DrRic Injury inflammation and Food in the Yoga Practitioner (slide share edition)
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Transcript of DrRic Injury inflammation and Food in the Yoga Practitioner (slide share edition)
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INJURY INFLAMMATION AND FOOD IN THE YOGA PRACTITIONER
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COMMON INJURIES
Patellofemoral syndrome (kneecap pain)
Cervicalgia (neck pain flare up) Lumbago (low back pain flare up) Shoulder bursitis (rotator cuff
impingement)
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SHOULDER
R
Party Pooper
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THE BURSA -A SACK OF LUBRICATION
That’s old news!
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OVERINFLATED SACK You change the mechanics if
its over inflated!
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INTERPRETATION: PAIN
Stretch receptors turn on
pain receptors
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HOW CAN THIS HAPPEN Preexisting injury flared up in class Tight shoulders to start with, poor warm
up Tadasana Bakasana
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(not my top 10)
CERVICALGIA
Disc “disease” Muscle spasm Trigger point!
Topic: trigger
points…..Discuss!
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TRIGGER POINTS = JANET TRAVELL
Neck painShoulder painArm painHeadache
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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
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A SURGICAL PROBLEM (BUT YOU WOULDN’T BE WALKING)
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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”
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RUBBING LEADS TO FRICTION
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FRICTION LEADS TO DAMAGE (INFLAMMATION)
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THE INJURY
Px: It hurts when I do this……Doc: So don’t do this……. -Henny Youngman
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ELECTRON MICROSCOPE OF A TEAR
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A twist, roll, bend or fall occurs with immediate pain 0
Stiffness and spasm set in by 1 day
Other areas start to spasm in 1 week
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 prevailCompensating areas start to fail when they can’t do the work of the originally injured part
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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
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INFLAMMATION
When tissue damage occurs, the “cascade” starts
phospholipid
Arachadonic acid
Arachadonic acid
Pgcytoprotection
PgInflammatory response
Normal tissues*stomach*kidneys*platlets*endothelium
Inflammatory sites*macrophages*synoviocytes*fibroblasts
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THE SAME PROCESS HAPPENS IN HEART DISEASE!
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REGULAR NSAIDS BLOCK HERE:
phospholipid
Arachadonic acid
Arachadonic acid
Pgcytoprotection
PgInflammatory response
Normal tissues*stomach*kidneys*platlets*endothelium
Inflammatory sites*macrophages*synoviocytes*fibroblasts
Nonselective cox2
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STEROIDS BLOCK HERE:
phospholipid
Arachadonic acid
Arachadonic acid
Pgcytoprotection
PgInflammatory response
Normal tissues*stomach*kidneys*platlets*endothelium
Inflammatory sites*macrophages*synoviocytes*fibroblasts
corticosteroids
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COX 2 BLOCKS HERE:
phospholipid
Arachadonic acid
Arachadonic acid
Pgcytoprotection
PgInflammatory response
Normal tissues*stomach*kidneys*platlets*endothelium
Inflammatory sites*macrophages*synoviocytes*fibroblasts
Cox-2WITHDRAWN
By FDA!!!
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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
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ROID’S
Not anabolic’s Prednisone Medrol dose pack Kenalog Celestone
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“FOOD AS MEDICINE”HIPPOCRATES
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THE ANTIINFLAMMATORY DIET ANDREW
WEIL, 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
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GLYCEMIC INDEX (JUST KNOW THE CONCEPT!)
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FOR MORE INFO:
American Diabetes Association 2006 Johanna Burani, MS, RD,CDE
http://www.glycemicindex.com/
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MACRONUTRIENTS
Proteins 80-120gm daily Fats 67gm daily Carbs 160-200gm daily Fiber 40 gm daily
….minor details….
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MICRONUTRIENTS(DAILY)
Vit C 200mg Vit E 400IU Selenium 200mcg Mixed carotenoids 10000-15000IU Vit D 2000IU
….minor details….
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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
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ENVIRONMENTAL WORKING GROUP
Non profit Provides resources for consumers Pushes national policy
They even have a tuna calculator!
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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
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EWG’S CLEAN 15 Onions Avocados Sweet Corn Pineapples Mangoes Sweet Peas Asparagus Kiwi Cabbage Eggplant Cantaloupe (Domestic) Watermelon Grapefruit Sweet Potatoes Honeydew Melon
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Dr Weil
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USDA
vs
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BUYER BEWARE!!
Buyer beware!!
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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
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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
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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
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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 mense
crampy Vigorous exercise Insomnia Pulse slithers Fast speech Variable sex appetite
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Stong communicator Artistic Adaptable Emotionally sensitive Spiritually inclined Sensitive to subtle energies Charismatic Alert
VATA PSYCHOLOGICAL
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Arthritis Muscle stiffness Headaches Constipation Chronic fatigue Dry scaly skin Dizzy, ringing ears Intolerance to cold Food allergies (wheat dairy)
VATA DISORDERS/IMBALANCE
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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
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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
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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
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Intelligent penetrating ideas Courageous High acheiver Articulate Organized planners Able to focus on single objective at
hand joyful
PITTA PSYCHOLOGICAL
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Overly intense Manipulative Stubborn/arrogant Jealous/materialistic Loud aggressive Controlling of others Egotistical critical judgemental Suppressive of emotion Demeaning
PITTA DISORDER/IMBALANCE
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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
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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
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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 Mense reg mod
cramp Slow graceful mvmt Steady desire for sex Deep sleep Pulse smooth
swanlike
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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
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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
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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
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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
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Sweet Sour Salty Bitter Pungent Astringent
FOOD TASTES IN AYURVEDA
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DR SAGUIL 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!
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Q & A
Xiexie!! Salamat!!
Mahalo!!Cheers!!
Danke!!
Merci!!
Arigato!!
Kwakwha!!
Gra
cias!
!
Anugurihiitosumi!!
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Enrique (Ric) Saguil, MD
First Health Associates2010 Arlington Heights RoadArlington Heights, IL 60005
(847) 593-3330