Arnett has pain and numbness from the neck and shoulder, this condition began after a car accident in October 2023, leading to a posterior disc herniation bulge at the C3-4 level. She struggles to practice down dog, and lifting heavy items like shopping bags is challenging for her.
She is able to get up and down from the floor easily, she can move her left shoulder except shoulder extension. She stated that her pain scale is 7 out of 10.
Also She reported that hypertension runs in her family, and her hypertension is controlled by medication.

Arnet describes her stress level as moderate. Her source of stress is due to her pain from left shoulder to arm due to her injury, also her husband’s health. He suffered a thalamic stroke and He is in significant pain.
She manages stress through daily prayer, meditation, relax when feeling overwhelmed.

She is still grieving her brother’s death. She lost her brother suddenly 2 years ago, he had hypertension, she discovered that her brother was not taking medications, now she feels guilty because she thinks she could have done more for him. She is also emotionally suffering due to her husband’s health problem following a thalamic stroke. She has a strong social support system, including family, and friends.

Arnett believes in God and Jesus, which forms the core of her spiritual orientation.
She engages in daily prayer and meditation, this practice helps her start her day with a positive mindset.
She feels a deep connection to her family and friends, and her spirituality extends to these relationships. The sudden loss of her brother led her to feel guilty and grieve.

She would like to learn breathing techniques to improve her concentration during poses and loosen her hamstrings. Her focus on improving concentration and flexibility through breathing techniques indicates her goal-oriented mindset. She is actively seeking solutions to specific challenges she faces in her yoga practice.

She is involved in writing and teaching, having completed a memoir and planning to publish it to share her community's experiences, also she is planning to teach 4-5 grader students at tutoring program. These activities indicate her intellectual engagement and strong connection to her community.

“Some offer their wealth as a sacrifice, or their suffering, or the fruits of their Yoga practice. Others, who tend toward austerity and extrema vows, offer fruits and knowledge of sacred study as their sacrifice.” Bhagavad Gita 4.28

Svadhyaya is the fourth of five Niyamas in the Yoga Sutras of Patanjali and is translated as Self-Study.

Why?
Everyone can choose any type of sacrifice which aligns with their ability. This practice of Svadyaya will help Arnette’s spiritual growth, and increase self-awareness. These will help regulate emotions and increase self-reliance. She likes reading and writing as she plans to publish her memoir and she has a passion for teaching. This practice may help broaden her writing category and she may be able to support the community she loves.

How?

Daily reading of wisdom teaching including The Golden Present or Daily Om or other spiritual reading.

https://www.dailyom.com/inspiration/

Reflective Journaling on daily reading

Mindfulness Meditation

https://www.nhsfife.org/media/o0knckz5/cervical-radiculopathy-english-1.pdf

I will introduce the following movements to start, and adjust based on her conditions.
If she is comfortable with downward facing dog, I can add sun salutation as well.

1. Head Rolls
Page.2 of the link below,
https://orthoinfo.aaos.org/globalassets/pdfs/spine-conditioning-program.pdf

2. Shoulder rolls and shrugs

3. Neck movement

3. Shoulder flexion, extension, abduction, adduction

4. 3 rounds of arm movement sequence

5. Median nerve slider

6. Median nerve rocking

• Check in, centering, balanced hatha yoga set considering contraindications, relaxation (with imagery as appropriate),
• Balanced pranayama considering contraindications, meditation/centering.
• Include at least one suggestion from Karma, Bhakti, Raja, or Jnana Yoga tailored for this client.