Yoga for sinusitis


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Yoga is being increasingly used as an adjuvant therapy for various conditions based on research done in the past many decades. This paper attempts to focus on the scientific basis of some Yoga practices such as Neti and Nada Pranayamas that may help in the prevention and management of sinusitis. This can help us understand the mechanisms through which these Yoga practices can help as an adjuvant therapy in preventing and managing sinusitis. This provides us the confidence to use these therapies as an inexpensive and safe method even in primary health care setting.

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  • Yoga for sinusitis

    2. 2. INTRODUCTION    Yoga, the ancient cultural heritage of India has recently become popular as a therapeutic adjuvant to modern scientific medicine. The physiological and psychological benefits of Yoga have given rise to various potentialities as an adjuvant therapy for numerous psychosomatic disorders. Yoga is however primarily focused on prevention and can be said to be the original preventive medicine.
    3. 3. WHAT IS SINUSITIS?    Sinusitis is an inflammation of the membrane lining of any sinus, especially one of the paranasal sinuses Acute sinusitis –a short-term condition that responds well to antibiotics and decongestants Chronic sinusitis -at least four recurrences of acute sinusitis that may require prolonged therapy and even surgery
    4. 4. HOW COMMON IS SINUSITIS?      Common clinical problem with considerable morbidity and often-refractory symptoms, accounting for millions of patient visits Drs One of the top 5 conditions for which antibiotics are prescribed More than 120 million Indians suffer from at least one episode of acute sinusitis each year. The prevalence of sinusitis has soared in the last decade due to increased pollution, urban sprawl, and increased resistance to antibiotics. Significant negative impact on patients’ QOL
    5. 5. SYMPTOMS OF ACUTE SINUSITIS      facial pain / pressure nasal obstruction nasal discharge diminished sense of smell fever, bad breath, fatigue, dental pain, and cough may be present
    6. 6. CHRONIC SINUSITIS - SYMPTOMS Following symptoms present >12 weeks         facial pain / pressure, facial congestion / fullness, nasal obstruction / blockage, thick nasal discharge discolored post-nasal drainage, pus in the nasal cavity, and fever. They may also have headache, bad breath, and fatigue.
    7. 7. CAUSES OF THE PROBLEM      Chronic sinusitis is a common disease in children, especially those with allergies. Inflammation from an allergy causes membrane swelling and the sinus opening to narrow, thereby blocking mucus movement. Poor sinus ventilation increases risk for sinusitis New evidence points to a pathophysiologic link between sinusitis, allergic rhinitis and asthma. Smoking plays a role in the causation and worsening of symptoms
    8. 8. GENERAL TIPS      Regular graded exercise develops exercise tolerance. Brisk walking with Savitri Pranayama (2:1-2:1) ratio while walking. Maintain good hydration > 2 liters water /day. Use a humidifier. Warm, moist air lubricates nasal and sinus passages and thins mucus secretions Be aware - avoid foodstuffs that bring on an allergy Carrots, papaya, mango and green leafy vegetables have precursor of Vitamin A -vital for health of the epithelial lining of the respiratory tract
    9. 9.      Citrus fruits have Vitamin C- useful for health of the respiratory tract. Warm lemon or orange juice with honey helps build up the resistance of the respiratory tract. Amla is a rich source of Vit C Sprouts are useful in promoting rejuvenation. As the respiratory lining is constantly under attack, they help in the epithelial regeneration. Avoid air polluted areas whenever possible. Restrict all mucous-forming foods such as milk & milk products, groundnuts, refined products, soda drinks, pastries and sweets, especially chocolate. Avoid smoking as it is surely your worst enemy if you are already suffering a respiratory disorder.
    10. 10. NASAL IRRIGATION     Hypertonic nasal irrigation is a therapy that flushes the nasal cavity with saline solution, facilitating a wash of the structures within. Originally part of the Yogic tradition as Neti, this technique is anecdotally regarded as safe and effective. It has been suggested as adjunctive therapy for sinusitis related symptoms. Potential efficacy is supported by the observation that hypertonic saline improves mucociliary clearance, ciliary beat frequency thins mucus, and may decrease inflammation.
    11. 11.     David Shoseyov and colleagues have shown that hypertonic saline improves both clinical scores and plain Waters’ projection radiology scores in children with chronic sinusitis. They have also commented that the treatment is tolerable, inexpensive, and effective. Dr. Marple, professor of otolaryngology at the University of Texas says that saline nasal irrigation is a highly effective, minimally invasive intervention for people suffering from nasal issues. He however adds, “But it’s just not as sexy to talk about. People want to hear about surgery or antibiotics.”
    12. 12.    DG Heatley and colleagues at the University of Wisconsin have shown that daily nasal irrigation using a bulb syringe, nasal irrigation pot, and daily reflexology massage were equally efficacious and resulted in improvement in the symptoms of chronic sinusitis in over 70% of subjects. Medication usage was decreased in approximately one third of participants regardless of intervention. LT Tamooka and colleagues at the University of California have shown that patients who used nasal irrigation for the treatment of sinonasal disease experienced statistically significant improvements in 23 of the 30 nasal symptoms queried.
    13. 13.   David Rabago and colleagues at the University of Wisconsin have shown that daily hypertonic saline nasal irrigation improves sinus-related quality of life, decreases symptoms, and decreases medication use in patients with frequent sinusitis. They also recommended that primary care physicians can feel comfortable recommending this therapy.
    14. 14. CHANT YOUR WAY TO HEALTHY SINUSES     Chanting creates sound vibrations encouraging air to move back & forth between sinus membranes and nasal passages. This helps open the tiny ducts connecting the nose to the sinuses, allowing the sinuses to drain properly. Sinuses are effectively ventilated by humming. Previous research has shown that poor sinus ventilation increases the risk for sinusitis.
    15. 15.     Daily humming or "Om" chanting may prevent infections from actually taking hold, according to Jon Lundberg and Eddie Weitzberg of the Karolinska Institute, Sweden. They found that humming increased nitric oxide levels fifteenfold, compared to quiet exhalations without sound. The exhalations of people with healthy sinuses tend to have high nitric oxide levels, indicating that more air is able to flow between the sinuses and the nose. Nada Pranayamas of Yoga such as Bhramari and the Pranava are similar to the humming used in the study.
    16. 16. NETI: THE YOGIC NASAL CLEANSING TECHNIQUE TYPES OF NETI:  Jala Neti -Nasal irrigation with lukewarm saline  Sutra Neti -cleaning with a thread or catheter  Dugdha Neti -Nasal irrigation with milk  Ghrta Neti -Nasal irrigation with melted ghee  Jala Kapalabhati  Vyutkrama Kapalabhati  Seetkrama Kapalabhati
    17. 17. JALA NETI       Fill the Neti pot with the lukewarm saline and hold it in your right hand. If your right nostril is dominant insert the nozzle into your right nostril . Tilt your head slightly forward, downward and sideward to the left, so that the water from the pot enters the right nostril and comes out through the left by gravity. Allow the flow till the pot is empty. Breathe through your open mouth during the Kriya Repeat the same on the left side. Perform Kapalabhathi or Anunasika Pranayama to clean the nasal passages of the remaining water.
    18. 18. BENEFITS OF NETI KRIYA      Removes mucus and dust particles from the nasal passages and the sinuses. All the five Jnanendriyas are purified, cleansed and activated by Neti Kriya Excellent preventive against cold, cough, sinusitis and infections of the respiratory tract. Neti also renders the nose resistant to irritants like water, cotton, rubber, ghee, milk and thus helps in hypersensitivity eg. Allergic Rhinitis. Helps to overcome addictions especially to tobacco and alcohol.
    19. 19. SURYA NAMASKAR      Ancient Yogic method of worshiping the sun through a sequence of 12 postures that streamline the functioning of all systems of the human body. Includes a breath sequence & chanting Helps improve all aspects of physical fitness including cardio-respiratory efficiency. When done with the Surya Namaskar Mantras it has the added benefits of ventilating the sinuses. Helps develop breath-body movement coordination - corrects psychosomatic disorders by reuniting the body and mind through the breath.
    21. 21. POSTURES DONE FROM THE STANDING Ardha Kati Chakrasana Mehru Asana
    22. 22. Ushtra Asana POSTURES DONE FROM THE SITTING Ardha Matsyendrasana Chatus Pada Asana and Vyagrah Pranayama
    23. 23. POSTURES DONE FROM LYING DOWN Bhujanga Asana Bala Asana Matsya Asana Pawan Mukta Asanas
    24. 24. SOME PRANAYAMAS FOR SINUSITIS  Bhastrika Pranayama    Breathe in right and out left nostril Pranava Pranayama  Chanting Akara, Ukara, Makara and Omkara Anu Nasika Pranayama  Bellows breathing Surya Bhedana    Kukkriya Pranayama   Blasting out through the nostrils in a specific pattern Dog pant breathing Bhramari Pranayama  Bee sound breathing
    25. 25. YOGA RELAXATION Makara Asana Kaya Kriya Shpanda Nishpanda Kriya
    26. 26. CONCLUSION      Yoga offers a possible adjuvant therapy for sinusitis Nasal irrigation with Hypertonic saline (Jala Neti) is a proven and effective modality of treatment in Rhinosinusitis Nada Pranayamas can help ventilate the sinuses effectively Yoga is inexpensive and quite safe when done under proper supervision Yoga has numerous side benefits such as the improved quality of life and healthy sense of well being
    27. 27. THANK YOU