The scoliosis. Additionally she has some aches and pains primarily lumbar and cervical. She notices achy legs.She also has bunions which may indicate flatter feet. She has tight shoulders and neck. When she is tired she has a tendency to collapse forward.
Physiologically she has some gastrointestinal issues, primarily constipation.

She admits to having a difficult time with deep breathing, holding breath. When she inhales it feels tight in front and back and little movement in abdomen.
Her energy is best mid morning.

Currently, she is overwhelmed with life finances and kids ( older teen, young adults) She can get frustrated. Pain is frustrating as well.

She embraces Catholicism and is soothed by saying the rosary.
She would like to get back to oil painting

She claims to have a skeptical nature and a strong sense of right and wrong, sees the universe in good and evil terms. She feels she has an empathic nature with people and animals, at times she says she feels too much.

2.43 Kayendriyasiddhirasuddhiksayattapasah Taken in a physical sense can mean through well applied work the body’s impurities (structural challenges) can be relieved. Through this other doors can open. If we practice lowering our pain, that allows better self-study.
2.1 Tapah svadhyayesvarapranidhanani kriya yogah Practice regularly, yoga and breath, helps eliminate tensions, thus supporting self study, helps us to surrender to a higher power. When the tensions and pain are released we can focus on even deeper issues. This client is wanting that in her life to be able to get on with living and focusing on her spirit, but this contorted body and pain is limiting her.

1.33 Maitri karuna muditopeksanam sukha duhkha punyapunya visayanam bhavanatas citta prasadanam The mind becomes quiet when it cultivates friendliness in the presence of happiness, active compassion in the presence of unhappiness, joy in the presence of virtue and indifference toward error. In her life she is struggling holding it together this may help her create a golden rule that is less complicated than she is using currently.

Bouanchaud, Bernard, The Essence of Yoga : Reflections on the Yoga Sutras of Patanjali Sterling Publishing Co.Inc, 1997
Sri Swami Satchidananda, The Yoga Sutras Of Patanjali 2012
Raja Yoga Teacher Training Manual, Integral Yoga 2018

Miller, Elise Browning and heraty, Nancy DL, Yoga for scoliosis: A Path for Students and Teachers. Printcraft 2016
This book covers many aspects of scoliosis from patterns and adaptions for specific postures.
Use of resource to help determine the pattern as well as ideas and adaptions for helpful postures and movement.

Lee, Mi-Young, Yoonjung Park, and Dong-il Seo. "Effect of a 16-Week Yoga Program on Cobb’s Angle in Female Patients with Scoliosis." The Asian Journal of Kinesiology 24.3 (2022): 39-45.
This study used a variety of poses 2 set but different groups of poses 2 x week for 16 weeks. The interesting thing is that this worked well, using a variety of poses.

Fishman LM. Isometric Yoga-Like Maneuvers Improve Adolescent Idiopathic Scoliosis—A Nonrandomized Control Trial. Global Advances in Health and Medicine. 2021;10. doi:10.1177/2164956120988259
This is one of a few papers using these postures to improve scoliosis. These 3 postures can be introduced in our work together.
Basic guidelines for scoliosis
Develop breath awareness and depth, key due to effects on diaphragm.
Lengthen the spine/core, and spinal strengthening
De-rotating spine via twists
Work with posture, natural curves
Inversions to enhance above with body in different configuration with gravity.
Each person will have contraindications, with scoliosis it is enhancing the curve or rotation.
Convex side (R thoracic) intercostals overstretched leads to weakness. Overlapping muscles tend to tight and overdeveloped.
Concave side Erector Spinae underdeveloped and may atrophy. Due to ribs being close, breath is limited so breath goes to convex side easily. This breath pattern enhances the scoliosis. Generally weaker muscles on the concave side. Neck on convex side effected by tight traps from the rotation pulling shoulder forward, thus tilting head to right and even creating a compensating curve at thacocervical area to left. ..... more

• 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.