• 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.

The following practice is part of what we did in the session. Please do these activities as your practice every morning:
Asana Surya Namaskar, 3 rounds
Tadasana (mountain pose) – hold for 60 seconds – with affirmation breathing in “grounded and flexible”.
Trikonasan (triangle pose) – hold for 15 seconds on each side, 2 rounds
For the Feet:
Toes – (a) Flex and Point feet with legs raised.
Toes - (b) Spread and Scrunch toes of foot.
Toes - (c) Flex and Point feet with legs raised while Spreading & Scrunch
toes (AB/Adduction).
Foot - Eversion/Inversion – (rocking feet in and out/soles of feet face in
then out).
Foot - Abduction/Adduction (windshield wipers).
Ankle - Dorsi Flexion and Planter Flexion (toe tap/heel tap).
Ankle - Rotate ankle in both directions with legs raised.
Ankle - With heels resting on the floor Rotate ankle in both directions.

Breathing practice every morning:
o Kapalbhati (Kriya), 5 rounds, 120 strokes – Kapalbhati has been associated with the stimulation of pancreas to secret insulin, helping to regulate blood sugar levels. Kapalbhati will also help with brain fog and it increases your energy.

o Nadi Sudi (10 minutes) to help with peripheral pain, adding/deepening with 3-part breathing and a healing thought or mantra (breath in calmness, breath out pain; breath in joy, breath out depression) to uplift sadness.

Meditation on the breath – 10 minutes
Be aware of your posture:
o Sit crossed legged on the floor or on a chair,
o Feet are flat on the floor.
o The back should be strait.
o Chin is parallel to the floor.
o Hands are comfortably placed on your lap.

We were discussing that when going out for a walk you can stop now and then and flex the knee and pump the foot 5 times (each foot), and come up on the tips of your toes and alternate on to the heels a few times, do this while holding on to a wall or a park bench.

As discussed, I’m sending you a simple a Pain Score 0 – 10 Numerical Rating Scale for you to choose what your pain is today. We will use this scale again in a few weeks to see if the pain is getting better. The measurement is attached in a separate document. Please look at the scale and send me the number you select for today. I will keep track of what you send.

PAIN SCORE 0-10 NUMERICAL RATING

0 1 2 3 4 5 6 7 8 9 10

No Mild Moderate Awful Worst
pain pain pain pain possible
pain

Centering – 5 minutes
Asana Surya Namaskar 3 rounds
Tadasana (mountain pose) – 15 seconds
Trikonasan (triangle pose) – 15 seconds

Joint Freeing for the Feet:
Toes – (a) Flex and Point feet with legs raised.
Toes - (b) Spread and Scrunch toes of foot.
Toes - (c) Flex and Point feet with legs raised while Spreading & Scrunch
toes (AB/Adduction).
Foot - Eversion/Inversion – (rocking feet in and out/soles of feet face in
then out).
Foot - Abduction/Adduction (windshield wipers).
Ankle - Dorsi Flexion and Planter Flexion (toe tap/heel tap).
Ankle - Rotate ankle in both directions with legs raised.
Ankle - With heels resting on the floor Rotate ankle in both directions.

Client can be lying down – 30 Minutes:
Full body tensing and releasing (Seegra Savaasana), twice.
Body Scan – from the head down to the feet and then up again.
Yoga Nidra
Client sits up – 30 minutes:
Breathing practices:

o Kapalbhati (Kriya), 5 rounds, 120 strokes - as per scientific article has been associated with the stimulation of pancreas to secret insulin, helping to regulate blood sugar levels. Kapalbhati will also help with brain fog and increase energy.

o Nadi Sudi (10 minutes) to help with peripheral neuropathy pain, adding/deepening with 3-part breathing and a healing thought or mantra breath in calmness, breath out pain; breath in joy, breath out depression) to uplift sadness.

Meditation on the breath – 10 minutes
o Preparation, posture
o Technique
o Closing

Client was in a good mood and looking forward to the class.

Client is in the process of moving to another apartment.

Tadasana (mountain pose) client was instructed to breath in I am grounded and flexible.

Nadi Sudi client was instructed to breath in “calm” and breath out “pain”.

Client said she liked the deep relaxation part of the session.

Client has not been able to meet with a Registered Dietician. Her acupuncturist has a referral for her but she has not contacted her acupuncturist about it yet.

We lost internet connection – client’s laptop wasn’t charging correctly and we lost connection. Client couldn’t link up again and asked if we could continue at the next session.

Thus, we were not able to discuss Stress Response Education due to the internet connection issue. We will get to it in the next session.

I'm not sure what to say expect that it was good. We will pick up where we left off next time.

Centering
Asana Cobra pose – hold 15 seconds twice
Dhanurasam (back bend/bow pose) - 15 seconds
Balasana (child pose) – 15 seconds

Additional practices for the Feet:
1. Gently knocking the feet together.
2. While sitting down rub your feet on the surface of a carpet on the floor.

Joint Freeing Wrists/Hands:
Fingers - Flexion/Extension with AB/ADduction (spread and scrunch)

Fingers – Touch each digit to the thumb.

Fingers – Fingers of both hands touching then pressing against each other.

Fingers – The gentle hitting at the joint of the proximal phalanges and the metacarpal bones of both hands together. And also the thumbs.

Wrist - Flexion/Extension with fingers and elbows extended (stop
hands)/shoulders flexed to 90 degrees

Wrist - Circles both directions (thumb inside)

Wrist - Deviation - Radial (thumb) / Ulnar (pinky) (with finger extended/elbow extended/shoulder flexed to 90 degrees) – Show with
Hands -Pronated and Supinated

Wrist – Gentle knocking together of the wrists at the front to stimulate circulation.

Hands - Pronated and Supinated Radial (thumb)/Ulnar (pinky) turning of the hands front and back.

Client can be lying down:
Full body tensing and releasing (Seegra Savaasana).
Body Scan – from the head down to the feet and then up again.
Yoga Nidra.

Client sits up:
Breathing practices:
o Deep 3 Part Breathing with imagery for healing body, emotions and mind.

o Kapalbhati (Kriya), 5 rounds, 120 strokes - as per scientific article has been associated with the stimulation of pancreas to secret insulin, helping to regulate blood sugar levels. Kapalbhati will also help with client’s brain fog and increase her energy.

o Nadi Sudi (5 to 10 minutes) to help with peripheral neuropathy pain, adding/deepening with 3-part breathing and a healing thought or mantra to uplift sadness. 5 minutes every day to start.

Meditation on the breath.
o Preparation, posture
o Technique
o Pratyahara

Discussion on Stress Response Education, including external and internal stressors.