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Medicine Science

Study Finds Yoga Works As Well As Physical Therapy For Back Pain (time.com) 172

An anonymous reader quotes a report from TIME: Another study is touting the benefits of yoga -- this time, for people with back problems. The new research put yoga head-to-head against physical therapy and found the two were equally good at restoring function and reducing the need for pain medication over time. In the new study, published in Annals of Internal Medicine, a group of 320 people did 12 weeks of yoga or physical therapy, or they simply received a book and newsletters about coping with back pain. People in the active treatment groups reported that their pain was less intense than it was at the start of the study and that they were able to physically move more. Some were also able to reduce, or even stop, their pain medications. Those improvements stuck around for a full year after the study was over. This research is unique because the people in the study were racially diverse, and most were from low-income families. Many had pre-existing medical conditions. That's important, say the researchers, because chronic back pain -- which affects about 10% of U.S. adults -- has a greater impact on minorities and people of lower socioeconomic status.
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Study Finds Yoga Works As Well As Physical Therapy For Back Pain

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  • same difference (Score:5, Insightful)

    by networkzombie ( 921324 ) on Tuesday June 20, 2017 @10:45PM (#54658589)
    Isn't yoga physical therapy? Except for the therapist / yoga guru, they seem the same.
    • Re:same difference (Score:4, Interesting)

      by ShanghaiBill ( 739463 ) on Tuesday June 20, 2017 @11:35PM (#54658729)

      Isn't yoga physical therapy? Except for the therapist / yoga guru, they seem the same.

      Pretty much. My wife has a back injury and tried both yoga and physical therapy. The yoga was stretching and exercises. The physical therapy was stretching and exercises. The only difference was that PT cost money, while she could learn yoga for free from Youtube videos.

      • Re: (Score:3, Insightful)

        by Anonymous Coward

        And likewise you can get many physical therapy exercises for free online too. But often a bit of personalization to your problem and feedback on your form can go a long way to making sure you learn the right way of doing things and lower risk of injuring yourself in the long run. In that case, physical therapy is free for many insurance programs while yoga is not.

      • Re:same difference (Score:5, Insightful)

        by AmiMoJo ( 196126 ) on Wednesday June 21, 2017 @06:38AM (#54659905) Homepage Journal

        The difference between physical therapy and yoga is not the exercises. It's that a physical therapist with some kind of medical qualification evaluates your needs and makes recommendations. For many people those recommendations will just be "do yoga", but if the pain is the result of an injury it might be useful to know what exercises are safe and won't make it worse.

        Obviously up to you if you think paying for that advice is worth it. I've found that just experimenting carefully by myself had better results.

        • Perhaps where you're from... most people I know who have gone to physiotherapy have ended up in physio sessions three times a week doing various stretching and exercise.

          • Re:same difference (Score:4, Interesting)

            by LunaticTippy ( 872397 ) on Wednesday June 21, 2017 @11:24AM (#54661825)
            When I had physical therapy I didn't want to go in 3x a week so I asked them if they could show me the techniques and I would do them at home. They were happy to oblige. Many patients are bad at doing the exercises and want the hand holding, but it isn't mandatory. The PT clinic isn't going to promote home care since they don't get paid for it.
        • I've had a persistent IT band problem for about 15 years from doing a lot of cycling and not noticing that my saddle was slightly askew for a while. To this day, if my bike is set up incorrectly, I'll end up with a pain so intense that I absolutely can't move my leg while I'm on the bike, and it will even make walking difficult later.

          I went to physio for it. There were stretches and TENS therapy and massage with an obnoxious piece of metal (it was shaped like a large butterknife and was used to break down s

        • In Germany many (most?) Yoga teachers are actually Physio Therapists.
          That way their students can get the course costs partly or fully refunded by the health insurance.

      • I've done Yoga twice. It kicked by ass both times.

        Think of it as low level gymnastics. I mean the kind where you get on those rings and slowly go from vertical to horizontal o vertical again.

        Crazy shit.

    • by HiThere ( 15173 )

      What you need to remember is that there are loads of schools of yoga, and many of them weren't designed to improve your body. Some of them don't even directly address the body.

      But even if you restrict the domain to hatha yoga, which is what you are contemplating, it includes things like standing on one leg for hours with your fingers pressed against your palm. This intentionally causes pain, and is not designed to improve your body in any way (though I guess it might improve your balance).

      So you need to s

  • by Anonymous Coward

    Use whatever works best. I once got a printout of lower back exercises from my doctor and it worked better than anything else. No yoga, no PT, just follow the instructions and I felt much better. You have to do it consistently, so that may be why some people find yoga better than PT.

  • Physical therapy and yoga are very similar. Shockingly enough!!!

    • by gnick ( 1211984 )

      One has stretchy bands, inflatable balls, and machines. The other has pants that should require a license to wear.

  • Not surprised at all (Score:4, Informative)

    by moronikos ( 595352 ) on Tuesday June 20, 2017 @10:55PM (#54658621) Journal

    Since when I went to Kaiser Permanente 20 years ago for back pain, they gave me a bunch of exercises with my physical therapy. A few years ago I was reading a book about yoga and all the exercises they gave me were yoga moves. So, basically the physical therapy is yoga.

  • No shit. (Score:5, Informative)

    by Qbertino ( 265505 ) <moiraNO@SPAMmodparlor.com> on Tuesday June 20, 2017 @11:42PM (#54658739)

    This sounds like something straight from the mouth of Captain Obvious.

    Truth be told, Yoga is about as "full body workout" as it gets.

    If you think Yoga is just some spiritual foo-foo wah-wah shit and all the health benefits are placebo, you are soooo wrong. Yes, the fortune-cookie wisdoms Yoga instructors dish out at the end of a workout when everybody is chilling and meditating can be flat-out cringe-worthy and inscence and sitar music (or whatever that string-instrument is called) isn't everybody's thing, but the 90 minutes that went before that are enough to put any regular iron-pumper or cross-fit person into gasp and sweat mode. Taking the positions slowly and elegantly ("Ansanas" in Yogaspeak) and holding them is really hard and requires a lot of strength and coordination and at times goes beyond pro level gymnastics.

    Oh, and the countless chicks that do it are often pretty hot. And I mean that in more ways than one. :-) ... Which reminds me that I actually just had an excessive flirt (and some very nice dances) with a cute Yoga instructor this weekend ...

    So, yes, there are a lot of benefits to doing Yoga, including those of regular physical health, strength and flexibility at the same time. That Yoga is about as good as it gets when treating muscular deficiencies in your back is something well established.

  • neither works anywhere near as good as progressively loading a barbell with weights and engaging in a strength based training routine consisting of squats, deadlifts, and presses.

    • Or you could injure yourself further

      • No, you couldn't. Not if you do Yoga correctly. Emphasis is on careful attention to the body and what it tells you, and there is never any encouragement to push beyond what is good for your body in true Yoga. Indeed, quite the opposite. You carefully and gently move, never pushing beyond your own limitations or you are doing it wrong.
        • I think cyber-vandal was referring to weight training, which is dangerous if you don't do it right. (That's why I preferred the exercise machines in the gym to the free weights: it was a lot easier to use the machines properly, even if all they were doing was getting me to lift weights with various muscles).

    • neither works anywhere near as good as progressively loading a barbell with weights and engaging in a strength based training routine consisting of squats, deadlifts, and presses.

      This. I'm generally a slob, but if I start getting back pains or other physical issues, I start with the barbells and squats and avoiding the elevator and within a couple of weeks, it's all fixed. If I was into it, I'd do it all the time, but I'm not.

      • For back issues build core muscles. Most people with back issues have core muscles that need more exercise. Crunches etc also people really need to do daily stretching were they tighten and relax those core muscles.

    • Says the guy who has no clue how the body works ...

    • Can't tell if serious...
    • Tell that to people that are learning to walk again after being in a car accident or some other similarly traumatic incident. Some of the people that physiotherapists help are wheelchair bound before they get into therapy. Don't be an idiot.

    • You have no idea what you are talking about. Part of the problem is that you, like most people posting, don't know what Yoga is and have never done it, but feel qualified to post your ridiculous claims anyway. The people saying Yoga is bending and stretching have no concept of what Yoda is either.

      There are numerous branches of Yoga, and the branch everyone is referring to, Hatha, is specifically intended to prepare the body for meditation. Yes there is bending and stretching, but much more importantly the
      • I started taking a meditation class at a place that teaches yoga, and I found that it made me a lot better at noticing things. It wasn't a physical change, but it reminded me of when I was younger and I'd need a new prescription and how the world looked when I got my new glasses. I'm also feeling a little calmer when things aren't going the way I want. So far, disregarding all philosophy, it's well worth my time and money.

        • Exactly. It makes you more mindful (i.e. awareness of the present moment.) This is a scientifically proven fact.
  • Even if it cured cancer and I had it, my wife would likely demand to escort me to and from a yoga studio.

  • by Anonymous Coward on Wednesday June 21, 2017 @12:22AM (#54658835)

    "The once-a-week yoga classes in the study were designed specifically for back-pain patients"

    I'm compelled to stress the importance of this and of not doing exercises that lastingly increase pain. Many people with back pain who go to normal yoga classes end up being sore from pain instead of muscle soreness after since the programs are typically not customized to their needs/abilities.

    • Good eye catching that. Surely some injuries require avoidance of certain stretches or exercises.

      Some tips for somebody with back pain reading this: plain old walking and wearing non-tight pants helps a lot with back pain. Comfortable stretching and isometric exercises are good. As you get less pain and more strength or endurance, I would recommend progressing to longer workouts or more activity. But use common sense and don't overdo anything that causes more pain to appear the next day.

    • You don't have to stress it. That is a core component of Yoga. Those who are getting the pain aren't going to Yoga practitioners, they are going to Gyms where it is de riguer to capitalize on the idea of Yoga, for a profit, but really they don't do actual Yoga.
  • I have a suggestion (Score:4, Interesting)

    by slashmydots ( 2189826 ) on Wednesday June 21, 2017 @02:03AM (#54659081)
    They should take away all the "breathing in energy" bullshit and find out what the movements are doing in hard, physical science and then copy it...wait that would just be physical therapy actually. What a coincidence.
    • Like me, you're probably someone who enjoys exercise and doesn't need a carrot on the end of a stick to persuade you to do it at all in the first place, but remember that you and I are outliers, the average person would rather do anything other than exercise, up to and including die young of horrible diseases, because it's 'unpleasant'. I, too, think there's a lot of 'goofy woo-woo' stuff involved with yoga, that mainly makes it take twice as long as it needs to really take to do, but it seems to me that if
    • by PJ6 ( 1151747 )

      They should take away all the "breathing in energy" bullshit and find out what the movements are doing in hard, physical science and then copy it...wait that would just be physical therapy actually. What a coincidence.

      Breathing correctly is the most important part of yoga, and the reasons for this are well-known to the medical community. You could research the topic, or just do it and see for yourself why it's obviously true.

      Movement is actually very complicated. Moving say, just your arm from point a to point b in a given position, isn't simple at all. We're not robots. There's almost an infinite number of internal variations available to any given movement, and some of that variation is even linked to your autonomic

  • What is called "Yoga" in the US is in fact "Hatha Yoga", as mentioned onto the wikipedia page:
    https://en.wikipedia.org/wiki/... [wikipedia.org]
    https://en.wikipedia.org/wiki/... [wikipedia.org]

    Hatha Yoga's goal is to increase longevity and improve health, so it's no surprise that it works for back pain.

    Personally, I practice yoga, but not hatha yoga, so it always bothers me when these two are mixed up.

  • Just in time when I and my wife wanted to do some yoga for our better health http://williamreview.com/im-vi... [williamreview.com]
  • All of this sounds about right.

    In fact, if you take a hindu to a physical therapy program and ask him what he just did, he'll say 'yoga'. If you take a physiotherapist to a yoga session and ask her what she just did, she'll say 'physical therapy' (assuming you avoid the weird stoner-stuff about energy and one-with-the-universe cringe that comes after). I've been doing physical therapy for quite a while now (back problems), and I can't see any difference between physical therapy, stretching, and yoga. They all revolve around moderate exertion of muscle groups that we don't normally exercise in our day-to-day lives.

    Of course, there is also the usual virtue signalling bullshit included here.

    That's important, say the researchers, because chronic back pain -- which affects about 10% of U.S. adults -- has a greater impact on minorities and people of lower socioeconomic status.

    I would like to see the study that concludes that my life is 'more' fine with backpain than anyone else's. Is it less important to be able to play with your kids if you aren't the appropriate minority? Do you not benefit from long walks if you are rich? Are active hobbies only relevant if they prevent you from a life of crime?

    If there isn't a study on this, then these researchers are regurgitating intellectually dishonest narratives (something which is usually consigned to the social "sciences"). I really hope this isn't part of a trend, since internal medicine is a field that must be harshly structured around logical thought and cold hard data.

    • Re: (Score:2, Insightful)

      by Anonymous Coward

      If you're rich you won't have to stack shelves at walmart with a bad back.

  • After suffering from lower back pain and sciatica for quite some time and even having a nerve block treatment. I've done yoga practice with my partner (recently qualified yoga teacher) she tailored sessions to work on my lower back . Now I have much better posture and body awareness, my back pain has not returned since. I cannot recommend yoga highly enough. My back issues were probably caused by my job Software Engineer where I sit on my arse all day tapping away at a keyboard!

  • Obligatory GTAV
    https://www.youtube.com/watch?v=YJ-wwqOhb3U

  • Not surprising, they use yoga exercises IN physical therapy. It's the same mechanics involved.
  • Given the high price of good yoga classes, can we get insurance to pay for it. How about time-off 3x/week to goto yoga class?

    Versus... getting higher monetary payments for "physical therapy" &
    time-off to go to doctors' visits and therapy?

    Which is easier for the employee?

    • Depends on the employee, employer, and insurance plan, I guess. The yoga might be cheaper than the deductible for physical therapy, for example.

      I also have to go through medical channels for physical therapy. I can sign up for a yoga class at a place three blocks from my home without justifying anything and without paying all that much.

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