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DrRic Injury inflammation and Food in the Yoga Practitioner (slide share edition)
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DrRic Injury inflammation and Food in the Yoga Practitioner (slide share edition)

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This I presented at Bikram Yoga in Jan 2011

This I presented at Bikram Yoga in Jan 2011

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  • 1. Injury Inflammation and food in the yoga praCTITIONER
  • 2. Common injuries
    Patellofemoral syndrome (kneecap pain)
    Cervicalgia (neck pain flare up)
    Lumbago (low back pain flare up)
    Shoulder bursitis (rotator cuff impingement)
  • 3. Shoulder
    R
    Party Pooper
  • 4. The bursa -a sack of lubrication
    That’s old news!
  • 5. Overinflated sack
    You change the mechanics if its over inflated!
  • 6. Interpretation: Pain
    Stretch receptors turn on pain receptors
  • 7. How can this happen
    Preexisting injury flared up in class
    Tight shoulders to start with, poor warm up
    Tadasana
    Bakasana
  • 8. (not my top 10)
    Cervicalgia
    Disc “disease”
    Muscle spasm
    Trigger point!
    Topic: trigger points…..
    Discuss!
  • 9. Trigger points = Janet Travell
    Neck pain
    Shoulder pain
    Arm pain
    Headache
  • 10. Lumbago = Back pain
    Essentially same as cervicalgia
    Disc disease very real in the low back*
    *but the treatment is the same! Shhh
    ** aka pinched nerve, sciatica, bulging disc, slipped disc
    impingement
  • 11. A surgical problem (but you wouldn’t be walking)
  • 12. PFS (Patellofemoral Syndrome)
    Typically just as tracking issue
    The cap acts as a pulley
    The pulley has low friction surfaces
    If alignment and “chores” are kept, good for 80 years
    Warning Warning-push the alignment, the chores, the duty and “failure is eminent”
  • 13. Rubbing leads to friction
  • 14. Friction leads to damage (inflammation)
  • 15. The Injury
    Px: It hurts when I do this……
    Doc: So don’t do this…….
    -Henny Youngman
  • 16. Electron microscope OF A TEAR
  • 17. Soft tissue (ligament, tendon and muscle) gets over stretched and torn off its connecting points to bone.
    The tissue reacts by sending more blood to the area and heat/redness prevail
    Compensating areas start to fail when they can’t do the work of the originally injured part
    A twist, roll, bend or fall occurs with immediate pain 0
    Stiffness and spasm set in by 1day
    Other areas start to spasm in 1week
  • 18. When tissue is torn/stretched:
    Inflammatory phase starts day 0-5
    Bleeding
    PMN’s
    Macrophages and platelets stimulates GF
    Proliferative phase from day 5-21
    GF stimulates endothelial cells, fibroblasts and myofibroblasts
    Macrophages continue
    Maturation phase from day 21-whenever
    Fibroblasts
    Increased collagen and tensil strength
    The Problem
  • 19. Inflammation
    When tissue damage occurs, the “cascade” starts
    Normal tissues
    *stomach
    *kidneys
    *platlets
    *endothelium
    Inflammatory sites
    *macrophages
    *synoviocytes
    *fibroblasts
  • 20. The same process happens in heart disease!
  • 21. Regular nsaids block here:
    Nonselective cox2
    Normal tissues
    *stomach
    *kidneys
    *platlets
    *endothelium
    Inflammatory sites
    *macrophages
    *synoviocytes
    *fibroblasts
  • 22. Steroids block here:
    corticosteroids
    Normal tissues
    *stomach
    *kidneys
    *platlets
    *endothelium
    Inflammatory sites
    *macrophages
    *synoviocytes
    *fibroblasts
  • 23. Cox 2 blocks here:
    WITHDRAWN
    By FDA!!!
    Cox-2
    Normal tissues
    *stomach
    *kidneys
    *platlets
    *endothelium
    Inflammatory sites
    *macrophages
    *synoviocytes
    *fibroblasts
  • 24. Generic and Trade Names
    Diclofenac potassium fast release
    Diclofenac sodium delayed
    Etodolac
    Indomethacin
    Ketorolac
    Sulindac
    Tolmetin
    Mefenamic acid
    Fenoprofen
    Flurbiprofen
    Ketoprofen
    Oxaprozin
    Nabumetone
    Diflunisal
    Celecoxib
    Valdecoxib
    Meloxicam
    Piroxicam
    Cataflam
    Voltaren
    Lodine
    Indocin
    Toradol
    Clinoril
    Tolactin
    Ponstel
    Nalfon
    Ansaid
    Orudis
    Daypro
    Relafen
    Dolobid
    Celebrex
    Bextra
    Mobic
    Feldene
  • 25. ROID’S
    Not anabolic’s
    Prednisone
    Medrol dose pack
    Kenalog
    Celestone
  • 26. “Food as Medicine”hippocrates
  • 27. The antiinflammatory diet andrewweil, MD
    Low glycemic index foods
    Oily fish at least 2x week
    40 gm fiber daily
    Phytonutrients
    Limit red meat
    Limit processed food
    Push fluid (non caffeine non alcohol)
    -Nutritionist Andrea Klouda (630) 855-7907
  • 28. Glycemic Index (just know the concept!)
  • 29. For more info:
    American Diabetes Association 2006
    Johanna Burani, MS, RD,CDE
    http://www.glycemicindex.com/
  • 30. macronutrients
    Proteins 80-120gm daily
    Fats 67gm daily
    Carbs 160-200gm daily
    Fiber 40 gm daily
    ….minor details….
  • 31. Micronutrients(daily)
    Vit C 200mg
    Vit E 400IU
    Selenium 200mcg
    Mixed carotenoids 10000-15000IU
    Vit D 2000IU
    ….minor details….
  • 32. Phytonutrients
    Veggies from all parts of the color spectrum
    Organic when possible ($) www.ewg.com clean 15/dirty dozen
    Cruciferous regularly (cabbage family)
    Tea instead of coffee
    Red wine as the alcohol of choice if you use
    Plain dark chocolate
  • 33. Environmental Working Group
    Non profit
    Provides resources for consumers
    Pushes national policy
    They even have a tuna calculator!
  • 34. EWG’s dirty dozen
    Celery
    Peaches
    Strawberries
    Apples
    Blueberries (Domestic)
    Nectarines
    Sweet Bell Peppers
    Spinach
    Collard Greens/Kale
    Cherries
    Potatoes
    Grapes (Imported) http://www.ewg.org
  • 35. EWG’s clean 15
    Onions
    Avocados
    Sweet Corn
    Pineapples
    Mangoes
    Sweet Peas
    Asparagus
    Kiwi
    Cabbage
    Eggplant
    Cantaloupe (Domestic)
    Watermelon
    Grapefruit
    Sweet Potatoes
    Honeydew Melon
  • 36. Dr Weil
  • 37. vs
    USDA
  • 38. Buyer beware!!
    Buyer beware!!
  • 39. If all diet attempts fail –add Supplements
    Tumeric
    Vitamin D3
    Omega 3 fish oil
    White willow bark, shark cartilage, oregano, ginger, holy basil
    Helicrysium, tea tree, traumeel, frankinsence. menthol, marjoram
  • 40. Ayurvedic Medicine
    The antiinflammatory diet for the long run
    Specific supplements for the short run
    Topical oils
    Homeopathy
    Energy healing
    Massage (thai, deep tissue, hot stone, lymphatic)
    Dosha specific diet balance
  • 41. Biological energies that govern function
    Vata-Space and Air
    Pitta-Fire and Water
    Kapha-Water and Earth
    Physical and Psychological Characteristics
    Comm0n Disorders of Imbalance
    Common Ways to Regain Balance
    The Doshas of ayurveda
  • 42. Vata Physical
    Thin and bony
    Light
    Dry and rough skin
    Dry and brittle hair
    Hands dry
    Small dull dark
    Thin dark red lips
    Tongue dry pale grey coating
    Variable appetite
    Poor digestion, weak fire
    Prone to constipation
    Irregular mensecrampy
    Vigorous exercise
    Insomnia
    Pulse slithers
    Fast speech
    Variable sex appetite
  • 43. Stong communicator
    Artistic
    Adaptable
    Emotionally sensitive
    Spiritually inclined
    Sensitive to subtle energies
    Charismatic
    Alert
    Vata Psychological
  • 44. Arthritis
    Muscle stiffness
    Headaches
    Constipation
    Chronic fatigue
    Dry scaly skin
    Dizzy, ringing ears
    Intolerance to cold
    Food allergies (wheat dairy)
    Vata Disorders/Imbalance
  • 45. Gentle exercise
    Meditation daily
    Specific diet
    Time in nature
    Eat in peace
    Bright warming colors (orange and green)
    Massage daily (warm oil sesame)
    Lavendar cinnamon oils for aromatherapy
    Spend time with grounding pitta and kaphas
    Vata Balance
  • 46. Vata pacification
    Favor warm oily heavy
    Dairy
    Avocado, banana, cherries, mango
    Asapragus, beets, carrots
    Mung, dahl, tofu
    Rice and wheat
    Cardamon, curmin, ginger, cinnamon, salt, nutmeg
    chopra center
  • 47. Pitta Physical
    Medium build developed
    Medium height
    Hair fine light
    Oily skin, acne
    Hands hot and sweaty
    Eyes medium penetrating bright
    Teeth yellow and prone to decay
    Tongue moist pink yellow coat
    Strong appetite
    Strong digestion gerd
    Soft loose regular
    Regular mense longer
    Vigorous exercise
    Sexual arousal
    Light sleep not disturbed
    Sweat easily
    Pulse strong stable
  • 48. Intelligent penetrating ideas
    Courageous
    High acheiver
    Articulate
    Organized planners
    Able to focus on single objective at hand
    joyful
    Pitta Psychological
  • 49. Overly intense
    Manipulative
    Stubborn/arrogant
    Jealous/materialistic
    Loud aggressive
    Controlling of others
    Egotistical critical judgemental
    Suppressive of emotion
    Demeaning
    Pitta Disorder/Imbalance
  • 50. Avoid stimulants
    Eat in peace
    Meditate time in nature
    Calming exercises
    Cooling colors blue green white
    Rest
    Learn to appreciate kapha and vata types
    Cool showers and oils like sandalwood
    Massage oils like coconut
    Journal to get in touch with emotions
    Pitta Balancing
  • 51. Pitta pacification
    Cool foods and liquids
    Milk, butter, ghee
    Grapes, melons, cherries, apples, ripe oranges
    Asparagus, cucumbers, potatoes, broccoli, green beans
    All beans except lentils
    Rice, wheat, barley, oats
    Coriander, cumin, fennel, sugar
    chopra center
  • 52. Kapha Physical
    Heavy bones broad frame
    Heavy often obese
    Shorter or taller than average
    Oily smooth skin
    Thick oily hair curly
    Hands cool clammy
    Eyes large and calming
    Tongue pink white coating
    Mod appetite
    Slow metabolism
    Well formed stool
    Mensereg mod cramp
    Slow graceful mvmt
    Steady desire for sex
    Deep sleep
    Pulse smooth swanlike
  • 53. Patient sweet forgiving
    Emotionally stable loving
    Desire to help
    Calm loyal
    Accepting of others
    Stamina
    Homebodies romantic sensual
    Long term memory good listener
    Satisfied with life
    Kapha Psychological
  • 54. Greedy hoarding
    Unable to say no
    Easily attached to people and things
    Overly passive, fearful of letting go
    Unable to express thoughts or emotion
    Introverted depressed
    Complacent slow to understand
    Kapha Disorder/Imbalance
  • 55. Avoid luxurious lifestyle
    Focus on nonattachment in daily life
    Time for introspective activity writing meditation
    Stimulating activities (vigorous yoga)
    Bright colors red orange purple gold
    Enlivening music
    Observe seasons and adjust diet and life accordingly
    Flower essense myrrh eucalyptus cedar aroma
    Vary daily routine
    Kapha Balancing
  • 56. Kapha pacification
    Light dry warm foods
    Low or non-fat milk
    Apples, pears
    All vegetables except tomatoe, cucumbers, sweet potatoes
    All beans except tofu and soybean
    Barley, corn, millet, buckwheat, rye and oats
    All spices
    chopra center
  • 57. Sweet
    Sour
    Salty
    Bitter
    Pungent
    Astringent
    Food tastes in Ayurveda
  • 58. DrSaguil favorites
    Traumeel by Heel (homeopathic cream)
    PanAway by Young Living (essen oil)
    Turmeric FSE by New Mark (cap)
    Vitamin D3 by NaturesSunshine (tab)
    Super Omega 3 EPA by NS (cap)
    *many companies are great!
    *many more are not so great!
  • 59. Q & A
    Xiexie!!
    Merci!!
    Salamat!!
    Cheers!!
    Kwakwha!!
    Gracias!!
    Arigato!!
    Mahalo!!
    Danke!!
    Anugurihiitosumi!!
  • 60.
  • 61. Enrique (Ric) Saguil, MD
    First Health Associates
    2010 Arlington Heights Road
    Arlington Heights, IL 60005
    (847) 593-3330
    heal@herbal411.com