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Chapter 4
For him who has obtained a
body ablaze with the fire of
Yoga , there is no disease, no
aging, no death
 The word Yoga has been derived from
the Sanskrit word “ YUG ” which means
to join or to Unite.
 Yoga is the Union of the Individual soul
with the Absolute or Divine Soul.
 Yoga also means the unification of
physical, mental, intellectual and
spiritual aspects of human being.
 Yoga is the science of development of a
person’s consciousness.
1. Physical Purity.
2. Cures and Prevention from Disease.
3. Reduces Mental Tension.
4. Beautification of Body.
5. Provides Relaxation.
6. Keeps the Correct Posture of Body.
7. Yoga can be Performed Easily.
8. Spiritual Development.
9. Increases Flexibility.
10. Reduces Obesity.
11. Improves Health.
12.Enhances Moral and Ethical Values.
1. Physical Purity
 Internal organs of our body can be cleansed by
various Yogic exercises.
 As per Ayurveda, our body is made of Vaat, Pitt
and Kaph. To remain healthy, balance of vaat ,
Pitt and kaph in our body is necessary.
 Dhoti, Nauli, Basti, Kapalbhati,Tratak etc. are
such yogic exercises which keep the internal
organs of our body in Clean state.
2. Cures and Prevention from Disease
 Yoga not only prevents many diseases but also
cures them.
 Various Yogic exercises increases the immunity
of the body.
 Diseases such as Bronchitis, Sinusitis, Arthritis,
Gastritis, Asthma, High bloods pressure,
Stress , Back pain, Urinary disorders etc. can
be prevented as well as can be cured by
yogic exercises.
3. Reduces Mental Tension
 Yoga helps in reducing the mental tension.
Pratyahar, Dharana and Dhyan plays vital role
in reducing the mental stress.
 Asanas like Makarasana, Shavasana, Shalabhasana
and Bhujangasana are beneficial for releasing
stress and tension.
4. Reduces Obesity & Beautification of Body
 Obesity is becoming a worldwide problem.
 Obesity makes a person prone to many
diseases.
 Research studies have shown that mental
tension and stress could be one of the reason
for obesity.
 Pranayam & Yogica Asanas releases mental
stress, reduces obesity and makes body strong
and perfect.
 Mayurasan is one such asanas.
5. Provides Relaxation
 Rest and relaxations are essentials for
removing fatigue.
 Research studies have shown that Yogic
asanas and Panayama relaxes the body
and mind.
 Padamasana , Shavasana and Makarasana
are some of such asanas.
6. Keeps the Correct Posture of Body
 Postural deformities are very common
nowadays due to lifestyle followed which
effects efficiency negatively.
 Doing Yoga asanas regularly , a person can not
only have the correct posture, but can also
cure the postural deformities .
 Vajrasana , Sarvangasana , Mayurasana ,
Chakrasana ,Bhujangasana etc.
7. Yoga can be Performed Easily
 In fast life of today, every one claims
to be very busy , hardly any time left
for self.
 Doing Yogic exercise need only a small
space , where as others need much of
money and time.
8. Spiritual Development
 One can have good control on
mind by doing Yogic exercises and
move towards the spiritual
heights.
 Padmasana and Siddhasana
enhances the meditation power.
 Pranayam is also useful for
spiritual development.
9. Increases Flexibility
 Flexibility is very significant as it helps
in movement of the body efficiently .
 Muscles becomes more flexible and
prevents sports and other injuries.
 Chakrasana , Dhanurasana , Halasana ,
Bhujangasana etc. are very beneficial
in increasing body flexibility.
10. Reduces Obesity
 Very common problem now a days.
 Regular Yogic exercise like pranayama and
asanas reduces obesity .
 Research studies have shown that obesity is
also caused by mental stress and tension.
 Meditative asanas are the perfect solution for
this condition.
11. Improves Health
 Yoga not only maintains but improves our
health .
 Muscles becomes more strong .
 Various system of body like respiratory ,
circulatory , nervous , excretory etc. becomes
more efficient resulting improvement in over
all health.
12. Enhances Moral and Ethical Values
 Yoga is very significant for human being in
present-day life.
 By following first two steps of Ashtanga Yoga
: Yama and Niyama (Ahimsa , Satya , Asteya ,
Santosh , Tapa etc. ) these values are
enhanced.
 An individual can attain perfect health and
lead a content life by performing yogic
exercise daily.
 Evidences shows that history of Yoga is related to
the Indus Valley civilization (3300- 1300 BC ).
 Yoga is also mentioned in Upanishads, Mahabharata
& Ramayana.
 Maharishi Patanjali gave Yoga Sutra around 147
B.C.
It can be said authentically that history of Yoga is as
old as India’s history. Yoga has been the main element
of Indian culture from the ancient period.
1.Pre-Vedic Period
2.Vedic Period
3.Upanishadic Period
4.Epic Period
5.Sutra Period
6.Smriti Period
7.Medieval Period
8.Modern Period
1. Pre-Vedic Period ( 3300-1300 BC)
The excavation of Mohenjodaro and Harappa in
Indus valley reveals that Yoga was practiced in
some form at that period. Idols, statues &
seals excavated are in various yogic postures.
2. Vedic Period ( 1750-500 BC)
Some concepts of Yoga which were
developed later on, are seen in Vedas.
Yoga & Yogis are not used in Vedas but
“Yunjate” used in RigVeda gives the
idea of the Yoga for sense control.
3. Upanishadic Period
The real basis of Yoga is found in Upanishads.
Prana and Nadis are important topics discussed
in Upanishads. Various Yogic practices and
their physiological effects are mentioned in
Upanishads.
4. Epic Period(1000-600 BC)
Ramayana and Mahabharata are the vital
source of information about various types of
Yogic practices which were used during that
period. Bhagwad Gita deals with the three
paths of Yoga ,namely Gyan, Bhakti and Karma
5. Sutra Period
Maharaishi Patanjali gave “Yoga sutra”
approximately in 147 BC. YogaSutra is divided
into four parts. Maharishi Patanjali described
Ashtanga Yoga or eight limbs of Yoga. The
scriptures related to Buddhism and Jainism
reveal that Yoga was also a main part of life of
the people.
6. Smriti Period
Smritis were written till about 1000 AD.
During this period , we find various changes
in ideas, beliefs worship and customs.
Pranayama and other purification techniques
were used in many religious rituals.
7. Medieval Period
During this period , the two cults – Natha
cult and Bhakti cult very famous. Hatha Yoga
was evolved and was very popular in Natha
Cult. Saints of this period were following
yoga .
8. Modern Period
Swami Vivekananda, Yogananda, Maharishi
Raman, Sri Aurobindo played important role
in spreading Yoga out of India.
Yogacharya B K S Iyenger , Baba Ramdev has
inspired millions of Indians and foreigners to
use Yoga to make them healthy and release
mental stress and tension.
8. Modern Period
 At 69th Session of UN General Assembly in New York
on 27-09-2014, PM of India urged the need to
celebrate “International Yoga Day” for the harmony
and peace in the world
 21 June declared as “International Yoga Day” by
United Nations
 First “International Yoga Day” was celebrated on
21st June 2015.
1. Yama
2. Niyama
3. Asanas
4. Pranayama
5. Pratayhara
6. Dharana
7. Dhyana
8. Samadhi
यम नियमासि प्राणायाम प्रत्याहार धारणा
ध्याि समाधयोऽष्टावङ्गानि ॥२९॥
1. Yama
a. Ahimsa: Causing no harm to
any living thing. Anxiety ,
jealousy, hate ,anger are
violent emotions.
b. Satya: Truthfulness. We must
be truthful in thoughts,
speech and deeds. We must
not speak to others in
deceitful manners.
c. Asteya: Non-stealing. The
inclination to use others
objects, money and thoughts
for one’s own benefit is
stealing. Abstaining from it is
Asteya.
1. Yama
d. Brahamcharya : Conserving
one’s energy . Using your
energy for the benefit of the
individual & society, not for
pleasure.
e. Aparigraha : Non-
possessiveness, non-grasping
or non-greediness. Aparigraha
refers to keeping the desire
for possessions to what is
necessary or important,
depending on one's life stage
and context.
2. Niyama
a. Saucha: It is purification
of Internal organs,
external body and
mentally. Shatkarmas are
to be performed for
purification of the
internal organs of the
body. Neti, Dhoti,
Kapalbharti, Nauli,Tratak,
Basti are the six kriyas (
Shatkarmas).
2. Niyama
a. Saucha:
2. Niyama
b. Santosh: Feeling of satisfaction in
life.
c. Tapa: To endure the difficulties,
obstacles and complex situation
easily in achieving the goal.
d. Swadhyaya: It is considered as
the study of teaching and
scriptures, self study is
preferred.It also means
introspection and self study by
asking questions like who I am,
What should I do, Aim of Life.
e. Ishwara Pranidhan: To dedicate
all the deeds to God. One
surrenders oneself to God
expelling pride, ego and other
impurities from mind
3. Asana
Asana means position or posture of body. It
also means to sit in easy posture. These
are slow stretching activities performed to
keep the body flexible agile and young.
4. Pranayama
It is the control of the process of the breathing. It
means appropriate control over inhalation and
exhalation. It helps in regulating the metabolic
activity and enhances the function of heart and
lungs. It also provides longevity to life.
5. Pratyahar
Control over senses is Pratyahara. The
senses no longer respond to external objects
that hinder mental concentration.
6. Dharana
It is the concentration of mind
at one focal point. It is a mental
exercise which enables a Yogi to
go ahead towards Dhayan and
Samadhi.
7. Dhyana
Dhyana is a complete
constancy or concentration of
mind.
8. Samadhi
The union of individual’s soul with the
supreme soul is called Samadhi.
 It is checking or destruction of all the
impulses of mind.
During Dhyana, when the disappearance of
self awareness takes place , the Yogi attains
the stage of Samadhi.
Experiences the divine pleasure.
Meaning of Asanas: स्थिरसुखमासिम ् ॥४६॥
A position which is steady and comfortable.
In Asanas, body is kept in various positions in such
a way that the activity of the organs and glands of
body becomes more efficient and finally improve
the health of mind and body
Classification of Asanas
Meditative Asanas Relaxative Asanas Cultural or
Corrective Asanas
Meditation power of
an individual is
enhanced
Removes fatigue and
relaxes an individual
physically and
mentally
Regulate and
systematise the
different activities of
the body and finally
provides the energy
to the body
Padmasana
Sidhasna
Gaumukhasan
Veerasana etc
Shashankasana
Shavasana
Makarasana etc
Sheerasasan
Sarvangasana
Matasyasana
Halasana
Bhujangasana
Chakrasana etc
Classification of Asanas
Meditative Asanas Relaxative Asanas Cultural or
Corrective Asanas
Padmasana Shashankasana Sheerasasan
Meaning of Pranayama :
It is comprised of two words :
“prana” + “ayam”
means
vital life force + control
“the control or regulation of prana”
Parts of Pranayama
Purka Rechaka Kumbhaka
Inhalation Exhalation Retaining the breath
Internal
To retain the
breath after
complete
inhalation.
External
To retain the
breath after
complete
exhalation.
Types of Pranayama :
 Suryabhedi Pranayama
 Ujjayi Pranayama
 Sheetkari Pranayama
 Sheetali Pranayama
 Bhastrika Pranayama
 Plavini Pranayama
 Morchha Pranayama
Meaning of Meditation
Meditation is a process of complete constancy
of mind.
According to Patanjali , “The concentration of
Chitta (mind) on an Vritti (impulse) without any
divergence , is called Dhyana .
The stage when perception starts directly is
called real Dhyanavastha.
 Dhayna is not a practise but it is a stage of
mind in which there is a continuous dynamic
consciousness without any obstruction.
Like any machine, human body also
require internal and external cleanliness
Cleanliness of internal organs of our
body is done by six actions(shatkarmas)
 Neti
 Dhouti
 Basti
 Nouli
 Tratak
 Kapalbhati
 Yoga
 . It increases blood flow and slows the heart rate.
 . Increases exercise tolerance.
 . Leads to a deeper level of physical relaxation.
 . Good for people with high blood pressure.
 . Decreases muscle tension
 . Helps in chronic diseases like allergies, arthritis etc.
 . Enhances the immune system.
 . Enhances energy, strength and vigour.
 . Helps with weight loss
 . Reduction of tissue damage
 . Higher skin resistance
 . Drop in cholesterol levels, lowers risk of cardiovascular disease.
 . Improved flow of air to the lungs resulting in easier breathing.
 . Decreases the aging process.
 . Cure headaches & migraines
 . Reduced Need for Medical Care
 . Less energy wasted
 . More inclined to sports, activities
 . Significant relief from asthma
 . Improved performance in athletic events
 . Normalizes to your ideal weight
 . Harmonizes our endocrine system
 . Relaxes our nervous system
 In modern age ,almost everyone is indulge in sedentary lifestyle.
 No healthy eating habits and regular physical activities.
 Remote controls and vehicles are used in abundance instead of manual
work and walking.
 Such lifestyle creates many diseases like:
 OBESITY
 DIABETES
 HYPERTENSION
 BACK PAIN
 ASTHMA
 Such diseases are called common life style diseases.
 These are one of the primary cause of death.
 WHO is alarmed by the increasing number of such patients.
 These are preventable and manageable diseases.
 Can be reduced by changes in diet , lifestyle and environment.
 Obesity:
It is the excess accumulation of fats resulting
increased body weight.
 Non consumed fat of the body get deposited under
the skin, areas like abdomen, waist, chest, shoulder,
legs etc.
 It leads to many health risks like loss of physical
efficiency, hypertension, cardiovascular diseases ,
arthritis ,respiratory problems etc.
 Due to so many health risk occurs by Obesity, it is
declared a disease.
Obesity
 Appearance
 Body weight is more in proportion to height
(according to ht. and wt. chart).
 Body fat % is calculated. If body fat % is more
than the requirement, he/she is obese.
Out of these 3 methods, height and weight
chart is more preferred as it is easily available.
 Yoga
Category BMI
Underweight < 18.5
Normal weight 18.5 to 24.9
Overweight 25 to 29.9
Obesity Class I 30 to 34.9
Obesity Class II 35 to 39.9
Obesity Class III > 40
Two types of preventive measures for Obesity
which are directly related to sports (exercise)
and lifestyle management.
1. Exercise _ related preventive measures.
2. Diet _ related preventive measures.
1) Regular Physical exercise :
Children need an hour of moderate to vigorous exercises
daily to prevent obesity. Exercises taken can be aerobic ,
jogging, running, cycling etc.
2) To Play Games and Sports regularly:
Regular games and sports prevents obesity. Children should play
games like football , basketball, hockey etc. for at least one
hour daily . It should be a regular phenomenon for the whole
life span.
3) Weight Training exercises:
The research studies indicate that weight training programmes
for children are safe and effective for preventing and curing
obesity , if supervised properly . Earlier it used to be
considered harmful for children as it put stress on joints.
4) Resistance Exercise:
These exercise cure and prevent obesity . Improves
muscular strength , strength of tendons and strength of
bones of children . For these exercises focus should be on
the technique and number of repetitions (12 to 16) rather
than amount of weight.
5) Yogic Exercises :
Help in preventing and curing obesity. Research has
shown that stress and tension tend to increase weight.
Pranayam and meditative asanas help in releasing the
stress ,thus preventing and curing obesity , where as
other asanas help in making the body flexible and
healthy.
1) Avoid Fatty Foods:
Fats are having maximum number of calories. The extra
calories which are not consumed by the body are
accumulated in the body as fat.
2) Avoid Junk and Fast Foods:
The junk and Fast food like pizza, burger, chips,
chocolates and cold drinks consists of high calories.
Intake of such foods leads to obesity .
3) Avoid overeating:
Overeating leads to intake of excess calories than what is
required by our body. These extra calories are than
accumulated in the body as fat.
4) Don’t Eat Frequently:
Eating frequently leads to taking in extra calories.
5) Avoid Rich Carbo hydrated Foods:
Carbohydrates are necessary part of our daily diet but
food like sugar, rice, potatoes, sweets should be avoided
.
6) Don’t skip Meals:
Skipping meals increases hunger and it results in greater
food consumption in the next meal.
7) Take low calorie diet:
Take low calorie diet with essential constituents and
nutrients .
8) Avoid Alcohol, Smoking and Drugs :
Alcohol is directly absorbed from the stomach in the
blood streams and easily stored as fat. Similarly
smoking and drugs leads to obesity.
9) Balancing the intake and consumption of Calories:
* Intake of excess calories results in accumulation of
fat.
*Less intake and more consumption of calories
results in loss of weight.
* When Intake and consumption of calories is same ,
it keeps your body weight constant.
It is concluded that both the measures i.e. Exercise and
Diet related measures are required to prevent and cure
Obesity.
1) Consists mainly of dieting and physical exercises.
2) Diet programs are good for short period
3) Weight is reduced by taking low fat, low carbohydrate,
low calorie diet
4) Aerobic exercises like walking, running, cycling,
dancing etc. reduces body fat. Exercise 60 min a day ,
5 days a week
5) Anti-obesity medicines. These medicines should be
taken under doctor’s guidance and generally has many
side effects.
6) Surgery. Called Bariatric or weight-loss surgery.
Recommended for individuals having BMI over 40.
a. Size of intestine is reduced which reduces the food
absorption
b. Liposuction
 Diabetes
 Insulin( Hormone) in our body controls the level of sugar in blood.
 When body does not produce sufficient amount of Insulin or when
insulin does not work properly, Diabetes occur.
 People with obesity are prone to Diabetes
 Common symptoms of Diabetes :
 Feeling of tiredness
 Need to urinate frequently
 Numbness in Hands & Feet
 Blurred Vision
 Excessive weight gain or weight loss
 Unhealing of wounds
Type I TYPE II
No Insulin is produced by Pancreas Sufficient amount of Insulin is NOT
produced.
Rare type of Diabetes Insulin produced is not used properly
Daily Insulin injection is required for
treatment
Frequent type of Diabetes
1. Regular Exercises:
Regular exercise can reduce the sugar level in blood. It also
improves the production of Insulin and strengthen the heart.
Regular exercise of 60 min per day can prevent and manage
Type II diabetes.
2. Maintain a healthy Weight:
One should maintain a BMI between 18.5 to 25. Hence Intake of
calories should be monitored according to the consumption of
calories.
3. Reduce the Intake of Saturated Fat:
Intake of Saturated Fat in more amount leads to Obesity which in
turn makes a person Diabetes prone
4. Avoid Rich Carbohydrate Food:
Digestive system breaks down carbohydrates into sugar which is
absorbed in the blood thus raising the sugar level in the blood.
5. Eat Healthy Foods:
Vegetables, fruits and fibre-rich whole grains help in preventing
diabetes. More vibrantly coloured fruits and vegetables like
spinach, carrot, peaches and berries have more nutrients and help
in prevention of diabetes. Whole grains like oatmeal, barley,
brown rice, whole wheat, corn etc. should be included in the diet
6. Eat Small Portion of Meals:
Take small meals ( every 2 to 3 hrs.) instead of big meals, as it will
raise the blood sugar level high. It will also prevent blood sugar
level going below normal
It aims to help persons who are suffering from high blood sugar
levels and want to minimize the risk of developing further
complications in life. Few life style changes may help in
managing the disease.
1. Eat Balanced Diet:
For type II diabetes ,patient should consult dietician for proper
diet to keep their blood sugar level within the normal range.
2. Regular Exercises :
Regular exercise program can improve blood sugar, decrease the
risk of heart disease . The exercises should include aerobics and
moderate & resistance training.
3. Maintain a healthy weight:
One should maintain a healthy weight which will have a positive
effect on blood sugar control
4. Have plenty of sleep:
6 to 8 Hrs sleep will provide required rest to the body and keeps
the body stress free . It will have positive effect on controlling
the blood sugar level.
5. Manage stress:
Stress is one of the reasons for disorder of blood sugar level.
Asanas and Pranayama helps in keeping the body stress free.
6. Take regular medicine:
Type II diabetes can be tackled by healthy diet and regular
exercise in initial stage . In advance stage, regular medicine is
required in form of tablets and insulin injections.
 Hypertension
 It means increased blood pressure .
 It has two components Systolic and
Diastolic BP
 It is measured in millimetre of mercury (
mm/Hg)
 120/80 mm/ Hg is considered normal
blood pressure of an adult person
 Earlier hyper tension was considered
middle and old age problem. But
nowadays, the youngsters are also facing
hypertension due to not practising
positive life style
Hypertension usually can not be cured but can
be prevented as well as managed , if one
follows the below mentioned points:
1.Change in Life style :
Change in life style can be a boon to the
person having hypertension. One should
take a balanced diet. One should lead
active and healthy life style and
Sedentary life should be avoided as it
leads to depression. Alcohol, smoking and
other stimulants should be avoided.
2. Exercises or Sports Activity:
Sports activity are helpful in prevention
and treatment of hypertension. Moderate
exercise with high intensity are very
effective for a long term blood pressure
lowering program. The exercises should
be performed regularly for good result.
3. Reduce Obesity:
Reducing body weight is the most
effective way to prevent & manage
hypertension. To achieve this, one should
go for balanced diet and quality program
of exercises under guidance of an expert.
4. Take proper Diet:
Reduce intake of Sodium(salt),take food
containing potassium, calcium ,
magnesium, high fibre, whole grains ,
vegetables etc. Researches indicate that
such diet is beneficial .
5. Relieve Stress:
Relieving from stress reduces
hypertension. One should try to indulge
in recreational activities as well as in
meditation, regular walk, mixing with
community etc.
6. Take medicines:
If measures like change of life style,
exercise and diet are not able to prevent
hypertension( 140/90 mm/ Hg or higher), one
requires regular medication. These medicines
do not cure hypertension but only controls it
within normal limits and one has to take these
medicines for the life time.
Consequently, it can be said that by
following the above mentioned points on
regular basis hypertension can be prevented
and managed effectively.
 Back Pain
 Back Pain is a common problem all over the world
 It generally originates from the bones, joints,
muscles or nerves etc.
 It can be in the cervical, thoracic or lumbar region
 it can be constant, stay in one place or radiate to
other parts such as arms , hips or legs.
 The affected person is unable to do his work
efficiently and smoothly
 Reasons for back pain may be wrong body postures,
lack of physical activity, overweight, excessive
smoking, lack of flexibility or undue stress on back
1.Regular Exercises:
Regular exercises are helpful in enhancing
strength and keeping the body weight in control.
Aerobic exercises are considered best as these
exercises do not strain or jerk the back. Along
theseexercises, the flexibility exercises such as
bending forward , backward, sideways and sit ups
should be performed regularly.
2. Maintain Appropriate Body weight:
Overweight and obese persons are
at the greater risk of developing back
pain . To maintain an appropriate body
weight, regular exercise and balanced
diet are mandatory
3. Proper Sitting Posture:
Proper sitting posture is mandatory for
prevention of back pain. One should sit
with erect & straight back on chair and
feet should be flat on the floor . In
sitting right posture there will not be
undue stress on the back, which is
beneficial in preventing back pain.
4. Proper Standing Posture :
One should keep back straight and
balance body weight evenly on both
feet while standing .Toes should be
3” to 4” apart . Knees should be
straight.
5. Avoid lifting Heavy weight :
Lifting heavy weight without using
proper technique , causes injury to
the back. Keep the back straight,
head up, squat properly & then lift
the weight. Keep the object close to
the body. Don’t straighten the legs
before lifting the weight.
6. Use Lumber Support Belt:
The persons who are engaged in
lifting weights should use Lumber
Support Belt to avoid injury to their
back
7. No Smoking:
On the basis of the recent research, it is
concluded that the higher percentage of
smokers have more back pain incidences
in comparison of non-smokers of same
height, age and weight.
8. Lying or Sleeping on Bed:
Use a mattress that keeps the spine straight and normal size
pillow so that neck is not in a steep angle. A hard mattress is
preferred.
9. Refrain from Strenuous Activities:
Strenuous activities leads to fatigue. Working under fatigue
may lead to back injury.
10. Move and Lift the Object Properly:
Push the object instead of pulling it. while lifting an Object
look straight ahead , not up or down, to keep one’s back and
neck in straight line
Aim is to achieve maximum reduction in the intensity of
the pain as early as possible, so that the affected person may
restore his strength to perform daily routine activities. It can
be managed with various therapies and corrective exercises.
Surgery is required in rare cases.
1. Heat Therapy :
Heat therapy reduces the pain . Hot bath gives best
result.
2. Cold Compression Therapy :
Back Pain is relieved by Cold Compression Therapy (ice or
cold pack) also
3. Massage :
It is very effective in relieving the pain, but must be
performed by an expert.
4. Medication:
It is beneficial in reducing pain. Muscle relaxants may be
effective but only for short term.
5. Physical Exercise :
Stretching exercise such as bending forward , backward, side ways
are very effective. Asanas such as Tadasan , Shavasan , Shalabhasan,
Bhujangasan, Dhanurasan etc. can be used for managing back pain.
Physical exercise can also be beneficial but should be done under
expert supervision.
6. Surgery :
Though its requirement is rare but can be very effective for
individuals with major disc problems or scoliosis.
7. Other Therapies :
Electro Therapy and Inversion therapy are also used to
manage the back problem but these are applicable for
temporary relief.


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Yoga

  • 1. 1
  • 3. For him who has obtained a body ablaze with the fire of Yoga , there is no disease, no aging, no death
  • 4.  The word Yoga has been derived from the Sanskrit word “ YUG ” which means to join or to Unite.  Yoga is the Union of the Individual soul with the Absolute or Divine Soul.  Yoga also means the unification of physical, mental, intellectual and spiritual aspects of human being.  Yoga is the science of development of a person’s consciousness.
  • 5. 1. Physical Purity. 2. Cures and Prevention from Disease. 3. Reduces Mental Tension. 4. Beautification of Body. 5. Provides Relaxation. 6. Keeps the Correct Posture of Body. 7. Yoga can be Performed Easily. 8. Spiritual Development. 9. Increases Flexibility. 10. Reduces Obesity. 11. Improves Health. 12.Enhances Moral and Ethical Values.
  • 6. 1. Physical Purity  Internal organs of our body can be cleansed by various Yogic exercises.  As per Ayurveda, our body is made of Vaat, Pitt and Kaph. To remain healthy, balance of vaat , Pitt and kaph in our body is necessary.  Dhoti, Nauli, Basti, Kapalbhati,Tratak etc. are such yogic exercises which keep the internal organs of our body in Clean state.
  • 7. 2. Cures and Prevention from Disease  Yoga not only prevents many diseases but also cures them.  Various Yogic exercises increases the immunity of the body.  Diseases such as Bronchitis, Sinusitis, Arthritis, Gastritis, Asthma, High bloods pressure, Stress , Back pain, Urinary disorders etc. can be prevented as well as can be cured by yogic exercises.
  • 8. 3. Reduces Mental Tension  Yoga helps in reducing the mental tension. Pratyahar, Dharana and Dhyan plays vital role in reducing the mental stress.  Asanas like Makarasana, Shavasana, Shalabhasana and Bhujangasana are beneficial for releasing stress and tension.
  • 9. 4. Reduces Obesity & Beautification of Body  Obesity is becoming a worldwide problem.  Obesity makes a person prone to many diseases.  Research studies have shown that mental tension and stress could be one of the reason for obesity.  Pranayam & Yogica Asanas releases mental stress, reduces obesity and makes body strong and perfect.  Mayurasan is one such asanas.
  • 10. 5. Provides Relaxation  Rest and relaxations are essentials for removing fatigue.  Research studies have shown that Yogic asanas and Panayama relaxes the body and mind.  Padamasana , Shavasana and Makarasana are some of such asanas.
  • 11. 6. Keeps the Correct Posture of Body  Postural deformities are very common nowadays due to lifestyle followed which effects efficiency negatively.  Doing Yoga asanas regularly , a person can not only have the correct posture, but can also cure the postural deformities .  Vajrasana , Sarvangasana , Mayurasana , Chakrasana ,Bhujangasana etc.
  • 12. 7. Yoga can be Performed Easily  In fast life of today, every one claims to be very busy , hardly any time left for self.  Doing Yogic exercise need only a small space , where as others need much of money and time.
  • 13. 8. Spiritual Development  One can have good control on mind by doing Yogic exercises and move towards the spiritual heights.  Padmasana and Siddhasana enhances the meditation power.  Pranayam is also useful for spiritual development.
  • 14. 9. Increases Flexibility  Flexibility is very significant as it helps in movement of the body efficiently .  Muscles becomes more flexible and prevents sports and other injuries.  Chakrasana , Dhanurasana , Halasana , Bhujangasana etc. are very beneficial in increasing body flexibility.
  • 15. 10. Reduces Obesity  Very common problem now a days.  Regular Yogic exercise like pranayama and asanas reduces obesity .  Research studies have shown that obesity is also caused by mental stress and tension.  Meditative asanas are the perfect solution for this condition.
  • 16. 11. Improves Health  Yoga not only maintains but improves our health .  Muscles becomes more strong .  Various system of body like respiratory , circulatory , nervous , excretory etc. becomes more efficient resulting improvement in over all health.
  • 17. 12. Enhances Moral and Ethical Values  Yoga is very significant for human being in present-day life.  By following first two steps of Ashtanga Yoga : Yama and Niyama (Ahimsa , Satya , Asteya , Santosh , Tapa etc. ) these values are enhanced.  An individual can attain perfect health and lead a content life by performing yogic exercise daily.
  • 18.  Evidences shows that history of Yoga is related to the Indus Valley civilization (3300- 1300 BC ).  Yoga is also mentioned in Upanishads, Mahabharata & Ramayana.  Maharishi Patanjali gave Yoga Sutra around 147 B.C.
  • 19. It can be said authentically that history of Yoga is as old as India’s history. Yoga has been the main element of Indian culture from the ancient period. 1.Pre-Vedic Period 2.Vedic Period 3.Upanishadic Period 4.Epic Period 5.Sutra Period 6.Smriti Period 7.Medieval Period 8.Modern Period
  • 20. 1. Pre-Vedic Period ( 3300-1300 BC) The excavation of Mohenjodaro and Harappa in Indus valley reveals that Yoga was practiced in some form at that period. Idols, statues & seals excavated are in various yogic postures.
  • 21. 2. Vedic Period ( 1750-500 BC) Some concepts of Yoga which were developed later on, are seen in Vedas. Yoga & Yogis are not used in Vedas but “Yunjate” used in RigVeda gives the idea of the Yoga for sense control.
  • 22. 3. Upanishadic Period The real basis of Yoga is found in Upanishads. Prana and Nadis are important topics discussed in Upanishads. Various Yogic practices and their physiological effects are mentioned in Upanishads.
  • 23. 4. Epic Period(1000-600 BC) Ramayana and Mahabharata are the vital source of information about various types of Yogic practices which were used during that period. Bhagwad Gita deals with the three paths of Yoga ,namely Gyan, Bhakti and Karma
  • 24. 5. Sutra Period Maharaishi Patanjali gave “Yoga sutra” approximately in 147 BC. YogaSutra is divided into four parts. Maharishi Patanjali described Ashtanga Yoga or eight limbs of Yoga. The scriptures related to Buddhism and Jainism reveal that Yoga was also a main part of life of the people.
  • 25. 6. Smriti Period Smritis were written till about 1000 AD. During this period , we find various changes in ideas, beliefs worship and customs. Pranayama and other purification techniques were used in many religious rituals.
  • 26. 7. Medieval Period During this period , the two cults – Natha cult and Bhakti cult very famous. Hatha Yoga was evolved and was very popular in Natha Cult. Saints of this period were following yoga .
  • 27. 8. Modern Period Swami Vivekananda, Yogananda, Maharishi Raman, Sri Aurobindo played important role in spreading Yoga out of India. Yogacharya B K S Iyenger , Baba Ramdev has inspired millions of Indians and foreigners to use Yoga to make them healthy and release mental stress and tension.
  • 28. 8. Modern Period  At 69th Session of UN General Assembly in New York on 27-09-2014, PM of India urged the need to celebrate “International Yoga Day” for the harmony and peace in the world  21 June declared as “International Yoga Day” by United Nations  First “International Yoga Day” was celebrated on 21st June 2015.
  • 29. 1. Yama 2. Niyama 3. Asanas 4. Pranayama 5. Pratayhara 6. Dharana 7. Dhyana 8. Samadhi यम नियमासि प्राणायाम प्रत्याहार धारणा ध्याि समाधयोऽष्टावङ्गानि ॥२९॥
  • 30. 1. Yama a. Ahimsa: Causing no harm to any living thing. Anxiety , jealousy, hate ,anger are violent emotions. b. Satya: Truthfulness. We must be truthful in thoughts, speech and deeds. We must not speak to others in deceitful manners. c. Asteya: Non-stealing. The inclination to use others objects, money and thoughts for one’s own benefit is stealing. Abstaining from it is Asteya.
  • 31. 1. Yama d. Brahamcharya : Conserving one’s energy . Using your energy for the benefit of the individual & society, not for pleasure. e. Aparigraha : Non- possessiveness, non-grasping or non-greediness. Aparigraha refers to keeping the desire for possessions to what is necessary or important, depending on one's life stage and context.
  • 32. 2. Niyama a. Saucha: It is purification of Internal organs, external body and mentally. Shatkarmas are to be performed for purification of the internal organs of the body. Neti, Dhoti, Kapalbharti, Nauli,Tratak, Basti are the six kriyas ( Shatkarmas).
  • 34. 2. Niyama b. Santosh: Feeling of satisfaction in life. c. Tapa: To endure the difficulties, obstacles and complex situation easily in achieving the goal. d. Swadhyaya: It is considered as the study of teaching and scriptures, self study is preferred.It also means introspection and self study by asking questions like who I am, What should I do, Aim of Life. e. Ishwara Pranidhan: To dedicate all the deeds to God. One surrenders oneself to God expelling pride, ego and other impurities from mind
  • 35. 3. Asana Asana means position or posture of body. It also means to sit in easy posture. These are slow stretching activities performed to keep the body flexible agile and young.
  • 36. 4. Pranayama It is the control of the process of the breathing. It means appropriate control over inhalation and exhalation. It helps in regulating the metabolic activity and enhances the function of heart and lungs. It also provides longevity to life.
  • 37. 5. Pratyahar Control over senses is Pratyahara. The senses no longer respond to external objects that hinder mental concentration.
  • 38. 6. Dharana It is the concentration of mind at one focal point. It is a mental exercise which enables a Yogi to go ahead towards Dhayan and Samadhi.
  • 39. 7. Dhyana Dhyana is a complete constancy or concentration of mind.
  • 40. 8. Samadhi The union of individual’s soul with the supreme soul is called Samadhi.  It is checking or destruction of all the impulses of mind. During Dhyana, when the disappearance of self awareness takes place , the Yogi attains the stage of Samadhi. Experiences the divine pleasure.
  • 41. Meaning of Asanas: स्थिरसुखमासिम ् ॥४६॥ A position which is steady and comfortable. In Asanas, body is kept in various positions in such a way that the activity of the organs and glands of body becomes more efficient and finally improve the health of mind and body
  • 42. Classification of Asanas Meditative Asanas Relaxative Asanas Cultural or Corrective Asanas Meditation power of an individual is enhanced Removes fatigue and relaxes an individual physically and mentally Regulate and systematise the different activities of the body and finally provides the energy to the body Padmasana Sidhasna Gaumukhasan Veerasana etc Shashankasana Shavasana Makarasana etc Sheerasasan Sarvangasana Matasyasana Halasana Bhujangasana Chakrasana etc
  • 43. Classification of Asanas Meditative Asanas Relaxative Asanas Cultural or Corrective Asanas Padmasana Shashankasana Sheerasasan
  • 44. Meaning of Pranayama : It is comprised of two words : “prana” + “ayam” means vital life force + control “the control or regulation of prana”
  • 45. Parts of Pranayama Purka Rechaka Kumbhaka Inhalation Exhalation Retaining the breath Internal To retain the breath after complete inhalation. External To retain the breath after complete exhalation.
  • 46. Types of Pranayama :  Suryabhedi Pranayama  Ujjayi Pranayama  Sheetkari Pranayama  Sheetali Pranayama  Bhastrika Pranayama  Plavini Pranayama  Morchha Pranayama
  • 47. Meaning of Meditation Meditation is a process of complete constancy of mind. According to Patanjali , “The concentration of Chitta (mind) on an Vritti (impulse) without any divergence , is called Dhyana . The stage when perception starts directly is called real Dhyanavastha.  Dhayna is not a practise but it is a stage of mind in which there is a continuous dynamic consciousness without any obstruction.
  • 48. Like any machine, human body also require internal and external cleanliness Cleanliness of internal organs of our body is done by six actions(shatkarmas)  Neti  Dhouti  Basti  Nouli  Tratak  Kapalbhati
  • 50.  . It increases blood flow and slows the heart rate.  . Increases exercise tolerance.  . Leads to a deeper level of physical relaxation.  . Good for people with high blood pressure.  . Decreases muscle tension  . Helps in chronic diseases like allergies, arthritis etc.  . Enhances the immune system.  . Enhances energy, strength and vigour.  . Helps with weight loss  . Reduction of tissue damage  . Higher skin resistance  . Drop in cholesterol levels, lowers risk of cardiovascular disease.  . Improved flow of air to the lungs resulting in easier breathing.  . Decreases the aging process.  . Cure headaches & migraines  . Reduced Need for Medical Care  . Less energy wasted  . More inclined to sports, activities  . Significant relief from asthma  . Improved performance in athletic events  . Normalizes to your ideal weight  . Harmonizes our endocrine system  . Relaxes our nervous system
  • 51.  In modern age ,almost everyone is indulge in sedentary lifestyle.  No healthy eating habits and regular physical activities.  Remote controls and vehicles are used in abundance instead of manual work and walking.  Such lifestyle creates many diseases like:  OBESITY  DIABETES  HYPERTENSION  BACK PAIN  ASTHMA  Such diseases are called common life style diseases.  These are one of the primary cause of death.  WHO is alarmed by the increasing number of such patients.  These are preventable and manageable diseases.  Can be reduced by changes in diet , lifestyle and environment.
  • 52.  Obesity: It is the excess accumulation of fats resulting increased body weight.  Non consumed fat of the body get deposited under the skin, areas like abdomen, waist, chest, shoulder, legs etc.  It leads to many health risks like loss of physical efficiency, hypertension, cardiovascular diseases , arthritis ,respiratory problems etc.  Due to so many health risk occurs by Obesity, it is declared a disease.
  • 53. Obesity  Appearance  Body weight is more in proportion to height (according to ht. and wt. chart).  Body fat % is calculated. If body fat % is more than the requirement, he/she is obese. Out of these 3 methods, height and weight chart is more preferred as it is easily available.
  • 55. Category BMI Underweight < 18.5 Normal weight 18.5 to 24.9 Overweight 25 to 29.9 Obesity Class I 30 to 34.9 Obesity Class II 35 to 39.9 Obesity Class III > 40
  • 56. Two types of preventive measures for Obesity which are directly related to sports (exercise) and lifestyle management. 1. Exercise _ related preventive measures. 2. Diet _ related preventive measures.
  • 57. 1) Regular Physical exercise : Children need an hour of moderate to vigorous exercises daily to prevent obesity. Exercises taken can be aerobic , jogging, running, cycling etc. 2) To Play Games and Sports regularly: Regular games and sports prevents obesity. Children should play games like football , basketball, hockey etc. for at least one hour daily . It should be a regular phenomenon for the whole life span. 3) Weight Training exercises: The research studies indicate that weight training programmes for children are safe and effective for preventing and curing obesity , if supervised properly . Earlier it used to be considered harmful for children as it put stress on joints.
  • 58. 4) Resistance Exercise: These exercise cure and prevent obesity . Improves muscular strength , strength of tendons and strength of bones of children . For these exercises focus should be on the technique and number of repetitions (12 to 16) rather than amount of weight. 5) Yogic Exercises : Help in preventing and curing obesity. Research has shown that stress and tension tend to increase weight. Pranayam and meditative asanas help in releasing the stress ,thus preventing and curing obesity , where as other asanas help in making the body flexible and healthy.
  • 59. 1) Avoid Fatty Foods: Fats are having maximum number of calories. The extra calories which are not consumed by the body are accumulated in the body as fat. 2) Avoid Junk and Fast Foods: The junk and Fast food like pizza, burger, chips, chocolates and cold drinks consists of high calories. Intake of such foods leads to obesity . 3) Avoid overeating: Overeating leads to intake of excess calories than what is required by our body. These extra calories are than accumulated in the body as fat.
  • 60. 4) Don’t Eat Frequently: Eating frequently leads to taking in extra calories. 5) Avoid Rich Carbo hydrated Foods: Carbohydrates are necessary part of our daily diet but food like sugar, rice, potatoes, sweets should be avoided . 6) Don’t skip Meals: Skipping meals increases hunger and it results in greater food consumption in the next meal. 7) Take low calorie diet: Take low calorie diet with essential constituents and nutrients .
  • 61. 8) Avoid Alcohol, Smoking and Drugs : Alcohol is directly absorbed from the stomach in the blood streams and easily stored as fat. Similarly smoking and drugs leads to obesity. 9) Balancing the intake and consumption of Calories: * Intake of excess calories results in accumulation of fat. *Less intake and more consumption of calories results in loss of weight. * When Intake and consumption of calories is same , it keeps your body weight constant. It is concluded that both the measures i.e. Exercise and Diet related measures are required to prevent and cure Obesity.
  • 62. 1) Consists mainly of dieting and physical exercises. 2) Diet programs are good for short period 3) Weight is reduced by taking low fat, low carbohydrate, low calorie diet 4) Aerobic exercises like walking, running, cycling, dancing etc. reduces body fat. Exercise 60 min a day , 5 days a week 5) Anti-obesity medicines. These medicines should be taken under doctor’s guidance and generally has many side effects. 6) Surgery. Called Bariatric or weight-loss surgery. Recommended for individuals having BMI over 40. a. Size of intestine is reduced which reduces the food absorption b. Liposuction
  • 63.  Diabetes  Insulin( Hormone) in our body controls the level of sugar in blood.  When body does not produce sufficient amount of Insulin or when insulin does not work properly, Diabetes occur.  People with obesity are prone to Diabetes  Common symptoms of Diabetes :  Feeling of tiredness  Need to urinate frequently  Numbness in Hands & Feet  Blurred Vision  Excessive weight gain or weight loss  Unhealing of wounds Type I TYPE II No Insulin is produced by Pancreas Sufficient amount of Insulin is NOT produced. Rare type of Diabetes Insulin produced is not used properly Daily Insulin injection is required for treatment Frequent type of Diabetes
  • 64. 1. Regular Exercises: Regular exercise can reduce the sugar level in blood. It also improves the production of Insulin and strengthen the heart. Regular exercise of 60 min per day can prevent and manage Type II diabetes. 2. Maintain a healthy Weight: One should maintain a BMI between 18.5 to 25. Hence Intake of calories should be monitored according to the consumption of calories. 3. Reduce the Intake of Saturated Fat: Intake of Saturated Fat in more amount leads to Obesity which in turn makes a person Diabetes prone 4. Avoid Rich Carbohydrate Food: Digestive system breaks down carbohydrates into sugar which is absorbed in the blood thus raising the sugar level in the blood.
  • 65. 5. Eat Healthy Foods: Vegetables, fruits and fibre-rich whole grains help in preventing diabetes. More vibrantly coloured fruits and vegetables like spinach, carrot, peaches and berries have more nutrients and help in prevention of diabetes. Whole grains like oatmeal, barley, brown rice, whole wheat, corn etc. should be included in the diet 6. Eat Small Portion of Meals: Take small meals ( every 2 to 3 hrs.) instead of big meals, as it will raise the blood sugar level high. It will also prevent blood sugar level going below normal
  • 66. It aims to help persons who are suffering from high blood sugar levels and want to minimize the risk of developing further complications in life. Few life style changes may help in managing the disease. 1. Eat Balanced Diet: For type II diabetes ,patient should consult dietician for proper diet to keep their blood sugar level within the normal range. 2. Regular Exercises : Regular exercise program can improve blood sugar, decrease the risk of heart disease . The exercises should include aerobics and moderate & resistance training. 3. Maintain a healthy weight: One should maintain a healthy weight which will have a positive effect on blood sugar control
  • 67. 4. Have plenty of sleep: 6 to 8 Hrs sleep will provide required rest to the body and keeps the body stress free . It will have positive effect on controlling the blood sugar level. 5. Manage stress: Stress is one of the reasons for disorder of blood sugar level. Asanas and Pranayama helps in keeping the body stress free. 6. Take regular medicine: Type II diabetes can be tackled by healthy diet and regular exercise in initial stage . In advance stage, regular medicine is required in form of tablets and insulin injections.
  • 68.  Hypertension  It means increased blood pressure .  It has two components Systolic and Diastolic BP  It is measured in millimetre of mercury ( mm/Hg)  120/80 mm/ Hg is considered normal blood pressure of an adult person  Earlier hyper tension was considered middle and old age problem. But nowadays, the youngsters are also facing hypertension due to not practising positive life style
  • 69. Hypertension usually can not be cured but can be prevented as well as managed , if one follows the below mentioned points: 1.Change in Life style : Change in life style can be a boon to the person having hypertension. One should take a balanced diet. One should lead active and healthy life style and Sedentary life should be avoided as it leads to depression. Alcohol, smoking and other stimulants should be avoided.
  • 70. 2. Exercises or Sports Activity: Sports activity are helpful in prevention and treatment of hypertension. Moderate exercise with high intensity are very effective for a long term blood pressure lowering program. The exercises should be performed regularly for good result. 3. Reduce Obesity: Reducing body weight is the most effective way to prevent & manage hypertension. To achieve this, one should go for balanced diet and quality program of exercises under guidance of an expert.
  • 71. 4. Take proper Diet: Reduce intake of Sodium(salt),take food containing potassium, calcium , magnesium, high fibre, whole grains , vegetables etc. Researches indicate that such diet is beneficial . 5. Relieve Stress: Relieving from stress reduces hypertension. One should try to indulge in recreational activities as well as in meditation, regular walk, mixing with community etc.
  • 72. 6. Take medicines: If measures like change of life style, exercise and diet are not able to prevent hypertension( 140/90 mm/ Hg or higher), one requires regular medication. These medicines do not cure hypertension but only controls it within normal limits and one has to take these medicines for the life time. Consequently, it can be said that by following the above mentioned points on regular basis hypertension can be prevented and managed effectively.
  • 73.  Back Pain  Back Pain is a common problem all over the world  It generally originates from the bones, joints, muscles or nerves etc.  It can be in the cervical, thoracic or lumbar region  it can be constant, stay in one place or radiate to other parts such as arms , hips or legs.  The affected person is unable to do his work efficiently and smoothly  Reasons for back pain may be wrong body postures, lack of physical activity, overweight, excessive smoking, lack of flexibility or undue stress on back
  • 74. 1.Regular Exercises: Regular exercises are helpful in enhancing strength and keeping the body weight in control. Aerobic exercises are considered best as these exercises do not strain or jerk the back. Along theseexercises, the flexibility exercises such as bending forward , backward, sideways and sit ups should be performed regularly.
  • 75. 2. Maintain Appropriate Body weight: Overweight and obese persons are at the greater risk of developing back pain . To maintain an appropriate body weight, regular exercise and balanced diet are mandatory 3. Proper Sitting Posture: Proper sitting posture is mandatory for prevention of back pain. One should sit with erect & straight back on chair and feet should be flat on the floor . In sitting right posture there will not be undue stress on the back, which is beneficial in preventing back pain.
  • 76. 4. Proper Standing Posture : One should keep back straight and balance body weight evenly on both feet while standing .Toes should be 3” to 4” apart . Knees should be straight. 5. Avoid lifting Heavy weight : Lifting heavy weight without using proper technique , causes injury to the back. Keep the back straight, head up, squat properly & then lift the weight. Keep the object close to the body. Don’t straighten the legs before lifting the weight.
  • 77. 6. Use Lumber Support Belt: The persons who are engaged in lifting weights should use Lumber Support Belt to avoid injury to their back 7. No Smoking: On the basis of the recent research, it is concluded that the higher percentage of smokers have more back pain incidences in comparison of non-smokers of same height, age and weight.
  • 78. 8. Lying or Sleeping on Bed: Use a mattress that keeps the spine straight and normal size pillow so that neck is not in a steep angle. A hard mattress is preferred. 9. Refrain from Strenuous Activities: Strenuous activities leads to fatigue. Working under fatigue may lead to back injury. 10. Move and Lift the Object Properly: Push the object instead of pulling it. while lifting an Object look straight ahead , not up or down, to keep one’s back and neck in straight line
  • 79. Aim is to achieve maximum reduction in the intensity of the pain as early as possible, so that the affected person may restore his strength to perform daily routine activities. It can be managed with various therapies and corrective exercises. Surgery is required in rare cases. 1. Heat Therapy : Heat therapy reduces the pain . Hot bath gives best result. 2. Cold Compression Therapy : Back Pain is relieved by Cold Compression Therapy (ice or cold pack) also 3. Massage : It is very effective in relieving the pain, but must be performed by an expert.
  • 80. 4. Medication: It is beneficial in reducing pain. Muscle relaxants may be effective but only for short term. 5. Physical Exercise : Stretching exercise such as bending forward , backward, side ways are very effective. Asanas such as Tadasan , Shavasan , Shalabhasan, Bhujangasan, Dhanurasan etc. can be used for managing back pain. Physical exercise can also be beneficial but should be done under expert supervision. 6. Surgery : Though its requirement is rare but can be very effective for individuals with major disc problems or scoliosis. 7. Other Therapies : Electro Therapy and Inversion therapy are also used to manage the back problem but these are applicable for temporary relief. 

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