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Z06
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Yoga .vs. Pilates

So I need some education on these and what to watch out for. It seems there are more deviations or derivatives on Yoga and Pilates.

I've stayed away from Yoga in the past because it seems to mix in religion. I don't want a religious movement or chanting. I want exercise.

When I did PT before they pushed basic exercise and core exercise. I learned as I went along that they were really nothing more than selected Pilates exercises.

My surgeon said said in 2 more weeks he will sign me off for post fusion PT. He said the therapist will evaluate me and start me on exercise. He feels I am mobile and strong enough already that he doesn't see pool/auqa therapy as needed. He wants me walking, which i do already. Then after that he said 4-6 weeks if basic PT and resume my life. I spoke about core strength training. I tried it before surgery and it nearly killed me. My core was much stronger. But my back flared up the the nerve pain so bad I wanted to die. So I stopped.

His PA's argue over whether Pilates or Yoga is more helpful for lower back fusion patients. The implementation seems to me to be key. Yoga seems to be more about stretching and flexibility and Pilates about strength.

What specific types of Yoga or Pilates should I be looking at? There seems to be so much offered it is rather confusing.

thanks, Graham

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• The only valid excuse you have to give up is if you are dead.

Z06
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ttt .....

bump....

Does anyone here do Yoga or Pilates?

Looks like I will be doing pool/aqua therapy for 2 months combined with land work also. After the 2 months of PT then I an look into this Yoga stuff some more.

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• The only valid excuse you have to give up is if you are dead.

Joined: 02/20/2010
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Yoga

I do yoga, the floor exercises are especially beneficial.The lumbar stretches give instant relief. Don't bother with the spiritual part-it is about breathing,focus and working with intention.Try affirmations instead of any spiritual chanting.It works for me.
Hope that helps

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Graham

Don't let anyone convince you that Yoga doesn't build strength!!! It is very easy to find Yoga instructors who leave the more spiritual aspects up to each individual and focus more on just the physical aspects. I prefer Yoga over Pilates. I feel it is more user friendly for someone with a spine issue and is fantastic for flexibility and core strength. Also if you have any balance issues, Yoga is a fantastic way to work on that.

"C"

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“If it is not right do not do it; if it is not true do not say it.”

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Z06
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Cool

Thanks C !

I had to call my surgeons office this morning and got my favorite PA. She is pretty cool. I mentioned this. She said you are dead on.

She said once I get through all the rebuilding I need to do. She will send me to -her- Yoga instructor. She's been doing it for years. She promised to keep me from hurting myself and I don't have to chant Smile

Right now I have to focus on PT and fusing.

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• The only valid excuse you have to give up is if you are dead.

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Both of these have been discussed with

me with my Pain Mgt doctor. She is a big fan of Yoga, but she also is the first to say that because of my Lumbar and Cervical Surgeries and all my Thoracic problems, most Yoga could cause me more harm.
She told me that there is a passive style of Yoga that I could do, but it was key to find an instructor who really knew what that meant.
Pilates would be helpful in building up some strength but also important in help stretching out my spine with really using traction.
But Graham, she still frowns on both of them for me. She would rather see me continue to walk, continue going to the Aqua Pool and really get involved with the elliptical machine.
Hopefully that will work for me, but as you know any of our exercise programs really are made to order for each of us.

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katjan's picture
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I've been told yoga is out for me

after having lumbar fusions and also dealing with thoracic herniation I've been told by several docs and PT's yoga is out because of the twisting and bending. I practiced yoga for 5 years before I had surgery, (though I had to give it up when I couldn't stand any longer:) )

Pilates has been recommended once I recover from surgery becasue of the extensive core work. I have done both mat pilates and pilates machine work. Just one more opinion...

_____________

MRI 3/07: T12-L1 herination; DDD
L4-L5 facet joint degeneration; L4-L5 disc degeneration; synovial cyst
3 Epidural injections; 1 Facet Joint injection - no relief
Preop diagnosis: lumbar epidural mass, lumbar radculopathy, spondylolisthesis
12/18/08 Surgery: L4-L5 hemilaminectomy, removal epidural mass, fusion, instrumentation (Medtronic allograft infuse BMP; set screw; 45mm spire plate; mastergraft) PLIF w/ decompression. Full back brace worn 3 1/2 months.
4/6/09: released from back brace and started physical therapy 3X week per Dr. & xray: fusion in progress
PT 3 months, minimum success. still have intense muscle spasms in thoracic area, burning pain near fusion and SI joint
6/25/09 New MRI, L-4-L5 vertebrae bone on bone) continued pain when sitting. Continued thoracic spasms.
Referred back to pain management
7//15/09 SI Joint injection (no relief)
8/09: 2 Thoracic epidural injections minor relief on right side, short-lived. Burning pain still in lumbar region. Continued thoracic spasms.
9/09: NS now says I need discs replaced;
9/18/09: New DR. opinion. (Ortho, spine specialist - says I am NOT fused, hardware moving, bone not formed. more tests: 10/09: CT scan, MRI thoracic- need surgery - will determine 10/6/09 appt: outcome
Surgery scheduled 10/26/09 - 360 fusion L4-L5 + disc replacement

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My surgeon whom I first saw

My surgeon whom I first saw 12 years ago with a real bad case of sciatica at that time sent me home with a print out of Yoga exercises. I got better and have been doing it until my fusion surgery. Then the same surgeon warned me to be very careful with yoga, because unless the instructor is very knowledgeable about spinal fusion some of the exercises can be harmful and they are not advisable for fusion patients. Same with Pilates, that I can no longer do. Right now go with the post-fusion PT, and there discuss some of the acceptable positions and the no-nos with your therapist.

Kin

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SF Peninsula CA resident
Decompression and L3-S1 fusion with instrumentation, 5/1/08

lashannasmall (not verified)
Yoga Vs Pillates

I am a yoga teacher and due to your recent injuries, I would not suggest that you attend a yoga or pilates class. I would suggest that you have private sessions in either the yoga or pilates. The teacher will work with you on a one on one basis and give you exercises that fit your situation. Going to a class and doing exercises geared towards individuals without health problems could result in injury and discomfort. Do a search on google in your town or call the studios and get recommendations.

Z06
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Good feedback

Thanks folks for the feedback and comments.

I most certainly am not entertaining this idea right now. I am being a good boy and doing what my Surgeon, PA, and PT tell me. Not going to screw up this recovery. This patience thing is killing me though... Wink

I'm looking forward past PT. Working on my long term exercise plan. At the end of PT I don't want it to go to waste. I want to build on it. I want and need to be in better shape. I need to protect L4/L5 amongst other things.

I have some goals that require me to have a fair amount of endurance. I'm not ready to throw in the towel quite yet...

Graham

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lashannasmall

Great advice. I am fortunate that a friend of mine is a very accomplished Yoga Instructor who has worked with me privately. It is definitely easier for the instructor to focus on one student's needs privately vs during a scheduled class.

Graham, one of the great things from Yoga that I can work on even on off days, is balance. By simply working on that, it helps me maintain focus on healing as well.

"C"

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I have tried both

They for me were the thing that worked the most. My doc said to try them and use good judgement and let teacher know what I have. Yoga helped me relax and gain balance and piliates made me feel lengthened and taller, uncompressed. Sadly I did not stick with them after doing for year or so trying to start back. My teach would show one way for people not in pain and another way for people in pain. I have bulging discs and thorasic tears and herniations and it definitly did not make any worse.

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C

I just started yoga again. It is the only type of exercise that I can stick to. However, a recent yoga class aggravated my sciatic nerve. Do you try avoid twisting poses?

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I like

doing some of the less complicated yoga positions, so great for stretching, but I can't do many of them, or for too long. I'm also going to look into Tai Chi, there is a club close to where I work. You might want to check that out too Graham, once you ask if that would be good for you to do.

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I am a
PROUD CANADIAN veteran But NOT a doctor, my thoughts are my own

Z06
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Restless and Kelly

Restless,
Yes I most certainly will not being chanting. I'm not interested in religious aspects. Just stretching and strength.

Kelly,
I will also look into Tai Chi. I asked about it in another thread. It would be like Yoga or Pilates. Some moves are fine and some would just cause issues and flare ups.

As it stands right now. I have 3 more months of core strength training. I'm starting to do elliptical trainer. Once I get through this then I will try something else. I most certainly will do something. I've decided I can't afford to be a couch potato.

Graham

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• The only valid excuse you have to give up is if you are dead.

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Palates & Yoga comment

I am exactly 5 months to the day post Laminectomy and fusion of L3,4 and 5. Signed off from the PT two months ago and started back to the gym doing about 90% of the PT routine I had been given by the therapist. I had excellent flexibly prior to the surgery and have lost most of my lower flex. I am scheduled to begin a Body Flow class that is a combined Palates-Tia-Chi modality. Not knowing at this point if it will be beneficial the instructor has assured me that I will gain more flex in my hips and it will not irritate my lumbar recovery. I have very gradually increased my strength in the last two months but still have a long way to go. It has dramatically improved and I hope that by 1 year out I will be semi-normal. Everyone has told me what a long process this would be but I guess I am not as patient. Best of luck and I will try to let you know what the verdict is on this Body Flow class.
Mike

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Spondylolisthesis with severe stenosis. Second epidural injection before my fusion on L3-L4.