1 264 92 ACUTE CHEST PAIN AND ESOPHAGEAL MUCOSAL INJURY FOLLOWING AN EXTREME YOGA POSITION CASE REPORT. A YOUNG LADY COMPLAINED OF THE SUDDEN ONSET OF INTENSE CHEST PAIN, IN CONSEQUENCE OF AN EXTREME HYPEREXTENSION OF THE BACK IN A YOGA POSITION. AT ENDOSCOPY A LARGE LESION OF THE ESOPHAGEAL EPITHELIUM WAS DETECTED, INVOLVING THE MIDDLE THIRD OF THE ANTERIOR WALL OF THE ESOPHAGUS. OTHER SYMPTOMS REPORTED BY THE PATIENT WERE DYSPHAGIA AND ODYNOPHAGIA, DEPICTING THE TYPICAL FEATURES OF INTRAMURAL HEMATOMA, ALSO KNOWN AS INTRAMURAL DISSECTION OR INTRAMURAL PERFORATION OF THE OESOPHAGUS. THE PATIENT WAS MANAGED CONSERVATIVELY AND SYMPTOMS DISAPPEARED WITHIN A WEEK. A BARIUM SWALLOW AT SIX MONTHS REPORTED NORMAL FINDINGS. DIFFERENT TYPES OF ACCIDENTS OCCURRING DURING YOGA PRACTICE ARE REPORTED IN THE LITERATURE, MAINLY INVOLVING MUSCULOSKELETAL OR NERVOUS SYSTEMS. VISCERAL LESIONS ARE EXCEPTIONAL AND NO SIMILAR CASES HAVE BEEN REPORTED IN THE LITERATURE. KEYWORDS: ACUTE CHEST PAIN, ESOPHAGEAL LESION, INTRAMURAL HEMATOMA, MANAGEMENT OF ESOPHAGEAL LESION. 2019 2 1656 13 MUSCULOSKELETAL INJURIES RELATED TO YOGA: IMAGING OBSERVATIONS. OBJECTIVE: THE PURPOSE OF THIS ARTICLE IS TO DESCRIBE THE IMAGING APPEARANCES OF MUSCULOSKELETAL INJURIES RELATED TO YOGA. WE PERFORMED AN AUTOMATED SEARCH IN THE DATABASE OF A LARGE TERTIARY CARE CENTER AND CONDUCTED A RETROSPECTIVE ANALYSIS OF THE IMAGING FINDINGS IN 38 PATIENTS OVER A 9-YEAR PERIOD. CONCLUSION: THE MOST FREQUENTLY ENCOUNTERED MUSCULOSKELETAL INJURIES WERE TENDINOUS LESIONS, INCLUDING TEARS OF THE SUPRASPINATUS, ACHILLES, AND PERONEUS BREVIS TENDONS AND FIBROCARTILAGINOUS TEARS INVOLVING THE MEDIAL MENISCUS, ACETABULAR LABRUM, GLENOID LABRUM, AND LUMBAR DISK WITH EXTRUSION. 2012 3 2873 24 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 4 379 16 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 5 1665 18 NATUROPATHY AND YOGA FOR IMPROVING QUALITY OF LIFE IN PEMPHIGUS VULGARIS AND MANAGING CO-MORBID TYPE 2 DIABETES: A CASE REPORT. A 57 YEARS OLD MALE PATIENT WAS ADMITTED TO AN INPATIENT NATUROPATHY AND YOGA (N&Y) HOSPITAL, DIAGNOSED WITH PEMPHIGUS VULGARIS (PV) FOR ONE YEAR AND CO-MORBID TYPE 2 DIABETES (T2DM) FOR 10 YEARS, ASSOCIATED WITH POOR QUALITY OF LIFE (QOL). HE WAS ADMINISTERED N&Y THERAPIES FOR 10 DAYS, ALONG WITH CONVENTIONAL MEDICINES. THERE WAS IMPROVED QOL AND REDUCED DOSAGE OF INSULIN, ALONG WITH REDUCTION IN BODY WEIGHT. THESE CHANGES WERE SUSTAINED AND IMPROVED FURTHER DURING THE 60-DAY FOLLOW-UP PERIOD. ALTHOUGH THERE WAS NO IMPROVEMENT IN THE SKIN LESIONS, THE IMPROVEMENT IN QOL INDICATE A POSSIBLE ROLE OF N&Y IN MANAGEMENT OF PV AND T2DM. THIS CASE REPORT ALSO WARRANTS FURTHER STUDIES FOR N&Y IN THE MANAGEMENT OF DERMATOLOGICAL CONDITIONS AS WELL AS METABOLIC SYNDROME. 2020 6 79 12 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 7 2914 20 [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 8 42 13 A CASE OF RECTUS SHEATH HEMATOMA CAUSED BY YOGA EXERCISE. RECTUS SHEATH HEMATOMA IS A RELATIVELY RARE CONDITION BUT A SIGNIFICANT CAUSE OF ACUTE ABDOMINAL PAIN. THE ACUTE ABDOMINAL PAIN ASSOCIATED WITH RECTUS SHEATH HEMATOMA CAN MIMIC SEVERAL CONDITIONS, SUCH AS APPENDICITIS, INTESTINAL PROBLEMS (OBSTRUCTION, PERFORATION, HERNIA, MALIGNANCY), AND GYNECOLOGIC DISEASE (OVARIAN CYST, TORSION, TUBO-OVARIAN ABSCESS, ECTOPIC PREGNANCY). CORRECT DIAGNOSIS AND SUBSEQUENT TREATMENT DEPENDS ON CAREFUL HISTORY TAKING AND APPROPRIATE USE OF DIAGNOSTIC TOOLS TO AVOID UNNECESSARY LAPAROTOMY. WE REPORT A CASE OF RECTUS SHEATH HEMATOMA DUE TO NONCONTACT STRENUOUS EXERCISE, YOGA, THAT MIMICKED GYNECOLOGIC DISEASES. 2009 9 1775 16 PRACTICE OF YOGA MAY CAUSE DAMAGE OF BOTH SCIATIC NERVES: A CASE REPORT. SCIATIC NERVE TRAUMATIC DAMAGE VERY RARELY OCCURS BILATERALLY. WE DESCRIBE THE CASE OF A 67-YEAR-OLD WOMAN WHO REPORTED A BILATERAL TRAUMATIC LESION OF THE SCIATIC NERVE DURING PRACTICE OF YOGA. NERVE CONDUCTION STUDIES SHOWED A BILATERAL SCIATIC NERVE NEUROPATHY, MOSTLY AFFECTING THE PERONEAL COMPONENT. LUMBAR PLEXUS MRI DOCUMENTED REGULAR ANATOMICAL FEATURES OF THE MAIN PRINCIPAL NERVE ROOTS WITH BILATERAL T2 SIGNAL ALTERATION OF ROOTS L4, L5 AND S1 THAT EXTENDED INTO THE SCIATIC NERVES SHOWING BOTH INCREASE IN SIZE, PROBABLY RELATED TO CHRONIC INJURY OF NERVES, AND AN ALTERATION IN DIFFUSION SIGNAL THAT SUGGESTED A RECENT ACUTE OVERLAPPED PROCESS. 2013 10 2694 16 YOGA INDUCED ACUTE ULNAR NERVE COMPRESSION BY A GANGLION CYST IN GUYON'S CANAL. ACUTE ULNAR NEUROPATHY AT THE WRIST CAN BE DIFFICULT TO DIAGNOSE, AS IT IS AN UNCOMMON NEUROPATHY WITH VARIABLE CLINICAL PRESENTATIONS AND NUMEROUS ETIOLOGIES. WE PRESENT A CASE OF ACUTE ULNAR NEUROPATHY OF THE DEEP MOTOR BRANCH CAUSED BY A GANGLION CYST IN GUYON'S CANAL. INTERESTINGLY, THIS CASE OF ACUTE LOSS OF MOTOR FUNCTION OCCURRED AFTER THE PATIENT PARTICIPATED IN YOGA (SPECIFICALLY THE DOWNWARD DOG POSITION), AND RESOLVED SPONTANEOUSLY OVER TIME AFTER STOPPING YOGA, WITHOUT SURGICAL EXCISION OF THE GANGLION, SUGGESTING EXACERBATION OR PROTRUSION OF AN OCCULT GANGLION CYST DUE TO INCREASED ACTIVITY AND COMPRESSION OF THE HYPOTHENAR EMINENCE. 2013 11 2356 17 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 12 776 17 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 13 1416 13 IMPORTANCE OF MANAS TATTVA: A SEARCHLIGHT IN YOGA DARSHANA. SINCE TIME IMMEMORIAL 'MANAS' HAS BEEN THE SUBJECT OF CURIOSITY FOR SCHOLARS, SCIENTISTS AND PHILOSOPHERS. THE REASON BEHIND THIS CURIOSITY IS ITS IMPORTANCE IN THE DEVELOPMENT OF MANKIND. HUMAN BEING IS SUPERIOR TO OTHER CREATURES IN THE SERIES OF DEVELOPMENT. THIS SUPREMACY OF MAN REMAINS IN HIS QUALITY TO WORK AFTER THINKING, WHICH IS THE FUNCTION OF 'MANAS'. NO OTHER ANIMAL IS CAPABLE TO THINK LOGICALLY. THIS IS THE ONLY REASON WHICH LEADS THE MANKIND TO THE CREST OF DEVELOPMENT IN EVERY ASPECT. TO HIGHLIGHT THE CONCEPT OF MANAS IN YOGA DARSHANA, INFORMATION EXTRACTED FROM YOGA LITERATURES AND AYURVEDIC SAMHITAS. IN INDIAN CULTURE MIND HAS BEEN DESCRIBED FROM VARIOUS ANGLES. VEDIC, PHILOSOPHICAL AND AYURVEDIC LITERATURES HAVE A VAST AND EXCLUSIVE DESCRIPTION OF MANAS. PHILOSOPHERS EITHER ASTIKA OR NASTIKA HAVE DESCRIBED MANAS SIDDHANTA VIVIDLY. THOUGH MANY KINDS OF DIFFERENCE OF OPINIONS ARE THERE, YOGA DARSHANA ACCEPT THE IMPORTANCE OF MIND IN THE PROCESS OF PERCEPTION AND EVEN FOR THE BIRTH OF ANY INDIVIDUAL. 2014 14 2911 23 [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 15 1501 14 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 16 1952 10 SEASONAL AFFECTIVE DISORDER AND THE YOGA PARADIGM: A RECONSIDERATION OF THE ROLE OF THE PINEAL GLAND. SEASONAL AFFECTIVE DISORDER IS A PSYCHIATRIC DISORDER WHOSE PATHOPHYSIOLOGY AND CLINICAL PRESENTATION ARE POORLY UNDERSTOOD. BY APPLYING THE ANCIENT PARADIGM OF YOGA PSYCHOLOGY TO THIS SUBJECT, NEW UNDERSTANDINGS OF THE SYNDROME EMERGE REGARDING THE POSSIBLE ROLE OF THE PINEAL GLAND, THE CLINICAL PRESENTATION OF THE SYNDROME, AND THE POSSIBLE MECHANISM OF ACTION OF PHOTOTHERAPY. THE ENERGY DEPLETION MODEL PRESENTED HERE TIES TOGETHER SUCH DIVERSE ELEMENTS AS: DOSE-RESPONSE ASPECTS OF PHOTOTHERAPY, ANERGIA AS A PRIMARY SYMPTOM OF SAD, 'SPRING FEVER', MYOFASCIAL PAIN DISORDER, THE ANTI-GONADOTROPHIC EFFECT OF MELATONIN, AND PINEAL SUPERSENSITIVITY IN BIPOLAR PATIENTS. CLINICAL PREDICTIONS ARE MADE, AND SIMPLE RESEARCH PROTOCOLS ARE SUGGESTED WHICH CAN DIRECTLY TEST THE HYPOTHESES GENERATED BY THIS PARADIGM. 1990 17 1570 24 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 18 2288 15 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 19 2724 11 YOGA NEUROPATHY. A SNOOZER. SCIATIC NERVE COMPRESSION VERY RARELY OCCURS BILATERALLY. THE AUTHORS PRESENT A WOMAN WITH PROFOUND LOWER EXTREMITY WEAKNESS AND SENSORY ABNORMALITY AFTER FALLING ASLEEP IN THE HEAD-TO-KNEES YOGA POSITION (ALSO CALLED "PASCHIMOTTANASANA"). CLINICAL AND ELECTRODIAGNOSTIC FINDINGS ARE DISCUSSED IN DETAIL AND A BRIEF REVIEW OF THE LITERATURE IS PRESENTED. 2005 20 407 11 BIOLOGICAL SIGNIFICANCE OF PIEZOELECTRICITY IN RELATION TO ACUPUNCTURE, HATHA YOGA, OSTEOPATHIC MEDICINE AND ACTION OF AIR IONS. PIEZOELECTRIC PROPERTIES OF BIOLOGICAL MACROMOLECULES SUCH AS PROTEINS, NUCLEIC ACIDS AND MUCOPOLYSACCHARIDES ARE REVIEWED IN THIS PAPER. IT IS INDICATED THAT THE STRUCTURAL ELEMENTS OF THE HUMAN BODY COMPOSED OF THESE PIEZOELECTRIC SUBSTANCES ARE CAPABLE OF TRANSDUCING A MECHANICAL ENERGY INTO AN ELECTRIC CURRENT. SUCH A TRANSDUCTION MAY BE BROUGHT ABOUT BY MOVEMENTS OF AN ACUPUNCTURE NEEDLE, OSTEOPATHIC MANIPULATIONS; HATHA YOGA POSTURES OR ACTION OF NEGATIVELY CHARGED AIR IRONS. IT IS POSTULATED THAT ELECTRIC CURRENT INDUCED BY STIMULATION OF THE SPECIFIC SITES ON THE SURFACE OF HUMAN BODY FLOWS TOWARDS THE INTERNAL ORGANS ALONG THE SEMICONDUCTIVE CHANNELS OF BIOLOGIC MACROMOLECULES. ELECTRIC CURRENT INDUCED EITHER BY THE PIEZOELECTRIC TRANSDUCTION OR DIRECTLY APPLIED FROM AN EXTERNAL SOURCE MAY IN TURN STIMULATE INDIVIDUAL CELLS IN THE TARGET ORGAN. INVOLVEMENT OF ELECTRICAL PHENOMENA IN REGULATORY MECHANISMS ON CELLULAR AND MOLECULAR LEVELS IS DISCUSSED. 1977