. Teachers modify their teaching all the time, but without this information the changes may be inadequate. I encourage all yoga teachers to explicitly request that students contact them about any medical problems that may arise after a class.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?comments#permid=24" id="permalink24" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Feb. 21, 2012 at 9:38 a.m.</a></li>
<li class="commentReply" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1em; line-height: 1.5em; margin-right: 5px; padding-bottom: 0px; padding-left: 8px; padding-right: 0px; padding-top: 0px; text-transform: uppercase;"><a href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?scp=1&sq=jane%20brod&st=cse" id="commentReplyLink_5568199" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">REPLY</a></li>
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<li class="comment" id="comment5568037" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 45px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5568037" style="float: right; width: 434px;"><div class="commentHeader wrap" id="permid23" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">ETIsHome</li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">NYC</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 368px; word-wrap: break-word;">There is a rare and thus sad comment I would hear at beginning classes 30 years ago. Not really in Broad's book either. But it means the most to me.<br />
Which is that lying and thinking (imagining) you are doing a pose, is just as good as really doing it. _just as good_.<br />
All the analysis of specifics means not as much as that simple truism which students should always always keep in mind.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?comments#permid=23" id="permalink23" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Feb. 21, 2012 at 9:38 a.m.</a></li>
<li class="commentReply" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1em; line-height: 1.5em; margin-right: 5px; padding-bottom: 0px; padding-left: 8px; padding-right: 0px; padding-top: 0px; text-transform: uppercase;"><a href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?scp=1&sq=jane%20brod&st=cse" id="commentReplyLink_5568037" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">REPLY</a></li>
<li class="commentRecommend" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1em; line-height: 1.5em; margin-right: 5px; padding-bottom: 0px; padding-left: 8px; padding-right: 0px; padding-top: 0px; text-transform: uppercase;"><a data-commentsequence="23" data-parent="" href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?scp=1&sq=jane%20brod&st=cse" id="commentRecommendLink_5568037" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;"><span class="commentRecommendLinkText" style="cursor: pointer; display: inline-block; font-size: 1em;">RECOMMEND</span><span class="commentRecommendedIcon" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/icons/thumb_up_icon.png); background-origin: initial; background-position: 0px 2px; background-repeat: no-repeat no-repeat; cursor: pointer; display: inline-block; font-size: 1.1em; height: 16px; line-height: 1.363em; margin-bottom: 0px; margin-left: 2px; margin-right: 2px; margin-top: -5px; width: 16px;"></span><span class="commentRecommendedCount" style="cursor: pointer; display: inline-block; font-size: 1.1em; line-height: 1.363em;">1</span></a></li>
</ul></div><ol class="commentsListNested" id="replylist_5568037" style="margin-bottom: 5px; margin-left: 0px !important; margin-right: 0px !important; margin-top: 0px; padding-left: 0px;"></ol></div></div></li>
<li class="comment" id="comment5567990" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 45px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5567990" style="float: right; width: 434px;"><div class="commentHeader wrap" id="permid22" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><a href="http://timespeople.nytimes.com/view/user/19287180/activities.html" style="color: black; font-size: 1em; text-decoration: none;">Erin Sheffield</a></li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">Sebastopol, CA</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 368px; word-wrap: break-word;">Ms. Brody made an error in describing Downward Facing Dog. The right-angle bend is made at the hips, not at the waist. If she took a yoga class she would learn the difference between these two parts of the body. ;=)</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?comments#permid=22" id="permalink22" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Feb. 21, 2012 at 9:38 a.m.</a></li>
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<li class="comment" id="comment5567840" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 45px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5567840" style="float: right; width: 434px;"><div class="commentHeader wrap" id="permid21" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">seeking</li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">Geneva</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 368px; word-wrap: break-word;">Not all postures are right for everyone. One may not always be aware of one#s own weaknesses or susceptibilities, and not all yoga teachers may be checking every yoga student to see what pose suits one best. E.g. those with sight (long or short) may not do themselves a favour by doing the head stand.<br />
<br />
However, not all yoga teachers may be methodical enough to do a complete study of the student's status of health. A national accreditation agency may go someway in standardizing yoga therapy, but not enough to avoid avoid injury, I am afraid.<br />
<br />
Even if you are not in doubt as to what might suit you best, it is good to go slow, one posture at a time. If yoga is so good that it helps cure disease, then the wrong use of it can just as well have serious undesirable consequences.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?comments#permid=21" id="permalink21" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Feb. 21, 2012 at 9:38 a.m.</a></li>
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<li class="comment" id="comment5567597" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 45px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5567597" style="float: right; width: 434px;"><div class="commentHeader wrap" id="permid20" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><a href="http://timespeople.nytimes.com/view/user/61530130/activities.html" style="color: black; font-size: 1em; text-decoration: none;">Mike @TheIronYou</a></li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">New York, NY</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 368px; word-wrap: break-word;">When it comes to yoga, one must be extremely careful in choosing the right teacher. I tried at least 20 different studios and 50 teachers before making up my mind and sticking to one in particular.<br />
So, do your due diligence: search, read, ask and try...and I'm positive you'll find the perfect one for you!<br />
Mike<br />
<a href="http://www.theironyou.com/" style="color: #004276; text-decoration: none;" target="_blank" title="www.theironyou.com">www.theironyou.com</a></div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?comments#permid=20" id="permalink20" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Feb. 21, 2012 at 9:37 a.m.</a></li>
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<li class="commentRecommend" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1em; line-height: 1.5em; margin-right: 5px; padding-bottom: 0px; padding-left: 8px; padding-right: 0px; padding-top: 0px; text-transform: uppercase;"><a data-commentsequence="20" data-parent="" href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?scp=1&sq=jane%20brod&st=cse" id="commentRecommendLink_5567597" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;"><span class="commentRecommendLinkText" style="cursor: pointer; display: inline-block; font-size: 1em;">RECOMMEND</span><span class="commentRecommendedIcon" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/icons/thumb_up_icon.png); background-origin: initial; background-position: 0px 2px; background-repeat: no-repeat no-repeat; cursor: pointer; display: inline-block; font-size: 1.1em; height: 16px; line-height: 1.363em; margin-bottom: 0px; margin-left: 2px; margin-right: 2px; margin-top: -5px; width: 16px;"></span><span class="commentRecommendedCount" style="cursor: pointer; display: inline-block; font-size: 1.1em; line-height: 1.363em;">2</span></a></li>
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<li class="comment" id="comment5567386" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 45px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5567386" style="float: right; width: 434px;"><div class="commentHeader wrap" id="permid19" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">california duet</li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">San Diego, CA</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 368px; word-wrap: break-word;">My problem with yoga is its practitioners - they are maniacal and cultish, kinda like Apple fanatics!<br />
<br />
I have never met a yoga person (and there are millions of them here in Southern California) or an Apple person who admits the shortcomings of their product. This lack of objectivity is suspect; I would be more open to trying something if I was given a rational list of the pros and cons, rather than a overly exuberant one-sided gush fest of platitudes.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?comments#permid=19" id="permalink19" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Feb. 21, 2012 at 9:37 a.m.</a></li>
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<li class="comment" id="comment5567230" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 45px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5567230" style="float: right; width: 434px;"><div class="commentHeader wrap" id="permid18" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Sara</li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">LA</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 368px; word-wrap: break-word;">Of course it is never too late to start yoga. My mother began her practice after 50 and it has helped her tremendously will many health issues she was facing. There is an interesting outline on yoga resources at <a href="http://yogatrainingguide.com/yoga" style="color: #004276; text-decoration: none;" target="_blank" title="http://yogatrainingguide.com/yoga">http://yogatrainingguide.com/yoga</a> They also offer a directory of teachers and schools. There is also a full directory of yoga therapists via the Association at<a href="http://www.iayt.org/" style="color: #004276; text-decoration: none;" target="_blank" title="http://www.iayt.org/">http://www.iayt.org/</a><br />
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What most people dont realize is that stress is the biggest issue that causes health problems because we are not getting breathe deep into our lungs. We are so stressed out that most people do "short breathing" so oxygen is not getting into our blood cells. Ever hear of a "runners high"? Thats because they are high on oxygen!</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?comments#permid=18" id="permalink18" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Feb. 21, 2012 at 9:37 a.m.</a></li>
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<li class="comment" id="comment5567201" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 45px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5567201" style="float: right; width: 434px;"><div class="commentHeader wrap" id="permid17" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">mother</li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">Bay Area, CA</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 368px; word-wrap: break-word;">I am 63 and been moderately active most of my life. I taught myself yoga in my early 20's, often including the shoulder stand and plow in my routine. It felt wonderful, relaxing and I loved it. In my 40's I had 2 separate incidences of herniated neck discs, 2 yrs apart, with no apparent cause. I am convinced those plows and shoulder stands were at least a contributing factor, even though I had cut way back on yoga in my 30's and 40's. In my 50's I tried yoga again (minus the neck bending and with a well trained teacher) and found that my knees did not respond well at all to the twisting and force required. I quit as soon as I realized what was going on. Since then I have been practicing a joint mobility program called Z Health, which is gentle and excellent for balance, and coordination. I have also practiced Kettlebell for about 3 yrs. with Cecilia Tom in SF. I have gone from being an intermediate to an advanced downhill skier in the last 3 yrs.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?comments#permid=17" id="permalink17" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Feb. 21, 2012 at 9:37 a.m.</a></li>
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<li class="comment" id="comment5566075" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 45px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5566075" style="float: right; width: 434px;"><div class="commentHeader wrap" id="permid16" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><a href="http://timespeople.nytimes.com/view/user/31963827/activities.html" style="color: black; font-size: 1em; text-decoration: none;">joe blow</a></li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">tempe, az</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 368px; word-wrap: break-word;">Yet another writer opining about yoga who knows little or nothing about yoga.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?comments#permid=16" id="permalink16" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Feb. 21, 2012 at 9:37 a.m.</a></li>
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<li class="comment" id="comment5566878" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 45px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5566878" style="float: right; width: 434px;"><div class="commentHeader wrap" id="permid15" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><a href="http://timespeople.nytimes.com/view/user/30211856/activities.html" style="color: black; font-size: 1em; text-decoration: none;">Ab Be</a></li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">Pangaea</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 368px; word-wrap: break-word;">Dear ms.broody,<br />
<br />
How truly wonderful that your respect for your colleague helped to open your eyes to yoga. I hope that your journey brings joy, good health, gratification. And relief from suffering.<br />
<br />
Nonetheless, I am almost speechless with incredulity and astonishment to read that you were formerly"loathe"to know about yoga. It is almost a topic of discussion, possibly worthy of a memoir in itself.how an editor on the desk of PERSONAL HEALTH for no less an institution than the NY TIMES, somehow managed to be oblivious to one of the biggest PERSONAL HEALTH TRENDS of the past decade.<br />
<br />
With ask due respect: that is a fascinating disconnect.<br />
<br />
Among the many great pleasures, and challenges, of yoga, is to observe how many people begin their practice of yoga with mostly physical and secular conceptiona, such as you enumerate. But yoga is far more than just the body. I genuinely hope that you stay with your practice long enough to begin to access, and appreciate, those other rewards. I sense that patient practice may help you understand better why you had a"blind spot"to yoga for so many years, and reveal other things you did not see before.<br />
<br />
Enjoy the ride.<br />
<br />
I look extremely forward to reading future columns and hearing how you evolve. I hope and trust that all of us will be better for it.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?comments#permid=15" id="permalink15" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Feb. 21, 2012 at 9:37 a.m.</a></li>
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<li class="comment" id="comment5565991" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 45px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5565991" style="float: right; width: 434px;"><div class="commentHeader wrap" id="permid14" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><a href="http://timespeople.nytimes.com/view/user/65692647/activities.html" style="color: black; font-size: 1em; text-decoration: none;">Brian Castellani</a></li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">San Francisco</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 368px; word-wrap: break-word;">Dear Jane Brody,<br />
<br />
You write:<br />
<br />
"The Yoga Alliance, a national organization for yoga in the United States, fills in this gap with specific training standards that, if met, earn the title registered yoga teacher. The standards involve either 200 or 500 hours of instruction and supervised practice, with specialized training for children’s and prenatal yoga."<br />
<br />
And I would respectfully point out that you are incorrect about that statement.<br />
<br />
Yoga alliance has only recently changed their legal status, but more importantly, John Matthews, Lynn Bushnell, Gyandev McCord spent $336,325.00 on NOT fighting yoga regulation, but to promote their own greed.<br />
<br />
It is Yoga Alliance's intention to inspire fear and complicity surrounding their loose non-legal credentialing.<br />
<br />
So before you make statements about credentialing entities of yoga, please do your homework and know the facts.<br />
<br />
John Matthews (who resigned after I printed their tax returns), Lynn Bushnell (who works for YogaWorks) and Gyandev McCord (who represents Ananda Yoga) all represent a legal threat to the education standards of yoga.<br />
<br />
Yoga Alliance has not acted with integrity, makes all their employees sign non-disclosure agreements, and really has not added anything to yoga education that wasn't there in the first place.<br />
<br />
Brian Castellani<br />
<a href="http://Yoganomics.net/" style="color: #004276; text-decoration: none;" target="_blank" title="Yoganomics.net">Yoganomics.net</a></div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?comments#permid=14" id="permalink14" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Feb. 21, 2012 at 9:37 a.m.</a></li>
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</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 368px; word-wrap: break-word;">Thank you to all the people who recommended books, videos and websites to me. Sometimes it can feel all alone out here in the middle of the country. It's nice to know there is a community that cares. Thank you again.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?comments#permid=13" id="permalink13" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Feb. 21, 2012 at 9:35 a.m.</a></li>
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<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">Yorktown Heights, New York</li>
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</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 368px; word-wrap: break-word;">I was expecting that you were going to actually engage in some Yoga, Ms Brody - and wanted to hear how your knee replacement was accommodated in practice. Looking forward to a followup.<br />
As an off and on practitioner (now off) I know that at the 1st whiff of a competitive atmosphere in a class, run away (before you have to limp away ...) The teacher is key- in experience, understanding of anatomy as well as practice, and attitude.<br />
<br />
I think that Kripalu up in the Berkshires does provide excellent introduction for newbies, as well as those with experience.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?comments#permid=12" id="permalink12" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Feb. 21, 2012 at 9:13 a.m.</a></li>
<li class="commentReply" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1em; line-height: 1.5em; margin-right: 5px; padding-bottom: 0px; padding-left: 8px; padding-right: 0px; padding-top: 0px; text-transform: uppercase;"><a href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?scp=1&sq=jane%20brod&st=cse" id="commentReplyLink_5568806" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">REPLY</a></li>
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<li class="comment" id="comment5566449" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 45px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5566449" style="float: right; width: 434px;"><div class="commentHeader wrap" id="permid11" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Lisa Hirsch</li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">Oakland, CA</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 368px; word-wrap: break-word;">I meant to also say that Ms. Brody is right to be concerned about the lack of standards and qualifications for yoga teachers. There's a similar problem with Pilates teaching. Too many instructors in my area were trained in 200-hour classes and don't spend nearly enough time with experienced teachers. They teach Pilates as if it's weight lifting, or they focus on repetitions with a lot of resistance instead of focussing on form.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?comments#permid=11" id="permalink11" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Feb. 20, 2012 at 9:17 p.m.</a></li>
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</ul></div><ol class="commentsListNested" id="replylist_5566449" style="margin-bottom: 5px; margin-left: 0px !important; margin-right: 0px !important; margin-top: 0px; padding-left: 0px;"><li class="comment firstComment lastComment" id="comment5568422" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 0px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 26px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 32px; width: 32px;" /></div><div class="commentContainer element2" id="commentElement2_5568422" style="float: right; width: 386px;"><div class="commentHeader wrap" id="permid11_12" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Meena Modi</li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">Ridgewood</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 328px; word-wrap: break-word;">I totally agree with you, Lisa. I have seen many of my yoga students come to me with severe back pain after Pilates (done in a class or with a personal trainer). It is not clear whether the teaching was the cause (misinformation, ignorance, lack of proper training , or lack of supervision in a large class), the student not doing it properly, or an overzealous student.<br />
<br />
Then when I talk to physical therapists, they say they see the same in their patients who come because of yoga injuries. The same factors apply to yoga. It was inconceivable when I started out with yoga in the late 1970s that anyone could teach after 200 hours.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?comments#permid=11:12" id="permalink11_12" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Feb. 21, 2012 at 9:36 a.m.</a></li>
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<li class="comment" id="comment5566445" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 45px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5566445" style="float: right; width: 434px;"><div class="commentHeader wrap" id="permid10" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Lisa Hirsch</li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">Oakland, CA</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 368px; word-wrap: break-word;">It's possible to get hurt doing any physical activity, of course. It's important to know your body and know what it is capable of, and it's important to make progress in any activity at a rate that makes sense for you. I'm appalled by the mention of a yoga teacher forcing a student to maintain a painful posture. If it hurts, STOP is always a good idea, as is knowing the difference between soreness and injury.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?comments#permid=10" id="permalink10" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Feb. 20, 2012 at 9:17 p.m.</a></li>
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<li class="comment" id="comment5566407" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 45px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5566407" style="float: right; width: 434px;"><div class="commentHeader wrap" id="permid9" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Tom</li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">Albany NY</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 368px; word-wrap: break-word;">To Ms. Brody,<br />
<br />
It's never too late.<br />
<br />
Here is a link to Phoenix Rising Yoga Therapy, a member of the Yoga Alliance. They may be able to assist you in locating a certified yoga therapist in your location.<br />
<br />
<a href="http://www.pryt.com/directory/directory.html" style="color: #004276; text-decoration: none;" target="_blank" title="http://www.pryt.com/directory/directory.html">http://www.pryt.com/directory/directory.html</a><br />
<br />
There are many schools and styles of yoga, each with its own quality or defining characteristic. I have been practicing yoga for 20 years and am a certified teacher through the Kripalu Center for Yoga and Health.<br />
<br />
<a href="http://www.kripalu.org/" style="color: #004276; text-decoration: none;" target="_blank" title="http://www.kripalu.org/">http://www.kripalu.org/</a><br />
<br />
I am in middle age, have hernatied spinal discs (not yoga induced), and am able to lead a functional life with no medication as a result of my yoga practice. Yoga's benefits are holistic. However in my case, yoga asanas (postures) strengthen the lumbar muscles to keep the discs in place, and limit the pinching on the spinal nerves and associated pain.<br />
"Yoga and Stretching Equally Effective for Back Pain"<br />
<a href="http://well.blogs.nytimes.com/2011/10/24/yoga-and-stretching-equally-effective-for-back-pain/" style="color: #004276; text-decoration: none;" target="_blank" title="http://well.blogs.nytimes.com/2011/10/24/yoga-and-stretching-equally-effective-for-back-pain/">http://well.blogs.nytimes.com/2011/10/24/yoga-and-stretching-equally-eff...</a><br />
<br />
Yoga breathing (pranayama) can be both energizing and relaxing. There are different types of pranayma depending on the condition or desired outcome in the mind and body. Pranayama is fundamental to the practice of yoga:<br />
<br />
A couple of Kripalu-isms:<br />
<br />
"If you are not breathing, it's not yoga."<br />
<br />
"When the student is ready the teacher will appear."<br />
<br />
I anticipate your next article about your salutary explorations and encounters along the yogic path.<br />
<br />
Namaste</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?comments#permid=9" id="permalink9" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Feb. 20, 2012 at 9:16 p.m.</a></li>
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<li class="comment lastComment" id="comment5566355" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 0px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 45px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5566355" style="float: right; width: 434px;"><div class="commentHeader wrap" id="permid8" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Barbara</li>
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</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 368px; word-wrap: break-word;">I was in New York once and see a jogger with an oxygen bottle strapped to his shoulder and I was wondering why he was doing this. I went to a book store and came across the book ,"Oxygen Yoga: A Spa Universe" and discovered there was a new movement sweeping the US involving yoga. People in cities are really concerned about the air quality that they exercise in. It seems that breathing toxic air during exercise is like poisioning the mind and the body. The science is really becoming mixed with exercise and yoga. Think ecology when exercising.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://well.blogs.nytimes.com/2012/02/20/its-not-too-late-to-become-a-yoga-believer/?comments#permid=8" id="permalink8" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Feb. 20, 2012 at 9:16 p.m.</a></li>
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</div></div></div></div></div></div></div></div></div></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-3825082737883884585.post-59886770646548266212012-01-22T19:33:00.001-08:002012-01-22T19:33:51.800-08:00yoga<div class="clearfix" id="masthead" style="border-bottom-color: rgb(0, 0, 0); border-bottom-style: solid; border-bottom-width: 2px; clear: both; color: #333333; display: block; font-family: arial, helvetica, sans-serif; font-size: 10px; line-height: 15px; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; min-height: 48px; padding-bottom: 0px; padding-left: 7px; padding-right: 7px; padding-top: 7px;"><h2 style="color: black; font-family: arial, helvetica, sans-serif; font-size: 2.9em; line-height: 1.1032em; margin-bottom: 5px; margin-left: 160px; margin-right: 0px; margin-top: 0px; position: relative; text-align: center; top: 12px; width: 465px;"><a href="http://www.nytimes.com/pages/magazine/index.html" style="color: black; text-decoration: none;">Magazine</a></h2></div><div class="navigation tabsContainer" style="bottom: -1px; clear: both; color: #333333; font-family: arial, helvetica, sans-serif; font-size: 10px; line-height: 15px; position: relative; text-align: center;"><ul class="tabs" style="display: block; font-family: arial, helvetica, sans-serif; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; overflow-x: hidden; overflow-y: hidden; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: uppercase; white-space: nowrap;"><li class="first " id="navWorld" style="background-attachment: initial; background-clip: initial; background-color: white; background-image: none; background-origin: initial; background-position: initial initial; background-repeat: initial initial; border-bottom-color: rgb(211, 211, 211); border-bottom-style: solid; border-bottom-width: 1px; border-left-color: initial; border-left-style: none; border-left-width: initial; border-right-color: rgb(211, 211, 211); border-right-style: solid; border-right-width: 0px; border-top-color: rgb(211, 211, 211); border-top-style: solid; border-top-width: 0px; display: block; float: left; font-family: georgia, 'times new roman', times, serif; font-size: 1.1em; height: 18px; line-height: 1.25em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 7px; white-space: nowrap; width: 58px;"><a href="http://www.nytimes.com/pages/world/index.html" style="color: #333333; font-size: 1em; text-decoration: none;">WORLD</a></li>
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From left: Uzo Aduba (doing the wheel), George Salazar (extended-hand-to-big-toe pose) and Nick Blaemire (headstand).</div></div><nyt_byline><h6 class="byline" style="color: grey; font-family: arial, helvetica, sans-serif; font-size: 1em; font-weight: normal; line-height: 1.2em; margin-bottom: 2px; margin-left: 0px; margin-right: 0px; margin-top: 2px;">By WILLIAM J. BROAD</h6></nyt_byline><h6 class="dateline" style="color: grey; font-family: arial, helvetica, sans-serif; font-size: 1em; font-weight: normal; line-height: 1.2em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Published: January 5, 2012</h6><div class="articleTools" id="articleToolsTop" style="float: right; margin-bottom: 5px; margin-left: 5px; margin-right: 0px; margin-top: 5px; width: 132px;"><div class="box" style="border-bottom-color: rgb(234, 232, 233); border-bottom-style: solid; border-bottom-width: 1px; border-left-color: rgb(234, 232, 233); border-left-style: solid; border-left-width: 1px; border-right-color: rgb(234, 232, 233); border-right-style: solid; border-right-width: 1px; border-top-color: rgb(234, 232, 233); border-top-style: solid; border-top-width: 1px; clear: both; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; position: relative;"><div class="inset" style="clear: both; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><ul class="toolsList wrap" id="toolsList" style="display: block; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 7px; margin-left: 14px; margin-right: 12px; margin-top: 9px; padding-left: 0px;"><li id="facebook_item" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.45em; background-repeat: no-repeat no-repeat; border-bottom-color: rgb(234, 232, 233); border-bottom-style: solid; border-bottom-width: 1px; font-family: arial, helvetica, sans-serif; font-size: 1em; line-height: 1.4em; margin-bottom: 1px; padding-bottom: 2px; padding-left: 0px; padding-right: 0px; padding-top: 5px; text-transform: uppercase;"><a href="" id="facebook_button" style="background-image: url(http://graphics8.nytimes.com/images/article/functions/facebook.gif); background-position: -1px -1px; background-repeat: no-repeat no-repeat; color: #333333; cursor: pointer; display: block; font-size: 10px; line-height: 13px; padding-bottom: 3px; padding-left: 20px; padding-right: 0px; padding-top: 0px; text-decoration: none;"><span style="font-size: 1em;">RECOMMEND</span></a></li>
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font-size: 1.1em; padding-left: 15px; text-decoration: none;">Enlarge This Image</a></div><a href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?pagewanted=all" style="color: #004276; display: block; text-decoration: none;"><img alt="" height="268" src="http://graphics8.nytimes.com/images/2012/01/08/magazine/08yoga2/mag-08yoga-t_CA1-articleInline.jpg" style="border-bottom-style: none; border-color: initial; border-left-style: none; border-right-style: none; border-top-style: none; border-width: initial;" width="190" /></a></div><h6 class="credit" style="color: #909090; font-family: arial, helvetica, sans-serif; font-size: 0.9em; font-weight: normal; line-height: 1.223em; margin-bottom: 3px; margin-left: 0px; margin-right: 0px; margin-top: 0px; text-align: right;">Danielle Levitt for The New York Times</h6><div class="caption" style="color: #666666; font-family: arial, helvetica, sans-serif; font-size: 1.1em; line-height: 1.2727em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><strong>Salazar:</strong> I would say I’m a 7 out of 10 on the flexibility scale.</div></div><div class="inlineImage module" style="clear: both; margin-bottom: 12px; width: 190px;"><div class="image" style="margin-bottom: 2px;"><div class="icon enlargeThis" style="background-position: 0% 50%; background-repeat: no-repeat no-repeat; display: block; margin-bottom: 2px; padding-left: 16px; text-align: right;"><a href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?pagewanted=all" style="background-image: url(http://graphics8.nytimes.com/images/icons/multimedia/enlarge_icon.gif); background-position: 0% 50%; background-repeat: no-repeat no-repeat; color: #004276; display: inline; font-family: arial, helvetica, sans-serif; font-size: 1.1em; padding-left: 15px; text-decoration: none;">Enlarge This Image</a></div><a href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?pagewanted=all" style="color: #004276; display: block; text-decoration: none;"><img alt="" height="260" src="http://graphics8.nytimes.com/images/2012/01/08/magazine/08yoga3/08yoga3-articleInline.jpg" style="border-bottom-style: none; border-color: initial; border-left-style: none; border-right-style: none; border-top-style: none; border-width: initial;" width="190" /></a></div><h6 class="credit" style="color: #909090; font-family: arial, helvetica, sans-serif; font-size: 0.9em; font-weight: normal; line-height: 1.223em; margin-bottom: 3px; margin-left: 0px; margin-right: 0px; margin-top: 0px; text-align: right;">Danielle Levitt for The New York Times</h6><div class="caption" style="color: #666666; font-family: arial, helvetica, sans-serif; font-size: 1.1em; line-height: 1.2727em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><strong>Aduba:</strong> You know when people jump up into those crazy positions, like they stand on their eyeballs or something, while you’re sitting there just trying to figure out which side of the mat you used the last time? I envy them.</div></div><div class="inlineImage module" style="clear: both; margin-bottom: 12px; width: 190px;"><div class="image" style="margin-bottom: 2px;"><div class="icon enlargeThis" style="background-position: 0% 50%; background-repeat: no-repeat no-repeat; display: block; margin-bottom: 2px; padding-left: 16px; text-align: right;"><a href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?pagewanted=all" style="background-image: url(http://graphics8.nytimes.com/images/icons/multimedia/enlarge_icon.gif); background-position: 0% 50%; background-repeat: no-repeat no-repeat; color: #004276; display: inline; font-family: arial, helvetica, sans-serif; font-size: 1.1em; padding-left: 15px; text-decoration: none;">Enlarge This Image</a></div><a href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?pagewanted=all" style="color: #004276; display: block; text-decoration: none;"><img alt="" height="93" src="http://graphics8.nytimes.com/images/2012/01/08/magazine/08yoga4/08yoga4-articleInline.jpg" style="border-bottom-style: none; border-color: initial; border-left-style: none; border-right-style: none; border-top-style: none; border-width: initial;" width="190" /></a></div><h6 class="credit" style="color: #909090; font-family: arial, helvetica, sans-serif; font-size: 0.9em; font-weight: normal; line-height: 1.223em; margin-bottom: 3px; margin-left: 0px; margin-right: 0px; margin-top: 0px; text-align: right;">Danielle Levitt for The New York Times</h6><div class="caption" style="color: #666666; font-family: arial, helvetica, sans-serif; font-size: 1.1em; line-height: 1.2727em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><strong>Blaemire:</strong> The plow was the easiest position of the day — though it is quite a strange feeling having your face that close to your knees.</div></div></div><div class="inlineLeft" id="readerscomment" style="background-attachment: scroll; background-clip: initial; background-color: #ebf1f5; background-image: url(http://graphics8.nytimes.com/images/global/borders/aColumnHorizontalBorder.gif); background-origin: initial; background-position: 0% 0%; background-repeat: repeat no-repeat; clear: left; float: left; margin-bottom: 20px; margin-left: 0px; margin-right: 15px; margin-top: 0px; width: 190px;"><h3 style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/article/comments/icons/comment_black.gif); background-origin: initial; background-position: 0% 50%; background-repeat: no-repeat no-repeat; color: black; font-family: Arial, Helvetica, sans-serif; font-size: 13px; font-weight: bold; line-height: 1.133em; margin-bottom: 2px; margin-left: 10px; margin-right: 10px; margin-top: 7px; padding-bottom: 5px; padding-left: 15px; padding-right: 15px; padding-top: 5px;">Readers’ Comments</h3><div class="content" style="background-attachment: scroll; background-clip: initial; background-color: #ebf1f5; background-image: url(http://graphics8.nytimes.com/images/global/borders/aColumnHorizontalBorder.gif); background-origin: initial; background-position: 0% 100%; background-repeat: repeat no-repeat; border-top-color: white; border-top-style: solid; border-top-width: 1px; padding-bottom: 13px; padding-left: 10px; padding-right: 10px; padding-top: 9px;"><blockquote style="font-size: 12px; margin-bottom: 6px; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Readers shared their thoughts on this article.</blockquote><ul class="more" style="font-family: Arial, Helvetica, sans-serif; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-size: 11px; line-height: 1.2em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><a href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?pagewanted=all#comments" rel="3v" style="color: #004276; font-size: 1em; text-decoration: none !important;">Read All Comments (737) »</a></li>
</ul></div></div><div class="articleBody" style="margin-bottom: 1.7em; margin-top: 1.5em;"><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">At Sankalpah Yoga, the room was packed; roughly half the students were said to be teachers themselves. Black walked around the room, joking and talking. “Is this yoga?” he asked as we sweated through a pose that seemed to demand superhuman endurance. “It is if you’re paying attention.” His approach was almost free-form: he made us hold poses for a long time but taught no inversions and few classical postures. Throughout the class, he urged us to pay attention to the thresholds of pain. “I make it as hard as possible,” he told the group. “It’s up to you to make it easy on yourself.” He drove his point home with a cautionary tale. In India, he recalled, a yogi came to study at Iyengar’s school and threw himself into a spinal twist. Black said he watched in disbelief as three of the man’s ribs gave way — pop, pop, pop.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">After class, I asked Black about his approach to teaching yoga — the emphasis on holding only a few simple poses, the absence of common inversions like headstands and shoulder stands. He gave me the kind of answer you’d expect from any yoga teacher: that awareness is more important than rushing through a series of postures just to say you’d done them. But then he said something more radical. Black has come to believe that “the vast majority of people” should give up yoga altogether. It’s simply too likely to cause harm.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Not just students but celebrated teachers too, Black said, injure themselves in droves because most have underlying physical weaknesses or problems that make serious injury all but inevitable. Instead of doing yoga, “they need to be doing a specific range of motions for articulation, for organ condition,” he said, to strengthen weak parts of the body. “Yoga is for people in good physical condition. Or it can be used therapeutically. It’s controversial to say, but it really shouldn’t be used for a general class.”</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Black seemingly reconciles the dangers of yoga with his own teaching of it by working hard at knowing when a student “shouldn’t do something — the shoulder stand, the headstand or putting any weight on the cervical vertebrae.” Though he studied with Shmuel Tatz, a legendary Manhattan-based physical therapist who devised a method of massage and alignment for actors and dancers, he acknowledges that he has no formal training for determining which poses are good for a student and which may be problematic. What he does have, he says, is “a ton of experience.”</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">“To come to New York and do a class with people who have many problems and say, ‘O.K., we’re going to do this sequence of poses today’ — it just doesn’t work.”</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">According to Black, a number of factors have converged to heighten the risk of practicing yoga. The biggest is the demographic shift in those who study it. Indian practitioners of yoga typically squatted and sat cross-legged in daily life, and yoga poses, or asanas, were an outgrowth of these postures. Now urbanites who sit in chairs all day walk into a studio a couple of times a week and strain to twist themselves into ever-more-difficult postures despite their lack of flexibility and other physical problems. Many come to yoga as a gentle alternative to vigorous sports or for rehabilitation for injuries. But yoga’s exploding popularity — the number of Americans doing yoga has risen from about 4 million in 2001 to what some estimate to be as many as 20 million in 2011 — means that there is now an abundance of studios where many teachers lack the deeper training necessary to recognize when students are headed toward injury. “Today many schools of yoga are just about pushing people,” Black said. “You can’t believe what’s going on — teachers jumping on people, pushing and pulling and saying, ‘You should be able to do this by now.’ It has to do with their egos.”</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">When yoga teachers come to him for bodywork after suffering major traumas, Black tells them, “Don’t do yoga.”</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">“They look at me like I’m crazy,” he goes on to say. “And I know if they continue, they won’t be able to take it.” I asked him about the worst injuries he’d seen. He spoke of well-known yoga teachers doing such basic poses as downward-facing dog, in which the body forms an inverted V, so strenuously that they tore Achilles tendons. “It’s ego,” he said. “The whole point of yoga is to get rid of ego.” He said he had seen some “pretty gruesome hips.” “One of the biggest teachers in America had zero movement in her hip joints,” Black told me. “The sockets had become so degenerated that she had to have hip replacements.” I asked if she still taught. “Oh, yeah,” Black replied. “There are other yoga teachers that have such bad backs they have to lie down to teach. I’d be so embarrassed.”</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><strong>Among devotees,</strong> from gurus to acolytes forever carrying their rolled-up mats, yoga is described as a nearly miraculous agent of renewal and healing. They celebrate its abilities to calm, cure, energize and strengthen. And much of this appears to be true: yoga can lower your blood pressure, make chemicals that act as antidepressants, even improve your sex life. But the yoga community long remained silent about its potential to inflict blinding pain. Jagannath G. Gune, who helped revive yoga for the modern era, made no allusion to injuries in his journal Yoga Mimansa or his 1931 book “Asanas.” Indra Devi avoided the issue in her 1953 best seller “Forever Young, Forever Healthy,” as did B. K. S. Iyengar in his seminal “Light on Yoga,” published in 1965. Reassurances about yoga’s safety also make regular appearances in the how-to books of such yogis as Swami Sivananda, K. Pattabhi Jois and Bikram Choudhury. “Real yoga is as safe as mother’s milk,” declared Swami Gitananda, a guru who made 10 world tours and founded ashrams on several continents.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">But a growing body of medical evidence supports Black’s contention that, for many people, a number of commonly taught yoga poses are inherently risky. The first reports of yoga injuries appeared decades ago, published in some of the world’s most respected journals — among them, Neurology, The British Medical Journal and The Journal of the American Medical Association. The problems ranged from relatively mild injuries to permanent disabilities. In one case, a male college student, after more than a year of doing yoga, decided to intensify his practice. He would sit upright on his heels in a kneeling position known as vajrasana for hours a day, chanting for world peace. Soon he was experiencing difficulty walking, running and climbing stairs.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Doctors traced the problem to an unresponsive nerve, a peripheral branch of the sciatic, which runs from the lower spine through the buttocks and down the legs. Sitting in vajrasana deprived the branch that runs below the knee of oxygen, deadening the nerve. Once the student gave up the pose, he improved rapidly. Clinicians recorded a number of similar cases and the condition even got its own name: “yoga foot drop.”</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">More troubling reports followed. In 1972 a prominent Oxford neurophysiologist, W. Ritchie Russell, <a href="http://www.bmj.com/content/1/5801/685.2" style="color: #004276; text-decoration: underline;" target="_blank">published an article</a> in The British Medical Journal arguing that, while rare, some yoga postures threatened to cause strokes even in relatively young, healthy people. Russell found that brain injuries arose not only from direct trauma to the head but also from quick movements or excessive extensions of the neck, such as occur in whiplash — or certain yoga poses. Normally, the neck can stretch backward 75 degrees, forward 40 degrees and sideways 45 degrees, and it can rotate on its axis about 50 degrees. Yoga practitioners typically move the vertebrae much farther. An intermediate student can easily turn his or her neck 90 degrees — nearly twice the normal rotation.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Hyperflexion of the neck was encouraged by experienced practitioners. Iyengar emphasized that in cobra pose, the head should arch “as far back as possible” and insisted that in the shoulder stand, in which the chin is tucked deep in the chest, the trunk and head forming a right angle, “the body should be in one straight line, perpendicular to the floor.” He called the pose, said to stimulate the thyroid, “one of the greatest boons conferred on humanity by our ancient sages.”</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Extreme motions of the head and neck, Russell warned, could wound the vertebral arteries, producing clots, swelling and constriction, and eventually wreak havoc in the brain. The basilar artery, which arises from the union of the two vertebral arteries and forms a wide conduit at the base of the brain, was of particular concern. It feeds such structures as the pons (which plays a role in respiration), the cerebellum (which coordinates the muscles), the occipital lobe of the outer brain (which turns eye impulses into images) and the thalamus (which relays sensory messages to the outer brain). Reductions in blood flow to the basilar artery are known to produce a variety of strokes. These rarely affect language and conscious thinking (often said to be located in the frontal cortex) but can severely damage the body’s core machinery and sometimes be fatal. The majority of patients suffering such a stroke do recover most functions. But in some cases headaches, imbalance, dizziness and difficulty in making fine movements persist for years.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Russell also worried that when strokes hit yoga practitioners, doctors might fail to trace their cause. The cerebral damage, he wrote, “may be delayed, perhaps to appear during the night following, and this delay of some hours distracts attention from the earlier precipitating factor.”</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">In 1973, a year after Russell’s paper was published, Willibald Nagler, a renowned authority on spinal rehabilitation at Cornell University Medical College, published a paper on a strange case. A healthy woman of 28 suffered a stroke while doing a yoga position known as the wheel or upward bow, in which the practitioner lies on her back, then lifts her body into a semicircular arc, balancing on hands and feet. An intermediate stage often involves raising the trunk and resting the crown of the head on the floor. While balanced on her head, her neck bent far backward, the woman “suddenly felt a severe throbbing headache.” She had difficulty getting up, and when helped into a standing position, was unable to walk without assistance. The woman was rushed to the hospital. She had no sensation on the right side of her body; her left arm and leg responded poorly to her commands. Her eyes kept glancing involuntarily to the left. And the left side of her face showed a contracted pupil, a drooping upper eyelid and a rising lower lid — a cluster of symptoms known as Horner’s syndrome. Nagler reported that the woman also had a tendency to fall to the left.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Her doctors found that the woman’s left vertebral artery, which runs between the first two cervical vertebrae, had narrowed considerably and that the arteries feeding her cerebellum had undergone severe displacement. Given the lack of advanced imaging technologies at the time, an exploratory operation was conducted to get a clearer sense of her injuries. The surgeons who opened her skull found that the left hemisphere of her cerebellum suffered a major failure of blood supply that resulted in much dead tissue and that the site was seeped in secondary hemorrhages.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">The patient began an intensive program of rehabilitation. Two years later, she was able to walk, Nagler reported, “with [a] broad-based gait.” But her left arm continued to wander and her left eye continued to show Horner’s syndrome. Nagler concluded that such injuries appeared to be rare but served as a warning about the hazards of “forceful hyperextension of the neck.” He urged caution in recommending such postures, particularly to individuals of middle age.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">The experience of Nagler’s patient was not an isolated incident. A few years later, a 25-year-old man was rushed to Northwestern Memorial Hospital, in Chicago, complaining of blurred vision, difficulty swallowing and controlling the left side of his body. Steven H. Hanus, a medical student at the time, became interested in the case and worked with the chairman of the neurology department to determine the cause (he later published the results with several colleagues). The patient had been in excellent health, practicing yoga every morning for a year and a half. His routine included spinal twists in which he rotated his head far to the left and far to the right. Then he would do a shoulder stand with his neck “maximally flexed against the bare floor,” just as Iyengar had instructed, remaining in the inversion for about five minutes. A series of bruises ran down the man’s lower neck, which, the team wrote in The Archives of Neurology, “resulted from repeated contact with the hard floor surface on which he did yoga exercises.” These were a sign of neck trauma. Diagnostic tests revealed blockages of the left vertebral artery between the c2 and c3 vertebrae; the blood vessel there had suffered “total or nearly complete occlusion” — in other words, no blood could get through to the brain.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Two months after his attack, and after much physical therapy, the man was able to walk with a cane. But, the team reported, he “continued to have pronounced difficulty performing fine movements with his left hand.” Hanus and his colleagues concluded that the young man’s condition represented a new kind of danger. Healthy individuals could seriously damage their vertebral arteries, they warned, “by neck movements that exceed physiological tolerance.” Yoga, they stressed, “should be considered as a possible precipitating event.” In its report, the Northwestern team cited not only Nagler’s account of his female patient but also Russell’s early warning. Concern about yoga’s safety began to ripple through the medical establishment.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">These cases may seem exceedingly rare, but surveys by the Consumer Product Safety Commission showed that the number of emergency-room admissions related to yoga, after years of slow increases, was rising quickly. They went from 13 in 2000 to 20 in 2001. Then they more than doubled to 46 in 2002. These surveys rely on sampling rather than exhaustive reporting — they reveal trends rather than totals — but the spike was nonetheless statistically significant. Only a fraction of the injured visit hospital emergency rooms. Many of those suffering from less serious yoga injuries go to family doctors, chiropractors and various kinds of therapists.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Around this time, stories of yoga-induced injuries began to appear in the media. The Times reported that health professionals found that the penetrating heat of Bikram yoga, for example, could raise the risk of overstretching, muscle damage and torn cartilage. One specialist noted that ligaments — the tough bands of fiber that connect bones or cartilage at a joint — failed to regain their shape once stretched out, raising the risk of strains, sprains and dislocations.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">In 2009, a New York City team based at Columbia University’s College of Physicians and Surgeons published an ambitious worldwide survey of yoga teachers, therapists and doctors. The answers to the survey’s central question — What were the most serious yoga-related injuries (disabling and/or of long duration) they had seen? — revealed that the largest number of injuries (231) centered on the lower back. The other main sites were, in declining order of prevalence: the shoulder (219), the knee (174) and the neck (110). Then came stroke. The respondents noted four cases in which yoga’s extreme bending and contortions resulted in some degree of brain damage. The numbers weren’t alarming but the acknowledgment of risk — nearly four decades after Russell first issued his warning — pointed to a decided shift in the perception of the dangers yoga posed.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><strong>In recent years,</strong> reformers in the yoga community have begun to address the issue of yoga-induced damage. <a href="http://www.yogajournal.com/lifestyle/908" style="color: #004276; text-decoration: underline;" target="_blank">In a 2003 article in Yoga Journal</a>, Carol Krucoff — a yoga instructor and therapist who works at the Integrative Medicine center at Duke University in North Carolina — revealed her own struggles. She told of being filmed one day for national television and after being urged to do more, lifting one foot, grabbing her big toe and stretching her leg into the extended-hand-to-big-toe pose. As her leg straightened, she felt a sickening pop in her hamstring. The next day, she could barely walk. Krucoff needed physical therapy and a year of recovery before she could fully extend her leg again. The editor of Yoga Journal, Kaitlin Quistgaard, described reinjuring a torn rotator cuff in a yoga class. “I’ve experienced how yoga can heal,” she wrote. “But I’ve also experienced how yoga can hurt — and I’ve heard the same from plenty of other yogis.”</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">One of the most vocal reformers is Roger Cole, an Iyengar teacher with degrees in psychology from Stanford and the University of California, San Francisco. Cole has written extensively for Yoga Journal and speaks on yoga safety to the American College of Sports Medicine. <a href="http://www.yogajournal.com/for_teachers/1091" style="color: #004276; text-decoration: underline;" target="_blank">In one column</a>, Cole discussed the practice of reducing neck bending in a shoulder stand by lifting the shoulders on a stack of folded blankets and letting the head fall below it. The modification eases the angle between the head and the torso, from 90 degrees to perhaps 110 degrees. Cole ticked off the dangers of doing an unmodified shoulder stand: muscle strains, overstretched ligaments and cervical-disk injuries.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">But modifications are not always the solution. Timothy McCall, a physician who is the medical editor of Yoga Journal, called the headstand too dangerous for general yoga classes. His warning was based partly on his own experience. He found that doing the headstand led to thoracic outlet syndrome, a condition that arises from the compression of nerves passing from the neck into the arms, causing tingling in his right hand as well as sporadic numbness. McCall stopped doing the pose, and his symptoms went away. Later, he noted that the inversion could produce other injuries, including degenerative arthritis of the cervical spine and retinal tears (a result of the increased eye pressure caused by the pose). “Unfortunately,” McCall concluded, “the negative effects of headstand can be insidious.”</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><strong>Almost a year</strong> after I first met Glenn Black at his master class in Manhattan, I received an e-mail from him telling me that he had undergone spinal surgery. “It was a success,” he wrote. “Recovery is slow and painful. Call if you like.”</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">The injury, Black said, had its origins in four decades of extreme backbends and twists. He had developed spinal stenosis — a serious condition in which the openings between vertebrae begin to narrow, compressing spinal nerves and causing excruciating pain. Black said that he felt the tenderness start 20 years ago when he was coming out of such poses as the plow and the shoulder stand. Two years ago, the pain became extreme. One surgeon said that without treatment, he would eventually be unable to walk. The surgery took five hours, fusing together several lumbar vertebrae. He would eventually be fine but was under surgeon’s orders to reduce strain on his lower back. His range of motion would never be the same.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Black is one of the most careful yoga practitioners I know. When I first spoke to him, he said he had never injured himself doing yoga or, as far as he knew, been responsible for harming any of his students. I asked him if his recent injury could have been congenital or related to aging. No, he said. It was yoga. “You have to get a different perspective to see if what you’re doing is going to eventually be bad for you.”</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Black recently took that message to a conference at the Omega Institute, his feelings on the subject deepened by his recent operation. But his warnings seemed to fall on deaf ears. “I was a little more emphatic than usual,” he recalled. “My message was that ‘Asana is not a panacea or a cure-all. In fact, if you do it with ego or obsession, you’ll end up causing problems.’ A lot of people don’t like to hear that.”</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><nyt_author_id></nyt_author_id></div><div class="authorIdentification" style="margin-bottom: 2.8em;"><div style="color: black; font-size: 1.5em; font-style: italic; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">This article is adapted from “<a href="http://books.simonandschuster.com/Science-of-Yoga/William-J-Broad/9781451641424" style="color: black; font-size: 15px !important; line-height: 22px; text-decoration: underline;" target="blank">The Science of Yoga: The Risks and Rewards</a>,” by <a href="mailto:broad@nytimes.com" style="color: black; font-size: 15px !important; line-height: 22px; text-decoration: underline;">William J. Broad</a>, to be published next month by Simon & Schuster. Broad is a senior science writer at The Times.</div><div style="color: black; font-size: 1.5em; font-style: italic; line-height: 1.467em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Editor: <a href="mailto:s.glaser@nytimes.com" style="color: black; font-size: 15px !important; line-height: 22px; text-decoration: underline;">Sheila Glaser</a></div></div><nyt_correction_bottom><div class="articleCorrection" style="margin-bottom: 2.8em;"></div></nyt_correction_bottom><nyt_update_bottom></nyt_update_bottom></div></div><div class="columnGroup " style="clear: both; margin-bottom: 12px; margin-left: 10px; margin-right: 7px; width: auto !important;"><div class="articleFooter"><div class="articleMeta"><div class="opposingFloatControl wrap" style="display: block;"><div class="element1" style="float: left;"><h6 class="metaFootnote" style="color: #aaaaaa; font-family: arial, helvetica, sans-serif; font-size: 1.1em; font-weight: normal; line-height: 1.273em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 350px;">A version of this article appeared in print on January 8, 2012, on page MM16 of the Sunday Magazine with the headline: All Bent Out Of Shape.</h6></div></div></div></div></div><div class="columnGroup " style="clear: both; margin-bottom: 12px; margin-left: 10px; margin-right: 7px; width: auto !important;"><div id="articleExtras"><div class="expandedToolsRight"><div class="articleTools" style="float: right; margin-bottom: 5px; margin-left: 5px; margin-right: 0px; margin-top: 5px; width: 132px;"><div class="box" style="border-bottom-color: rgb(234, 232, 233); border-bottom-style: solid; border-bottom-width: 1px; border-left-color: rgb(234, 232, 233); border-left-style: solid; border-left-width: 1px; border-right-color: rgb(234, 232, 233); border-right-style: solid; border-right-width: 1px; border-top-color: rgb(234, 232, 233); border-top-style: solid; border-top-width: 1px; clear: both; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; position: relative;"><div class="inset" style="clear: both; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><ul class="toolsList wrap" id="toolsList" style="display: block; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 14px; margin-right: 12px; margin-top: 9px; padding-left: 0px;"><li class="comments" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.45em; background-repeat: no-repeat no-repeat; border-bottom-color: rgb(234, 232, 233); border-bottom-style: solid; border-bottom-width: 1px; font-family: arial, helvetica, sans-serif; font-size: 1em; line-height: 1.4em; margin-bottom: 1px; padding-bottom: 2px; padding-left: 0px; padding-right: 0px; padding-top: 5px; text-transform: uppercase;"><a href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?pagewanted=all#commentsContainer" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/article/comments/icons/comment_black.gif); background-origin: initial; background-position: 0px -2px; background-repeat: no-repeat no-repeat; color: #333333; display: block; font-size: 10px; line-height: 13px; padding-bottom: 3px; padding-left: 20px; padding-right: 0px; padding-top: 0px; text-decoration: none;">COMMENTS<span id="commentCount" style="font-size: 1em;">(737)</span></a></li>
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<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">Montpelier, VT</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 451px; word-wrap: break-word;">I am appreciative that this article brings potential yoga asana injuries to our attention and reminds us that yoga is not about competition. However, I am appalled by the lack of research and comparative studies as well as the sensationalism and the misleading photos . In a former life, I worked for the flagship news show of a major network and, although, often the research did not reach the TV screen, it was always there to back it up. In a print article of this length there is the space, and certainly there must be the editorial support (NYTimes, really?), to include supporting data. I now teach nonfiction writing and I am considering using this article as an example of what not to do.<br />
<br />
As an avid runner and Nordic skier, as well as small time farmer, I am grateful to the benefits that yoga asana practice has recently brought to my sport and work stressed body. As a mother of three teens running my own business, yoga brings calm, focus, and a positive attitude to each day I practice. My intention is to heal, not to damage, body and mind. I would be very interested in knowing how I can prevent yoga injury from a well researched, data supported, and multi-source paper.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?comments#permid=594" id="permalink594" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Jan. 9, 2012 at 10:53 a.m.</a></li>
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<li class="comment" id="comment5221268" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 54px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5221268" style="float: right; width: 531px;"><div class="commentHeader wrap" id="permid593" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Jonathan Boyce</li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">Fairfield, CT</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 451px; word-wrap: break-word;">In the comments here of those defending the practice of yoga, there is the argument that those injured by Yoga have themselves to blame. Nonsense. They also shroud their beliefs with the pseudo-religous aura that those injured simply were not spiritual enough, or true believers. More nonsense. (I've heard this argument from religious snake handlers: "you wouldn't have gotten bit if you truly believed").<br />
<br />
The various Yogas as practiced in this country can, and do, cause harm. I've taken yoga classes (two, but stopped) and was stunned at some of the ill-advised contortions and poses.<br />
<br />
Let's be clear: yoga can cause damage to the body; it can aggravate existing conditions, some to the point where surgery is needed; and it is not the fault of the unitnitated. It is up to the Yogis to prepare each new student for the rigors of yoga. Yoga is first and foremost a physical practice, not a spiritual one. It involves challenges to the body much the same as any fitness regimine or routine. Any good trainer that strives to change the body must evaluate the condition of each new participant before recommending any program.<br />
<br />
You cannot simply through someone into a one size fits all class or routine and tell each new student that it's up to them to interpret their body's limits. That's irresponsible and fraudulent. Yoga has a long way to go towards respecting those it attempts to teach the practice to.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?comments#permid=593" id="permalink593" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Jan. 9, 2012 at 10:53 a.m.</a></li>
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<li class="comment" id="comment5221262" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 54px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5221262" style="float: right; width: 531px;"><div class="commentHeader wrap" id="permid592" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Sharon</li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">Beaufort, SC</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 451px; word-wrap: break-word;">I read this article and the readers comments with keen interest as I am new to the practice of yoga. Even as a beginner I had sense enough not to try some poses as I knew my body was not ready for them yet. It took me 18 months before I could execute a wheel and I am only just now able to hold crow for more than a millisecond. If you carefully listen to your body and have patience yoga is safe. Yoga is not a sport but you must practice consistently and be mindful of what your body can and cannot do or you may indeed risk serious injury. That said, I still would encourage anyone who has thought about beginning to practice yoga to say "Yes!" and go for it. Your mind, body and soul will be most happy that you did.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?comments#permid=592" id="permalink592" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Jan. 9, 2012 at 10:53 a.m.</a></li>
<li class="commentRecommend" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1em; line-height: 1.5em; margin-right: 5px; padding-bottom: 0px; padding-left: 8px; padding-right: 0px; padding-top: 0px; text-transform: uppercase;"><a data-commentsequence="592" data-parent="" href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?pagewanted=all" id="commentRecommendLink_5221262" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;"><span class="commentRecommendLinkText" style="cursor: pointer; display: inline-block; font-size: 1em;">RECOMMEND</span><span class="commentRecommendedIcon" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/icons/thumb_up_icon.png); background-origin: initial; background-position: 0px 2px; background-repeat: no-repeat no-repeat; cursor: pointer; display: inline-block; font-size: 1.1em; height: 16px; line-height: 1.363em; margin-bottom: 0px; margin-left: 2px; margin-right: 2px; margin-top: -5px; width: 16px;"></span><span class="commentRecommendedCount" style="cursor: pointer; display: inline-block; font-size: 1.1em; line-height: 1.363em;">28</span></a></li>
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<li class="comment" id="comment5221229" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 54px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5221229" style="float: right; width: 531px;"><div class="commentHeader wrap" id="permid591" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Shaun</li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">Virginia Beach</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 451px; word-wrap: break-word;">I've tried yoga but never got too into it.<br />
<br />
This article makes sense to me though. Yoga is just like all other types of exercise it's possible to overdo it. Even though I fail to see immediate danger in light stretching, I can definitely see people going overboard with a few of the very strenuous poses that yoga has and seriously hurting themselves. Or trying to reach too far in some of the less strenuous stuff and hurting themselves.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?comments#permid=591" id="permalink591" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Jan. 9, 2012 at 10:53 a.m.</a></li>
<li class="commentRecommend" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1em; line-height: 1.5em; margin-right: 5px; padding-bottom: 0px; padding-left: 8px; padding-right: 0px; padding-top: 0px; text-transform: uppercase;"><a data-commentsequence="591" data-parent="" href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?pagewanted=all" id="commentRecommendLink_5221229" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;"><span class="commentRecommendLinkText" style="cursor: pointer; display: inline-block; font-size: 1em;">RECOMMEND</span><span class="commentRecommendedIcon" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/icons/thumb_up_icon.png); background-origin: initial; background-position: 0px 2px; background-repeat: no-repeat no-repeat; cursor: pointer; display: inline-block; font-size: 1.1em; height: 16px; line-height: 1.363em; margin-bottom: 0px; margin-left: 2px; margin-right: 2px; margin-top: -5px; width: 16px;"></span><span class="commentRecommendedCount" style="cursor: pointer; display: inline-block; font-size: 1.1em; line-height: 1.363em;">11</span></a></li>
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<li class="comment" id="comment5220464" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 54px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5220464" style="float: right; width: 531px;"><div class="commentHeader wrap" id="permid590" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><a href="http://timespeople.nytimes.com/view/user/6696611/activities.html" style="color: black; font-size: 1em; text-decoration: none;">Charles Hanor</a></li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">San Antonio</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 451px; word-wrap: break-word;">Glenn Black is promoting his book and himself. He is a charlatan. The article is deceptive and misleading and represents junk science.<br />
<br />
Anyone can injure themselves by incorrectly doing any type of exercise. But yogi is one of the safest ways to exercise.<br />
<br />
I have done Bikram yoga for years. The instructors are highly trained. It has helped me to maintain muscle mass and alleviated my back pain. I plan to do it into my 80s.<br />
<br />
Most people would benefit greatly from yoga taught by a skilled instructor. Do not let this drivel discourage you from exercising and doing yoga.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?comments#permid=590" id="permalink590" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Jan. 9, 2012 at 10:53 a.m.</a></li>
<li class="commentRecommend" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1em; line-height: 1.5em; margin-right: 5px; padding-bottom: 0px; padding-left: 8px; padding-right: 0px; padding-top: 0px; text-transform: uppercase;"><a data-commentsequence="590" data-parent="" href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?pagewanted=all" id="commentRecommendLink_5220464" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;"><span class="commentRecommendLinkText" style="cursor: pointer; display: inline-block; font-size: 1em;">RECOMMEND</span><span class="commentRecommendedIcon" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/icons/thumb_up_icon.png); background-origin: initial; background-position: 0px 2px; background-repeat: no-repeat no-repeat; cursor: pointer; display: inline-block; font-size: 1.1em; height: 16px; line-height: 1.363em; margin-bottom: 0px; margin-left: 2px; margin-right: 2px; margin-top: -5px; width: 16px;"></span><span class="commentRecommendedCount" style="cursor: pointer; display: inline-block; font-size: 1.1em; line-height: 1.363em;">32</span></a></li>
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<li class="comment" id="comment5220428" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 54px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5220428" style="float: right; width: 531px;"><div class="commentHeader wrap" id="permid589" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Joe Ballog</li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">Melbourne, Australia</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 451px; word-wrap: break-word;">One thing people should realize about hatha yoga is that asanas are a result of kundalini energy. If you have an active kundalini, you may well find yourself just getting into some yoga postures spontaneously, because the kundalini energy in your body will intuitively guide you to get into those poses, even if you've never had any formal yoga training whatever.<br />
<br />
When the kundalini energy is directing your asanas, that's when you really do them right because the kundalini knows what your body needs. And as your body is unique, one pose may be just the thing you need, and another no use at all or (as evidenced by this article) actually harmful. But if you don't have an active kundalini, then you are just *imitating* these asanas without necessarily having any insight into how they should be done.<br />
<br />
I'm not saying you shouldn't do any asanas if you don't have an active kundalini, a little probably won't do any harm and will probably do you some good, but just don't go to extremes. In any case if you are looking for spiritual experiences or spiritual advancement, regular meditation is far more important IMO. Hatha yoga can assist meditation but you don't need a lot of it to get the benefits. The bottom line, as with most things, is to follow your intuition, don't get competitive about it, that's when your ego is getting in the way.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?comments#permid=589" id="permalink589" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Jan. 9, 2012 at 10:53 a.m.</a></li>
<li class="commentRecommend" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1em; line-height: 1.5em; margin-right: 5px; padding-bottom: 0px; padding-left: 8px; padding-right: 0px; padding-top: 0px; text-transform: uppercase;"><a data-commentsequence="589" data-parent="" href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?pagewanted=all" id="commentRecommendLink_5220428" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;"><span class="commentRecommendLinkText" style="cursor: pointer; display: inline-block; font-size: 1em;">RECOMMEND</span><span class="commentRecommendedIcon" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/icons/thumb_up_icon.png); background-origin: initial; background-position: 0px 2px; background-repeat: no-repeat no-repeat; cursor: pointer; display: inline-block; font-size: 1.1em; height: 16px; line-height: 1.363em; margin-bottom: 0px; margin-left: 2px; margin-right: 2px; margin-top: -5px; width: 16px;"></span><span class="commentRecommendedCount" style="cursor: pointer; display: inline-block; font-size: 1.1em; line-height: 1.363em;">7</span></a></li>
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<li class="comment" id="comment5219871" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 54px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5219871" style="float: right; width: 531px;"><div class="commentHeader wrap" id="permid588" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">ggg</li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">UK</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 451px; word-wrap: break-word;">Why is this at all surprising? Doing any rigorous exercise can cause injury. You could have just as easily written about how weight training/running/tennis/basketball can wreck your body. Attempting any exercise too extreme (the definition of which changes with age, regardless of fitness), or beyond your fitness level makes injury more likely. This is as true with yoga as anything else, and is exactly what we should expect.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?comments#permid=588" id="permalink588" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Jan. 9, 2012 at 10:53 a.m.</a></li>
<li class="commentRecommend" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1em; line-height: 1.5em; margin-right: 5px; padding-bottom: 0px; padding-left: 8px; padding-right: 0px; padding-top: 0px; text-transform: uppercase;"><a data-commentsequence="588" data-parent="" href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?pagewanted=all" id="commentRecommendLink_5219871" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;"><span class="commentRecommendLinkText" style="cursor: pointer; display: inline-block; font-size: 1em;">RECOMMEND</span><span class="commentRecommendedIcon" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/icons/thumb_up_icon.png); background-origin: initial; background-position: 0px 2px; background-repeat: no-repeat no-repeat; cursor: pointer; display: inline-block; font-size: 1.1em; height: 16px; line-height: 1.363em; margin-bottom: 0px; margin-left: 2px; margin-right: 2px; margin-top: -5px; width: 16px;"></span><span class="commentRecommendedCount" style="cursor: pointer; display: inline-block; font-size: 1.1em; line-height: 1.363em;">56</span></a></li>
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<li class="comment" id="comment5219862" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 54px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5219862" style="float: right; width: 531px;"><div class="commentHeader wrap" id="permid587" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Paul</li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">Boston</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 451px; word-wrap: break-word;">First I sprained my ankle and then I broke it and needed surgery. But I am not giving it up. Soccer is fun.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?comments#permid=587" id="permalink587" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Jan. 9, 2012 at 10:53 a.m.</a></li>
<li class="commentRecommend" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1em; line-height: 1.5em; margin-right: 5px; padding-bottom: 0px; padding-left: 8px; padding-right: 0px; padding-top: 0px; text-transform: uppercase;"><a data-commentsequence="587" data-parent="" href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?pagewanted=all" id="commentRecommendLink_5219862" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;"><span class="commentRecommendLinkText" style="cursor: pointer; display: inline-block; font-size: 1em;">RECOMMEND</span><span class="commentRecommendedIcon" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/icons/thumb_up_icon.png); background-origin: initial; background-position: 0px 2px; background-repeat: no-repeat no-repeat; cursor: pointer; display: inline-block; font-size: 1.1em; height: 16px; line-height: 1.363em; margin-bottom: 0px; margin-left: 2px; margin-right: 2px; margin-top: -5px; width: 16px;"></span><span class="commentRecommendedCount" style="cursor: pointer; display: inline-block; font-size: 1.1em; line-height: 1.363em;">19</span></a></li>
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<li class="comment" id="comment5219377" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 54px;"><img src="http://pimage.timespeople.nytimes.com/5069/6634/cropped-50696634.jpg?0.21390748878957277" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5219377" style="float: right; width: 531px;"><div class="commentHeader wrap" id="permid586" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><a href="http://timespeople.nytimes.com/view/user/50696634/activities.html" style="color: black; font-size: 1em; text-decoration: none;">NewPointPR</a></li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">San Diego, CA</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 451px; word-wrap: break-word;">The best part of the article was: "there is now an abundance of studios where many teachers lack the deeper training necessary to recognize when students are headed toward injury. “Today many schools of yoga are just about pushing people,”...<br />
1) I belong to a studio of which I love but sometimes there are instructors who play music too loud<br />
2) If you are getting into yoga, you should do research first and learn what yoga is truly about and then you can decide which classes or instructors are right for you. If you feel an instructor is being pushy, don't do the pose or don't bend as far or push as hard<br />
3) I have never come across an instructor who has said "you should be able to do this by now" but I have seen other students who don't know much about yoga and they push themselves way too much, or I can see they they are worried they can't keep up. With anything, yoga takes time and practice to get from good to great and your body is different from everyone else. Use your intuition, stop if it hurts.<br />
4) I think this article is great because it does make people think and take caution. It is true too, there are a lot of instructors out there who have only been teaching for a few years and some who have been practicing and teaching for years. Do your homework and find out more about your instructors.<br />
5) Remember why you chose yoga in the first place. if it's purely for getting a hot bod, you've missed the point.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?comments#permid=586" id="permalink586" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Jan. 9, 2012 at 10:53 a.m.</a></li>
<li class="commentRecommend" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1em; line-height: 1.5em; margin-right: 5px; padding-bottom: 0px; padding-left: 8px; padding-right: 0px; padding-top: 0px; text-transform: uppercase;"><a data-commentsequence="586" data-parent="" href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?pagewanted=all" id="commentRecommendLink_5219377" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;"><span class="commentRecommendLinkText" style="cursor: pointer; display: inline-block; font-size: 1em;">RECOMMEND</span><span class="commentRecommendedIcon" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/icons/thumb_up_icon.png); background-origin: initial; background-position: 0px 2px; background-repeat: no-repeat no-repeat; cursor: pointer; display: inline-block; font-size: 1.1em; height: 16px; line-height: 1.363em; margin-bottom: 0px; margin-left: 2px; margin-right: 2px; margin-top: -5px; width: 16px;"></span><span class="commentRecommendedCount" style="cursor: pointer; display: inline-block; font-size: 1.1em; line-height: 1.363em;">16</span></a></li>
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<li class="comment" id="comment5219289" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 54px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5219289" style="float: right; width: 531px;"><div class="commentHeader wrap" id="permid585" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Justine</li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">Minneapolis</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 451px; word-wrap: break-word;">An interesting perspective from a yoga studio owner:<a href="http://www.youryogamn.com/blog/2012/1/8/yoga-and-injuries.html" style="color: #004276; text-decoration: none;" target="_blank" title="http://www.youryogamn.com/blog/2012/1/8/yoga-and-injuries.html">http://www.youryogamn.com/blog/2012/1/8/yoga-and-injuries.html</a></div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?comments#permid=585" id="permalink585" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Jan. 9, 2012 at 10:53 a.m.</a></li>
<li class="commentRecommend" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1em; line-height: 1.5em; margin-right: 5px; padding-bottom: 0px; padding-left: 8px; padding-right: 0px; padding-top: 0px; text-transform: uppercase;"><a data-commentsequence="585" data-parent="" href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?pagewanted=all" id="commentRecommendLink_5219289" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;"><span class="commentRecommendLinkText" style="cursor: pointer; display: inline-block; font-size: 1em;">RECOMMEND</span><span class="commentRecommendedIcon" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/icons/thumb_up_icon.png); background-origin: initial; background-position: 0px 2px; background-repeat: no-repeat no-repeat; cursor: pointer; display: inline-block; font-size: 1.1em; height: 16px; line-height: 1.363em; margin-bottom: 0px; margin-left: 2px; margin-right: 2px; margin-top: -5px; width: 16px;"></span><span class="commentRecommendedCount" style="cursor: pointer; display: inline-block; font-size: 1.1em; line-height: 1.363em;">3</span></a></li>
</ul></div><ol class="commentsListNested" id="replylist_5219289" style="margin-bottom: 5px; margin-left: 0px !important; margin-right: 0px !important; margin-top: 0px; padding-left: 0px;"></ol></div></div></li>
<li class="comment" id="comment5219280" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 54px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5219280" style="float: right; width: 531px;"><div class="commentHeader wrap" id="permid584" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><a href="http://timespeople.nytimes.com/view/user/58355027/activities.html" style="color: black; font-size: 1em; text-decoration: none;">R. Wag</a></li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">Los Angeles</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 451px; word-wrap: break-word;">I agree the title and the photos are really stupid, but I don't agree that everyone will stop doing yoga and revert to the couch. What I hope this new awareness does is stop yoga instructors from insisting on " helping" students by pushing them to do poses that their bodies simply will no do. Not letting ego get in the way was the best advice I ever heard in a yoga class and in this article .</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?comments#permid=584" id="permalink584" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Jan. 9, 2012 at 10:53 a.m.</a></li>
<li class="commentRecommend" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1em; line-height: 1.5em; margin-right: 5px; padding-bottom: 0px; padding-left: 8px; padding-right: 0px; padding-top: 0px; text-transform: uppercase;"><a data-commentsequence="584" data-parent="" href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?pagewanted=all" id="commentRecommendLink_5219280" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;"><span class="commentRecommendLinkText" style="cursor: pointer; display: inline-block; font-size: 1em;">RECOMMEND</span><span class="commentRecommendedIcon" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/icons/thumb_up_icon.png); background-origin: initial; background-position: 0px 2px; background-repeat: no-repeat no-repeat; cursor: pointer; display: inline-block; font-size: 1.1em; height: 16px; line-height: 1.363em; margin-bottom: 0px; margin-left: 2px; margin-right: 2px; margin-top: -5px; width: 16px;"></span><span class="commentRecommendedCount" style="cursor: pointer; display: inline-block; font-size: 1.1em; line-height: 1.363em;">13</span></a></li>
</ul></div><ol class="commentsListNested" id="replylist_5219280" style="margin-bottom: 5px; margin-left: 0px !important; margin-right: 0px !important; margin-top: 0px; padding-left: 0px;"></ol></div></div></li>
<li class="comment" id="comment5219164" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 54px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5219164" style="float: right; width: 531px;"><div class="commentHeader wrap" id="permid583" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><a href="http://timespeople.nytimes.com/view/user/35952361/activities.html" style="color: black; font-size: 1em; text-decoration: none;">bryan beresh</a></li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">ann arbor</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 451px; word-wrap: break-word;">I have practiced for more than 4o years and have found Bikram Yoga to be a safer alternative.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?comments#permid=583" id="permalink583" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Jan. 9, 2012 at 10:51 a.m.</a></li>
<li class="commentRecommend" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1em; line-height: 1.5em; margin-right: 5px; padding-bottom: 0px; padding-left: 8px; padding-right: 0px; padding-top: 0px; text-transform: uppercase;"><a data-commentsequence="583" data-parent="" href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?pagewanted=all" id="commentRecommendLink_5219164" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;"><span class="commentRecommendLinkText" style="cursor: pointer; display: inline-block; font-size: 1em;">RECOMMEND</span><span class="commentRecommendedIcon" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/icons/thumb_up_icon.png); background-origin: initial; background-position: 0px 2px; background-repeat: no-repeat no-repeat; cursor: pointer; display: inline-block; font-size: 1.1em; height: 16px; line-height: 1.363em; margin-bottom: 0px; margin-left: 2px; margin-right: 2px; margin-top: -5px; width: 16px;"></span><span class="commentRecommendedCount" style="cursor: pointer; display: inline-block; font-size: 1.1em; line-height: 1.363em;">1</span></a></li>
</ul></div><ol class="commentsListNested" id="replylist_5219164" style="margin-bottom: 5px; margin-left: 0px !important; margin-right: 0px !important; margin-top: 0px; padding-left: 0px;"></ol></div></div></li>
<li class="comment" id="comment5219119" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 54px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5219119" style="float: right; width: 531px;"><div class="commentHeader wrap" id="permid582" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Stacey</li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">Seattle</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 451px; word-wrap: break-word;">I think there is a lot in this article that is offensive to yoga teachers.<br />
Having taught yoga in the Svaroopa style for 11 years, with hundreds and hundreds of hours of training (yes, clocking around 800 hrs), I cannot support nor condone this absurd article lumping all yoga as dangerous. Open your eyes and find a yoga class that goes beyond your desire for a gym workout. If you are experiencing pain, it’s not that yoga is bad but that you are in the wrong yoga class. Try Svaroopa Yoga</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?comments#permid=582" id="permalink582" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Jan. 9, 2012 at 10:51 a.m.</a></li>
<li class="commentRecommend" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1em; line-height: 1.5em; margin-right: 5px; padding-bottom: 0px; padding-left: 8px; padding-right: 0px; padding-top: 0px; text-transform: uppercase;"><a data-commentsequence="582" data-parent="" href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?pagewanted=all" id="commentRecommendLink_5219119" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;"><span class="commentRecommendLinkText" style="cursor: pointer; display: inline-block; font-size: 1em;">RECOMMEND</span><span class="commentRecommendedIcon" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/icons/thumb_up_icon.png); background-origin: initial; background-position: 0px 2px; background-repeat: no-repeat no-repeat; cursor: pointer; display: inline-block; font-size: 1.1em; height: 16px; line-height: 1.363em; margin-bottom: 0px; margin-left: 2px; margin-right: 2px; margin-top: -5px; width: 16px;"></span><span class="commentRecommendedCount" style="cursor: pointer; display: inline-block; font-size: 1.1em; line-height: 1.363em;">11</span></a></li>
</ul></div><ol class="commentsListNested" id="replylist_5219119" style="margin-bottom: 5px; margin-left: 0px !important; margin-right: 0px !important; margin-top: 0px; padding-left: 0px;"></ol></div></div></li>
<li class="comment" id="comment5219066" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 54px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5219066" style="float: right; width: 531px;"><div class="commentHeader wrap" id="permid581" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">polly schmid</li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">Jamaica VT</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 451px; word-wrap: break-word;">First of all yoga is for everyone, yoga is not just asanas! And second if you drink bad water you will get sick, well do bad yoga asanas and you can get hurt, as well with any thing in life.<br />
Check out the teachers.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?comments#permid=581" id="permalink581" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Jan. 9, 2012 at 10:51 a.m.</a></li>
<li class="commentRecommend" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1em; line-height: 1.5em; margin-right: 5px; padding-bottom: 0px; padding-left: 8px; padding-right: 0px; padding-top: 0px; text-transform: uppercase;"><a data-commentsequence="581" data-parent="" href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?pagewanted=all" id="commentRecommendLink_5219066" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;"><span class="commentRecommendLinkText" style="cursor: pointer; display: inline-block; font-size: 1em;">RECOMMEND</span><span class="commentRecommendedIcon" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/icons/thumb_up_icon.png); background-origin: initial; background-position: 0px 2px; background-repeat: no-repeat no-repeat; cursor: pointer; display: inline-block; font-size: 1.1em; height: 16px; line-height: 1.363em; margin-bottom: 0px; margin-left: 2px; margin-right: 2px; margin-top: -5px; width: 16px;"></span><span class="commentRecommendedCount" style="cursor: pointer; display: inline-block; font-size: 1.1em; line-height: 1.363em;">6</span></a></li>
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<li class="comment" id="comment5218997" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 54px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5218997" style="float: right; width: 531px;"><div class="commentHeader wrap" id="permid580" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Robin Feinberg</li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">Westport, CT</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 451px; word-wrap: break-word;">When I read this kind of stuff, it just makes me sad that people can be so ignorant as to distort what is meant to be a beneficent and healing practice into a monster feared for its propensity for causing injury. All of the illustrations in the article depict contraindicated movements in those poses. When practiced under the instruction and guidance of a properly-trained and compassionate yoga teacher, yoga should be a physically as well as emotionally and spiritually enhancing experience. I feel sorry for people who find the wrong teacher and never get to experience the benefits and joy of practicing yoga. As my teacher, David Swenson (<a href="http://www.ashtanga.net)" style="color: #004276; text-decoration: none;" target="_blank" title="www.ashtanga.net)">www.ashtanga.net)</a> writes in his book, Ashtanga Yoga, The Practice Manual: "Enjoy the sacred journey to inner harmony. Yoga is a divine gift and the opportunity to practice it is a blessing.” --David Swenson, from “Entering Savasana: 'The Death of a Practice', in Ashtanga Yoga: The Practice Manual”<br />
Ashtanga Yoga Productions<br />
<a href="http://www.ashtanga.net/" style="color: #004276; text-decoration: none;" target="_blank" title="www.ashtanga.net">www.ashtanga.net</a></div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?comments#permid=580" id="permalink580" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Jan. 9, 2012 at 10:51 a.m.</a></li>
<li class="commentRecommend" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1em; line-height: 1.5em; margin-right: 5px; padding-bottom: 0px; padding-left: 8px; padding-right: 0px; padding-top: 0px; text-transform: uppercase;"><a data-commentsequence="580" data-parent="" href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?pagewanted=all" id="commentRecommendLink_5218997" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;"><span class="commentRecommendLinkText" style="cursor: pointer; display: inline-block; font-size: 1em;">RECOMMEND</span><span class="commentRecommendedIcon" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/icons/thumb_up_icon.png); background-origin: initial; background-position: 0px 2px; background-repeat: no-repeat no-repeat; cursor: pointer; display: inline-block; font-size: 1.1em; height: 16px; line-height: 1.363em; margin-bottom: 0px; margin-left: 2px; margin-right: 2px; margin-top: -5px; width: 16px;"></span><span class="commentRecommendedCount" style="cursor: pointer; display: inline-block; font-size: 1.1em; line-height: 1.363em;">8</span></a></li>
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<li class="comment" id="comment5218967" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 54px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5218967" style="float: right; width: 531px;"><div class="commentHeader wrap" id="permid579" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Kathleen</li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">Chicago</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 451px; word-wrap: break-word;">I just completed my yoga teacher training under one of those "celebrated teachers," you refer to vaguely in your article. He was a student of B.S.K. Iyengar, traveled the world studying and doing yoga, and has now devoted his life to training teachers. He openly discusses the long-term effects of the acrobatic and contortionist poses that are often (and erroneously) associated with a serious yoga practice, and also openly denounces them. Those postures have no physiological benefit. Briefly, just because your body "can" do something (including something as supposedly "simple" as lotus pose), does not mean it should.<br />
<br />
I learned NEVER to teach shoulder stand without the support you describe that is sometimes used. And resting on the top of your head before pressing up into Urhva Danurasana (backbend) is not only useless but, as your article indicates, extremely dangerous. For the same reason, yoga teachers should not allow their students to do sirsasana (headstand) with any real weight on their head, which endangers the neck.<br />
<br />
Your sensationalistic headline, and the photos of goons trying intermediate postures without teachers is far more dangerous to sedentary Americans than a yoga class would ever be. The problem is not the yoga. The problem is uninformed teachers who see their responsibility as the posture itself rather than the well-being that it brings to the body and soul.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?comments#permid=579" id="permalink579" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Jan. 9, 2012 at 10:51 a.m.</a></li>
<li class="commentRecommend" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1em; line-height: 1.5em; margin-right: 5px; padding-bottom: 0px; padding-left: 8px; padding-right: 0px; padding-top: 0px; text-transform: uppercase;"><a data-commentsequence="579" data-parent="" href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?pagewanted=all" id="commentRecommendLink_5218967" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;"><span class="commentRecommendLinkText" style="cursor: pointer; display: inline-block; font-size: 1em;">RECOMMEND</span><span class="commentRecommendedIcon" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/icons/thumb_up_icon.png); background-origin: initial; background-position: 0px 2px; background-repeat: no-repeat no-repeat; cursor: pointer; display: inline-block; font-size: 1.1em; height: 16px; line-height: 1.363em; margin-bottom: 0px; margin-left: 2px; margin-right: 2px; margin-top: -5px; width: 16px;"></span><span class="commentRecommendedCount" style="cursor: pointer; display: inline-block; font-size: 1.1em; line-height: 1.363em;">34</span></a></li>
</ul></div><ol class="commentsListNested" id="replylist_5218967" style="margin-bottom: 5px; margin-left: 0px !important; margin-right: 0px !important; margin-top: 0px; padding-left: 0px;"></ol></div></div></li>
<li class="comment" id="comment5218951" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 54px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5218951" style="float: right; width: 531px;"><div class="commentHeader wrap" id="permid578" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Robin Feinberg</li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">Westport, CT</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 451px; word-wrap: break-word;">Hm, where to start? First, Glenn Black teaches in the style of BKS Iyengar in which there may not be a proper warm up (Sun Salutations) & poses are held for long pds of time (3-5' ). Enduring pain, as he says, is NOT what yoga practice is about! In the Yoga Sutras, Patanjali writes that in each asana one should find comfort & ease balanced with effort, not pain! The purpose of practicing the yoga asanas is to strengthen & open the body to sit peacefully & comfortably in meditat'n. A knowledgeable teacher will customize modifications for the poses for his/her students based on their age, past injuries &/or physical limitations (e.g. scoliosis). It is NEVER appropriate to pull or twist a student into a pose because achieving the pose is NOT the goal. This is counter to the practice of Ahimsa, "non-harming/non-violence." The purpose of yoga is to calm the body w slow, regulated breathing (which stimulates vagal activity, eliminating the "stress response") & to train the mind to pay full att'n only to what is happening at the present moment w acceptance &w/o judgment. A growing body of scientific studies shows that over time, this mental training causes the prefrontal cortex--the area of the brain responsible for self-regulat'n, decision-making, planning & problem-solving--to actually thicken. Thus, primitive emotional reactions (in the limbic system) are no longer dominant, which is what happens when people experience overwhelming feelings of anger, fear, anxiety & depress'n.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?comments#permid=578" id="permalink578" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Jan. 9, 2012 at 10:51 a.m.</a></li>
<li class="commentRecommend" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1em; line-height: 1.5em; margin-right: 5px; padding-bottom: 0px; padding-left: 8px; padding-right: 0px; padding-top: 0px; text-transform: uppercase;"><a data-commentsequence="578" data-parent="" href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?pagewanted=all" id="commentRecommendLink_5218951" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;"><span class="commentRecommendLinkText" style="cursor: pointer; display: inline-block; font-size: 1em;">RECOMMEND</span><span class="commentRecommendedIcon" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/icons/thumb_up_icon.png); background-origin: initial; background-position: 0px 2px; background-repeat: no-repeat no-repeat; cursor: pointer; display: inline-block; font-size: 1.1em; height: 16px; line-height: 1.363em; margin-bottom: 0px; margin-left: 2px; margin-right: 2px; margin-top: -5px; width: 16px;"></span><span class="commentRecommendedCount" style="cursor: pointer; display: inline-block; font-size: 1.1em; line-height: 1.363em;">17</span></a></li>
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<li class="comment" id="comment5218847" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 54px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5218847" style="float: right; width: 531px;"><div class="commentHeader wrap" id="permid577" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Noko</li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">Washington, DC</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 451px; word-wrap: break-word;">I have been doing Yoga since I was nine years old (n the 1960's) and had to learn out of books, so I was never subjected to the insistence of teachers who pushed me beyond a comfort threshold, nor to any atmosphere of competition in group classes.<br />
<br />
I've been amused and saddened in equal part to see Yoga become trendy and Yuppified -- just another realm in which people compete to be and have the coolest. Yoga pants, yoga mats, yoga blocks, whatever -- none of it seems to have anything to do with the practice, purpose and effects of asana as I learned it. This spate of injuries is a natural consequence, born of competitiveness, misinformation, impatience and naivete.<br />
<br />
Yoga is indeed healing and books have been written on this head. But nothing is healing if it is approached as an attempt to prove something or outdo other people. "When you compete, you injure yourself," said Arnold (the Governator). If only people listened.<br />
<br />
I used to lead small yoga groups at a neighborhood health club and my constant admonition was "Do what you can and don't worry about the rest -- the wonderful thing about Yoga asana is that anything you are able to do will help you." No one ever got hurt. Maybe people need to stop flocking to teachers and go back to learning from books.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?comments#permid=577" id="permalink577" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Jan. 9, 2012 at 10:51 a.m.</a></li>
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<li class="comment" id="comment5218816" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 54px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5218816" style="float: right; width: 531px;"><div class="commentHeader wrap" id="permid576" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Anne @ <a href="http://yogaspeak.blogspot.com" title="yogaspeak.blogspot.com" target="_blank">yogaspeak.blogspot.com</a></li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">DC</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 451px; word-wrap: break-word;">I've been doing yoga for a little over a year. The instructors that I've had have always pointed out how to protect areas of the body in different poses, and I am always conscious of how a pose feels. Even so, I've gone overboard in Handstand before, and it's scary (see<a href="http://yogaspeak.blogspot.com/2011/10/overboard.html)" style="color: #004276; text-decoration: none;" target="_blank" title="http://yogaspeak.blogspot.com/2011/10/overboard.html)">http://yogaspeak.blogspot.com/2011/10/overboard.html)</a>.<br />
<br />
Today's instructor told us to pay attention to our bodies beyond what she was instructing. She told us that we are smarter about our bodies than she and to NOT do what felt uncomfortable.<br />
<br />
Yoga has brought me opportunities to learn about myself on and off the mat. You can read more at <a href="http://yogaspeak.blogspot.com/" style="color: #004276; text-decoration: none;" target="_blank" title="http://yogaspeak.blogspot.com">http://yogaspeak.blogspot.com</a>.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?comments#permid=576" id="permalink576" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Jan. 9, 2012 at 10:51 a.m.</a></li>
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<li class="comment" id="comment5218712" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 54px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5218712" style="float: right; width: 531px;"><div class="commentHeader wrap" id="permid575" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">ccmorton</li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">sharon, mass</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 451px; word-wrap: break-word;">Glad to see this article. Yoga has saved my back from the aches and pains of a desk job and is great for other reasons, but it's weird how few people will acknowledge or address the acute and chronic injury issues with awareness or better training. I hope my recent collarbone dislocation is the worst of it. When I heard about the hip replacements of established yogis more than a year ago, I felt a little better about not being the most athletic and buff yogi in class.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?comments#permid=575" id="permalink575" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Jan. 9, 2012 at 10:51 a.m.</a></li>
<li class="commentRecommend" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1em; line-height: 1.5em; margin-right: 5px; padding-bottom: 0px; padding-left: 8px; padding-right: 0px; padding-top: 0px; text-transform: uppercase;"><a data-commentsequence="575" data-parent="" href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?pagewanted=all" id="commentRecommendLink_5218712" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;"><span class="commentRecommendLinkText" style="cursor: pointer; display: inline-block; font-size: 1em;">RECOMMEND</span><span class="commentRecommendedIcon" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/icons/thumb_up_icon.png); background-origin: initial; background-position: 0px 2px; background-repeat: no-repeat no-repeat; cursor: pointer; display: inline-block; font-size: 1.1em; height: 16px; line-height: 1.363em; margin-bottom: 0px; margin-left: 2px; margin-right: 2px; margin-top: -5px; width: 16px;"></span><span class="commentRecommendedCount" style="cursor: pointer; display: inline-block; font-size: 1.1em; line-height: 1.363em;">1</span></a></li>
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<li class="comment" id="comment5218637" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 54px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5218637" style="float: right; width: 531px;"><div class="commentHeader wrap" id="permid574" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Sheila Phillips</li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">Northern Virginia</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 451px; word-wrap: break-word;">At 51, I recently became a registered yoga teacher. I am teaching a class to friends, but have not yet sought a position as a yoga instructor anywhere. Why? Because I believe that, here in the US, yoga is viewed through the lens of the "fitness" industry, with its "no pain, no gain" mentality. As a person who struggles with a chronic neuromuscular disorder myself, I have a made a commitment to myself not to do harm to any individual I teach.<br />
<br />
It is possible to do yoga safely. Learn about good alignment and practice it. Listen to your body. Don't worry about "finding your edge" -- it is not a competition with others, or even yourself. Don't let yoga instructors try to "deepen" your pose -- if you are in good alignment, your body will only go where it is optimal for you.<br />
<br />
Yoga is about more than the asanas. It is about self-awareness. It is about self-acceptance, and honesty. When you take those elements out, and make it a "sport", with competition, ego, and pushing yourself to the edge as goals that you are likely to become injured.<br />
<br />
I believe we need to start making distinctions between yoga, and "yoga-based sports programs". When someone take up football, basketball, gymnastics, or most other sports, there is a reasonable risk of injury, and people assume the risk, in order to participate. Yoga-based sports would be the same.<br />
<br />
But yoga, as it is meant to be, should have minimal risk. It *can* be that way, but only if yoga teachers choose for it to be.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?comments#permid=574" id="permalink574" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Jan. 9, 2012 at 10:51 a.m.</a></li>
<li class="commentRecommend" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1em; line-height: 1.5em; margin-right: 5px; padding-bottom: 0px; padding-left: 8px; padding-right: 0px; padding-top: 0px; text-transform: uppercase;"><a data-commentsequence="574" data-parent="" href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?pagewanted=all" id="commentRecommendLink_5218637" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;"><span class="commentRecommendLinkText" style="cursor: pointer; display: inline-block; font-size: 1em;">RECOMMEND</span><span class="commentRecommendedIcon" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/icons/thumb_up_icon.png); background-origin: initial; background-position: 0px 2px; background-repeat: no-repeat no-repeat; cursor: pointer; display: inline-block; font-size: 1.1em; height: 16px; line-height: 1.363em; margin-bottom: 0px; margin-left: 2px; margin-right: 2px; margin-top: -5px; width: 16px;"></span><span class="commentRecommendedCount" style="cursor: pointer; display: inline-block; font-size: 1.1em; line-height: 1.363em;">16</span></a></li>
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<li class="comment" id="comment5218615" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 54px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5218615" style="float: right; width: 531px;"><div class="commentHeader wrap" id="permid573" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><a href="http://timespeople.nytimes.com/view/user/60813355/activities.html" style="color: black; font-size: 1em; text-decoration: none;">Celeste</a></li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">Jersey</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 451px; word-wrap: break-word;">Mindfulness is the key to practicing safely. I tell my students on a regular basis , "If it hurts, DON'T DO IT!". That said, one of the best parts about a PERSONAL yoga practice is that it is just that: personal. It is a journey. It is not supposed to be "goal oriented" which is very, very difficult for Westerners to understand. Your body will never look like another body. Thank God! And ego is the barrier to safe practice. The breath is the ultimate guide. It will always tell you when you are invited to experience a deeper portion of the practice and exactly when to back off. The breath is truth in the moment. It will never lie or derail you. It is your oldest, most faithful ally and will be alongside your journey on Earth as long as you have your body. I, too, am sorry to see NYT publish this bias. Money is always going to be money but the people who truly love yoga for the correct reasons have more to offer than money and it is tragedy to think even one soul could miss the bounty of a life affirming practice such as improved posture, clarity of thought, healthy internal organs, recognition of breathing patterns (healthy and unhealthy), and compassion they may never find from any sect of Religion. Raised Christian, it is my belief that we are seeing what was described in Revelations as the "end of the church age". We need to view our bodies as a temple and honor the decisions made by the body and not the mind (ego). The honest link between these two entities is the breath.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?comments#permid=573" id="permalink573" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Jan. 9, 2012 at 10:51 a.m.</a></li>
<li class="commentRecommend" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1em; line-height: 1.5em; margin-right: 5px; padding-bottom: 0px; padding-left: 8px; padding-right: 0px; padding-top: 0px; text-transform: uppercase;"><a data-commentsequence="573" data-parent="" href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?pagewanted=all" id="commentRecommendLink_5218615" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;"><span class="commentRecommendLinkText" style="cursor: pointer; display: inline-block; font-size: 1em;">RECOMMEND</span><span class="commentRecommendedIcon" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/icons/thumb_up_icon.png); background-origin: initial; background-position: 0px 2px; background-repeat: no-repeat no-repeat; cursor: pointer; display: inline-block; font-size: 1.1em; height: 16px; line-height: 1.363em; margin-bottom: 0px; margin-left: 2px; margin-right: 2px; margin-top: -5px; width: 16px;"></span><span class="commentRecommendedCount" style="cursor: pointer; display: inline-block; font-size: 1.1em; line-height: 1.363em;">6</span></a></li>
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<li class="comment" id="comment5218588" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 54px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5218588" style="float: right; width: 531px;"><div class="commentHeader wrap" id="permid572" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><a href="http://timespeople.nytimes.com/view/user/54991594/activities.html" style="color: black; font-size: 1em; text-decoration: none;">Judy Tergis</a></li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">San Francisco</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 451px; word-wrap: break-word;">I started Bikram yoga when I was 64, almost 2 years ago. My body has been transformed from being crippled and over-weight to feeling energetic, strong and thin. Bikram yoga is hot but that heat supports my body and allows me to move freely. I have not seen any yoga injuries, nor had any myself. We do the same 26 poses every time. These poses were chosen because they work on every part of the body from the bones to the skin, every gland and organ is stimulated. We do not do head or shoulder stands.<br />
My teachers have made sure that students are doing the poses correctly so they don't hurt themselves. I was taught to only go as far as I can while breathing slowly through the nose, that way I don't push my body beyond its capability.<br />
I am grateful to Bikram and to myself for continuing to practice and keep my body strong, limber and healthy.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?comments#permid=572" id="permalink572" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Jan. 9, 2012 at 10:51 a.m.</a></li>
<li class="commentRecommend" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1em; line-height: 1.5em; margin-right: 5px; padding-bottom: 0px; padding-left: 8px; padding-right: 0px; padding-top: 0px; text-transform: uppercase;"><a data-commentsequence="572" data-parent="" href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?pagewanted=all" id="commentRecommendLink_5218588" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;"><span class="commentRecommendLinkText" style="cursor: pointer; display: inline-block; font-size: 1em;">RECOMMEND</span><span class="commentRecommendedIcon" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/icons/thumb_up_icon.png); background-origin: initial; background-position: 0px 2px; background-repeat: no-repeat no-repeat; cursor: pointer; display: inline-block; font-size: 1.1em; height: 16px; line-height: 1.363em; margin-bottom: 0px; margin-left: 2px; margin-right: 2px; margin-top: -5px; width: 16px;"></span><span class="commentRecommendedCount" style="cursor: pointer; display: inline-block; font-size: 1.1em; line-height: 1.363em;">7</span></a></li>
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<li class="comment" id="comment5218560" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 10px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 54px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5218560" style="float: right; width: 531px;"><div class="commentHeader wrap" id="permid571" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><a href="http://timespeople.nytimes.com/view/user/11774392/activities.html" style="color: black; font-size: 1em; text-decoration: none;">inthemiddle</a></li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">chicago</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 451px; word-wrap: break-word;">I love what yoga does for me, but I have also seen the risks. Yesterday I attended class with a new teacher. She told us to push our heels close to the floor while in down dog. I knew to ignore this instruction due to my own anatomical limits; but I feared for the people who don't know better. A snapped Achilles heel or hamstring is a high price to pay for a teacher's ignorance or ego.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?comments#permid=571" id="permalink571" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Jan. 9, 2012 at 10:51 a.m.</a></li>
<li class="commentRecommend" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1em; line-height: 1.5em; margin-right: 5px; padding-bottom: 0px; padding-left: 8px; padding-right: 0px; padding-top: 0px; text-transform: uppercase;"><a data-commentsequence="571" data-parent="" href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?pagewanted=all" id="commentRecommendLink_5218560" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;"><span class="commentRecommendLinkText" style="cursor: pointer; display: inline-block; font-size: 1em;">RECOMMEND</span><span class="commentRecommendedIcon" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/icons/thumb_up_icon.png); background-origin: initial; background-position: 0px 2px; background-repeat: no-repeat no-repeat; cursor: pointer; display: inline-block; font-size: 1.1em; height: 16px; line-height: 1.363em; margin-bottom: 0px; margin-left: 2px; margin-right: 2px; margin-top: -5px; width: 16px;"></span><span class="commentRecommendedCount" style="cursor: pointer; display: inline-block; font-size: 1.1em; line-height: 1.363em;">8</span></a></li>
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<li class="comment lastComment" id="comment5218479" style="border-top-color: rgb(226, 226, 226); border-top-style: solid; border-top-width: 1px; font-size: 1em; line-height: 1.25em; list-style-type: none; margin-bottom: 0px; padding-bottom: 0px; padding-top: 10px; position: relative;"><div class="opposingFloatControl wrap" style="display: block;"><div class="commentThumb element1" style="float: left; margin-left: 6px; width: 54px;"><img src="http://graphics8.nytimes.com/images/apps/timespeople/none.png" style="height: 50px; width: 50px;" /></div><div class="commentContainer element2" id="commentElement2_5218479" style="float: right; width: 531px;"><div class="commentHeader wrap" id="permid570" style="display: block; margin-bottom: 3px;"><ul class="commenterMetaList element1" style="float: left; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; max-width: 82%; padding-left: 0px;"><li class="commenter" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: black; display: inline; float: left; font-size: 1.2em; font-weight: bold; line-height: 1.25em; margin-right: 8px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Bob Carl</li>
<li class="commenterLocation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/bullets/bullet_2x2.png); background-origin: initial; background-position: 0% 0.6em; background-repeat: no-repeat no-repeat; color: grey; display: inline; float: left; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-right: 8px; padding-bottom: 0px; padding-left: 9px; padding-right: 0px; padding-top: 0px;">Marietta, GA</li>
</ul><div class="commentBannerContainer element2" style="float: right; position: relative; width: 50px;"><div class="commentBanner wrap" style="display: block; padding-top: 9px; position: absolute; right: 6px; top: -9px; width: 50px;"><div class="commentFlagContainer containingBlock" style="clear: both; position: relative;"></div></div></div></div><div class="commentBody" style="margin-bottom: 5px;"><div style="color: black; font-family: georgia, 'times new roman', times, serif; font-size: 1.3em; line-height: 1.308em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; width: 451px; word-wrap: break-word;">No doubt yoga, properly used and properly taught, is beneficial. The article ignores the mental and economic downside risks of yoga: getting caught up with yoga cults led by self-appointed gurus with no lineage who are mostly after your hard earned dollars.</div></div><div class="commentFooter wrap" style="display: block; margin-bottom: 9px;"><ul class="commentActionsList element1" style="float: left; height: 16px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li class="commentTime" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.7em; background-repeat: no-repeat no-repeat; color: #909090; float: left; font-size: 1.1em; line-height: 1.363em; margin-right: 5px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: none;"><a href="http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?comments#permid=570" id="permalink570" style="color: #909090; font-size: 1em; outline-color: initial; outline-style: initial; outline-width: 0px; text-decoration: none;">Jan. 9, 2012 at 10:51 a.m.</a></li>
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He alternated two similar exercises with heavy weights, repeating one <a href="http://health.nytimes.com/health/guides/specialtopic/physical-activity/overview.html?inline=nyt-classifier" style="color: #004276; text-decoration: underline;" target="_blank" title="In-depth reference and news articles about Physical activity.">exercise</a> 10 times and then the other one 10 times, never resting between sets.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">“We want to burn out his shoulders,” one of the man’s friends explained to me.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Exercise researchers would be appalled.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">While public health officials bemoan the tendency of most people to do little exercise, if any, physiologists are fretting over the opposite trend: an increasing focus on extreme exercise among some recreational athletes. Weight lifting with no rest between sets and with no days off. Endurance training with no easy days or days off. Competitions that encourage excess.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">To enter a recent race, my friend Joel Wilbur had to sign a waiver acknowledging he could die. Still, Joel was disappointed to find the race wasn’t all that dangerous. After signing a death waiver, he said, he expects some serious risks.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">My workout partner Jen Davis once signed a race consent form that said: “There are sections of the trail that travel along cliffs. If you’re not careful you could fall to your death. Very few runners go the distance without taking one painful spill. Most runners take lots of them.”</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">She found the trail so arduous and dangerous that she never did it again.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">And there is no shortage of commercial fitness programs promising to push people beyond their limits.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">“People think a good workout is, ‘I am in a pile of sweat and puking,’ ” said William Kraemer, a professor of kinesiology at the University of Connecticut. But if that happens, he said, “it means you went much too quickly, and your body just can’t meet its demands.”</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">It’s not so easy to strike the right balance between exertion and rest, researchers say. Do too little, and the results may be disappointing.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">That may be what happened to my colleague Jason Stallman. He wanted to avoid the usual consequences of marathon training: injuries from overuse. So he invented his own training program.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">He exercised on weekdays but did not run. He ran just once a week, on the weekend, when he would do a long run.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Jason felt great, and the long runs went well. But when it came time to race, he said, his legs just didn’t have it. His time was slower than for most of his previous marathons.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Experienced athletes know that the only way to improve is to push yourself. Lift weights that are heavier than those you’ve tried before. Run or cycle at a fast pace on some days, but focus on increasing your distance on others. Work out enough that you may not fully recover between sessions.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">You should feel tired, said John Raglin, a sports psychologist at Indiana University. But if you do too much with too little rest, your performance gets worse, not better.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">“Serious athletes recognize these issues — whether they respond to them or not is another matter,” Dr. Raglin said. “A lot of recreational athletes really have no idea.”</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">When they train harder yet stop improving, even backslide, “they become alarmed and try to increase their training,” Dr. Raglin said.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">He sees it over and over: An athlete will get into a training schedule and become very dogmatic, never taking a day off.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">“The importance of recovery is a big topic in exercise science,” Dr. Raglin said. “It hasn’t filtered down to the serious recreational athlete.”</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Muscles need to recover after they are stressed with heavy weights, Dr. Kraemer noted. Researchers have long known that the way to build strength is what they call periodization: Rest days and easier days and weeks are interspersed with periods when the weights are increased.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">In endurance sports, muscles experience a different kind of stress, said Dr. Bengt Saltin, director of the Copenhagen Muscle Research Center at the University of Copenhagen. But the problem with intense exertion day after day is very similar.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Intense endurance exercise depletes muscles of their energy supply, glycogen. Muscles store enough glycogen only for an hour and a half to two hours of activity, Dr. Saltin said.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">It takes a day for trained endurance athletes to replenish glycogen. Athletes with less training have less of the enzyme that restores glycogen — glycogen synthetase. It can take up to two days for them to restore this muscle fuel.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">In addition, connective tissue in muscles can be damaged and needs time to recover. In a study of runners in an annual local race that is a bit longer than two marathons, Dr. Saltin and his colleagues found that the athletes’ muscles lost their elasticity as their connective tissues weakened.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Running got harder and harder, so much so that the energy required for a set pace at the end of the race was 50 percent higher than it had been at the start.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">So how to avoid a self-defeating training program? There are no hard and fast rules, because individual athletes vary so much. A training program that one person thrives on will break another, equally talented athlete.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Dr. Raglin said even the experts, researchers like himself who study overtraining, had trouble defining the symptoms. Psychological changes are the most consistent signs of a problem, he said.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">In the early stages of overtraining, athletes constantly feel tired; by the end stage, they may be nagged by depression.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Recreational athletes must be attuned to their fatigue, Dr. Raglin said. If it persists for several days, they should take a day off or simply do a lot less during workouts. A diary or notes on how they feel can help.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">And that does not mean that difficult regimens are out of the question, Dr. Raglin said. He should know — he’s training for a contest in March, <a href="http://www.arnoldsportsfestival.com/home/sports-and-events/pump-and-run.html" style="color: #004276; text-decoration: underline;" target="_blank" title="The event’s Web site.">the Arnold 5K Pump and Run</a>, in which competitors must bench press their body weight up to 30 times and then run a five-kilometer race.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">“I don’t think it is very extreme,” Dr. Raglin said.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px;">At least there is no death waiver.</div><div><br />
</div></div></div><div class="entry-meta" style="clear: both; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 10px;"><ul class="entry-tools clearfix" style="clear: both; display: block; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 11px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"></ul></div></div></div></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-3825082737883884585.post-68640246614620317952012-01-04T06:00:00.000-08:002012-01-04T06:00:32.291-08:00ice may be bad for sore muscles<div class="clearfix" id="masthead" style="background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; border-bottom-color: rgb(0, 0, 0); border-bottom-style: solid; border-bottom-width: 2px; clear: both; color: #333333; display: block; font-family: georgia, 'times new roman', times, serif; font-size: 10px; line-height: 15px; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; min-height: 48px; padding-bottom: 0px; padding-left: 7px; padding-right: 7px; padding-top: 7px;"><div id="branding" style="display: inline; float: left; margin-top: 4px; width: 152px;"><a href="http://www.nytimes.com/" style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: #004276; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-decoration: underline;"><img alt="New York Times" id="NYTLogo" src="http://graphics8.nytimes.com/images/misc/nytlogo153x23.gif" style="border-bottom-style: none; border-bottom-width: 0px; border-color: initial; border-color: initial; border-left-style: none; border-left-width: 0px; border-right-style: none; border-right-width: 0px; border-style: initial; border-top-style: none; border-top-width: 0px; border-width: initial; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;" title="New York Times" /></a></div><div id="date" style="clear: left; display: inline; float: left;"><div style="font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Wednesday, January 4, 2012</div></div><h2 style="color: black; font-family: arial, helvetica, sans-serif; font-size: 2.9em; line-height: 1.1032em; margin-bottom: 5px; margin-left: 160px; margin-right: 0px; margin-top: 0px; position: relative; text-align: center; top: 12px; width: 465px;"><a href="http://www.nytimes.com/pages/health/index.html" style="color: black; text-decoration: none;">Health</a></h2></div><div class="" id="navigation" style="border-bottom-color: initial; border-bottom-style: none; border-bottom-width: initial; clear: both; color: #333333; display: block; font-family: georgia, 'times new roman', times, serif; font-size: 10px; line-height: 15px; overflow-x: visible; overflow-y: visible; position: relative; text-align: center;"><ul class="tabs" style="display: block; font-family: arial, helvetica, sans-serif; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; overflow-x: hidden; overflow-y: hidden; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: uppercase; white-space: nowrap;"><li id="navWorld" style="background-attachment: initial; background-clip: initial; background-color: white; background-image: none; background-origin: initial; background-position: 0% 0.45em; background-repeat: no-repeat no-repeat; border-bottom-color: rgb(211, 211, 211); border-bottom-style: solid; border-bottom-width: 1px; border-left-color: initial; border-left-style: none; border-left-width: initial; border-right-color: rgb(211, 211, 211); border-right-style: solid; border-right-width: 0px; border-top-color: rgb(211, 211, 211); border-top-style: solid; border-top-width: 0px; display: block; float: left; font-family: georgia, 'times new roman', times, serif; font-size: 11px !important; line-height: 1.25em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; min-height: 18px; min-width: 58px; overflow-x: visible; overflow-y: visible; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 7px; text-align: center; vertical-align: top; white-space: nowrap;"><a href="http://www.nytimes.com/pages/world/index.html" style="color: #333333; font-size: 1em; text-decoration: none;">WORLD</a></li>
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font-size: 1.1em;">January 4, 2012, <em style="font-style: normal; text-transform: uppercase;">12:01 AM</em></span></span><h1 class="entry-title" style="color: black; font-size: 2.4em; font-weight: normal; line-height: 1.083em; margin-bottom: 4px; margin-left: 0px; margin-right: 0px; margin-top: 6px;">Why Ice May Be Bad for Sore Muscles</h1><address class="byline author vcard" style="color: grey; font-family: arial, helvetica, sans-serif; font-size: 1.1em; font-style: normal; line-height: 1.2em; margin-bottom: 2px; margin-top: 2px;">By <a class="url fn" href="http://well.blogs.nytimes.com/author/gretchen-reynolds/" style="color: #004276; text-decoration: none; text-transform: uppercase;" title="See all posts by GRETCHEN REYNOLDS">GRETCHEN REYNOLDS</a></address><div class="entry-content" style="margin-top: 15px;"><div class="w480" style="margin-bottom: 1em; overflow-x: hidden; overflow-y: hidden; width: 480px;"><img alt="Should you ice a sore back?" height="320" id="100000001261353" src="http://graphics8.nytimes.com/images/2012/01/03/health/03well_physed/03well_physed-blog480.jpg" width="480" /><span class="credit" style="color: #909090; display: block; font-family: arial, helvetica, sans-serif; font-size: 1em; line-height: 1.223em; margin-bottom: 2px; margin-left: 0px; margin-right: 0px; margin-top: 2px; text-align: right;">Patrik Giardino/Getty Images</span><span class="caption" style="color: #666666; display: block; font-family: arial, helvetica, sans-serif; font-size: 1.1em; line-height: 1.2727em; margin-bottom: 3px; margin-left: 2px; margin-right: 2px; margin-top: 3px;">Is ice the best remedy for an aching muscle?</span></div><div class="w75 left" style="clear: left; float: left; margin-left: 0px; margin-right: 12px; margin-top: 5px; overflow-x: hidden; overflow-y: hidden; width: 75px;"><a href="http://topics.nytimes.com/top/reference/timestopics/people/r/gretchen_reynolds/index.html" style="color: #004276; text-decoration: underline;"><img alt="Phys Ed" src="http://graphics8.nytimes.com/images/2009/06/16/magazine/PhysEd_Pog.jpg" style="border-bottom-style: none; border-color: initial; border-left-style: none; border-right-style: none; border-top-style: none; border-width: initial;" /></a></div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Already, the benches in gym locker rooms and beside basketball courts are filling with 2012’s early casualties, those of us who, goaded by New Year’s resolutions, are exercising a bit too enthusiastically and developing sore muscles. Many of us will then drape ice packs over our aching muscles. But a <a href="http://www.ncbi.nlm.nih.gov/pubmed/22121908" style="color: #004276; text-decoration: underline;">new review article published this month</a> in the journal Sports Medicine suggests that for sore muscles, ice is not always the panacea that most of us believe it to be and that, in some instances, it can be counterproductive.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">For the study, researchers at the University of Ulster and University of Limerick in Ireland reviewed almost three dozen earlier studies of the effects of using ice to combat sore muscles, a practice that many who exercise often employ. Ice is, after all, the “I” in the acronym RICE (rest, ice, compression, elevation), which remains the standard first-aid protocol for dealing with a sports-related injury. Icing is also widely used to deal with muscles that twinge but aren’t formally injured. Watch almost any football, basketball or soccer game, at any level, and you’ll likely see many of the players icing body parts during halftime, preparing to return to play.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">But there has been surprisingly little science to support the practice. A <a href="http://www.ncbi.nlm.nih.gov/pubmed/15496998" style="color: #004276; text-decoration: underline;">2004 review of icing-related studies</a> published to that point concluded that while cold packs did seem to reduce pain in injured tissues, icing’s overall effects on sore muscles had “not been fully elucidated” and far more study was needed.</div><div class="w190 right module" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/global/borders/aColumnHorizontalBorder.gif); background-origin: initial; background-position: initial initial; background-repeat: repeat no-repeat; clear: right; float: right; margin-bottom: 1em; margin-left: 12px; margin-right: 0px; margin-top: 5px; overflow-x: hidden; overflow-y: hidden; padding-top: 5px; width: 190px;"><div class="entry" style="border-bottom-style: none; border-color: initial; border-left-style: none; border-right-style: none; border-top-color: rgb(204, 204, 204); border-top-style: none; border-top-width: 1px; border-width: initial; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 5px; padding-left: 0px; padding-right: 0px; padding-top: 5px; width: auto;"><h6 class="kicker" style="color: black; font-family: arial, helvetica, sans-serif; font-size: 1em; font-weight: normal; line-height: 1.4em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; text-transform: uppercase;">RELATED</h6><ul class="refer" style="font-family: arial, helvetica, sans-serif; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 6px; margin-left: 0px; margin-right: 0px; margin-top: 2px; padding-left: 0px;"><li style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(http://graphics8.nytimes.com/images/misc/bullet4x4.gif); background-origin: initial; background-position: 0% 50%; background-repeat: no-repeat no-repeat; font-size: 1.1em; line-height: 1.2em; margin-bottom: 2px; padding-bottom: 0px; padding-left: 8px; padding-right: 0px; padding-top: 0px;"><a href="http://well.blogs.nytimes.com/tag/phys-ed/" style="color: #004276; font-size: 1em; text-decoration: none;" title="Phys Ed columns">More Phys Ed columns</a></li>
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</ul></div></div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Last year, a <a href="http://www.ncbi.nlm.nih.gov/pubmed/21059665" style="color: #004276; text-decoration: underline;">small-scale randomized trial found no discernible benefits</a> from icing leg muscle tears. The cooled muscles did not heal faster or feel less painful than the untreated tissues. But, as the researchers point out, it is difficult to scientifically study icing, since you can’t blind people to whether they are receiving the therapy or a placebo. People generally can tell if their muscles are getting cold or not.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Which leaves the findings of the new review about icing by athletes as the best overview we may have for now. And the findings are not altogether comforting.<span id="more-68957"></span></div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">The authors write that, in a majority of the studies they looked at, icing was quite effective at numbing soreness. But it also significantly reduced muscle strength and power for up to 15 minutes after the icing had ended. It also tended to lessen fine motor coordination. Some of the reviewed studies found that people experienced impaired limb proprioception, or their sense of where their limb was in space after it had been iced.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">The result was frequently, at least in the short term, poorer athletic performance. Volunteers were not able to jump as high, sprint as fast, or throw or strike a ball as well after 20 minutes of icing.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">“The current evidence base suggests that the performance of athletes will probably be adversely affected should they return to activity immediately after cooling,” the authors conclude.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Why an ice pack before exercise should depress performance isn’t fully understood, though there are several theories. “The most likely reason is that ice reduces nerve conduction velocity,” said Chris M. Bleakley, a research associate at the University of Ulster who led the study. “Nerve impulses in the muscle slow down.” Cooling, he said, also probably “affects the mechanical properties of the muscle tendon unit,” meaning that the muscles and tendons, which should work together seamlessly, do not.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">There’s also the possibility that icing sore muscles may increase the risk of injury, though the studies did not examine this issue directly. If your iced shoulder or legs feel sluggish during a tennis match or run, the authors suggest, you presumably will push harder, even as the iced muscle, being numb, doesn’t alert you to the beginnings of a more severe injury. The risk really applies “to situations where athletes are returning to competition immediately after icing,” like when you apply a cold pack before a run or “ice on the sidelines or at halftime to treat pain and discomfort,” Dr. Bleakley said. That means for most of us, there may be times when it’s fine to ice sore muscles – like after a hard workout or when we experience serious injury — provided we do not jump back into the field.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Most earlier studies have found little benefit from icing after exercise, but also few negative side effects. And if we must resume activity, the negative effects of icing are thankfully short-lived, usually disappearing within about 15 minutes. They also were less severe if the icing time was shortened, Dr. Bleakley says. “Application times of three to five minutes had much less of an adverse effect on performance” than keeping the ice pack in place for 20 minutes or more, he said.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">The fundamental lesson of the review is clear.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">“Ice has many benefits,” Dr. Bleakley says. “It is cheap and remains an excellent method of numbing pain.”</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px;">But relying on ice to get you back into that senior-league basketball game or onto the running track when you’re already sore is inadvisable. “Athletes should consider that pain is usually a sign that something is wrong with your body,” Dr. Bleakley says. Listen, and stay out of the second half of the senior-league basketball game or skip a day’s run. You have the rest of 2012 to fulfill your resolution.</div><div><br />
</div></div></div><div class="entry-meta" style="clear: both; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 10px;"><ul class="entry-tools clearfix" style="clear: both; display: block; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 11px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"></ul></div></div></div></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-3825082737883884585.post-79106354993757064042012-01-04T05:54:00.001-08:002012-01-04T05:54:13.202-08:00neck pain<div class="clearfix" id="masthead" style="background-attachment: initial; background-clip: initial; background-color: white; background-image: initial; background-origin: initial; border-bottom-color: rgb(0, 0, 0); border-bottom-style: solid; border-bottom-width: 2px; clear: both; color: #333333; display: block; font-family: georgia, 'times new roman', times, serif; font-size: 10px; line-height: 15px; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; min-height: 48px; padding-bottom: 0px; padding-left: 7px; padding-right: 7px; padding-top: 7px;"><div id="branding" style="display: inline; float: left; margin-top: 4px; width: 152px;"><a href="http://www.nytimes.com/" style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: #004276; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-decoration: underline;"><img alt="New York Times" id="NYTLogo" src="http://graphics8.nytimes.com/images/misc/nytlogo153x23.gif" style="border-bottom-style: none; border-bottom-width: 0px; border-color: initial; border-color: initial; border-left-style: none; border-left-width: 0px; border-right-style: none; border-right-width: 0px; border-style: initial; border-top-style: none; border-top-width: 0px; border-width: initial; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;" title="New York Times" /></a></div><div id="date" style="clear: left; display: inline; float: left;"><div style="font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Wednesday, January 4, 2012</div></div><h2 style="color: black; font-family: arial, helvetica, sans-serif; font-size: 2.9em; line-height: 1.1032em; margin-bottom: 5px; margin-left: 160px; margin-right: 0px; margin-top: 0px; position: relative; text-align: center; top: 12px; width: 465px;"><a href="http://www.nytimes.com/pages/health/index.html" style="color: black; text-decoration: none;">Health</a></h2></div><div class="" id="navigation" style="border-bottom-color: initial; border-bottom-style: none; border-bottom-width: initial; clear: both; color: #333333; display: block; font-family: georgia, 'times new roman', times, serif; font-size: 10px; line-height: 15px; overflow-x: visible; overflow-y: visible; position: relative; text-align: center;"><ul class="tabs" style="display: block; font-family: arial, helvetica, sans-serif; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; overflow-x: hidden; overflow-y: hidden; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: uppercase; white-space: nowrap;"><li id="navWorld" style="background-attachment: initial; background-clip: initial; background-color: white; background-image: none; background-origin: initial; background-position: 0% 0.45em; background-repeat: no-repeat no-repeat; border-bottom-color: rgb(211, 211, 211); border-bottom-style: solid; border-bottom-width: 1px; border-left-color: initial; border-left-style: none; border-left-width: initial; border-right-color: rgb(211, 211, 211); border-right-style: solid; border-right-width: 0px; border-top-color: rgb(211, 211, 211); border-top-style: solid; border-top-width: 0px; display: block; float: left; font-family: georgia, 'times new roman', times, serif; font-size: 11px !important; line-height: 1.25em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; min-height: 18px; min-width: 58px; overflow-x: visible; overflow-y: visible; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 7px; text-align: center; vertical-align: top; white-space: nowrap;"><a href="http://www.nytimes.com/pages/world/index.html" style="color: #333333; font-size: 1em; text-decoration: none;">WORLD</a></li>
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font-size: 1.1em;">January 3, 2012, <em style="font-style: normal; text-transform: uppercase;">11:00 AM</em></span></span><h1 class="entry-title" style="color: black; font-size: 2.4em; font-weight: normal; line-height: 1.083em; margin-bottom: 4px; margin-left: 0px; margin-right: 0px; margin-top: 6px;">For Neck Pain, Chiropractic and Exercise Are Better Than Drugs</h1><address class="byline author vcard" style="color: grey; font-family: arial, helvetica, sans-serif; font-size: 1.1em; font-style: normal; line-height: 1.2em; margin-bottom: 2px; margin-top: 2px;">By <a class="url fn" href="http://well.blogs.nytimes.com/author/anahad-oconnor/" style="color: #004276; text-decoration: none; text-transform: uppercase;" title="See all posts by ANAHAD O'CONNOR">ANAHAD O'CONNOR</a></address><div class="entry-content" style="margin-top: 15px;"><div class="w480" style="margin-bottom: 1em; overflow-x: hidden; overflow-y: hidden; width: 480px;"><img alt="What's the best treatment for neck pain?" height="305" id="100000001258980" src="http://graphics8.nytimes.com/images/2012/01/03/science/02wellneck/02wellneck-blog480.jpg" width="480" /><span class="credit" style="color: #909090; display: block; font-family: arial, helvetica, sans-serif; font-size: 1em; line-height: 1.223em; margin-bottom: 2px; margin-left: 0px; margin-right: 0px; margin-top: 2px; text-align: right;">Tony Cenicola/The New York Times</span><span class="caption" style="color: #666666; display: block; font-family: arial, helvetica, sans-serif; font-size: 1.1em; line-height: 1.2727em; margin-bottom: 3px; margin-left: 2px; margin-right: 2px; margin-top: 3px;">What’s the best treatment for neck pain?</span></div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Seeing a chiropractor or engaging in light exercise relieves neck pain more effectively than relying on pain medication, new research shows.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">The new study is one of the few head-to-head comparisons of various treatments for neck pain, a problem that affects three quarters of Americans at some point in their lives but has no proven, first-line treatment. While many people seek out spinal manipulation by chiropractors, the evidence supporting its usefulness has been limited at best.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">But the new research, <a href="http://www.annals.org/content/156/1_Part_1/1.abstract" style="color: #004276; text-decoration: underline;">published in The Annals of Internal Medicine</a>, found that chiropractic care or <a href="http://www.annals.org/content/156/1_Part_1/1/suppl/DC1" style="color: #004276; text-decoration: underline;">simple exercises done at home</a> were better at reducing pain than taking medications like aspirin, ibuprofen or narcotics.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">“These changes were diminished over time, but they were still present,” said Dr. Gert Bronfort, an author of the study and research professor at Northwestern Health Sciences University in Minnesota. “Even a year later, there were differences between the spinal manipulation and medication groups.”<span id="more-68851"></span></div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Moderate and acute neck pain is one of the most frequent reasons for trips to primary care doctors, prompting millions of visits every year. For patients, it can be a difficult problem to navigate. In some cases the pain and stiffness crop up without explanation, and treatment options are varied. Physical therapy, pain medication and spinal manipulation are popular options, but Dr. Bronfort was inspired to carry out an analysis because so little research exists.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">“There was a void in the scientific literature in terms of what the most helpful treatments are,” he said.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">To find out, Dr. Bronfort and his colleagues recruited a large group of adults with neck pain that had no known specific cause. The subjects, 272 in all, were mostly recruited from a large HMO and through advertisements. The researchers then split them into three groups and followed them for about three months.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">One group was assigned to visit a chiropractor for roughly 20-minute sessions throughout the course of the study, making an average of 15 visits. A second group was assigned to take common pain relievers like acetaminophen and — in some cases, at the discretion of a doctor — stronger drugs like narcotics and muscle relaxants. The third group met on two occasions with physical therapists who gave them instructions on simple, gentle exercises for the neck that they could do at home. They were encouraged to do 5 to 10 repetitions of each exercise up to eight times a day. (A demonstration of the exercises can be found at <a href="http://www.annals.org/" style="color: #004276; text-decoration: underline;">www.annals.org</a>).</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">After 12 weeks, the people in the non-medication groups did significantly better than those taking the drugs. About 57 percent of those who met with chiropractors and 48 percent who did the exercises reported at least a 75 percent reduction in pain, compared to 33 percent of the people in the medication group.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">A year later, when the researchers checked back in, 53 percent of the subjects who had received spinal manipulation still reported at least a 75 percent reduction in pain, similar to the exercise group. That compared to just a 38 percent pain reduction among those who had been taking medication.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Dr. Bronfort said it was a “big surprise” to see that the home exercises were about as effective as the chiropractic sessions. “We hadn’t expected that they would be that close,” he said. “But I guess that’s good news for patients.”</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">In addition to their limited pain relief, the medications had at least one other downside: people kept taking them. “The people in the medication group kept on using a higher amount of medication more frequently throughout the follow-up period, up to a year later,” Dr. Bronfort said. “If you’re taking medication over a long time, then we’re running into more systemic side effects like gastrointestinal problems.”</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px;">He also expressed concern that those on medications were not as empowered or active in their own care as those in the other groups. “We think it’s important that patients are enabled to deal with as much control over their own condition as possible,” he said. “This study shows that they can play a large role in their own care.”</div><div><br />
</div></div></div><div class="entry-meta" style="clear: both; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 10px;"><ul class="entry-tools clearfix" style="clear: both; display: block; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 11px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"></ul></div></div></div></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-3825082737883884585.post-53650692038416868892011-12-28T04:21:00.000-08:002011-12-28T04:21:17.447-08:00The Year in FitnessDecember 28, 2011, 12:01 AM<br />
The Year in Fitness<br />
By GRETCHEN REYNOLDS<br />
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Getty Images<br />
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If all the Phys Ed columns published this year have a single message, it is that now is a fine time to own a body. The diverse exercise-related experiments published in 2011 and covered in this space each week suggest that it’s possible to retain your cognitive powers, muscle mass, running speed and waistline, even as you age, and that a little exercise can go a long way in terms of physiological benefit. Recent, important science even tells us that coffee, chocolate and beer enhance exercise performance, which is fortunate, since I have no plans to give up any of those. As most of us prepare our exercise resolutions for 2012, now seems an ideal time to review the past year in fitness science and the lessons it contained, both encouraging and cautionary.<br />
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RELATED<br />
More Phys Ed columns<br />
Faster, Higher, Stronger<br />
Fitness and Nutrition News<br />
Perhaps the most inspiring exercise science published in 2011 involved the effects that working out can have on the brain. By studying both lab rodents and people, scientists this year showed that exercise increases cognitive sharpness, even if the amount of exercise is small. In a representative experiment involving mice, which I wrote about in September, scientists at the University of South Carolina found that the equivalent of about 30 minutes of jogging a day changed the animals’ brain cells at a molecular level. After a few months of running, their neurons contained more mitochondria, a cell component that produces energy, than did the neurons of sedentary mice. In effect, their brain cells had become more robust and physically fit, thanks to the jogging.<br />
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Similarly, other studies published this year found that even in volunteers who were not distance runners or mice, activity significantly improved cognitive function. One fascinating study of elderly Canadians that I wrote about this summer showed that those who regularly walked around the block, gardened, cleaned the house, cooked or otherwise remained active without formally exercising, scored much better on tests of memory and other mental skills than older people who were almost completely inactive.<br />
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This study and the many others now linking activity and improved mental functioning represent “a wake-up call,” Dr. Eric Larson, the vice president of research at Group Health Research Institute in Seattle and author of an editorial that accompanied the study, told me.<br />
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“None of us wants to lose our minds,” he said — a sentiment with which I fervently agree — so we “have to find ways to get everybody moving.”<br />
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One means might be to direct people to the most popular column I wrote this year, in terms of both the number of page views and the number of comments, about the effect of exercise on aging. In the study highlighted in that column, Dr. Mark Tarnopolsky, a professor of pediatrics at McMaster University in Hamilton, Ontario, took rats bred to age at an accelerated rate and had them start running.<br />
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After a few months, by which time the non-running control rats were frail, bald and dying, the runners still had virtually all of their youthful muscle mass, balance, mental acuity and fur and, unlike the sedentary animals, had not developed shrinkage in their hearts, brains or gonads. I have rarely skipped an exercise session since reading that study, and am happy to report that I still have a full head of fur.<br />
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Not all of the exercise science this year was quite so encouraging, however. Another column that inspired considerable interest and comments involved several new studies intimating that too much running might – and I would stress the word “might” – produce scarring or other damage in the heart. In one study, M.R.I. scans of a small group of lifelong elite male endurance athletes found signs of scarring in some of the men’s heart muscles.<br />
A separate study of rats that had undergone the equivalent of years of marathon training showed similar signs of scarring within their hearts.<br />
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But these results, although certainly provocative, are preliminary and may turn out to be meaningless, as the scientists who conducted the studies acknowledge. There is no evidence that heart muscle scarring, if it occurs, leads to heart problems. And as Dr. Paul Thompson, the chief of cardiology at Hartford Hospital in Connecticut and an expert on sports cardiology, told me, “Too much exercise has not been a big problem in America. Most people just run to stay in shape, and for them, the evidence is quite strong that endurance exercise is good” for the heart.<br />
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Just as the evidence is increasingly strong that it is good for your brain, muscles, mitochondria and gonads.<br />
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Which is why I plan to continue running — and biking, hiking, walking, gardening and weight training — in 2012, although I may leave the housecleaning to my husband. In reviewing the year in fitness, in fact, what struck me most strongly was that, although this column covers science, it is also sneakily about me. I’m a middle-aged lifelong exerciser with an increasingly leaky memory and sometimes-wavering resolve. I’ve found inspiration and encouragement in the fitness science this year, although I do wish that it could have discovered that typing constitutes a workout. At least fidgeting counts.<br />
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</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-3825082737883884585.post-4180118307796659162011-11-30T04:40:00.001-08:002011-11-30T04:40:27.138-08:00Good advise<div class="columnGroup first" style="clear: both; color: #333333; font-family: georgia, 'times new roman', times, serif; font-size: 10px; line-height: 15px; margin-bottom: 12px; margin-left: 10px; margin-right: 7px; width: auto !important;"><h6 class="kicker" style="color: black; font-family: arial, helvetica, sans-serif; font-size: 1em; font-weight: normal; line-height: 1.4em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; text-transform: uppercase;">OP-ED COLUMNIST</h6><h1 class="articleHeadline" style="color: black; font-size: 2.4em; font-weight: normal; line-height: 1.083em; margin-bottom: 8px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><nyt_headline type=" " version="1.0">The Life Reports II</nyt_headline></h1><nyt_byline><h6 class="byline" style="color: grey; font-family: arial, helvetica, sans-serif; font-size: 1em; font-weight: normal; line-height: 1.2em; margin-bottom: 2px; margin-left: 0px; margin-right: 0px; margin-top: 2px;">By <a class="meta-per" href="http://topics.nytimes.com/top/opinion/editorialsandoped/oped/columnists/davidbrooks/index.html?inline=nyt-per" rel="author" style="color: #00325b; text-decoration: none;" title="More Articles by David Brooks">DAVID BROOKS</a></h6></nyt_byline><h6 class="dateline" style="color: grey; font-family: arial, helvetica, sans-serif; font-size: 1em; font-weight: normal; line-height: 1.2em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Published: November 28, 2011</h6><div class="articleTools" id="articleToolsTop" style="float: right; margin-bottom: 5px; margin-left: 5px; margin-right: 0px; margin-top: 5px; width: 132px;"><div class="box" style="border-bottom-color: rgb(226, 226, 226); border-bottom-style: solid; border-bottom-width: 1px; border-color: initial; border-left-color: rgb(234, 232, 233); border-left-style: none; border-left-width: 1px; border-right-color: rgb(234, 232, 233); border-right-style: none; border-right-width: 1px; border-top-color: rgb(170, 170, 170); border-top-style: solid; border-top-width: 1px; border-width: initial; clear: both; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; position: relative;"><div class="inset" style="clear: both; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><ul class="toolsList wrap" id="toolsList" style="display: block; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 7px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li id="facebook_item" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.45em; background-repeat: no-repeat no-repeat; border-bottom-color: rgb(234, 232, 233); border-bottom-style: solid; border-bottom-width: 1px; font-family: arial, helvetica, sans-serif; font-size: 1em; line-height: 1.4em; margin-bottom: 0px; padding-bottom: 6px; padding-left: 8px; padding-right: 8px; padding-top: 6px; text-transform: uppercase;"><a href="" id="facebook_button" style="background-image: url(http://graphics8.nytimes.com/images/article/functions/facebook.gif); background-position: -1px -1px; background-repeat: no-repeat no-repeat; color: #333333; cursor: pointer; display: block; font-size: 10px; line-height: 13px; padding-bottom: 3px; padding-left: 20px; padding-right: 0px; padding-top: 0px; text-decoration: none;"><span style="font-size: 1em;">RECOMMEND</span></a></li>
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They make for <a href="http://brooks.blogs.nytimes.com/tag/life-report/" style="color: #00325b; text-decoration: underline;">fascinating and addictive reading</a>, and I’ve tried to extract a few general life lessons:</div></nyt_text></div><div class="articleInline runaroundLeft" style="clear: left; display: inline; float: left; margin-bottom: 10px !important; margin-left: 0px !important; margin-right: 15px !important; margin-top: 6px !important; width: 190px;"><div class="inlineImage module" style="clear: both; margin-bottom: 12px; width: 190px;"><div class="image" style="margin-bottom: 2px;"><img alt="" height="240" src="http://graphics8.nytimes.com/images/2010/09/16/opinion/Brooks_New/Brooks_New-articleInline.jpg" width="190" /></div><h6 class="credit" style="color: #909090; font-family: arial, helvetica, sans-serif; font-size: 0.9em; font-weight: normal; line-height: 1.223em; margin-bottom: 3px; margin-left: 0px; margin-right: 0px; margin-top: 0px; text-align: right;">Josh Haner/The New York Times</h6><div class="caption" style="color: #666666; font-family: arial, helvetica, sans-serif; font-size: 1.1em; line-height: 1.2727em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px;">David Brooks</div></div><div class="columnGroup doubleRule" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: initial initial; background-repeat: initial initial; border-bottom-width: 1px !important; border-left-width: 1px !important; border-right-width: 1px !important; border-top-color: rgb(0, 0, 0); border-top-style: solid; border-top-width: 1px !important; clear: both; margin-bottom: 12px; margin-left: 10px; margin-right: 7px; padding-top: 12px; width: auto !important;"><div class="story" style="clear: both; margin-bottom: 8px;"><h6 style="color: black; font-size: 1.2em; font-weight: normal; line-height: 1.25em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><a href="http://topics.nytimes.com/top/opinion/editorialsandoped/oped/columnists/davidbrooks/index.html" style="color: #00325b; text-decoration: none;">Go to Columnist Page »</a></h6></div><div class="singleRuleDivider" style="background-attachment: initial; background-clip: initial; background-color: #cccccc; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; border-bottom-style: none; border-color: initial; border-left-style: none; border-right-style: none; border-top-style: none; border-width: initial; clear: both; height: 1px; line-height: 0; margin-bottom: 8px; margin-top: 12px; overflow-x: hidden; overflow-y: hidden; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"></div><div class="story" style="clear: both; margin-bottom: 8px;"><h3 class="sectionHeader" style="color: black; font-family: arial, helvetica, sans-serif; font-size: 1.4em; font-weight: bold; line-height: 1.2857em; margin-bottom: 8px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><a href="http://brooks.blogs.nytimes.com/" style="color: black; text-decoration: none;">David Brooks’s Blog</a></h3><div class="summary" style="font-size: 1.2em; line-height: 1.25em; margin-bottom: 5px; margin-left: 0px; margin-right: 0px; margin-top: 0px;">The intellectual, cultural and scientific findings that land on the columnist’s desk nearly every day.</div><div class="refer" style="font-family: arial, helvetica, sans-serif; font-size: 1.1em; line-height: 1.182em; margin-bottom: 0px; margin-top: 2px;"><a href="http://brooks.blogs.nytimes.com/" style="color: #00325b; text-decoration: none;">Go to the Blog »</a></div></div><div class="singleRuleDivider" style="background-attachment: initial; background-clip: initial; background-color: #cccccc; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; border-bottom-style: none; border-color: initial; border-left-style: none; border-right-style: none; border-top-style: none; border-width: initial; clear: both; height: 1px; line-height: 0; 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border-top-color: rgb(0, 0, 0); border-top-style: solid; border-top-width: 1px !important; clear: both; margin-bottom: 12px; margin-left: 10px; margin-right: 7px; padding-top: 12px; width: auto !important;"><div class="story" style="clear: both; margin-bottom: 0px;"><h3 style="color: black; font-size: 1.5em; line-height: 1.133em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><a href="http://brooks.blogs.nytimes.com/tag/life-report/?ref=opinion" style="color: #00325b; text-decoration: none;">The Life Reports</a></h3><h6 class="byline" style="color: grey; font-family: arial, helvetica, sans-serif; font-size: 1em; font-weight: normal; line-height: 1.2em; margin-bottom: 2px; margin-left: 0px; margin-right: 0px; margin-top: 2px;"></h6><div class="summary" style="font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px;">In response to <a href="http://www.nytimes.com/2011/10/28/opinion/brooks-the-life-report.html" style="color: #00325b; text-decoration: none;">a previous column</a>, readers shared how they had done and what they had learned over their 70-plus years. <a href="http://brooks.blogs.nytimes.com/tag/life-report/" style="color: #00325b; text-decoration: none;">Read the reports »</a></div></div></div><div class="columnGroup doubleRule" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: initial initial; background-repeat: initial initial; border-bottom-width: 1px !important; border-left-width: 1px !important; border-right-width: 1px !important; border-top-color: rgb(0, 0, 0); border-top-style: solid; border-top-width: 1px !important; clear: both; margin-bottom: 0px; margin-left: 10px; margin-right: 7px; padding-top: 12px; width: auto !important;"><h3 class="sectionHeader" style="color: black; font-family: arial, helvetica, sans-serif; font-size: 1.4em; font-weight: bold; line-height: 1.2857em; margin-bottom: 8px; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Related Column</h3><ul class="headlinesOnly multiline flush" style="list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><div class="story" style="clear: both; margin-bottom: 0px;"><h6 style="color: black; font-size: 1.2em; font-weight: normal; line-height: 1.25em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><a href="http://www.nytimes.com/2011/11/25/opinion/the-life-reports.html" style="color: #00325b; text-decoration: none;">David Brooks: The Life Reports</a>(November 25, 2011)</h6></div></ul></div></div><div class="inlineLeft" id="readerscomment" style="background-attachment: initial; background-clip: initial; background-color: #f4f4f4; background-image: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial; border-top-color: rgb(0, 0, 0); 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border-top-style: solid; border-top-width: 1px; padding-bottom: 13px; padding-left: 10px; padding-right: 10px; padding-top: 9px;"><blockquote style="font-size: 12px; margin-bottom: 6px; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Readers shared their thoughts on this article.</blockquote><ul class="more" style="font-family: Arial, Helvetica, sans-serif; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-size: 11px; line-height: 1.2em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><a href="http://community.nytimes.com/comments/www.nytimes.com/2011/11/29/opinion/brooks-the-life-reports-ii.html" rel="3v" style="color: #00325b; font-size: 1em; text-decoration: none !important;">Read All Comments (162) »</a></li>
</ul></div></div><div class="articleBody" style="margin-bottom: 1.7em; margin-top: 1.5em;"><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><em>Divide your life into chapters.</em> The unhappiest of my correspondents saw time as an unbroken flow, with themselves as corks bobbing on top of it. A man named <a href="http://brooks.blogs.nytimes.com/2011/11/28/the-life-report-neil-richard-parnes/" style="color: #00325b; text-decoration: underline;">Neil lamented</a> that he had been “an Eeyore not a Tigger; a pessimist, not an optimist; an aimless grasshopper, not a purposeful ant; a dreamer, not a doer; a nomad, not a settler; a voyager, not an adventurer; a spectator, not an actor, player or participant.” He concluded: “Neil never amounted to anything.”</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">The happier ones divided time into (somewhat artificial) phases. They wrote things like: There were six crucial decisions in my life. Then they organized their lives around those pivot points. By seeing time as something divisible into chunks, they could more easily stop and self-appraise. They had more control over their fate.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><em>Beware rumination.</em> There were many long, detailed essays by people who are experts at self-examination. They could finely calibrate each passing emotion. But these people often did not lead the happiest or most fulfilling lives. It’s not only that they were driven to introspection by bad events. Through self-obsession, they seemed to reinforce the very emotions, thoughts and habits they were trying to escape.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Many of the most impressive people, on the other hand, were strategic self-deceivers. When something bad was done to them, they forgot it, forgave it or were grateful for it. When it comes to self-narratives, honesty may not be the best policy.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><em>You can’t control other people.</em> <a href="http://brooks.blogs.nytimes.com/2011/11/11/the-life-report-david-lesham/" style="color: #00325b; text-decoration: underline;">David Leshan made an observation</a> that was echoed by many: “It took me twenty years of my fifty-year marriage to discover how unwise it was to attempt to remake my wife. ... I learned also that neither could I remake my friends or students.”</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">On the other hand, some of the most inspiring stories were about stepparents who came into families and wisely bided their time, accepting slights and insults until they were gradually accepted by their new children.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><em>Lean toward risk.</em> It’s trite, but apparently true. Many more seniors regret the risks they didn’t take than regret the ones they did.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><em>Measure people by their growth rate, not by their talents.</em> The best essays were by people who made steady progress each decade. Regina Titus grew up shy and sheltered on Long Island. She took demeaning clerical jobs, working with people who treated her poorly. Her first husband died after six months of marriage and her second committed suicide.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">But she just kept growing. At 56, studying nights and weekends, she obtained a college degree, cum laude, from Marymount Manhattan College. She moved to Wilmington, Del., works as a docent, studies opera, hikes, volunteers and does a thousand other things. She acknowledges, “I did not have the joy of holding my baby in my arms. I did not have a long and happy marriage.” But hers is a story of relentless self-expansion. I wonder how we can measure that capacity.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><em>Be aware of the generational bias.</em> Many of the essayists have ambivalent attitudes toward their parents. Almost all have worshipful attitudes toward their children. I’m not sure how to explain this pattern, but I don’t think it’s pure egotism. Many writers mentioned that given their own flaws, they are astounded that their kids turned out so well.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><em>Work within institutions or crafts, not outside them.</em> For a time, our culture celebrated the rebel and the outsider. The most miserable of my correspondents fit this mold. They were forever in revolt against the world and ended up sourly achieving little.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">There are other patterns running through the essays. I was struck by the fact that almost nobody mentioned whether or not they were good-looking, though this must have been an important factor, especially when they were young. Many people lament the fact that they had to make the most important decisions in their 20s, at the age when they were least qualified to make them.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><em>People get better at the art of living</em><em>.</em> By their 60s many contributors found their zone. Metaphysics is dead; very few of the writers hewed to a specific theology or had any definite conception of a divine order, though vague but uplifting spiritual experiences pepper their reflections.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Finally, the essays present disturbing quandaries. For example, we are told to live for others. But <a href="http://brooks.blogs.nytimes.com/2011/11/28/the-life-report-b-clewly-johnson/" style="color: #00325b; text-decoration: underline;">one savvy retiree writes</a>, “Don’t stay with people who, over time, grow apart from you. Move on. This means do what you think will make you feel okay — even if that makes others feel temporarily not okay.”</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Is that selfishness or hard-earned realism? That one you’ll have to answer for yourself.</div><div><br />
</div><nyt_correction_bottom><div class="articleCorrection" style="margin-bottom: 2.8em;"></div></nyt_correction_bottom><nyt_update_bottom></nyt_update_bottom></div></div><div class="columnGroup " style="clear: both; color: #333333; font-family: georgia, 'times new roman', times, serif; font-size: 10px; line-height: 15px; margin-bottom: 12px; margin-left: 10px; margin-right: 7px; width: auto !important;"><div class="articleFooter"><div class="articleMeta"><div class="opposingFloatControl wrap" style="display: block;"><div class="element1" style="float: left;"></div></div></div></div></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-3825082737883884585.post-42476901442468124222011-11-01T04:33:00.000-07:002011-11-01T04:33:13.807-07:00Osteoporosis<div class="columnGroup first" style="clear: both; color: #333333; font-family: georgia, 'times new roman', times, serif; font-size: 10px; line-height: 15px; margin-bottom: 12px; margin-left: 10px; margin-right: 7px; width: auto !important;"><h6 class="kicker" style="color: black; font-family: arial, helvetica, sans-serif; font-size: 1em; font-weight: normal; line-height: 1.4em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; text-transform: uppercase;">PERSONAL HEALTH</h6><h1 class="articleHeadline" style="color: black; font-size: 2.4em; font-weight: normal; line-height: 1.083em; margin-bottom: 8px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><nyt_headline type=" " version="1.0">A Reminder on Maintaining Bone Health</nyt_headline></h1><nyt_byline><h6 class="byline" style="color: grey; font-family: arial, helvetica, sans-serif; font-size: 1em; font-weight: normal; line-height: 1.2em; margin-bottom: 2px; margin-left: 0px; margin-right: 0px; margin-top: 2px;">By <a class="meta-per" href="http://topics.nytimes.com/top/reference/timestopics/people/b/jane_e_brody/index.html?inline=nyt-per" rel="author" style="color: #004276; text-decoration: none;" title="More Articles by Jane E. Brody">JANE E. BRODY</a></h6></nyt_byline><h6 class="dateline" style="color: grey; font-family: arial, helvetica, sans-serif; font-size: 1em; font-weight: normal; line-height: 1.2em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Published: October 31, 2011</h6><div class="articleTools" id="articleToolsTop" style="float: right; margin-bottom: 5px; margin-left: 5px; margin-right: 0px; margin-top: 5px; width: 132px;"><div class="box" style="border-bottom-color: rgb(234, 232, 233); border-bottom-style: solid; border-bottom-width: 1px; border-left-color: rgb(234, 232, 233); border-left-style: solid; border-left-width: 1px; border-right-color: rgb(234, 232, 233); border-right-style: solid; border-right-width: 1px; border-top-color: rgb(234, 232, 233); border-top-style: solid; border-top-width: 1px; clear: both; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; position: relative;"><div class="inset" style="clear: both; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><ul class="toolsList wrap" id="toolsList" style="display: block; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 14px; margin-right: 12px; margin-top: 9px; padding-left: 0px;"><li id="facebook_item" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: 0% 0.45em; background-repeat: no-repeat no-repeat; border-bottom-color: rgb(234, 232, 233); border-bottom-style: solid; border-bottom-width: 1px; font-family: arial, helvetica, sans-serif; font-size: 1em; line-height: 1.4em; margin-bottom: 1px; padding-bottom: 2px; padding-left: 0px; padding-right: 0px; padding-top: 5px; text-transform: uppercase;"><a href="" id="facebook_button" style="background-image: url(http://graphics8.nytimes.com/images/article/functions/facebook.gif); background-position: -1px -1px; background-repeat: no-repeat no-repeat; color: #333333; cursor: pointer; display: block; font-size: 10px; line-height: 13px; padding-bottom: 3px; padding-left: 20px; padding-right: 0px; padding-top: 0px; text-decoration: none;"><span style="font-size: 1em;">RECOMMEND</span></a></li>
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</ul></div></div></div><div class="articleBody" style="margin-bottom: 1.7em; margin-top: 1.5em;"><nyt_text><nyt_correction_top></nyt_correction_top><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Is fear, ignorance or procrastination putting you at risk of a devastating bone <a class="meta-classifier" href="http://health.nytimes.com/health/guides/injury/broken-bone/overview.html?inline=nyt-classifier" style="color: #004276; text-decoration: underline;" title="In-depth reference and news articles about Broken bone.">fracture</a>?</div></nyt_text></div><div class="articleInline runaroundLeft" style="clear: left; display: inline; float: left; margin-bottom: 10px !important; margin-left: 0px !important; margin-right: 15px !important; margin-top: 6px !important; width: 190px;"><div class="inlineImage module" style="clear: both; margin-bottom: 12px; width: 190px;"><div class="image" style="margin-bottom: 2px;"><div class="icon enlargeThis" style="background-position: 0% 50%; background-repeat: no-repeat no-repeat; display: block; margin-bottom: 2px; padding-left: 16px; text-align: right;"><a href="http://www.nytimes.com/2011/11/01/health/a-reminder-on-bone-health-and-osteoporosis.html?ref=science" style="background-image: url(http://graphics8.nytimes.com/images/icons/multimedia/enlarge_icon.gif); background-position: 0% 50%; background-repeat: no-repeat no-repeat; color: #004276; display: inline; font-family: arial, helvetica, sans-serif; font-size: 1.1em; padding-left: 15px; text-decoration: none;">Enlarge This Image</a></div><a href="http://www.nytimes.com/2011/11/01/health/a-reminder-on-bone-health-and-osteoporosis.html?ref=science" style="color: #004276; display: block; text-decoration: none;"><img alt="" height="296" src="http://graphics8.nytimes.com/images/2011/11/01/science/Brody-SUB/Brody-SUB-articleInline-v2.jpg" style="border-bottom-style: none; border-color: initial; border-left-style: none; border-right-style: none; border-top-style: none; border-width: initial;" width="190" /></a></div><h6 class="credit" style="color: #909090; font-family: arial, helvetica, sans-serif; font-size: 0.9em; font-weight: normal; line-height: 1.223em; margin-bottom: 3px; margin-left: 0px; margin-right: 0px; margin-top: 0px; text-align: right;">Yvetta Fedorova</h6><div style="font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"></div></div><div class="columnGroup doubleRule" style="background-attachment: initial; background-clip: initial; background-color: transparent; background-image: url(http://graphics8.nytimes.com/images/global/borders/doubleRule.gif); background-origin: initial; background-position: 0% 0%; background-repeat: repeat no-repeat; border-bottom-width: 0px !important; border-left-width: 0px !important; border-right-width: 0px !important; border-top-width: 0px !important; clear: both; margin-bottom: 0px; margin-left: 10px; margin-right: 7px; padding-top: 12px; width: auto !important;"><h3 class="sectionHeader" style="color: black; font-family: arial, helvetica, sans-serif; font-size: 1.4em; font-weight: bold; line-height: 1.2857em; margin-bottom: 8px; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Related</h3><ul class="headlinesOnly multiline flush" style="list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-left: 0px;"><li style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: initial initial; background-repeat: initial initial; font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><h6 style="color: black; font-size: 1em; font-weight: normal; line-height: 1.25em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Health Guide: <a href="http://health.nytimes.com/health/guides/disease/osteoporosis/overview.html" style="color: #004276; font-size: 1em; text-decoration: none;">Osteoporosis</a></h6></li>
</ul></div></div><div class="articleBody" style="margin-bottom: 1.7em; margin-top: 1.5em;"><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Most of the news about <a class="meta-classifier" href="http://health.nytimes.com/health/guides/disease/osteoporosis/overview.html?inline=nyt-classifier" style="color: #004276; text-decoration: underline;" title="In-depth reference and news articles about Osteoporosis.">osteoporosis</a>concerns the side effects of current therapies and preventives. But it is important to put these effects in perspective — and to focus on treatment benefits and practical measures that can help to prevent costly and debilitating fractures in fragile bones.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Osteoporosis is both underdiagnosed and undertreated. Doctors say it is underdiagnosed because many who have it fail to get a bone density test, sometimes even after they suffer a fracture. The condition is undertreated because some people avoid drug therapy for fear of side effects, while others take their medications erratically or stop taking them altogether without consulting their doctors.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">It is easy to understand the prevailing concern. People hear about drug side effects like osteonecrosis, or bone death, of the jaw (extremely rare and mostly in <a class="meta-classifier" href="http://health.nytimes.com/health/guides/disease/cancer/overview.html?inline=nyt-classifier" style="color: #004276; text-decoration: underline;" title="In-depth reference and news articles about Cancer.">cancer</a> patients) and unusual fractures of the thigh bone. They hear that supplements of bone-building<a class="meta-classifier" href="http://health.nytimes.com/health/guides/test/serum-calcium/overview.html?inline=nyt-classifier" style="color: #004276; text-decoration: underline;" title="In-depth reference and news articles about Serum calcium.">calcium</a> can increase the risk of <a class="meta-classifier" href="http://health.nytimes.com/health/guides/disease/heart-attack/overview.html?inline=nyt-classifier" style="color: #004276; text-decoration: underline;" title="In-depth reference and news articles about Heart attack.">heart attack</a> or stroke.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Some 10 million Americans have osteoporosis, and 34 million more with low bone mass are at risk of developing it. It is a silent disease that typically first shows up as a low-trauma fracture of the hip, spine or wrist. Low-trauma does not mean no trauma; someone with healthy bones who falls from a standing height or less is unlikely to break a bone, according to Dr. Sundeep Khosla, president of the American Society for Bone and Mineral Research.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">While women are the far more frequent victims of osteoporosis and develop it at a younger age, men — especially those over 70 — are also at risk and even less likely than women to have the disease diagnosed and treated.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><strong>New Perspective on Treatment</strong></div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">When drugs called bisphosphonates were introduced to prevent and treat osteoporosis (Fosamax, now available as a generic called alendronate, was the first), overly enthusiastic doctors prescribed them for millions of postmenopausal women who were not at high risk of fracture. These were women whose bone density in the hip or spine measured below that of a healthy 35-year-old but still not near the level associated with osteoporosis.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">I was one, and like many others, at age 60 I had what the World Health Organization has labeled osteopenia, not osteoporosis. Osteopenia is defined as a bone density “T-score” between minus 0.1 and minus 2.5, the lower number being the cutoff for osteoporosis.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Osteopenia is analogous to prediabetes or prehypertension, and as with these conditions, Dr. Khosla recommends that most cases of osteopenia are best treated with protective lifestyle measures, not drugs.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Dr. Khosla, a professor of medicine at the Mayo Clinic in Rochester, Minn., suggested in an interview that before turning to drugs, people with osteopenia could try to prevent further bone loss with regular weight-bearing and strength-training exercise, adequate intake of calcium and <a class="meta-classifier" href="http://health.nytimes.com/health/guides/nutrition/vitamin-d/overview.html?inline=nyt-classifier" style="color: #004276; text-decoration: underline;" title="In-depth reference and news articles about Vitamin D.">vitamin D</a>, not <a class="meta-classifier" href="http://health.nytimes.com/health/guides/specialtopic/smoking-and-smokeless-tobacco/overview.html?inline=nyt-classifier" style="color: #004276; text-decoration: underline;" title="In-depth reference and news articles about Smoking and smokeless tobacco.">smoking</a> and limiting alcohol consumption to one drink a day.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">The exceptions — those most likely to benefit from drug treatment even if they do not yet have osteoporosis — include people who already have had a low-trauma fracture and those with a bone density level approaching osteoporosis who also have other risk factors, like early<a class="meta-classifier" href="http://health.nytimes.com/health/guides/disease/menopause/overview.html?inline=nyt-classifier" style="color: #004276; text-decoration: underline;" title="In-depth reference and news articles about Menopause.">menopause</a>, a family history of osteoporosis, the use of <a class="meta-classifier" href="http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/steroids/index.html?inline=nyt-classifier" style="color: #004276; text-decoration: underline;" title="Recent and archival health news about steroids.">steroid</a> drugs (prednisone and others that increase bone loss), extreme thinness, a digestive problem that limits calcium absorption or advanced age.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">“Age is itself a major risk factor for fracture,” said Dr. Ethel Siris, director of the osteoporosis clinic at Columbia University Medical Center in New York. Even at the same bone density, a woman of 75 or older is more likely to experience a fall and fracture than a woman of 55.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Dr. Siris explained that with age, changes in the architecture of bones diminish their strength, which can be countered by bisphosphonates. Current thinking in the field, she said, is to place women at risk of fracture on a drug like Fosamax for five years and then perhaps take a one-year drug holiday. For two other bisphosphonates, Actonel and Boniva, she suggests a drug holiday of 6 to 12 months after seven years of treatment.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><strong>Benefit Versus Risk</strong></div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">On average, the bisphosphonates reduce the risk of a fragility fracture by 30 to 50 percent. By comparison, the risk of the most talked-about serious side effect — an atypical fracture of the femur, or thigh bone — is minuscule.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">A recently published study examined the use of bisphosphonates among 12,777 Swedish women age 55 or older who suffered a fracture of the femur in 2008. Although those who had taken the drugs were 47 times as likely as those who had not to have experienced an atypical femur fracture, the actual number of these fractures was only 5 in 2,000 women who had used the drugs for five years.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Dr. Khosla estimated that the drugs would have prevented more than 100 osteoporotic fractures in these women, a benefit at least 20 times greater than the risk.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Furthermore, this unusual fracture can be prevented because it is preceded by a warning sign — bone changes that cause pain or discomfort in the thigh or groin that persists for weeks or months. If this occurs, Dr. Siris said, you should see your doctor without delay and get an <a class="meta-classifier" href="http://health.nytimes.com/health/guides/test/x-ray-skeleton/overview.html?inline=nyt-classifier" style="color: #004276; text-decoration: underline;" title="In-depth reference and news articles about X-ray - skeleton.">X-ray</a>.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">If the X-ray is inconclusive, a bone scan or <a class="meta-classifier" href="http://health.nytimes.com/health/guides/test/mri/overview.html?inline=nyt-classifier" style="color: #004276; text-decoration: underline;" title="In-depth reference and news articles about MRI.">M.R.I.</a> should follow. If an abnormality is found, Dr. Khosla said, the drug should be stopped and an orthopedist familiar with the problem should be consulted. If keeping weight off the leg does not result in healing, he said, a rod can be surgically inserted in the femur to prevent a fracture.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">But Dr. Siris warned against assuming that any pain in the thigh is being caused by the drug. She said too many patients who are at high risk of an osteoporotic fracture stop the drug on their own when in fact the pain could result from <a class="meta-classifier" href="http://health.nytimes.com/health/guides/disease/sciatica/overview.html?inline=nyt-classifier" style="color: #004276; text-decoration: underline;" title="In-depth reference and news articles about Sciatica.">sciatica</a> or <a class="meta-classifier" href="http://health.nytimes.com/health/guides/disease/arthritis/overview.html?inline=nyt-classifier" style="color: #004276; text-decoration: underline;" title="In-depth reference and news articles about Arthritis and Rheumatism.">arthritis</a> in the hip.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">As for the risk from calcium supplements, <a href="http://www.bmj.com/content/342/bmj.d2040.full.pdf" style="color: #004276; text-decoration: underline;">the study that linked them to heart attacks and strokes</a> did not consider how much calcium the women consumed.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Dr. Siris, among others, recommends 1,200 milligrams a day from diet alone or a combination of diet and a supplement. She noted that each serving of dairy (a cup of milk or yogurt or chunk of cheese) provides about 300 milligrams, and most people get another 200 or 300 from nondairy sources.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">She said, “If too little calcium is consumed, <a class="meta-classifier" href="http://health.nytimes.com/health/guides/test/pth/overview.html?inline=nyt-classifier" style="color: #004276; text-decoration: underline;" title="In-depth reference and news articles about PTH.">parathyroid hormone</a> will take calcium from the bones to maintain a normal blood level” of this essential mineral. Vitamin D — about 1,000 to 2,000 international units a day — is also important to assure adequate calcium absorption, especially for those “with bad bones,” she said.</div><div><br />
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</ul><div class="articleToolsSponsor" id="Frame4A" style="padding-bottom: 5px; padding-left: 5px; padding-right: 5px; padding-top: 5px;"><div class="clearfix" style="display: block;"><a href="http://www.nytimes.com/adx/bin/adx_click.html?type=goto&opzn&page=www.nytimes.com/archive/article/science&pos=Frame4A&sn2=879c88f1/fad4478&sn1=446bc1f5/6ad5d2c4&camp=foxsearch2011_emailtools_1629906c_nyt5&ad=120x60_descendents_jun3&goto=http%3A%2F%2Fwww%2Efoxsearchlight%2Ecom%2Fthedescendants" style="color: #004276; text-decoration: none;" target="_blank"><img border="0" height="60" src="http://graphics.nytimes.com/adx/images/ADS/26/83/ad.268373/Descendants120x60FINAL.gif" style="border-bottom-style: none; border-color: initial; border-left-style: none; border-right-style: none; border-top-style: none; border-width: initial;" width="120" /></a></div></div></div></div></div><div class="articleBody" style="margin-bottom: 1.7em; margin-top: 1.5em;"><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">People with Barrett's esophagus, a complication of acid reflux disease, have a higher risk of developing esophageal cancer. But the risk is far smaller than believed, a study published in The New England Journal of Medicine has found.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Researchers at Aarhus University in Denmark reviewed data gathered over nearly 20 years on more than 11,000 people with Barrett's esophagus. The analysis found that every year, 0.12 percent of the patients with Barrett's esophagus go on to develop cancer of the esophagus, a disease that is particularly lethal.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">The figure was much lower than the estimate of 0.5 percent obtained from earlier studies. And the new study comes on the heels of a similar report published this year in The Journal of the National Cancer Institute, which looked at a large population in Ireland. That study found the risk of esophageal cancer in people with Barrett's was 0.13 percent.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">According to current guidelines, people with Barrett's esophagus should consider undergoing an endoscopy and biopsy of the esophageal lining every three years. But the new research suggests that patients may not need as many screening procedures.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Dr. Peter Funch-Jensen, a professor of surgery at Aarhus and an author of the study, said he believed endoscopies might be unnecessary after the first year except in cases where doctors find precancerous cells, or when new symptoms occur.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">This is a more complete version of the story than the one that appeared in print.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px;">GRAPHIC </div></div></div></div></div></div></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-3825082737883884585.post-26932063253750515462011-09-11T12:26:00.000-07:002011-09-11T12:26:37.547-07:00Ergonomics fitness<div class="clearfix" id="masthead" style="border-bottom-color: rgb(0, 0, 0); border-bottom-style: solid; border-bottom-width: 2px; clear: both; color: #333333; display: block; font-family: georgia, 'times new roman', times, serif; font-size: 10px; line-height: 15px; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; min-height: 48px; padding-bottom: 0px; padding-left: 7px; padding-right: 7px; padding-top: 7px;"><h2 style="color: black; font-family: arial, helvetica, sans-serif; font-size: 2.9em; line-height: 1.1032em; margin-bottom: 5px; margin-left: 160px; margin-right: 0px; margin-top: 0px; position: relative; text-align: center; top: 12px; width: 465px;"><a href="http://www.nytimes.com/pages/jobs/index.html" style="color: black; text-decoration: none;">Job Market</a></h2></div><div class="navigation tabsContainer" style="bottom: -1px; clear: both; color: #333333; font-family: georgia, 'times new roman', times, serif; font-size: 10px; line-height: 15px; position: relative; text-align: center;"><ul class="tabs" style="display: block; font-family: arial, helvetica, sans-serif; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; overflow-x: hidden; overflow-y: hidden; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: uppercase; white-space: nowrap;"><li class="first " id="navWorld" style="background-attachment: initial; background-clip: initial; background-color: white; background-image: none; background-origin: initial; background-position: initial initial; background-repeat: initial initial; border-bottom-color: rgb(211, 211, 211); border-bottom-style: solid; border-bottom-width: 1px; border-left-color: initial; border-left-style: none; border-left-width: initial; border-right-color: rgb(211, 211, 211); border-right-style: solid; border-right-width: 0px; border-top-color: rgb(211, 211, 211); border-top-style: solid; border-top-width: 0px; display: block; float: left; font-family: georgia, 'times new roman', times, serif; font-size: 1.1em; height: 18px; line-height: 1.25em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 7px; white-space: nowrap; width: 58px;"><a href="http://www.nytimes.com/pages/world/index.html" style="color: #333333; font-size: 1em; text-decoration: none;">WORLD</a></li>
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As people harness their bodies to use more electronic devices in more places, they may unknowingly be putting themselves at a greater risk of injury.</div></nyt_text></div><div class="articleInline runaroundLeft" style="clear: left; display: inline; float: left; margin-bottom: 10px !important; margin-left: 0px !important; margin-right: 15px !important; margin-top: 6px !important; width: 190px;"><div class="inlineImage module" style="clear: both; margin-bottom: 12px; width: 190px;"><div class="image" style="margin-bottom: 2px;"><div class="icon enlargeThis" style="background-position: 0% 50%; background-repeat: no-repeat no-repeat; display: block; margin-bottom: 2px; padding-left: 16px; text-align: right;"><a href="http://www.nytimes.com/2011/09/11/jobs/11work.html?_r=1&scp=1&sq=phyllis%20korkki&st=Search" style="background-image: url(http://graphics8.nytimes.com/images/icons/multimedia/enlarge_icon.gif); background-position: 0% 50%; background-repeat: no-repeat no-repeat; color: #004276; display: inline; font-family: arial, helvetica, sans-serif; font-size: 1.1em; padding-left: 15px; text-decoration: none;">Enlarge This Image</a></div><a href="http://www.nytimes.com/2011/09/11/jobs/11work.html?_r=1&scp=1&sq=phyllis%20korkki&st=Search" style="color: #004276; display: block; text-decoration: none;"><img alt="" height="148" src="http://graphics8.nytimes.com/images/2011/09/11/business/11-WORK/11-WORK-articleInline.jpg" style="border-bottom-style: none; border-color: initial; border-left-style: none; border-right-style: none; border-top-style: none; border-width: initial;" width="190" /></a></div><h6 class="credit" style="color: #909090; font-family: arial, helvetica, sans-serif; font-size: 0.9em; font-weight: normal; line-height: 1.223em; margin-bottom: 3px; margin-left: 0px; margin-right: 0px; margin-top: 0px; text-align: right;">Koren Shadmi</h6><div style="font-size: 1.2em; line-height: 1.25em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px;"></div></div></div><div class="articleBody" style="margin-bottom: 1.7em; margin-top: 1.5em;"><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Things were much simpler 20 years ago, when employees worked mainly on desktop computers that could be adjusted for maximum comfort. Now people have added laptops, smartphones and tablets to their arsenals, and they’re using — or perhaps misusing — them at work, at home and in trains, planes, hotels and coffeehouses.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Visit any airport waiting area, said <a href="http://bit.ly/nDqS5g" style="color: #004276; text-decoration: underline;" title="Biography of Professor Hedge.">Alan Hedge</a>, an ergonomics professor at Cornell, and you can see people using their laptops in awkward and contorted positions. Too much of this activity is bound to take a physical toll.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">By positioning themselves improperly, people are at greater risk of eye strain, <a class="meta-classifier" href="http://health.nytimes.com/health/guides/disease/tendinitis/overview.html?inline=nyt-classifier" style="color: #004276; text-decoration: underline;" title="In-depth reference and news articles about Tendinitis.">tendinitis</a>and <a class="meta-classifier" href="http://health.nytimes.com/health/guides/disease/carpal-tunnel-syndrome/overview.html?inline=nyt-classifier" style="color: #004276; text-decoration: underline;" title="In-depth reference and news articles about Carpal tunnel syndrome.">carpal tunnel syndrome</a>, to name just a few ailments. Repetitive actions that lead to overuse of muscles and tendons can inflame them, causing pain in the hands, shoulders, neck and back.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Laptops are adding to these problems because “they do not meet any of the ergonomic requirements for a computer system,” Professor Hedge said. The keyboard and the screen are connected, so if you place the keyboard at the ideal position for typing, the screen won’t be at the best distance for viewing, he said. Docking stations that provide an extra keyboard or monitor can help solve this problem.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Another lurking danger is touch screens, Professor Hedge said. Keys that move up and down provide more of a cushion for the fingers, whereas the drumming of fingers against screens is harsher and can lead to soreness. For that reason, he said, a tablet should not be used heavily for typing.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">And think of our poor thumbs, which have been pressed into a level of service they were never meant to provide. Thumbs are more vulnerable than fingers because they have two bones instead of three, Professor Hedge said.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">“If you want to get injured, do a lot of texting,” he added (and that includes the chance that you will collide with something while walking or driving).</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;"> Texting has led to an increase in a condition known as <a href="http://bit.ly/NQ4n8" style="color: #004276; text-decoration: underline;" title="Description of condition.">De Quervain’s tenosynovitis</a>, where the tendons become so inflamed that it becomes painful to move your thumb, affecting your ability to hold things, Professor Hedge said.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">These days, you can be texting your boss one minute and a friend the next. And this greater mingling of work and personal life is placing more stress on the body. It can also make it harder to pinpoint what is causing a new physical problem.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Adding a device or routine can tip the scales toward an injury, said Carol Stuart-Buttle of<a href="http://bit.ly/qILNfT" style="color: #004276; text-decoration: underline;" title="Company’s Web site. ">Stuart-Buttle Ergonomics</a> in Philadelphia. She gave the example of a client who recently began typing on a propped-up tablet computer at home. That placed extra strain on her wrists so that typing at work — never a problem before — suddenly became painful.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">To trace a pain’s origins, you may need to become a detective in your own life. As you seek to lessen or prevent pain, she said, look for any repetitive and sustained activity in all the devices you use.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Don’t discount psychological factors, she added. Mental stress can cause you to tense your muscles, aggravating any existing physical stress.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">If you can, consult an ergonomics expert at your company to arrange the best possible setup for your devices at both work and home, along with a discussion of best practices. And notify your employer or consult a doctor if you experience pain or <a class="meta-classifier" href="http://health.nytimes.com/health/guides/symptoms/vision-problems/overview.html?inline=nyt-classifier" style="color: #004276; text-decoration: underline;" title="In-depth reference and news articles about Vision problems.">vision problems</a>.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Ms. Stuart-Buttle says a common health issue is vision impairment stemming from a monitor being placed at the wrong distance from the eyes. And she often finds problems like tendinitis because people aren’t supporting their arms when they use a mouse, causing a tighter grip and increasing muscle tension.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">IF you are hunched over while working, something is wrong, she said. Look for the things that are pulling you forward and fix them. Sit back in your chair, support your feet if needed and make sure your arms are relaxed as you type. Check that the screen is close enough so that you can see clearly without strain, enlarging the type size if necessary.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Be aware of these factors and try to approximate them as much as possible when you aren’t at your primary workstation.</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">As you work, “match the technology to the task you want to perform,” Professor Hedge said. “If what you’re doing is a lot of typing, you need a keyboard,” he added. “Don’t try to type ‘War and Peace’ with your thumbs.”</div><div style="color: black; font-size: 1.5em; line-height: 1.467em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">The simplest and most well-worn piece of advice is one that people too often forget to follow: take a break. Separating yourself from your machines gives your muscles, and your mind, a rest that they richly deserve.</div><div><br />
</div><nyt_correction_bottom><div class="articleCorrection" style="margin-bottom: 2.8em;"></div></nyt_correction_bottom><nyt_update_bottom></nyt_update_bottom></div></div><div class="columnGroup " style="clear: both; margin-bottom: 12px; margin-left: 10px; margin-right: 7px; width: auto !important;"><div class="articleFooter"><div class="articleMeta"><div class="opposingFloatControl wrap" style="display: block;"><div class="element1" style="float: left;"></div></div></div></div></div></div></div></div></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-3825082737883884585.post-14456619900595027472011-09-11T02:02:00.000-07:002011-09-11T02:02:31.153-07:00Bone drugs for women<div class="" id="navigation" style="border-bottom-color: initial; border-bottom-style: none; border-bottom-width: initial; clear: both; color: #333333; display: block; font-family: georgia, 'times new roman', times, serif; font-size: 10px; line-height: 15px; overflow-x: visible; overflow-y: visible; position: relative; text-align: center;"><ul class="tabs" style="display: block; font-family: arial, helvetica, sans-serif; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; overflow-x: hidden; overflow-y: hidden; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; text-transform: uppercase; white-space: nowrap;"><li id="navWorld" style="background-attachment: initial; background-clip: initial; background-color: white; background-image: none; background-origin: initial; background-position: 0% 0.45em; background-repeat: no-repeat no-repeat; border-bottom-color: rgb(211, 211, 211); border-bottom-style: solid; border-bottom-width: 1px; border-left-color: initial; border-left-style: none; border-left-width: initial; border-right-color: rgb(211, 211, 211); border-right-style: solid; border-right-width: 0px; border-top-color: rgb(211, 211, 211); border-top-style: solid; border-top-width: 0px; display: block; float: left; font-family: georgia, 'times new roman', times, serif; font-size: 11px !important; line-height: 1.25em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; min-height: 18px; min-width: 58px; overflow-x: visible; overflow-y: visible; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 7px; text-align: center; vertical-align: top; white-space: nowrap;"><a href="http://www.nytimes.com/pages/world/index.html" style="color: #333333; font-size: 1em; text-decoration: none;">WORLD</a></li>
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padding-left: 30px; padding-right: 30px; padding-top: 0px;"><div class="post-34915 post hentry category-drug-industry category-food-and-drug-administration tag-bisphosphonates tag-bones tag-fosamax tag-osteoporosis entry " id="entry-34915" style="border-top-color: initial; border-top-style: none; border-top-width: initial; padding-bottom: 0px; padding-left: 10px; padding-right: 10px; padding-top: 15px;"><span class="timestamp published" style="border-bottom-style: none; border-color: initial; border-left-style: none; border-right-style: none; border-top-style: none; border-width: initial; color: #a81817; font-family: arial, helvetica, sans-serif; font-size: 10px; font-weight: normal !important; white-space: nowrap;" title="2011-09-07T14:52:21+00:00"><span class="date" style="color: grey; font-family: arial, helvetica, sans-serif; font-size: 1.1em;">September 7, 2011, <em style="font-style: normal; text-transform: uppercase;">2:52 PM</em></span></span><h1 class="entry-title" style="color: black; font-size: 2.4em; font-weight: normal; line-height: 1.083em; margin-bottom: 4px; margin-left: 0px; margin-right: 0px; margin-top: 6px;">F.D.A. Staff: 5 Years May Be Enough for Bone Drugs</h1><address class="byline author vcard" style="color: grey; font-family: arial, helvetica, sans-serif; font-size: 1.1em; font-style: normal; line-height: 1.2em; margin-bottom: 2px; margin-top: 2px;">By <a class="url fn" href="http://prescriptions.blogs.nytimes.com/author/duff-wilson/" style="color: #004276; text-decoration: none; text-transform: uppercase;" title="See all posts by DUFF WILSON">DUFF WILSON</a></address><div class="entry-content" style="margin-top: 15px;"><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Most women who take bone-building drugs like Fosamax can safely stop taking them after five years, the Food and Drug Administration said Wednesday in <a href="http://www.fda.gov/downloads/AdvisoryCommittees/CommitteesMeetingMaterials/Drugs/DrugSafetyandRiskManagementAdvisoryCommittee/UCM270958.pdf" style="color: #004276; text-decoration: underline;">a staff report</a> leading up to <a href="http://www.nytimes.com/2011/09/06/health/06bone.html" style="color: #004276; text-decoration: underline;">a broad safety review scheduled Friday</a> by two scientific advisory committees.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Studies show that the drugs do have proven benefits in preventing osteoporosis fractures for the first three years of treatment, but continuing beyond five years does not demonstrate such benefits over no drug use at all, the report said. And women who stop taking the drugs after five years have similar levels of increased bone density and reduced fracture risk as those who continue taking them, it said.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">“These results suggest no significant advantage of continuing drug therapy beyond 5 years,” according to agency’s 45-page review of scientific evidence.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">As for side effects, the report said, there is no solid evidence the drugs, called bisphosphonates, cause unusual breaks of the femur bone, a jaw injury called osteonecrosis, or esophageal cancer. At the same time, the agency said, those rare but dangerous outcomes cannot be ruled out because it has been so difficult to study them for various reasons.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">“The safety of long-term bisphosphonate therapy continues to be unclear as study results are conflicting,” according to the F.D.A. report.<span id="more-34915"></span></div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">The drugs under review include Fosamax from Merck, first approved in 1995, Boniva from Roche Therapeutics, Actonel and Atelvia from Warner Chilcott, and generic copies. The F.D.A. has never conducted a broad review of the long-term safety and efficacy of the drugs.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">A so-called “drug holiday” may be warranted for many of the women who take the drugs for longer terms, the report said, but adding a note of caution: “There are no substantial data available to inform decisions regarding the initiation or duration of a drug holiday.”</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Between 5.1 million and 5.7 million patients in the United States have received prescriptions for the drugs for each of the years 2005 through 2009, the agency said, citing drug tracking from the data firm SDI. Most patients were over 55 years old. At least one in 11 women in that age group received the bone drugs, the agency said.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Sally Fullman, 69, of Murray Hill, N.J., started taking Fosamax in 2006 after being diagnosed with osteoporosis. She stopped taking it last year partly because of concern about the possible side effects.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">“I’m troubled by all the confusion and the stress that’s out there with respect to the advisability of taking them,” Ms. Fullman said in an interview shortly before the F.D.A. issued its report. “I’m still on a drug holiday. But when I talk to people, everybody is confused and angry about this.”</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Perhaps the F.D.A. safety review will help patients like Ms. Fullman – at least more than media reports on conflicting studies, anecdotal cases and lawsuits. “When I read articles or see things on TV, what I hear are side effects that are taken out of context,” she said. “So they’re catchy and they kind of scare you a little bit, but they don’t really tell you the risks of not taking the medication.”</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">Drug makers including Merck issued their own safety reports on Wednesday at the F.D.A.’s request.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;"><a href="http://www.fda.gov/downloads/AdvisoryCommittees/CommitteesMeetingMaterials/Drugs/DrugSafetyandRiskManagementAdvisoryCommittee/UCM270960.pdf" style="color: #004276; text-decoration: underline;">The Merck report</a>, using the chemical name for Fosamax, said: “The available data support a favorable benefit to risk profile during long-term (10-year) treatment with alendronate in osteoporotic patients who remain at risk of osteoporotic fracture and who have not experienced adverse reactions that required discontinuation of therapy.”</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 1em; margin-left: 0px; margin-right: 0px; margin-top: 0px;">But Merck also said it would support the notion of taking a break from the bone drugs.</div><div style="font-size: 1.4em; line-height: 1.5em; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px;">“A drug holiday may be considered for patients who have previously received long-term treatment and are no longer considered to have a sufficiently high fracture risk,” the company said.</div></div></div><div class="entry-meta" style="clear: both; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 10px;"><ul class="entry-tools" style="height: 33px; list-style-image: initial; list-style-position: initial; list-style-type: none; margin-bottom: 0px; margin-left: 1.1em; margin-right: 0px; margin-top: 0px; padding-left: 0px;"></ul></div></div></div></div>Unknownnoreply@blogger.com0