I’m injured, and yes, yoga caused it. At first I was in denial. Sure I could admit that yoga contributed to the injury, but I thought it was more a combination of the yoga plus the kickboxing plus the grand battements plus a possible lack of proper hydration (dries out the joints).
But no. It’s the yoga. Nothing else I’ve done in my life—not ballet, not kickboxing—has ever caused this much pain. Plus the timeline is unmistakable.
I upped my yoga practice around March of last year. In April, the first twinges of my butt pain started, but nothing I couldn’t handle. It was more twinge than actual pain, right where the cheek ended and my thigh started on the left side. I was convinced it would heal on its own. My chiropractor, who was treating me for an unrelated injury, worked on it some, but it didn’t go away. Then I discovered Ashtanga right around April. The primary series is rife with forward bends and twists. The pain began to steadily intensify after that, but it was so incremental that I could always power through it. By springtime, sitting started to hurt. So I went to a highly-recommended massage therapist and acupuncturist, convinced that a combination of the two alternative therapies would erase the pain for good. They worked on me throughout the summer and early fall, and while I received relief, it was temporary at best and the pain came roaring back, each time more acute than ever.
Meanwhile, I continued practicing yoga. Matter of fact, I was getting better, stronger, more stretchy. I was rockin the headstands and arm balances. While I couldn’t put my forehead all the way down on the left side in the Janu Sirsasanas, I could on the right side. So I wasn’t that worried yet. But the pain was still continuing to worsen, so finally, I decided to go see a proper doctor.
Before you yell at me for not having gone to a doc early on in my injury, I need to disclose my love/hate relationship with the medical establishment. Let’s just say my family has had a long and painful history with all things western medicine-related and let’s leave it at that, but this was why I was wary about seeing an M.D. Luckily a colleague was currently undergoing pain treatments for multiple injuries to her spine and she told me about her docs who believed not only in healing the injury (as opposed to simply making the pain go away with narcotics and drugs), but that they also specialized in non-surgical treatments. Yay! Docs after my own heart.
So I went to go see them. Initial diagnosis: ischial tuberosity, which is a fancy medical term for “pain in butt.” Possible cause: lack of proper hydration, causing the tendons and ligaments to dry up over time. They first gave me two cortisone shots, one on each butt cheek. The pain relief was immediate, but alas, temporary. So they decided to let me undergo something called prolotherapy, which involves shooting me up with a dextrose solution deep into the areas of pain to promote inflammation and letting my body’s natural healing mechanisms heal the new inflammation. Yep, you guessed it—more pain on top of pain. But this treatment method is designed to heal instead of hide the pain.
The bad news: because this treatment is designed to heal, the process is long-term and I will most likely not improve until after multiple treatments that are not covered by insurance months and months from now.
The good news: I finally have a firm diagnosis on the cause: yoga. Okay, this isn’t “good” news, but it’s always a relief to find out what’s causing your body’s malfunction. And no, my doc didn’t actually say “yoga.” What he said was “chronic misalignment of your sacroiliac joint,” meaning my SI joint slips out of place all the time now. Every time he sees me, it’s been out of whack.
I wondered as to what could be causing this chronic misalignment so off to the Interwebs I went. And lo, look what I found! Says right here there are four causes of SI pain: traumatic, biomechanical, hormonal and joint inflammatory disease. And under “biomechanical,” this is what it says:
Pain due to biomechanical injuries will usually come on over a period of time and often with increased activity or a change in occupation/sport etc. The most common biomechanical problems include:
- Leg length discrepancy
- Overpronation
- ‘Twisted pelvis’
- Muscle imbalances
“Over a period of time?” “With increased activity?” A “change in occupation/sport?”
That could only mean one thing: my yoga practice.
If and when my docs manage to correct/heal my ischial tuberosity and SI pain, I don’t know what this will mean for continuing my practice since I don’t know specifically what ABOUT my practice is causing my SI joint to get misaligned. Is it the twists? The hyper-forward bending? Is it a specific asana?
Or maybe (and I cringe as I’m about to type this), I should quit practicing altogether. (No!)
Hubby went to the doc with me this morning and he learned how to slip my SI joint back in place. So maybe that’s all it will take for a pain-free existence—for someone to knock the joint back in place on a daily basis. Or maybe, on the other extreme, I will need to stop practicing altogether (oh the humanity!).
But hopefully I can find some kind of middle ground that will make yoga still accessible while remaining injury and pain-free. In the meantime, I’m off the prolo and moving on to something called Plasma-rich Platelet (PRP) therapy. Let’s hope it works. But what to do about yoga in the meantime?
On the one hand, the injury has greatly humbled me. I used to think nothing of my ability to fold forward and touch my forehead to my knees. Utthita Hasta Padangusthasana was a breeze. I took my stretchiness for granted, my body for granted.
Now, I struggle through the most basic of poses. Padahasthasana with straight knees has become impossible. Now when I look around the room whenever we’re doing a what-used-to-be-an-easy asana that I’m struggling through, and I see my fellow participants breezing through it, I feel frustration. But I know I can’t force it. THAT would be the worst thing I can do.
It’s a good thing yoga is not a competitive sport. Far from it actually—all my teachers emphasize the breath first, asana a faaaaar second. They all tell me to listen to my body, do only what’s accessible. And most of all, they all tell me to focus on myself and no one else.
Now more than ever, I need to internalize their teachings deep into my being and live it off the mat. Maybe if I’m successful, this—plus the medical treatments—are what will finally get me over the injuries.



