I’m often asked this question: “How is yoga for cancer patients different than other types of yoga? “ There are many ways we’ve adapted yoga to serve cancer patients.
Physical Ability. The first issue to address is the participant’s physical abilities and limitations. Through a pre-class interview via questionnaire, I will already know what form of cancer each person is dealing with. I’ll know whether there are metastasis to watch out for, surgery sites that are still healing, areas of tenderness from radiation, a general limited range of motion or any non-cancer related issues like back pain, arthritis or bad knees. I’ll also know if they are dealing with the side effects of treatment like joint pain, hormonal imbalances, fatigue, shortness of breath. All of this information helps me design the physical aspect of the class.
The movement and poses should meet the participants where they are. We start in a chair to make things easy. Once I understand their condition and get a sense of how they move, I can either take them into standing poses or onto the floor or we can just stay in the chairs.
Emotional and Mental State. The other main concern in these classes is stress and anxiety. Additionally, through that questionnaire, I’ll also know if they are dealing with high anxiety, depression, poor sleep, or if they have other coping mechanisms in place like family support, psychotherapy, meditation, church or friends. All this determines how I weave in things like breathing techniques for anxiety or meditation to get control of fears.
Adaptable. Also, we start each class with a check-in. I ask how each participant is doing that day and they let me know if something has flared up or if their anxiety is high – maybe they have an upcoming scan or other impending tests. This also informs how I structure the class. Some days we do a restorative class with lots of resting in supportive poses. Some days we are more active and we explore strength and balance in the body. Some days we talk more about the mind – how our thoughts ramp up our anxiety and how we can get control of them.
Relaxation. Finally, I make sure we end with a long savasana, the final resting period. The specific practice I do here is called yoga nidra and it allows the participant to drop into a deep state of relaxation while staying lucid enough to feel their body. In this state they may receive signals or information from their body or their deep self and at the very least, they have this sustained moment to rest in just being.
Classes stay small, under ten people, so that I can stay tuned in to everyone and their needs.
Educational. Where I can, I try to educate the participants on the physiological changes that these practices elicit – how these practices are supporting the immune system, supporting healing. This style of yoga can give a cancer patient their body back, help them take control, calm the anxiety, regain strength, flexibility and balance, deepen their awareness, and induce a much needed sense of peace.
Michelle Stortz, C-IAYT, RYT500, MFA
I have been specially trained to work with cancer patients. I am a certified yoga therapist through the International Association of Yoga Therapist. If you are looking a yoga-for-cancer class, look for similar credentials.