Ooops!! Your PLL is showing!

Image

In our anatomy segment this week, let’s take a closer look at my favorite ligament, the PLL (Posterior Longitudinal Ligament) and why you should take responsibility for it’s integrity before major spinal problems arise.

Image

I see an interesting array of posture in my profession. I also hear interesting stories of people who work from home..on their Laptops, in bed, slumped and propped with pillows for 10 hours a day.

Image

In the above image, we are looking at you from the front. The posterior longitudinal ligament is situated inside the vertebral canal, and runs along the entire posterior surfaces of the bodies(the chunky part) of the vertebræ, from the body of C2 (axis), where it is continuous with the membrana tectoria, all the way down to the sacrum. In the lumbar spine, it gets nice and thick and broadens just behind each intervertebral disc.

Image

When you flex your spine to touch your toes, the nucleus of the intervertebral disc acts like the bubble in your Leveler tool. It moves posteriorly and hopefully bumps into a nice, healthy, broad PLL. The PLL acts as a block to the posteriorly moving nucleus of that disc and you get to get up the next day!

Let’s consider the integrity of Mr. Couch Potato’s PLL (above) or that of the dude working from bed or slumped at his desk. That PLL is no longer nice and broad and taught. It’s overstretched and slack! Maybe our poor example is the weekend warrior at the gym rushing through hamstring stretches like these:

Image

Image

Image

In each of these examples, the only thing being over stretched is the PLL!  Add to these above positions the unnatural effort of bearing down and holding the breath and…well…just call the EMTs because that disc is going to blow right through the slack PLL and into the spinal canal or laterally into the nerve root. Maybe you actually make it home from the gym and later just reach across the table for something. That’s usually the story I hear, “I don’t know what I did! I just reached for my Coke!” If our postural habits and lack of good Wellness Education (WE) continue long enough, eventually we tip the scale. The absolute key  here is prevention and education. Once that PLL is overstretched, we have a problem and 23 discs to protect!

It is vital that you keep your spine erect and long in all forward bends. As PTs, Pilates and Yoga Teachers and Yoga Therapists, we must insist.

When you stretch the hamstrings with this in mind, you probably won’t go anywhere near as far as you are used to…and that’s wonderful!

Image

Most of us will never enjoy this full expression of Janushirshasana in our bodies, however between sitting at your desk and the above posture is a whole range of exploration! All of the forward bends in Yoga can be fully adapted by your Yoga Therapist to meet your needs. It is not even a requirement to be able to get down on the floor! The forward bends facilitate introspection. In addition you are stretching all the musculature in the posterior leg and spine (gastrocnemius, hamstrings, gluteus maximus, erector spinae, quadratus lumborum and latisimus dorsi). Far from a passive event, you will be strengthening the quadriceps, the abdominals, lower and middle trapezius as well as the erector spinae to hold the proper alignment.

Janushirshasana with Props (blanket under hips and small bolster under knee). The Bolster creates slack in the hamstrings, allowing me to elongate the spine. The blanket tips my pelvis forward a bit taking out any slump. The strap helps me engage my middle and lower trapezius to further elongate tailbone to crown with an open chest.

Image

Janushirshasana without props:

Image

Paschimottanasana with props:Image

If it is your regular practice to push through an overly flexed spine in Janushirshasana or Paschimotanasana, try backing off a bit and use the props to help you go deeper into reflection instead of deeper into pain and resistance.

Preserve the integrity of the PLL and of your intervertebral discs. They will thank you for many years and you won’t have to walk around with your PLL showing!

 

Advertisements

Tags: , , , , ,

About No Boundaries Yoga Therapy

LISA Z. HUGHES, BS, PT, RYT500, Certified GYROTONIC Instructor, CPI Lisa Hughes is a licensed Physical Therapist, having received her degree from Northeastern University in Boston, MA. She is a Yoga Alliance 500 hour Yoga Therapist through the Pranakriya School of Yoga Healing Arts under the direction and tutelage of Yoganand Michael Carroll, E-RYT500, Dean of The Kripalu School of Yoga and Marlysa Sullivan, MPT, E-RYT500, Director of The Center for Integrative Yoga Studies in Atlanta. She is the owner of No Boundaries Yoga Therapy, LLC in Alpharetta, GA., where she sees private clients for Yoga Therapy. Lisa teaches "Adapting Yoga for Disability" available to Doctoral Physical Therapy students at Emory University. Lisa has thirty years of clinical experience as Licensed Physical Therapist, specializing in pain science, sports medicine, and rehabilitation medicine. While working with the head of the American College of Sports Medicine at the Sports Medicine Clinic in Children’s Hospital Boston, Lisa has rehabilitated professional football players from the New England Patriots and Cincinnati Bengals, dancers from the Boston Ballet Company, and many elite level gymnasts, runners and cyclists. She has worked with cancer survivors as well as organ transplant recipients and specializes in adapting Yoga for all disability and for the medically fragile. Lisa treats the whole client, integrating the traditional Physical Therapy modalities of neurophysiological manipulation and myofascial release with the ancient healing tools of Yoga Therapy for clients with chronic medical conditions, the medically fragile and the able-bodied new student. It is her vision to open Yoga to every body, regardless of age or medical condition. In 2015 Lisa founded an Adaptive Yoga for Disability group class at Next Step Paralysis Recovery in Alpharetta, GA., which has grown to over 10 students and more than 30 volunteers. Lisa is married and has three children. In her free time, she is a cyclist, an adventurist and practices Yoga and Meditation daily. She is a volunteer with the Paralyzed Veterans of America and the Challenged Athletes Foundation (www.challengedathletes.org), whose mission it is to provide opportunities and support to people with disabilities so they can pursue active lifestyles through physical fitness and competitive athletics.

2 responses to “Ooops!! Your PLL is showing!”

  1. Richard Williamson says :

    Just exactly what we talked about today. Getting my strap to practice tomorrow—after golf!

    RW

    Sent from my iPad

    >

  2. Jyoti says :

    Great article!!! Thanks so much for this! I will be referring many people to read it!

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

%d bloggers like this: