Practicing yoga asanas with an injury and how to modify

We’re taught in the YTT200 how to ensure correct alignment in postures to avoid injury, which is such a fundamental part of a safe and sustainable practice, but what about if you come to yoga with a pre-existing injury?

I tore my piriformis around 18 months ago – I was not fully warmed up, I was practicing in a cold room on a cold tile floor and I dropped down into hanumanasana on my right side, extended over my right leg into a forward fold and that’s when I heard it… RIP! The piriformis is a small muscle located deep in the buttock, underneath the Gluteus Maximus – it originates at the sacrum and inserts at the top of the femur. My glute was incredibly sore for several weeks and didn’t seem to be improving, I continued regular practice, determined not to let the injury stop me from progressing, despite the pain. Eventually, the isolated pain began to radiate down my leg towards the back of my knee and so I sought the advice of a physiotherapist.  The sciatic nerve passes directly behind, or in some people, through the piriforis and any trauma to the piriformis can cause pressure on the sciatic nerve, resulting in radiating pain or spasms. My original muscle injury had now led to compression of my sciatic nerve, making most standing asanas incredibly painful, in fact, it even hurt to sit down for any length of time.

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