There is a wise saying, “There are no knee openers in Yoga.” This saying helps protect our knees when we are working to open our hips: if the hips are very tight, the stress of postures, such as Pigeon or Cowface, will often go right into the knee and could tear the meniscus. There is another wise saying, “No pain, no pain.” The philosophy here is quite clear. Minimize any twist in the knees, especially as the knee straightens, and if you experience any pain at all, back off. But this does not mean that you can’t work the knees in ways that can help them heal or make them stronger. There are ways to do so, and we will explore a very successful way involving Yin Yoga principles and some simple props.
If you suffer from pain in the knees due to meniscus damage, knee cap issues, gout or arthritis, this practice may help you, however, as always, if you have significant issues, please check first with your health care provider before doing this exercise. [This may not be a good idea, for example, if you have cruciate ligament damage.]
The technique shown here, which is a variation of Virasana or “Hero’s Pose” has been pioneered in the Iyengar community for many years. It applies the Yin Yoga principles of a long held stress, held in stillness, and with no pain. I can offer a personal testimonial to its effectiveness, but I will defer that to the end of this article.
You will need a few props: three cushions (books about two inches thick could work), some wooden doweling (start with a smaller diameter dowel first, say one inch and work your way up over time to 1.5 inches) or even a rolled up towel. Another option, in place of the dowel, is to fold up a really thin sticky mat if you have one. Shown here are the two sizes of dowel you can use, but again, start with the thinnest one first.
We will start off gently with holds of only one minute in each of the three positions. The first position uses all three cushions. Place the dowel behind the back of the knees and sit with the cushion between your feet. Make sure the dowel is snug but not painful. The feet should point straight backwards. If this bothers your ankles, place towels under them. Stay here for one minute and notice the sensations you are experiencing.
As mentioned, this is a variation of Virasana. B.K.S. Iyengar claims that Virasana can create the proper arch in the feet due to stretching of the ankles and the feet. He recommends a daily practice of a few minutes for several months. He also notes that “those suffering from pain in the heels or growth of calcaneal spurs” will get relief and the spurs will eventually disappear.” 
Position two requires us to take two cushions away, leaving one to sit on, and roll the doweling back a couple of inches, so that it is on the calves. Then sit back down for another minute. This position can be very juicy: stay calm but if it becomes really painful, stop! Take the dowling away and just sit on your heels. The intention of position two is to let the knees rest a bit before the deeper stress of position three. Position three is the same as position one: pull the dowel snug behind the knees again but sit on only two cushions. Stay here for a final minute.
Over time, work towards two minute holds in each position, and when you can tolerate this, try the thicker doweling. If 1.5 inch doweling doesn’t work, try 1.25 inch doweling first.
My own experience has shown this to be an effective practice. I suffered tears in both my medial menisci. No yoga practices cured the problem, so I did eventually undergo arthroscopic surgery on both knees however the pain was never completely resolved. The surgeries did allow me to regain normal function in my knees, but it was at a cost. My surgeon warned me that the operations would hasten the day when arthritis would occur in my knees. I am now 8 years post op and my knees are fine, thanks (I believe) to a daily practice of Yin Yoga for the knees.
My knees issues arose because my hips were very tight when I first started my yoga practice, but I ignored the warning signals – the burning pain in my knees whenever I did external rotations of the hips. I damaged my menisci because my ego was too strong and I believed in the adage, “no pain, no gain.” Since my operation, I worked a lot to open my hips but with zero tolerance for any pain in the knees. Over time my hips opened to the maximum that they will ever open. I know now not to push them any further. At some point we all reach our limits and once we get there, we simply have to accept that that is that. Acceptance of the reality of our limits is very yin.
Yin Yoga for the Knees practice has helped to keep the space in my knee joints from collapsing, thus avoiding arthritis. Also, the fact that we stress the knee joint in a safe, non-painful way stimulates the various cells in the knees to grow more tissues. All tissues need stress to be healthy: the kneecaps, the cartilage and ligaments are no different. When we stress these tissues the fibroblasts, chondrocytes and osteoblasts are all stimulated to create more ligament, cartilage and bone, as well as to secrete the fluids that lubricate the joint.
If you are suffering from knee issues, why not give this practice a try for a few months and see how you do. Remember though, no pain, no pain!
(Back to Newsletter #7)