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www.jimcr.com INTEGRATIVE MEDICINE CASE REPORTS VOLUME 2 NUMBER 1 JANUARY 2021
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IMCR
CASE REPORT
Integrated Approach of Yoga Therapy towards Chronic Low Back Pain:
A Case Report
Reshma P. Jogdand1*, Shekhar Mukhiya Sunuwar2, Amit Singh3 and R. Nagrathna4
Department of Life Sciences, SVYASA University, Bangalore1,3,4
The School of Yoga and Naturopathic Medicine, SVYASA University, Bangalore2
ABSTRACT
This case report represents the patient of lower back pain (LBP) who visited Arogyadhama
(SVYASA University, Bangalore). Patient was suffering from low back pain and multiple joint pain
at the time of visit and 14 days Yoga intervention was provided to the patient for pain man-
agement, which helped the patient in relieving the pain and improving the muscular strength
and quality of life signicantly. The present case study is an attempt to provide IAYT (Integrated
approach of Yoga therapy) practices in combination with naturopathy and physiotherapy for the
maintenance of LBP prole and symptoms.
doi: 10.38205/imcr.020115
KEY WORDS
Lower back pain
Yoga therapy
Naturopathy
Physiotherapy
Quality of life
*Corresponding Author:
Reshma P. Jogdand
Department of Life Sciences,
SVYASA University, Bangalore
Contact no: +91-9449164937
E-mail: reshma.bnys@gmail.com
Introduction
Chronic low back pain (CLBP) is a chronic pain syndrome of
the lower back region lasting at least for 3 months. It is the
most common musculoskeletal condition affecting the adult
-
yond the expected period of healing (1). CLBP is a main cause
-
(such as infection, tumor, osteoporosis, rheumatoid arthritis,
Commonness of incessant LBP IS 4.2% among the adults
in the age group of 24 to 39 years and 19.6% among 20 to
-
lence of LBP in about 3.9%–10.2% people aged 18 or more,
of the same between 13.1% and 20.3%. LBP predominance
of acute and CLBP in adults doubled in the last decade and
continues to increase dramatically in the aging population,
affecting both men and women in all ethnic groups (6).
Side effects, pathology, and radiological appearances are
-
pressure breaks, and about 1% are known to be associated
Ankylosing spondylitis and spinal diseases are more uncom-
-
sion on incessant LBP. Different factors, other than physical,
may be associated with progression of CLBP which includes
turning, lifting and Psychosocial chance elements, such as
some mental components such as trouble, burdensome state
-
factors are also thought to be associated with the progress of
interminable LBP (4).
Case presentation
Recruitment of patient
Kutiram (Arogyadhma) SVYASA for treatment of her CLBP
was enrolled as a participant for this case study after taking
her written consent and explaining her about the treatment
disorders and back pain. She resided in the campus for a pe-
riod of 14 days (6th March, 2020 to 19th March, 2020). Yoga
-
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stay in SVYASA.
IAYT Protocol
Treatment Regimen
Loosening Practice (7)
Table 1: Loosening practices followed by participant
S.
No.
Practice Duration
per session
Frequency
per day
Duration of
intervention
1 10 times 2 times a day 2 weeks
2
inward-outward
10 times 2 times a day 2 weeks
3 Ankle rotation 10 times 2 times a day 2 weeks
4 20 times 2 times a day 2 weeks
5 St. leg raising 5 times 2 times a day 2 weeks
6 Shoulder
10 times 2 times a day 2 weeks
Upper arm
stretch
10 times 2 times a day 2 weeks
8 Vertical stretch
of knee
10 times 2 times a day 2 weeks
9 10 times 2 times a day 2 weeks
10 Side leg raising 10 times 2 times a day 2 weeks
11 Alternate foot
knee
10 times 2 times a day 2 weeks
12 Sideward
bending
10 times 2 times a day 2 weeks
13 Cross leg L.S 10 times 2 times a day 2 weeks
14 10 times 2 times a day 2 weeks
15 Back stretch with
alternate leg
10 times 2 times a day 2 weeks
16 10 times 2 times a day 2 weeks
Alternate & both
leg raising
10 times 2 times a day 2 weeks
18 Side leg raising 10 times 2 times a day 2 weeks
Pranayama (8)
Table 2: Pranayams followed by participant
Pranayama Duration of
procedure
Frequency Duration of
Intervention
1 Nadishuddhi
Pranayama
for each
nostril
4 times a day 2 weeks
2 Brahmari 2 times a day 2 weeks
3 Naadaanusandhna 2 times a day 2 weeks
Deep Relaxation Technique (10–15 minutes) (9)
-
ation. For making participant comfortable during relaxation
Savasana (Corpse Pose) because it
is generally done for 15 minutes.
Breathing Practices (10)
Table 3: Breathing practices followed by participant
S.
No.
Breathing
Practices
Duration of
procedure
Frequency Duration of
Intervention
1
Breathing
2 minutes 2 times a day 2 weeks
2
Out Breathing
2 minutes 2 times a day 2 weeks
3 Ankle stretch
Breathing
2 minutes 2 times a day 2 weeks
4 2 minutes 2 times a day 2 weeks
Yogasana (11)
Table 4: Asanas followed by participant
Yogasanas Duration of
procedure
Frequency Duration of
Intervention
Standing Position
1 sasankasana 2 minutes 2 times a day 2 weeks
2. Dorsal stretch
(naukasana)
2 minutes 2 times a day 2 weeks
3
(without lifting the
head)
2 minutes 2 times a day 2 weeks
4. Bhujanagasana 2 minutes 2 times a day 2 weeks
5 Dorsal stretch 1 minute 2 times a day 2 weeks
6 salabhasana 2 minutes 2 times a day 2 weeks
Walking 2 times a day 2 weeks
8 Side leg raising 1 minute 2 times a day 2 weeks
Naturopathy (12)
Table 5: Naturopathy treatment followed by participant
S.
No.
Treatments Duration
(minutes)
Frequency Periods
1 Mud pack 15 1 time a day 1 week
2 Salt water bath 45 1 time a day 1 week
3 Mustard pack 30 1 time a day 1 week
4 15 1 time a day 1 week
5 Vibro massage 15 1 time a day 1 week
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Physiotherapy (13)(14)
Table 6: Physiotherapy treatment followed by participant
S.
No.
Treatments Duration
(minutes)
Frequency Periods
1ix. 5 1 time a day 1 week
2x. Ultrasound 5 1 time aday 1 week
Diet Protocol (8)
-
pattern was as follows.
Lunch: (boiled diet) 1 chapati, 1 cup adl, 1 cup rice, butter-
Diagnosis
Table 8: Score of different parameters before and after the treatment
regimen
Parameters DOA DOD
Pulse Beats/min 80 bpm
11 cpm
15 sec 15 sec
Symptoms score 03 01
Straight leg raising
80/80 90/90
Sit and reach 46 cm
09 05
Discussion
Table 7: Weekly diet plan followed by participant
8:00 am 10:00 am 12:00 pm 2:00 pm 5:00 pm 7:30 pm 8:30 pm
Saturday Ash gourd juice Barley water Lunch Buttermilk Ash gourd juice Dinner Kashayam
Sunday Carrot juice Watermelon Lunch Buttermilk Carrot juice Dinner Kashayam
Monday Bottle gourd juice Musk melon Lunch Buttermilk Bottle gourd juice Dinner Kashayam
Bottle gourd Watermelon Lunch Buttermilk Bottle gourd Dinner Kashayam
Wednesday Ash guard juice Carrot juice Lunch Buttermilk Ash guard juice Dinner Kashayam
Carrot juice Ash guard Lunch Buttermilk Dinner Kashayam
Friday Breakfast – Buttermilk – Dinner –
Fig. 1: Bars represent the intensity of different parameters diagnosed during treatment period of 14 days.
0
10
20
30
40
50
60
70
80
90
100
Pulse rate Respiratory
rate
Bhramari
rate
Symptoms
score
straight leg
raising
sit and reachPain Scale
Reading
Chart Title
Pre Post
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in straight leg raising and sit and reach scale.
Conclusion
-
-
ed treatment can be recommended to the patients with CLBP.
Acknowledgement
-
press deepest gratitude to the almighty. In addition I would
like to acknowledge the following people who played an in-
strumental role in the completion of this project. I express my
appreciation to the blessings of my gurus and salutations to
my parents and all my teachers. I am grateful to Dr. Nagarath-
na and Dr. Amit Singh of research for sharing their thoughts
me for this work is Dr. Amit singh, his guidance and support
Mr. Sumit Aundhekar for extending his support through out
my work. I express my gratitude to all the Participants, as they
were the true inspiration and purpose.
Authorship contribution
AS has contributed in a treatment planning.
Informed consent
Yes.
Source of funding
Nil.
Nil.
Accepted Date: 15-09-20
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29–32.
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11–6.
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neotherapy in treatment of low back pain. Annals of the rheumatic
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peutic ultrasound for chronic low-back pain. Cochrane Database Syst
