Reverse Osteoporosis – a yoga teachers first hand account.
By the time we get to our 50’s most women are thinking about their bone density or at least starting to. Certainly yoga can help prevent osteoporosis. I’ve been practicing yoga since I was in my 20’s, which is why I was shocked at the age of 59 when I received a diagnosis of osteoporosis. “Really? How did that happen?” Even though my diet and lifestyle did not include any risk factors, the focus of my yoga practice was not helping.
Can Yoga be considered weight-bearing?
Well, yes it can. But it all depends on which poses you choose to practice. In my case as a practitioner and thought leader concerning yoga for back pain relief, I had spent 20 years teaching and practicing the best poses for healing back pain. However the poses I practiced regularly to manage back pain did not do a very good job of maintaining my bone density. The success of those practices led to my book, Healing Our Backs with Yoga, along with three nationally distributed DVDs for back care. Watch my short video story.
Key yoga poses for better bone health help prevent osteoporosis.
Dr. Loren Fishman led the first extensive research study on Yoga for Osteoporosis back in 2005. Read more about Dr. Fishman and his research at the Huffington post. Here are the important points to remember from that research;
- Avoid forward folding poses where the spine rounds over. Rather keep the front spine extended to its length and flex at the hip joint. (Also excellent advice for anyone who suffers with back pain.)
- Make your legs strong by practicing standing poses and holding each pose for 30 seconds. When balance is an issue have a chair nearby or stand next to a wall for support.
- Add poses to extend the side body like a crescent moon or extended side angle pose. Do your best to avoid collapsing the lower side of your spine. Both sides of the spine need to stay long.
- Include twisting poses. Not all twisting poses, but the ones that allow you to keep the length in your spine.
Even though you will find twisting poses for osteoporosis controversial, my years of experience teaching yoga matches that of Dr. Fishman‘s who says says that in all his research, he has never seen twisting poses cause fractures.“Twisting poses would be helpful in order to put some pressure on the spine. The bones respond to the pressure by building more bones. You want to put pressure on the bones, but you don’t want to put too much pressure on the vertebrae,” says Fishman. Mild twists like the seated twisting poses apply gentle pressure to the bones without harming the vertebrae. - Practice poses that extend the spine, such as locust pose. Extension poses were recommended in a Mayo Clinic study that suggested that spinal extension exercises are safer then flexion exercises in reducing the risk of fractures in osteoporosis, and that strong abdominal curls are to be avoided.
Although spinal extensions are recommended for osteoporosis prevention, they are the more difficult poses to teach and practice. We must first cultivate the length and suppleness of the spine before extending. Attempting to extend the spine without length creates compression in the facet joints and discs along the spine and could result in back pain.
What yoga poses lengthen the spine?
To lengthen the spine several areas need to be addressed, the length of the psoas muscle, the muscles of the side body, the small spinal muscles used in twisting, and intentional extension of the arms and legs.
The best poses to start with are the standing poses for as we extend the legs, the spine also receives length and extends. A pose such as Warrior 1 is excellent to practice as it is both a standing pose and a spinal extension pose, i.e. baby back bend. Another great standing pose to cultivate bone density and spinal length is extended side angle pose, Parsvakonasana.
Did yoga help reverse my osteoporosis?
Well yes it did. But I had to shift the focus of my practice from back pain relief poses and shoulder stand to more rigorous standing poses and baby back bends several times a week. For those of you who have a regular yoga practice that is not so difficult. Both of those categories are considered weight-bearing poses and appropriate versions for your ability can be learned. Which is why and how the development of my YogaU Online Course “Yoga for a Healthy Spine: The #1 Key to Enhance Strength, Improve Posture, and Prevent Osteoporosis” came to be.
You can do yoga with osteoporosis.
Considering my own history with back pain, required time sitting at the computer, and the need for dynamic practices for bone density, I crafted this course to help both teachers and students learn ways to successfully progress.
My three hour course includes a one hour PowerPoint and four 30 minute practice modules with clear guidance to help you understand and apply yoga poses to release and progressively extend your spine for better posture, bone health, back pain relief, and strength. Visit Yoga U Online for more information. Official course release, April 8, 2019.
*** Noted back pain specialist, yoga teacher, Certified Yoga Therapist C-IAYT, and author of Healing Our Backs with Yoga, Lillah Schwartz has put together several sequences that prepare the body to progressively and safely extend and tone the spine to help you maintain bone density and avoid osteoporosis.
Hot Tip: When searching online my favorite link about the Do’s and Dont’s of yoga for osteoporosis can be found here at Yoga International, offering a good overview of pose options for all ages.
Hi Lillah,
Thank you for this informative blog. I’m curious whether, after changing how you practiced yoga, a DEXA scan showed an increase in your bone density. If so, by how much, where (spine and/or hip) and how long did take? Even if you simply arrested further bone loss I’d consider that a success. Thanks again.
Hello Judy,
I am sure others are curious as well. I was not blessed to be a part of an official yoga and bone density study, nor did I understand what I know now about the best yoga poses to practice. However my DEXA score did improve from -3.3 in 2012, to a -2.6 in 2014, which has held steady for the past 4 years. I was retested last November 2018. I also chose to take a natural bone supplement from Integrative Therapeutics called Osteoprime Forte. With increased activity including yoga and walking, and the support of the supplement I feel I have done well. I would like to make more improvement and am taking the necessary steps to do so!
What a fantastic improvement! I’m so happy for you and inspired to continue to be consistent with my practice. I’ll also consider the supplement you’re taking. Thank you for being so generous with your answer.
Hello Lillah, I was just perusing Yoga U about osteoporosis and came across your article. I read a fascinating book years ago that I would encourage you to acquire: The Myth of Osteoporosis: What every woman should know about creating bone health.
By Gillian Sanson 2003
This author reviews research from all over the world and goes into easily understood depth about what osteoporosis truly is. She suggests that the medical field and big pharma have created “an epidemic of osteoporosis” in first world countries when in fact, it is truly a rare condition. The scans do NOT actually test for the make up of the bones. It is worth the read.
Namaste,
Leslie Kleinfeld, MPH, MEd, CPFT, RYT
Fit for Health