Loren Fishman, MD

Loren Fishman, MD Loren Fishman, MD - Dir of Manhattan Physical Medicine & Rehabilitation in New York, and Author

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04/21/2026

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Email from Manhattan Physical Medicine and Rehabilitation LLC ONLINE MAY 8th Yoga and the Knee - JUNE 13, (live); SCOLIOSIS and ROTATOR CUFF, Costa Mesa, CA:, OSTEOPOROSIS CERTIFICATION - JUNE 26-28 (

๐—ฅ๐—˜๐—ฆ๐—˜๐—”๐—ฅ๐—–๐—›: ๐—ง๐—ต๐—ฒ ๐—ก๐—ฒ๐˜„ ๐—จ๐—ป๐—ฑ๐—ฒ๐—ฟ๐˜€๐˜๐—ฎ๐—ป๐—ฑ๐—ถ๐—ป๐—ด ๐—ผ๐—ณ ๐—™๐—ฎ๐˜€๐—ฐ๐—ถ๐—ฎ ๐—ถ๐—ป ๐—ฆ๐—ฝ๐—ถ๐—ป๐—ฎ๐—น ๐—›๐—ฒ๐—ฎ๐—น๐˜๐—ตNew research continues to affirm what clinicians and movement ...
04/21/2026

๐—ฅ๐—˜๐—ฆ๐—˜๐—”๐—ฅ๐—–๐—›: ๐—ง๐—ต๐—ฒ ๐—ก๐—ฒ๐˜„ ๐—จ๐—ป๐—ฑ๐—ฒ๐—ฟ๐˜€๐˜๐—ฎ๐—ป๐—ฑ๐—ถ๐—ป๐—ด ๐—ผ๐—ณ ๐—™๐—ฎ๐˜€๐—ฐ๐—ถ๐—ฎ ๐—ถ๐—ป ๐—ฆ๐—ฝ๐—ถ๐—ป๐—ฎ๐—น ๐—›๐—ฒ๐—ฎ๐—น๐˜๐—ต

New research continues to affirm what clinicians and movement practitioners have long sensed: fascia is not passive tissue. It is a dynamic, intelligent system shaping spinal health at every level.

A 2024 review highlights fascia as a richly innervated, highly communicative network. It's so integral to wholeโ€‘body regulation that researchers describe it as a โ€œwatchmanโ€ for human health. Its integrity influences locomotion, proprioception, autonomic balance, and even emotional wellbeing.

Emerging studies also show fasciaโ€™s role in chronic pain, revealing how changes in fascial tension, thickness, and sensory signaling can contribute to persistent back pain and movement dysfunction.

And looking ahead, 2025 research predicts a surge in fasciaโ€‘focused imaging, movementโ€‘based therapies, and manual interventions, especially for spinal conditions and ageโ€‘related changes.

But the research points to:
Fascia is no longer the โ€œforgotten tissue.โ€ It is a living, responsive system that shapes how the spine moves, adapts, heals, and communicates. As science catches up, our therapeutic approaches can become more precise, more compassionate, and more effective.

Source: See last slide of carousel.

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04/14/2026

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Email from Manhattan Physical Medicine and Rehabilitation LLC Kripalu (live) MAY 8th Yoga and the Knee - JUNE 13, (live); ROTATOR CUFF, Costa Mesa, CA:, OSTEOPOROSIS CERTIFICATION - JUNE 26-28 (ONLINE

04/08/2026

This ballet troupe arranged themselves into the shape of a spine, and the result is breathtaking. Their creation captures what I see so often in my work: the spine as both architecture and expression, strength and vulnerability. Iโ€™m grateful for this stunning tribute to the structure that carries us through life.

CREDIT:

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04/07/2026

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Email from Manhattan Physical Medicine and Rehabilitation LLC Kripalu (live) MAY 8th Yoga and the Knee - JUNE 13, (live); ROTATOR CUFF, Costa Mesa, CA:, OSTEOPOROSIS CERTIFICATION - JUNE 26-28 (ONLINE

๐—”๐—ป๐—ป๐—ผ๐˜‚๐—ป๐—ฐ๐—ถ๐—ป๐—ด ๐˜๐—ต๐—ฒ ๐—ฃ๐˜‚๐—ฏ๐—น๐—ถ๐—ฐ๐—ฎ๐˜๐—ถ๐—ผ๐—ป ๐—ผ๐—ณ ๐— ๐˜† ๐—Ÿ๐—ฎ๐˜๐—ฒ๐˜€๐˜ ๐—ฅ๐—ฒ๐˜€๐—ฒ๐—ฎ๐—ฟ๐—ฐ๐—ต ๐—ผ๐—ป ๐—ฆ๐—ฐ๐—ผ๐—น๐—ถ๐—ผ๐˜€๐—ถ๐˜€, ๐—ฌ๐—ผ๐—ด๐—ฎ & ๐—•๐—ผ๐˜๐—ผ๐˜…Over the past decade, my colleagues and I hav...
04/04/2026

๐—”๐—ป๐—ป๐—ผ๐˜‚๐—ป๐—ฐ๐—ถ๐—ป๐—ด ๐˜๐—ต๐—ฒ ๐—ฃ๐˜‚๐—ฏ๐—น๐—ถ๐—ฐ๐—ฎ๐˜๐—ถ๐—ผ๐—ป ๐—ผ๐—ณ ๐— ๐˜† ๐—Ÿ๐—ฎ๐˜๐—ฒ๐˜€๐˜ ๐—ฅ๐—ฒ๐˜€๐—ฒ๐—ฎ๐—ฟ๐—ฐ๐—ต ๐—ผ๐—ป ๐—ฆ๐—ฐ๐—ผ๐—น๐—ถ๐—ผ๐˜€๐—ถ๐˜€, ๐—ฌ๐—ผ๐—ด๐—ฎ & ๐—•๐—ผ๐˜๐—ผ๐˜…

Over the past decade, my colleagues and I have explored how yoga can safely and effectively reverse adolescent idiopathic scoliosis (AIS) by rebalancing muscular tension along the spine.
Our newest study, published March 2026, shows that combining targeted isometric yoga with small, precisely placed injections of Botox can accelerate curve reduction dramatically. This integrative approach builds on five earlier studies from my lab, each showing that specific isometric yoga poses, done for just a few minutes a day, can meaningfully reduce scoliotic curves.

๐Ÿ’‰ ๐—ช๐—ต๐—ฎ๐˜'๐˜€ ๐—ก๐—ฒ๐˜„ ๐—ถ๐—ป ๐—ง๐—ต๐—ถ๐˜€ ๐—ฆ๐˜๐˜‚๐—ฑ๐˜†?
For the first time, we paired:
โ€ข Isometric yoga poses that strengthen the weaker, convex side of the curve
โ€ข Botox injections that temporarily relax the stronger, concave side.

This dual approach helps restore symmetrical tension on the spine. An idea rooted in the tensegrity principles that have guided much of my work.

๐Ÿ“ˆ ๐—ž๐—ฒ๐˜† ๐—™๐—ถ๐—ป๐—ฑ๐—ถ๐—ป๐—ด๐˜€
The results are most spectacular in children aged 8 - 12, whose ligaments are still flexible and responsive. The curves from the combined yoga + Botox group improved from 33.2ยฐ to 24ยฐ in just 3 weeks
โ€ข And to 21.1ยฐ by 3 months
โ€ข Both outcomes were highly significant (p < .001)
โ€ข No serious adverse effects were observed.
These results were stronger and faster than yoga alone or placebo controls.

Across all five of our studies, 318 patients in total, weโ€™ve now seen an average 34.4% improvement in thoracic and lumbar curves over roughly six months.

๐Ÿ  ๐—ช๐—ต๐˜† ๐˜๐—ต๐—ถ๐˜€ ๐— ๐—ฎ๐˜๐˜๐—ฒ๐—ฟ๐˜€
This method offers a lowโ€‘risk, lowโ€‘cost, nonโ€‘bracing, nonโ€‘surgical option that adolescents can practice at home. It may allow us to intervene earlier, before curves reach the threshold where bracing or surgery becomes standard.

๐Ÿ“† ๐—ช๐—ต๐—ฒ๐—ฟ๐—ฒ ๐—ช๐—ฒ'๐—ฟ๐—ฒ ๐—›๐—ฒ๐—ฎ๐—ฑ๐—ฒ๐—ฑ ๐—ก๐—ฒ๐˜…๐˜
Because older adults improve more slowly, likely due to ligamentous stiffness, we are now preparing to study relaxin, a naturally occurring antifibrotic hormone, to see whether it can enhance outcomes when paired with isometric yoga and Botox.

โค๏ธ ๐— ๐˜† ๐—›๐—ผ๐—ฝ๐—ฒ
That this work continues to expand the therapeutic possibilities for people with scoliosis, offering them agency, safety, and a path toward meaningful improvement without invasive interventions.
~Dr Loren Fishman

If youโ€™d like to read the full paper, itโ€™s available openโ€‘access:
โ€œIncobotulinum Expedites Yogaโ€™s Reversal of Adolescent Idiopathic Scoliosisโ€ (2026)
HSOA Journal of Alternative, Complementary & Integrative Medicine
www.heraldopenaccess.us/article_pdf/9/incobotulinum-expedites-yoga-s-reversal-of-adolescent-idiopathic-scoliosis.pdf

03/31/2026

Medical Journal review of my Scoliosis research. If you have scoliosis, you can reduce your curves quickly, without bracing or surgery. Details below

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03/31/2026

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Email from Manhattan Physical Medicine and Rehabilitation LLC Kripalu (live) MAY 8th Yoga and the Knee - JUNE 13, (live); ROTATOR CUFF, Costa Mesa, CA:, OSTEOPOROSIS CERTIFICATION - JUNE 26-28 (ONLINE

Iโ€™ve just returned from a remarkable weekend at Kripalu, where dozens of dedicated students gathered to explore Yoga for...
03/30/2026

Iโ€™ve just returned from a remarkable weekend at Kripalu, where dozens of dedicated students gathered to explore Yoga for Osteoporosis through the method Iโ€™ve spent so many years developing. Looking at this group photo, I feel deeply grateful.

What stood out to me most was the sincerity and curiosity each participant brought into the room. Together, we explored how precise, wellโ€‘aligned movement can stimulate bone growth, improve balance, reduce fracture risk, and restore confidence to people who may feel limited or afraid. Watching this group absorb the material - question it, practice it, embody it - was profoundly inspiring.

The real power of weekends like this isnโ€™t just in the learning that happens in the moment. Itโ€™s in the ripple effect. Every person who attended will carry this knowledge back to their students, clients, families, and communities. The benefits will reach far beyond Kripaluโ€™s walls, touching people who may never know where the spark originated.

To everyone who participated: thank you for your attention, your openness, and your commitment to helping others live stronger, safer, more empowered lives. Your dedication gives this work its meaning.

Hereโ€™s to the continued spread of safe, effective Yoga for Osteoporosis, and to the many people who will feel the impact of what you learned.

๐—ฆ๐—ง๐—จ๐——๐—ฌ: ๐—ฌ๐—ผ๐—ด๐—ฎ & ๐—”๐—น๐˜‡๐—ต๐—ฒ๐—ถ๐—บ๐—ฒ๐—ฟ'๐˜€ ๐—ฅ๐—ถ๐˜€๐—ธ ๐—ฅ๐—ฒ๐—ฑ๐˜‚๐—ฐ๐˜๐—ถ๐—ผ๐—ป ๐—ณ๐—ผ๐—ฟ ๐—ช๐—ผ๐—บ๐—ฒ๐—ปA UCLA clinical trial studied whether Kundalini yoga and Kirtan Kriya ...
03/25/2026

๐—ฆ๐—ง๐—จ๐——๐—ฌ: ๐—ฌ๐—ผ๐—ด๐—ฎ & ๐—”๐—น๐˜‡๐—ต๐—ฒ๐—ถ๐—บ๐—ฒ๐—ฟ'๐˜€ ๐—ฅ๐—ถ๐˜€๐—ธ ๐—ฅ๐—ฒ๐—ฑ๐˜‚๐—ฐ๐˜๐—ถ๐—ผ๐—ป ๐—ณ๐—ผ๐—ฟ ๐—ช๐—ผ๐—บ๐—ฒ๐—ป

A UCLA clinical trial studied whether Kundalini yoga and Kirtan Kriya meditation could help protect the brain in women at high risk for Alzheimerโ€™s disease. Researchers compared a weekly yogaโ€‘meditation program to a standard Memory Enhancement Training course over 12 weeks.

๐Ÿงช ๐—ฆ๐˜๐˜‚๐—ฑ๐˜† ๐—ข๐˜ƒ๐—ฒ๐—ฟ๐˜ƒ๐—ถ๐—ฒ๐˜„
โ€ข Participants: 100 women, age 50โ€“90, all with mild cognitive impairment and elevated Alzheimerโ€™s risk.
โ€ข Interventions:โ€ข Kundalini yoga + Kirtan Kriya (weekly 60โ€‘min class + daily 12โ€‘min meditation)
โ€ข Memory Enhancement Training (weekly 60โ€‘min class + daily homework)

โ€ข Duration: 12โ€‘week program with followโ€‘ups at 24 and 48 weeks.
โ€ข What they measured: memory, executive function, mood, quality of life, and brain structure + connectivity via MRI.

๐Ÿ“Š ๐—ž๐—ฒ๐˜† ๐—™๐—ถ๐—ป๐—ฑ๐—ถ๐—ป๐—ด๐˜€
Across multiple published analyses from this trial:

1. Yoga Prevented Brain Atrophy
Women in the yoga group showed preserved gray matter volume, especially in regions vulnerable to Alzheimerโ€™s (like the hippocampus).
This suggests yoga may help maintain brain structure as we age.

2. Yoga Improved Hippocampal Connectivity
Functional MRI showed stronger connectivity in memoryโ€‘related networks in the yoga group compared to memory training.

3. Cognitive Benefits Were Equal or Better
Both groups improved, but yoga often showed greater gains in memory, executive function, and processing speed.

4. Mood & Stress Markers Improved
Yoga participants experienced better mood, reduced stress, and beneficial changes in immune markers associated with cognitive decline.

๐ŸŒฟ ๐—œ๐—บ๐—ฝ๐—น๐—ถ๐—ฐ๐—ฎ๐˜๐—ถ๐—ผ๐—ป๐˜€ ๐—ณ๐—ผ๐—ฟ ๐—ฃ๐—ฟ๐—ฒ๐˜ƒ๐—ฒ๐—ป๐˜๐—ถ๐—ผ๐—ป
โ€ข Kundalini yoga and Kirtan Kriya meditation may help protect the aging brain, especially in women at elevated risk for Alzheimerโ€™s.
โ€ข Benefits include preserving brain volume, strengthening memory networks, and supporting emotional wellโ€‘being. All key factors in longโ€‘term cognitive health.
โ€ข Even 12 minutes a day of meditation contributed to measurable changes.
โ€ข Yoga is emerging as a powerful, accessible, nonโ€‘pharmaceutical tool for supporting brain health across the lifespan.

SOURCE: https://clinicaltrials.gov/study/NCT03503669

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03/24/2026

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Email from Manhattan Physical Medicine and Rehabilitation LLC Kripalu (live) March 27-29th, JUNE 8th Yoga and the Knee - JUNE 13, (live); ROTATOR CUFF, Costa Mesa, CA:, OSTEOPOROSIS CERTIFICATION - JU

๐—ฌ๐—ผ๐—ด๐—ฎ ๐—ณ๐—ผ๐—ฟ ๐—œ๐—ป๐—ท๐˜‚๐—ฟ๐˜† ๐—ฃ๐—ฟ๐—ฒ๐˜ƒ๐—ฒ๐—ป๐˜๐˜‚๐—ผ๐—ป: ๐—ฆ๐˜๐—ฟ๐—ผ๐—ป๐—ด๐—ฒ๐—ฟ ๐—”๐—ป๐—ธ๐—น๐—ฒ๐˜€, ๐—™๐—ฒ๐˜„๐—ฒ๐—ฟ ๐—ฆ๐—ฝ๐—ฟ๐—ฎ๐—ถ๐—ป๐˜€If you spend time on trails, uneven ground, or just want to mo...
03/21/2026

๐—ฌ๐—ผ๐—ด๐—ฎ ๐—ณ๐—ผ๐—ฟ ๐—œ๐—ป๐—ท๐˜‚๐—ฟ๐˜† ๐—ฃ๐—ฟ๐—ฒ๐˜ƒ๐—ฒ๐—ป๐˜๐˜‚๐—ผ๐—ป: ๐—ฆ๐˜๐—ฟ๐—ผ๐—ป๐—ด๐—ฒ๐—ฟ ๐—”๐—ป๐—ธ๐—น๐—ฒ๐˜€, ๐—™๐—ฒ๐˜„๐—ฒ๐—ฟ ๐—ฆ๐—ฝ๐—ฟ๐—ฎ๐—ถ๐—ป๐˜€

If you spend time on trails, uneven ground, or just want to move with more confidence, your ankles deserve a little training time. Most sprains happen when the muscles around the joint canโ€™t react fast enough. So the goal is to build strength, stability, and mobility that keep you steady when the terrain gets unpredictable.

๐ŸŒ€ Strength
Calf raises, banded ankle work, and slow, controlled toe lifts build the muscle support your ankles rely on.

๐ŸŒ€ Balance
Singleโ€‘leg stands, wobbleโ€‘board play, or even brushing your teeth on one foot trains your stabilizers to respond quickly when the ground shifts.

๐ŸŒ€ Mobility
Gentle ankle circles, dorsiflexion stretches, and calf mobility help your ankle move through its full range. Therefore, it can adapt instead of roll.

๐ŸŒ€ Why Yoga Helps
A consistent yoga practice naturally strengthens the stabilizer muscles of the lower body and moves the joints through their full, healthy range of motion. That combination - strength + mobility + awareness - is powerful for preventing ankle sprains and staying steady on unpredictable terrain.

๐ŸŒ€ Consistency Over Intensity
Just a few minutes a day builds resilience. Think of it as insurance for your adventures.

Your ankles carry you through every step of your life. Train them like they matter, because they do.

Let me know in the comments what you do to keep your ankles strong and injury free.

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Loren Fishman, MD, BPhil (Oxon)

Dr. Loren Fishman is Medical Director of Manhattan Physical Medicine and Rehabilitation in New York City, author of twelve books and author or editor of more than 95 academic articles, and a world-recognized pioneer in the treatment of piriformis syndrome and rotator cuff tear and an expert in curing back pain. He is Associate Editor of Topics in Geriatric Rehabilitation, on the staff at Columbia College of Physicians and Surgeons and a past President of the New York Society of Physical Medicine and Rehabilitation.

Dr. Fishman has written six books about yoga and medical conditions. They are: Relief Is In the Stretch: Cure Back Pain With Yoga (with Carol Ardman, WW Norton, 2006), Yoga for Multiple Sclerosis (with Eric Small, Demos Press, 2007), Sciatica (with Carol Ardman, WW Norton, 2009),Yoga for Osteoarthritis (with Ellen Saltonstall, WW Norton, 2008), Yoga for Osteoporosis (with Ellen Saltonstall, WW Norton, 2010), and Healing Yoga (WW Norton, 2015).

After graduating from Christ Church, Oxford, Dr. Fishman spent three years in India, including one year in Pune, India, studying Yoga with BKS Iyengar. Dr. Fishman then went to Rush Medical School, did a residency in a Tufts-Harvard program, and served as Chief Resident in Physical Medicine and Rehabilitation at the Albert Einstein College of Medicine. Throughout his career, when appropriate, he has incorporated Yoga into his medical practice.

Dr. Fishman has been included in numerous โ€œBest Doctorsโ€ lists and has lectured in the United States and abroad. He is an officer of the Manhattan Institute for Cancer Research, and lives with his wife in New York City.