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A Q&A on pain management with presenters Dr. Rachel Solotaroff, Pharmacist Tara Berkson, and Behavioral Health Consultant Nadeja Razi-Robertson in the last part of this CareOregon MEDS Ed seminar. Clinicians discuss treating chronic pain and ways to talk with patients about their pain management regimens. Speakers describe how to screen, recognize and triage high-risk symptoms associated with pain medications. Watch the rest of this seminar: Part 1: https://youtu.be/pa_plih7WY4 Part 2: https://youtu.be/MiVTfR6vuHc Part 3: https://youtu.be/TlDaNuqTU_w Part 4: https://youtu.be/1cLfwXcIoD4 Part 5: https://youtu.be/m8I9LVn0Khk Pain Management: A MEDS Ed seminar Recorded on Dec. 3, 2015 at the CareOregon building, Portland, Ore. FEATURED SPEAKERS • Dr. Rachel Solotaroff, Medical Director, Central City Concern Chair, CareOregon Metro Chronic Pain/Chemical Dependency Task Force • Tara Berkson, PharmD, MEDS Ed Coordinator, CareOregon • Nadejda Razi-Robertson, LCSW, Behavioral Health Consultant SLIDES “Pain Management: Pain is inevitable. Suffering is optional” (PDF) - http://bit.ly/MEDSEd-PainManagement-Slides PROGRAM DESCRIPTION MEDS Ed is an ongoing education series by CareOregon’s Pharmacy team. It’s geared to health care professionals involved in direct patient care at community clinics. Attendees leave with valuable tools and insights that improve how they can contribute to multi-disciplinary teams. Each three-hour MEDS Ed session examines a disease state that highly impacts patient quality of life, requires complex management, and may lead to increased emergency department visits and inpatient stays. Speakers are pharmacists and clinicians from the community and from CareOregon staff. For more information on MEDS Ed and future sessions: http://www.careoregon.org/LearningAndInnovation/MEDS-ed.aspx

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Erectile dysfunction (ED) is a common condition that affects many men across various age groups. It can be caused by a combination of physical and psychological factors, such as poor blood circulation, hormonal imbalances, stress, anxiety, and a sedentary lifestyle. While traditional medical treatments can help, yoga offers a natural, holistic approach to improving sexual health. By incorporating specific yoga poses into your routine, you can enhance blood flow, strengthen pelvic muscles, reduce stress, and ultimately improve erectile function. This guide will cover the best yoga poses for ED, their benefits, instructions, and how to structure your practice for optimal results. ### Workout Structure The following yoga routine is designed to specifically target the areas of the body that influence erectile function. It focuses on improving blood circulation, strengthening the pelvic region, releasing tension, and reducing mental stress—critical components in tackling ED. The routine includes a series of poses that stimulate the nervous system, stretch the hips and lower back, and enhance flexibility, all of which play a vital role in sexual health. ### Best Yoga Poses for Erectile Dysfunction 1. **Siddhasana (Adept’s Pose)** **Instructions**: Sit on the floor with your legs extended forward. Bend your right knee and place the heel close to the perineum. Place the left foot over the right, pressing it gently into the lower abdomen. Rest your hands on your knees in a mudra, keeping your spine straight. **Benefits**: Siddhasana stimulates blood circulation in the pelvic region, which is essential for erectile function. It also calms the nervous system, reducing stress and anxiety—two common causes of ED. 2. **Garudasana (Eagle Pose)** **Instructions**: Stand with feet together and bend your knees slightly. Lift your right leg, wrapping it around your left leg, and place the foot behind the left calf. Stretch your arms forward, crossing them at the elbows, and bring your palms together. Hold for several breaths, then switch sides. **Benefits**: This pose enhances balance, flexibility, and strength, particularly in the pelvic and groin area. It helps alleviate lower back tension and promotes circulation, which is essential for sexual health. 3. **Baddha Konasana (Bound Angle Pose)** **Instructions**: Sit on the floor with your legs extended. Bend your knees and bring the soles of your feet together, allowing your knees to fall open. Hold your feet with your hands, gently pressing your knees toward the floor. **Benefits**: Baddha Konasana stretches the groin and inner thighs, which helps release tension in the lower body. It also stimulates circulation in the pelvic region, promoting better sexual health. 4. **Naukasana (Boat Pose)** **Instructions**: Sit on the floor with your legs extended. Lean back slightly and lift your legs off the ground, balancing on your sit bones. Extend your arms forward, keeping your back straight and core engaged. Hold for several breaths. **Benefits**: Naukasana strengthens the core and pelvic muscles, both of which are critical for erectile function. It also improves posture and circulation, which can help reduce ED symptoms. 5. **Kumbhakasana (Plank Pose)** **Instructions**: Begin in a push-up position, ensuring your body forms a straight line from head to heels. Engage your core muscles and hold the position, breathing deeply. **Benefits**: This pose strengthens the core and stabilizes the pelvic muscles. It increases stamina and energy levels, both of which contribute to improved erectile function. 6. **Ardha Matsyendrasana (Half Lord of the Fishes Pose) **Instructions**: Sit with your legs extended. Bend your right knee and place your foot outside your left thigh. Twist your torso to the right, placing your left elbow on the outside of your right knee. Hold the position, breathing deeply. **Benefits**: Ardha Matsyendrasana improves spinal flexibility and stimulates blood flow to the pelvic region, promoting better circulation and sexual function. 7. **Uttanasana (Standing Forward Bend) **Instructions**: Stand with feet hip-width apart. Slowly fold forward from your hips, bringing your head toward your knees. Hold your ankles or the floor and let your chest rest on your thighs. **Benefits**: Uttanasana stretches the hamstrings, relieving tension in the lower back. It also calms the mind and reduces stress, both of which can help with ED. 8. **Danurasana (Bow Pose) **Instructions**: Lie on your stomach, bend your knees, and reach back to grab your ankles. Lift your chest and thighs off the ground, pulling your ankles toward your body to form a bow shape. Hold the pose while breathing deeply. **Benefits**: Danurasana opens up the chest and strengthens the back, while also stimulating the pelvic area. This pose improves blood circulation and energizes the entire body, supporting sexual health.

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