Yoga and scoliosis


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Newsletter September 2024

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Hello Reader

Welcome to this month's newsletter to inspire and support your yoga teaching.

I've been asked a few times recently about teaching people with scoliosis, so that forms the subject of this month's article.

It's quite a complex topic because needs and experiences vary a lot from person to person. The article talks generally about how to guide yoga students with scoliosis most helpfully, and what to avoid.

This article also applies to people who have a spinal curve that is below the medical threshold to get a formal diagnosis of scoliosis. If someone has a feeling of asymmetry when they practice side bends, there may be a mild scoliosis, which I see fairly commonly in my Rolfing practice.

I look forward to seeing some of you at the special Q&A next week. 😊

love and light,

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Keep scrolling for:

  • Dates for your diary
  • Article: Yoga and scoliosis
  • Community news​
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Dates for your diary -

  • The next Q&A Zoom session for yoga teachers is on ​
    Saturday 21st September at 10am.
    πŸ€— (CPD)
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  • Do you have a student who's thinking about becoming a yoga teacher?
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    We're interviewing NOW for our online BWY Foundation Course starting October. Tutors: Andrea Newman and Tracy Harris​
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    Course information here​
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  • Back pain workshop​
    Saturday 26th October
    at 10am-12 (CPD)
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    A practical and exploratory workshop on Zoom with Andrea to give you new ideas and confidence when supporting yoga students with back pain in a mixed ability class.
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    Free of charge to community members.​
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    Find out more and enrol here​
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    Community members' free enrolment here​

Article:

Yoga and scoliosis

Yoga practice can be very useful for people with scoliosis. An appropriate regular practice can help in relieving pain, managing other symptoms and enhancing well-being.

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Yoga can help the body find better stabilisation of a scoliotic spine and improve posture and body awareness.

It also can be empowering for people to learn a practical and effective way they can manage their condition themselves.

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Scoliosis can’t be cured and yoga will never β€˜fix’ the condition – it’s best to ignore the links on the internet promising to β€˜cure scoliosis with this one exercise’! But it can be opposed to prevent it getting worse over time.

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What is scoliosis?

Scoliosis is a condition of the spine that can cause discomfort, muscle imbalance, limited mobility and sometimes pain.

Scoliosis is an abnormal lateral curvature of the spine, typically forming an "S" shape when viewed from the back. The condition can range from very mild to severe, depending on the degree and shape of curvature.

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In 80% of cases the cause is unknown – this is known as β€˜idiopathic scoliosis’. It often develops during adolescence, or in older age. For some it is genetic, common within a family, sometimes it’s apparent at birth, or may be associated with neuromuscular conditions, such as cerebral palsy.

Doctors will measure the angles of the curves and designate the scoliosis as mild, moderate or severe, accordingly. The shape of the curve varies too.

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Each curve is a side bend (lateral flexion) as well as a degree of twist (rotation). The primary curve may be in the lumbar or thoracic spine. But there is a secondary curve too which is higher up the spine, often in the neck.

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Benefits of yoga for scoliosis

As yoga emphasises working towards balance and alignment, this approach can help reduce postural imbalances, even though a symmetrical end-point will never be reached.

Yoga can strengthen the back and belly muscles which helps to support the spine and can help stabilise the scoliotic curves.

Yoga can help lengthen muscles that have become tight and shortened, and strengthen those that have become weak, promoting greater strength and flexibility overall.

Gentle stretching and mindful movement can help relieve pain or discomfort in the muscles surrounding the spinal curves.

For those with thoracic scoliotic curves, spinal extension, lateral flexion and breathwork can be particularly helpful in improving lung capacity and expanding the ribcage.

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​What you will see

As you observe your students with scoliosis in standing you may notice:

  • one shoulder higher than the other
  • a protruding rib cage
  • one hip higher than the other
  • limited mobility (often asymmetrical)
  • clothes hanging differently on the two sides of the body
  • body image concerns
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You are very likely to observe limited mobility in people who have received surgery to stabilise their scoliosis, which is offered in extreme cases.

A pose where scoliosis is often particularly evident is child pose. You will see one side of the back more β€˜humped’ than the other.

In asymmetrical yoga poses there may be a significant difference in mobility between the two sides, in the spine, hips and shoulders.

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How people with scoliosis experience the condition

Individuals with scoliosis experience it differently, so it’s important to have a conversation with each yoga student to gather information about their personal limitations and effects of the condition on their lives. They are likely to discover more about how scoliosis affects them as a result of ongoing asana practice.

Some people have no symptoms with scoliosis. Some are unaware that they have the condition. Others experience pain, muscle tension or discomfort. In some it impacts breathing and also digestion. And not to mention the difficulty in buying clothes that fit properly.
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People with scoliosis often adapt their lifestyle to manage symptoms. Many engage in activities such as yoga, as well as swimming or Pilates, to support spinal health, and they know to avoid high-impact sports (such as running and football) and asymmetrical sports (such as golf and tennis).

Most people can lead active, fulfilling lives with scoliosis. For those with chronic pain or severe curvature, managing scoliosis needs ongoing care and support, both physically and emotionally.

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How to teach students with scoliosis in a yoga class

Avoid going to the limit: A yoga practitioner with scoliosis is wise to avoid going all the way to the limit of the range of movement of any pose, on either side. It’s helpful to guide them to stay well within comfortable limits.

Avoid trying to be symmetrical: Always respect the limitations of the curves and never try to match the two sides. Teach yoga practices to support the person as they are, and without offering therapy or advice unless you are qualified to do so.
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Use of props:
Blocks, straps, and bolsters can be used in the usual way to help in achieving better alignment and support during practice, but using these to try to create an appearance of symmetry can be harmful. This therapeutic approach is the domain of medical specialists.

Backbends: Backbends are very useful for students with scoliosis. But deep backbends are to be avoided as they can put excess strain on the neck or lumbar spine where scoliosis is present.

Taking a lesser degree of spinal extension makes the pose helpful, for example focusing more on lengthening than lifting in a low bhujangasana (cobra pose). Experienced students may self-select this, but others may try to push into backbends which we can discourage.
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Asymmetrical poses: It’s essential to pay attention to all asymmetrical poses and adapt according to the specific needs of the curvature on each side. These practices can be very useful for scoliosis.

Side bends oppose the deepening of spinal curves over time. Triangle pose (trikonasana), flank stretch (parsvakonasana), gate pose (parighasana) and simple side bends are helpful in this regard.
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It’s important that the student takes care not to compress the shortened side further nor to stretch it too much. The shortened side will benefit from small gentle stretches to keep it open and mobile.

It’s also important that the student takes care not to over-stretch the more open side (convex side) of the scoliotic curve. This may be tempting, and might feel good, but this side of the curve is already overly lengthened so it’s best not to encourage it to open even more.

Strengthening: Poses such as plank, side plank (Vasisthasana) and warrior poses (Virabhadrasana) help to develop muscle strength, developing more support for the spine.
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Mobilising of the spine: General limbering movements promote flexibility and maintain the current range of movement of the spine, such as simple cat stretches, or hugging one or two knees in from supine.

Deep breathing: Learning complete yogic breathing helps to expand the concave side of the ribcage and improve and maximise overall respiratory function.
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All poses and breathwork, practised appropriately, are helpful for developing muscle strength to support the spine, and stretching out tight areas that can cause scoliosis-related pain.

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Supporting the whole person

Some people find it frustrating when they can β€˜do a pose’ on one side, but struggle on the other. If this is caused by scoliosis, this is never going to change, so developing acceptance is a useful teaching point.
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Encouraging students to be aware of how they feel during and after a pose, as well as after class, is useful in developing body awareness. This helps students to refine their practice according to their specific needs and limitations. Upright standing poses can be useful as a reference point.
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Yoga for people with scoliosis must always complement and support medical treatments or physical therapy of course. Gathering information about what medical advice students have received regarding exercise, informs us in our teaching and ensures a safe and effective practice.

As yoga teachers, we often give broad guidance to students to look after themselves. This is particularly important for people with scoliosis in order to support their learning of autonomy and self-care for their specific condition.

A yoga student knows their own body best, and will know more about the nature of their scoliosis than their teacher. But as yoga teachers we can provide an invaluable safe environment where they can come and explore with loving guidance, which can be life-changing.

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Any thoughts, experiences or questions? Do share at a community Q&A meeting, or in a chat space in the community hub.


Community news

Talking points

New community members are very welcome to join our Q&A meetings. We talk about all sorts of topics relating to yoga teaching, including class management issues, students with particular needs, thoughts around different types of venues, setting fees, marketing, aspects of anatomy. It's also fine simply to come along and listen in to the conversations.
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The next three Zoom Q&A meetings are:

Saturday 21st Sept 10-11am

Friday 18th October 2.30-3.30pm

Saturday 9th November 10-11am

Log in to the community hub for further dates, to say you're coming, to get email reminders, and to access the Zoom links - link from your Dashboard at yogauk.com.
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Back pain workshop

This workshop on Saturday 26th October is free of charge to community members - log in to the community hub and look in the 'Events' space to say you're coming and access the Zoom link.


Please feel free to pass this newsletter on to any yoga teacher friends or colleagues who might be interested in any of the content. They can sign up to receive newsletters to their own inbox at www.yogauk.com

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Yoga Teaching and Learning

Here you will find articles, newsletters and web links for yoga teachers. The YogaUK.com website was founded in 1999 by Andrea Newman to support and connect heart-centred yoga teachers who work hard to serve their local communities. All yoga teachers are welcome, from anywhere in the world.

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