Showing posts with label therapy. Show all posts
Showing posts with label therapy. Show all posts

Saturday, December 2, 2023

Yoga for a Cold: Gentle Poses That Help You Feel Better (and What They Can't Do)

December 02, 2023 0

Yoga for a Cold: Gentle Poses That Help You Feel Better (and What They Can't Do)

There's a particular misery to a head cold: the stuffed nose, the heavy limbs, the feeling that your whole body is wrapped in wet wool. Lying still can feel like the only option, but a little gentle movement and slow breathing often takes the edge off. Yoga can be a kind way to do that, as long as we're honest about what it is. It's a comfort and recovery practice, not a cure, and a few popular claims about it (that certain poses "stimulate the thyroid" or "clear the sinuses") don't hold up. Here's what's actually supported, which poses are worth trying, and when to stay on the couch.

What Yoga Can and Can't Do for a Cold

No yoga pose kills a virus, and no posture has been shown to drain your sinuses or switch on your immune system. Colds are caused by viruses and mostly run their course in a week or so. What the research does support is more modest, and still worth having.

A randomized trial published in Annals of Family Medicine (Barrett and colleagues, 2012) assigned adults to eight weeks of mindfulness meditation training, moderate exercise training, or a waitlist control. Both active groups had fewer days of acute respiratory illness and milder symptoms than controls. The follow-up trial, MEPARI-2, was published in PLOS ONE in 2018. Taken together, the findings suggest that regular mindful practice and moderate exercise, both things yoga combines, may help reduce how much cold-season illness weighs on you. They're prevention-minded findings about regular practice, not evidence that a single session shortens a cold you already have.

Yoga can also help with the stuff around the cold: tension in the neck and shoulders from coughing, poor sleep, and the stress of feeling run down. Those are real benefits, just not the ones the original claims promised.

First, Decide Whether to Practice at All

A common rule of thumb among clinicians is the "neck check." If your symptoms are above the neck (runny nose, sneezing, mild sore throat), gentle movement is usually fine. If you have symptoms below the neck, such as fever, body aches, chest congestion, or a deep cough, rest instead. Exercising through a fever is a bad idea, and so is pushing through dizziness. Keep it short, keep it gentle, and stop if you feel worse.

Poses Worth Trying

Go slowly and skip anything that makes your head feel pressurized. Bending forward with a blocked nose can increase that heavy, congested feeling for some people, so treat the folds below as optional and keep your head at or above heart level if it bothers you.

Mountain Pose (Tadasana). Stand tall with your feet hip-width apart and breathe slowly through your nose if you can. This isn't a congestion fix, but it's a calm way to check in with how you really feel before deciding how much to do.

Cat-Cow. On hands and knees, move gently between arching and rounding your spine. It loosens the upper back and ribcage, which tend to tighten up with coughing and shallow breathing.

Bridge Pose (Setu Bandhasana). Lie on your back, bend your knees, and lift your hips. It opens the chest and front of the body and is a reasonable gentle strengthener. The claim that it stimulates the thyroid and boosts immunity isn't supported by evidence, so do it for the stretch, not the supposed hormonal effect.

Seated Forward Fold (Paschimottanasana), softened. Sit on a folded blanket with knees bent and fold only as far as is comfortable. It's calming and stretches the back body. If it increases facial pressure, skip it.

Child's Pose (Balasana). Rest your forehead on a pillow or block, knees wide. This is probably the best pose on the list for a cold: it's restful, supports slow belly breathing, and releases tension in the back and shoulders. Prop your head up higher if your nose is very stuffy.

Cobra or Sphinx (Bhujangasana). A gentle chest opener. Keep it low and mild, especially if you're coughing, and skip it if lying on your stomach feels uncomfortable.

Legs-Up-the-Wall. This restful pose is a nice way to end a session. If lying with your head lower than your feet makes your nose feel more blocked, put a bolster or folded blankets under your upper back and head.

I'd drop Downward-Facing Dog from a cold routine. Having your head below your heart can intensify congestion, headache, and dizziness when you're already unwell, and it's more strenuous than most people need while sick.

Breathing and Nasal Care Do More Than the Poses

If you want one thing from yoga while you have a cold, take the slow, easy breathing. Gentle belly breathing, with a slightly longer exhale than inhale, can ease the tension and anxiety that come with feeling unwell and help you rest. Skip fast or forceful breathing techniques (like kapalabhati) while your airways are inflamed.

Saline nasal rinsing is another practice from the yoga tradition (jala neti) that has some evidence behind it, though a modest amount. A Cochrane review of saline nasal irrigation for acute upper respiratory infections concluded it may offer some symptom relief and found no serious side effects, but the trials were small and the evidence limited. If you try it, use distilled, sterile, or previously boiled and cooled water, never untreated tap water, because rare but serious infections have been linked to contaminated water in nasal rinses.

What Actually Helps You Recover

Rest, fluids, and sleep remain the foundations. Warm drinks, steam from a shower, honey for cough in adults and children over one year, and over-the-counter symptom relief used as directed can all make you more comfortable. Yoga fits best as a gentle addition to that, not a substitute for it.

When to See a Doctor

Most colds are harmless, but get medical advice if you notice any of the following:

  • Symptoms that last more than 10 days, or that improve and then suddenly get worse
  • A high or persistent fever, shaking chills, or fever that returns
  • Shortness of breath, wheezing, chest pain, or difficulty breathing (seek urgent care)
  • Severe sore throat, significant ear pain, or severe facial or sinus pain with thick discolored discharge that persists
  • Any fever in an infant under three months, or a baby or toddler who is hard to wake, feeding poorly, or struggling to breathe
  • A cold in someone who is pregnant, immunocompromised, or has asthma, COPD, heart disease, or another chronic condition, since they may need earlier advice
  • Dizziness, fainting, or chest tightness while exercising (stop and get checked)

The Bottom Line

Yoga won't cure a cold, but gentle movement, restful poses, and slow breathing can make you feel better and help you rest, and a regular practice may lower how much illness weighs on you over the longer term. Pick the soothing poses, skip the head-down and strenuous ones while you're congested, listen to your body, and let your doctor take over when symptoms point to something more than a cold.


References

  1. Barrett, B. et al. (2012). Meditation or exercise for preventing acute respiratory infection: a randomized controlled trial. Annals of Family Medicine, 10(4), 337–346. https://www.annfammed.org/content/10/4/iii (journal issue entry; full text available via the journal)
  2. Barrett, B. et al. (2018). Meditation or exercise for preventing acute respiratory infection (MEPARI-2): A randomized controlled trial. PLOS ONE. https://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0197778
  3. King, D., Mitchell, B., Williams, C.P., & Spurling, G.K. (2015). Saline nasal irrigation for acute upper respiratory tract infections. Cochrane Database of Systematic Reviews, CD006821. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD006821.pub3/full

This article is for general information only and isn't a substitute for personalized medical advice. If your symptoms are severe, persistent, or worsening, or you're in a higher-risk group, talk to a doctor.

Yoga for Fatigue: Gentle Poses to Boost Energy (and When Tiredness Needs a Doctor)

December 02, 2023 0

Yoga for Fatigue: Gentle Poses to Boost Energy (and When Tiredness Needs a Doctor)

Some tiredness is just a long week catching up with you. You sit down at 3 p.m. and the screen blurs, or you drag yourself through the evening on autopilot. It's tempting to look for a quick fix, and yoga is often pitched as one, with promises that the right poses will "cure" fatigue "in no time." That oversells it. What yoga can realistically offer is a way to move stiff muscles, calm a busy mind, and sleep a little better, which for many people adds up to feeling noticeably more awake. Here's what the research says, which poses are worth trying, and when tiredness is a sign to see a doctor instead.

What the Research Actually Says

Fatigue isn't a disease in itself. It's a symptom with many possible causes, so no single sequence of poses can fix it for everyone. Still, there's reasonable evidence that regular yoga can help.

An umbrella review of systematic reviews and meta-analyses on yoga and chronic conditions found that yoga was associated with improvements in fatigue, along with depression, blood pressure, and blood glucose, and described the evidence on fatigue as adequate enough to support yoga as an adjunct, meaning something done alongside other care, not instead of it. In people with cancer, a meta-analysis of randomized trials found a small but statistically significant reduction in fatigue with yoga (published in a cancer survivorship journal), and a separate meta-analysis of trials in people having chemotherapy or radiation reached a similar conclusion. Reviews in multiple sclerosis also point to short-term benefits for fatigue and mood.

Two honest caveats. First, most of this research is in people with medical conditions, and the effects are usually small to moderate. Second, results vary by yoga style, session length, and how consistently people practice. For everyday tiredness in otherwise healthy adults, the evidence is less direct, though it fits with what we know about gentle exercise and stress reduction: a meta-analysis of randomized trials of yoga and mindfulness practices found reductions in evening and waking cortisol, resting heart rate, and blood pressure compared with active controls, which is consistent with a calming effect on the body's stress response.

Poses That Are Worth Your Time

Think of these as a gentle, energizing sequence for about 15 to 20 minutes, not a workout. Move slowly, breathe through your nose, and stop if anything hurts or you feel lightheaded.

Mountain Pose (Tadasana) with arm reach. Stand tall, feet hip-width apart, and inhale as you sweep your arms overhead, then exhale and lower them. Repeat five or six times. It wakes up your posture and breath without much effort.

Cat-Cow. On hands and knees, alternate between arching and rounding your spine for a minute or two. It loosens the back and neck, where desk-bound tiredness often settles.

Downward-Facing Dog, with knees bent if needed. Hold for a few breaths. It stretches the back of the body and can feel refreshing, but come up slowly afterward. Being upside down and then upright can cause a head rush, especially if you're dehydrated, have low blood pressure, or are already feeling dizzy.

Supported Bridge Pose (Setu Bandhasana). Lie on your back, lift your hips, and rest them on a folded blanket or yoga block. It opens the chest and front of the hips, which tighten from sitting. One correction to a common claim: there's no good evidence that Bridge Pose "stimulates the thyroid gland." Do it because it feels good, not for a supposed hormonal effect.

Child's Pose (Balasana). Rest here for a minute or two between more active poses. It encourages slow breathing and takes tension out of the back and shoulders.

Legs-Up-the-Wall. Lie with your legs resting up a wall for five minutes. Many people find it restful and it's easy to do even on a very tired day.

Corpse Pose (Savasana). End with five to ten minutes of lying still, breathing quietly. This isn't wasted time. It's where a lot of the calming, recovery-type benefit seems to come from.

A Pose to Skip When You're Already Wiped Out

The original sequence includes Camel Pose (Ustrasana), a deep backbend with your hands on your heels. I'd leave it out when you're tired. It's an advanced pose that demands good flexibility and control, and when you're depleted it can strain your lower back and neck, and the head-back position can make some people dizzy. If you want a gentle backbend, a low Sphinx pose or the supported Bridge above gives you the chest-opening without the risk.

Habits That Move the Needle More Than Any Pose

If you're tired most days, look at the basics before blaming your yoga routine:

  • Sleep. Aim for a regular schedule and around seven to nine hours. This is the biggest lever for most people.
  • Gentle daily movement. A brisk walk can lift energy as much as a yoga session, and doing something regularly matters more than doing something intense.
  • Hydration and regular meals. Skipping meals and running low on fluids can both leave you foggy and flat.
  • Stress and screens. Slow breathing and a wind-down routine before bed help more than another late-night scroll.

When Fatigue Needs a Doctor

Everyone gets tired, but persistent or unexplained fatigue is worth a medical check, because it can be a sign of something treatable. Common contributors include anemia, thyroid problems, sleep disorders like sleep apnea, depression or anxiety, diabetes, infections, and side effects from medications. See a doctor if:

  • You've been unusually tired for more than two weeks despite getting enough sleep.
  • Fatigue comes with unexplained weight loss, fever, night sweats, or swollen glands.
  • You feel short of breath, have chest pain, a racing heart, or you faint or nearly faint (seek urgent care for chest pain or fainting).
  • You feel persistently low, hopeless, or have lost interest in things you usually enjoy. If you ever have thoughts of harming yourself, contact a crisis line or emergency services right away.
  • You snore heavily, wake up gasping, or feel exhausted after a full night's sleep.
  • You're pregnant, have a chronic condition, or take medication and notice a sudden change in your energy.
  • Yoga or any exercise leaves you more exhausted, not less, or you feel dizzy or unwell during practice.

If you have a health condition or are recovering from illness or surgery, check with your doctor before starting a new exercise routine.

The Bottom Line

Yoga won't cure fatigue "in no time," but gentle, regular practice can ease muscle tension, calm your nervous system, and help you rest better, and the research suggests small but real benefits, especially alongside good sleep and medical care when needed. Choose the soothing, accessible poses, skip the deep backbends when you're depleted, and treat lingering tiredness as information worth checking out, not something to push through.


References

  1. Yoga and chronic diseases: an umbrella review of systematic reviews and meta-analyses (2025). https://pmc.ncbi.nlm.nih.gov/articles/PMC12207205/
  2. The Impact of Yoga on Fatigue in Cancer Survivorship: A Meta-Analysis. https://pubmed.ncbi.nlm.nih.gov/32368719/
  3. Song, J. et al. (2021). The Effectiveness of Yoga on Cancer-Related Fatigue: A Systematic Review and Meta-Analysis. Oncology Nursing Forum, 48(2), 207–228. https://www.ons.org/publications-research/onf/48/2/effectiveness-yoga-cancer-related-fatigue-systematic-review-and-meta
  4. Cramer, H. et al. (2014). Yoga for Multiple Sclerosis: A Systematic Review and Meta-Analysis. PLOS ONE. https://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0112414
  5. Yoga, mindfulness-based stress reduction and stress-related physiological measures: A meta-analysis. Psychoneuroendocrinology (2017). https://pubmed.ncbi.nlm.nih.gov/28963884/

This article is for general information only and isn't a substitute for personalized medical advice. If fatigue is persistent, unexplained, or accompanied by other symptoms, see a doctor.

Friday, December 1, 2023

Yoga and Throat Infections: What Helps, What to Skip, and When You Need a Doctor

December 01, 2023 0

 

Yoga and Throat Infections: What Helps, What to Skip, and When You Need a Doctor

A sore, scratchy throat makes everything harder: swallowing, talking, sleeping. It's natural to look for anything that might help, and yoga is often presented as a way to "heal" the throat through specific poses. The reality is more modest, and in a few cases riskier than it sounds. Here's what yoga can reasonably offer while you're sick, which popular throat poses are better avoided, and why some throat infections need medical treatment no matter how many asanas you do.

First, Know What You're Dealing With

"Throat infection" covers a lot of ground. Most sore throats are caused by viruses, the same ones behind colds and flu, and tend to improve on their own within about a week. Others are bacterial, and the best known is strep throat, caused by group A Streptococcus. The CDC notes that a strep test is needed to tell the two apart, because looking at the throat isn't enough, and that antibiotics are the standard treatment for confirmed strep. Treated promptly, strep usually improves within a day or two. Left untreated, it can lead to complications, including the serious inflammatory condition rheumatic fever, which can affect the heart, joints, and other organs.

This is the main reason I'd frame yoga as a comfort measure, not a treatment. No pose can tell you which kind of infection you have, and none can replace an antibiotic if you need one.

The Claims That Don't Hold Up

The poses usually recommended for throat infections come with a familiar promise: that they "stimulate the thyroid," which in turn heals the throat and strengthens immunity. There isn't good evidence for this. The thyroid regulates metabolism, and the parathyroid glands regulate calcium, not your body's defense against throat bacteria or viruses. Stretching or compressing the front of the neck hasn't been shown to speed recovery from an infection, so I've left those claims out.

Poses I'd Skip While Your Throat Is Sore

Several poses in the original list put significant demands on the neck:

Plow Pose (Halasana). This pose forces the neck into deep flexion with body weight on the shoulders. Case reports in the medical literature describe cervical spine injuries linked to Plow Pose and headstands, particularly in people with an underlying neck condition. It's an advanced pose that's best learned with a qualified teacher when you're healthy, and a sick day isn't the time.

Fish Pose (Matsyasana) with the crown of the head on the floor. This puts load through the neck in extension. If you're congested, have swollen glands, or a stiff neck, it's an unnecessary risk.

Camel Pose (Ustrasana). A deep backbend with the head dropped back. When you're feverish, dehydrated, or run down, it can cause dizziness or strain on the neck and lower back.

Serious injuries from yoga are rare, but reports exist of cervical artery dissection and spinal cord injury after neck-loading poses. When you're unwell and less coordinated, the sensible move is to skip these.

Gentler Options That Can Help You Feel Better

If you feel well enough to move, think restful and slow:

Neck and shoulder releases. Sit comfortably, drop your chin slightly, and gently tilt your ear toward your shoulder for a few breaths on each side. Coughing and tension often tighten the neck. Stay in a comfortable range and never force a stretch.

Child's Pose (Balasana). Rest here with your forehead on a pillow or block. It's restful and good for slow breathing.

Supported Bridge Pose (Setu Bandhasana). Rest your hips on a folded blanket or block with your head and neck relaxed on the floor. Keep your head still and avoid turning your neck in the pose.

Legs-Up-the-Wall and Savasana. These are easy, restful ways to relax, and rest is what your body needs most.

Lion's Pose (Simhasana), only if comfortable. Lion's Pose is popular for the face and throat because it involves opening the mouth wide, sticking out the tongue, and exhaling with a "ha" sound. I'm not aware of research showing it treats infections, and forceful exhaling can irritate an already sore throat or strain your voice. If you want to try it, do it softly and stop if it hurts. It's usually more pleasant once the worst of the soreness has passed.

If you have a fever, body aches, or you feel unwell below the neck, rest instead of practicing.

What Actually Helps a Sore Throat

Supportive care does more for comfort than any pose: rest, plenty of fluids, and giving your voice a break. Warm drinks, throat lozenges for older children and adults, and a saltwater gargle (for older children and adults who can gargle without swallowing) can soothe irritation. Over-the-counter pain relievers can help with pain and fever when used as directed. Honey in warm water can ease a scratchy throat, but never give honey to a child under one year old.

When to See a Doctor

Don't wait on yoga or home care if you notice any of these:

  • A sore throat that comes on suddenly with fever and swollen, tender glands in the neck, or one that lasts longer than 48 hours (these can point to strep throat)
  • A rash with a sore throat
  • Severe pain on one side of the throat, difficulty opening your mouth, a muffled voice, or drooling (possible abscess; seek urgent care)
  • Trouble breathing, noisy breathing, or being unable to swallow saliva or fluids (go to emergency care)
  • A stiff neck, high fever, or confusion
  • A sore throat lasting more than a week, or one that keeps coming back
  • A child who is very sleepy, refusing to drink, or in obvious distress
  • If strep is diagnosed and you aren't improving after 48 hours of antibiotics
  • Fever, joint pain, swelling, or a new rash a few weeks after a strep infection, which can be a sign of rheumatic fever
  • You're pregnant, immunocompromised, or have a chronic condition and develop a throat infection
  • Neck pain, dizziness, vision changes, slurred speech, or weakness after practicing yoga (seek emergency care right away)

If you're prescribed antibiotics, finish the full course as directed, even if you feel better.

The Bottom Line

Yoga can help you rest and ease tension while you recover, but it doesn't heal a throat infection, and the neck-heavy poses often recommended for it carry real risks. Choose gentle, restful movement, skip Plow, Fish, and Camel while you're sick, and get tested and treated promptly if there's any chance you have strep. Comfort is a fine goal. A cure it isn't.


References

  1. Mayo Clinic. Strep throat: Symptoms and causes. https://www.mayoclinic.org/diseases-conditions/strep-throat/symptoms-causes/syc-20350338
  2. Centers for Disease Control and Prevention. About Rheumatic Fever. https://www.cdc.gov/group-a-strep/about/rheumatic-fever.html
  3. Johns Hopkins Medicine. Strep Throat. https://www.hopkinsmedicine.org/health/conditions-and-diseases/strep-throat
  4. Cervical arterial dissection and traumatic myelopathy following yoga: surgical case report (2022). https://pmc.ncbi.nlm.nih.gov/articles/PMC9046266/
  5. Craniovertebral Junction and Cervical Spine Injuries Associated with some Yoga Asanas: Two Case Reports and Literature Review (case series involving Sirsasana and Halasana). Listed in: https://www.researchgate.net/publication/235620738_Sirsasana_Headstand_Pose_Causing_Compressive_Myelopathy_With_Myelomalacia

This article is for general information only and isn't a substitute for personalized medical advice. If you or your child has a sore throat with fever, swollen glands, difficulty swallowing or breathing, or symptoms that aren't improving, see a doctor.