All participants have some/limited experience with asana. Improving overall strength and muscular balance is a common goal, as well as strengthening the pelvic floor.

Dr. Casey Smith, PT and owner of Fettle and Fit had made the following requests as physical goals to include: decompression of the spine and pelvis, thoracic extension and rotation, hip internal rotation, deep squat - with support as needed, abdominal activation - especially deep core and lower abdominals, toe spreading and jaw relaxation.

Trina - challenges when folding forward if head drops too low below heart in a previous episode of positional syncope.

Shallow breathing a common issue with all participants. At the start of the assessment all self-reported tamasic - physical and mental energy low, still "waking up." With our sessions being on Friday, the end of the work week for each of them, they are already depleted.

Adding from Dr. Casey's suggestions: deep breathing into the back, belly and pelvis.

Some disconnection from the physical body/lack of embodiment present with each client. There is definitely a desire to be more engaged with sensations, as well as balancing emotions - reduce anxiety and depression symptoms.

While varying spiritual practices between participants, one goal is to create a sense of sacred space during our sessions. Will introduce sound through chanting and mantra to support not only the anandamaya kosha, but pranamaya and manomaya as well.

Per Dr. Casey, self-worth and self-esteem are common areas of concern with all her clients, especially with the intimate nature of so many pelvic floor dysfunctions. Overall goal is to encourage/remind participants that they are more than their physical bodies, emotions and thoughts.

Sutra 1.2 - The modifications of the mind-stuff is yoga. While yes, we are going to bring movement into the body to reduce muscle stiffness/tightness and increase comfortable range of motion, we use a pose to get into our body, connect with sensations, and calm the mind.

Sutra 1.12 - The perfect pairing of practice with non-attachment. We want to nourish our koshas with practice that bring peace and freedom, as we also learn to let go of expectations and judgements of ourselves and others.

I'm sure there is more to incorporate, but I feel these would be accessible wisdom teachings as we begin.

Leslie Howard - Pelvic Liberation

Pelvic Yoga Therapy for the Whole Woman - Cheri Dostal Ryba

https://www.physio-pedia.com/Pelvic_Floor_Exercises: overall resource for pelvic floor

• 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.