12/7/2023 0 Comments Senior yoga sequences![]() Again, talking about yoga poses and rotation directions with your surgeon may be tricky, so reviewing photos of poses on your phone can make it more clear. ![]() Extending your leg too far forward or backward should also be avoided, Mironenko says. Turning the hips too far in (internal rotation) or out (external rotation) should be avoided to decrease any risk. Once the soft tissues around the hip fully heal, many hip replacement patients get the green light to do yoga. ![]() “Of course, you should always follow the advice of your physician.” Certain medical conditions can increase your risk for this, and there’s often no warning that a hip is about to dislocate, which makes it impossible to use pain or discomfort alone as a guide, she adds. “A few orthopedic surgeons at HSS advise their patients to avoid yoga following hip replacement due to the risk of hip dislocation,” says Mironenko. Once you receive the go-ahead from your surgeon, any style of yoga, including Vinyasa or Bikram yoga, is possible as long as the proper modifications are made to your practice. Restorative poses with props would be a great option for total shoulder replacement patients to get into a relaxing pose for some rest. Restorative yoga classes are typically slow and gentle, use a lot of props and focus on relaxation. Early on in recovery, a restorative yoga class may be beneficial. Immediately after surgery, upper body chair yoga poses are a safe option to stretch and strengthen the arms after a hip or knee replacement. Listen to your body’s cues to maintain proper alignment and protect your joint replacement. Do not do anything that’s painful or feels wrong. Never force yourself into a pose or allow a teacher to do so. Before you start your yoga practice, you should know your own limits and the precautions you need to take. Never assume that the teacher is knowledgeable about joint replacement surgery.Some instructors offer hands-on assistance, and they will need to know not to push you into certain poses, as this could cause injury. They can help you correct your alignment to stay safe and provide help with props. Always let your yoga instructor know that you have had a joint replacement before starting a class.Your teacher should make you feel comfortable and be approachable enough for you to ask questions. You may notice an instructor helping other students with modifications and asking about injuries before class. Find out from your local yoga studio if they would recommend a certain teacher with experience and knowledge of anatomy. Ask around and get references from friends and family. When discussing yoga clearance precautions with your surgeon, it may be helpful to provide photos of the poses to your surgeon. Develop a safe yoga plan with your surgeon.Here are a few other tips for practicing yoga safely after a joint replacement: We recommend staying within a certain range of motion and always avoiding any position that causes pain.” “In addition, the stress of the surgery on surrounding tissues may make them more vulnerable to injury or instability. “A prosthetic joint implant is designed to perform activities of daily living and is not exactly made for advanced yoga poses,” Mironenko says. Modifications will be necessary for a safe yoga practice. Your new knee, hip or shoulder will often have limitations. Your doctor will also give you any specific precautions to take. “Most surgeons recommend waiting anywhere from three months to one year, again taking into account your medical history, type of surgery and other factors,” she adds. “Yoga can help with stress relief, as well as insomnia and postoperative pain.” Before starting yoga, you must first get medical clearance from your orthopedic surgeon. “Many patients are not prepared for the mental stresses their recovery might entail,” says Mironenko. The stress of the surgery itself as well as the pain you may feel leading up to it can take a toll. Yoga’s relaxation benefits can also be a big help-after all, joint replacement is a major surgery. “Yoga may help with flexibility and overall posture, strengthen the muscles around your new joint, provide pain relief and even improve digestion.” “Yoga may help you become more aware of your body, including your muscles and joints,” says Christine Mironenko, NP, who works with patients after surgery and has practiced vinyasa yoga for 15 years.
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