in pursuit of healthy-ness 10 jul 09
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In Pursuit of Healthyness
Dr. Rajat ChauhanMBBS, MSc Sports & Exercise Medicine
MLCOM Musculo – Skeletal Medicine
Mission Statement• Help people - from sedentary (non -
sportspersons) to elite sportspersons - to get back to what ever physical activity they enjoy doing most
• Equip them to use their bodies optimally
• through a Multi-modality Conservative (Holistic) Approach by using Evidence Based Medicine
• In Sports & Exercise Medicine & Musculo - Skeletal Medicine field
Evolution of Sports Medicine: The current
model in India
DoctorDoctorDoctorDoctor
PodiatristPodiatristPodiatristPodiatristPhysiotherapiPhysiotherapistst
PhysiotherapiPhysiotherapistst
PatientPatientPatientPatient
AlternateAlternateAlternateAlternate
MasseurMasseurMasseurMasseur NutritionistNutritionistNutritionistNutritionist
Evolution of Sports Medicine: The correct
way
PsychologistPsychologistPsychologistPsychologist
Patient / Patient / AthleteAthletePatient / Patient / AthleteAthlete
PhysiotherapiPhysiotherapistst
PhysiotherapiPhysiotherapistst
NursesNursesNursesNurses ScientistsScientistsScientistsScientists
Doctors Doctors TeamTeam
Doctors Doctors TeamTeam TrainersTrainersTrainersTrainersNutritionistNutritionistNutritionistNutritionist
BiomechanistBiomechanistss
BiomechanistBiomechanistss
Evolution of Sports Medicine: The correct
way• More than just “Sports Medicine”
• Total medical care of exercising (physical active) individual
• Sports & Exercise Medicine & Science
• Non-Athletes:
• Musculo-skeletal aches and pains
• Rehabilitation: Cardiac, Renal, Diabetics...
Market study - Competition &
Opportunity space
HOSPITALSHOSPITALSHOSPITALSHOSPITALSGYMS GYMS
& & FITNESS CENTRESFITNESS CENTRES
GYMS GYMS & &
FITNESS CENTRESFITNESS CENTRES
BACK 2 BACK 2 FITNESSFITNESS
SPORTS & SPORTS & EXERCISE EXERCISE MEDICINEMEDICINE
MUSCULO-MUSCULO-SKELETAL SKELETAL MEDICINEMEDICINE
BACK 2 BACK 2 FITNESSFITNESS
SPORTS & SPORTS & EXERCISE EXERCISE MEDICINEMEDICINE
MUSCULO-MUSCULO-SKELETAL SKELETAL MEDICINEMEDICINE
Your choice
Prescribing Exercises
Prescribing Exercises
3 major factors that influence our health &
longevity?
Aerobics Center Longitudinal Study
Physical inactivity: the biggest health problem of the 21st century
– Steven N Blair, British Journal of Sports Medicine, 2009; 43; 1 – 2
Exercise is medicine and physicians need to
prescribe it!• There is clear evidence proving the benefits of regular physical activity in prevention of chronic disease & lowering of mortality rates
• Little is being done by organised medicine to try & increase physical activity amongst patients
• There should be merging of fitness industry with healthcare industry
When will we treat physical activity as legitimate therapy •Exercise Pill
•Cancer free cigarette
•Benefits: CVD, DM, Dementia, Osteoporosis, depression, old age, certain type of cancer, many others*
Day• Too much sitting
• Poor posture: slouching
• Neck Pain
• Back Pain
• Shoulder Pain
• RSI
Night
• Sleep 6-8 hrs
• Poor posture
• Bad pillow / mattress
• Sleep is to recover & rejuvenate for next day
• How many of you feel tired when you get up?
• Improper resting is not the solution
• We are built to move
• We spend
• 8 hrs sitting in front of the computer
• 3 hrs in front of the idiot box
• 2 hrs at dining table
• We are doing nothing for 14 hrs
• >50% working population has back pain
Where are we going?
Poor posture & ergonomics
Task done over and over again
Body adapts again & again
Feel nothing & go merrily about
our computer tasks
Body can no longer adapt and
pain begins
Doesn't easily go away
Vicious Circle
Your new life
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