I’ve included an email which I received this week, the first of its kind for me. It’s from a family practitioner MD who would like my help. I haven’t much experience with her condition and I do have some research time coming up before her appointment next week. However, I thought I might solicit your advice in case you’ve written your paper on yoga therapy and hyperthyroidism and thyrotoxic myopathy but it’s not quite through the publisher yet!I would certainly appreciate any tips. I will then throw it up on the FB page for ideas as well. Wanted to get your thoughts first though. Thanks Ginger, I’m enjoying my PhysioYoga journey and all its new doors. Joy*
EMAIL FROM PATIENT: Subject: physio/yoga
I have fallen apart over the past year. Last summer I developed severe hyperthyroidism and had significant thyrotoxic myopathy. I went from fit, strong and very flexible to very weak. I could not pick up and carry groceries or even stand from a squat.
I have had my thryoid removed in Dec and have been euthyroid since Feb but now I am very stiff weak and inflexible. I have tendonitis from using my computer at work, I am stiff and sore in my lower back and pelvis region. I can not even touch my toes (from being able to put my full hand flat on the floor).
I need help to get moving in a safe manner with someone who understands what the myopathy has done to me. My husband would also like to try as he is very inflexible as well but he travels and works in Edmonton on alternate weeks. Mary*, MD
(*Names have been changed)
Wow, what a situation – I have never worked with anyone with this, and certainly don’t have a paper in the wings for pub. about it. 😉
But from what I read – respiratory issues are paramount to address – and guess what, we have a few techniques for dealing with that in Medical Therapeutic Yoga, right?
Heather Mason’s paper is a good one to cite to get her started – It posits ujyaii breath (granted A-D breath and TATD breath should be taught first) improves neuroendocrine regulation BETTER than A-D breath, with a bevy of other physiological benefits. So – I’d go to A-D breath and get into ujyaii breath straight away, so long as she is not a chest or paradoxical breather.
Breath is everything – and I’d start there first. After that, it seems like, from what I read, you can just jump straight into the primary function movement assessment algorithm (the FMA is taught in this program) with her – relating it to functional ADL completion and strength/conditioning.
Does that help?