Recovery Yoga is a guide for those with chronic illness, injuries, or age-related lessening of mobility. This is a graduated program that can be practiced successfully by people who are unable to exercise normally, and for who are bedridden, confined to a chair, or limited in their mobility for any reason.

With this program, people with limited mobility can use yoga to take charge of their own health and restore a sense of control over their lives. When appropriately practiced, Recovery Yoga can promote feelings of well-being and to whatever extent is possible, to accelerate healing.

Under normal circumstances, you don't feel your body. It's just there operating in the background providing you with the vehicle that takes you about your daily business. 

However when you are chronically ill or injured, your body no longer feels as if it is in the background. It is ever present reminding you that your former comfort and freedom of movement is compromised or no longer exists. This program is designed not only to give your body a jump-start toward wellness, but to take your mind off the discomfort of your body, quiet your mind and offer you some relief.

Recovery Yoga is a guide for anyone who feels their body is failing them, be it from chronic illness, injury, surgery, or from just growing older. This book will assist you in taking responsibility for your own health maintenance, and will give you practical tools to use for feeling better about yourself, both physically and emotionally.

A Personal Message from Sam Dworkis:

Below are two lengthy excerpts from Recovery Yoga which I hope will give you a feeling for the importance of this program. 

Before I became ill, I used to tell people who came to me for "remedial yoga," that there was no "magic bullet" to yoga. I said that for it to be effective, a person needs to do at least some of all its various modes (such as breathing exercises, forward bends, back bends, twists, standing poses, inversions, etc.).

But in recent years, my thinking has changed considerably. As I continue to study the nature and characteristics of fascia; I am starting to understand how illness and injury significantly contracts it, and how yoga can play a significant role in mitigating the pain and tightness that contracted fascia creates.

I had studied the characteristics of fascia years before I became ill; but it was what I learned from my own illness, which was codified by teaching others, that lead me to recognize that yoga indeed has a "magic bullet"  The magic bullet of yoga comes from appropriate and simple fascia stretching. In this website, throughout the Mechanics of Yoga pages, I discuss the nature of fascia and its role in human physical dysfunction. I feel the more you understand fascia's mechanisms the more you will appreciate the concepts and principles of Recovery Yoga.

The first excerpt below is fundamentally important because it introduces the process by which to control your breathing and how to integrate your controlled breathing with the movement of your body.

The second excerpt discusses some of the actual movements of "the magic bullet," that serve to release hypertonic fascia; and thereby, to offer substantial relief of chronic body pain.

I encourage you to explore these pages and invite you to email me directly should you have any comments or questions that can help me to clarify this work.

__________________

The following excerpts are from:

RECOVERY
YOGA

Chapter 3

Physical therapists are fond of saying: “If you don't use it, you lose it!” But when you are chronically ill or injured or are recovering from surgery, traditional or standard exercise becomes nearly, if not totally, impossible. It's easy to become discouraged. Even if you are able to exercise, are you sure that those exercises are appropriate for your condition?

Here is a series of non-stressful, minimal movement exercises that are most appropriate for your recovery. They embellish upon the breath, body, and mind connection. It is imperative that you begin here as you will establish the foundations for the exercises in the chapters that follow. In this chapter, we will integrate breath management with the movement of your body. Coordinating your breath with the movement of your body is what makes yoga different from common exercise. More specifically, common exercise is “outer directed,” whereas yoga is “inner directed.”  

Outer directed exercise is when you exercise to meet a specific goal. For instance, participating in a sport where the objective is to make points, to beat an opponent, or to improve time is outer directed. Exercising specifically to lose weight or exercising while enjoying the camaraderie of others is outer directed. Exercising to the beat of music or using a treadmill while watching television is outer directed. Exercise done to you by a physical therapist or when you train with a personal trainer is outer directed. And so on.

Inner Directed Exercise

Inner directed exercise, on the other hand, is when you have no specific intention or goal other than the exercise itself and to stay aware during the exercise. The purpose is to use the exercise to explore more of what is inside you than outside you. Can I turn my attention inward during exercise and quiet my mind? How can I direct the feeling to a more specific area of my body? How does it feel? Where does movement begin? Where does it end? Can I stay aware of my breath during each movement?

Our intention with inner directed exercise, then, is to let go of goals; of forcing or trying. The very nature of trying by the way, is in and of itself, outer directed.

*  *  *

Under normal circumstances, you don't feel your body. It's just there operating in the background providing you with the vehicle that takes you about your daily business. However when you are chronically ill or injured, your body no longer feels as if it is in the background. It is ever present reminding you that your former comfort and freedom of movement no longer exists. This program is designed not only to give your body a jump start toward wellness, but to take your mind off the discomfort of your body, quiet your mind and offer you some relief.

There may be some exercises in this program, that based upon your current condition, may be inappropriate for you. Under no circumstances do I encourage you to “work through the pain.” I intentionally began this program with exercises that, at first glance, may have seemed extremely simple. They are important. Regardless of your physical condition, every one, begins here. Only your condition determines how fast or how slow you go. The elementary exercises in this chapter become the foundations for all exercises that follow. Learning to control your breath and to coordinate it with the movement of your body has remarkable and beneficial effects upon your blood chemistry and nervous system.

Simply do what you can do without pain or effort. If you can not complete an exercise without creating or exacerbating your pain, go back to the previous exercise and stay with it until you can continue on without pain or discomfort. Remember that success is not measured by how much you can do. It is measured by simply doing what you can do at any given moment.

You have spent a good amount of time setting your breathing foundations and learning the three part diaphragmatic breath. In all the exercises that follow, I am going to instruct you to integrate your controlled deeper and softer breath with each exercise. As you practice, allow your deeper breath to move diaphragmatically. That is, during inhalation, breathe first into your belly, then secondly, move that same inhalation up into the middle ribs and, if possible, complete the third part of your inhalation in your upper chest. Then allow your exhalation to move downward; from the top, to the middle ribs, and finally concluding your exhalation in your belly. You never have to force or completely fill all the way up or empty all the way down. Just simply and easily breathe in this three part mode. 

*  *  *

If you can get down on the floor, lie on a soft carpet or exercise pad. Otherwise, lie on your bed. As always, support your head if necessary.

You might consider this first set of exercises unimportant. However, other than diaphragmatic breathing, this is the first foundation exercise which coordinates body movement with breathing.

When you are ready to begin, take a soft, deep inhalation and do nothing other than pay attention to your breath. Then, during your next long and slow exhalation, slowly close your fingers making a lightly held fist with both hands. That's right! While controlling your exhalation, slowly move your hands into softly held fists (The object is to coordinate the movement of your fingers with your exhalation). Hold your fists closed during your next inhalation. Then as you exhale, slowly straighten your fingers as you release your fists. “Rest” your hands during your next inhalation. Then again coordinate your next exhalation with the closing of your hands. Every time you exhale, you will be moving your fingers either into or out of a fist. Every time you inhale, your fingers will not move. Do this a couple of times to get the idea

OK, now let's do some exercises which further coordinates the movement of your hands with your breath. Your intention is to lengthen the time it takes make and release your fist(s). You can approach it both ways. Slowing your breath slows the movement of your hands. Or slowing your hand movement slows your breath.  Remember: Move your fingers only during exhalation:

• Coordinate your exhalation with the closing only your right hand. Hold your fist while you inhale and open your hand during your next exhalation. Do a set of five.

• Coordinate your exhalation with the closing only your left hand. Hold your fist while you inhale and open your hand during your next exhalation. Do a set of five.

• Coordinate your exhalation with the closing of both hands. Hold your fists while you inhale and open your hands during your next exhalation. Do a set of five.

Finally, doing something a little different, coordinate your exhalation while you close your hands and then while you inhale, open your hands. Do a set of five each with your right hand; your left hand; then both hands.

    Begin with both arms at your side, palms down. Take a deep inhalation. As you exhale, slowly move your right arm straight up and over your head as far as it can go without pain (see Caution). Conclude your exhalation when your arm comes all the way over your head [Fig.12] or goes as far as it can without pain. If there is pain or stiffness as your arm reaches its endpoint, place a support where your arm will land [Fig. 13].

As soon as your arm has come to rest above your head, take a slow deep inhalation and relax. Then coordinate your exhalation as you return your arm over your head to the side of your body. Repeat in sets of five with each arm.

Since the object with this exercise is to coordinate the movement of your arm with your breath, practice until you can conclude your exhalation at the very moment your arm completes its movement and comes to rest.

Once you have mastered “exhaling” each arm over your head and “exhaling” it back down again, you are ready for the more advanced variation which is slowly “wind milling” your arms with a coordinated breath. Begin by taking a deep inhalation. As you exhale, slowly extend your right arm over your head. Rest during inhalation. During your next exhalation, simultaneously extend your left arm over your head while at the same time, return your right arm to your side [Fig. 14 and Fig. 15 with arm supported]. Inhale and rest; exhale and repeat again moving both arms simultaneously.

Practice until both arms reach their opposite endpoints at exactly the same time which might be more difficult that you would expect.

This exercise teaches you one of the most fundamental and important principles of exercising your body: “Extension Releases Tension.” Lie on your back with your legs fully extended. Begin by lifting your right leg only about twelve to sixteen inches off the floor [Fig.16]. For now, forget how you are breathing. Just lift and hold it up for a few breaths. Take a look. Is your foot really twelve to sixteen inches up? (Adjust if necessary and remember not to judge but to simply observe.) After holding your leg for several breaths, slowly place it back down. Repeat with your other leg. Pay attention to what is happening and how it feels. 

Did you experience any discomfort in your elevated leg or hip? Did your leg feel heavy? Did it shake? Did it quickly become tired? Did your lower back ache? If you experienced no discomfort what so ever, hold your leg up again for a longer time allowing it to hang loosely. You should soon experience some or all of these discomforts.

Now, before you lift your leg, extend both your heel and toe mounts (that part of your foot where your toes attach) away from you. Keep extending your leg away from you for the entire time you hold it up. The feeling you want to create is that  your foot and entire leg is reaching for the wall on the other side of the room. This should give you a feeling that your feet are active [Fig.18a] and that your entire leg is actively stretching away from you [Fig.18b].

This is known as activating your foot. Keep your heel and toe mounts extended (activated) as you again slowly lift your leg about twelve to sixteen inches up and hold it there for a few breaths. Remember to keep extending the entire time you are lifting your active leg. Exhale while you lower your leg. Repeat three to six times with each leg.

An extended leg with an active foot releases tension. This is a fundamental principle of this program;Extension Releases Tension. You can apply this principle to your arms as well. Take a moment; with your breath, “wind mill” your arms as you did in Exercise 16. This time however, activate your hands by stretching your fingers and making an “L” with your thumb (Fig.19).

Activating your hands helps your arms to extend in the same way activating your foot helps to extend your leg.

*  *  *  

Start by lying down. When ready, take a deep inhalation. During exhalation, extend and slowly lift your right leg about twelve to sixteen inches. Inhale as you extend your leg. Feel as if you are extending your leg away from your hip, through your knee and through your foot. As you exhale, slowly lower your leg back down keeping it extended until it touches the floor. Then inhale and completely relax resting for as long as you wish. When you are ready; exhale, extend, and lift the opposite leg twelve to fourteen inches off the floor. Hold and keep it extended during inhalation. Then lower it during exhalation.

While coordinating your breath, lift alternate legs, one at a time, until you can comfortably “breathe” your legs up and down without tension. Remember to keep your leg and foot active when lifted. Do as many sets as you wish.

Sequence: Putting It Together - Coordinating Movement of Arms and Legs with Breath:

This sequence brings together all you have learned thus far. Extend and slowly lift your right leg twelve to sixteen inches off the floor while simultaneously extending and moving  your left arm all the way over your head. Coordinate both movements with your exhalation. [Fig. 20]. (If necessary, use a support for your arm when it comes to rest over your head.)  

Then inhale and keep both your arm and leg extended and active. During exhalation, slowly return your arm and leg to where you began. Inhale and totally relax. Rest as long as you wish.

When you are ready to continue, exhale and lift the left leg and right arm. Inhale at your endpoint keeping your arm and hand as well as your leg and foot active. Exhale as you return your arm and leg.

The object is to coordinate the movement of your arms and legs with your breath. Therefore, practice until your exhalation concludes at the very moment your arm and leg complete their movement, both when going up and coming back down.

__________________

The following are excerpts from:

RECOVERY
YOGA

Chapter 7

Exercise 41: The Standing Shoulder Stretch (With Knees Bent)

Face the kitchen counter placing your hands flat on the counter top near the edge. Your hands should be shoulder's width apart with your index fingers parallel. Then bend your knees about one-quarter of the way and with short little steps, walk your feet away from your hands making sure your hands remain “glued” to the counter top. As you are walking away from your hands, begin bending at the waist making sure that your knees remain bent [Fig.98].

As you fold at the waist, keep your back straight. Never drop your head below the level of your shoulders. Instead, keep your ears slightly higher than your shoulders. It might be helpful if you visualize:

•     Your throat lifting your neck and head upward.

•     Your shoulders moving down and away from your ears.

•     Your entire spine and neck lengthening.

These are the same details you learned in Active Pose of the Child on page 92. Take a deep inhalation. As you slowly exhale, lengthen your spine a little bit further by subtly moving your hips away from your (very well grounded) hands. This should enhance the overall stretch in your arms, shoulders, and/or sides of your body. However, if it moves you into pain, do not move your hips as far. As you inhale, lessen the stretch by allowing your hips to move just the slightest amount toward your hands. Exhale and stretch; inhale and release. Repeat three to six times. Then slowly walk your feet toward your hands and stand upright. Rest for a while and repeat the entire sequence a few more times.

 *  *  *

Exercise 42: The Full Torso Stretch
aka The Wiggle and Waggle

This is one of my all time favorite yoga exercises. After sitting for prolonged periods, it helps to release leg and torso body tension. It is also a great warm up for any other exercises you do.

Start from Exercise 41: The Full Torso Stretch (With Knees Bent). Making sure that your hands are firmly “glued” to the counter top, slowly and subtly move only your right hip away from your hands. At the same time<: 1) move your left hip subtly toward your hands by increasing the bend in your left  knee, and  2) slowly and subtly straighten your right knee. This causes your entire right side to stretch. [Fig. 99].                          

Once you start to feel a gentle stretch on your right side, stop and take a long deep inhalation. As you exhale, subtly move your hips a little bit more into the stretch (but never into pain). Gently relax the stretch as you inhale. Exhale and stretch again. Inhale and relax. Repeat three to six times. Then release to the other side and repeat.

This is another exercise designed to isolate and stretch your hamstring muscles. Face the kitchen counter and place your hands firmly on top near the edge. Just as you did in the pervious exercise, fold at the waist, However, instead of walking both feet the same distance away from the counter, walk your left leg about 18 to 24 inches further away than your right leg. Then bend your right knee just a little and be sure that both feet press solidly into the floor [Fig. 100].

As you slowly exhale, subtly move both hips away from your hands and you will feel a stretch (action) in the hamstrings of your forward leg. (If you feel a stretch in the sides of your body or in your shoulders, lift your entire torso a little bit higher. You want to isolate the stretch only in the hamstrings of your forward leg.) If you can not isolate a distinct stretch in your hamstrings, you need to refer to the Lying Down Hamstring Stretch on page 56.

Inhale and relax the stretch. Exhale and enhance the stretch. Repeat breathing and stretching three to six times. Then slowly release and change to the opposite leg doing a few sets per leg.

  *  *  *

This exercise begins as Exercise 47: The Full Torso Stretch (With Knees Bent) on page 103 However, instead of feeling the action in your shoulders, arms or the sides of your body, you want to isolate the stretch (action) in both hamstrings.

Place your hands firmly down near the edge of the counter top. With bent knees, slowly walk away from your hands while folding at the waist. Now slowly begin straightening your legs (but not all the way) and similar to the One Leg Hamstring Stretch, begin to lift your sitting bones as you subtly move your hips further away from your hands [Fig. 101].

Once you isolate the stretch (action) in your hamstrings, relax the stretch and take a deep inhalation. As you slowly exhale, again increase the action by gently lifting your sitting bones while at the same time moving your hips away from your hands. Inhale and relax the action. Exhale and increase the action. Repeat breathing and stretching three to six times. Then walk forward, stand upright and rest. Do as many sets as you wish.

*  *  *  

__________________

Yoga
A Guide for Chronically Ill People
by Sam Dworkis

is published by:

 Random House/Three Rivers Press, New York,
ISBN 0-517-88399-6

 

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