Yoga to Improve Posture: Self-Assess Your Spine + Learn How to Protect It

Your mom was right: You'll look better and feel great if you stop slouching and stand up straight. Yoga can help you do just that — in a way that honors your spine's natural curves. Here's a guide to assess and improve your posture.

Are you a slumper? A swayer? Chances are you're one or the other to some degree—despite Mom's best efforts all those years ago to get you to sit up straight and stop slouching. She probably told you that you'd look and feel better if you worked on your posture, and she was absolutely right. But if you're like most people, you rolled your eyes and ignored her, or straightened up until she wasn't looking. And you probably didn't give posture much more thought at all until you walked into your first yoga class and tried to stand in Tadasana (Mountain Pose).

When you're a beginner, it's surprisingly complicated to master the art of rooting down through the feet while lengthening up through the spine, keeping your chest open without jutting your lower ribs out, and keeping the legs muscles strong and lifted without tensing the belly or jaw. But ultimately, Tadasana demands just one simple thing: that you stand in a way that supports the natural curves of a healthy spine. So why is it so difficult? And why do we work so hard to master good posture in yoga—leaving class feeling taller and healthier—only to slump down in the car seat on the way home or revert to a swayback when we heft our overstuffed yoga bags onto our backs?

In short, modern life conspires against good posture. We spend our days sitting at desks, staring at computer screens. When we travel, we do it in cars or—worse—airplanes. We lounge around in overstuffed chairs designed more for looks than for lumbar support. And we pay people to mow our lawns, tend our gardens, and remove our trash so we can spend more time working or driving or sitting. Non-sedentary cultures—with a few exceptions—don't have the same epidemic of back and neck problems that we do. Picture a woman gracefully balancing a large basket of food on her head. To carry such a heavy weight, she must have a perfectly aligned spine and strong posture-support muscles. You don't get that kind of alignment and strength from sitting around and watching the tube. You can, however, get it from a regular yoga practice.

See also Stop Slouching! Improve Posture with Bow Pose

Better Posture Principles: Try this 3-Part Strategy

To create great alignment for your body, I recommend a three-part strategy. First, build awareness by assessing your posture and your lifestyle. Next, create a yoga prescription for your specific postural problem by incorporating a few simple poses into your regular practice. Finally, take your newly developed awareness of your alignment issues and apply it throughout your daily life.

Before tackling the how-tos, however, it's important to understand the anatomy of proper posture. Whether you're sitting or standing, your spine has natural curves that should be maintained. They are a mild forward curve (like a gentle backbend) in the neck and lower back, and a mild backward curve in the upper back and midback. As you practice yoga, you learn to maintain these optimal curves in many standing poses, in most sitting poses, and in inversions like Sirsasana (Headstand) and Adho Mukha Vrksasana (Handstand).

If any of these curves are habitually flattened or overly curved, abnormal posture can get locked into the body. A wide variety of abnormal curves can occur, including a flat neck and a flat lower back, but we'll focus on the two most common problems: a hunched upper back (known as excessive kyphosis), which is usually linked with a jutting forward of the head (known as forward head) and, at the other end of the spectrum, an extreme sway in the lower back (known as excessive lordosis). These extreme curves contribute to many of the painful problems—muscle strain, joint pain, and disk problems, to name a few—that physical therapists and other health care practitioners treat every day.

Maintaining just the right curves is only part of the equation, however; to function efficiently, your skeletal structure also needs to be aligned vertically. That means when you're standing, your ears should be over your shoulders, your shoulders over your hips, and your hips over your knees and ankles. When any body part falls out of that vertical line, the adjacent support muscles will feel the strain. For example, years of having a forward head will cause the muscles of the upper back and neck to become tired and achy from holding up the weight of the head against the pull of gravity.

So, while you needn't nag yourself about slouching, you may discover that the simple act of straightening up can change your life. If you train your body to maintain the normal spinal curves and keep your posture vertical and spacious when you're standing or sitting upright, you're likely to feel better all over. And that's something to write home about.

See also Kathryn Budig’s Perfect-Posture Secret: Anti-Slouch Yoga Strap Trick

Do You Slump or Sway? Take the Assessment

The first step toward changing a bad habit is to recognize that you have a problem, right? So, let's start your posture-improvement program by building awareness of your postural pitfalls. You can assess your spinal curves by standing against a doorjamb. When you stand with your heels very near the jamb, you should have contact at your sacrum (the upside-down triangular-shape bone a few inches above your tailbone), the middle and upper back (thoracic spine), and the back of your head. With normal spinal curves, your lower back (lumbar spine) and neck (cervical spine) won't touch—there should be about an inch of space between the doorjamb and the vertebrae of your lower back. But if you can slide your whole hand into the space, you have a swayback, or excessive lordosis.

Standing at the doorjamb also provides valuable feedback about kyphosis and forward head. If you notice that your chin lifts up when you place the back of your head against the jamb, you probably have excessive kyphosis in your thoracic spine. The combination of excessive kyphosis and forward head is common, and it puts significant strain on your neck muscles and intervertebral disks.

It's also worth noting that you could have a combination of postural problems, such as an increased kyphosis with an excessive lordosis. In that case, it's usually best to focus on creating proper alignment in the pelvis and lower back first, and then work your way up the spine.

After your assessment, take a close look at the furniture you use every day at work, home, school—anyplace you spend a significant amount of time. Supportive beds and chairs and a carefully set-up desk and computer workstation will facilitate good alignment. On the other hand, a saggy bed, poorly designed chair, and keyboard at the wrong height will set the stage for degenerating posture. Make the best furniture choices you can to support your journey to better spinal health.

Better Posture Poses for Yogis with Desk Jobs

While sitting is not the root of all evil, it does contribute to both kyphosis and lordosis. Most people unwittingly tip their head forward and down while working—to see the papers on their desk or read what's on their computer screen. Often the arms also pull forward to reach the keyboard. It's easy to see how this contributes to a sagging, droopy posture.

When you hunch forward at your desk, the chest collapses and compresses the heart, lungs, and diaphragm. Hunching also strains the back muscles, causing them to overstretch and become weak. If you're collapsed in a kyphosis, the key to breaking the habit is to stretch the muscles of the chest, increase the flexibility of the thoracic spine and ribs, and strengthen and shorten the muscles of the back. Supported backbends stretch the pectoralis major, so they're an excellent way to open the chest. They also increase the mobility in the stiffest part of the spine—the thoracic.

To strengthen and shorten the muscles that support the midback, practice Salabhasana (Locust Pose) and Bhujangasana (Cobra Pose). Both are effective strengtheners for the long muscles that run parallel to the spine along with the muscles that help support and position the shoulder blades (the trapezius and rhomboids in particular). In a slumped posture, the shoulder blades usually fall forward toward the chest and hunch up toward the ears. Both Bhujangasana and Salabhasana train the midback to hold the shoulder blades in their normal position, which is down away from the ears and flat against the back ribs.

See alsoFix the Slouch: 4 Poses for Upper Crossed Syndrome

Sitting all day can also contribute to serious misalignments in the lower back and pelvis. Prolonged sitting shortens the hip flexors—the muscles (including the iliopsoas, rectus femoris, and tensor fascia lata, to name just a few) that cross the front of the hip. If you sit for many hours every day without stretching your hip flexors regularly, they will gradually lose their normal length, causing the pelvis to tilt forward (known as an anterior tilt of the pelvis) when you're standing. A strong anterior tilt usually causes an excessive lordosis or swayback, which contributes to chronic tightness and pain in the lower back muscles. It can also cause lower back pain by compressing the facet joints, the small joints along each side of the spine where the vertebrae overlap one another. The facet joints weren't designed to bear much weight, and compression can wear away the cartilage lining the joints, causing arthritis. Unfortunately, you may not know that your cartilage is wearing away until, after many years of sitting, standing, and walking with excessive lordosis, you find yourself living with a chronically painful arthritic lower back.

See alsoFix the Slump: 4 Poses for Lower Crossed Syndrome

If you fall into the swayback category, focus on lengthening and stretching those tight hip flexors in your yoga practice. Add lunges and Virabhadrasana I (Warrior Pose I) to your daily practice or, at the very least, do them two or three times per week. You can, of course, include this stretching as part of Sun Salutation, but it's optimal to hold the hip flexors in a stretched position for one to two minutes. Try adding a good long hip flexor stretch later in your practice, when the muscles are warm, and focus on breathing, relaxing, and lengthening the muscles that cross the front of the hip.

Also, practice a posterior tilt by lifting the front pelvis up off the front thigh and drawing your tailbone down toward the floor in lunges or Virabhadrasana I. This action will create space and release compression in the facet joints in your lower back.

In addition to practicing these actions, you can reduce the anterior tilt of the pelvis, support your internal organs, and help reduce the risk of lower back injuries by strengthening the abdominals. Exercises like curl-ups and crunches emphasize the upper abdominals. But if the upper abdominals become overly strong and tight, they can restrict breathing and actually pull down on the rib cage, contributing to an increased kyphosis and flattening the normal curve of the lower back. Instead, practice postures like Navasana (Boat Pose) and Urdhva Prasarita Padasana (Leg Lifts) to strengthen the lower abdominals, which are most important in supporting the lower back and pelvis.

See alsoThe Yoga of Smartphones: How to Avoid “Tech Neck”

Daily Yoga Practice for Better Posture: Virasana

Whether your problem area is the upper back, lower back, or both, I recommend that you sit for a few minutes once or twice a day in Virasana (Hero Pose). It is a wonderful position to reinforce good posture habits, because it teaches proper alignment in all the spine's curves. After a brief daily Virasana practice, you can more easily integrate your alignment awareness when you sit during the day. Just remember to apply the same cues you learn in Virasana when you sit on your couch or at your desk.

After you get settled in Virasana, place one hand on your lower back. Now tuck your tailbone under—you'll actually be sitting on it. As you do this, feel how you slump over and your lumbar spine flattens. Now move in the opposite direction by rolling your pubic bone toward the floor. Your pelvis will tip forward and you'll have excessive lumbar lordosis, which you can also feel with your hand. Now move back and forth between those two extremes until you find the point balanced in between, where you can sit directly on your sitting bones and feel a healthy alignment for your pelvis and lower back.

Next, bring your awareness to your upper back. To reduce kyphosis, imagine lifting your breastbone up away from your heart and lungs as you engage your back muscles to lengthen your spine upward. As you lift up, don't increase the curve of the lower back or let your lower front ribs jut forward. Let the shoulder blades fall away from the ears, and spread your collarbones broadly without pinching the shoulder blades toward the back spine.

Moving farther up the spine, make sure you don't have a forward head. I don't recommend that people with a forward head put a finger on their chin and push their head back, because doing so can create an overly flattened, uncomfortable neck. Usually, just reducing the kyphosis will bring the head closer to its normal alignment, with the ears over the shoulders. You can also try putting the flat parts of your fingers across the back of your neck and dropping your chin. Feel how the curve of your neck flattens and the tissues become hard. If you lift your chin and look up at the ceiling, you'll feel the back of your neck curving excessively and compressing. Now come back to the middle position, where your chin and gaze are level—you should feel a soft curve, slightly toward a backbend.

To reinforce good alignment while standing, come back to the doorjamb-assessment position. You can use this position several times a day—without putting on yoga clothes or getting out your mat—so you learn by feel how to stay vertical and maintain the normal curves while standing.

Lengthen your spine up the doorjamb by reaching the crown of the head toward the ceiling while your shoulders melt down away from your ears. If you tend to have excessive lordosis, you may find it's much easier to reduce the lumbar curve by bending your knees. If that's the case, your hip flexors are probably tight and your abdominal muscles are weak. To work on strengthening the abdominals, stand at the doorjamb, bend the knees slightly, and draw your tailbone toward the floor and your back waist toward the door-jamb.

Don't contract the abdominals so hard that you collapse in the chest or can't breathe—remember that the goal is to have a mild (not excessive or completely flat) curve in your lower back, combined with an open chest and a chin that's level to the ground. (If your chin and gaze tend to go up when you take your head to the doorjamb, your kyphosis is probably still causing a forward head. It will take time to reduce the kyphosis; in the meantime, don't force your head to the doorjamb. Keep working to lift your breastbone, without overarching your lower back, and stay in the position in which you can keep your chin and gaze level.) Finally, step away from the doorjamb, training your body to remember the feeling and your mind to remember the cues to good vertical posture. When this happens, you'll be standing in Tadasana (Mountain Pose).

Furniture for Better Posture

With a critical eye, take a look at the furniture you use most often or might buy in the near future. No matter how fashionable it is, don't bring home a couch with a long seat, which will cause you to slump backward as you search for support. If you already have one, keep plenty of cushions on hand to fill in the space between the back of your hips and the back of the couch. That's true for any type of seat; when the backs of your calves hit the front edge of the seat and there is a gap behind you, fill in the gap so your back is supported and upright.

If possible, try a kneeling chair, which comes closest to Virasana off the floor. With a regular chair, if you're short in stature, use a stool for your feet so they don't dangle in midair and contribute to strain in the lower back. If you're tall and your knees are higher than your hips when you put your feet on the floor, you could easily fall into a backward slump. Solve this problem by raising the chair seat—if it's as high as it will go, sit on a cushion. In a pinch, you can sit toward the front edge of the seat and pull your feet back so the knees are lower than the hips. This shape is similar to that of Virasana.

When you work on the computer, make sure the screen is at a height at which you can look straight ahead or just slightly down at it. Learn to touch type so you don't have to look down at the keyboard, and get a book holder or inclined desk to bring reading materials closer to eye level. Set up your keyboard—you might need a keyboard tray—so your forearms are parallel to the floor.

Best Sleeping Positions for Proper Posture

The best sleep positions for most people are on their back or side; sleeping on the stomach is the biggest no-no. (If you have excessive lordosis, sleeping on your stomach will exaggerate it, especially on a bed that's too saggy or soft.) If you sleep on your back, don't increase the forward head habit by piling pillows under your head. It's better to use one down pillow, which conforms to the shape of your head and neck, or a foam pillow formed with neck support and an indentation for the back of your head. If you're lying on your side, be careful not to pull your head forward.

Seal the Yoga Practice for Better Posture, and Repeat

Once you've done your physical assessment, looked at your furniture, and added poses to your arsenal, there's just one very important thing left to do—practice, practice, practice. With frequent repetition, old habits and patterns can be replaced with new and healthy ways of moving, standing, and sitting. But it's important to remember that change takes time. I tell my students and clients to expect to work for a year before new posture and movement habits become automatic. Muscles don't lengthen or strengthen overnight. As you stretch out the tight areas and strengthen the weak ones, your body will gradually find its way to a more balanced alignment.

It's also important to notice how you feel when your posture is good. Does your body feel at ease? How's your mood? Your energy level? Likewise, notice how you feel when your posture is bad. Are you feeling down or rushed or tired? When do your bad habits creep up on you?

The goal here isn't to achieve perfection; it's simply to find the healthiest alignment—one that makes you feel simultaneously strong and at ease—given your body structure. This will take time, patience, and perseverance.

Take comfort in knowing that yoga trains your mind as well as your body. As you continue to devote yourself to your practice, you will become more present in your body and more aware of your alignment, and you will begin to naturally make choices that will improve your health and your quality of life. Over time, the combination of increased awareness and physical training will allow your improved alignment to spill out into other areas of your life. Before you know it, you'll feel at ease as you practice good yoga alignment while you're perched at your desk, standing at the copier, and sitting at dinner. You'll be doing yoga during all of your waking hours. And who knows? You might just impress your mom!

This article originally appeared on yogajournal.com and was written by Julie Gudmestad

7 Signs That You Need Acupuncture This Spring

Last week was the first day of spring. Yahoo! Except for that fact that many people don’t feel so hot this time of year.

The flu is — knock on wood — mostly behind us. Allergies have not quite exploded yet. So, why do so many of us feel off in the early days of spring?

You can kindly thank your liver!

In acupuncture theory, humans are viewed as microcosms of the natural world that surrounds them. Seasons — particularly the transitional periods, when we move from from one season to the next — factor significantly into how we feel.

Each season is linked with an organ system in the body, and spring’s system is liver. This means that the liver, as it adjusts to taking over the seasonal reins, is especially vulnerable.

When the liver is vulnerable, the functions throughout the body for which the liver is responsible have a tendency to get out of whack.

Eventually, spring can become a time when the liver and its associated functions thrive. However, during this transitional period, when the liver is still finding its footing, certain symptoms commonly show up. Acupuncture improves these symptoms by restoring balance to the liver system.

Here are seven signs that your liver may need some acupuncture love:

You Feel Extra Tense

In acupuncture, liver is the system that’s responsible for smooth flow throughout the body. When the liver is not functioning optimally, things like emotional stress, rigid posture, shallow breathing, and jaw clenching may become exacerbated.

You Have Headaches and Other Aches and Pains

When things aren’t flowing smoothly, we start to experience what acupuncturists think of as stagnation-type symptoms. These include pain, and specifically pain that feels like pressure, tightness or restriction. Tension headaches and menstrual cramps are commonly worse this time of year.

Your Muscles are Really Stiff

The liver and its associated system, gallbladder, nourish the body’s connective tissue, tendons and ligaments. You may notice increased stiffness, tension or tightness in your muscles and joints in the coming weeks.

You Feel Irritable and Frustrated

Are you feeling more annoyed than charmed by the springtime sound of chirping birds? The emotional symptoms associated with Liver imbalances mimic the physical stagnation that happens. You may notice yourself feeling extra irritabile or frustrated, perhaps more easily annoyed. There’s an emotional stuckness that can take hold in spring.

Your Fuse Is Shorter Than Usual

All organ systems in acupuncture have an associated emotion. Liver’s emotion is anger. A healthy dose of anger helps complete a balanced emotional profile. However, when the liver isn’t appropriately keeping things in check, there is a tendency for anger to rise up. Along with feeling irritable, you may have a harder time than usual controlling your anger.

Your Digestion Is Messed Up

Healthy digestion is heavily dependent on consistent and smooth movement throughout the whole body. When the liver fails to maintain flow, digestive disturbances can easily occur. There’s also the whole brain-gut connection. When emotional stress is higher than usual, digestive function naturally declines.

Your Eyes Are Bothering You

Just as all organ systems have an associated emotion, they also have an associated sense. Sight goes with the liver system, so any issues related to eye health are usually attributed, at least in part, to a liver imbalance. This can include poor vision as well as eye pain and fatigue, and dry eyes. This simple exercise can help.

The Springtime Acupressure Point

If you only remember one acupuncture point all spring, it should be Liver 3.

Located on the foot, between the first and second toes (click here to see exact location), Liver 3 is the source point on the liver channel.

Source points behave sort of like central stations on subway lines. They are hubs where internal and external energies gather and transform. They are single, high-concentration points that grant access to the larger system.

Any time of year, Liver 3 is a go-to point for stagnation throughout the body. Because of the spring-liver connection, the point is doubly useful for addressing springtime stagnation-type symptoms.

Applying acupressure to Liver 3 will help get things moving like no other point. Poke around the point area until you discover a tender spot. Liver 3, if pressed firmly enough, is sensitive on most people.

Once you have the point, apply firm pressure. This should feel a little achy. The more the better on this point, so feel free to do this acupressure exercise anytime your bare feet are available. Liver 3 can be pressed on one or both sides.

Incidentally, an acupressure device we reviewed recently on AcuTake can be used for Liver 3. The device was designed for Large Intestine 4, a point on the hand, but it also fits nicely and works just as well on Liver 3 (click here to see picture).

If in the coming weeks you experience some telltale signs of a liver imbalance, don’t get down on yourself — they’re completely normal during the seasonal transition. A little acupuncture will help realign your system so that you can enjoy the wonders of spring.

This article originally appeared on huffingtonpost.com and was written by Sara Calabro

 

7 Yoga Postures to Reduce Neck Strain

Find your silhouette looking more like Quasimodo than Quasi-straight? Smartphones are anything but smart on our posture, but these 7 yoga poses can help counteract all the unwanted side effects.

Forward Fold with Clasp

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  • Stand, clasp hands behind back, and take a big inhale to open the chest.

  • On the exhale, soften knees and fold forward, letting head fall toward the ground and gently releasing the neck.

  • If you feel comfortable, bend one knee and then the other, getting more into shoulders.

  • Turn head right to left to release neck. Stay here for 5 to 10 deep breaths.

 

Jalandhara Bandha, aka Throat Lock

Use the cross-legged variation or sit on your heels with your toe pads touching the floor.

Use the cross-legged variation or sit on your heels with your toe pads touching the floor.

 

  • Kneel with hands lightly resting on thighs.

  • Lift sternum and drop chin lightly, lifting through the top back of skull as if someone had a string on the back of your neck and was lifting you up.

  • Lengthen through the back of neck and keep shoulders down.

  • Breathe here for 5 to 10 deep breaths, lengthening the back and sides of neck each inhale and dropping shoulders a tiny bit more on each exhale.

 

Camel Pose

Place your hands on the posterior (back) edge of your hips if you can't reach your heels, keep your elbows drawn toward the mid-line of your body without touching them together.

Place your hands on the posterior (back) edge of your hips if you can't reach your heels, keep your elbows drawn toward the mid-line of your body without touching them together.

 

 

  • Begin in a high kneeling position with hips over and lined up with knees, and weight supported by shins and the tops of feet.

  • Place palms on sacrum—fingers facing up or down, whichever feels better, tailbone reaching down—and draw elbows into one another so that they aren't winged out.

  • Keep thighs rotating inward and pull shoulder blades toward one another and down back. Look to the ceiling as you lift chest upward.

  • Release hands to heels and arch spine. Tip head back to keep the whole spine in extension.

  • Breathe here for at least 5 deep breaths.

 

Sage's Twist

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  • Sit with legs long and in front of you. Bend right knee, and take the top of right foot and place it on the ground next to right butt, in half hero's pose.

  • Bend left knee, and place the top of left foot on top of right thigh, at hip crease, into half lotus.

  • Slightly twist torso to the left, take left hand behind sacrum on the ground, and then take right hand to the outside of left knee.

  • Take a big inhale to lengthen through spine, and use exhale to engage navel to spine and twist to the left.

  • Keep this breathing pattern for at least 5 deep breaths. Repeat on the other side.

 

Dolphin Pose

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  • Begin on hands and knees. Hold opposite elbows with hands to get them shoulder-width apart, then place forearms parallel to one another.

  • Drop head and reach chest back through arms in the direction of feet to enhance shoulder opening.

  • Stay here for 5 to 10 deep breaths.

 

Thread the Needle

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  • Begin on all fours. Reach right arm underneath the body, allowing the right shoulder and temple to release to the ground.

  • Allow left hand to stay where it is or crawl it a bit to the right over to head.

  • For an extra neck stretch, look toward left armpit.

  • Stay here for 5 to 10 deep breaths. Repeat on the other side.

 

Supported Fish Variation

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  • While sitting on the ground with legs in front of you, place a medium-height block behind you beneath where shoulder blades will lie.

  • Bend knees and place feet on the ground, hip-width apart.

  • Using arms, slowly lower upper back to gently rest on the block, adjusting placement until you are comfortable.

  • Ideally, the block is where your bra line would be. Next, clasp hands behind head and allow elbows and head to release toward the ground.

  • Stay here for at least 10 deep breaths.

This article originally appeared on Shape.com and was written by Heidi Kristoffer 

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Do you find these poses difficult? Do you need support in achieving them safely?
Join our upcoming NECK POINT AND COMMUNITY ACUPUNCTURE WORKSHOP, March 17, Saturday, 7pm. Learn how to use yoga and acupressure to eliminate neck strain! 60 minutes of yoga and 30 minutes of Acupuncture for neck & shoulder relief.
Only a few spots remain, register with a friend, perfect for beginners.

How Your Body Reacts to Stress

A little tension can keep you on your toes. Too much can break down the system.

We all feel stressed from time to time – it’s all part of the emotional ups and downs of life. Stress has many sources, it can come from our environment, from our bodies, or our own thoughts and how we view the world around us. It is very natural to feel stressed around moments of pressure such as exam time – but we are physiologically designed to deal with stress, and react to it.

When we feel under pressure the nervous system instructs our bodies to release stress hormones including adrenaline, noradrenaline and cortisol. These produce physiological changes to help us cope with the threat or danger we see to be upon us. This is called the “stress response” or the “fight-or-flight” response.

Stress can actually be positive, as the stress response help us stay alert, motivated and focused on the task at hand. Usually, when the pressure subsides, the body rebalances and we start to feel calm again. But when we experience stress too often or for too long, or when the negative feelings overwhelm our ability to cope, then problems will arise. Continuous activation of the nervous system – experiencing the “stress response” – causes wear and tear on the body.

When we are stressed, the respiratory system is immediately affected. We tend to breathe harder and more quickly in an effort to quickly distribute oxygen-rich blood around our body. Although this is not an issue for most of us, it could be a problem for people with asthma who may feel short of breath and struggle to take in enough oxygen. It can also cause quick and shallow breathing, where minimal air is taken in, which can lead to hyperventilation. This is more likely if someone is prone to anxiety and panic attacks.

Stress wreaks havoc on our immune systems. Cortisol released in our bodies suppresses the immune system and inflammatory pathways, and we become more susceptible to infections and chronic inflammatory conditions. Our ability to fight off illness is reduced.

The musculoskeletal system is also affected. Our muscles tense up, which is the body’s natural way of protecting ourselves from injury and pain. Repeated muscle tension can cause bodily aches and pains, and when it occurs in the shoulders, neck and head it may result in tension headaches and migraines.

Stress can lead to migraines.

There are cardiovascular effects. When stress is acute (in the moment), heart rate and blood pressure increase, but they return to normal once the acute stress has passed. If acute stress is repeatedly experienced, or if stress becomes chronic (over a long period of time) it can cause damage to blood vessels and arteries. This increases the risk for hypertension, heart attack or stroke.

The endocrine system also suffers. This system plays an important role in regulating mood, growth and development, tissue function, metabolism and reproductive processes. Our metabolism is affected. The hypothalamus is located in the brain and it plays a key role in connecting the endocrine system with the nervous system. Stress signals coming from the hypothalamus trigger the release of stress hormones cortisol and epinephrine, and then blood sugar (glucose) is produced by the liver to provide you with energy to deal with the stressful situation. Most people reabsorb the extra blood sugar when the stress subsides, but for some people there is an increased risk of diabetes.

Stress can have some unpleasant gastrointestinal effects. We might experience heartburn and acid reflux especially if we have changed our eating habits to eat more or less, or increased our consumption of fatty and sugary foods. The ability of our intestines to absorb nutrients from our food may be reduced. We may experience stomach pain, bloating and nausea, diarrhoea or constipation.

There can be problems with our reproductive systems too. For men, chronic stress may affect the production of testosterone and sperm. It may even lead to erectile dysfunction or impotence. Women can experience changes to their menstrual cycles and increased premenstrual symptoms.

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Stress has marked effects on our emotional well-being. It is normal to experience high and low moods in our daily lives, but when we are stressed we may feel more tired, have mood swings or feel more irritable than usual. Stress causes hyperarousal, which means we may have difficulty falling or staying asleep and experience restless nights. This impairs concentration, attention, learning and memory, all of which are particularly important around exam time. Researchers have linked poor sleep to chronic health problems, depression and even obesity.

image: https://public-media.smithsonianmag.com/filer/51/8d/518d1739-8e23-467b-87a8-0597eca94bbd/file-20170731-22164-jzjmu.jpg

Losing sleep affects your ability to learn. (www.shutterstock.com)

The way that we cope with stress has an additional, indirect effect on our health. Under pressure, people may adopt more harmful habits such as smoking, drinking too much alcohol or taking drugs to relieve stress. But these behaviours are inappropriate ways to adapt and only lead to more health problems and risks to our personal safety and well-being.

So learn to manage your stress, before it manages you. It’s all about keeping it in check. Some stress in life is normal – and a little stress can help us to feel alert, motivated, focused, energetic and even excited. Take positive actions to channel this energy effectively and you may find yourself performing better, achieving more and feeling good.

This article originally appeared on smithsonianmag.com and was written by Holly Blake.