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Bearing Up Under Pressure

We ask our wrists for strength and fexibility in yoga. Here are some pointers for keeping these complex joints safe and for rehabbing them if they've been strained.

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Almost every yoga class includes one or two people who complain of wrist problems. Perhaps their difficulties began with long hours at a computer keyboard, or with a hard fall on an outstretched hand, or even with doing asanas. Whatever the cause, the problem may be exacerbated by bearing weight on the hands in yoga.

Yet such weight bearing is a very important part of asana practice. If you've ever had a wrist problem, you know how much it can interfere with your yoga. Wrist injuries can be especially demoralizing if you prefer a vinyasa-based style, in which you place weight on the hands over and over again as you flow through the classic Sun Salutation series—which includes Plank Pose, Chaturanga Dandasana (Four-Limbed Staff Pose), Urdhva Mukha Svanasana (Upward-Facing Dog Pose), and Adho Mukha Svanasana (Downward-Facing Dog Pose). If your wrists are strained, such asanas can cause you pain and further injury. Fortunately, a careful and gradual approach to increasing wrist flexibility and strength can help most students avoid problems—or rehabilitate the wrist if necessary.

A Vulnerable Marvel

Weight bearing on the arms seems to bring out the wrist's vulnerability. After all, the wrist is a relatively small joint, and a lot of rather delicate tissues are packed into this small area. These tissues include ligaments that knit the wrist bones together, as well as tendons that connect the forearm muscles to the fingers and help give the fingers their remarkable dexterity. Strain or irritation in these tendons can be a major factor in wrist pain.

To understand what causes this kind of pain, it's useful to consider the structure and function of a normal wrist. The wrist helps with control of the fine motor activities of the fingers and thumb by positioning and stabilizing the hand, which allows us to accomplish uniquely human endeavors like writing, drawing, and sewing. Most of the wrist's movement occurs at the juncture of the radius (one of the two forearm bones) and several of the carpal bones, which sit deep in the heel of the hand. Some movement also occurs at the junctures between the individual carpal bones.

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