How to Practice Yoga Post-COVID-19

Aug 3, 2021 | Desiree Ahrens | @ahrensdesiree | Comments (11)

Posted on behalf of Dr. Bala Munipalli, M.D., from the Post-Acute Sequelae of COVID (PASC) Clinic at Mayo Clinic Jacksonville.

In the spirit of guiding your well-being journey, I thought I would share a form of exercise that is for everyone, that can be done without equipment, in only a few minutes, and that encourages moments of relaxation during exercise---you guessed it- YOGA.  Yoga integrates mind, body, and spirit to achieve oneness with the universe.

If you have never practiced yoga before, it can be awkward and feel uncomfortable when first learning poses.  It is imperative to practice self-compassion, patience, and accept your current limitations.   Learning the four steps to beginning yoga, will help in your journey to wellness (1):

Firstly, it is important to learn basic yoga breathing, also called Dirga pranayama-an active form of breathing which involves breathing continuously through the nose, both inhalation and exhalation.  Inhalation starts just below the belly button, moves to the low chest, then to just above the sternum and exhalation starts just above the sternum, moves to the low chest, and to just below the belly button (1).

Secondly, sit in easy pose (Sukhasana)-buttocks on the floor, legs crossed, feet below the knees, hands on the knees, or the lap, palms face up or down.  Press hips into the floor, lengthen the spine, shoulders down and back, chest forward toward the front of the room. Relax face, jaw, belly, rest tongue on the roof of the mouth, behind the front teeth (1).   This pose is designed to provide a sense of calm.  However, if you are experiencing knee and hip pain, then try using a blanket under the knees or hip bones.

A variation to Sukhasana is the accomplished pose (Siddhasana) which involves placing one foot close to the inner thigh and the other foot close to the ankle so heels are almost at midline (1).

While in Sukhasana or Siddhasana, practice mindful meditation-be in the moment, quiet your mind.  Regular meditation can help well-being, reduce stress, anxiety, improve memory and concentration, and provide inner peace.  If meditation is difficult, then try an intention or a brief prayer (sankalpa) of what you want to accomplish with your yoga poses, for the purpose of giving you deeper focus as you practice (1).

Thirdly, practice yoga poses starting with simple ones first and as you get more comfortable, add poses (1).  Don’t overdo, don’t push through pain-if you feel pain, stop and go to a different pose, until you become more familiar and comfortable with poses.

Lastly, always end your practice of yoga with Shavasana, or relaxation pose (1).  This involves, lying on your back, and relaxing your body for 5-10 minutes, and ending in a seated position with meditation to transition “back to the world.”

Set SMART (specific, measurable, attainable, realistic, timely) goals, which can be used not only for yoga, but for life.  For example, set a goal of practicing yoga stretches for 5-10 minutes every 2 hours throughout your workday.  By setting this goal to practice yoga, you are also setting a goal toward self-care, self-compassion, and well-being!

Remember-“ The nearer a man comes to a calm mind, the closer he is to strength.” Marcus Aurelius

Learn more about self-care during post-COVID syndrome and share with others in the discussion group.

Yours in well-being  ---Bala Munipalli, M.D.

  1. Burgin, Timothy. How To Start A Yoga Practice (4 Steps). Yoga Basic

Article by Dr. Bala Munipalli, M.D., from the Post-Acute Sequelae of COVID (PASC) Clinic at Mayo Clinic Jacksonville.

Interested in more newsfeed posts like this? Go to the Post-COVID Recovery blog.

@bmunipallimd I would very much like to practice yoga, and I have tried it a number of times, but having had two knee replacements my legs do not bend enough for many of the poses. Also, I am working on balance but standing on one leg can be extremely difficult for me, particularly on my L leg.

In a situation like mine, what do you recommend? For some reason chair yoga is not appealing to me but perhaps I should give that a try. Also, one of the yoga types, I forget the name of it, where a pose was held for a very lengthy amount of time did not work well for me.
JK

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@contentandwell

@bmunipallimd I would very much like to practice yoga, and I have tried it a number of times, but having had two knee replacements my legs do not bend enough for many of the poses. Also, I am working on balance but standing on one leg can be extremely difficult for me, particularly on my L leg.

In a situation like mine, what do you recommend? For some reason chair yoga is not appealing to me but perhaps I should give that a try. Also, one of the yoga types, I forget the name of it, where a pose was held for a very lengthy amount of time did not work well for me.
JK

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Using a chair for the poses that give you discomfort or challenge your balance is wise. You do not need to use the chair for your whole practice but having it nearby can be very useful. In Yin Yoga you hold poses for a long time to help facilitate a deep stretch.

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@contentandwell

@bmunipallimd I would very much like to practice yoga, and I have tried it a number of times, but having had two knee replacements my legs do not bend enough for many of the poses. Also, I am working on balance but standing on one leg can be extremely difficult for me, particularly on my L leg.

In a situation like mine, what do you recommend? For some reason chair yoga is not appealing to me but perhaps I should give that a try. Also, one of the yoga types, I forget the name of it, where a pose was held for a very lengthy amount of time did not work well for me.
JK

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I have two knee replacements and do yoga twice a week. What works for me is to tell the yoga instructor before class my need to modify poses. I have done Zoom classes and in person classes. Hopefully, they give a choice of a pose or a modified pose. That has worked for me. Balance is a big issue for me. Presently, for tree pose, I just put my foot against my leg. I don’t even lift it off the ground. Good Luck.

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@jkh

Using a chair for the poses that give you discomfort or challenge your balance is wise. You do not need to use the chair for your whole practice but having it nearby can be very useful. In Yin Yoga you hold poses for a long time to help facilitate a deep stretch.

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Thank you for your response, @jkh. I never thought of using a chair when the pose is sitting on the floor, cross-legged.

Yes, it was Yin yoga that I tried once and did not enjoy. I prefer poses that flow to being static for so long.

@pegkavaney Thank you. At this point I am still not returning to my health club so I am doing video classes on Youtube. I will try some of the things you mention.
JK

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@zander44

I have two knee replacements and do yoga twice a week. What works for me is to tell the yoga instructor before class my need to modify poses. I have done Zoom classes and in person classes. Hopefully, they give a choice of a pose or a modified pose. That has worked for me. Balance is a big issue for me. Presently, for tree pose, I just put my foot against my leg. I don’t even lift it off the ground. Good Luck.

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Hello @pegkavaney and welcome to Mayo Clinic Connect. Thank you for sharing what I feel is very sage advice about sharing your limitations up front so the instructor can share modified poses.

How long have you been practicing?

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@bmunipallimd thank you sooo much for this information and all you are doing to help COVID long haulers etc..you and your staff and co workers all put yourselves on the line to help us and continue to do so so patiently and throughly I hope you know how appreciated and cared for you are!

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My occupational therapist gave me this sheet of chair yoga poses to do since I get dizzy. I have really enjoyed doing them.

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I have posted in the past. I have been doing yoga for over ten years. I will soon be 80. I am now doing Zoom classes. Finding a class and a yoga teacher that will listen, teach you to modify poses, and be encouraging. I just got done with my Zoom class. Told the teacher I was having some dizziness and balance issues. She thanked me. I know Silver Sneakers have lots of yoga classes…I do not use that site. And I believe they are free. Good Luck to all.

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How do I get rid of my name being posted. Thanks.

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@zander44

How do I get rid of my name being posted. Thanks.

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Hi WBG, I can help you with changing your username. Please send me your request using this form https://connect.mayoclinic.org/contact-a-community-moderator/

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