Osgood-Schlatter Disease

Osgood-Schlatter Disease

Question: A long-time soccer player is suffering from Osgood-Schlatter Disease. She has extreme pain any time there is any pressure on the front of her knees– Fixed Firm, Half-Tortoise, Camel, and Rabbit. So much that she feels she can’t do any of the posture without modification. Is this a condition where she should push through the pain? ?

Answer: No this is not one to push through the pain?

To define Osgood-Schlatter Disease: A temporary condition of the leg at the knee, characterized by swelling, tenderness and pain?

Everything to tolerance. Err on the side of caution. Use a pad to kneel on or fold up towel and/or mat.

Ice and heat are helpful. ?Heat in general is very good for it. So she can continue to come to class. Better just to try to get into the position (1% trying the right way) than to modify.

Getting better can take 2-12 months. They must be patient.

Please use this topic for further discussion about Osgood-Schlatter and hot yoga.



Question: A student is bothered by the fact that she yawns a lot in every class. She says she is not tired.

Answer: Here’s an explanation I found- “Yawning is one way your body responds to a lack of oxygen — the long, deep breath associated with a yawn increases the oxygen supply to your blood via your lungs. If you are hyperventilating during exercise — taking shallow, short breaths — this may trigger your body’s yawn response in an attempt to increase your oxygen levels.”?

There is also evidence that yawning is an attempt to cool the body.

Answer: I’m not a doctor, but I would venture to guess that this has to do with oxygen, or lack of rather. Teach her privately how to do Pranayama. I bet she isn’t breathing through the throat and getting 6 counts breaths.

Please use this topic for further discussion about yawning and hot yoga.

The “dialogue” vs “The Dialogue”


Hi all!

Here’s another dialogue question for you all. I was taking a class with a very very seasoned teacher who loves and believes in Bikram without doubt, without question and without debate, and I noticed she didn’t use the “the dialogue” much at all. This seemed odd to me, so I asked her about it.

I asked why she wasn’t using “the dialogue” as in the exact words of the dialogue in her class.

To my surprise, she said that she WAS using the dialogue, and challenged me (of course in a friendly professional way) to show where she wasn’t. So I went through it, and used Half Moon as an example. I said that when I use “the dialogue” I say the words as written in the order written and as many of the words as possible as given to me in my copy of “the dialogue”, and I noticed that she didn’t.

She countered that she DID say the “dialogue” and that the “dialogue” was the order, intent and instructions, but not necessarily the exact words in the exact order. In her opinion, if you say “stretch UP to the ceiling and lift UP out of your waist to touch it”, the intent and the direction and the order was the same as “..stretch up one more time, touch the ceiling”. So she WAS using the “dialogue” in the sense of order and instructions and intent, but not “the dialogue” as in repeating the exact words as given in our copy of the teacher’s dialogue.

Her advice was to go through “the dialogue” and pick out the essential words and try to find a way to say them in my own way. This would still be saying the “dialogue” but would be much more powerful than repeating the written words, as it comes from the heart and is integral to what and who the teacher IS. And if I was to do THIS, my class would go from a solid “the dialogue” as written class which is a 6/10 to a 10.5/10 class for my students.

I’m confused about this — I never considered a difference between “the dialogue” aka the written words vs the “dialogue” aka the intent, order and direction underlying the written words.

I would love some insight as to this from other teachers — have any of you heard this before? Is this a direction to consider? Is this a natural evolution once I become more experienced as a teacher and practitioner?

Thanks everyone!

Bone spurs

Bone spurs

I have a student who says she has bone spurs in her feet, and it hurts for her to sit in Fixed Firm. She asked if there was any way to modify it. I told her not to worry about going back very far, but she said it wasn’t that that hurts — it’s just having her feet that way on the floor.

Do you know anything about this?

Prostate and Bikram

Prostate and Bikram

Hello everybody:

I will be teaching a class in support of Western New York Urology Association. I was wondering if anybody had any information how hot yoga is linked to the benefit of the prostate. Any information would be helpful, so I can incorporate it in my class.

Thank You

Denis D.

Passing Out

Passing Out

Question: A  student passes out in the first backbend. Another teacher told her she needs to do more backbends. She has a VERY flexible spine and she has low blood pressure. I know backbends fix all problems, but I am more concerned about her hurting herself by falling.


Answer: I almost pass out in the 1st backbend too. I also have a flexible spine/deep backbend and rather low blood pressure. If I am careful during the first backbend, I can go for it in the 2nd set and feel fine.

Answer: If she’s got a flexible spine, she’s got a flexible neck (part of the spine) as well. She DOESN’T need more back bends. She needs to back off. There’s too much pressure on the arteries in the neck, cutting off blood circulation.

That coupled with the low blood pressure is making her pass out. She needs to take it easy on the first back bend, less pressure = less posture?

Back bends don’t fix everything. There is never a blanket statement that applies like that when you are talking about the human body.

Q: It seems like some studios have more instances of students passing out than others. Is it a question of the heat/humidity balance, teaching style/practice philosophy, or coincidence?

A: Could be a coincidence. Certainly, if the heat and humidity is out of normal range (105 degrees with 40% humidity) and too high, there will be a strain on the heart and the whole system. ?

Under normal conditions, the ones that pass out are usually young and athletic. They try so hard, and over-do it, and they go down. Bikram says they get so much oxygen their systems cannot handle it.

Teach your students to pay attention to their own bodies; to sit down if they feel dizzy. Feeling dizzy is normal. But if you don’t sit down, you fall down. In my opinion it’s best not to have rules about this. It’s important for everyone to understand they are responsible for themselves.

hot yoga teaches you to like yourself, then love yourself so you will take care of yourself.

Q: A beginner fainted and then convulsed a little after 1st set of awkward. He has had this kind of issue before, but not as strong as today. Apparently it could be a vasovagal syncope, but he is undergoing more tests.

What is the best way to deal with fainters and cramps when it happens?

A: I used to faint frequently during class. My first warning sign was open mouth breathing. If my mouth was open I would faint.

If it was closed I was fine. The lobby is the first place I want to go when I’m seeing spots BUT it’s THE WORST PLACE, especially if there is no desk staff because I could hurt myself if I fell. The extreme change from hot room to cold lobby can send me spinning.

I think most people just need a reminder to breathe through the nose, drink more water before class, and to try 50%/sit down if they need to.

A: All vagovasal syncope means is the person passed out, usually as an overreaction to stress. It really isn’t a medical condition and no medical treatment is required. It’s common, not serious.

Some slight appearance of thrashing around is pretty common with this too. Good thing it’s being checked out though.

Please use this topic for further discussion about passing out in hot yoga.

Colostomy Bag and Hernia

Colostomy Bag and Hernia

I was approached by a man who would like to start practicing but is concerned because he has a permanent colostomy bag (colorectal cancer and had part of colon removed and apparently part of abdominal muscle?) and hernia (where part of the colon will come out of the body in the place where ab muscle was removed).

I am concerned because I have never taught someone with these conditions and don’t know what will happen when we start stretching and compressing those areas.

I acknowledged that I had never taught someone with those limitations and was unsure how that would go in the hot room.

And he suggested I could treat him like a woman that just had a C section… it would be similar.

I would love to see him practicing.

Help please.

Teacher Burn-Out

Teacher Burn-Out

Question: What are your suggestions for managing and working through teaching burn-out?

Answer: Oh I’ve thought about this a lot. I’ve seen it and talked to teachers about it. I’ve come to the conclusion that 3 things lead to burn-out?

1) Teaching too many classes per week, sometimes out of necessity. Everyone has a number of classes they can COMFORTABLY and JOYFULLY teach. Stick to that if possible.

You can always do more on a TEMPORARY basis, but take care of yourself first?

2) Not maintaining a personal practice OR practicing too much, like these 100 day challenges. First, take care of yourself?

3) The most important one I’ve found is not teaching with the dialogue. This by far is the biggest reason teachers burn out. They go in there every day and “make it up.” That requires a tremendous amount of energy. Saying the dialogue is not only a meditation for the student, but also for the teacher.

When you are not feeling your best physically, you can, with little effort, get in there for 90 minutes and say the dialogue and teach a very safe and good class.

?So take care of your students and stick to the dialogue.

Please use this topic for further discussion about teacher burn-out.



Question: A new student has severe skeletal and muscular misalignment, top to bottom due to a congenital scoliosis/torticollis. She is active, and runs, goes to the gym… ?Besides trying the right way, and coming regularly, what would you recommend?

Answer: Best if she can do yoga 5-6 times a week. Running and the gym stuff usually doesn’t help the situation because of the impact on the crooked spine. Yoga will strengthen the muscles to hold the re-alignment which will happen over time (several years). At times it may be very uncomfortable or painful, but it’s worth it. Eventually, as she gets more and more straight, she will feel better and better.

The only issue is the pain from re-aligning the spine. Patience and persistent practice is the key. It will DEFINITELY improve the quality of her life.

Please use this topic for further discussion about scoliosis and hot yoga.



One of our students has been experiencing fainting at home a couple of times. She has been practising 3-4 times a week for about 5 months and never actually feels dizzy in class. After she first fainted she went to the doctor who gave her Hydralite, but  her blood tests are ok she says.

Even though in class she never has to sit out postures she finds recovery after class takes time. The second time she almost fainted (heart throbbing and then blackout feeling) it was after doing an evening class and then a morning class the day after. She is taking electrolytes / salt and drinking lots of coconut water.

Any other suggestions / advice that we could pass on to her? Thank you for your help~