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Hi Mid,
As you mentioned different countries have different laws, here are a few places to consider.Did your 200TT provide high level information related to waivers, health forms, etc.?
Do you have insurance coverage? If so, some insurance organizations may provide forms to use.
As Rachel used for her retreat, you may want to contact a lawyer to help with any wording to ensure consistency with applicable laws.On a personal note, when I started I contacted local teachers / practitioners and asked if they would be willing to share copies of their forms. I receive such help this way. Plus I was able to learn items that they would have changed. Additionally, this helped with future referrals as they became aware of my abilities.
Hope this helps,
JoyHi Cathy,
With any significant change, you may want to consider re-evaluating and completing a new intake and evaluation. Also, while your client has seen a GP and had xrays, sometime to consider would be seeing a specialist since this was not due to an accident or acute condition. These specialists as listed in the prior post would also consider an MRI. This may give more information regarding the referral pain down the arm too. As your client is seeing an acupuncturist, your client may also consider asking their acupuncturist their recommendations.Hope this helps,
JoyHi Melissa,
I have clients that have had spinal fusions and even Harrington rods. As with any surgery or procedure, the recovery may depend on the procedure, how it went during the surgery, and the individual’s ability to heal. With this in mind, the back surgeon may not offer any information regarding recovery until the surgery is complete, and more information is known. Yet, based on your client being “very upset about the effect the surgery would have on her activity and what yoga she could do afterward”, something that your client may want to consider is a second opinion regarding the surgery. If she has any concerns regarding the surgeon, surgery, or post-surgery this may be a time for your client to also search out additional information with additional surgeons.For my clients with spinal fusions and even the ones with Harrington rods, yoga is helpful for them. Not only is it helpful in maintaining the strength and flexibility of the spine, yet it is also helpful for their awareness and acceptance of where there body is on a daily basis. Based on this awareness of their body on a daily basis, the sequencing and focus would structured accordingly.
Additional information to consider relates to Chinese medicine. In Chinese medicine, the spine, and lower back are considered the realm of the kidneys. The kidneys relates to the kidneys and adrenals in Chinese medicine. Therefore, acupuncturists would also monitor the health, function and energetic of the kidneys. Additionally, the area around L4/L5 relates to the large intestine. As such, acupuncturists would additionally monitor the activity of the digestion, and elimination which may also be compromised with anesthesia and pharmaceuticals provided for pain post-surgery.
Therefore, you may consider recommending your client see other health practitioners such as an acupuncturist, physical therapist, etc. to help with the recovery too.
Hope this helps,
JoyHi Lisa,
In general, it all depends. I have seen individuals with severe tears yet minor pain, and minor tears with severe pain. Therefore, the end choice is the individual’s and what they desire. Healthcare practitioners may only provide recommendations to support the individual’s goals. With that in mind, seeing more than a chiropractor and physical therapist may be something to consider. Additionally, getting second opinions from other healthcare practitioners may be something to consider; other practitioners to consider include yet not limited to orthopedist, osteopath, orthobionomist, etc.Additional items to consider:
Has an mri been completed?
Have other treatments been tried and what are the results (better, worse, or no change)? Some to consider acupuncture, Rolfing, orthobionomist, herbs, cortisone shots, anti-inflammatories, etc.Hope this helps,
JoyHi Cathy,
Would you mind please providing more information including OPQRST for the bulging disc and referral pain. If the bulging disc is a chronic versus acute condition / onset, the recommendations may be different. Additionally, the cause or onset of the referral pain may also provide different recommendations.In general though, has your client seen a healthcare practitioner whether orthopedist, orthobionomist, chiropractic, osteopath, naturopath, physical therapist, acupuncturist, etc.? Has your client had X-rays, Mri, nerve conduction test, etc. for the cervical vertebra and referral pain?
Please also provide more information as to what you mean by “mock” sciatica?
Hope this helps,
JoyHi Meghan,
You may want to check out Mackenzie’s website as she is offering a retreat in Brasil at the end of Feb / begin of March. Here’s a link to her website: http://www.mackenzieyoga.com
Additionally, Emilie is having a detox and meditation retreat in April at Kripalu. Here’s a link to the Kripalu website and more information about this retreat: http://kripalu.org/presenter/V0009513/emilie_perz
Hope this helps,
JoyHi Tracie,
In Chinese medicine, we see these muscle atrophy and imbalances. In general, muscle atrophy may be from a qi deficiency, or an imbalance between the qi of the left and right sides of the body. Muscle atrophy from a qi deficiency may occur when the qi is fatigued and unable to maintain its tone and shape; this is similar to a prolapse. Muscle atrophy from an imbalance between the two sides of the body may occur from an energetic block. Yet when this progresses we may see one side of the body become more stagnant or tight and the other side more deficient. As a result the tighter / engaged muscle side may start to pull the vertebrae and structure of the body toward the tight side. Unfortunately the deficient side may not be able to resist the pulling from the tight side. As a visual, image a tug of war in which one side has multiple people representing the engaged / tight side while there is only one person representing the deficient side. Over time the one person side may not be able to resist the pulling from the many people side.Based on the fact that your client places a lot of work on the body as an endurance athlete, and seeing some curvature of the spine that was not there initially, you may want to recommend to your client to see a health care practitioner. Some practitioners to consider are: naturopath, osteopath, rolfer, PT, acupuncturist, chiropractor, functional medicine practitioner, internal medicine practitioner, etc. It should be noted that there are several health conditions that may also bring on one sided muscle weakness and atrophy. Therefore, it may be helpful to eliminate these possibilities.
Hope this helps,
JoyHi Alice,
I will go into a deeper response related to the back from a Chinese medicine perspective later.Yet for now, has your client seen a health practitioner whether that is a orthopedic physician / surgeon, naturopath, chiropractor, acupuncturist / Chinese medicine practitioner, etc.? I would recommend this first if it feels like the spine even if the client is not sure.
Hope this helps,
JoyHi Barbara,
Without having seen or read the article, transitions in general may be areas where one may injure oneself. This is dependent upon where one is sitting in the joint. One legged balancing poses are placing all of the weight in the standing leg. As an example if one slumping or sagging into the joint and then transitioning through that joint, this will put more wear and tear on the joint. Instead there may be less wear and tear on the joint if one is sitting high the joint.Hope this help,
JoyHi Rachel, one of the modifications that I like to do with my pregnant clients is to pigeon toe the feet in poses; toes closer together while heels are further apart. This helps to take pressure off the sacrum and low back. Additionally ideas for gentle stretch: Baddha konasana, modified malasana against wall (upright or supine), modified child’s pose, puppy stretch, thread needle, modified double needle. Your client may or may not be open to this yet during a lot of the poses massaging the back and shoulders is enjoyed by a lot of pregnant clients especially in side lying savanasa with visualization of letting those areas melt, relax, etc.
Hope this helps,
Joy -
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