ENDOMETRIOSIS AND CERVICAL SPONDYLOSIS MANAGEMENT THROUGH NATUROPATHY AND YOGA: CASE REPORT
 

A 33 years old female patient visited NIN-OPD in the month of October 2021 with the major
complaints of lower abdominal pain during her menstrual cycle since 3-4 months. She also
complained about discomfort in the medial region of the right wrist joint, right forearm edema
that was radiating from the right side of her neck since 3-4 months. The intensity of pain
increased on performing daily chores. She also had the same complaints 6 years ago where she
was treated with physiotherapy.
A detailed case history was taken with consent of the patient which revealed that over the
course of 3-4 months, the time gap between her two menstrual cycles had shortened from 27 to
22 days, with considerable pain on the 2 nd and 3 rd day during periods, for which she had to take
two painkillers and hot fomentation over the abdomen. Also from past 5-6 months she led an
unhealthy lifestyle .The daily activities included poor posture while watching web series,
continual stitching while in pain, and poor sleeping position and wrong food habits which
aggravated her condition.
Her medical history involved intake of combiflam during pain. The patients appetite was
normal with vegetarian diet starting with black coffee at 7:00am, breakfast at 10:00am to
10:30am, lunch at 2:00 to 2:30pm , snacks at 6:30pm and dinner at 8:00 to 9:00pm all involving
only cereal meal, refined foods. Normal thirst was seen with intake of 1-2 Lt/day.
Sleep was sound with 7-8 hours in night and 1-2 hours nap in afternoon. Bowels are
regular and micturition is of normal frequency. She consumed 1-2 cups of tea every day. She was
moderately built with 104/72 mmHg blood pressure, BMI being 29 Kg/m2 and pulse being
79b/m. upon facial diagnosis, mixed encumbrance and in tongue diagnosis coated tongue was
found which indicates poor elimination.

Patient underwent Naturopathy and Yoga treatment in outpatient department starting
from 25th October 2021. Therapeutic interventions like Yoga Therapy, Naturopathic Diet,
Sunbath, hydrotherapy and Pranayama was given every day on daily visits to OPD.
YOGIC INTERVENTIONS:

S. No. Practices Specific practices
1. Loosening exercises
(5 times each)

All joint movements from head to toes
along with awareness on breathing.

2. Standing Asana
(5 repetitions with 5
seconds hold)

Vrikshasana
Trikonasana
Veerbhadrasana
Tadasana
Tiryak Tadasana

3. Sitting Asana
(5 repetitions with 7
seconds hold)

Vakrasana
Paschimottanasana (without
touching forehead to knees).

4. Supine Asana
(5 repetitions with 7
seconds hold)

Lumbar stretching
Pawanmuktasana (without
bending the neck)
Uttitapadasana

5. Prone Asana
(5 repetitions with 7
seconds hold)

Bhujangasana
Shalabhasana
Marjariasana

6. Pranayama
(10 rounds each)

Bhramari
Anuloma Viloma

7. Relaxation technique
(15 minutes)

Deep relaxation technique.

NATUROPATHIC INTERVENTION:

S. No.

Therapies Number of sessions

1.

Neutral water enema 2 sessions

2. Cold abdominal pack

(20 minutes) 1 session

3. Steam bath

(10 minutes) 7 sessions

4. Neutral hip bath

(20 minutes) 2 sessions

5.

Partial massage
to back, neck and shoulder
(20 minutes)

10 sessions

6.
Hot sand fomentation to back,
neck and shoulder
(15 minutes)

15 sessions

7. Cold arm pack

(15 minutes) 1 session

9. Neutral immersion bath
(20 minutes)

1 session

10. Kidney pack

(15 minutes) 2 sessions

11.
Acupressure to upper back,
hands and feet
(10 minutes)

5 sessions

12. Hot arm bath

(15 minutes) 1 session

13. Mud pack and eye pack

(15 minutes) 6 sessions

14. Ultrasound

(15 minutes) 4 sessions

DIETARY MODIFICATIONS:

Juice diet
Day 1 to
Day 3
Day 8 to
Day 10
Day 15 to
Day 17

Tender Coconut water, Carrot juice, Sweet lime-juice
(2 glasses of juice with interval of 2-2 ½ hours gap).

Intermittent
fasting
Day 4 to
Day 7
Day 11 to
Day 14
Day 18 to
Day 21

Breakfast (9:30am- 10:30am) Papaya, apple, pomegranate,
guava(1bowl)

Lunch
(1:00pm-2:00pm)

1 Chapati (wheat), 1 bowl boiled

vegetable

(Spinach, fenugreek leaves, Ridge Gourd,
Spring Onion, Cauliflower, Cabbage,
Bottle Gourd – any one of them) ,1 bowl

pulses.

Dinner (7:00pm-8:00pm) Papaya, apple, pomegranate, guava

(1bowl)

After 18 days of treatment at NIN OPD, patient was advised to continue the intermittent
fasting, Yogasanas, cervical exercises, Pranayama and meditation, sunbath and regular walking
and follow up. After the follow up visit she expressed reduced lower abdominal pain during her
periods but ultra sonography reports showed slight changes in the thickness of endometrial wall.
Cervical Spine depicted positive results of treatment with mild pain in cervical region when the
patient adopts continuous wrong posture. Pain in wrist joint was alleviated entirely. The patient
expressed increased confidence and happiness.
The effective changes observed by the patient may be attributed to the practice of
Naturopathy and Yoga Treatments.

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