drric injury inflammation and food in the yoga practitioner (slide share edition)

INJURY INFLAMMATION AND FOOD IN THE YOGA PRACTITIONER

COMMON INJURIES

Patellofemoral syndrome (kneecap pain)

Cervicalgia (neck pain flare up) Lumbago (low back pain flare up) Shoulder bursitis (rotator cuff

impingement)

SHOULDER

R

Party Pooper

THE BURSA -A SACK OF LUBRICATION

That’s old news!

OVERINFLATED SACK You change the mechanics if

its over inflated!

INTERPRETATION: PAIN

Stretch receptors turn on

pain receptors

HOW CAN THIS HAPPEN Preexisting injury flared up in class Tight shoulders to start with, poor warm

up Tadasana Bakasana

(not my top 10)

CERVICALGIA

Disc “disease” Muscle spasm Trigger point!

Topic: trigger

points…..Discuss!

TRIGGER POINTS = JANET TRAVELL

Neck painShoulder painArm painHeadache

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

A SURGICAL PROBLEM (BUT YOU WOULDN’T BE WALKING)

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”

RUBBING LEADS TO FRICTION

FRICTION LEADS TO DAMAGE (INFLAMMATION)

THE INJURY

Px: It hurts when I do this……Doc: So don’t do this……. -Henny Youngman

ELECTRON MICROSCOPE OF A TEAR

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

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

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

THE SAME PROCESS HAPPENS IN HEART DISEASE!

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

STEROIDS BLOCK HERE:

phospholipid

Arachadonic acid

Arachadonic acid

Pgcytoprotection

PgInflammatory response

Normal tissues*stomach*kidneys*platlets*endothelium

Inflammatory sites*macrophages*synoviocytes*fibroblasts

corticosteroids

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!!!

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

ROID’S

Not anabolic’s Prednisone Medrol dose pack Kenalog Celestone

“FOOD AS MEDICINE”HIPPOCRATES

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

GLYCEMIC INDEX (JUST KNOW THE CONCEPT!)

FOR MORE INFO:

American Diabetes Association 2006 Johanna Burani, MS, RD,CDE

http://www.glycemicindex.com/

MACRONUTRIENTS

Proteins 80-120gm daily Fats 67gm daily Carbs 160-200gm daily Fiber 40 gm daily

….minor details….

MICRONUTRIENTS(DAILY)

Vit C 200mg Vit E 400IU Selenium 200mcg Mixed carotenoids 10000-15000IU Vit D 2000IU

….minor details….

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

ENVIRONMENTAL WORKING GROUP

Non profit Provides resources for consumers Pushes national policy

They even have a tuna calculator!

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

EWG’S CLEAN 15 Onions Avocados Sweet Corn Pineapples Mangoes Sweet Peas Asparagus Kiwi Cabbage Eggplant Cantaloupe (Domestic) Watermelon Grapefruit Sweet Potatoes Honeydew Melon

Dr Weil

USDA

vs

BUYER BEWARE!!

Buyer beware!!

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

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

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

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

Stong communicator Artistic Adaptable Emotionally sensitive Spiritually inclined Sensitive to subtle energies Charismatic Alert

VATA PSYCHOLOGICAL

Arthritis Muscle stiffness Headaches Constipation Chronic fatigue Dry scaly skin Dizzy, ringing ears Intolerance to cold Food allergies (wheat dairy)

VATA DISORDERS/IMBALANCE

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

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

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

Intelligent penetrating ideas Courageous High acheiver Articulate Organized planners Able to focus on single objective at

hand joyful

PITTA PSYCHOLOGICAL

Overly intense Manipulative Stubborn/arrogant Jealous/materialistic Loud aggressive Controlling of others Egotistical critical judgemental Suppressive of emotion Demeaning

PITTA DISORDER/IMBALANCE

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

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

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

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

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

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

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

Sweet Sour Salty Bitter Pungent Astringent

FOOD TASTES IN AYURVEDA

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!

Q & A

Xiexie!! Salamat!!

Mahalo!!Cheers!!

Danke!!

Merci!!

Arigato!!

Kwakwha!!

Gra

cias!

!

Anugurihiitosumi!!

Enrique (Ric) Saguil, MD

First Health Associates2010 Arlington Heights RoadArlington Heights, IL 60005

(847) 593-3330

heal@herbal411.com