• 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.

Practice: Brahmari breath - explore the mudra options (traditional and "helmet mudra"), noticing how you feel before and after the practice.

Practice: Surya Namaskar at the wall, or supported by a chair, again noticing how you feel before and after the practice.

Check In

Grounding, centering

Surya Namaskar - wall supported

Parsvottanasana - hands through straps, option to add rotation (Parivrtta Trikonasana) - pausing between sides, backing up to the wall and finding Tadasana to feel the effects of the pose

Ardha Chandrasana - foot on the wall, bottom arm supported by block, top arm holding the strap

Adho Mukha Svanasana - supported by cradle at the crease of the hips, option for blocks under the forearms

Mrigiasana - with lateral leans

Ardha Matsyendrasana

Ardha Paschimottanasana - options to support with bolster and blocks

Shavasana - with option of either cradle under the hips in Viparita Karani or the cradle providing neck traction in Shavasana

Yoga Nidra - Integral scripting

Pranayama: Brahmari breath

Emily - At check in indicated she was feeling "good." Slightly rajasic presentation, stated no pain or discomfort in the body.

Christine - Slightly tamasic, had a PT session scheduled with Dr. Casey right after class. Reported tension in low back and hamstrings at check in.

Trina - Slightly tamasic, as finds it challenging still to come to session in the morning. Very engaged in the practice, noticed more subtle sensations in her body this week - at times in the left hip and hamstrings, glutes, sometimes aware of sensations on the right side. Celebrated her tuning in to her body.

Allen - Invited by Heidi to attend. Shared his experience with yoga was "once in a blue moon," and his reason for attending was "my friend (Heidi) recommended." Stayed engaged with the practice. Had

Natia - New participant. Shared that "attended a class twice years ago and had great results in tension release. Would like to see if I could do this often and help back and shoulder tightness and pain."

I feel so unsuccessful with this case study, and it makes me question if I can really do small group yoga therapy in this setting. I do think I could offer individual yoga therapy at Fettle & Fit, but seeing as Dr. Casey wants to classes open to anyone willing to attend (with this week a brand new participant signing up the night before), I feel limited in how much I can really connect with the individual needs of each client. Going forward I think this is more of a general small yoga class at the wall really. And honestly shifting my expectations will probably take a lot of pressure off that I'm putting on myself, and allow me to be more present with the session participants each week.

While some participants are current or former clients of Dr. Casey and do have a pelvic floor diagnosis, looking to incorporate reduction of chronic pain and stress management tools will be a goal for weekly sessions, as well as highlighting the movements Dr. Casey would like to see incorporated on a regular basis: internal rotation of the hip, toe spreading, 360 degree expansion of the ribs with deep diaphragmatic breathing, and low back decompression.

Will use this for the final session of the case study. I will continue to lead the weekly class, incorporating tools of yoga therapy for pelvic pain, general chronic pain, and stress management.