Hipimpingement,alsoknownasfemoroacetabularimpingement(FAI),isamechanical andstructuralissuewithourbonesandhowtheymove.Individualswhohaveitmight experiencepainorapinchingsensationatthefrontoftheirhipsduringorafteryoga practice,andtheymightfinditchallengingtobringtheirthighsandtorsonearby.FAI hasbeenlinkedtojointdegeneration;leftuntreated,itcaneventuallycausejointissues includingosteoarthritis.
Aneffectivestartingstepmightbeidentifyingtheposesthatmakeourhipproblems worse.AccordingtoFoster,whoistalkingaboutpositionsthatallowforjointspace,"our hipsaremorecomfortableinpositionswithmoreslack,'openpacked'poses."Shedoes note,however,thatmanysituationsare"tight-packed,"meaningthereislittleroom betweenbonysurfaces.
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Whateverthecasemaybe,whetherthepackisclosedoropen,wehavetheoptionto skipormodifyanypositionthatcausesdiscomfort.Cofieldargues,"Pushingthroughthe discomfortisnottheanswer,"contrastingtheapproachofsomeyogiswhostickwith awkwardpositionsinthehopesthattheymaygrowmorecomfortable.Thesituation willonlyworsen.Itwilltakethesesymptomslongertogoawaythemoreyoutryto ignorethem.
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It'sironicthatyoga,whichisgenerallypraisedforitspositiveeffectsonflexibilityand jointhealth,mayhavetheoppositeeffectonpeoplewhoarepredisposedtoFAI. Fortunately,wemayalleviatepainandperhapsavoidfurtherhipdamagebymodifying ouryogapracticesandourmovementstrategies.
Inadditiontoavoidingthesepositionsiftheycausepain,thoseofuswithFAImaywant toavoidanyposesinwhichwefeelbonesrubbingagainstoneother,suchaswhenthe frontofourhipscomesintotouchwithourthighbones,bynotgoingasfarorasdeep: Toavoidthehazardousarea,wecanattemptanglingourlegsandtrunkfurtherapart.If weraiseourhipsinutkatasana,forinstance,wecankeepourthighsandourspine furtherapart,whichmayrelievesomeofthepressureonourhips.