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The Yoga
           Controversy



             Enrique Saguil, M.D.
We didn’t invent the practice of medicine….
                we’re just changing the way it’s provided.
The First Health Approach




We didn’t invent the practice of medicine….
                we’re just changing the way it’s provided.
Your Community
     of Care

      Ric Saguil, MD
    Jason Gruss, MD
     Tom Jordan, RD
 Katrina Christie, LCPC
  Jennifer Green, ND
   Joe Musolino, DC
  Emery Paredes, PT
   Aimee Weber, EP
   Yu Zhu, MD China




      You
We didn’t invent the practice of medicine….
                we’re just changing the way it’s provided.
Lets get ready to rumble!!!




   We didn’t invent the practice of medicine….
                   we’re just changing the way it’s provided.
Fight stats




YOGA                         Non
  Handed Down
                             Yoga
   Non Ballistic             Relatively New
        Cardiac              Cardiac
 Brain Changing              Mood Altering
       Available             Available
        All Ages             Sport-Age Dependant
Trends in Injuries in 9 of 16 Sports   1981-1989




                                         Where’s
                                          the
                                         YOGA?
Injuries per 100 participants
•   Football            18.8%
                                               Where’s
•   Ice Hockey          15.9%                   the
                                               YOGA?
•   Soccer               9.3%
•   Basketball           7.6%
•   Baseball             5.8%
•   Running/Jogging      4.6%
•   Skateboarding        3.1%

                           American Sports Data Inc 2006
American Association of Neurological
              Surgeons (tips)
•   Every year 11,000 spinal cord injuries
•   Motor Vehicles are the leading cause 65y/o <
•   Falls are the leading cause 65y/o >
•   Tips: wear seatbelt
          don’t drive under the influence
          keep firearms unloaded and locked
          remove hazards in the home (falls)……
…..general sporting tips
Supervise younger children at all times, and
   do not let them use sporting equipment or play     Where’s
                                                       the
   sports unsuitable for their age. Do not let them   YOGA?
   use playgrounds with hard surface grounds.
• Do not participate in sports when you are ill or
   very tired.
• Discard and replace sporting equipment or
   protective gear that is damaged.
• Never block, hit or tackle a player with the top
    of your football helmet.
• Never slide head-first when stealing a base


                                                           2008
National Electronic Injury Surveilance
System (NEISS) -for sports and recreational equipment
•   Basketball               16,031
•   Bicycles/accesories      15,714                         Where’s
                                                             the
•   Football                 15,003                         YOGA?

•   Exercise/Ex Equip        10,410
•   Baseball                  7,442
•   ATV/Moped/Minib           5,256
•   Lacrosse                  2,760
•   Hockey                    1,899

                           Consumer Product Safety Commision.gov 2010
Forbes.com
1.   Basketball                    Where’s
2.   Bike                           the
                                   YOGA?
3.   Football
4.   ATV/Moped/Minibike
5.   Baseball
6.   Exercise/Exercise Equipment
7.   Soccer
Unintentional Overexertion
• #3 in Top 10 Leading Non-fatal Injuries CDC
• 3,430,040 people treated in the ER

        working in awkward posture
        limit amount of weight carried
        take frequent breaks in repetitive
DrRic’s Sports Medicine Clinic
                                         Where’s
                                          the
                                         YOGA?
•   Back                    all
•   Knee                    all
•   Shoulder                throwing
•   Ankle (seasonal)        all
•   Wrist/Elbow             racket
•   Concussion (seasonal)   mostly contact
•   Neck (seasonal)         contact/combat
Avoid injury-just stay home!?
No!….this is what happens with staying home:
              1 in 3 adults Obese
How to choose a proper activity?
             (-and not get hurt?)




Get some help from:
a Doctor
an Exercise Physiologist
a Physical Therapist
a Trainer/Teacher
a Health Coach
Paging Dr Bias?


Wanna bet your
Average doctor
doesn’t exercise?!
Yoga is more than u   think
….but no one thinks it’s a tough workout
Try this…




       …..but no showing off, everyone expresses their yoga differently
DrRic’s idea of Yoga Styles
Muscular              Organic
                      Kundalini
Bikram                Vinyasa
Ashtanga              Svaroopa
Power                 Flow
Anusara               Anusara
Level 3               Level 1
Hot                   Restorative
                      Gentle
Aikido

Like old fashion tradition

VS

New Hybrid Forms             Mixed Martial Arts
8 Things to ask the Instructor

1.   I have a _______injury, is it ok?
2.   I have _______medical problem, is it ok?
3.   Ok for beginners?
4.   I want a work out, is this what I need?
5.   I want stress relief, will this help?
6.   Is this usually a full class?
7.   What is the average age of the students?
8.   Is this hot yoga?
8 ways to get a feel for yoga
1.   Search the websites for a class that resonates
2.   Try several studios (drop in)
3.   Buy a block and try on several teachers
4.   Attend a few workshops
5.   Don’t buy equipment until at least 5 tries
6.   Make a change in nutrition and sleep as well
7.   Add some dvd’s for distant training
8.   Become a teacher
Self Serving Promotion
        Community Health Project:
               YOGA? June 23rd
A workshop for real life application of yoga concepts for:
• High blood pressure
• Sleep disorders
• Anxiety
• High cholesterol
• Weight gain
• Joint pain
Local Studios to sample
•   Willow                      First
                              Class is
•   Pulsations                 usually
                               Free!!!
•   Bodhi Prem Yoga
•   Sanga
•   Tribalance Schaumburg
•   Body & Brain (Dahn Yoga) Schaumburg
•   Himalayan Yoga Palatine
•   Northwest Community Hospital Wellness
•   Total Body Yoga Mundelein
•   Lotus Yoga Libertyville
Yoga 101:
-
This class is being offered to those who are completely new
to Yoga. Learn the basics of Hatha Yoga with practice in
breath for relaxation, slow movements, & gentle stretching
into basic poses including the sun salutation.


Yoga:
-
These classes integrate the postures, breathing exercises, &
relaxation to harmonize you on every level; mind, body, spirit.
This is a mindful & moving class, all levels are welcome.                Hatha/Vinyasa - Beth
                                                                         Iyengar - Carol
                                                                         Hatha - Joanne
Yoga 2:
-                                                                        Hatha/Vinyasa - Karolina
This level 2 class will challenge you to move
quicker from pose to pose or hold poses longer to increase               Vinyasa - Lori
focus & strength. Arm balancing, such as inversions, along with          Vinyasa - Mary
options to common postures may be taught.
                                                                         Hatha w/Iyengar & Anusara – Toni
                                                                         Seven Spiritual Laws of Yoga - DrRic
Meditative Yoga:
-
We have designed a class to offer the benefits of flexibility/movement
and meditation/stress relief. Whether a beginner or advanced
practitioner, there will be something you can take home by the end
of our series that you can add to help lower blood pressure, get
deeper sleep or get heart healthy.
Collateral “damage” from yoga
1.   Decreased appetite
2.   Better sleep
3.   Community
4.   Lower vital signs (blood pressure)
5.   Better decision making (in times of stress)
6.   Faster rehabilitation (post injury)
7.   Better primary sport performance
     (running, basketball, weight training, physical therapy, martial
     arts, hiking…)
8. Better stress tolerance……
2010 American Psychological
           Association on Stress

• 2/5 Americans overeat/unhealthy choice
• 1/3 skipped a meal
• Chicagoans more likely to eat to manage stress than
  average American
• Irritability, Fatigue, Lack of Energy most common symptoms
Slide showing “Invisible Stress”
Visible and Invisible Stress
           A Multitasking Concept

•   Speed kills (stay in the right lane)
•   Nature exists in “homeostasis”
•   We cannot control our environment
•   We are only in control of our reaction to it

               …..and 2 ways to react….
Godzilla   or   Ghandi
Why can’t we just co-exist?




Athletes do it.
In a state of relaxation response but …
        can turn on a fast stress response.
Physical or Spiritual? Both?)
                                 (or
• Why not practice both?
• Average 50 hour work week per day=

•   8-10 hours of work
•   1-2 hours of driving
•   6-7 hours of sleep
•   1-2 hour of nutrition
•   1 hour of family time
•   2 hours of free time
                                  (But have no time)
The new paradigm of medicine
•   1980’s       Medical Imaging
•   1990’s       Managed Care/Big Pharma
•   Millennium   Mind Body Medicine
•   Now          Contemplative Neuroscience
                   Don’t have to go “vigorous” to stay
healthy!
Understanding yoga philosophy

•   Originating from India
•   2500 years old
•   Is a way of life
•   Poses are only 1 of 8 reasons yoga was created
•   Ayurveda Medicine is stand-alone
•   Once you give in, most stay
The 8 Limbs of Patanjali
             (An ancient text on the basis of yogic living)

1.   Yama : Universal morality
2.   Niyama : Personal observances
3.   Asanas : Body postures
4.   Pranayama : Breathing exercises
5.   Pratyahara : Control of the senses
6.   Dharana : Concentration, inner awareness
7.   Dhyana : Devotion, Meditation on the Divine
8.   Samadhi : Union with the Divine
More to yoga than just the “beef”




           Clara doing Tree Pose
My Journey                           …..continues




Sprinter-Power
     17y/o


                 BodyBuilding-Strength


                                         Running-Patience

                                                            Teaching-Longevity
                                                                   50y/o
The Saguil Approach
•   Brainstorm and set a “quit date”
•   Embrace “true loves”
•   Get some help finding sustainable choices
•   Try some yoga places around your area
•   Interview the instructors
•   Commit to 21 days at least
•   Add on………. (repeat)
                                    HeThere’s the
                                       Beef!!!!
Community Health Project:
        Yoga?



 Northwest Community Hospital Wellness
                 Center
  June 23rd Saturday 1100am-1230pm
            Program 05-4104
             847 618 3500

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DrRic - The Yoga Controversy (slide share edition)

  • 1. The Yoga Controversy Enrique Saguil, M.D. We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
  • 2. The First Health Approach We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
  • 3. Your Community of Care Ric Saguil, MD Jason Gruss, MD Tom Jordan, RD Katrina Christie, LCPC Jennifer Green, ND Joe Musolino, DC Emery Paredes, PT Aimee Weber, EP Yu Zhu, MD China You
  • 4. We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
  • 5. Lets get ready to rumble!!! We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
  • 6. Fight stats YOGA Non Handed Down Yoga Non Ballistic Relatively New Cardiac Cardiac Brain Changing Mood Altering Available Available All Ages Sport-Age Dependant
  • 7. Trends in Injuries in 9 of 16 Sports 1981-1989 Where’s the YOGA?
  • 8. Injuries per 100 participants • Football 18.8% Where’s • Ice Hockey 15.9% the YOGA? • Soccer 9.3% • Basketball 7.6% • Baseball 5.8% • Running/Jogging 4.6% • Skateboarding 3.1% American Sports Data Inc 2006
  • 9. American Association of Neurological Surgeons (tips) • Every year 11,000 spinal cord injuries • Motor Vehicles are the leading cause 65y/o < • Falls are the leading cause 65y/o > • Tips: wear seatbelt don’t drive under the influence keep firearms unloaded and locked remove hazards in the home (falls)……
  • 10. …..general sporting tips Supervise younger children at all times, and do not let them use sporting equipment or play Where’s the sports unsuitable for their age. Do not let them YOGA? use playgrounds with hard surface grounds. • Do not participate in sports when you are ill or very tired. • Discard and replace sporting equipment or protective gear that is damaged. • Never block, hit or tackle a player with the top of your football helmet. • Never slide head-first when stealing a base 2008
  • 11. National Electronic Injury Surveilance System (NEISS) -for sports and recreational equipment • Basketball 16,031 • Bicycles/accesories 15,714 Where’s the • Football 15,003 YOGA? • Exercise/Ex Equip 10,410 • Baseball 7,442 • ATV/Moped/Minib 5,256 • Lacrosse 2,760 • Hockey 1,899 Consumer Product Safety Commision.gov 2010
  • 12. Forbes.com 1. Basketball Where’s 2. Bike the YOGA? 3. Football 4. ATV/Moped/Minibike 5. Baseball 6. Exercise/Exercise Equipment 7. Soccer
  • 13. Unintentional Overexertion • #3 in Top 10 Leading Non-fatal Injuries CDC • 3,430,040 people treated in the ER working in awkward posture limit amount of weight carried take frequent breaks in repetitive
  • 14. DrRic’s Sports Medicine Clinic Where’s the YOGA? • Back all • Knee all • Shoulder throwing • Ankle (seasonal) all • Wrist/Elbow racket • Concussion (seasonal) mostly contact • Neck (seasonal) contact/combat
  • 16. No!….this is what happens with staying home: 1 in 3 adults Obese
  • 17. How to choose a proper activity? (-and not get hurt?) Get some help from: a Doctor an Exercise Physiologist a Physical Therapist a Trainer/Teacher a Health Coach
  • 18. Paging Dr Bias? Wanna bet your Average doctor doesn’t exercise?!
  • 19. Yoga is more than u think
  • 20. ….but no one thinks it’s a tough workout
  • 21. Try this… …..but no showing off, everyone expresses their yoga differently
  • 22. DrRic’s idea of Yoga Styles Muscular Organic Kundalini Bikram Vinyasa Ashtanga Svaroopa Power Flow Anusara Anusara Level 3 Level 1 Hot Restorative Gentle
  • 23. Aikido Like old fashion tradition VS New Hybrid Forms Mixed Martial Arts
  • 24. 8 Things to ask the Instructor 1. I have a _______injury, is it ok? 2. I have _______medical problem, is it ok? 3. Ok for beginners? 4. I want a work out, is this what I need? 5. I want stress relief, will this help? 6. Is this usually a full class? 7. What is the average age of the students? 8. Is this hot yoga?
  • 25. 8 ways to get a feel for yoga 1. Search the websites for a class that resonates 2. Try several studios (drop in) 3. Buy a block and try on several teachers 4. Attend a few workshops 5. Don’t buy equipment until at least 5 tries 6. Make a change in nutrition and sleep as well 7. Add some dvd’s for distant training 8. Become a teacher
  • 26. Self Serving Promotion Community Health Project: YOGA? June 23rd A workshop for real life application of yoga concepts for: • High blood pressure • Sleep disorders • Anxiety • High cholesterol • Weight gain • Joint pain
  • 27. Local Studios to sample • Willow First Class is • Pulsations usually Free!!! • Bodhi Prem Yoga • Sanga • Tribalance Schaumburg • Body & Brain (Dahn Yoga) Schaumburg • Himalayan Yoga Palatine • Northwest Community Hospital Wellness • Total Body Yoga Mundelein • Lotus Yoga Libertyville
  • 28. Yoga 101: - This class is being offered to those who are completely new to Yoga. Learn the basics of Hatha Yoga with practice in breath for relaxation, slow movements, & gentle stretching into basic poses including the sun salutation. Yoga: - These classes integrate the postures, breathing exercises, & relaxation to harmonize you on every level; mind, body, spirit. This is a mindful & moving class, all levels are welcome. Hatha/Vinyasa - Beth Iyengar - Carol Hatha - Joanne Yoga 2: - Hatha/Vinyasa - Karolina This level 2 class will challenge you to move quicker from pose to pose or hold poses longer to increase Vinyasa - Lori focus & strength. Arm balancing, such as inversions, along with Vinyasa - Mary options to common postures may be taught. Hatha w/Iyengar & Anusara – Toni Seven Spiritual Laws of Yoga - DrRic Meditative Yoga: - We have designed a class to offer the benefits of flexibility/movement and meditation/stress relief. Whether a beginner or advanced practitioner, there will be something you can take home by the end of our series that you can add to help lower blood pressure, get deeper sleep or get heart healthy.
  • 29. Collateral “damage” from yoga 1. Decreased appetite 2. Better sleep 3. Community 4. Lower vital signs (blood pressure) 5. Better decision making (in times of stress) 6. Faster rehabilitation (post injury) 7. Better primary sport performance (running, basketball, weight training, physical therapy, martial arts, hiking…) 8. Better stress tolerance……
  • 30. 2010 American Psychological Association on Stress • 2/5 Americans overeat/unhealthy choice • 1/3 skipped a meal • Chicagoans more likely to eat to manage stress than average American • Irritability, Fatigue, Lack of Energy most common symptoms
  • 32. Visible and Invisible Stress A Multitasking Concept • Speed kills (stay in the right lane) • Nature exists in “homeostasis” • We cannot control our environment • We are only in control of our reaction to it …..and 2 ways to react….
  • 33. Godzilla or Ghandi
  • 34. Why can’t we just co-exist? Athletes do it. In a state of relaxation response but … can turn on a fast stress response.
  • 35. Physical or Spiritual? Both?) (or • Why not practice both? • Average 50 hour work week per day= • 8-10 hours of work • 1-2 hours of driving • 6-7 hours of sleep • 1-2 hour of nutrition • 1 hour of family time • 2 hours of free time (But have no time)
  • 36. The new paradigm of medicine • 1980’s Medical Imaging • 1990’s Managed Care/Big Pharma • Millennium Mind Body Medicine • Now Contemplative Neuroscience Don’t have to go “vigorous” to stay healthy!
  • 37. Understanding yoga philosophy • Originating from India • 2500 years old • Is a way of life • Poses are only 1 of 8 reasons yoga was created • Ayurveda Medicine is stand-alone • Once you give in, most stay
  • 38. The 8 Limbs of Patanjali (An ancient text on the basis of yogic living) 1. Yama : Universal morality 2. Niyama : Personal observances 3. Asanas : Body postures 4. Pranayama : Breathing exercises 5. Pratyahara : Control of the senses 6. Dharana : Concentration, inner awareness 7. Dhyana : Devotion, Meditation on the Divine 8. Samadhi : Union with the Divine
  • 39. More to yoga than just the “beef” Clara doing Tree Pose
  • 40. My Journey …..continues Sprinter-Power 17y/o BodyBuilding-Strength Running-Patience Teaching-Longevity 50y/o
  • 41. The Saguil Approach • Brainstorm and set a “quit date” • Embrace “true loves” • Get some help finding sustainable choices • Try some yoga places around your area • Interview the instructors • Commit to 21 days at least • Add on………. (repeat) HeThere’s the Beef!!!!
  • 42. Community Health Project: Yoga? Northwest Community Hospital Wellness Center June 23rd Saturday 1100am-1230pm Program 05-4104 847 618 3500

Editor's Notes

  1. 3vs 1 –this isnt meant to gang up on William Broads book, it is more to enlighten people on the fence to the multifold benefits of yoga. Many sports endeavors have obvious side benefits….running-weight management; cycling lung capacity; cross training variety; swimming zero gravity muscle work…but yoga is actually a way of life that was developed by philosophers (more on 8 limbs of yoga later……for now lets stick to the fruits and veggies of our discussion. (I don’t like meat and potatoes)
  2. Most general sporting tips for injury in young come from “surgical injury” or catastrophic injury to the player from NOT KNOWING DANGERS but this can be translated to adults….thus the importance of being informed properly and coach appropriately (health coach)
  3. Perspective: National Estimates of the 10 Leading Causes of Nonfatal Injuries Treated in Hospital Emergency Departments, United States – 2010 In 2008, unintentional falls were the leading cause of nonfatal injury treated in U.S. hospital emergency departments among women of all ages, and rates generally increased with age. Women aged 65 years and older had the highest rate of injury due to unintentional falls (65.0 per 1,000 women), compared to 21.2 per 1,000 women aged 18–34 and 20.4 per 1,000 women aged 35–44 years. However, women aged 65 years and older had the lowest rates of each of the other four leading causes of nonfatal injuries, while women aged 18–34 years had the highest rates. Unintentional injuries sustained by motor vehicle occupants were the second leading cause of injury among 18- to 34-year-olds (17.5 per 1,000 women), while unintentional overexertion—which can be due to strenuous or repetitive motions such as lifting—was the second leading cause of injury among women aged 35–44 and 45–64 years (12.8 and 8.8 per 1,000 women, respectively).
  4. On a more practical level….the injuries I see in the clinic have been listed….be aware I have also worked in training rooms at DePaul U, U of Central Florida and Cirque du Soleil…..blunt force trauma has been biggest catastrophy (30 ft fall at Cirque, back injury at DePaul, and Concussion at UCF)
  5. Preparticipation physicals can help decide risk medically or musculoskeletally (depends on MD) This is a “Cheap” way to enlist a “Health Coach” since a physical may be covered by medical insurance (I “pursuade” patients to see physical therapy for rehab and “encourage” the PT to guide the patient in post rehab design….all on the insurance!!!!)When Insurance not involved-EP or Trainer will help tailor sustainable routine to keep you safe and work toward goalsProblem with depending on self awareness-Exercise knowledge depends on youth experience…. (athletes vs non athletes)Non athletes…..run or go to the gym (do the circuit and fail in 3 months)Mr Woodcock
  6. Problems arise in giving advise for exercise when the Giver doesn’t know
  7. Rate of perceived exertion is where most beginners will shoot for a level of fitness to 7-8 because sports psychology says we got something out of it.Arnolds size or Moses Mosop’s time (2h 5m 37s) 2011
  8. I like the way John Friend speaks of two basic components in expression of a pose/styleMuscular and organic. Muscle you can figure out (power expression) Organic is more of a grace, inner being expressed via the physical message
  9. I like to distinguish the radically different forms with martial arts conceptsAikido is an old art originating from Hombu Japan and current schools follow the same testing rituals as decades agoMMA is a very popular martial art, practical for competition but such a hybrid that testing and advancing depends on the teacher
  10. 8 is a magical number in ayurveda-a meaning of infinity. So essentially you need a “Yoga Concierge”….but don’t feel overwhelmed…..These questions should help…..If they don’t have time to answer….dont go. (Kinda like my theory on doctors….if they don’t have time for your questions…..they arent concerned about your life
  11. Workshops usually involve healing or therapeautics for nominal price
  12. I have the honor of treating the worst of the worst regarding sports injury and health. At the same time I have a deep love of yoga. Aside from the injury aspect….so many of the 20-50 year olds coming into my office come in with multiple medical problems the majority of which are related to stress
  13. What are the standard ways people deal with stress?However, fewer than half (46 percent) of Chicagoadults exercise regularly and one in four (23 percent)do not exercise at all.
  14. This is a slide on “invisible stress”Many of my CEO’s, Moms with 4 kids (all in grade school), executive assistants to the CEO’s, police officers….all say they don’t feel “stressed” when they come in for a physical. Then I find blood pressure is high, heart rate is tachicardic….and they are speaking a mile a minute on every ailment, occasional headache wondering if it is ok to have chest pain at 50 y/o.
  15. The new movement in healing and longevity are saying relaxation and stress relief give just as much mind body benefits as vigorous exercise and can be done less often (30 minutes once to twice a day at home
  16. Yoga is involved as one of the healing forms in ayruvedic medicine which goes hand in hand with yoga
  17. My next 50 will be better than my last 50
  18. Never to late! Aussie Bette Calman 83 in this pic taken 2009