Friday, August 07, 2026

These Advanced Stretching Techniques Can Actually Make You More Flexible by Beth Skwarecki

person stretching  

 Stretching really can make you more flexible, but your progress will often seem slow. As I've previously explained, there are really two results of stretching. We usually think about gaining flexibility in the long term, but you can also unlock a dramatic amount of short-term flexibility if you know how. Today I'll show you a few techniques that work surprisingly quickly and well, known as "PNF" or "PAILS and RAILS."

But before we get into that, I just want to be clear that flexibility is not a contest and definitely not a race. I think about stretching in the same way as strength training or any other fitness pursuit. If somebody wants the most “optimal” strength training routine, I would tell them not to overthink it, just get into a habit, and be consistent. It’s not a good idea to get too excited about any one method or guru that claims to have all the answers; chances are they don’t. The same applies to stretching.

And there are a lot of gurus in the stretching world. Many of them stand to benefit from making flexibility sound complicated (because then you need their programs to guide you). That doesn’t mean their techniques are bad or wrong, but they may not actually be special. Here's a breakdown of what makes some stretches more "advanced" than others. 

The difference between active, static, and other types of stretching

You would think there are only one or two ways of stretching. But there are, in fact, many—and the proponents of each will argue that their way is best. The definitions of each aren’t always agreed upon, which makes for yet more arguments. So I’ll give you a rundown of some of the most commonly used terms, and what to know about them.

  • Static stretching is when you hold a stretch for a while (say, 10 seconds or more).

  • Dynamic stretching is when you move into and out of a stretch, or you can think of it as actively moving through a range of motion. This is done as an active stretch; for example, kicking or raising your leg as you run.

  • Passive stretching is when you place your body part into a stretched position. You might use props, gravity, immovable objects (like the floor), and/or a partner to get into the position.

  • Loaded stretching is when you use a weight or force to pull yourself further into a stretch (for example, holding a dumbbell while bending forward as if to touch your toes). For safety, you should make sure the weight isn't too heavy and that you are always in control of it.

  • Ballistic stretching is when you bounce into a stretch, temporarily forcing your body into a more stretched position than you could achieve passively or actively. Many of us were taught never to do this; in reality, it's safe when done properly, but probably isn't the most beginner-friendly.

  • Active stretching is when you use your own muscles to get into position to stretch: for example, standing on one leg and lifting the other. You’re contracting the muscles opposite the ones you are trying to stretch.

  • Isometric stretching is when you contract the same muscles you are trying to stretch.          

    If you try to figure out which type of stretching is “best,” you’ll go down a deep, deep rabbit hole. Before trying PNF stretching, I spent a lot of time on contortionists’ blogs and the depths of Google Scholar, and I can’t promise that I’ve figured it all out. There seem to be advantages to each type of stretching (even ballistic), and most people who train for flexibility use more than one type.

    How to do PNF or “PAILs and RAILs” stretching

    When I first tried these techniques, I wanted to stick to common sense instead of finding what’s most optimal. I cracked open the textbook I used when studying for my personal training certification. It explains an “advanced” type of stretching called PNF, for proprioceptive neuromuscular facilitation. This is one I’ve often read about, but rarely seen in the wild.

    The technique I tried is the one that’s supposed to be the most effective but also not for beginners. (Did I let that stop me? No.) It’s called “hold-relax with agonist contraction.” And man, it really works. If you want to try this at home, I would advise you to read up a bit first, and to make sure the stretches and the contractions are both gentle, like no more than a 5 out of 10 intensity. They’ll still work this way, and you’ll reduce the chances that you’ll be sore the next day or, worse, pull a muscle.

    For example, in a toe-touch stretch: I reached for the floor, then I held the back of my ankles and contracted my hamstrings like I was trying to pull them away from my hands; then I reached for the floor again and this time used my abs, quads, and hip flexors to pull myself deeper into the stretch. Whaddaya know, now I could touch my entire fingers to the floor instead of my fingertips. The results were very similar to the toe-touching .

    I then did the same thing with a front split/kneeling lunge stretch. I am, you may recall, nowhere near being able to do a split. So I did 10 seconds of the stretch, then for 10 seconds I drove my front heel and my back knee into the ground, as if I were trying to stand back up. Then for the final step I used my leg muscles to pull myself deeper into the stretch. This one was strange: my hip flexors relaxed as expected, but my hamstrings just hurt. It was like they were saying “we’ve done enough already! Go easy on us!” So I eased up.

    Last one: a standing quad/hip flexor stretch. This is the one you see runners doing where they stand on one leg and hold the other heel near their butt. I did the stretch as usual for 10 seconds, then grabbed hold of my ankle and tried to pull my foot and knee forward (contracting my quads and hip flexors). Then I contracted my butt and hamstring to bring my heel farther back and–yep–I was able to easily touch my heel to my butt, where I hadn’t been able to do that in the first stretch. I took a video of this one, which demonstrates the technique pretty clearly (note that the video is 4x speed):

    It wasn’t until after I did this that my rabbit hole dives brought me to something called PAILs and RAILs (which stand for progressive angular isometric loading and regressive angular isometric loading). First you stretch passively, then you do a PAIL contraction, then you do a RAIL contraction. This tends to be a favorite technique from the kinds of folks I mentioned who seem to over-complicate their explanations, and I had been saving this to look into later. But then I saw somebody saying that PAILs and RAILs are the same thing as PNF, and my god, they’re right. Here’s stretching the same muscle group, except that they hold the initial passive stretch for two minutes instead of 10 seconds, and there’s a lot of extra stuff about pads and a bench and a stick and you stretch the whole side of your core, or whatever. Does that extra stuff help? Maybe. But the basic principles seem to be the same as in my standing stretch. 

    Why PNF stretching works

    Stretching isn’t just about how far your muscles can stretch; it’s also about how far your nervous system will let them stretch. Stretching techniques like PNF address the nervous system factor.

    The first body system we’re taking advantage of here is called autogenic inhibition. Muscles work by pulling on your bones, and the tissue that connects muscle to bone is called a tendon. Within this tendon are microscopic sensors called Golgi tendon organs. The traditional explanation is that when a muscle (say, one of the muscles that makes up your quadriceps) pulls too hard on its tendon, the GTOs tell your nervous system to ease up so you don’t pull the muscle off the bone.

    The actual story is probably a bit different, since you can trigger this phenomenon even with a gentle stretch (remember, we only need a 5/10 stretch here). But that’s why PNF has you contract the muscle you’re about to stretch. This makes your body want to relax that muscle. So you immediately go back into the stretch, and boom, you’re able to relax that muscle more.

    The second step takes advantage of a different mechanism, called reciprocal inhibition. Here, contracting one muscle tends to make the opposite muscle relax. For example, when you use your biceps to curl a dumbbell, your triceps have to relax and lengthen. So in this type of PNF stretching, after you use autogenic inhibition to get your quads to relax a bit, you then contract your hamstrings to get your quads to relax even more.

    There is research suggesting that a PNF stretching routine can be better for long-term flexibility than just doing static stretches. The dramatic increase in range-of-motion you get from a PNF session only lasts a few minutes, but if you keep doing it consistently, over weeks and months you should be able to get further and further into the stretch. 

    PNF stretching is usually described as something that a trainer does to an athlete; but I figured, why not use the same techniques on myself? With the above warning in mind, here’s how I adapted some of my usual stretches to take advantage of PNF techniques:

  • I held the stretch passively for about 10 seconds (ie, normal stretching).

  • I then did an isometric contraction of the muscle I’m trying to stretch, pushing that leg (or whatever) against my hand or an immovable object like the floor. This was also 10 seconds.

  • Then I used the opposite muscle to pull myself deeper into the stretch, and held that for about 20 seconds.

 

 

This is only for your information, kindly take the advice of your doctor for food, medicines, exercises and so on.   

 

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Neurologist shares 5 migraine mistakes that could make attacks worse

 Man experiencing a migraine Early treatment can help control migraine attacks.

Migraine is often dismissed as ‘just a bad headache’, but for millions of people, it is a complex neurological disorder that can disrupt work, sleep, relationships, and overall quality of life. While medication can help manage attacks, everyday habits also play a significant role in determining how severe or long-lasting a migraine episode becomes.

Highlighting this, neurologist Dr Rahul Chawla recently shared five common mistakes that people with migraines should avoid. On taking medicines, he said, “Migraine medicines work best when taken at the very beginning of the attack. Waiting until the pain becomes severe makes the headache much harder to control.” He also warned that delaying treatment can sometimes allow a headache to persist for two to three days, leading people to require more painkillers.

Dr Chawla also cautioned against excessive use of pain-relieving medicines, noting, “Overusing painkillers can actually lead to Medication Overuse Headache (MOH), where the medicine itself starts causing more headaches.” He further warned that long-term overuse may increase the risk of stomach ulcers and kidney damage. Sleep, too, is an important factor. “It’s not just sleeping less that triggers migraine,” he explained. “Sleeping less than six hours, staying up late, or even oversleeping on weekends can trigger an attack.” 

According to Dr Chawla, identifying individual migraine triggers is equally important because they vary from person to person. “Skipping breakfast, dehydration, weather changes, perfumes, chocolate, and even certain foods can trigger migraines in some people,” he said. He also added, “Evidence shows that maintaining a headache diary to identify triggers and monitor your response to treatment can reduce migraine frequency over time.” Finally, he emphasised that migraine should never be underestimated: “Migraine is a neurological disorder and affects your quality of life. Along with headache, it can cause vomiting, sensitivity to light and sound, brain fog, vertigo and, in rare cases, even paralysis.”

But how well do these recommendations align with current medical evidence, and what should people with migraine actually prioritise?

When should migraine medication be taken?

Dr Jagdish Chattnalli, senior minimal invasive brain and spine surgeon, Bengaluru West Clinics, HCG Hospitals Bengaluru, tells indianexpress.com, “Evidence consistently shows that acute migraine medications are most effective when taken early in the attack, ideally when the headache is still mild. Delaying treatment allows the pain pathways to become more sensitised, making the attack harder to control and increasing the likelihood of prolonged symptoms.”

At the same time, Dr Chattnalli advises that patients should avoid relying on painkillers too frequently, as excessive use can itself lead to medication overuse headache. A good balance is to treat genuine migraine attacks promptly while limiting the use of acute medications to the recommended number of days each month. Those experiencing frequent migraines should consult a neurologist about preventive treatment rather than repeatedly using pain-relieving medicines. 

How can you identify migraine triggers?

Migraine triggers are highly individual, and not every commonly reported trigger affects every person. Instead of eliminating multiple foods or activities at once, patients should observe patterns over time and identify triggers that are consistently associated with attacks.

Dr Chattnalli states that a headache diary is one of the most effective tools for this purpose, as it helps track headache episodes alongside factors such as sleep, meals, hydration, stress, menstrual cycles and environmental exposures. “This allows patients and clinicians to identify meaningful patterns rather than making assumptions. The goal is targeted lifestyle modification instead of unnecessary restrictions that may add stress without reducing migraine frequency.”

What are the biggest misconceptions about migraine?

One of the biggest misconceptions is that migraine is simply a severe headache. In reality, it is a complex neurological disorder that can affect vision, balance, cognition and sensory processing, significantly interfering with daily life.


Dr Chattnalli mentions, “While most migraines are not life-threatening, urgent medical evaluation is essential if a person experiences a sudden explosive headache, new neurological deficits such as weakness or difficulty speaking, seizures, loss of consciousness, persistent confusion, or a headache that is different from their usual migraine pattern. Long-term management focuses on consistency. Maintaining regular sleep, staying well hydrated, eating balanced meals without prolonged fasting, managing stress, exercising regularly and adhering to prescribed preventive therapy when indicated can substantially reduce both the frequency and severity of migraine attacks.”

 

This is only for your information, kindly take the advice of your doctor for food, medicines, exercises and so on.   

 

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