Integrative Naturopathic Management of Severe Obesity, Hypertension, and Myalgia: A Clinical Case Report

As a practitioner specializing in Yoga & Naturopathy, Diet & Nutrition, Diet Therapy, Integrative Clinical Practice, Integrative Pain Medicine, and Lifestyle Disease Management, I frequently encounter patients presenting with complex, overlapping health concerns. This case report details the inpatient naturopathic management of a patient presenting with severe obesity, hypertension, myalgia, and associated chronic conditions.

Case Presentation

A 49-year-old female vegetarian patient was admitted to Shri Shivalaya Holistic Natural Healing Hospital, Kangayam. She presented with a one-year history of leg pain and difficulty breathing while walking, alongside a documented history of hypothyroidism and anemia.

Her personal history noted a good appetite, sound sleep, regular bowel habits, normal micturition, and no reported allergies.

The initial general physical examination revealed the following parameters:

• Weight: 107.8 kg
• Height: 153 cm
• BMI: Approximately 46.1 kg/m² (indicating an obese build)
• Blood Pressure: 155/90 mmHg
• Pulse Rate: 85 beats/minute
• SpO₂: 98%

Based on the clinical evaluation, the patient was diagnosed with leg myalgia, obesity, systemic hypertension, and anemia.

Investigations

Initial laboratory investigations yielded the following results:

• Fasting Blood Glucose: 85.6 mg/dL
• HbA1c: 5.9%
• Urea: 13 mg/dL
• Creatinine: 0.53 mg/dL
• Total Cholesterol: 172 mg/dL
• Triglycerides: 103 mg/dL
• HDL Cholesterol: 44.3 mg/dL
• LDL Cholesterol: 90.9 mg/dL
• VLDL Cholesterol: 20.6 mg/dL

Naturopathic and Dietary Intervention

The patient underwent a structured inpatient naturopathic treatment programme designed to address obesity, pain management, and systemic health through a lifestyle-based approach.

The therapeutic regimen incorporated hydrotherapy, spinal applications, ice applications, and selected local therapeutic procedures. Specific treatments included full-body massage, powder massage, and vibro massage. Targeted interventions featured kidney packs to enhance the digestive system and promote relaxation, full-body kizhi for general body pain rejuvenation, and ice applications to the spine alongside spinal sprays to address her high blood pressure.

Dietary management formed a cornerstone of the treatment plan, utilizing structured meal modifications throughout the day. To support weight reduction, maintain continuous hydration, and assist with high blood pressure, the protocol included lemon honey juice fasting, alkaline juice fasting featuring watermelon, muskmelon, ash gourd, and bottle gourd juices, as well as beetroot shots.

Additionally, the patient actively participated in supervised yoga sessions as part of the hospital's treatment protocol. This included loosening exercises, diverse asanas practiced in sitting, lying, standing, supine, and prone positions, various types of pranayama, dynamic yoga, and resistance yoga.

Clinical Assessment and Outcome

Following the 6-day inpatient treatment and diet plan, notable physiological changes were recorded:

• Body Weight: Decreased from 105.6 kg to 100.6 kg.
• Blood Pressure: Reduced from 154/107 mmHg to 118/97 mmHg.

Discussion

Naturopathic management emphasizes dietary regulation, appropriate physical activity, and supportive therapeutic interventions. Sustainable lifestyle changes and targeted dietary modifications are crucial components of long-term weight management and chronic disease care. In this case, a demonstrable reduction in body weight and favorable blood pressure shifts were observed during the documented inpatient treatment period.

Conclusion

This case report highlights the application of an integrated naturopathic approach—comprising customized dietary protocols, physical therapies, and supervised yoga—in managing a female patient presenting with severe obesity, leg pain, and exertional breathlessness alongside hypertension, hypothyroidism, and anemia. The observation period demonstrated positive short-term outcomes in body weight and blood pressure. Further follow-up is necessary to evaluate long-term weight maintenance and sustained improvements in functional symptoms.