1 1522 58 ISOLATED RUPTURE OF THE LATERAL COLLATERAL LIGAMENT DURING YOGA PRACTICE: A CASE REPORT. WE REPORT A CASE OF ISOLATED RUPTURE OF THE LATERAL COLLATERAL LIGAMENT (LCL) OF THE KNEE WHILE ATTEMPTING TO PLACE THE LEFT FOOT BEHIND THE HEAD DURING YOGA PRACTICE. THE 34-YEAR-OLD MAN HAD DISCOMFORT OF THE LATERAL ASPECT OF THE KNEE PARTICULARLY WITH VARUS STRAIN. A MAGNETIC RESONANCE IMAGE REVEALED RUPTURE OF THE LCL AT THE INSERTION ONTO THE FIBULA. THE PATIENT HAD GRADE-II LAXITY OF THE LCL AND WAS TREATED NON-OPERATIVELY. AT THE 12-MONTH FOLLOW-UP, GRADE-I LAXITY OF THE LCL REMAINED CLINICALLY EVIDENT, BUT FUNCTION WAS NOT IMPAIRED. 2008 2 733 14 EFFECT OF MULA BANDHA YOGA IN MILD GRADE PELVIC ORGAN PROLAPSE: A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: PELVIC ORGAN PROLAPSE IS THE GROWING HEALTH ISSUE RELATED TO WOMEN OF THE REPRODUCTIVE AND POSTMENOPAUSAL AGE GROUP IN INDIA AND ACROSS THE GLOBE. TREATMENT OPTION FOR PELVIC ORGAN PROLAPSE INCLUDES BOTH SURGICAL AND NON-SURGICAL INTERVENTION. THE DEVELOPMENT OF PELVIC ORGAN PROLAPSE IS AN INDICATION FOR MAJOR SURGERY AMONG 20% OF ALL WOMEN. NEVERTHELESS, THE RECURRENCE OF PELVIC ORGAN PROLAPSE IS DETECTED AMONG 58% OF THE PATIENT AFTER SURGERY. THIS HIGHLIGHTS THE NEED FOR PREVENTIVE MEASURES FOR REDUCING THE IMPACT OF PELVIC ORGAN PROLAPSE. AIMS AND OBJECTIVE: TO STUDY THE EFFECT OF 3 MONTHS YOGA THERAPY IN FEMALE PATIENTS SUFFERING FROM MILD PELVIC ORGAN PROLAPSE. MATERIAL AND METHODS: 50 PARTICIPANTS WERE ALLOCATED INTO TWO GROUPS (25 IN EACH GROUP) BY GENERATING RANDOM ALLOCATION SEQUENCE. WOMEN AGED 20-60 WITH SYMPTOMATIC MILD PELVIC ORGAN PROLAPSE IN THE YOGA GROUP WERE OFFERED MULABANDHA YOGA THERAPY ALONG WITH OTHER CONVENTIONAL TREATMENT MODALITIES, WHILE THE CONTROL GROUP WAS ONLY ON CONVENTIONAL TREATMENT. ALL PARTICIPANTS GAVE WRITTEN INFORMED CONSENT. AN ASSESSMENT WAS DONE BY IMPROVEMENT IN CHIEF COMPLAINTS AND PELVIC FLOOR DISTRESS INVENTORY-20 (PFDI-20) & PELVIC FLOOR IMPACT QUESTIONNAIRE-7 (PFIQ-7) AT BASELINE AND AT THE END OF 4, 8 & 12 WEEKS. RESULTS AT THE END OF 12 WEEKS, POST-STUDY COMPARISON BETWEEN THE TWO GROUPS SHOWED A SIGNIFICANT IMPROVEMENT IN CHIEF COMPLAINTS LIKE PERENNIAL PAIN, P/V DISCHARGE, PERINEAL MUSCLE LAXITY AND FEELING OF SOMETHING COMING OUT P/V (P < 0.001). PARTICIPANTS IN THE YOGA GROUP IMPROVED BY (ON AVERAGE) 5.7 (95% CONFIDENCE INTERVAL 3.1 TO 14.7) POINTS MORE ON THE PFDI-20 THAN DID PARTICIPANTS IN THE CONTROL GROUP (P = 0.1) AND A MEAN SCORE OF PFIQ-7 WAS ALSO IMPROVED SIGNIFICANTLY. CONCLUSIONS: ALTHOUGH MULABANDHA (ROOT LOCK) YOGA THERAPY LED TO A SIGNIFICANTLY GREATER IMPROVEMENT IN PFDI-20 & PFIQ-7 SCORES THE DIFFERENCE BETWEEN THE GROUPS WAS BELOW THE PRESUMED LEVEL OF CLINICAL RELEVANCE (15 POINTS). MORE STUDIES ARE NEEDED TO IDENTIFY FACTORS RELATED TO THE SUCCESS OF MULABANDHA (ROOT LOCK) YOGA THERAPY AND TO INVESTIGATE LONG-TERM EFFECTS. 2018 3 2356 14 VALSALVA HAEMORRHAGIC RETINOPATHY IN PREGNANCY AFTER YOGA. A 35-YEAR-OLD PREGNANT CAUCASIAN WOMAN AT 27 WEEKS GESTATION PRESENTED WITH SUDDEN ONSET PAINLESS LOSS OF VISION AND A LARGE FLOATER IN HER LEFT EYE WHILE DOING YOGA. SHE WAS FOUND TO HAVE A DENSE VITREOUS HAEMORRHAGE WITH A SMALL PRERETINAL HAEMORRHAGE. ULTRASOUND IMAGING CONFIRMED THE HAEMORRHAGE AND SHOWED NO OTHER RETINAL DAMAGE. SHE WAS DIAGNOSED WITH VALSALVA HAEMORRHAGIC RETINOPATHY AND WAS TREATED CONSERVATIVELY. AFTER 5 MONTHS OF FOLLOW-UP, THIS WOMAN HAD HAD A NORMAL DELIVERY AND HER HAEMORRHAGES AND VISION LOSS HAD RESOLVED. 2017 4 2288 12 THE YOGA MAT TECHNIQUE IN POSTLESS HIP ARTHROSCOPY. HIP ARTHROSCOPY FOR THE TREATMENT OF FEMOROACETABULAR IMPINGEMENT SYNDROME WITH ANTI-SLIDING TECHNIQUES AND WITHOUT THE USE OF A PERINEAL POST TO ACHIEVE HIP DISTRACTION HAS INCREASED GREATLY IN THE PAST 5 TO 10 YEARS. TO ACCESS THE HIP JOINT, DISTRACTION IS MANDATORY TO TREAT INTRA-ARTICULAR DISORDERS SUCH AS LABRAL TEARS, ACETABULAR CARTILAGE DEFECTS, LOOSE BODIES, LIGAMENTUM TERES TEARS, AND AVASCULAR NECROSIS OF THE HIP. IN HIP DISTRACTION, COUNTER-DISTRACTION IS NEEDED, AND THIS IS ACHIEVED WITH A BULKY AND CUSHIONED PERINEAL POST. MOST OF THE DESCRIBED TECHNIQUES IN HIP ARTHROSCOPY WORLDWIDE USE A PERINEAL POST, BUT IATROGENIC PUDENDAL NERVE, GENITAL LACERATIONS, HEMATOMAS, AND GROIN COMPLICATIONS HAVE BEEN REPORTED TO OCCUR. IN LATIN AMERICAN COUNTRIES, DISPOSABLE HIP PAD DEVICES ARE EXPENSIVE, AND NOT ALL THE ARTHROSCOPIC COMPANIES PROVIDE THEM. OUR YOGA MAT TECHNIQUE PROVIDES ENOUGH COUNTERTRACTION TO ACHIEVE ADEQUATE HIP DISTRACTION. LABRAL REPAIR, LABRAL RECONSTRUCTION, AND DECOMPRESSION OF FEMOROACETABULAR IMPINGEMENT SYNDROME HAVE BEEN ACHIEVED PROPERLY, RELIABLY, AND REPRODUCIBLY, AND NO TRENDELENBURG POSITION IS NEEDED. POSTLESS HIP ARTHROSCOPY IS MADE SIMPLE, AND POSITIONING THE PATIENT IS NOT DIFFICULT. HIP SURGEONS CAN ADAPT THIS TECHNIQUE TO A FRACTURE TABLE, A HIP DISTRACTOR, AND A STANDARD OPERATING ROOM TABLE. 2021 5 379 13 BASILAR ARTERY OCCLUSION FOLLOWING YOGA EXERCISE: A CASE REPORT. BASILAR ARTERY OCCLUSION DEVELOPED IN A 34 YEAR OLD WOMAN 2 MONTHS AFTER ADOPTING UNUSUAL NECK POSTURES DURING YOGA PRACTICE. ON ANGIOGRAPHY, HER BASILAR ARTERY WAS FILLED WITH INTRALUMINAL CLOT WHILE THE VERTEBRAL ARTERIES WERE NORMAL. WE POSTULATE THAT A SEVERE REDUCTION IN BLOOD FLOW AND POSSIBLY AN INTIMAL TEAR TRIGGERED THROMBOSIS OF THE VERTEBRAL ARTERY AND THAT THE FINAL STROKE MECHANISM WAS ARTERY-TO-ARTERY EMBOLISM. 1993 6 512 13 COMPARATIVE STUDY ON THE EFFECT OF SAPTAMRITA LAUHA AND YOGA THERAPY IN MYOPIA. BACKGROUND: MYOPIA IS VERY COMMON OPHTHALMIC DISEASE ESPECIALLY IN CHILDREN AND ADOLESCENCE. IN AYURVEDIC TEXTS, ONLY BY THE MAIN FEATURE IMPAIRMENT OF DISTANT VISION MYOPIA CAN BE CORRELATED WITH DRISHTIGATA ROGAS (2(ND) PATALGATA TIMIRA). AIM: TO COMPARE THE EFFECT OF SAPTAMRUTA LAUHA AND YOGA THERAPY IN MYOPIA. MATERIALS AND METHODS: IN PRESENT STUDY, A TOTAL 60 PATIENTS WITH AGE GROUP BETWEEN 8 TO 30 YEARS WERE SELECTED RANDOMLY FROM THE OUT-PATIENT DEPARTMENT OF SWASTHAVRITTA AND SHALAKYATANTRA DEPARTMENT OF GOVERNMENT AYURVEDA COLLEGE, TRIVANDRUM, AND WERE DIVIDED IN TWO GROUPS. IN GROUP A, SAPTAMRITA LAUHA 250 MG TWICE DAILY WITH UNEQUAL QUANTITY OF HONEY AND GHRITA WAS ADMINISTERED WHILE IN GROUP B, PATIENTS SUBJECTED TO YOGA THERAPY (JALA NETI, NADI SHODHANA, SHITALI PRANAYAMA AND POINT TRATAK) FOR 3 MONTHS DURATION WITH 1 MONTH FOLLOW-UP. RESULTS AND CONCLUSION: THE RESULT OBTAINED FROM THE STUDY REVEALS THAT THERE IS NO SIGNIFICANT REDUCTION IN THE VISUAL ACUITY AND CLINICAL REFRACTION, BUT ASSOCIATED CHANGES WERE OBSERVED AS REDUCED IN GROUP B WHEN COMPARED TO GROUP A. HOWEVER, RELIEF FROM HEADACHE WAS FOUND TO BE EQUALLY EFFECTIVE IN BOTH THE GROUPS. 2014 7 776 15 EFFECT OF YOGA AND NATUROPATHY-BASED LIFESTYLE MODIFICATION ON LEFT VENTRICULAR EJECTION FRACTION IN A PATIENT WITH SEVERE TRIPLE VESSEL DISEASE: A CASE REPORT. A 75-YEAR-OLD, MARRIED MAN WAS DIAGNOSED WITH CORONARY ARTERY DISEASE (CAD) [SEVERE TRIPLE VESSEL DISEASE (TVD)] IN THE 2(ND) WEEK, JUNE-2018. THE PHYSICIAN ADVISED HIM TO UNDERGO CONVENTIONAL MEDICATION AND CORONARY ARTERY BYPASS GRAFT. SINCE THE PATIENT REFUSED TO UNDERGO SURGERY HE WAS ADMITTED IN OUR HOSPITAL AND UNDERWENT YOGA AND NATUROPATHY-BASED LIFESTYLE MODIFICATION (YNLM) ALONG WITH CONVENTIONAL MEDICINES FOR 16 WEEKS [12 WEEKS OF INTENSIVE CARE AT INPATIENT DEPARTMENT AND 4 WEEKS AT OUTPATIENT DEPARTMENT (OPD)]. AFTER 16 WEEKS, THE PATIENT VISITED OUR OPD ONCE/TWICE A MONTH FOR 6 MONTHS. AN INCREASE IN LEFT VENTRICULAR EJECTION FRACTION FROM 35 TO 48%; AND A REDUCTION IN WEIGHT FROM 77.5 TO 71-KG, AND BMI FROM 26.60 TO 24-KG/M(2) WERE OBSERVED AFTER 6 MONTHS OF FOLLOW-UP COMPARED WITH BASELINE. THUS, YNLM MIGHT BE CONSIDERED AS AN ADJUVANT IN REDUCING RISK FACTOR AND IN IMPROVING LEFT VENTRICULAR SYSTOLIC DYSFUNCTION IN PATIENTS WITH CAD (SEVERE-TVD). HOWEVER, FURTHER STUDIES ARE REQUIRED TO ESTABLISH THE EFFICACY OF YNLM FOR CAD. 2020 8 2873 16 YOGA-INDUCED MYOSITIS OSSIFICANS TRAUMATICA OF THE SCAPHOLUNATE LIGAMENT. BACKGROUND MYOSITIS OSSIFICANS TRAUMATICA (MOT) INVOLVES THE HETEROTOPIC DEVELOPMENT OF LAMELLAR BONE AFTER A TRAUMATIC INJURY. DESPITE BEING TERMED "MYOSITIS," MOT IS NOT LIMITED TO MUSCLE BUT RATHER CAN INVOLVE TENDONS, FAT, AND FASCIA. "TRAUMATICA" REFLECTS THAT LESIONS ARE USUALLY ASSOCIATED WITH A HISTORY OF SIGNIFICANT TRAUMA, THAT IS, FRACTURES OR SURGERY; HOWEVER, MANY REPORTS SUGGEST THEY CAN ALSO BE LINKED TO REPETITIVE LOW-ENERGY INSULTS. IN BOTH CASES, THE INFLAMMATORY RESPONSE SECONDARY TO TISSUE INJURY GENERATES A PROLIFERATIVE OSTEOBLASTIC CASCADE. CASE DESCRIPTION WE PRESENT A CASE OF PERSISTENT WRIST PAIN IN A 43-YEAR-OLD WOMAN ASSOCIATED WITH YOGA ACTIVITIES. HER RADIOGRAPHIC STUDIES DEMONSTRATED PARTIAL SCAPHOLUNATE (SL) LIGAMENT TEAR AND AN ASSOCIATED MASS LESION. SURGICAL PATHOLOGY REVEALED MOT INVOLVING THE SL LIGAMENT. LITERATURE REVIEW MOT LESIONS IN THE UPPER EXTREMITY ARE USUALLY LOCALIZED AROUND THE ELBOW, AND CASES IN THE HAND ARE RELATIVELY RARE. THERE ARE NO PRIOR REPORTS OF OCCURRENCES WITHIN THE WRIST JOINT OR IN ASSOCIATION WITH THE SL LIGAMENT. HOWEVER, BIOMECHANICAL STUDIES HAVE QUANTIFIED SIGNIFICANT MECHANICAL STRAINS ACROSS THE SL INTERVAL DURING VARIOUS YOGA POSES. THIS PATTERN OF MICROTRAUMA IS CAPABLE OF GENERATING MOT. CLINICAL RELEVANCE UPPER EXTREMITY WEIGHT-BEARING POSITIONS ARE COMMON IN YOGA AND SUBJECT THE WRIST, ESPECIALLY THE SL INTERVAL, TO HIGH MECHANICAL STRAINS. THIS PATTERN OF MICROTRAUMA SHOULD LEAD THE CLINICIAN TO SUSPECT MOT WHEN ENCOUNTERING A MASS IN THE WRIST, BUT MALIGNANCY AND INFECTION MUST BE RULED OUT. 2019 9 197 19 A RARE CASE OF QUADRATUS FEMORIS MUSCLE RUPTURE AFTER YOGA EXERCISES. WE PRESENT A CASE OF A FEMALE PATIENT WITH LEFT GROIN PAIN AFTER INTENSE YOGA EXERCISES. THE PATIENT PRESENTED ABNORMAL PATTERN OF GAIT WITH NO SWELLING OVER THE GROIN, THIGH, OR BUTTOCK. MAGNETIC RESONANCE IMAGING DEMONSTRATED A TEAR OF THE QUADRATUS FEMORIS MUSCLE WITH AN ASSOCIATED EXTENSIVE HEMATOMA FORMATION. PATIENT WAS TREATED WITH A REHABILITATION PROGRAM CONSISTING OF NONSTEROIDAL ANTI-INFLAMMATORY DRUGS AND PHYSIOTHERAPY. AT THE FOLLOW-UP CONTROL, THE PATIENT HAD IMPROVED HER PAIN AND FLEXIBILITY OF THE HIP, AND GRADUALLY SHE RETURNED TO DAILY ACTIVITIES AND YOGA EXERCISES. SUCH AN ENTITY IS A RARE CAUSE OF HIP PAIN AFTER EXERCISE AND SHOULD BE KEPT IN MIND BY THE ORTHOPEDIC SURGEON, IN CASES OF GLUTEAL PAIN AFTER INTENSE PHYSICAL ACTIVITY. MOREOVER, SUCH A CONDITION SHOULD BE INCLUDED IN THE DIAGNOSTIC ALGORITHM OF UNKNOWN ORIGIN HIP PAIN. 2016 10 43 13 A CASE REPORT OF PATIENT PRACTISING YOGA LEADING TO DENTAL EROSION. THE ARTICLE PRESENTS THE CASE OF A PATIENT WHO WAS PRACTISING YOGA (KUNJAL KRIYA) WHICH LED TO DENTAL EROSION. DENTAL EROSION CAN BE DUE TO EXTRINSIC OR INTRINSIC CAUSES. THE INTRINSIC CAUSES INCLUDE VOMITING DUE TO ANOREXIA NERVOSA, REGURGITATION DUE TO ABNORMALITY IN GASTRO-INTESTINAL TRACT OR RUMINATION. A 38-YEAR-OLD MALE PATIENT PRESENTED WITH A RARE AETIOLOGY OF DENTAL EROSION. HE HAD PRACTICED KUNJAL KRIYA ONE OF THE YOGIC EXERCISES DESCRIBED IN ANCIENT INDIA. IN KUNJAL KRIYA THE PATIENT VOMITS ON AN EMPTY STOMACH IN ORDER TO CLEAN HIS OR HER GASTRO-INTESTINAL TRACT. THE PATIENT HAD PRACTICED THIS FORM OF EXERCISE FOR OVER 12 YEARS WHICH HAD LED TO SEVERE DENTAL EROSION. A PROPER CASE HISTORY SHOULD BE EVALUATED FOR EVERY PATIENT SO THAT THEY CAN BE COUNSELLED FOR ANY FACTORS THAT COULD BE DETRIMENTAL TO DENTAL HEALTH. EARLY DIAGNOSIS IS PARAMOUNT IN RECOGNISING THE AETIOLOGY OF DENTAL EROSION SO THAT DETRIMENTAL EFFECTS ON THE DENTITION CAN BE PREVENTED. 2007 11 2108 12 THE EFFECT OF YOGA ON PUBORECTALIS PARADOX. NINE PATIENTS WITH SEVERE DEFAECATION DIFFICULTIES PRIMARILY CONSIDERED TO BE DUE TO PUBORECTALIS DYSFUNCTION (PUBORECTALIS PARADOX), VERIFIED BY ELECTROMYOGRAPHY (EMG) OF THE STRIATED ANAL SPHINCTER MUSCLES, WERE OFFERED TRAINING IN YOGIC TECHNIQUES OF RELAXATION AND MUSCLE CONTROL IN ORDER TO CHANGE THE ACTIVITY OF THE PELVIC FLOOR MUSCLES DURING ATTEMPTED DEFAECATION. FIVE PATIENTS COMPLETED THE TRAINING PROGRAM OF 20 2-HOUR SESSIONS AND WERE RE-EXAMINED CLINICALLY AND WITH EMG. ONE PATIENT REGAINED A NORMAL EMG PATTERN BUT NONE OF THE PATIENTS IMPROVED CLINICALLY. 1991 12 1763 11 POSTERIOR VITREOUS DETACHMENT PRECIPITATED BY YOGA. YOGA HAS RECENTLY BEEN TOUTED AS A MEANS TO IMPROVE PHYSICAL AND MENTAL WELL-BEING. HOWEVER, NO FORM OF EXERCISE IS WITHOUT ITS RISKS. A 32-YEAR-OLD CHINESE FEMALE WITH MODERATE MYOPIA COMPLAINED OF RIGHT EYE SUDDEN ONSET OF FLOATERS AND MILD BLURRING OF VISION AFTER THE HEAD-DOWN POSTURE. THE VISUAL ACUITY WAS 6/12 IN THE RIGHT EYE AND 6/9 IN THE LEFT EYE. A RIGHT EYE FUNDUS EXAMINATION SHOWED POSTERIOR VITREOUS DETACHMENT, WITH A SMALL BLOOD CLOT LOCATED AT THE INFERIOR MARGIN OF THE OPTIC DISC. THE PATIENT WAS DIAGNOSED WITH RIGHT EYE VITREOUS HEMORRHAGE SECONDARY TO ACUTE POSTERIOR VITREOUS DETACHMENT AND WAS MANAGED CONSERVATIVELY. ACUTE CHANGES IN POSTURE, ESPECIALLY BETWEEN AN UPRIGHT AND A HEAD-DOWN POSITION, MAY CAUSE ACUTE POSTERIOR VITREOUS DETACHMENT. AS YOGA PRACTITIONERS MAY BE REQUIRED TO ASSUME THIS HEAD-DOWN POSITION, MYOPIC PATIENTS SHOULD BE WARNED OF THE POSSIBLE OCULAR COMPLICATIONS OF THIS EXERCISE. 2018 13 1570 16 MANAGEMENT OF ACUTE CALCULUS CHOLECYSTITIS WITH INTEGRATED AYURVEDA AND YOGA INTERVENTION: A CASE REPORT. ACUTE CALCULUS CHOLECYSTITIS (ACC) IS A FREQUENTLY REPORTED MEDICAL CONDITION IN GENERAL PRACTICE. APPROXIMATELY 20% OF PATIENTS WITH GALLBLADDER STONES EXPERIENCE ACC IN THEIR LIFETIME. AYURVEDA AND YOGA ARE ANCIENT TRADITIONAL SYSTEMS OF MEDICINE USED FOR TREATMENT OF DISEASES AND IMPROVING AND MAINTAINING HEALTH. THERE HAS BEEN AN INCREASED USE OF AYURVEDA AND YOGA IN THE MANAGEMENT OF SEVERAL HEALTH CONDITIONS IN INDIA AND WORLDWIDE. THE PRESENT CASE STUDY IS OF 34 YEARS FEMALE PATIENT WHO HAD ACC. POST DIAGNOSIS OF ACC PATIENT WAS ADVISED TO UNDERGO CHOLECYSTECTOMY; HOWEVER, SHE APPROACHED ALTERNATIVE THERAPIES WITH C/O VOMITING, NAUSEA, ABDOMINAL PAIN, JAUNDICE, ITCHING, AND ABDOMINAL BLOATING WITH DERANGED LIVER FUNCTIONS. AYURVEDA AND YOGA INTERVENTION PROTOCOL WAS DESIGNED. AYURVEDA TREATMENT CONSISTED OF MILD PURGATION (MRUDUVIRECHANA) WITH TRIVRITTALEHYAM FOR CONSECUTIVE SEVEN DAYS, FOLLOWED BY ORAL ADMINISTRATION OF TAB LIV 52, BHUNIMBADI KADHA TWICE DAILY, AND AMALAKI RASAYANA IN THE MORNING FOR 45 DAYS. PATIENTS RECEIVED 8 TELEYOGA SESSIONS OVER A PERIOD OF 45 DAYS. A THERAPEUTIC DIET WAS ADVISED DURING TREATMENT PERIOD. AFTER TWO MONTHS PATIENT REPORTED COMPLETE RECOVERY IN SYMPTOMS, AND ALL LABORATORY INVESTIGATIONS REACHED TO NORMAL RANGE. THIS CASE STUDY SUGGESTS THE POSITIVE ROLE OF AYURVEDA AND YOGA INTERVENTION IN THE MANAGEMENT OF ACC. THIS CASE REPORT WARRANTS FUTURE CLINICAL STUDIES ON INTEGRATIVE MEDICINE IN ACC. 2021 14 487 9 CLINICAL STUDY OF AN AYURVEDIC COMPOUND (DIVYADI YOGA) IN THE MANAGEMENT OF SHAYYAMUTRATA (ENURESIS). CHILD HEALTH HAS ASSUMED GREAT SIGNIFICANCE IN ALL OVER WORLD. ITS IMPORTANCE IS BEING REALIZED MORE AND MORE BY PEDIATRICIANS AND GENERAL PUBLIC IN DEVELOPING AS WELL AS DEVELOPED COUNTRIES. ENURESIS IS DEFINED AS THE VOLUNTARY OR INVOLUNTARY REPEATED DISCHARGE OF URINE INTO CLOTHES OR BED AFTER A DEVELOPMENTAL AGE WHEN BLADDER CONTROL SHOULD BE ESTABLISHED. THE PRESENT CLINICAL STUDY WAS PLANNED TO EVALUATE THE EFFECT OF DIVYADI YOGA ALONG WITH COUNSELING IN THE MANAGEMENT OF SHAYYAMUTRA. TOTAL 40 SELECTED CASES WERE DIVIDED INTO TWO GROUPS, I.E. 20 IN EACH GROUP. ONE GROUP OF CHILDREN WERE GIVEN THE TRIAL DRUG DIVYADI YOGA (D(1)) WITH COUNSELING AND OTHER GROUP OF CHILDREN WERE GIVEN PLACEBO DIVYADI YOGA (D(2)) WITH COUNSELING. DIVYADI YOGA WAS GIVEN IN THE DOSE OF 3-6 GMS. TWICE A DAY WITH LUKE WARM WATER. THE RESULT OF THE STUDY SHOWED THAT GROUPS PROVIDED A HIGHLY SIGNIFICANT. 2010 15 1914 13 ROLE OF INTEGRATED APPROACH OF YOGA THERAPY IN A FAILED POST-TOTAL KNEE REPLACEMENT OF BILATERAL KNEES. OA KNEE IS THE MOST COMMON ARTHRITIS. KNEE REPLACEMENT SURGERIES ARE BEING DONE INCREASINGLY IN THE PRESENT TIMES. THIS HAS LED TO THE VIOLATION OF THE STANDARD INDICATIONS AND WHEN KNEES ARE REPLACED IGNORING OTHER CO - MUSCULOSKELETAL CONDITIONS IT RESULTS IN THE SURGERY FAILING EARLY. THIS IS ABOUT A PATIENT WHO ENCOUNTERED A FAILED TKR DUE TO IMPROPER SELECTION AS PATIENT HAD BILATERAL OA HIP THAT WAS IGNORED IN THE INITIAL STAGES. TO OVERCOME THE PROBLEM SHE WAS ADVISED BILATERAL HIP REPLACEMENT WHICH WOULD LEAVE HER WITH FOUR REPLACEMENTS IN THE LOWER LIMB. SHE REFUSED SURGERY AND WAS TOLD THERE ARE NO ALTERNATIVE TREATMENT OPTIONS. THIS PATIENT UNDERWENT A 3 WEEK INTEGRATED COURSE OF IAYT AT OUR CENTER AND SHE MADE A REMARKABLE RECOVERY. IAYT IS A GOOD NON-SURGICAL TREATMENT THAT CAN BE AFFECTIVE BOTH BEFORE AND AFTER KNEE REPLACEMENT AND IT SHOULD BE CONSIDERED AS THE FIRST CHOICE OF TREATMENT BEFORE SURGERY. 2014 16 2914 12 [SPONTANOUS PNEUMOMEDIASTINUM AFTER YOGA PRACTICE - A CASE REPORT]. PNEUMOMEDIASTINUM IS DEFINED AS INTERSTITIAL AIR IN THE MEDIASTINUM, WITHOUT ANY APPARENT PRECIPATING FACTOR SUCH AS TRAUMA, OESOPHAGEAL PERFORATION OR INFECTIONS. IT IS VERY UNCOMMON AND USUALLY AFFECTS YOUNG OTHERWISE HEALTHY INDIVIDUALS. THE MOST COMMON SYMTOMS ARE CHEST PAIN AND DYSPNEA WITH SUBCUTANEOUS EMPHYSEMA FOUND ON EXAMINATION. TREATMENT IS USUALLY CONSERVATIVE WITH PAIN RELIEF. HERE, WE PRESENT AN UNUSUAL CASE OF A 23-YEAR-OLD PREVIOUSLY HEALTHY MALE WHO WAS DIAGNOSED WITH PNEUMOMEDIASTINUM AFTER PRACTISING YOGA. THIS CASE DEMONSTRATES THE NEED TO STUDY PATIENTS WITH CHEST PAIN OF UNKNOWN CAUSE IN DETAILS TO FIND CAUSES. 2009 17 2160 12 THE EFFECTS OF WEIGHT BEARING YOGA TRAINING ON THE BONE RESORPTION MARKERS OF THE POSTMENOPAUSAL WOMEN. THIS STUDY WAS A PRELIMINARY REPORT TO INVESTIGATE THE EFFECTS OF THE WEIGHT BEARING YOGA TRAINING ON BOTH BONE RESORPTION MARKER AND THE QUALITY OF LIFE OF THE POSTMENOPAUSAL WOMEN. THE SAMPLES WERE RECRUITED BY THE PURPOSIVE SAMPLING FROM THE FEMALE CHULALONGKORN UNIVERSITY STAFF AGED BETWEEN 50-60 YEARS. THE SUBJECTS WERE DIVIDED INTO TWO GROUPS: EXPERIMENTAL GROUP AND CONTROL GROUP. THE BASELINE DEMOGRAPHIC DATA, THE BONE RESORPTION MARKER (BETA-CROSSLAPS), THE BONE FORMATION MARKER (P1NP) AND QUALITY OF LIFE (SF-36) DATA WERE COLLECTED. THE EXPERIMENTAL GROUP ATTENDED THE 12-WEEK WEIGHT-BEARING YOGA TRAINING 3 DAYS A WEEK, 50 MINUTES A DAY WHILE THE CONTROL GROUP LIVED THEIR NORMAL LIVES. AFTER 12TH WEEK, THE DATA COLLECTIONS WERE REPEATED IN BOTH GROUPS. THE EXPERIMENTAL GROUP (19 SUBJECTS, THE MEAN AGE 54.320 YRS) AND THE CONTROL GROUP (14 SUBJECTS, THE MEAN AGE 54.430 YRS) WERE RECRUITED. THE MEAN ULTRASOUND BMD OF BOTH HEELS IN BOTH GROUPS SHOWED NO OSTEOPENIA OR OSTEOPOROSIS. AFTER THE 12-WEEK TRAINING, THE MEAN BONE RESORPTION MARKER (BETA-CROSSLAPS) OF THE EXPERIMENTAL GROUP REDUCED FROM 0.464 TO 0.339 NG/ML (-26.939%) WHEREAS THE CONTROL GROUP REDUCED FROM 0.389 TO 0.386 NG/ML (-0.771%). THERE WAS A SIGNIFICANT DIFFERENCE (P < 0.05). THE MEAN OF THE BONE FORMATION MARKERS (PINP) IN THE EXPERIMENTAL GROUP REDUCED FROM 55.393 TO 42.401 NG/ML (-23.454%) AND THE BONE FORMATION MARKERS (PINP) IN THE CONTROL GROUP REDUCED FROM 61.903 TO 44.832 NG/ML (-27.577%). IN THE AREA OF THE LIFE QUALITY MEASUREMENT OF BOTH GROUPS, THE DATA OBTAINED FROM THE MEDICAL OUTCOMES STUDY SHORT-FORM SURVEY (SF-36) SHOWED THAT THERE WERE SIGNIFICANT DIFFERENCES AT 0.05 LEVELS FOR THE PHYSICAL FUNCTIONING, BODILY PAIN, GENERAL HEALTH, AND VITALITY. THE VARIANCE OF PERCENTAGE CHANGE VALUE OF THE EXPERIMENTAL GROUP INCREASED TO +25.299, +16.565, +15.309, AND +21.056. THE VARIANCE OF PERCENTAGE CHANGE VALUE OF THE CONTROL GROUP INCREASED TO +12.946, -1.221, -9.303 AND +2.291. THE WEIGH-BEARING YOGA TRAINING HAD A POSITIVE EFFECT ON BONE BY SLOWING DOWN BONE RESORPTION WHICH WAS A VERY ESSENTIAL INDICATOR FOR HUMAN HEALTH BECAUSE IT REDUCED THE OSTEOPOROSIS RISKS IN THE POSTMENOPAUSAL WOMEN. ADDITIONALLY, YOGA TRAINING PROMOTED BETTER QUALITY OF LIFE. 2009 18 2911 15 [PSEUDOARTHROSIS OF THE FIRST RIB IN A PATIENT WHO PRACTICES YOGA. A CASE REPORT]. INTRODUCTION: PSEUDOARTHROSIS OF THE FIRST RIB IS A RARE CONDITION THAT MAY OCCUR IN ATHLETES AS A RESULT OF REPETITIVE ACTIVITIES, MAINLY OVERHEAD. THE USUAL CLINICAL PRESENTATION IS PAIN IN THE NECK OR THE IPSILATERAL SHOULDER. CASE REPORT: THIS IS THE CASE OF A 19-YEAR-OLD FEMALE PATIENT WHO HAD SUDDEN PAIN OF THE BASE OF THE NECK WHILE DOING YOGA. PSEUDOARTHROSIS OF THE FIRST RIB WAS DIAGNOSED WITH X-RAYS AND CAT SCAN. TREATMENT CONSISTED OF A REHABILITATION AND PHYSICAL THERAPY PROGRAM THAT WAS SUCCESSFUL DESPITE THE PERSISTENCE OF THE PSEUDOARTHROSIS. DISCUSSION: CASES OF FIRST RIB FRACTURES HAVE BEEN REPORTED IN ATHLETES PRACTICING MULTIPLE ACTIVITIES; HOWEVER, PSEUDOARTHROSIS CASES ARE RARE SINCE MOST OF THEM PROGRESS TO BONE HEALING. THIS IS THE FIRST REPORTED CASE OF A FRACTURE OR PSEUDOARTHROSIS IN A PATIENT PRACTICING YOGA. AS IN MOST REPORTED CASES, CONSERVATIVE TREATMENT WAS SUCCESSFUL. CONCLUSION: FRACTURES AND PSEUDOARTHROSIS OF THE FIRST RIB ARE RARE IN ATHLETES AND SHOULD BE INCLUDED IN THE DIFFERENTIAL DIAGNOSIS OF ATHLETES PRESENTING WITH SHOULDER AND NECK PAIN. CONSERVATIVE TREATMENT IS SUCCESSFUL IN MOST CASES. 2009 19 1501 13 INVERTED YOGA AND NEAR SYNCOPE: AN UNUSUAL DIAGNOSIS OF RIGHT VENTRICULAR MYXOMA. PRIMARY CARDIAC TUMORS ARE EXTREMELY RARE AND ARE DIFFICULT TO DIAGNOSE. ALTHOUGH USUALLY BENIGN IN NATURE, MYXOMAS REQUIRE SURGICAL RESECTION DUE TO THEIR INCREASED RISK OF EMBOLIC AND CARDIAC COMPLICATIONS, WITH THE TIMING OF RESECTION DEPENDENT ON THE PRESENTATION AND SIZE OF THE TUMOR. HOWEVER, IF DIAGNOSED EARLY, PATIENTS WITH PRIMARY BENIGN CARDIAC TUMORS HAVE EXCELLENT PROGNOSIS FOLLOWING SURGERY. THEREFORE, A HIGH INDEX OF SUSPICION AND A WIDE DIFFERENTIAL DIAGNOSIS ARE VERY IMPORTANT IN DETECTING RARE CONDITIONS THAT CAN AFFECT OTHERWISE HEALTHY INDIVIDUALS. WE PRESENT AN UNCOMMON CASE OF A RIGHT VENTRICULAR MYXOMA THAT WAS DISCOVERED WHEN THE PATIENT WAS PERFORMING INVERTED YOGA AND EXPERIENCED A NEAR SYNCOPAL EPISODE. PATIENT SUBSEQUENTLY UNDERWENT AN ECHOCARDIOGRAPHIC EVALUATION AND WAS FOUND TO HAVE A RIGHT VENTRICULAR MYXOMA THAT WAS EXCISED. ALTHOUGH RECURRENCE IS RARE, IT IS IMPORTANT FOR PHYSICIANS TO REMAIN VIGILANT AND CONTINUE CAREFUL AND CONSISTENT FOLLOW-UP FOR PATIENTS WITH A HISTORY OF A CARDIAC MYXOMA. 2018 20 79 11 A LOW-ENERGY FEMORAL SHAFT FRACTURE FROM PERFORMING A YOGA POSTURE. THE FEMORAL SHAFT IS RARELY THE SITE OF A LOW-ENERGY FRACTURE IN A HEALTHY INDIVIDUAL. THE VAST MAJORITY OF THESE FRACTURES ARE DUE TO MAJOR TRAUMA SUCH AS MOTOR VEHICLE ACCIDENTS. ALTHOUGH LOW-ENERGY FEMORAL SHAFT FRACTURES DO OCCUR, THEY ARE TYPICALLY IN PATIENTS WITH OSTEOPOROTIC BONE, OR PROSTHESIS RELATED. IN THIS CASE REPORT, WE PRESENT A MAN IN HIS LATE 30S WHO WAS PRACTISING A SPECIFIC YOGA STANCE WHEN HE EXPERIENCED A FEMORAL SHAFT FRACTURE. 2015