The nasal cycle rhythm based customized nonpharmacological intervention for chronic venous insufficiency and its complications: A case report

Venous stasis ulcers (VSUs) are a common and dangerous consequence of chronic venous insufficiency (CVI), A progressive lifestyle illness that necessitates pharmacological and surgical interventions and there are only few treatment options available for CVI. This leads to both a substantial reduction in the patients' quality of life and an elevated financial burden. The cost of CVI treatment currently accounts for up to 2% of healthcare spending. Additionally, there is a paucity of evidence supporting the effectiveness of non-pharmacological interventions (NPI) that combine yoga therapy with Varma therapy. The development of effective NPI is nevertheless imperative due to the scarcity of available therapeutic alternatives and to achieve afford treatment that may improve quality of life of affected population. In this case, the patient's nasal cycle rhythm (NCR) and its therapeutic modifications were examined as a unique approach to managing CVI and its sequelae, including VSU. According to the patient's NCR, right nasal breaths occur more frequently. Therefore, to achieve therapeutic improvement in NCR, a specific NPI was developed by integrating Yoga therapy and Varma therapy. Since CVI-induced VSU and its concomitant consequences show remarkable improvement with no recurrence even after a year, the frequency of left nasal breathing increases as a result, and the nasal cycle achieves a balanced rhythmic pattern. This case lends credence to the idea that variations in NCR and CVI manifestations are connected. NCR is a measure used to understand how well each person's autonomic nervous system is synchronized. Since dysautonomia affects the integrity and permeability of the venous system, it is closely associated with broad-spectrum venous disorders. Disturbances in sympathetic and parasympathetic expression can affect the CVI through direct and indirect effects on venous capacity and integrity. When the NPI is used therapeutically to change the NCR, the CVI and its effects might show potential.