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This is a very effective method of keeping the nasal passages open to their fullest capacity. Sutra Neti is performed by passing a cord made of cotton threads or a rubber catheter into the nose through one nostril and then out via the mouth. The cord is gently pulled to and fro for some time, removed and then threaded through the other nostril and out the mouth again. With practise, the cord can be passed in one nostril and out the other nostril. Sutra Neti can be of great benefit, and is highly recommended, for those who may have been trying Jala Neti for a while and who find that most times the same one nostril is more blocked than the other. They may have some kind of fleshy obstruction such as cartilage obstructing the nasal passages. Short of a medical operation, Sutra Neti is a viable alternative for removing such blockages. Firstly one should try to succeed with the 3 forms of Jala Neti using water, and if this fails to clear blockages, a proper medical examination should be made of the nose, and the cause of structural blockage ascertained. Sutra Neti should then be learned under the guidance of an experienced teacher. Before and after usage it is advisable to rinse the string in warm water (or in specialized cases medicated oils). Then place straight to dry. In case of deviated septum. polyps, or other diseases of the nose consult your physician or yoga therapist. The string is slowly, gently, and with conscious feeling (non-mechanically) inserted along the nasal cavity floor without any pain. The nasal cavity is like a long cave which narrows at the roof and is widest at the floor, thus keep the string pointed toward the back of the throat, slightly downward, and slightly medial (inward) so that it will smoothly slide thru the widest passageway toward the inside back opening of the nose. The goal being that it pass through the valve (swollen lip) at the root of the nose into the upper back of the throat where it can be grabbed by the index and middle finger.