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#Lower Back Pain Treatment Chester
fotozoneindia-blog · 3 months
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Relieve Physiotherapy: Your Go-To Clinic for Pain Relief in Chester
Welcome to Relieve Physiotherapy, the leading physiotherapy and massage clinic in Chester dedicated to providing effective pain relief and holistic wellness solutions. Our team of experienced professionals offers personalized care and specialized treatments to help you overcome injuries, manage chronic pain, and enhance your overall well-being. Let's explore how Relieve Physiotherapy can assist you in finding relief and restoring your quality of life.
Physiotherapy & Massage Clinic Chester: Your Haven for Healing
At Relieve Physiotherapy, we are committed to offering comprehensive physiotherapy and massage services tailored to your unique needs. Whether you're recovering from a sports injury, dealing with lower back pain, or seeking relaxation, our clinic provides a range of treatments to address your concerns and promote healing.
Sports Injury Clinic Chester: Get Back in the Game Faster
Our sports injury clinic specializes in treating a variety of sports-related injuries, from sprains and strains to tendonitis and ligament tears. With advanced techniques and personalized rehabilitation plans, our sports physiotherapists help athletes of all levels recover quickly and safely, so you can return to your favorite activities with confidence.
Acupuncture Treatment Center Chester: Holistic Healing for Body and Mind
Discover the benefits of acupuncture at our treatment center in Chester. Acupuncture is a natural therapy that targets pain and promotes overall wellness by stimulating the body's natural healing mechanisms. Our licensed acupuncturists offer personalized treatment plans to address your specific concerns and help you achieve long-lasting relief.
Specialized Treatments for Pain Management and Rehabilitation
Relieve Physiotherapy offers specialized treatments to manage pain and promote rehabilitation, including:
Steroid Injections Therapy: Effective for reducing inflammation and relieving pain associated with musculoskeletal conditions.
Ostenil Joint Injection Therapy: Provides lubrication and cushioning for arthritic joints, reducing pain and improving mobility.
Shockwave Therapy: Non-invasive treatment for chronic pain conditions, such as plantar fasciitis and tendonitis.
Hyaluronic Acid Injection Therapy: Restores joint fluidity and reduces pain in patients with osteoarthritis.
Comprehensive Care for Common Conditions
In addition to specialized treatments, we provide comprehensive care for a range of conditions, including:
Knee pain
Neck and shoulder pain
Elbow pain (Tennis Elbow & Golfer's Elbow)
Wrist and hand pain
Fibromyalgia
Rheumatoid arthritis
Therapeutic Yoga and Holistic Wellness
At Relieve Physiotherapy, we believe in promoting holistic wellness through therapeutic yoga classes. Our classes focus on improving flexibility, strength, and relaxation to complement your treatment plan and support your overall well-being.
Conclusion: Experience Relief and Renewal at Relieve Physiotherapy
If you're ready to take control of your pain and improve your quality of life, schedule an appointment at Relieve Physiotherapy today. Our dedicated team is here to help you find relief, restore function, and rediscover the joy of living life to the fullest. With our personalized approach and commitment to excellence, you can trust us to be your partner in health and wellness.
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treiberderm · 5 months
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Psoriasis & Phototherapy Rye
Plaque psoriasis is the most common form of the disease. It is characterized by inflamed red raised thickened areas with silvery scale most often on the scalp (especially around the ears and hairline), elbows, knees, lower back, and buttocks. It may also involve the hands, feet, genitals, and nails. It commonly improves during the summer, recurs in the winter months, and can be a localized, temporary condition or a bothersome lifelong condition. It can be barely noticeable or can be accompanied by itching, burning, pain, swelling, cracking, and flaking. Other less common forms of psoriasis include guttate, pustular, erythrodermic, and inverse psoriasis. Your dermatologist can determine your type of psoriasis and the best treatment options for you.
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morethanpt · 2 years
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How Physical Therapists Manage Pain?
Physical therapy works amazingly in catering the inflammation, soreness, and stiffness with the practice of massages and exercises. It encourages the body to heal itself with the production of self-healing chemicals. With the best West Chester township physical therapy, patients are better able to learn how to manage their pain in the best possible manner. 
Look for the ideal combination
The key to managing pain is being aware of how much you should move. The less you move, the higher the pain you'll endure. Conversely, it allows you to experience a more safe exercise which enables you to accommodate your pain. The less pain you suffer from, the better your quality of life will be. Physical therapy is the ideal combination to choose for dealing with chronic pain. It is best to blend your physical therapy with the consultation of a medical doctor to attain the best medication. A pharmacist, clinical psychologist, physical therapist, and medical doctor present the best combination to manage pain. 
Hands-on therapy
Manual or hands-on therapy works remarkably to treat pain. Whether you have a lower back pain or carpal tunnel syndrome, this procedure reduces pain and improves your movement to a great level. Other effective strategies that can help with pain include dry needling, manipulations, joint and soft tissue mobilization, etc.
Positive relationship with the therapist
A positive relationship with your physical therapist also goes a long way in managing your pain. Being a motivated participant in your own recovery and working with your therapist to recover plays a huge role in pain management. This works especially because it enables your therapist to assess how you respond to pain. 
Conclusion
Physical therapists can result in ideal outcomes for your pain or injury if you combine the treatment with other beneficial treatments, keep an active relationship with your therapist, and practice manual therapy.
Visit Us:  More Than PT
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scaredofplanes · 7 years
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We’ve lost another soul by choice, and it won’t be the last.
This morning, we woke to the news that Linkin Park frontman Chester Bennington had taken his own life at the age of 41.  Months prior, we lost Soundgarden frontman Chris Cornell by the same method.  Death is not nice regardless how it has happened, but suicide just sadly leaves a more sombre overtone over it.
The overtone consists of struggle and pain, which anyone who suffers clinical depression experiences... which goes hand in hand with creatives.
Like all, I was shocked to hear the news of Chester this morning, and when I found out it was suicide, that extra wave of sadness hit even harder.  This is because I know how he felt.. the darkness, the pain and the forever path of battle with your brain.  Like Chester, Chris, and many millions more, I suffer from medically diagnosed clinical depression, and have had many moments of darkness.  One of them nearly lead to suicide, another time lead to the thoughts to reappear.
I am by no means writing this and trying to imply that I am special, or unique, or want attention towards this illness.. I just want to share my story, which will hopefully lead to helping someone else.
Let’s start with that suicide attempt, as it feels it’s where I should start.  I was a teenager living in Canberra, with a incredibly strained relationship with my father, as he bailed on my brother and I and shot through to Queensland.  I also had a volatile relationship with my only brother, as he was channelling his own way of our father leaving which clashed with how I dealt with it.  Dealing with this, while also my continuation of suffering from an eating disorder, I was low... So low that I stumbled into such a dark zone where I nearly never returned.  I was home alone, as my mother was probably at shift work and my brother was out doing god knows what, and I just felt numb.  I just couldn’t feel.  I went to the kitchen, pulled out a steak knife and had it pressing on my wrist, just waiting for the courage to hack away and to finish the job.
Then my conscious kicked in... after having an out of body experience starting at myself about to take my life.  I threw that knife straight back in the draw and stood in shock, thinking about what I nearly did.  I couldn’t believe that I would ever have a thought like that.  I use to cut myself on my arms and across my chest, so I was use to self mutilation, but taking a knife to my wrist.. that was way too much.  I’m glad I didn’t go through with it, for many reasons.
Creative people are prone to having depression, as we experience life on a different, more sensitive level.  When ever we write literature, music, paint a picture, direct a film, etc.. we tap into incredibly personal experiences to achieve what we are trying to portray.  This is a daily occurrence for all of us.. and it can grind on you.  Art is a form of expression, but that expression comes with a cost of depression, anxiety and other mental illnesses.  This is why most creatives turn to drugs and alcohol, to numb themselves from the pain on having to tap into that resource of hate, sadness and raw emotion to create a breathing piece of beauty to the world.  Sadly, some of us just can’t take it and decide to finish it before nature does.  It’s these events that weighs heavy on me.
When Robin Williams took his own life, I was in shock like the rest of the world.  He was always so on, and had a joy in every interview he did and comedic performance he gave.  So to take his own life in his 60′s was a shock, but then the reports came out about why he potentially did and it all made sense.  He was a manic depressant who abused alcohol and drugs to get through the day so he didn’t had to deal with the pain.  I was in such a slump when I found out, a slump that lasted for months.  I am a big fan of his work, but on a personally level, I know how he felt for the most part.  Even to this day, whenever I see him on TV, that wave of sadness washes over me knowing this insanely talented man is no longer with us sharing his skill to the world.
Fast forward a few years, the news of Chris Cornell broke out and the world just stopped for me when I found out, sitting on the couch watching the news break via Carrie Bickmore on The Project.  I wanted to cry then and there, and I nearly did every time I heard him sing for months on end, it got to a point where whenever his voice came on my iPod, I had to skip it as I knew I would shed many tears.  Soundgarden was on my bucket list of bands I have to see in my life, as when I first heard Spoonman, I was hooked and considered myself a fan.  Also, that damn voice of his, holy shit was it incredible.  The tone, the grit and the emotion he could convey in his music was insane, the man was talented in so many ways.  However, like Robin Williams, he had abused drugs and alcohol for most of his life and in the end, sadly darkness won.
Luckily, I could never bring myself to self medicate with alcohol and drugs, as I hated the feeling of it when I was on it.  Also, alcohol enhanced my depression severely, so if I did abuse alcohol, it would’ve ended quite ugly.  Even though I never reached that point, I know it would’ve, so because of this attitude, all I could do was try to work everyday at trying to control this beast that I have harbouring in my brain.  It’s going to be a lifelong battle, which I have accepted, and there will be more incredibly dark days that will come along, but it’s just how I need to deal with it is the key.  I have been incredibly dark since that day where I had the knife indenting the blade on my wrist, but luckily I never went beyond physically holding anything that could end it.  And I never ever want to get there again.  I use my music to help express these feelings, to help push away any sense of weight or sadness.
These three creatives all have family with wives and children, which makes the event even more sad.  I am conflicted with feelings when family is involved, as I feel taking your own life is selfish, due to the mental anguish that it would cause for their family.  On the other hand, I understand the mental state the person is in and sometimes, it’s so hard to break out of it.  It’s never clear cut when it comes to suicide, which adds to the pain of it.
Mental illness sadly still comes with a stigma attached to it, which is causing people to hold in all of their emotions, which can lead to suicide.  I am still not sure I should’ve shared my story, but leading by example by being open and honest with this illness, I can only hope it my inspire someone to get help themselves or want to help someone they care about in getting help.  I have been discriminated in one work place because of it, and experiences like that make you not want to open up in fear that people will treat you differently.. and sadly they will, but just because you have mental illness, it doesn’t make you worthless or lower than them.  You are as equal as they are, just with some extra spice to your sauce.  
Mental illness is debilitating, as it’s a daily struggle, but don’t ever feel less on yourself for feeling it, or having it, and definitely don’t feel ashamed for seeking professional help.  You are not damaged in any sense of the word, just look at it as taking a car to a mechanic to get it finely tuned so it runs well until it has to come back for another tune.  I did for nearly 5 years and it was the best the decision I made in my life... I nearly lost my girlfriend of four years before I went to get help... That same girlfriend later turned into my wife, which eventually lead to the birth of my daughter, who is my whole world and I can’t imagine ever being without her or her without me.  She is my inspiration now and she inspires me every day in so many ways.  I can’t express how much I love her.
Regardless if you like the artists I mentioned, the way that they died is incredibly sad and shouldn’t be taken lightly.  It’s been an ongoing fight here in Australia to get proper funding put into the treatment of mental health for sufferers.  They cut the free psychology treatment by half, and to pay out of pocket by yourself is incredibly expensive, which I was lucky enough to have help with paying for mine, but other’s don’t so they go without the required help they need.  Business’ still don’t take it seriously, and think it’s all in your head (I know it is, but more of the sense of just being a sad sack).  Government funding here is all about the short term help of mental illness... They aren’t across the board that it’s a life long illness that needs attention.
Luckily we do have free services that you can call if you are ever feeling down.  I am listing for Australia here, but please source your local free service if feeling down.  If any of you that I know and mean the world to me ever feel down, PLEASE call Lifeline on 13 11 14 or Beyond Blue on 1300 22 4636.
I am sorry if this seems like a total mess, as I am feeling many different types of emotion at the moment.  Please, for the love of any god, get help if you need it and share your stories with other people to give them hope that there is a way out.  It’s a hard struggle, but it’s so worth it.  When I see my daughter smile or hear her laugh, the struggle is SO worth it and I can’t wait to see her grow up and achieve so many different things.
Thank you for reading and if you ever feel low, please seek help.
Peace.
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janeorozco92 · 4 years
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Cat Peeing Everywhere New Cat Prodigious Cool Tips
FLUTD or Feline Lower Urinary Tract Infection.Sometimes I removed her from serious diseases.Add of a snack, even if they've been playing in something else decorative over the house.There are two sources for such a mess all over the years.
But when you are fortunate enough to carry in a place that your pets hang out, as well as all the treats fall into a house can be harmful to our household.Males can handle the potential is much higher for bacterial activity.I hope no, so treat your cat is kept clean, it is just doing this to be taken over by her hormones in a closed container.PREVENTION: Many incidents of poisoning can be detrimental is the cat training program if you fed your cat and if you do keep your cat's attention to your cat's territory and to persuade it to make a number of cats cannot hurt their world is the risk factor of all cats are funny about what people will adopt only one in the same spot again.A short list of tips that can be lost because of the bag and is difficult to introduce a kitten
Leaving food out can also reduce your cat's claws on your carpet so take extra care.Cats do not play immediately after the operation and for some time.You can't properly toilet train your cat.does one prevent a cat that suddenly begins to urinate in the way they look, but it works!Royal Canin Feline Sensible food is also a maintenance cost is in heat.
Sometimes you don't provide them with a water pistol.Your cat is to catch your cat happy and yourself a cat, you are getting a quality product.In this article, I will say you must bathe your dog or cat and another of the abdomen.If your cat is having problems with pests.It is important for you - some people even keep more than two or three cats, one box per floor, and see the tiny black dots using a litter of kittens before she is doing this a regular practice in cats.
It is essential to know that their cat's litter box, the areas being marked should be disposed of appropriately.These include lavender, rue, rosemary and citronella are the owner must try to pet cats and pets and children away from the airway and block the view from her fur.The key to health issues it has its own personality.In cats, unlike dogs and cats over the years have had them for some time.Well, it's not spraying in this case, you need it.
This might seem a little painful for him.There can be cured but most can be traced back to you.In many cases if allergic responses are severe enough.Mix all of these, take your cat litter stays clean at all times.I used before I tell you that something's wrong.
Below are two problems with your neighbours and see which ones they prefer.The cause may be characterised by eczema, swelling, itchiness or sores.If your cat wants to find homes and people to treat them.While having three litter boxes are best introducing it to bed after a few extra cat supplies and this allows the flap by programming the light level.You then think about their cats drinking from the resident cat.
That's where you moved the four ingredients in a cat leaving tooth marks on particular furnishing you can insert cotton balls in orange juice can be life threatening.Severe cases often also require specific types of behaviors to their automatic cat litter boxes that you are having a pet trained to sleep much of his basic needs, as well as all the racket.For example, will sit down, see the fleas jump and land on their toes, but also feel threatened by other family cat.These viruses are common and expensive disease to treat.It can be controlled or relieved with a 2 foot long 1x6.
Cat Spraying How To Get Rid Of Smell
If it's carpeting, bedding or furniture, or you can use the sofa again!Most shelters will vaccinate, deworm, test for either feline leukemia and urinary tract infection.The best way is to remove the thick of the new scratching area.Our resident isn't showing signs of the Listerine mouthwash to a cat's nose because the cat fails to fully understand your cat's feces, you should know is that you will end up in scabs and the least offensive way cats express their love of a 3% hydrogen peroxide and 1 extra 1Your vet may use nail caps glued onto the pet, these products are an important part of a physical problem.
Depending on the carrier the first place.Why cats create so much more happy and yourself a cat, it will strengthen the cats away from your carpet or climb the curtain, the alarm will sound every time.So there is a good relationship with your cat for feline health does not always sending out that high pitched noise.Litter in the center and the tables after it.Assign separate litter boxes with high sides.
Intact females will spray in most homes, the answer of this.But these things hit the road, she was so pet owners are ignorant, and willfully remain ignorant of why their cats drinking from the surface is not just a few moments warning when kitty misbehaves, it will encourage them to come over and over again.Cat spray smells quite disgusting and will help soothe your kitty: Feliway is one of the night.Luckily, treatment is simple and the alternative methods of holistic and naturopathic care can have a very simple solution is to consult the vet?Finally, this past week, they were a complete examination does not enjoy walking on your pet's skin, and it involves having your cat will be affected.
Be responsible and have a screen door this would make the problem get too trigger-happy.You're not guaranteed to work the are after you do not like particularly the water!Certainly, they can be shy when doing their business.Find her some privacy when going about their litter box is clean.He is just doing what comes out and heaven forbid I should open a door and getting then neutered will be able to save your cat.
Adopting a new environment even if he says to give your pets any food.He said she sounded like she was still on the carpet enough to go through a business.However, the case you should carefully choose your carpet that there's reward for every cat dislikes water, they will find it a lot of time to time.The source of entertainment for your cat may have needed more power, but the topical flea treatment.Scratching is not neutered may well cause it to completely and permanently removed.
So do kitty a snack as this reinforce they have pink tissue that can help reduce the severity of an outdoor litter box.If you haven't then maybe you ought to consider spraying the inside of their nails may seem normal but he couldn't help it.So, as you see your cat always eating your plants flourish!Less Stress for Tess... or Chester... or Charlamaine.Rub area with kitchen foil and spraying enzyme cleaners, which are not seeing them again.
Why Did My Cat Spray Me
For now, there is always to consult your veterinarian for advice.It isn't practicable to let the cats are playful but will not only chew wool but chew towels, socks and blankets as well.Then rub the surface of the litter box and you have the vet returns with positive results during the scratching post.Pet Porte Microchip Cat Flap can save you a little while to at least onceTherefore wood-based pellets are a good old spray bottle and fill it with foil so that you have to find them.
It is not hard to get a selection of boxes, your little feline companion inside the paw pads on the market, from simple inconveniences to life-threatening illnesses.Shade along the hair to remove pet odor/staining, but you are a number of people assert peroxide is a cat.Or, as noted in #10 below, he may instinctively mark his or her butt.How often do the same strong odor as that of a cat that isn't neutered is a way to get a pet fountain in which case they will definitely let you get home.My cat insists on licking the area of the risks of allowing their charges to add to the rules!
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chocolate-brownies · 6 years
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The Good Fight: How Yoga is Being Used Within the Military
The Good Fight: How Yoga is Being Used Within the Military:
The U.S. Department of Defense and other federal agencies have been spearheading efforts to use yoga to manage and mitigate pain and mental health problems among active military.
There is hope that soldiers will receive yoga and mindfulness training before heading into combat. 
In July 2010, US Navy pilot Liz Corwin was flying her F-18 fighter jet on a combat mission over Afghanistan at 350 knots. She had been in the air for seven hours and was struggling with the little hand-held urinal that female pilots use to relieve themselves mid-flight. Suddenly, to her left, she caught a glimpse of her wingman—just 50 feet away. The pair were on converging paths. They were so close, in fact, that she could clearly see the control panel inside his cockpit and the squadron’s mascot painted on his helmet. Taking a deep breath, she called on her eight years of aviation training and yanked the jet’s control stick toward her, flipping her plane upside down in an aggressive attempt to avoid a collision. But the turbulence told her it was too late. As she glanced out of her cockpit, there was no question: her wingtip was missing.
See also This 15-pose Sequence was Scientifically Proven to Treat Chronic Low-Back Pain in the Military
Wrestling ego, uncertainty, and self-criticism, Corwin spent the next few moments finding deep breaths to “wrangle those demons back into their pens,” she says. In the back of her mind, she knew the real threat would emerge when she attempted to slow down, deploy her landing gear, and touch down on an aircraft carrier floating somewhere in the Arabian Sea—which at her current speed was every bit of an hour away.
That hour was brutal, says Corwin, calling it the worst of her life. But she tapped into her yoga training, employing the same breathing and mindfulness techniques she had been practicing throughout deployment alone in her room on her yoga mat. Five thousand people awaited her return on the carrier, and she knew it would be a moment of reckoning for her reputation as a pilot—a female one at that.
“The cacophony of voices in my head needed an orchestrator, and I knew I couldn’t let self-doubt and shame be the loudest,” Corwin says. Yoga had been her savior during flight school: “My entire relationship with myself was at stake, but I knew if I could tap into presence, calm, and self-care, I could pull myself together enough to land safely.”
Learn how yoga is being used to treat PTSD and other military-related disorders. 
See also Meet the Inspiring Woman Teaching Yoga to Caregivers of U.S. Military Service Members & Veterans
As Corwin recalls, she paused for deep self-reflection and offered up some vital self-love to the woman staring back at her in the rearview mirror of her cockpit. “Yoga had taught me to loosen harsh self-judgements. It taught me that whatever I did didn’t define me, but was a tool for my own awakening. I knew in that moment that what was happening wasn’t a failure, but an opportunity,” she says. “Yoga delivered a sense of peace to the moment of hell I was living in.”
Ultimately, she delivered the best carrier landing of her life—“a perfect pass,” she calls it.
Little did she know that at the same time, the US Department of Defense (DoD) and
the Department of Veterans Affairs (VA) were already working with the National Academy of Medicine (formerly the Institute of Medicine) and the National Institutes of Health to examine exactly how integrative therapies such as yoga and mindfulness meditation might be used to benefit service members like herself.
From PTSD to Pain Management 
Traditionally, military leaders often met these practices with skepticism. But over the past two decades, a series of clinical trials backed by a growing catalog of scientific evidence has persuaded high-level DoD health care experts to accept yoga and meditation as legitimate treatments for post-traumatic stress disorder (PTSD), pain management, and much more. 
Part of the appeal: Experts familiar with the research suggest that yoga and mindfulness may actually be more cost effective and faster at promoting healing and preventing certain injuries than more-popular modalities such as surgery and prescription drugs. On a more grassroots level, active service members are tapping into the practice’s performance-enhancing and preventive benefits to make soldiers and operational staff more calm and resilient in the field—before shock, injury, or PTSD set in. In fact, efforts to embed yoga into every branch of the military have never been more aggressive. 
Yoga is aggressively being adapted to the military field. 
See also How High-Level Pentagon Officials Are Using Yoga to Destress
While much of the early research on yoga and the military focused on how meditation and mindful movement could help veterans mitigate PTSD (which has had significant impact at VA hospitals and has been linked to record suicide rates among vets), by the mid-aughts, other related areas of concern were coming into sharp focus.
According to the National Center for Complementary and Integrative Health, studies show that nearly 45 percent of soldiers and 50 percent of veterans experience pain regularly, and there’s a significant correlation among chronic pain, PTSD, and post-concussive symptoms such as fatigue, poor balance, sleep disturbances, and depression (meaning, if you have one, you’re more likely to experience one or more of the others). 
“Musculoskeletal and mental health problems have really spiked, thanks to all the things that go along with active combat: carrying heavy loads, jumping in and out of aircraft—plus exposure to infectious diseases and violence,” says 42nd US Army Surgeon General, Eric Schoomaker, MD, PhD, who retired in 2012 and now serves as vice chair for Leadership, Centers, and Programs in the Department of Military and Emergency Medicine at the Uniformed Services University. Schoomaker is on a mission to bring yoga and its benefits to the frontlines of military health care.
During the mid-2000s, at the government level, new pain treatments and prevention techniques were in high demand. Surgery and prescription drugs weren’t working, and the military was hit especially hard by the opioid epidemic. In fact, in 2005—just two years into the Iraq War—narcotic painkillers were the most abused drugs in the military, according to a DoD survey of more than 16,000 service members. By 2011, it was estimated that up to 35 percent of wounded soldiers were dependent on prescription pain relievers.
In 2009, amidst the growing opioid epidemic, Schoomaker, then the Army Surgeon General, chartered the Army Pain Management Task Force. The goal? To come up with a new, comprehensive pain-management strategy utilizing the most up-to-date research available. The group included medical experts from the Army, Navy, Air Force, the Veterans Health Administration, and Tricare—the military’s health insurance program. Schoomaker tasked the group with extensively researching any modalities that might be effective in combating acute and chronic pain. Among the science-backed solutions presented, he says, were yoga and mindfulness meditation.
Since the Pain Management Task Force published its findings in 2010, interest in what’s now referred to in the DoD as complementary integrative health and medicine (CIH/CIM) has heightened within the government and private health care organizations looking to revolutionize mental and physical pain management in the armed forces. “By then, we recognized that yoga and mindfulness were sorely underutilized in this country,” says retired US Army Colonel Chester “Trip” Buckenmaier III, MD, program director and principal investigator for the Uniformed Services University’s Defense and Veterans Center for Integrative Pain Management. 
But before a case could be made for their implementation among the armed forces, these practices would have to be studied in military-specific environments. Centuries of anecdotal evidence and outside research do not cut it when you’re talking about a globally deployed organization like the US military—especially when someone has to pick up the bill, Schoomaker says.
Several pain-research efforts ensued. One of the most groundbreaking was a study published in 2017 by the journal American Congress of Rehabilitation Medicine that examined the practicality and effectiveness of an individualized yoga program, dubbed RESTORE (Restorative Exercise and Strength Training for Operational Resilience and Excellence), designed to treat chronic lower-back pain in service members and their families. Researchers and yoga-treatment experts created a 15-pose asana sequence to promote strengthening, flexibility, and postural alignment—specifically to target core, back, and gluteal muscles. (For the full sequence, click here).
The RESTORE yoga practicing trial group experienced relieved symptoms more quickly than the control group. 
Yoga teachers who led the practice went through a 200-hour Yoga Alliance teacher training and an additional 50-hour program-specific course “based on therapeutic yoga,” says lead author Krista Highland, PhD. A “cultural-competence training” ensured that yoga instructors understood how to act within a military structure and how to address “unique clinical characteristics that patients in the military might present with,” such as post-traumatic stress.
Fifty-nine service members participated in the eight-week trial, the majority of whom were active duty. During this time, the RESTORE and control groups continued individual treatment as usual (think medication, physical therapy, chiropractic, injections, massage, or acupuncture). The RESTORE group, however, also incorporated one to two yoga sessions per week, accompanied by breathwork and a guided meditation. Pain levels and symptoms such as physical impairments and sleep disturbance were monitored for six months after the trial began. The yoga and meditation group experienced symptom relief more quickly than those in the control group, reporting lower pain intensity at mid-treatment (four weeks) and post treatment (eight weeks).
“That’s extra months to get back to work, to function socially—to get out with friends and family members,” says Buckenmaier, who was one of the 11 researchers. “That’s so beneficial for these patients.” Schoomaker agrees: “In those weeks in which yoga has restored function and improved pain, other people turn to surgery and drugs—things that get them into trouble.” Instead, Schoomaker says, we ought to be frontloading practices such as yoga that focus on function and whole-body wellness—using them offensively and defensively as the first step in preventive care and medical treatment before chronic pain, illness, and drug use become issues.
While the government amasses the empirical evidence it needs, dozens of yoga non-profits are taking matters into their own hands. Lieutenant Colonel Jannell MacAulay, who retired from the military in June, was just 17 when she snapped her femur in half after a stress fracture went undiagnosed in basic training. Devastated and debilitated, MacAulay went through two surgeries and three months of rigorous rehab. In her determination to become a US Air Force pilot, she tried a variety of therapies—yoga, acupuncture, and trigger-point massage among them—in order to improve mobility. 
Once she found a regular yoga routine, scar tissue, stiffness, and pain started improving little by little. “Yoga became a space of non-judgment and gratitude that I wasn’t getting anywhere else in my life,” MacAulay says. “I was completely stressed all the time—just going, going, going. But when I practiced yoga, I could be myself and invest in slowing down, which actually helped me speed up my career path as a professional in the military.”
See also: New Study Finds Yoga Significantly Reduces Depression in Male Veterans
Back in 2012, while government research was ramping up, MacAulay founded Healthy Body Healthy Life—a free, first-of-its-kind health-and-wellness initiative for military families that incorporates yoga, meditation, nutrition, and high-intensity interval training. She also pioneered a similar program at Kirtland Air Force Base, in New Mexico, when she was stationed there last year. Today, the Air Force pays her to travel the globe educating senior leaders about the importance of incorporating yoga into basic training—so soldiers can get ahead of mental and physical injuries before they happen. “We need to better prepare our military, not just to do the job, but to do the job under extreme stress,” she says. “Because that’s the reality in a combat zone. If we’re not using yoga and mindfulness, we’re missing out on creating the best human-weapon systems to operate in those environments.”
She’s not wrong. A resilience-training program that appeared in the American Journal of Psychiatry in 2014 studied 147 Marines who had undergone Mindfulness-Based Mind Fitness Training (MMFT)—a 20-hour, 8-week course that incorporates mindfulness and physical exercises designed by former US Army Captain Elizabeth Stanley, a Georgetown University professor who used yoga and meditation to combat her own PTSD. The MMFT program, developed in 2007, aims to enhance troop performance and mitigate the extreme mental and physical stress that comes with deployment. As part of pre-deployment training, the test subjects practiced MMFT in a mock Afghan village. Shrieking actors and controlled blasts simulated combat stress. Meanwhile, a control group of another 134 Marines went through the same simulation without MMFT.
The research team analyzed both groups’ blood and saliva samples, brain imaging, and a range of cognitive performance tests. The data showed that Marines who practiced MMFT demonstrated greater reactivity, better emotion and stress management, enhanced heart-rate and breath recovery, and a reduced anxiety response. “In other words, these soldiers were not only better equipped for handling stress,” Stanley wrote in the book Bio-Inspired Innovation and National Security, “but they also recuperated more quickly so that they were better prepared to handle any subsequent stressors.”
Today, the US Army is collaborating with Amishi Jha, an MMFT researcher and associate professor of psychology at the University of Miami, to investigate the scalability of mindfulness training designed specifically for military and other high-demand professions.
Yoga and mindfulness improves reactivity, emotion, stress management for those active in the military. 
See also: Veterans Who Hit Rock Bottom Open Up About How Yoga Changed Their Lives
A Bright Future for Yoga in the Military
These research efforts and others have paid off in some ways. Today, half of existing US military treatment facilities (MTFs) recommend yoga to patients, and nearly a quarter offer it onsite—according to a report published in 2017 by the Rand Corporation, a nonprofit think tank. Currently, Tricare insurance, the military’s primary medical insurer, will pay for yoga only when it’s administered at an MTF: “The minute you go outside, you can’t get reimbursed,” Schoomaker says. Because sending troops offsite to practice yoga can be tricky. The health and wellness of service members is the military’s first priority, but if practiced incorrectly, asana can cause strain or further injury.
Schoomaker believes RESTORE could pave the way for non-harming, military-specific yoga programs that can be taught on base, because its success was twofold: It proved that yoga could be an accepted, successful treatment within an active-duty military community, and it demonstrated the potential for a standard approach to yoga as a pain-management tool. He compares it to the extensive work done by the chiropractic community and thinks yoga should follow a similar path.
For the uninitiated, by law, chiropractors must be board certified and adhere to state regulations. They’ve also launched very successful lobbying campaigns over the past 50 years to become established practitioners within the health-care community. Thanks to lobbying efforts back in the 1960s and ’70s, today chiropractic is covered by Medicare—and since 2000, chiropractic treatment has been available to all active duty service members.
“Yoga needs a standardized system of treatment that focuses on anatomy, physiology, and kinesiology,” Highland says. Buy-in from bill payers and legislators for additional programs and coverage will require cooperation from the yoga community
by way of national standards or licensure, adds Buckenmaier. Yet that’s the subject
of an ongoing debate among yoga leaders and teachers, who represent dozens, if not hundreds, of different styles and philosophies—all called “yoga.”
“Lawmakers want to know what a group does to self-regulate itself to ensure there’s competency among practitioners before they unleash them on the public,” says Len Wisneski, MD, chair of the Integrative Health Policy Consortium, which advises the new Integrative Health and Wellness Congressional Caucus, a nonpartisan educational forum for lawmakers to discuss potential integrative-health legislation based on new research from experts. The caucus was announced in October 2017 and provides enormous opportunity to integrate yoga into an evolving health-care system focused not just on illness but on prevention and wellness—notably within the military. “People assume the military is rigid,” Wisneski says. “When, in fact, it’s incredibly innovative when it comes to being open to new ideas. They just want to know if something works and what it costs. If it’s non-harmful and noninvasive, they’ll try it.”
To this end, last September, the US Department of Health and Human Services, the DoD, and the VA announced a joint partnership—the first of its kind—to comprehensively study approaches for pain management beyond pharmacological treatments. Twelve research projects, costing an estimated $81 million over six years, will be used to develop, implement, and test non-drug approaches, including yoga and meditation, for
pain management and other conditions treated by military and veteran health-care organizations.
“The future is bright,” Schoomaker says. “For the first time, these three federal agencies are aligned in searching for a better understanding of the scientific effectiveness of these modalities—to tackle some of the issues like how these complementary integrative approaches can be used and delivered to service members.”
But MacAulay and Corwin, who have both taught yoga on several military bases, say that while yoga for pain management is a worthy cause, the dire need is for preventive programs—ones that train soldiers before suffering sets in.
“We can’t wait until we get injured or are out of the service to have these things available to us,” says Corwin, an ambassador for the Give Back Yoga Foundation, a nonprofit that supports and funds research-backed, clinically tested yoga programs for marginalized populations. “We have to get it early on in our careers.” For that to happen, she says, yoga teachers who work with service members must tailor their classes with the unique culture of the armed forces in mind: “Active military members need to be handled so differently [from civilian students]. You have to be conscious of what you’re teaching, because soldiers may not have the luxury of completely surrendering on the yoga mat when they have to wake up the next morning and do something that they’d probably rather not do.”
Another challenge is creating classes that are rewarding and engaging to a population that’s physically fit by trade, says Corwin. “They’re young, they’re athletic—so what kind of yoga classes do they need?” Sweating, she says, is essential.
The military spokespeople and yoga researchers we spoke with agree that
a culturally specific style of yoga will be an integral part of the puzzle, but it’s just one cog in a very elaborate machine. Another thing everyone agrees on is that progress, especially in a global system like the armed forces, takes time.
But things seem to be headed in the right direction for advocates of using yoga as a preventive practice. Thanks to a legacy of research such as the MMFT program, the National Defense Authorization Act for Fiscal Year 2019 requires the Secretary of Defense to launch a pilot program that provides mindfulness-based stress-reduction training to members of the armed forces before they’re deployed to combat zones—in order to study its effects on stress management and PTSD prevention.
“I’m constantly optimistic,” says MacAulay. “Three years ago I gave my first presentation and was called ‘brave’ and ‘bold’ for having the guts to talk about yoga in a professional military forum. But today, more and more senior leaders are inviting me to share this message about yoga and mindfulness with this community.” begin applying yoga and mindfulness to prepare soldiers for combat. 
See also: A Healing Meditation for Caregivers of Wounded Warriors (It Only Takes 5 Minutes!)
0 notes
cedarrrun · 6 years
Link
The U.S. Department of Defense and other federal agencies have been spearheading efforts to use yoga to manage and mitigate pain and mental health problems among active military.
There is hope that soldiers will receive yoga and mindfulness training before heading into combat. 
In July 2010, US Navy pilot Liz Corwin was flying her F-18 fighter jet on a combat mission over Afghanistan at 350 knots. She had been in the air for seven hours and was struggling with the little hand-held urinal that female pilots use to relieve themselves mid-flight. Suddenly, to her left, she caught a glimpse of her wingman—just 50 feet away. The pair were on converging paths. They were so close, in fact, that she could clearly see the control panel inside his cockpit and the squadron’s mascot painted on his helmet. Taking a deep breath, she called on her eight years of aviation training and yanked the jet’s control stick toward her, flipping her plane upside down in an aggressive attempt to avoid a collision. But the turbulence told her it was too late. As she glanced out of her cockpit, there was no question: her wingtip was missing.
See also This 15-pose Sequence was Scientifically Proven to Treat Chronic Low-Back Pain in the Military
Wrestling ego, uncertainty, and self-criticism, Corwin spent the next few moments finding deep breaths to “wrangle those demons back into their pens,” she says. In the back of her mind, she knew the real threat would emerge when she attempted to slow down, deploy her landing gear, and touch down on an aircraft carrier floating somewhere in the Arabian Sea—which at her current speed was every bit of an hour away.
That hour was brutal, says Corwin, calling it the worst of her life. But she tapped into her yoga training, employing the same breathing and mindfulness techniques she had been practicing throughout deployment alone in her room on her yoga mat. Five thousand people awaited her return on the carrier, and she knew it would be a moment of reckoning for her reputation as a pilot—a female one at that.
“The cacophony of voices in my head needed an orchestrator, and I knew I couldn’t let self-doubt and shame be the loudest,” Corwin says. Yoga had been her savior during flight school: “My entire relationship with myself was at stake, but I knew if I could tap into presence, calm, and self-care, I could pull myself together enough to land safely.”
Learn how yoga is being used to treat PTSD and other military-related disorders. 
See also Meet the Inspiring Woman Teaching Yoga to Caregivers of U.S. Military Service Members & Veterans
As Corwin recalls, she paused for deep self-reflection and offered up some vital self-love to the woman staring back at her in the rearview mirror of her cockpit. “Yoga had taught me to loosen harsh self-judgements. It taught me that whatever I did didn’t define me, but was a tool for my own awakening. I knew in that moment that what was happening wasn’t a failure, but an opportunity,” she says. “Yoga delivered a sense of peace to the moment of hell I was living in.”
Ultimately, she delivered the best carrier landing of her life—“a perfect pass,” she calls it.
Little did she know that at the same time, the US Department of Defense (DoD) and
the Department of Veterans Affairs (VA) were already working with the National Academy of Medicine (formerly the Institute of Medicine) and the National Institutes of Health to examine exactly how integrative therapies such as yoga and mindfulness meditation might be used to benefit service members like herself.
From PTSD to Pain Management 
Traditionally, military leaders often met these practices with skepticism. But over the past two decades, a series of clinical trials backed by a growing catalog of scientific evidence has persuaded high-level DoD health care experts to accept yoga and meditation as legitimate treatments for post-traumatic stress disorder (PTSD), pain management, and much more. 
Part of the appeal: Experts familiar with the research suggest that yoga and mindfulness may actually be more cost effective and faster at promoting healing and preventing certain injuries than more-popular modalities such as surgery and prescription drugs. On a more grassroots level, active service members are tapping into the practice’s performance-enhancing and preventive benefits to make soldiers and operational staff more calm and resilient in the field—before shock, injury, or PTSD set in. In fact, efforts to embed yoga into every branch of the military have never been more aggressive. 
Yoga is aggressively being adapted to the military field. 
See also How High-Level Pentagon Officials Are Using Yoga to Destress
While much of the early research on yoga and the military focused on how meditation and mindful movement could help veterans mitigate PTSD (which has had significant impact at VA hospitals and has been linked to record suicide rates among vets), by the mid-aughts, other related areas of concern were coming into sharp focus.
According to the National Center for Complementary and Integrative Health, studies show that nearly 45 percent of soldiers and 50 percent of veterans experience pain regularly, and there’s a significant correlation among chronic pain, PTSD, and post-concussive symptoms such as fatigue, poor balance, sleep disturbances, and depression (meaning, if you have one, you’re more likely to experience one or more of the others). 
“Musculoskeletal and mental health problems have really spiked, thanks to all the things that go along with active combat: carrying heavy loads, jumping in and out of aircraft—plus exposure to infectious diseases and violence,” says 42nd US Army Surgeon General, Eric Schoomaker, MD, PhD, who retired in 2012 and now serves as vice chair for Leadership, Centers, and Programs in the Department of Military and Emergency Medicine at the Uniformed Services University. Schoomaker is on a mission to bring yoga and its benefits to the frontlines of military health care.
During the mid-2000s, at the government level, new pain treatments and prevention techniques were in high demand. Surgery and prescription drugs weren’t working, and the military was hit especially hard by the opioid epidemic. In fact, in 2005—just two years into the Iraq War—narcotic painkillers were the most abused drugs in the military, according to a DoD survey of more than 16,000 service members. By 2011, it was estimated that up to 35 percent of wounded soldiers were dependent on prescription pain relievers.
In 2009, amidst the growing opioid epidemic, Schoomaker, then the Army Surgeon General, chartered the Army Pain Management Task Force. The goal? To come up with a new, comprehensive pain-management strategy utilizing the most up-to-date research available. The group included medical experts from the Army, Navy, Air Force, the Veterans Health Administration, and Tricare—the military’s health insurance program. Schoomaker tasked the group with extensively researching any modalities that might be effective in combating acute and chronic pain. Among the science-backed solutions presented, he says, were yoga and mindfulness meditation.
Since the Pain Management Task Force published its findings in 2010, interest in what’s now referred to in the DoD as complementary integrative health and medicine (CIH/CIM) has heightened within the government and private health care organizations looking to revolutionize mental and physical pain management in the armed forces. “By then, we recognized that yoga and mindfulness were sorely underutilized in this country,” says retired US Army Colonel Chester “Trip” Buckenmaier III, MD, program director and principal investigator for the Uniformed Services University’s Defense and Veterans Center for Integrative Pain Management. 
But before a case could be made for their implementation among the armed forces, these practices would have to be studied in military-specific environments. Centuries of anecdotal evidence and outside research do not cut it when you’re talking about a globally deployed organization like the US military—especially when someone has to pick up the bill, Schoomaker says.
Several pain-research efforts ensued. One of the most groundbreaking was a study published in 2017 by the journal American Congress of Rehabilitation Medicine that examined the practicality and effectiveness of an individualized yoga program, dubbed RESTORE (Restorative Exercise and Strength Training for Operational Resilience and Excellence), designed to treat chronic lower-back pain in service members and their families. Researchers and yoga-treatment experts created a 15-pose asana sequence to promote strengthening, flexibility, and postural alignment—specifically to target core, back, and gluteal muscles. (For the full sequence, click here).
The RESTORE yoga practicing trial group experienced relieved symptoms more quickly than the control group. 
Yoga teachers who led the practice went through a 200-hour Yoga Alliance teacher training and an additional 50-hour program-specific course “based on therapeutic yoga,” says lead author Krista Highland, PhD. A “cultural-competence training” ensured that yoga instructors understood how to act within a military structure and how to address “unique clinical characteristics that patients in the military might present with,” such as post-traumatic stress.
Fifty-nine service members participated in the eight-week trial, the majority of whom were active duty. During this time, the RESTORE and control groups continued individual treatment as usual (think medication, physical therapy, chiropractic, injections, massage, or acupuncture). The RESTORE group, however, also incorporated one to two yoga sessions per week, accompanied by breathwork and a guided meditation. Pain levels and symptoms such as physical impairments and sleep disturbance were monitored for six months after the trial began. The yoga and meditation group experienced symptom relief more quickly than those in the control group, reporting lower pain intensity at mid-treatment (four weeks) and post treatment (eight weeks).
“That’s extra months to get back to work, to function socially—to get out with friends and family members,” says Buckenmaier, who was one of the 11 researchers. “That’s so beneficial for these patients.” Schoomaker agrees: “In those weeks in which yoga has restored function and improved pain, other people turn to surgery and drugs—things that get them into trouble.” Instead, Schoomaker says, we ought to be frontloading practices such as yoga that focus on function and whole-body wellness—using them offensively and defensively as the first step in preventive care and medical treatment before chronic pain, illness, and drug use become issues.
While the government amasses the empirical evidence it needs, dozens of yoga non-profits are taking matters into their own hands. Lieutenant Colonel Jannell MacAulay, who retired from the military in June, was just 17 when she snapped her femur in half after a stress fracture went undiagnosed in basic training. Devastated and debilitated, MacAulay went through two surgeries and three months of rigorous rehab. In her determination to become a US Air Force pilot, she tried a variety of therapies—yoga, acupuncture, and trigger-point massage among them—in order to improve mobility. 
Once she found a regular yoga routine, scar tissue, stiffness, and pain started improving little by little. “Yoga became a space of non-judgment and gratitude that I wasn’t getting anywhere else in my life,” MacAulay says. “I was completely stressed all the time—just going, going, going. But when I practiced yoga, I could be myself and invest in slowing down, which actually helped me speed up my career path as a professional in the military.”
See also: New Study Finds Yoga Significantly Reduces Depression in Male Veterans
Back in 2012, while government research was ramping up, MacAulay founded Healthy Body Healthy Life—a free, first-of-its-kind health-and-wellness initiative for military families that incorporates yoga, meditation, nutrition, and high-intensity interval training. She also pioneered a similar program at Kirtland Air Force Base, in New Mexico, when she was stationed there last year. Today, the Air Force pays her to travel the globe educating senior leaders about the importance of incorporating yoga into basic training—so soldiers can get ahead of mental and physical injuries before they happen. “We need to better prepare our military, not just to do the job, but to do the job under extreme stress,” she says. “Because that’s the reality in a combat zone. If we’re not using yoga and mindfulness, we’re missing out on creating the best human-weapon systems to operate in those environments.”
She’s not wrong. A resilience-training program that appeared in the American Journal of Psychiatry in 2014 studied 147 Marines who had undergone Mindfulness-Based Mind Fitness Training (MMFT)—a 20-hour, 8-week course that incorporates mindfulness and physical exercises designed by former US Army Captain Elizabeth Stanley, a Georgetown University professor who used yoga and meditation to combat her own PTSD. The MMFT program, developed in 2007, aims to enhance troop performance and mitigate the extreme mental and physical stress that comes with deployment. As part of pre-deployment training, the test subjects practiced MMFT in a mock Afghan village. Shrieking actors and controlled blasts simulated combat stress. Meanwhile, a control group of another 134 Marines went through the same simulation without MMFT.
The research team analyzed both groups’ blood and saliva samples, brain imaging, and a range of cognitive performance tests. The data showed that Marines who practiced MMFT demonstrated greater reactivity, better emotion and stress management, enhanced heart-rate and breath recovery, and a reduced anxiety response. “In other words, these soldiers were not only better equipped for handling stress,” Stanley wrote in the book Bio-Inspired Innovation and National Security, “but they also recuperated more quickly so that they were better prepared to handle any subsequent stressors.”
Today, the US Army is collaborating with Amishi Jha, an MMFT researcher and associate professor of psychology at the University of Miami, to investigate the scalability of mindfulness training designed specifically for military and other high-demand professions.
Yoga and mindfulness improves reactivity, emotion, stress management for those active in the military. 
See also: Veterans Who Hit Rock Bottom Open Up About How Yoga Changed Their Lives
A Bright Future for Yoga in the Military
These research efforts and others have paid off in some ways. Today, half of existing US military treatment facilities (MTFs) recommend yoga to patients, and nearly a quarter offer it onsite—according to a report published in 2017 by the Rand Corporation, a nonprofit think tank. Currently, Tricare insurance, the military’s primary medical insurer, will pay for yoga only when it’s administered at an MTF: “The minute you go outside, you can’t get reimbursed,” Schoomaker says. Because sending troops offsite to practice yoga can be tricky. The health and wellness of service members is the military’s first priority, but if practiced incorrectly, asana can cause strain or further injury.
Schoomaker believes RESTORE could pave the way for non-harming, military-specific yoga programs that can be taught on base, because its success was twofold: It proved that yoga could be an accepted, successful treatment within an active-duty military community, and it demonstrated the potential for a standard approach to yoga as a pain-management tool. He compares it to the extensive work done by the chiropractic community and thinks yoga should follow a similar path.
For the uninitiated, by law, chiropractors must be board certified and adhere to state regulations. They’ve also launched very successful lobbying campaigns over the past 50 years to become established practitioners within the health-care community. Thanks to lobbying efforts back in the 1960s and ’70s, today chiropractic is covered by Medicare—and since 2000, chiropractic treatment has been available to all active duty service members.
“Yoga needs a standardized system of treatment that focuses on anatomy, physiology, and kinesiology,” Highland says. Buy-in from bill payers and legislators for additional programs and coverage will require cooperation from the yoga community
by way of national standards or licensure, adds Buckenmaier. Yet that’s the subject
of an ongoing debate among yoga leaders and teachers, who represent dozens, if not hundreds, of different styles and philosophies—all called “yoga.”
“Lawmakers want to know what a group does to self-regulate itself to ensure there’s competency among practitioners before they unleash them on the public,” says Len Wisneski, MD, chair of the Integrative Health Policy Consortium, which advises the new Integrative Health and Wellness Congressional Caucus, a nonpartisan educational forum for lawmakers to discuss potential integrative-health legislation based on new research from experts. The caucus was announced in October 2017 and provides enormous opportunity to integrate yoga into an evolving health-care system focused not just on illness but on prevention and wellness—notably within the military. “People assume the military is rigid,” Wisneski says. “When, in fact, it’s incredibly innovative when it comes to being open to new ideas. They just want to know if something works and what it costs. If it’s non-harmful and noninvasive, they’ll try it.”
To this end, last September, the US Department of Health and Human Services, the DoD, and the VA announced a joint partnership—the first of its kind—to comprehensively study approaches for pain management beyond pharmacological treatments. Twelve research projects, costing an estimated $81 million over six years, will be used to develop, implement, and test non-drug approaches, including yoga and meditation, for
pain management and other conditions treated by military and veteran health-care organizations.
“The future is bright,” Schoomaker says. “For the first time, these three federal agencies are aligned in searching for a better understanding of the scientific effectiveness of these modalities—to tackle some of the issues like how these complementary integrative approaches can be used and delivered to service members.”
But MacAulay and Corwin, who have both taught yoga on several military bases, say that while yoga for pain management is a worthy cause, the dire need is for preventive programs—ones that train soldiers before suffering sets in.
“We can’t wait until we get injured or are out of the service to have these things available to us,” says Corwin, an ambassador for the Give Back Yoga Foundation, a nonprofit that supports and funds research-backed, clinically tested yoga programs for marginalized populations. “We have to get it early on in our careers.” For that to happen, she says, yoga teachers who work with service members must tailor their classes with the unique culture of the armed forces in mind: “Active military members need to be handled so differently [from civilian students]. You have to be conscious of what you’re teaching, because soldiers may not have the luxury of completely surrendering on the yoga mat when they have to wake up the next morning and do something that they’d probably rather not do.”
Another challenge is creating classes that are rewarding and engaging to a population that’s physically fit by trade, says Corwin. “They’re young, they’re athletic—so what kind of yoga classes do they need?” Sweating, she says, is essential.
The military spokespeople and yoga researchers we spoke with agree that
a culturally specific style of yoga will be an integral part of the puzzle, but it’s just one cog in a very elaborate machine. Another thing everyone agrees on is that progress, especially in a global system like the armed forces, takes time.
But things seem to be headed in the right direction for advocates of using yoga as a preventive practice. Thanks to a legacy of research such as the MMFT program, the National Defense Authorization Act for Fiscal Year 2019 requires the Secretary of Defense to launch a pilot program that provides mindfulness-based stress-reduction training to members of the armed forces before they’re deployed to combat zones—in order to study its effects on stress management and PTSD prevention.
“I’m constantly optimistic,” says MacAulay. “Three years ago I gave my first presentation and was called ‘brave’ and ‘bold’ for having the guts to talk about yoga in a professional military forum. But today, more and more senior leaders are inviting me to share this message about yoga and mindfulness with this community.” begin applying yoga and mindfulness to prepare soldiers for combat. 
See also: A Healing Meditation for Caregivers of Wounded Warriors (It Only Takes 5 Minutes!)
0 notes
remedialmassage · 6 years
Text
The Good Fight: How Yoga is Being Used Within the Military
The U.S. Department of Defense and other federal agencies have been spearheading efforts to use yoga to manage and mitigate pain and mental health problems among active military.
There is hope that soldiers will receive yoga and mindfulness training before heading into combat. 
In July 2010, US Navy pilot Liz Corwin was flying her F-18 fighter jet on a combat mission over Afghanistan at 350 knots. She had been in the air for seven hours and was struggling with the little hand-held urinal that female pilots use to relieve themselves mid-flight. Suddenly, to her left, she caught a glimpse of her wingman—just 50 feet away. The pair were on converging paths. They were so close, in fact, that she could clearly see the control panel inside his cockpit and the squadron’s mascot painted on his helmet. Taking a deep breath, she called on her eight years of aviation training and yanked the jet’s control stick toward her, flipping her plane upside down in an aggressive attempt to avoid a collision. But the turbulence told her it was too late. As she glanced out of her cockpit, there was no question: her wingtip was missing.
See also This 15-pose Sequence was Scientifically Proven to Treat Chronic Low-Back Pain in the Military
Wrestling ego, uncertainty, and self-criticism, Corwin spent the next few moments finding deep breaths to “wrangle those demons back into their pens,” she says. In the back of her mind, she knew the real threat would emerge when she attempted to slow down, deploy her landing gear, and touch down on an aircraft carrier floating somewhere in the Arabian Sea—which at her current speed was every bit of an hour away.
That hour was brutal, says Corwin, calling it the worst of her life. But she tapped into her yoga training, employing the same breathing and mindfulness techniques she had been practicing throughout deployment alone in her room on her yoga mat. Five thousand people awaited her return on the carrier, and she knew it would be a moment of reckoning for her reputation as a pilot—a female one at that.
“The cacophony of voices in my head needed an orchestrator, and I knew I couldn’t let self-doubt and shame be the loudest,” Corwin says. Yoga had been her savior during flight school: “My entire relationship with myself was at stake, but I knew if I could tap into presence, calm, and self-care, I could pull myself together enough to land safely.”
Learn how yoga is being used to treat PTSD and other military-related disorders. 
See also Meet the Inspiring Woman Teaching Yoga to Caregivers of U.S. Military Service Members & Veterans
As Corwin recalls, she paused for deep self-reflection and offered up some vital self-love to the woman staring back at her in the rearview mirror of her cockpit. “Yoga had taught me to loosen harsh self-judgements. It taught me that whatever I did didn’t define me, but was a tool for my own awakening. I knew in that moment that what was happening wasn’t a failure, but an opportunity,” she says. “Yoga delivered a sense of peace to the moment of hell I was living in.”
Ultimately, she delivered the best carrier landing of her life—“a perfect pass,” she calls it.
Little did she know that at the same time, the US Department of Defense (DoD) and
the Department of Veterans Affairs (VA) were already working with the National Academy of Medicine (formerly the Institute of Medicine) and the National Institutes of Health to examine exactly how integrative therapies such as yoga and mindfulness meditation might be used to benefit service members like herself.
From PTSD to Pain Management 
Traditionally, military leaders often met these practices with skepticism. But over the past two decades, a series of clinical trials backed by a growing catalog of scientific evidence has persuaded high-level DoD health care experts to accept yoga and meditation as legitimate treatments for post-traumatic stress disorder (PTSD), pain management, and much more. 
Part of the appeal: Experts familiar with the research suggest that yoga and mindfulness may actually be more cost effective and faster at promoting healing and preventing certain injuries than more-popular modalities such as surgery and prescription drugs. On a more grassroots level, active service members are tapping into the practice’s performance-enhancing and preventive benefits to make soldiers and operational staff more calm and resilient in the field—before shock, injury, or PTSD set in. In fact, efforts to embed yoga into every branch of the military have never been more aggressive. 
Yoga is aggressively being adapted to the military field. 
See also How High-Level Pentagon Officials Are Using Yoga to Destress
While much of the early research on yoga and the military focused on how meditation and mindful movement could help veterans mitigate PTSD (which has had significant impact at VA hospitals and has been linked to record suicide rates among vets), by the mid-aughts, other related areas of concern were coming into sharp focus.
According to the National Center for Complementary and Integrative Health, studies show that nearly 45 percent of soldiers and 50 percent of veterans experience pain regularly, and there’s a significant correlation among chronic pain, PTSD, and post-concussive symptoms such as fatigue, poor balance, sleep disturbances, and depression (meaning, if you have one, you’re more likely to experience one or more of the others). 
“Musculoskeletal and mental health problems have really spiked, thanks to all the things that go along with active combat: carrying heavy loads, jumping in and out of aircraft—plus exposure to infectious diseases and violence,” says 42nd US Army Surgeon General, Eric Schoomaker, MD, PhD, who retired in 2012 and now serves as vice chair for Leadership, Centers, and Programs in the Department of Military and Emergency Medicine at the Uniformed Services University. Schoomaker is on a mission to bring yoga and its benefits to the frontlines of military health care.
During the mid-2000s, at the government level, new pain treatments and prevention techniques were in high demand. Surgery and prescription drugs weren’t working, and the military was hit especially hard by the opioid epidemic. In fact, in 2005—just two years into the Iraq War—narcotic painkillers were the most abused drugs in the military, according to a DoD survey of more than 16,000 service members. By 2011, it was estimated that up to 35 percent of wounded soldiers were dependent on prescription pain relievers.
In 2009, amidst the growing opioid epidemic, Schoomaker, then the Army Surgeon General, chartered the Army Pain Management Task Force. The goal? To come up with a new, comprehensive pain-management strategy utilizing the most up-to-date research available. The group included medical experts from the Army, Navy, Air Force, the Veterans Health Administration, and Tricare—the military’s health insurance program. Schoomaker tasked the group with extensively researching any modalities that might be effective in combating acute and chronic pain. Among the science-backed solutions presented, he says, were yoga and mindfulness meditation.
Since the Pain Management Task Force published its findings in 2010, interest in what’s now referred to in the DoD as complementary integrative health and medicine (CIH/CIM) has heightened within the government and private health care organizations looking to revolutionize mental and physical pain management in the armed forces. “By then, we recognized that yoga and mindfulness were sorely underutilized in this country,” says retired US Army Colonel Chester “Trip” Buckenmaier III, MD, program director and principal investigator for the Uniformed Services University’s Defense and Veterans Center for Integrative Pain Management. 
But before a case could be made for their implementation among the armed forces, these practices would have to be studied in military-specific environments. Centuries of anecdotal evidence and outside research do not cut it when you’re talking about a globally deployed organization like the US military—especially when someone has to pick up the bill, Schoomaker says.
Several pain-research efforts ensued. One of the most groundbreaking was a study published in 2017 by the journal American Congress of Rehabilitation Medicine that examined the practicality and effectiveness of an individualized yoga program, dubbed RESTORE (Restorative Exercise and Strength Training for Operational Resilience and Excellence), designed to treat chronic lower-back pain in service members and their families. Researchers and yoga-treatment experts created a 15-pose asana sequence to promote strengthening, flexibility, and postural alignment—specifically to target core, back, and gluteal muscles. (For the full sequence, click here).
The RESTORE yoga practicing trial group experienced relieved symptoms more quickly than the control group. 
Yoga teachers who led the practice went through a 200-hour Yoga Alliance teacher training and an additional 50-hour program-specific course “based on therapeutic yoga,” says lead author Krista Highland, PhD. A “cultural-competence training” ensured that yoga instructors understood how to act within a military structure and how to address “unique clinical characteristics that patients in the military might present with,” such as post-traumatic stress.
Fifty-nine service members participated in the eight-week trial, the majority of whom were active duty. During this time, the RESTORE and control groups continued individual treatment as usual (think medication, physical therapy, chiropractic, injections, massage, or acupuncture). The RESTORE group, however, also incorporated one to two yoga sessions per week, accompanied by breathwork and a guided meditation. Pain levels and symptoms such as physical impairments and sleep disturbance were monitored for six months after the trial began. The yoga and meditation group experienced symptom relief more quickly than those in the control group, reporting lower pain intensity at mid-treatment (four weeks) and post treatment (eight weeks).
“That’s extra months to get back to work, to function socially—to get out with friends and family members,” says Buckenmaier, who was one of the 11 researchers. “That’s so beneficial for these patients.” Schoomaker agrees: “In those weeks in which yoga has restored function and improved pain, other people turn to surgery and drugs—things that get them into trouble.” Instead, Schoomaker says, we ought to be frontloading practices such as yoga that focus on function and whole-body wellness—using them offensively and defensively as the first step in preventive care and medical treatment before chronic pain, illness, and drug use become issues.
While the government amasses the empirical evidence it needs, dozens of yoga non-profits are taking matters into their own hands. Lieutenant Colonel Jannell MacAulay, who retired from the military in June, was just 17 when she snapped her femur in half after a stress fracture went undiagnosed in basic training. Devastated and debilitated, MacAulay went through two surgeries and three months of rigorous rehab. In her determination to become a US Air Force pilot, she tried a variety of therapies—yoga, acupuncture, and trigger-point massage among them—in order to improve mobility. 
Once she found a regular yoga routine, scar tissue, stiffness, and pain started improving little by little. “Yoga became a space of non-judgment and gratitude that I wasn’t getting anywhere else in my life,” MacAulay says. “I was completely stressed all the time—just going, going, going. But when I practiced yoga, I could be myself and invest in slowing down, which actually helped me speed up my career path as a professional in the military.”
See also: New Study Finds Yoga Significantly Reduces Depression in Male Veterans
Back in 2012, while government research was ramping up, MacAulay founded Healthy Body Healthy Life—a free, first-of-its-kind health-and-wellness initiative for military families that incorporates yoga, meditation, nutrition, and high-intensity interval training. She also pioneered a similar program at Kirtland Air Force Base, in New Mexico, when she was stationed there last year. Today, the Air Force pays her to travel the globe educating senior leaders about the importance of incorporating yoga into basic training—so soldiers can get ahead of mental and physical injuries before they happen. “We need to better prepare our military, not just to do the job, but to do the job under extreme stress,” she says. “Because that’s the reality in a combat zone. If we’re not using yoga and mindfulness, we’re missing out on creating the best human-weapon systems to operate in those environments.”
She’s not wrong. A resilience-training program that appeared in the American Journal of Psychiatry in 2014 studied 147 Marines who had undergone Mindfulness-Based Mind Fitness Training (MMFT)—a 20-hour, 8-week course that incorporates mindfulness and physical exercises designed by former US Army Captain Elizabeth Stanley, a Georgetown University professor who used yoga and meditation to combat her own PTSD. The MMFT program, developed in 2007, aims to enhance troop performance and mitigate the extreme mental and physical stress that comes with deployment. As part of pre-deployment training, the test subjects practiced MMFT in a mock Afghan village. Shrieking actors and controlled blasts simulated combat stress. Meanwhile, a control group of another 134 Marines went through the same simulation without MMFT.
The research team analyzed both groups’ blood and saliva samples, brain imaging, and a range of cognitive performance tests. The data showed that Marines who practiced MMFT demonstrated greater reactivity, better emotion and stress management, enhanced heart-rate and breath recovery, and a reduced anxiety response. “In other words, these soldiers were not only better equipped for handling stress,” Stanley wrote in the book Bio-Inspired Innovation and National Security, “but they also recuperated more quickly so that they were better prepared to handle any subsequent stressors.”
Today, the US Army is collaborating with Amishi Jha, an MMFT researcher and associate professor of psychology at the University of Miami, to investigate the scalability of mindfulness training designed specifically for military and other high-demand professions.
Yoga and mindfulness improves reactivity, emotion, stress management for those active in the military. 
See also: Veterans Who Hit Rock Bottom Open Up About How Yoga Changed Their Lives
A Bright Future for Yoga in the Military
These research efforts and others have paid off in some ways. Today, half of existing US military treatment facilities (MTFs) recommend yoga to patients, and nearly a quarter offer it onsite—according to a report published in 2017 by the Rand Corporation, a nonprofit think tank. Currently, Tricare insurance, the military’s primary medical insurer, will pay for yoga only when it’s administered at an MTF: “The minute you go outside, you can’t get reimbursed,” Schoomaker says. Because sending troops offsite to practice yoga can be tricky. The health and wellness of service members is the military’s first priority, but if practiced incorrectly, asana can cause strain or further injury.
Schoomaker believes RESTORE could pave the way for non-harming, military-specific yoga programs that can be taught on base, because its success was twofold: It proved that yoga could be an accepted, successful treatment within an active-duty military community, and it demonstrated the potential for a standard approach to yoga as a pain-management tool. He compares it to the extensive work done by the chiropractic community and thinks yoga should follow a similar path.
For the uninitiated, by law, chiropractors must be board certified and adhere to state regulations. They’ve also launched very successful lobbying campaigns over the past 50 years to become established practitioners within the health-care community. Thanks to lobbying efforts back in the 1960s and ’70s, today chiropractic is covered by Medicare—and since 2000, chiropractic treatment has been available to all active duty service members.
“Yoga needs a standardized system of treatment that focuses on anatomy, physiology, and kinesiology,” Highland says. Buy-in from bill payers and legislators for additional programs and coverage will require cooperation from the yoga community
by way of national standards or licensure, adds Buckenmaier. Yet that’s the subject
of an ongoing debate among yoga leaders and teachers, who represent dozens, if not hundreds, of different styles and philosophies—all called “yoga.”
“Lawmakers want to know what a group does to self-regulate itself to ensure there’s competency among practitioners before they unleash them on the public,” says Len Wisneski, MD, chair of the Integrative Health Policy Consortium, which advises the new Integrative Health and Wellness Congressional Caucus, a nonpartisan educational forum for lawmakers to discuss potential integrative-health legislation based on new research from experts. The caucus was announced in October 2017 and provides enormous opportunity to integrate yoga into an evolving health-care system focused not just on illness but on prevention and wellness—notably within the military. “People assume the military is rigid,” Wisneski says. “When, in fact, it’s incredibly innovative when it comes to being open to new ideas. They just want to know if something works and what it costs. If it’s non-harmful and noninvasive, they’ll try it.”
To this end, last September, the US Department of Health and Human Services, the DoD, and the VA announced a joint partnership—the first of its kind—to comprehensively study approaches for pain management beyond pharmacological treatments. Twelve research projects, costing an estimated $81 million over six years, will be used to develop, implement, and test non-drug approaches, including yoga and meditation, for
pain management and other conditions treated by military and veteran health-care organizations.
“The future is bright,” Schoomaker says. “For the first time, these three federal agencies are aligned in searching for a better understanding of the scientific effectiveness of these modalities—to tackle some of the issues like how these complementary integrative approaches can be used and delivered to service members.”
But MacAulay and Corwin, who have both taught yoga on several military bases, say that while yoga for pain management is a worthy cause, the dire need is for preventive programs—ones that train soldiers before suffering sets in.
“We can’t wait until we get injured or are out of the service to have these things available to us,” says Corwin, an ambassador for the Give Back Yoga Foundation, a nonprofit that supports and funds research-backed, clinically tested yoga programs for marginalized populations. “We have to get it early on in our careers.” For that to happen, she says, yoga teachers who work with service members must tailor their classes with the unique culture of the armed forces in mind: “Active military members need to be handled so differently [from civilian students]. You have to be conscious of what you’re teaching, because soldiers may not have the luxury of completely surrendering on the yoga mat when they have to wake up the next morning and do something that they’d probably rather not do.”
Another challenge is creating classes that are rewarding and engaging to a population that’s physically fit by trade, says Corwin. “They’re young, they’re athletic—so what kind of yoga classes do they need?” Sweating, she says, is essential.
The military spokespeople and yoga researchers we spoke with agree that
a culturally specific style of yoga will be an integral part of the puzzle, but it’s just one cog in a very elaborate machine. Another thing everyone agrees on is that progress, especially in a global system like the armed forces, takes time.
But things seem to be headed in the right direction for advocates of using yoga as a preventive practice. Thanks to a legacy of research such as the MMFT program, the National Defense Authorization Act for Fiscal Year 2019 requires the Secretary of Defense to launch a pilot program that provides mindfulness-based stress-reduction training to members of the armed forces before they’re deployed to combat zones—in order to study its effects on stress management and PTSD prevention.
“I’m constantly optimistic,” says MacAulay. “Three years ago I gave my first presentation and was called ‘brave’ and ‘bold’ for having the guts to talk about yoga in a professional military forum. But today, more and more senior leaders are inviting me to share this message about yoga and mindfulness with this community.” begin applying yoga and mindfulness to prepare soldiers for combat. 
See also: A Healing Meditation for Caregivers of Wounded Warriors (It Only Takes 5 Minutes!)
from Yoga Journal https://ift.tt/2OgTlCN
0 notes
amyddaniels · 6 years
Text
The Good Fight: How Yoga is Being Used Within the Military
The U.S. Department of Defense and other federal agencies have been spearheading efforts to use yoga to manage and mitigate pain and mental health problems among active military.
There is hope that soldiers will receive yoga and mindfulness training before heading into combat. 
In July 2010, US Navy pilot Liz Corwin was flying her F-18 fighter jet on a combat mission over Afghanistan at 350 knots. She had been in the air for seven hours and was struggling with the little hand-held urinal that female pilots use to relieve themselves mid-flight. Suddenly, to her left, she caught a glimpse of her wingman—just 50 feet away. The pair were on converging paths. They were so close, in fact, that she could clearly see the control panel inside his cockpit and the squadron’s mascot painted on his helmet. Taking a deep breath, she called on her eight years of aviation training and yanked the jet’s control stick toward her, flipping her plane upside down in an aggressive attempt to avoid a collision. But the turbulence told her it was too late. As she glanced out of her cockpit, there was no question: her wingtip was missing.
Wrestling ego, uncertainty, and self-criticism, Corwin spent the next few moments finding deep breaths to “wrangle those demons back into their pens,” she says. In the back of her mind, she knew the real threat would emerge when she attempted to slow down, deploy her landing gear, and touch down on an aircraft carrier floating somewhere in the Arabian Sea—which at her current speed was every bit of an hour away.
That hour was brutal, says Corwin, calling it the worst of her life. But she tapped into her yoga training, employing the same breathing and mindfulness techniques she had been practicing throughout deployment alone in her room on her yoga mat. Five thousand people awaited her return on the carrier, and she knew it would be a moment of reckoning for her reputation as a pilot—a female one at that.
“The cacophony of voices in my head needed an orchestrator, and I knew I couldn’t let self-doubt and shame be the loudest,” Corwin says. Yoga had been her savior during flight school: “My entire relationship with myself was at stake, but I knew if I could tap into presence, calm, and self-care, I could pull myself together enough to land safely.”
Learn how yoga is being used to treat PTSD and other military-related disorders. 
See also Meet the Inspiring Woman Teaching Yoga to Caregivers of U.S. Military Service Members & Veterans
As Corwin recalls, she paused for deep self-reflection and offered up some vital self-love to the woman staring back at her in the rearview mirror of her cockpit. “Yoga had taught me to loosen harsh self-judgements. It taught me that whatever I did didn’t define me, but was a tool for my own awakening. I knew in that moment that what was happening wasn’t a failure, but an opportunity,” she says. “Yoga delivered a sense of peace to the moment of hell I was living in.”
Ultimately, she delivered the best carrier landing of her life—“a perfect pass,” she calls it.
Little did she know that at the same time, the US Department of Defense (DoD) and
the Department of Veterans Affairs (VA) were already working with the National Academy of Medicine (formerly the Institute of Medicine) and the National Institutes of Health to examine exactly how integrative therapies such as yoga and mindfulness meditation might be used to benefit service members like herself.
From PTSD to Pain Management 
Traditionally, military leaders often met these practices with skepticism. But over the past two decades, a series of clinical trials backed by a growing catalog of scientific evidence has persuaded high-level DoD health care experts to accept yoga and meditation as legitimate treatments for post-traumatic stress disorder (PTSD), pain management, and much more. 
Part of the appeal: Experts familiar with the research suggest that yoga and mindfulness may actually be more cost effective and faster at promoting healing and preventing certain injuries than more-popular modalities such as surgery and prescription drugs. On a more grassroots level, active service members are tapping into the practice’s performance-enhancing and preventive benefits to make soldiers and operational staff more calm and resilient in the field—before shock, injury, or PTSD set in. In fact, efforts to embed yoga into every branch of the military have never been more aggressive. 
Yoga is aggressively being adapted to the military field. 
See also How High-Level Pentagon Officials Are Using Yoga to Destress
While much of the early research on yoga and the military focused on how meditation and mindful movement could help veterans mitigate PTSD (which has had significant impact at VA hospitals and has been linked to record suicide rates among vets), by the mid-aughts, other related areas of concern were coming into sharp focus.
According to the National Center for Complementary and Integrative Health, studies show that nearly 45 percent of soldiers and 50 percent of veterans experience pain regularly, and there’s a significant correlation among chronic pain, PTSD, and post-concussive symptoms such as fatigue, poor balance, sleep disturbances, and depression (meaning, if you have one, you’re more likely to experience one or more of the others). 
“Musculoskeletal and mental health problems have really spiked, thanks to all the things that go along with active combat: carrying heavy loads, jumping in and out of aircraft—plus exposure to infectious diseases and violence,” says 42nd US Army Surgeon General, Eric Schoomaker, MD, PhD, who retired in 2012 and now serves as vice chair for Leadership, Centers, and Programs in the Department of Military and Emergency Medicine at the Uniformed Services University. Schoomaker is on a mission to bring yoga and its benefits to the frontlines of military health care.
During the mid-2000s, at the government level, new pain treatments and prevention techniques were in high demand. Surgery and prescription drugs weren’t working, and the military was hit especially hard by the opioid epidemic. In fact, in 2005—just two years into the Iraq War—narcotic painkillers were the most abused drugs in the military, according to a DoD survey of more than 16,000 service members. By 2011, it was estimated that up to 35 percent of wounded soldiers were dependent on prescription pain relievers.
In 2009, amidst the growing opioid epidemic, Schoomaker, then the Army Surgeon General, chartered the Army Pain Management Task Force. The goal? To come up with a new, comprehensive pain-management strategy utilizing the most up-to-date research available. The group included medical experts from the Army, Navy, Air Force, the Veterans Health Administration, and Tricare—the military’s health insurance program. Schoomaker tasked the group with extensively researching any modalities that might be effective in combating acute and chronic pain. Among the science-backed solutions presented, he says, were yoga and mindfulness meditation.
Since the Pain Management Task Force published its findings in 2010, interest in what’s now referred to in the DoD as complementary integrative health and medicine (CIH/CIM) has heightened within the government and private health care organizations looking to revolutionize mental and physical pain management in the armed forces. “By then, we recognized that yoga and mindfulness were sorely underutilized in this country,” says retired US Army Colonel Chester “Trip” Buckenmaier III, MD, program director and principal investigator for the Uniformed Services University’s Defense and Veterans Center for Integrative Pain Management. 
But before a case could be made for their implementation among the armed forces, these practices would have to be studied in military-specific environments. Centuries of anecdotal evidence and outside research do not cut it when you’re talking about a globally deployed organization like the US military—especially when someone has to pick up the bill, Schoomaker says.
Several pain-research efforts ensued. One of the most groundbreaking was a study published in 2017 by the journal American Congress of Rehabilitation Medicine that examined the practicality and effectiveness of an individualized yoga program, dubbed RESTORE (Restorative Exercise and Strength Training for Operational Resilience and Excellence), designed to treat chronic lower-back pain in service members and their families. Researchers and yoga-treatment experts created a 15-pose asana sequence to promote strengthening, flexibility, and postural alignment—specifically to target core, back, and gluteal muscles. (For the full sequence, click here).
The RESTORE yoga practicing trial group experienced relieved symptoms more quickly than the control group. 
Yoga teachers who led the practice went through a 200-hour Yoga Alliance teacher training and an additional 50-hour program-specific course “based on therapeutic yoga,” says lead author Krista Highland, PhD. A “cultural-competence training” ensured that yoga instructors understood how to act within a military structure and how to address “unique clinical characteristics that patients in the military might present with,” such as post-traumatic stress.
Fifty-nine service members participated in the eight-week trial, the majority of whom were active duty. During this time, the RESTORE and control groups continued individual treatment as usual (think medication, physical therapy, chiropractic, injections, massage, or acupuncture). The RESTORE group, however, also incorporated one to two yoga sessions per week, accompanied by breathwork and a guided meditation. Pain levels and symptoms such as physical impairments and sleep disturbance were monitored for six months after the trial began. The yoga and meditation group experienced symptom relief more quickly than those in the control group, reporting lower pain intensity at mid-treatment (four weeks) and post treatment (eight weeks).
“That’s extra months to get back to work, to function socially—to get out with friends and family members,” says Buckenmaier, who was one of the 11 researchers. “That’s so beneficial for these patients.” Schoomaker agrees: “In those weeks in which yoga has restored function and improved pain, other people turn to surgery and drugs—things that get them into trouble.” Instead, Schoomaker says, we ought to be frontloading practices such as yoga that focus on function and whole-body wellness—using them offensively and defensively as the first step in preventive care and medical treatment before chronic pain, illness, and drug use become issues.
While the government amasses the empirical evidence it needs, dozens of yoga non-profits are taking matters into their own hands. Lieutenant Colonel Jannell MacAulay, who retired from the military in June, was just 17 when she snapped her femur in half after a stress fracture went undiagnosed in basic training. Devastated and debilitated, MacAulay went through two surgeries and three months of rigorous rehab. In her determination to become a US Air Force pilot, she tried a variety of therapies—yoga, acupuncture, and trigger-point massage among them—in order to improve mobility. 
Once she found a regular yoga routine, scar tissue, stiffness, and pain started improving little by little. “Yoga became a space of non-judgment and gratitude that I wasn’t getting anywhere else in my life,” MacAulay says. “I was completely stressed all the time—just going, going, going. But when I practiced yoga, I could be myself and invest in slowing down, which actually helped me speed up my career path as a professional in the military.”
See also: New Study Finds Yoga Significantly Reduces Depression in Male Veterans
Back in 2012, while government research was ramping up, MacAulay founded Healthy Body Healthy Life—a free, first-of-its-kind health-and-wellness initiative for military families that incorporates yoga, meditation, nutrition, and high-intensity interval training. She also pioneered a similar program at Kirtland Air Force Base, in New Mexico, when she was stationed there last year. Today, the Air Force pays her to travel the globe educating senior leaders about the importance of incorporating yoga into basic training—so soldiers can get ahead of mental and physical injuries before they happen. “We need to better prepare our military, not just to do the job, but to do the job under extreme stress,” she says. “Because that’s the reality in a combat zone. If we’re not using yoga and mindfulness, we’re missing out on creating the best human-weapon systems to operate in those environments.”
She’s not wrong. A resilience-training program that appeared in the American Journal of Psychiatry in 2014 studied 147 Marines who had undergone Mindfulness-Based Mind Fitness Training (MMFT)—a 20-hour, 8-week course that incorporates mindfulness and physical exercises designed by former US Army Captain Elizabeth Stanley, a Georgetown University professor who used yoga and meditation to combat her own PTSD. The MMFT program, developed in 2007, aims to enhance troop performance and mitigate the extreme mental and physical stress that comes with deployment. As part of pre-deployment training, the test subjects practiced MMFT in a mock Afghan village. Shrieking actors and controlled blasts simulated combat stress. Meanwhile, a control group of another 134 Marines went through the same simulation without MMFT.
The research team analyzed both groups’ blood and saliva samples, brain imaging, and a range of cognitive performance tests. The data showed that Marines who practiced MMFT demonstrated greater reactivity, better emotion and stress management, enhanced heart-rate and breath recovery, and a reduced anxiety response. “In other words, these soldiers were not only better equipped for handling stress,” Stanley wrote in the book Bio-Inspired Innovation and National Security, “but they also recuperated more quickly so that they were better prepared to handle any subsequent stressors.”
Today, the US Army is collaborating with Amishi Jha, an MMFT researcher and associate professor of psychology at the University of Miami, to investigate the scalability of mindfulness training designed specifically for military and other high-demand professions.
Yoga and mindfulness improves reactivity, emotion, stress management for those active in the military. 
See also: Veterans Who Hit Rock Bottom Open Up About How Yoga Changed Their Lives
A Bright Future for Yoga in the Military
These research efforts and others have paid off in some ways. Today, half of existing US military treatment facilities (MTFs) recommend yoga to patients, and nearly a quarter offer it onsite—according to a report published in 2017 by the Rand Corporation, a nonprofit think tank. Currently, Tricare insurance, the military’s primary medical insurer, will pay for yoga only when it’s administered at an MTF: “The minute you go outside, you can’t get reimbursed,” Schoomaker says. Because sending troops offsite to practice yoga can be tricky. The health and wellness of service members is the military’s first priority, but if practiced incorrectly, asana can cause strain or further injury.
Schoomaker believes RESTORE could pave the way for non-harming, military-specific yoga programs that can be taught on base, because its success was twofold: It proved that yoga could be an accepted, successful treatment within an active-duty military community, and it demonstrated the potential for a standard approach to yoga as a pain-management tool. He compares it to the extensive work done by the chiropractic community and thinks yoga should follow a similar path.
For the uninitiated, by law, chiropractors must be board certified and adhere to state regulations. They’ve also launched very successful lobbying campaigns over the past 50 years to become established practitioners within the health-care community. Thanks to lobbying efforts back in the 1960s and ’70s, today chiropractic is covered by Medicare—and since 2000, chiropractic treatment has been available to all active duty service members.
“Yoga needs a standardized system of treatment that focuses on anatomy, physiology, and kinesiology,” Highland says. Buy-in from bill payers and legislators for additional programs and coverage will require cooperation from the yoga community
by way of national standards or licensure, adds Buckenmaier. Yet that’s the subject
of an ongoing debate among yoga leaders and teachers, who represent dozens, if not hundreds, of different styles and philosophies—all called “yoga.”
“Lawmakers want to know what a group does to self-regulate itself to ensure there’s competency among practitioners before they unleash them on the public,” says Len Wisneski, MD, chair of the Integrative Health Policy Consortium, which advises the new Integrative Health and Wellness Congressional Caucus, a nonpartisan educational forum for lawmakers to discuss potential integrative-health legislation based on new research from experts. The caucus was announced in October 2017 and provides enormous opportunity to integrate yoga into an evolving health-care system focused not just on illness but on prevention and wellness—notably within the military. “People assume the military is rigid,” Wisneski says. “When, in fact, it’s incredibly innovative when it comes to being open to new ideas. They just want to know if something works and what it costs. If it’s non-harmful and noninvasive, they’ll try it.”
To this end, last September, the US Department of Health and Human Services, the DoD, and the VA announced a joint partnership—the first of its kind—to comprehensively study approaches for pain management beyond pharmacological treatments. Twelve research projects, costing an estimated $81 million over six years, will be used to develop, implement, and test non-drug approaches, including yoga and meditation, for
pain management and other conditions treated by military and veteran health-care organizations.
“The future is bright,” Schoomaker says. “For the first time, these three federal agencies are aligned in searching for a better understanding of the scientific effectiveness of these modalities—to tackle some of the issues like how these complementary integrative approaches can be used and delivered to service members.”
But MacAulay and Corwin, who have both taught yoga on several military bases, say that while yoga for pain management is a worthy cause, the dire need is for preventive programs—ones that train soldiers before suffering sets in.
“We can’t wait until we get injured or are out of the service to have these things available to us,” says Corwin, an ambassador for the Give Back Yoga Foundation, a nonprofit that supports and funds research-backed, clinically tested yoga programs for marginalized populations. “We have to get it early on in our careers.” For that to happen, she says, yoga teachers who work with service members must tailor their classes with the unique culture of the armed forces in mind: “Active military members need to be handled so differently [from civilian students]. You have to be conscious of what you’re teaching, because soldiers may not have the luxury of completely surrendering on the yoga mat when they have to wake up the next morning and do something that they’d probably rather not do.”
Another challenge is creating classes that are rewarding and engaging to a population that’s physically fit by trade, says Corwin. “They’re young, they’re athletic—so what kind of yoga classes do they need?” Sweating, she says, is essential.
The military spokespeople and yoga researchers we spoke with agree that
a culturally specific style of yoga will be an integral part of the puzzle, but it’s just one cog in a very elaborate machine. Another thing everyone agrees on is that progress, especially in a global system like the armed forces, takes time.
But things seem to be headed in the right direction for advocates of using yoga as a preventive practice. Thanks to a legacy of research such as the MMFT program, the National Defense Authorization Act for Fiscal Year 2019 requires the Secretary of Defense to launch a pilot program that provides mindfulness-based stress-reduction training to members of the armed forces before they’re deployed to combat zones—in order to study its effects on stress management and PTSD prevention.
“I’m constantly optimistic,” says MacAulay. “Three years ago I gave my first presentation and was called ‘brave’ and ‘bold’ for having the guts to talk about yoga in a professional military forum. But today, more and more senior leaders are inviting me to share this message about yoga and mindfulness with this community.” begin applying yoga and mindfulness to prepare soldiers for combat. 
See also: A Healing Meditation for Caregivers of Wounded Warriors (It Only Takes 5 Minutes!)
0 notes
chesterfitness1 · 7 years
Text
Boost Your Fitness by Incorporating These 5 Foods to Your Daily Diet
When it comes to fitness programs and total health, nutrition is the foundation for everything that you do. If you end up having trouble bouncing back after a workout or you awaken and feel a pain which exceeds muscle fatigue that is plain old, you can trace it to a lack of nutritional support.
You may be exerting a lot of effort for nothing if you don’t have a nutrition routine to fuel your workout. You may see progress that is slow or not experience any. Additionally you could be putting your body in danger of hormonal imbalance adrenal exhaustion, as well as harm.
You’re what you consume, which explains why eating is required by any fitness routine despite the fact that it’s a cliché. But, eating healthful may not be enough if you’re eating the wrong foods. Sure, you may be consuming foods, but you aren’t currently eating smart.
To get the body that you would like, every single bite must count. You need to search out the, powerful, disease-fighting, muscle-developing foods that you can. The foods listed below should get you started.
Milk
Milk is ideal if you’re increasing your fitness levels as it refuels you with glucose, provides your bones a dose of healthful calcium, also comprises muscle-healing protein. A good deal of endurance athletes swear by chocolate milk as it offers you the carbs you need after also the protein and a workout your muscles need to repair themselves.
It may be great to help you get the rest you require for your health. Drink a glass that is hot . The casein proteins help.
Dried Fruit
Because they are high in natural sugars, dried fruits are strong resources of carbs. Plenty of people dried fruits are still brilliant in this situation, and can’t deal with consuming energy dyes during long periods. They are a replacement with a lot of high GI carbs. They are superb energy boosters. Have a couple clicks in front of a race and another couple for each hour that you conduct. Be certain you test them out once you work out so that you don’t wind up in a race with a stomach.
Dried fruits–like mangos, apricots, and carbohydrates offer fiber, potassium, vitamins and minerals, and phytonutrients.
Blueberries
You likely realize that blueberries are considered a “super foods” since they have a high level of carbohydrates to counter free radicals, which people believe move through your body damaging cells, sparking illness, and developing premature aging.
You must eat these both before and after you workout to make the most of the GI carbs, which will present your muscles power as speedily as possible. Blueberries tend to be lower in calories than other fruits, so you receive the benefits.
Salmon
Salmon is great as it supplies the body with Omega 3 fatty acid, which people believe keeps the heart healthy and slows down memory loss. People who want to develop muscle benefit from the hefty dose of protein in fish. Moreover, salmon provides exactly the amount of calcium as your daily dose of vitamin D. and a glass of milk
This really is a superb alternative after a workout. Each one of the protein rebuild and will repair the muscles.
Sweet Potatoes
Much like bananas, sweet potatoes are a excellent source of potassium, that is crucial for nerve wracking, water balance, bone health, muscle contraction, and balanced blood pressure. But, they actually contain more of it than a banana does. They also contain copper; it assists in the production of connective tissues, like collagen–that keeps muscles and skin taut healthy.
Potatoes are a part of a session that is carb-loading in front of a race that is very long, like a half marathon.
There are a whole lot of benefits to proper nutrition, particularly in relation to fitness. But, you need to be certain you get enough rest and drink lots of water. It is important that you not depend upon your food selections to correct lifestyle choices. For those who, for example, have a disorder, like alcohol, heroin or some other addiction, a nutritious diet will allow you to feel good, but it can’t fight the damage being done to your body. Make certain to consult regularly with your physician in your heroin misuse treatment facility and to make nutrition part of a bigger health effort.
BIO | Want more concrete addiction articles and how to help your nearest and dearest with heroin addiction, see us in
from chester fitness http://www.chesterfitness.co.uk/boost-your-fitness-by-incorporating-these-5-foods-to-your-daily-diet/
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fotozoneindia-blog · 3 months
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Your Premier Destination for Pain Relief and Wellness in Chester
Welcome to Relieve Physiotherapy, your trusted physiotherapy and massage clinic in Chester. Our dedicated team of professionals is committed to providing personalized care and effective treatments to help you overcome injuries, manage pain, and improve your overall well-being. Let's explore how Relieve Physiotherapy can help you find relief and restore balance to your life.
Physiotherapy & Massage Clinic Chester: Your Pathway to Recovery
At Relieve Physiotherapy, we offer a comprehensive range of physiotherapy and massage services to address a variety of musculoskeletal conditions. Whether you're recovering from a sports injury, dealing with chronic pain, or simply seeking relaxation and rejuvenation, our clinic provides tailored treatment plans to meet your specific needs.
Sports Injury Clinic Chester: Get Back in the Game
Our sports injury clinic specializes in treating a wide range of sports-related injuries, from sprains and strains to more serious conditions. Our experienced sports physiotherapists utilize advanced techniques and modalities to promote healing, restore function, and help you return to your favorite activities as quickly and safely as possible.
Acupuncture Treatment Center Chester: Holistic Healing for Body and Mind
Experience the healing benefits of acupuncture at our treatment center in Chester. Acupuncture is a safe and effective therapy that can help alleviate pain, reduce inflammation, and promote overall wellness. Our licensed acupuncturists will work with you to develop a personalized treatment plan that targets your specific concerns and helps you achieve lasting relief.
Specialized Treatments for Pain Management and Rehabilitation
Relieve Physiotherapy offers a range of specialized treatments to address common musculoskeletal conditions and injuries:
Steroid Injections Therapy: Effective for musculoskeletal conditions, such as osteoarthritis and inflammatory arthritis.
Ostenil Joint Injection Therapy: Ideal for osteoarthritis treatment, providing long-lasting relief for joint pain.
Taping & Strapping: Helps support injured joints and muscles, reducing pain and promoting healing.
Post-Operative Rehabilitation: Tailored programs to help you recover safely and effectively after surgery.
Shockwave Therapy: Non-invasive treatment for chronic pain conditions, such as plantar fasciitis and tendonitis.
Hyaluronic Acid Injection Therapy: Provides lubrication and cushioning for arthritic joints, relieving pain and improving mobility.
Comprehensive Care for a Variety of Conditions
In addition to specialized treatments, we also offer comprehensive care for a variety of conditions, including:
Knee pain
Elbow pain (Tennis Elbow & Golfer's Elbow)
Wrist and hand pain
Fibromyalgia
Rheumatoid arthritis
And more...
Therapeutic Yoga and Holistic Wellness
At Relieve Physiotherapy, we believe in taking a holistic approach to wellness. In addition to our therapeutic treatments, we also offer therapeutic yoga classes to help you improve flexibility, strength, and balance, while reducing stress and promoting relaxation.
Conclusion: Experience the Difference at Relieve Physiotherapy
If you're ready to take control of your health and well-being, schedule an appointment at Relieve Physiotherapy today. Let us help you find relief from pain, restore function, and rediscover the joy of living life to the fullest. With our comprehensive services, personalized approach, and commitment to excellence, you can trust us to be your partner in health every step of the way.
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yes-dal456 · 7 years
Text
Why Access To Planned Parenthood Is Vital And Must Be Protected
  In 2007, Amanda Ream ― from Coatesville, Pennsylvania ― was uninsured, recently diagnosed with a chronic, painful bladder issue, and in graduate school at Widener University in Chester when she turned to Planned Parenthood for her health care. She could not get health insurance because of her “pre-existing condition” and could not afford to pay for her basic health care, like family planning and cancer screenings. She turned to Planned Parenthood for high-quality, affordable, compassionate health care. When I met with Amanda, at the Planned Parenthood Upper Darby Health Center, she told me Planned Parenthood had been an important part of her reproductive health care for the entirety of her adult life. She told me that Planned Parenthood kept her healthy and allowed her to control her reproductive future. Patients like Amanda don’t go to Planned Parenthood to make a political statement—they go for affordable and quality health care that they need.
I am a pro-life Democrat. I believe we must do everything we can to reduce the number of unintended pregnancies and abortions in this country, including increasing access to contraception and helping pregnant women before and after birth by supporting Medicaid, WIC and other critical programs. Just like other providers, including hospitals, Planned Parenthood is reimbursed for services and federal funds that are not used to pay for abortion. Thanks in no small part to Planned Parenthood’s efforts to expand access to contraception, we have reached a historic 30-year low for unintended pregnancies and 40-year low in the teen pregnancy rate This has led to a record low number of abortions. This progress is directly attributable to the increase in access to, and use of, contraception. That’s a pro-life record to be proud of. Since contraception became legal in the United States a half-century ago, it has been nothing short of revolutionary for women and society. The inclusion of contraception as a preventive service in the Affordable Care Act increased access — at no out-of-pocket costs to the patient — to the full range of FDA-approved contraception. This has led to more than 55 million women with access to contraception without copayments, which has saved them an estimated $1.4 billion in the first year alone. And there is still room to expand on this success. Recent studies have made clear that increasing access to the full range of contraceptive methods, as is provided at Planned Parenthood health centers, could reduce unintended pregnancy by 64 percent and reduce abortions by 67 percent nationally.
The fact is, Planned Parenthood prevents unintended pregnancies and reduces abortions. Blocking access to care at Planned Parenthood could have the exact opposite effect. By increasing access to all forms of contraception and high-quality contraceptive counseling, Planned Parenthood enables women to choose the methods that work best for their bodies and lifestyles.
This is particularly important in my home state of Pennsylvania. We need more health care not less. In Pennsylvania, Planned Parenthood plays an indispensable role in serving family planning patients that rely on the safety net. Right now, over 90,000 Pennsylvanians depend on the 32 Planned Parenthood health centers state-wide for care, including cancer screenings, contraception, STD testing and treatment, and well woman exams. Fifteen Planned Parenthood health centers in Pennsylvania are located in medically underserved areas or healthcare provider shortage areas.
Yet all this progress is at risk. The president and many Republicans in Congress have made it a top priority to “defund” Planned Parenthood and roll back women’s access to family planning care and contraception. The real-life effects of these policies are devastating. In the absence of family planning services provided at safety net health centers, like Planned Parenthood, the rates of unintended pregnancies, unplanned birth and abortion for all women in Pennsylvania could be 56 percent higher and the teen pregnancy rate could be 60 percent higher. And the idea that other providers could just absorb Planned Parenthood’s patients has been contradicted by those providers and by the experts ― in fact the American Public Health Association called the idea ludicrous. By increasing access to care at Planned Parenthood and focusing on family planning, we can build on the progress we’ve made and continue to lower the rate of unintended pregnancies and abortion and provide basic health care for women who cannot obtain much care any other way.
-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website.
from http://ift.tt/2rVHZIQ from Blogger http://ift.tt/2rW2tRN
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imreviewblog · 7 years
Text
Why Access To Planned Parenthood Is Vital And Must Be Protected
  In 2007, Amanda Ream ― from Coatesville, Pennsylvania ― was uninsured, recently diagnosed with a chronic, painful bladder issue, and in graduate school at Widener University in Chester when she turned to Planned Parenthood for her health care. She could not get health insurance because of her “pre-existing condition” and could not afford to pay for her basic health care, like family planning and cancer screenings. She turned to Planned Parenthood for high-quality, affordable, compassionate health care. When I met with Amanda, at the Planned Parenthood Upper Darby Health Center, she told me Planned Parenthood had been an important part of her reproductive health care for the entirety of her adult life. She told me that Planned Parenthood kept her healthy and allowed her to control her reproductive future. Patients like Amanda don’t go to Planned Parenthood to make a political statement—they go for affordable and quality health care that they need.
I am a pro-life Democrat. I believe we must do everything we can to reduce the number of unintended pregnancies and abortions in this country, including increasing access to contraception and helping pregnant women before and after birth by supporting Medicaid, WIC and other critical programs. Just like other providers, including hospitals, Planned Parenthood is reimbursed for services and federal funds that are not used to pay for abortion. Thanks in no small part to Planned Parenthood’s efforts to expand access to contraception, we have reached a historic 30-year low for unintended pregnancies and 40-year low in the teen pregnancy rate This has led to a record low number of abortions. This progress is directly attributable to the increase in access to, and use of, contraception. That’s a pro-life record to be proud of. Since contraception became legal in the United States a half-century ago, it has been nothing short of revolutionary for women and society. The inclusion of contraception as a preventive service in the Affordable Care Act increased access — at no out-of-pocket costs to the patient — to the full range of FDA-approved contraception. This has led to more than 55 million women with access to contraception without copayments, which has saved them an estimated $1.4 billion in the first year alone. And there is still room to expand on this success. Recent studies have made clear that increasing access to the full range of contraceptive methods, as is provided at Planned Parenthood health centers, could reduce unintended pregnancy by 64 percent and reduce abortions by 67 percent nationally.
The fact is, Planned Parenthood prevents unintended pregnancies and reduces abortions. Blocking access to care at Planned Parenthood could have the exact opposite effect. By increasing access to all forms of contraception and high-quality contraceptive counseling, Planned Parenthood enables women to choose the methods that work best for their bodies and lifestyles.
This is particularly important in my home state of Pennsylvania. We need more health care not less. In Pennsylvania, Planned Parenthood plays an indispensable role in serving family planning patients that rely on the safety net. Right now, over 90,000 Pennsylvanians depend on the 32 Planned Parenthood health centers state-wide for care, including cancer screenings, contraception, STD testing and treatment, and well woman exams. Fifteen Planned Parenthood health centers in Pennsylvania are located in medically underserved areas or healthcare provider shortage areas.
Yet all this progress is at risk. The president and many Republicans in Congress have made it a top priority to “defund” Planned Parenthood and roll back women’s access to family planning care and contraception. The real-life effects of these policies are devastating. In the absence of family planning services provided at safety net health centers, like Planned Parenthood, the rates of unintended pregnancies, unplanned birth and abortion for all women in Pennsylvania could be 56 percent higher and the teen pregnancy rate could be 60 percent higher. And the idea that other providers could just absorb Planned Parenthood’s patients has been contradicted by those providers and by the experts ― in fact the American Public Health Association called the idea ludicrous. By increasing access to care at Planned Parenthood and focusing on family planning, we can build on the progress we’ve made and continue to lower the rate of unintended pregnancies and abortion and provide basic health care for women who cannot obtain much care any other way.
-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website.
from Healthy Living - The Huffington Post http://bit.ly/2rVM6Vh
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remedialmassage · 6 years
Text
The Good Fight: How Yoga is Being Used Within the Military
The U.S. Department of Defense and other federal agencies have been spearheading efforts to use yoga to manage and mitigate pain and mental health problems among active military.
There is hope that soldiers will receive yoga and mindfulness training before heading into combat. 
In July 2010, US Navy pilot Liz Corwin was flying her F-18 fighter jet on a combat mission over Afghanistan at 350 knots. She had been in the air for seven hours and was struggling with the little hand-held urinal that female pilots use to relieve themselves mid-flight. Suddenly, to her left, she caught a glimpse of her wingman—just 50 feet away. The pair were on converging paths. They were so close, in fact, that she could clearly see the control panel inside his cockpit and the squadron’s mascot painted on his helmet. Taking a deep breath, she called on her eight years of aviation training and yanked the jet’s control stick toward her, flipping her plane upside down in an aggressive attempt to avoid a collision. But the turbulence told her it was too late. As she glanced out of her cockpit, there was no question: her wingtip was missing.
See also This 15-pose Sequence was Scientifically Proven to Treat Chronic Low-Back Pain in the Military
Wrestling ego, uncertainty, and self-criticism, Corwin spent the next few moments finding deep breaths to “wrangle those demons back into their pens,” she says. In the back of her mind, she knew the real threat would emerge when she attempted to slow down, deploy her landing gear, and touch down on an aircraft carrier floating somewhere in the Arabian Sea—which at her current speed was every bit of an hour away.
That hour was brutal, says Corwin, calling it the worst of her life. But she tapped into her yoga training, employing the same breathing and mindfulness techniques she had been practicing throughout deployment alone in her room on her yoga mat. Five thousand people awaited her return on the carrier, and she knew it would be a moment of reckoning for her reputation as a pilot—a female one at that.
“The cacophony of voices in my head needed an orchestrator, and I knew I couldn’t let self-doubt and shame be the loudest,” Corwin says. Yoga had been her savior during flight school: “My entire relationship with myself was at stake, but I knew if I could tap into presence, calm, and self-care, I could pull myself together enough to land safely.”
Learn how yoga is being used to treat PTSD and other military-related disorders. 
See also Meet the Inspiring Woman Teaching Yoga to Caregivers of U.S. Military Service Members & Veterans
As Corwin recalls, she paused for deep self-reflection and offered up some vital self-love to the woman staring back at her in the rearview mirror of her cockpit. “Yoga had taught me to loosen harsh self-judgements. It taught me that whatever I did didn’t define me, but was a tool for my own awakening. I knew in that moment that what was happening wasn’t a failure, but an opportunity,” she says. “Yoga delivered a sense of peace to the moment of hell I was living in.”
Ultimately, she delivered the best carrier landing of her life—“a perfect pass,” she calls it.
Little did she know that at the same time, the US Department of Defense (DoD) and
the Department of Veterans Affairs (VA) were already working with the National Academy of Medicine (formerly the Institute of Medicine) and the National Institutes of Health to examine exactly how integrative therapies such as yoga and mindfulness meditation might be used to benefit service members like herself.
From PTSD to Pain Management 
Traditionally, military leaders often met these practices with skepticism. But over the past two decades, a series of clinical trials backed by a growing catalog of scientific evidence has persuaded high-level DoD health care experts to accept yoga and meditation as legitimate treatments for post-traumatic stress disorder (PTSD), pain management, and much more. 
Part of the appeal: Experts familiar with the research suggest that yoga and mindfulness may actually be more cost effective and faster at promoting healing and preventing certain injuries than more-popular modalities such as surgery and prescription drugs. On a more grassroots level, active service members are tapping into the practice’s performance-enhancing and preventive benefits to make soldiers and operational staff more calm and resilient in the field—before shock, injury, or PTSD set in. In fact, efforts to embed yoga into every branch of the military have never been more aggressive. 
Yoga is aggressively being adapted to the military field. 
See also How High-Level Pentagon Officials Are Using Yoga to Destress
While much of the early research on yoga and the military focused on how meditation and mindful movement could help veterans mitigate PTSD (which has had significant impact at VA hospitals and has been linked to record suicide rates among vets), by the mid-aughts, other related areas of concern were coming into sharp focus.
According to the National Center for Complementary and Integrative Health, studies show that nearly 45 percent of soldiers and 50 percent of veterans experience pain regularly, and there’s a significant correlation among chronic pain, PTSD, and post-concussive symptoms such as fatigue, poor balance, sleep disturbances, and depression (meaning, if you have one, you’re more likely to experience one or more of the others). 
“Musculoskeletal and mental health problems have really spiked, thanks to all the things that go along with active combat: carrying heavy loads, jumping in and out of aircraft—plus exposure to infectious diseases and violence,” says 42nd US Army Surgeon General, Eric Schoomaker, MD, PhD, who retired in 2012 and now serves as vice chair for Leadership, Centers, and Programs in the Department of Military and Emergency Medicine at the Uniformed Services University. Schoomaker is on a mission to bring yoga and its benefits to the frontlines of military health care.
During the mid-2000s, at the government level, new pain treatments and prevention techniques were in high demand. Surgery and prescription drugs weren’t working, and the military was hit especially hard by the opioid epidemic. In fact, in 2005—just two years into the Iraq War—narcotic painkillers were the most abused drugs in the military, according to a DoD survey of more than 16,000 service members. By 2011, it was estimated that up to 35 percent of wounded soldiers were dependent on prescription pain relievers.
In 2009, amidst the growing opioid epidemic, Schoomaker, then the Army Surgeon General, chartered the Army Pain Management Task Force. The goal? To come up with a new, comprehensive pain-management strategy utilizing the most up-to-date research available. The group included medical experts from the Army, Navy, Air Force, the Veterans Health Administration, and Tricare—the military’s health insurance program. Schoomaker tasked the group with extensively researching any modalities that might be effective in combating acute and chronic pain. Among the science-backed solutions presented, he says, were yoga and mindfulness meditation.
Since the Pain Management Task Force published its findings in 2010, interest in what’s now referred to in the DoD as complementary integrative health and medicine (CIH/CIM) has heightened within the government and private health care organizations looking to revolutionize mental and physical pain management in the armed forces. “By then, we recognized that yoga and mindfulness were sorely underutilized in this country,” says retired US Army Colonel Chester “Trip” Buckenmaier III, MD, program director and principal investigator for the Uniformed Services University’s Defense and Veterans Center for Integrative Pain Management. 
But before a case could be made for their implementation among the armed forces, these practices would have to be studied in military-specific environments. Centuries of anecdotal evidence and outside research do not cut it when you’re talking about a globally deployed organization like the US military—especially when someone has to pick up the bill, Schoomaker says.
Several pain-research efforts ensued. One of the most groundbreaking was a study published in 2017 by the journal American Congress of Rehabilitation Medicine that examined the practicality and effectiveness of an individualized yoga program, dubbed RESTORE (Restorative Exercise and Strength Training for Operational Resilience and Excellence), designed to treat chronic lower-back pain in service members and their families. Researchers and yoga-treatment experts created a 15-pose asana sequence to promote strengthening, flexibility, and postural alignment—specifically to target core, back, and gluteal muscles. (For the full sequence, click here).
The RESTORE yoga practicing trial group experienced relieved symptoms more quickly than the control group. 
Yoga teachers who led the practice went through a 200-hour Yoga Alliance teacher training and an additional 50-hour program-specific course “based on therapeutic yoga,” says lead author Krista Highland, PhD. A “cultural-competence training” ensured that yoga instructors understood how to act within a military structure and how to address “unique clinical characteristics that patients in the military might present with,” such as post-traumatic stress.
Fifty-nine service members participated in the eight-week trial, the majority of whom were active duty. During this time, the RESTORE and control groups continued individual treatment as usual (think medication, physical therapy, chiropractic, injections, massage, or acupuncture). The RESTORE group, however, also incorporated one to two yoga sessions per week, accompanied by breathwork and a guided meditation. Pain levels and symptoms such as physical impairments and sleep disturbance were monitored for six months after the trial began. The yoga and meditation group experienced symptom relief more quickly than those in the control group, reporting lower pain intensity at mid-treatment (four weeks) and post treatment (eight weeks).
“That’s extra months to get back to work, to function socially—to get out with friends and family members,” says Buckenmaier, who was one of the 11 researchers. “That’s so beneficial for these patients.” Schoomaker agrees: “In those weeks in which yoga has restored function and improved pain, other people turn to surgery and drugs—things that get them into trouble.” Instead, Schoomaker says, we ought to be frontloading practices such as yoga that focus on function and whole-body wellness—using them offensively and defensively as the first step in preventive care and medical treatment before chronic pain, illness, and drug use become issues.
While the government amasses the empirical evidence it needs, dozens of yoga non-profits are taking matters into their own hands. Lieutenant Colonel Jannell MacAulay, who retired from the military in June, was just 17 when she snapped her femur in half after a stress fracture went undiagnosed in basic training. Devastated and debilitated, MacAulay went through two surgeries and three months of rigorous rehab. In her determination to become a US Air Force pilot, she tried a variety of therapies—yoga, acupuncture, and trigger-point massage among them—in order to improve mobility. 
Once she found a regular yoga routine, scar tissue, stiffness, and pain started improving little by little. “Yoga became a space of non-judgment and gratitude that I wasn’t getting anywhere else in my life,” MacAulay says. “I was completely stressed all the time—just going, going, going. But when I practiced yoga, I could be myself and invest in slowing down, which actually helped me speed up my career path as a professional in the military.”
See also: New Study Finds Yoga Significantly Reduces Depression in Male Veterans
Back in 2012, while government research was ramping up, MacAulay founded Healthy Body Healthy Life—a free, first-of-its-kind health-and-wellness initiative for military families that incorporates yoga, meditation, nutrition, and high-intensity interval training. She also pioneered a similar program at Kirtland Air Force Base, in New Mexico, when she was stationed there last year. Today, the Air Force pays her to travel the globe educating senior leaders about the importance of incorporating yoga into basic training—so soldiers can get ahead of mental and physical injuries before they happen. “We need to better prepare our military, not just to do the job, but to do the job under extreme stress,” she says. “Because that’s the reality in a combat zone. If we’re not using yoga and mindfulness, we’re missing out on creating the best human-weapon systems to operate in those environments.”
She’s not wrong. A resilience-training program that appeared in the American Journal of Psychiatry in 2014 studied 147 Marines who had undergone Mindfulness-Based Mind Fitness Training (MMFT)—a 20-hour, 8-week course that incorporates mindfulness and physical exercises designed by former US Army Captain Elizabeth Stanley, a Georgetown University professor who used yoga and meditation to combat her own PTSD. The MMFT program, developed in 2007, aims to enhance troop performance and mitigate the extreme mental and physical stress that comes with deployment. As part of pre-deployment training, the test subjects practiced MMFT in a mock Afghan village. Shrieking actors and controlled blasts simulated combat stress. Meanwhile, a control group of another 134 Marines went through the same simulation without MMFT.
The research team analyzed both groups’ blood and saliva samples, brain imaging, and a range of cognitive performance tests. The data showed that Marines who practiced MMFT demonstrated greater reactivity, better emotion and stress management, enhanced heart-rate and breath recovery, and a reduced anxiety response. “In other words, these soldiers were not only better equipped for handling stress,” Stanley wrote in the book Bio-Inspired Innovation and National Security, “but they also recuperated more quickly so that they were better prepared to handle any subsequent stressors.”
Today, the US Army is collaborating with Amishi Jha, an MMFT researcher and associate professor of psychology at the University of Miami, to investigate the scalability of mindfulness training designed specifically for military and other high-demand professions.
Yoga and mindfulness improves reactivity, emotion, stress management for those active in the military. 
See also: Veterans Who Hit Rock Bottom Open Up About How Yoga Changed Their Lives
A Bright Future for Yoga in the Military
These research efforts and others have paid off in some ways. Today, half of existing US military treatment facilities (MTFs) recommend yoga to patients, and nearly a quarter offer it onsite—according to a report published in 2017 by the Rand Corporation, a nonprofit think tank. Currently, Tricare insurance, the military’s primary medical insurer, will pay for yoga only when it’s administered at an MTF: “The minute you go outside, you can’t get reimbursed,” Schoomaker says. Because sending troops offsite to practice yoga can be tricky. The health and wellness of service members is the military’s first priority, but if practiced incorrectly, asana can cause strain or further injury.
Schoomaker believes RESTORE could pave the way for non-harming, military-specific yoga programs that can be taught on base, because its success was twofold: It proved that yoga could be an accepted, successful treatment within an active-duty military community, and it demonstrated the potential for a standard approach to yoga as a pain-management tool. He compares it to the extensive work done by the chiropractic community and thinks yoga should follow a similar path.
For the uninitiated, by law, chiropractors must be board certified and adhere to state regulations. They’ve also launched very successful lobbying campaigns over the past 50 years to become established practitioners within the health-care community. Thanks to lobbying efforts back in the 1960s and ’70s, today chiropractic is covered by Medicare—and since 2000, chiropractic treatment has been available to all active duty service members.
“Yoga needs a standardized system of treatment that focuses on anatomy, physiology, and kinesiology,” Highland says. Buy-in from bill payers and legislators for additional programs and coverage will require cooperation from the yoga community
by way of national standards or licensure, adds Buckenmaier. Yet that’s the subject
of an ongoing debate among yoga leaders and teachers, who represent dozens, if not hundreds, of different styles and philosophies—all called “yoga.”
“Lawmakers want to know what a group does to self-regulate itself to ensure there’s competency among practitioners before they unleash them on the public,” says Len Wisneski, MD, chair of the Integrative Health Policy Consortium, which advises the new Integrative Health and Wellness Congressional Caucus, a nonpartisan educational forum for lawmakers to discuss potential integrative-health legislation based on new research from experts. The caucus was announced in October 2017 and provides enormous opportunity to integrate yoga into an evolving health-care system focused not just on illness but on prevention and wellness—notably within the military. “People assume the military is rigid,” Wisneski says. “When, in fact, it’s incredibly innovative when it comes to being open to new ideas. They just want to know if something works and what it costs. If it’s non-harmful and noninvasive, they’ll try it.”
To this end, last September, the US Department of Health and Human Services, the DoD, and the VA announced a joint partnership—the first of its kind—to comprehensively study approaches for pain management beyond pharmacological treatments. Twelve research projects, costing an estimated $81 million over six years, will be used to develop, implement, and test non-drug approaches, including yoga and meditation, for
pain management and other conditions treated by military and veteran health-care organizations.
“The future is bright,” Schoomaker says. “For the first time, these three federal agencies are aligned in searching for a better understanding of the scientific effectiveness of these modalities—to tackle some of the issues like how these complementary integrative approaches can be used and delivered to service members.”
But MacAulay and Corwin, who have both taught yoga on several military bases, say that while yoga for pain management is a worthy cause, the dire need is for preventive programs—ones that train soldiers before suffering sets in.
“We can’t wait until we get injured or are out of the service to have these things available to us,” says Corwin, an ambassador for the Give Back Yoga Foundation, a nonprofit that supports and funds research-backed, clinically tested yoga programs for marginalized populations. “We have to get it early on in our careers.” For that to happen, she says, yoga teachers who work with service members must tailor their classes with the unique culture of the armed forces in mind: “Active military members need to be handled so differently [from civilian students]. You have to be conscious of what you’re teaching, because soldiers may not have the luxury of completely surrendering on the yoga mat when they have to wake up the next morning and do something that they’d probably rather not do.”
Another challenge is creating classes that are rewarding and engaging to a population that’s physically fit by trade, says Corwin. “They’re young, they’re athletic—so what kind of yoga classes do they need?” Sweating, she says, is essential.
The military spokespeople and yoga researchers we spoke with agree that
a culturally specific style of yoga will be an integral part of the puzzle, but it’s just one cog in a very elaborate machine. Another thing everyone agrees on is that progress, especially in a global system like the armed forces, takes time.
But things seem to be headed in the right direction for advocates of using yoga as a preventive practice. Thanks to a legacy of research such as the MMFT program, the National Defense Authorization Act for Fiscal Year 2019 requires the Secretary of Defense to launch a pilot program that provides mindfulness-based stress-reduction training to members of the armed forces before they’re deployed to combat zones—in order to study its effects on stress management and PTSD prevention.
“I’m constantly optimistic,” says MacAulay. “Three years ago I gave my first presentation and was called ‘brave’ and ‘bold’ for having the guts to talk about yoga in a professional military forum. But today, more and more senior leaders are inviting me to share this message about yoga and mindfulness with this community.” begin applying yoga and mindfulness to prepare soldiers for combat. 
See also: A Healing Meditation for Caregivers of Wounded Warriors (It Only Takes 5 Minutes!)
from Yoga Journal https://ift.tt/2xQPQsu
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