Thursday, April 18, 2013

Yoga: Shin Splints

A student-friend recently asked me if I thought that yoga could help with the pain of shin splits According to some people who should know*, lack of flexibility in the calf muscles contributes to the pain of shin splints. The same people note that core muscles are important to prevent injuries and pain in the “lower extremities”**, presumably including the feet. Yoga can definitely help with increasing muscle flexibility and building strength in the core muscles.

The job of the calf muscle is to move the foot into the pointed toes position (also called plantar flexion). Most of its daily work is done in cooperation with the hamstring to push the ground away as you walk.

A good yoga practice balances body, mind, and spirit, uniting the three aspects of ourselves to create harmony and peace. A yogic approach to creating flexibility in the calf necessitates attention to the muscles that work with the calf to lengthening and strengthening the whole system.

There are many yoga postures that can help bring flexibility to the calf and awareness to the feet.

Here is my favorite place to start bringing awareness to the range of motion of the ankle. From a comfortable seated position:
  • Hold on to the lower right leg with the right hand, lifting the foot off the ground.
  • Spread the toes of the foot as far apart as possible
  • Place the fingers of the left hand into the spaces between the toes,
  • Holding the right foot in the left hand with the left fingers intertwined in the right toes, use the left hand to circle the right foot in both directions
  • Repeat with the other hand and foot
With your increased awareness of mobility in the foot, practice standing consciously in tadasana (mountain). Although the muscles of the lower leg and foot are in a neutral position, tadasana may be the simplest places to feel of the energy dynamics of the feet. To become more aware of the energy gateway of your feet try this:
  • Stand tall and straight and feel yourself anchoring to the support of the earth through the four corners of the feet. 
  • To get a sense of the four corners lift and spread the toes, laying them down starting the pinkie and maintaining as much space between them as possible. 
  • With the corners of the feet grounded feel the support and energy rebound up the center of your legs, entering the body right through the center of the arch. The rebound energy lifts the knee caps, engages the quads, pulls the belly into the spine, points the tailbone to ground. 
The yoga posture that most directly brings length to the calf muscles is Paschimottanasana—sitting on the ground with the legs out straight and the toes pulled in toward the heart, using hands or strap resist the natural urge for the feet to point forward. Paschimottanasana also lengthens the hamstring.

A good counter stretch to paschimottasana is Hero (virasana)—sitting on the heels or with the feet by the hips knees bent—provides a stretch across the front/top of the foot and provides gentle strengthening to the back of the leg.

All of the standing postures are good for the feet and the core muscles. Practicing many different standing poses will give all of the muscles of the lower leg the chance to contract/strengthen and stretch/lengthen, increasing flexibility all around. Since we’re most interested in increasing flexibility, here’s what’s lengthening*** in the lower legs and feet:

Another yoga teacher’s perspective can be found on youtube.

I hope that becoming more aware of the movement and energy of your feet is beneficial to you.

Disclaimer: I am a yoga teacher attempting to apply my training to a problem raised by one of my student friends. I have no medical training and do not mean to suggest or imply that any advice or suggestion offered here has any merit beyond yoga practice.

* http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2848339/ “Muscle imbalance and inflexibility, especially tightness of the triceps surae (gastrocnemius, soleus, and plantaris muscles), is commonly associated with MTSS [1, 7, 8].”
** http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2848339/ Weakness of “core muscles” is an important risk factor for lower extremity injuries [16, 1921]. Hip and pelvis muscle strength are an important link in maintaining control and proper mechanics between the “core” and lower extremity [16, 22].   
***Muscles always work in pairs, if one lengthens another strengthens.

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