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Yoga Therapy Practice for Pain Management Yoga Therapy Practice for Pain Management Texas Pain Society 9th Annual Scientific Meeting Hyatt Regency Hotel, Dallas, Texas October 27-29, 2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT Associate Professor of Surgery (Retired), Eastern Virginia Medical School Fellow, American Association of Integrative Medicine (AAIM), American College of Surgeons (ACS) Past President, Board of Directors, AHA, Hampton Roads, Virginia President, Board of Directors, International Association of Yoga Therapists (IAYT) Chairman of Board, Life in Yoga Institute Member, Virginia Governor’s Asian Advisory Board Chairman, Center for Integrative Medicine and Yoga, Taksha Institute, Hampton, VA 757-621-7655 [email protected] http://www.dilipsarkar.com Yoga Therapy for Treating Chronic Pain Texas Pain Society 9th Annual Scientific Meeting Hyatt Regency Hotel, Dallas, Texas October 27- 29, 2017 Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT Yoga Therapy Evidence based medicine (conventional medicine) Practice based evidence (integrative medicine) Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT PubMed: Search engine for US National Library of Medicine through MEDLINE ClinicalTrials.gov: Funding by NIH (October 2, 2017) Yoga Therapy: 4125 articles Yoga Therapy: 478 studies Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT PubMed: Search engine for US National Library of Medicine through MEDLINE ClinicalTrials.gov: Funding by NIH (October 2, 2017) Meditation: 4544 articles Meditation: 615 studies Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT PubMed: Search engine for US National Library of Medicine through MEDLINE ClinicalTrials.gov: Funding by NIH (October 8, 2017) Yoga Therapy for Pain: 591 articles Yoga Therapy for Pain: 92 studies Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT Yoga in America Study by Yoga Alliance and Yoga Journal 2016 36.7 million people practicing yoga in USA 80 million people likely to try yoga 72% women and 28% men 74% practicing for 5 years or less $16.8 billion – yogis spend on classes, clothing, equipment and accessories Americans believe yoga relieves stress, is good for you, increases flexibility, strength and performance Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT NIH - NCCIH Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT NCCIH - Yoga - Yoga for Health Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT IAYT (International Association of Yoga Therapists) Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT SYTAR - 9th conference SYR - 7th conference Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT Yoga Therapy Journals by IAYT Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT American College of Physicians Guidelines for Treating CLBP February 2017 Annals of Internal Medicine April 2017 Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT Consumer Report: Try Yoga for Back Pain Based on the guidelines released by the American College of Physicians (ACP) Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT American College of Surgeons Clinical Congress 2017 Start day with the physical, mental and spiritual practice of yoga 6-7 AM A complimentary yoga mat is provided Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT Yoga EXPERIANCIAL (life style) EXPERIMENTAL AND (TRANS)SCIENCE Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT Yoga Therapy "It is more important to know what sort of person has a disease than to know what sort of disease a person has." - Hippocrates (460-377 B.C.) Yoga Therapy is not interested about the disease a person has, rather interested about the person who has the disease. Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT Yoga Therapy There is no problem in the World which doesn't have solution andThere is no disease in the World which doesn't have cure Just Awaken The Doctor Within Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT Yoga Therapy “We must make our body work for us”. Nothing has the Greatest Power to Heal but Self “I AM THE CAUSE AND I AM THE CURE” Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT Swami Rama studied by Dr. Elmer Green of Menninger Foundation, 1969 Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT TM – Dr. Herbert Benson 1967, Dr. Herbert Benson of Benson – Henry Institute for Mind Body Medicine, Harvard University, www.massgeneral.org/bhi/ Measured HR, BP, Skin and rectal temperature of 36 transcendental meditators. 17% less oxygen, decrease HR by 3 beats, increase theta brain wave (relax) – one that appears before sleep During deep meditation autonomic nervous system can be controlled voluntarily Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT The Relaxation Response Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT Relaxation Response - Physiology PLOS (Public Library Of Science) ONE, May 2013, Published on line, Herbert Benson et.al from Harvard Medical School Relaxation Response (RR) physiology of Meditation, opposite to the stress or fight or flight response Enhanced expression of Gene – energy metabolism, mitochondrial function, insulin secretion, telomere maintenance Reduced expression of Gene – inflammatory response, stress related pathways (mitochondrial ATP synthase and Insulin as upregulated and NF-kB pathway gene downregulated Gene expression is profound in long term practitioners compared to novices RR is like antioxidant and controls apoptosis Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT My Book – Yoga Therapy Text Book Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT Yoga / Meditation as Medicine Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT Yoga Therapy & Integrative Medicine Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT Yoga Therapy & Integrative Medicine Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT Yoga Therapy Text Book Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT Yoga Therapy Reference Source By: Shirley Telles and Nilkamal Singh of Patanjali Research Foundation Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT Yoga Therapy for Health and Healing: A Daily Practice (2015) Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT Yoga Therapy for Health and Healing Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT Yoga Therapy is Relaxation Response (Meditation) Meditation is Medication Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT Paramanand Institute of Yoga Science & Research, Indore, India and Sattvic Space Yoga and Healing Studio, Portsmouth, Virginia Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT Yoga Therapy in Western Medicine Yoga is a lifestyle, art and science of healthy living Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT Medical Yoga or Yoga Therapy • A yoga practice that meets you where you are. • In stages impossible becomes possible. • A staged approach that teaches a pain free asanas, effortless pranayama and meditation to optimize body's natural healing powers. • Builds physical and mental resilience. Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT Yoga Therapy Outcome D.T. 65 Yrs. WM Diagnosed Parkinson’s Disease for 7 years Doing Yoga for 2 years as daily practice It improved his balance, posture, stiffness, back pain, regularize bowel movement and overall quality of life. From his neurologists the disease is stable, not progressing. Still continuing four medications as neuroprotective. Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT Yoga Therapy “TRANSFORMING” 59 years White Female 2005 with lower leg weakness, diagnosed MS by MRI came to yoga therapy class in a wheel chair In one month stopped taking Medication for Asthma, had for last 20years. With yoga, less leg weakness and improvement of balance in 4 months Medication for MS stopped LicenseYoga Therapy plate for“Transforming” Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT Testimonial – Musculo-skeletal Dr. G. F. 63yr. WM For seven months I suffered from back pain, groin pain, hamstring strain, Could not function and practice properly. I feel strongly that my regular attendance at your Yoga Therapy Classes plus home practice greatly helped my condition. Over several months I became much more flexible and could racewalk with little or no pain. I recently won two Virginia State race walking championships and qualified for the National Championships in racewalking. I know that Yoga contributed to my recovery both mentally and physically. I also promote Yoga to my patients. Yoga Therapy for Pain Management / 10/28/2017 Dilip Sarkar, MD, FACS, CAP, C-IAYT Testimonial – Musculo-skeletal G.
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