Supported Forward Bends: Peaceful Poses for Stress, Anxiety, Neck Pain and Headache Prevention

by Nina

We finally took some new photographs, and now I’ve got a portfolio of my favorite poses for stress management and anxiety! So I thought that today I’d introduce you to some of favorite quieting poses: supported forward bends. A supported forward bend is one where you use a prop, such as a bolster, stack of blankets or a chair seat to support your head and arms as you stay in the pose. Relaxing onto the support helps remove straining from the pose and enhances the quieting quality of the forward bend. These are gentle, inward-turning poses that both calming and nurturing.

You can do supported forward bends in two forms: standing and seated. Standing supported forward bends are particularly good for stress as they are partial inversions. See Just in Time for the Holidays: Inverted Poses for information about why inverted poses, including partial inversions, are so beneficial for stress management.

Because the supported seated forward bends are less active than the standing versions, they are more quieting. And because you’re resting the weight of your head and relaxing your neck, these poses may also help with neck pain and headache prevention. I love supported seated forward bends, especially when I’m feeling anxious, however, some people do not enjoy supported seated forward bends, finding them rather too quieting, in other words, sort of deadening. And they’re probably not the right poses for people suffering from depression. So you’ll have to try for yourself and see what you think.

In general, when setting up for these poses, it’s important to be honest with yourself about how many props you need to be truly comfortable. The aim here isn’t to feel a stretch, much less any pain, but to use the pose to quiet yourself physically and emotionally.

As you come into the pose, bend from your hip joints and keep your back straight. This will help prevent back strain that comes from rounding your back. If you need to sit on a folded blanket to encourage the bend from your hips—most of us do—then add that prop as well (see photo).

When you bring your head onto the prop, do not force your head down. If your head doesn’t reach easily, you need a higher prop. For the Standing Forward Bend, you can stack two blocks, with one on the lowest height and the second on the highest. Stacking two blocks end on end, however, is unstable, so be honest with yourself and get your chair! (Besides, if you compare, most chair seats are lower than two blocks end on end, anyway—check it out and see.)

If you want to sequence these poses, I recommend starting with the standing versions first—they are better for warming up your legs and hips, and are more active—and then moving onto the seated ones. Of course, any of these can be done alone, or as part of any restorative or stress management sequence (we’ll have some of those coming in the near future). And there’s no reason at all why you can’t end an active practice with a supported seated forward bend of your choice, followed by Savasana.

1. Standing Forward Bend (Uttanasana), with your head on a block or chair
2. Widespread Standing Forward Bend (Prasarita Padottanasana), with your head on the floor or on a block or chair
3. Wide Angle Pose (Upavista Konasana) or Seated Crossed Legs, with your head on a bolster or chair
4. Seated Forward Bend (Paschimottanasana), with your head on a bolster or chair

I hope these poses bring you peace.

Update: Wondering where those photos are? It turns out, they're not quite ready yet. We took them, but I don't have access to them this afternoon. I'll add them to this post as soon as I get them, so check back again.

Many Right Ways To Do A Pose and a Few Wrong Ones

by Timothy

Branches and Roots by Brad Gibson

I got involved in a conversation the other day with Nina after class with our teacher Donald Moyer. Another student was wondering about the “correct” way to do forward bends. She’d just read an article in Yoga Journal by a highly respected teacher who said that the only correct way to do forward bends was with a concave lower back, that is, maintaining a normal inward curve of the lumbar spine. Although Donald sometimes prepares for forward bends like Uttanasana by doing the pose with a concave lower back, in the final pose, he suggests we allow a nice, even rounding of the spine, that is, completely reversing the lumbar curve.

Inherent in the student’s question is the notion that there is only one correct way, that everybody in all circumstances, should do any pose. The reality is that it always depends. What are you trying to achieve? What poses have preceded it and what do you plan to do after it in your practice? Are there contraindications you need to consider? Are there quirks in your anatomy or injuries you need to work around?

We could do this analysis for any pose but, since we’re on the topic, let’s stick with forward bends.

There are times when it is definitely not a good idea to fully round the spine. If you have a herniated lumbar disc, for example, rounding is generally contraindicated. When you round forward, the front surfaces of adjacent lumbar vertebrae come together which tends to push the disc material toward the back of the body, near where nerves exit the spine. This rounding the lower back could lead to nerve compression and sciatic pain.

For a similar reason, rounding the back in forward bends is generally not recommended for those with osteoporosis. Compression fractures of the spine happen when the front surface of one vertebra collapses under pressure from a neighbor. But forward bends done with a concave lower back can actually be therapeutic for those with thinning bones, and were part of the routine Dr. Loren Fishman used in his ground-breaking research (still ongoing for those interested in enrolling in the study) that is documenting yoga’s powerful ability to increase bone mineral density.

For those who lack such contraindications, rounding the spine the way Donald teaches may lead to deeper relaxation and more quieting of the nervous system. When looking at students from an Ayurvedic standpoint, long holds of rounded forward bends can be deeply calming to the vata dosha (the imbalance often tied to stress and over-activity). Long holds of such forward bends are part of yin yoga, and can be a wonderful way to open tight hips, for example, to prepare the body to sit comfortably for long periods of time in mediation.

So my way of thinking is that there is more than one correct way to do forward bends, all depending on the overall situation and what you are trying to accomplish. But that said, there are also certainly wrong ways to do poses. In my mind, any way of doing a pose that unduly increases the risk of injury, or which puts the joints or other bodily tissues in compromised positions is wrong. In forward bends, one common incorrect method is to bend from the waist rather than hinging from the hips. Although not all yoga teachers would agree, I also advise against any knee locking in the poses.

Of course, this just begins to describe all the thinking on forward bends found among different yoga teachers. Some people sit up on folded blankets or other props, which allows them to get more forward tipping of the pelvis, but not everyone needs to do this. Some people hold their toes, some hold a strap looped around the soles of their feet, and some place their hands alongside their legs. Ultimately, good teachers learn to look at students, ask them questions and determine a reasonable approach.

To me the final arbiter of whether a yoga technique is right or wrong is the breath. If you’re able to do the pose and the breath can remain smooth, deep and even, more than likely you're doing it a right way (though probably not the right way).

Friday Q&A: Which Forward Bends Are Safe?

Q: Nina's post earlier this week on how to get comfortable in forward bends was very informative (see Getting Comfortable in Forward Bends). But I was wondering whether both versions shown in the photos--the one with the rounded back and the one with the neutral spine--are safe for everyone.

A: Forward bends always need to be approached with awareness, caution and respect, especially for people with acute low back injuries or chronic low back conditions. People with herniated discs, facet irritation, or degenerative joint conditions in their spines may find that too much bending forward will increase their pain.

Several leg muscles attach to your pelvis and tight leg muscles can restrict the movement of your pelvis, which needs to be able to roll over the top of your hip joints. If your leg muscles are tight, sometimes sitting on a folded blanket can allow you to get the proper movement of your pelvis. However, if you have very tight hamstrings and don't have the ability to keep the natural curve in your low back as you bend forward, then the version with the bolster under your thighs may still be problematic.

Rounded Back Version: Could Be Problematic

In addition, there are some people with conditions for which forward bends are contraindicated, meaning that the risk is greater than the benefit. This includes individuals with severe osteoporosis as well as individuals who may have had vertebral compression fractures in the past. For them the neutral spine version with the chair or bench may be safe, but, again, be sure to  proceed with caution.

Neutral Spine Version: Proceed With Caution

In general, cultivating flexibility in your hip rotators and hamstrings can help you achieve a neutral spine in your forward bends, which will help keep your lower back safe.

—Shari

Getting Comfortable in Forward Bends

by Nina

I have always known that seated forward bends are considered quieting poses, but it wasn't until I interviewed Shari (see Talking About Baroreceptors and Yoga) about baroreceptors that I discovered that forward bends are quieting for the same reason that inverted poses are calming: pressure on the baroreceptors causes your body to lower your blood pressure and reduce your stress hormones. No wonder three minutes in a forward bend seems to turn off the noise in my head and put me in a relaxed, almost dreamy state. But this got me curious because you're not exactly upside down in a forward bend, so I asked Baxter if he knew why forward bends had the same effect as inversions (I'm like that about yoga, I always want to know why!). Here's what he said:

Regarding the beneficial effect of seated forward folds on lowering blood pressure, I would hypothesize that the fold brings enough pressure onto the abdominal area to place pressure on the main blood vessel in the belly, the abdominal aorta. If this caused a temporary narrowing in the vessel, this could create a back pressure up to the baroreceptors in the neck and aortic arch. This would have the same effect as inversions.

By now you may be reading this and thinking, "That's fine for you to say, but I hate forward bends.  Just the thought of doing them makes me feel cranky, not relaxed." Yes, I realize that I'm one of the lucky few who is flexible enough to be comfortable in forward bends. And I do know that a large number of people, especially those with tight hamstrings, are, shall we say, quite the opposite of comfortable in forward bends. For those people, discomfort in the pose pretty much negates the soothing effects because being physically uncomfortable tends to irritate the nervous system.

But does that mean you have to miss out entirely on the blissful feeling I've just described? Definitely not! Because in today's post I'm going to present two different ways to prop your forward bends to take remove the yuck and bring on the bliss.

The first way is to place a round bolster or a very thick blanket roll behind the thigh of your straight leg or behind both legs if you are doing Paschimottanasana (as shown in the photo below). With the bolster behind your thigh, you knee or knees will be bent and supported.

Bend from your hips to come into the forward bend and then slowly round your back into a gentle curve. Baxter is someone who has very tight hamstrings and normally doesn't enjoy forward bends, but just look how comfy he looks in these photographs!

Stay in the pose at least three minutes (I've found it takes that long for the pose to work its magic). Whhen you are ready to come out of the pose, come out very slowly, rolling up to an upright position.

And if that propping doesn't work for you, I've got another trick up my sleeve. In the second version of a supported forward bend, you use a bench or chair on which to rest your arms and head. Position the chair over your straight leg (or legs), far enough away so you can keep your spine long and straight when you come into the forward bend. If the bench or chair isn't high enough for you to easily reach, add folded blankets or towels to increase the height. To come into the pose, bend from your hip joints, keeping your spine straight and long (in this version you do not round your back). Place your folded arms on the chair or bench, and rest your head on your hands. If possible, catch your forehead skin on your hands and tug it gently down toward your eyebrows.

Again, stay in the pose at least three minutes. When you are ready to come out of the pose, come out very slowly, using your hands to press yourself into an upright position.

I often teach this second version of the pose, and I'm always so pleased to see almost everyone in the class come out of the pose with a calm, relaxed expression on their faces! I'd love to hear how it feels to you!

For cautions for these forward bends (and forward bends in general), see Which Forward Bends Are Safe?