Scoliosis management by yoga therapy dr.shirish

Yoga programme for
Management of Scoliosis
Dr. Shirish Deshpande , Pune, India
Corporate Yoga Trainer
Yoga Therapy + Ayurveda consultant
Under Guidance of –
Prof. Dr. Rajendra.R. Deshpande, INDIA

After the warm up ,
sitting & gentle stretching will
be good for idle muscles.
Twisting postures like
Parivritta-swastika-asana OR
Adhomukha-Swastika-asana
Sitting twists - also can be
done in Vira-asana OR on
chair.
(5 to 7 minutes)
Necessary - know which side turning is difficult.
And then practice more on that weaker side.
Dr. Shirish Deshpande YOGA THERAPY AND AYURVEDA FOR OCCUPATIONAL HAZARDS

Asymmetrical Poses
 Half-way Jaanushirsha-asana, Half-way Gomukha-asana(Hands),
Ardha-Matsyendra-asana (gradually starting from soft pose).
 These give us the awareness about
un-equilibrium between Rt. & Lt. halves of body.
‘Being aware of imbalance’ will be the first step.
(10 minutes)
Dr. Shirish Deshpande YOGA THERAPY AND AYURVEDA FOR
OCCUPATIONAL HAZARDS

SYMMETRICAL POSES
Vajra-asana/Veera-asana-
gives good support to base Pelvis) to hold
spine & Para-spinal structures in erect
position.
One can use brick support if allowed.
Adhomukha-Vira-asana OR Shashanka-asana-
Bhek-asana-
stretch thigh muscles & lower abdomen
muscles.(ilio-psoas training)
(10 minutes)
Dr. Shirish Deshpande YOGA THERAPY AND AYURVEDA FOR OCCUPATIONAL HAZARDS

Marajar-asana - make spine
+ para-spinal structures
supple.
(3 to 5 minutes)
Dr. Shirish Deshpande YOGA
THERAPY AND AYURVEDA FOR

Again the asymmetrical poses for stretching the weaker
side.
Both sides stretching is necessary, as, the musculoskeletal
system needs to be trained.
Parigha-asana, Bharadwaj-asana by wall,
Ek-Paad/Parivritta janu shirsha-asana.
Pashchim-uttana-asana(Soft).
(7 minutes)

Relax Spine by Pawan-mukta-asana
 The lower back region when
touches down, the muscles get
a good break from functioning.
 Pelvis, Low back & whole para-
spinal structures get aligned
without any pressure.
 Pawan-mukta followed by
Vakra-asana helps to regain
balance in hips,pelvis & back.
If one does it at morning,
immediately after waking up,
helps a lot .
(5 to 7 minutes at least)

If you use props/supports then –
Poses like
Supta Padangushtha asana,Pashim Uttana asana &
Supportaed Uttana asana
can be practiced.
(Scoliosis is tested by forward bend. If same bend
is given with support, then muscles & Spine get
rest as well as re-arrangement.)
(7 to 10 minutes)

Advance stage postures
 If your method & policies
allow, then advance
postures with Props like
Viparita Dandasana (on
bench) , Adhomukha
Shwanasana, can be
practiced.

Other poses can be given as (advance stage)-
 Trikona-asana
 Parshwa-kona-asana
 Paschimottana-asana
 Hala-asana
 Urdhwa-mukha-shwana-asana
 Bhujanga-asana

YES ; NO ; MAY BE
We tell patients to do
frequently at home.
THESE ARE THE UNIVERSAL NECK EXERCISES
KNOWN TO ALL OF US.
WHICH ARE CALLED AS BRAHMAMUDRA IN
SOME SCHOOLS OF YOG.
THESE STRENGTHEN THE UPPER SPINAL &
SHOULDER GIRDLE MUSCULSTURE.
Movements should be slow enough to stretch
muscles .
Person has to be aware that the shoulders
should not be lifted in any of the movements.Dr. Shirish Deshpande YOGA

Kindly give couple of minutes more-
VERY IMPORTANT-
Yoga postures followed blindly may be hazardous .
In next ppt s, logic behind these postures is given, so that you
can judge why the posture is been suggested.

By this program , we try to achieve all the
‘body-planes’ as they are.
Memory of ‘balanced planes’ is there in
brain; we need to tap/stimulate it.

 The wrong pose like Scoliosis - pose is many a times
adapted pose due to recurrent wrong sitting, standing,
sleeping etc.
 Imbalance by birth/by accident is difficult to
manage…but certainly not impossible to manage.

Asymmetry judged Clinically.
 Here medial border & inferior
angle of shoulder blades are
marked .
 Rt. Shoulder blade (Scapula)
has moved away from
central plane of Spine.

Everyone uses one side more. So other side which is used
less becomes weaker. The muscles on unused / less used side
get tighter day by day.
Shoulder girdle & Pelvic girdle attachments are necessary to be
examined .These groups are real culprits.
SPACE factor is disturbed in thses musculatures. We need to re-arrange
the Space & the matter in that Space(musculo-skeletal sys.)
Contracted muscles act like Bow-Strings ; & from outside it appears like
bent or leaned body on one side.

Why body adapts-
It happens because of what we call - COIN
THEORY - .
If we place lower coins … a little to right …..
…then the upper coins should be placed …a
little left….
…then & then only ..the whole building of
coins can be balanced…!
IN THE SAME WAY BODY-NATURE TRIES TO
BALANCE BY ADJUSTMENT.

BAD POSE ADAPTATION
it makes the thing worst…!
We see the leaning spine
on one side…!
We see the tilted pelvis…!
There is something else
happening with pelvis….!
Its not only raised up from
one side;
but also ,
the Pelvis + Hip twist ;
turn-in-front from one side .
Ilio-psoas, Dr. Shirish Deshpande YOGA

The skeleton turns ;
so the body looks turned & twisted.
Skeleton is controlled by Muscles attached to it.
 The important muscles
1) Shoulder girdle – Rhomboids, Tares Muscles, Quadrates lumborum ,
Latissimus dorsi.
2) Pelvic girdle – Quadrates lumborum, Oblique muscles, Iliopsoas.
These muscles need to be trained & re-arranged.(to be stretched
more on contracted side)
 These are like strings of a Dhanushya.

What exactly you/ me/ we all do in Yoga
 Move the spine in every which way (forward, back, lateral, twist,
vertical) underutilized in rehab programs
 Coordinate spinal and other movements with adaptive
breathing (underutilized in rehab programs)
 Facilitate strengthening exercises
Progress from “passive” asanas to more “active” as the
condition improves, which is a unique feature.
 “The practice of Pranayam facilitates better percolation of
oxygen into the lungs”& in turn helping to breath normally
during “Crisis Time” also.

KNOW WHERE IT WENT WRONG ! & WHAT TO DO FOR IT?
If this imbalance of ‘weakness & Strength’ crosses the limit, then
body adapts this ‘change in day to day posture’. The muscles get
arranged in the changed/bad gait.
Only thing we do is to correlate Yoga Pose with this deviated
anatomy. This principle can be called as “Counter Stretching”.
(For example;- if the left-side-pelvis has came up….then to
counter that, he/she needs to stretch it by bending on right
side…by anchoring the pelvis.)
If this ‘counter stretching’ is hammered (sorry to use that word) on
Client’s brain, then the person will practice poses with
understanding .
Generally speaking, you cannot know what is right, if you have not felt
what is wrong.

UNDERSTOOD A POSE?,,,
THEN APPLY IT IN EVERYDAY LIFE -
If client applies this “Counter-Pose-memory”
for day-today positions, …then automatically he
starts “good – pose adaptation” .
This helps outside the Yoga-hall too.
In fact the Client will remember us & the
things told by us, if told with logic.
So 1 or 2 hrs of Yoga-Pose-practice will be
beneficial for remaining 22 or 23 hrs.

Therapy is based on dimensions of a Yogasana.
 Every logical Yog-posture has -
an anchoring point & stretching axis
(a fixed point & direction to stretch).
 WE (decider) NEED TO ANALYZE -
….in which direction / in which dimension ,
we should stretch the muscles.

 I believe that every Posture we prescribe, should have logical
explanation.
 There are many other postures which are beneficial to handle the
scoliosis. I found these as applicable for everyone (may be with little
modifications).
 For the detailed information / consult on +91-9970071195
 OR dshirish.in@gmail.com

Scoliosis management by yoga therapy dr.shirish

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