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All Posts in Category: ACTIVE RELEASE SOMERS POINT

Taking the pain off your shoulders with Active Release Technique – Dr Mark Kemenosh and Assoicates

Link to original content on ActiveRelease.com – http://activerelease.com/news.asp

Pain in your shoulders can affect a wide range of activities. ART® providers treat cases of shoulder pain resulting from as little as working at your computer to participating in activities such as tennis, swimming, and golf. Shoulder pain is commonly slow to respond to traditional treatments, and if shoulder pain progresses, it can make simple tasks, such as reaching for things and sleeping, painful.

As with any type of injury, ART® first looks at the underlying cause of shoulder pain. The shoulder provides a great deal of motion for a single joint, and allows people to reach overhead, behind their bodies, across their chest, and to rotate their arms. The shoulder joint is comprised of the rounded end of the arm bone called the “humerus,” and the flat surface of the shoulder blade, known as the “scapula.” Because the shoulder is the joining of a flat and a round surface, it is a relatively loose joint, which is what enables it to provide such a wide range of motions. Stability and control of this motion is provided by the rotator cuffs and scapular stabilizers.

Shoulder injuries occur most often when significant stress or repetitive motion inhibit the rotator cuffs and scapular stabilizers from doing their job. Many people realize that sports such as tennis or golf can cause shoulder injuries easily. This is because these activities demand both a great deal of force from the rotator cuffs and scapular stabilizers, as their swinging motion requires the arm to reach far behind and in front of the body, and numerous repetitions of those motions.

What many people do not realize, is that shoulder injuries are often caused by the actions of their everyday lives. Any time you push, pull, lift, or carry anything with your arms, your shoulder muscles must contract to protect the shoulder. Even working at your computer requires a small ongoing contraction in the shoulder muscles. These may seem like small matters, but combined with the frequency with which many people complete these actions, these everyday activities can cause serious repetitive use injuries.

Inside the muscles and tendons, these motions cause small-scale muscle damages called microtrauma. If microtrauma is not able to heal, it can lead to the buildup of scar tissue also known as “adhesions.” Adhesions then contribute to the cumulative injury cycle, which can eventually lead to more serious injury, pain, and loss of function.

Traditional treatments for shoulder pain include rest, ice, anti-inflammatory medications, ultrasound, muscle stimulation, steroid injections, stretching, exercises, and if these don’t succeed, surgery is recommended. If these methods are effective, they often must be done over a long period of time, and can be costly both monetarily and in the amount of time away from activities. Many of these methods are only able to treat the symptoms of shoulder pain and not the cause.

Active Release Techniques® locates the exact location of the adhesions and releases them, thus eliminating the underlying cause of the pain. To do this, the ART® provider will apply very specific pressure while you lengthen and stretch the tissue. Because of the hands-on nature of ART® treatment, as the provider releases the tissue in one area they are able to determine the overall health of the muscles and tissues in the area and provide the most comprehensive treatment possible.

Link to original content on ActiveRelease.com – http://activerelease.com/news.asp

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Injured Redskins turn to chiropractor to recover quickly – Richmond Times

Earlier this month a great article went up on the Richmond Times about how Washington Redskins players were turning to Chiropractic Medicine to return to the field quicker. We love great information about Chiropractic, Active Release Technique, and Instrument Assisted Soft Tissue work! The best part of the story is that the Chiropractor helped him with his Achilles injuries, just like we do at our office here in South Jersey. We do a lot more than just low back pain and neck pain, check out the article below for more info.

Link: http://webcache.googleusercontent.com/search?q=cache:1RIqXi4TG5cJ:www.richmond.com/redskins-xtra/injured-redskins-turn-to-chiropractor-to-recover-quickly/article_a72268f8-3bac-598e-94b3-dda2761f5310.html&num=1&hl=en&gl=us&strip=0&vwsrc=0

From the article:

Running back Mack Brown watched Josh Doctson’s college film this offseason, seeing clips of his teammate toe tapping in the end zone, high pointing passes and running crisp routes rolled into five-minute YouTube videos.

Doctson tried TheraBands to fix his Achilles injury, he tried stretching it and none of it helped reclaim his health. Brown knew what Doctson could do for the Redskins’ offense this season, so he recommended Doctson see Dr. Craig, a chiropractor in the Ashburn area who Brown visits for body maintenance.

“I knew he really was in pain. I was like, ‘You really need to go to this doctor to get your body worked on,’” Brown said. “You get Doctson at 100 percent, he’s a problem for the league, one of the best receivers in the league. We need to get him back healthy.”

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The New York Times – Bring On the Exercise, Hold the Painkillers

Over the weekend a fantastic article that speaks to a team of chiropractors like we have at the office appeared on my social feeds! On The New York Times Running Newsletter the following article was published about exercise and why some forms of NSAID’s and Painkillers and endurance athletes like runners, swimmers, and cyclists should think first before just dismissing the issue and reaching for ibuprofen or naproxen in most cases.

Taken directly from the article by Gretchen Reynolds:

Taking ibuprofen and related over-the-counter painkillers could have unintended and worrisome consequences for people who vigorously exercise. These popular medicines, known as nonsteroidal anti-inflammatory drugs, or NSAIDs, work by suppressing inflammation. But according to two new studies, in the process they potentially may also overtax the kidneys during prolonged exercise and reduce muscles’ ability to recover afterward.

Direct Link: https://www.nytimes.com/2017/07/05/well/move/bring-on-the-exercise-hold-the-painkillers.html?em_pos=small&emc=edit_ru_20170707&nl=running&nl_art=1&nlid=80378830&ref=headline&te=1&_r=0

NSAID use is especially widespread among athletes in strenuous endurance sports like marathon and ultramarathon running. By some estimates, as many as 75 percent of long-distance runners take ibuprofen or other NSAIDs before, during or after training and races.

Being a marathoner myself I cannot refute the fact that on occasion I do take the label dosage of ibuprofen but understand that in most cases this is a poor choice for dealing with a running issue.  While most outsiders think of our office as “just another chiropractic office” we also offer Active Release Technique, commonly referred to as “ART” and in sports like running, cycling, and swimming, we usually offer a huge amount of upside with treatment to all sorts of issues commonly encountered.  I have even broken myself to some extent to not use ibuprofen (advil) or naproxen (aleve), which at times is tough with very small injuries that often times only slow me down, but do not keep me from running and going to the gym.

Some other valuable links about “pills” and runners / endurance athletes to check out are the following!

The Pill Problem – The right drug can relieve pain and discomfort—or put you in a world of hurt.

Direct Link: http://www.runnersworld.com/injury-treatment/what-runners-should-know-about-pain-medications

From the article written by Christie Ashwanden:

After winning a 24-hour track run in record time, Stephanie Ehret should have been celebrating. Instead, she was in a Phoenix emergency room, vomiting up a strange substance, which a doctor informed her was part of her digestive-tract lining. Feverish and nauseous, Ehret could barely move. “I’d never felt so bad,” she says. “I was pretty sure I was dying.”

A few hours later, doctors diagnosed the problem—rhabdomyolysis, a potentially fatal precursor to kidney failure. Though dehydration and overexertion contributed to Ehret’s condition, doctors told her that the 12 ibuprofen pills she’d taken during the 24-hour race had pushed her kidneys into the danger zone.

When used properly, over-the-counter pain medications can be a godsend. Acetaminophen (Tylenol) can tame many pains. And non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen, aspirin, and naproxen can reduce pain and swelling in the first few days following an acute injury like an ankle sprain. The trouble comes, doctors say, when people, like Ehret, misuse these drugs. “A couple of ibuprofens really helped, so I figured more was better,” Ehret says. Indeed, many runners treat anti-inflammatory drugs like “vitamin I,” says pharmacologist Joe Graedon, coauthor of The People’s Pharmacy book series. “They think, I’m putting my body through a lot, so I’ll just dose up on ibuprofen, without appreciating how potentially dangerous this drug can be.”

The Dangers Of Mixing Meds While Running

Direct Link:  https://houseofrunning.com/the-dangers-of-mixing-meds-and-running/

From the article written by Laurie Villarreal for House of Running –

I was at the start of the CPC half marathon last weekend when a runner said to me that she had just taken some ibuprofen for a headache. I immediately thought, “oh no, bad idea.” While ibuprofen might help with a headache or with post-race inflammation, it can be too risky to take before a running event. This is something that I never do. Before mixing medication with running, it’s quite important for you to know the risks as well.

Ibuprofen is an NSAID (non-steroidal anti-inflammatory drug), which can be particularly risky for runners. NSAIDs also include the common drugs aspirin and naproxen, as well as many others. When taken before or during a run, it can cause harm to your kidneys, increase your blood pressure to risky levels, and put you at greater risk for hyponatremia. No matter the reason for taking an NSAID, it is not often worth the risk.

The best part about being a chiropractor who specializes in Active Release Technique here in South Jersey is that more than likely we can correct most running issues using hands on Myofascial Manipulation coupled with treatments like Instrument Assisted Soft Tissue Manipulation and some NATURAL anti-inflammatories to keep you running, biking, swimming, cross fitting, ninjaing and more at a very high level!

Questions?  Give our front desk a call at 856-228-3100 or use the contact us link below!

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Fourth of July – 2017 – Office Closed

The office will be closed in celebration of Independence Day on both Monday and Tuesday, July 3rd and July 4th respectively. We hope that you enjoy your family as much as we will on this holiday weekend and will back in the office on Wednesday July 5th.

Looking for some great races to run in our local south jersey areas? We have that info as well!

Pitman New Jersey Freedom 4 Miler –

Pitman NJ Freedom Four Miler – July 4th 2017 – 8:30 AM

Haddon Heights Firecracker 5k Race –

Haddon Heights FireCracker 5k – Fourth of July Race – Haddon Heights, NJ

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Achy Joints – More EVIDENCE that HIGH QUALITY Chondroitin Sulfate supplementation helps arthritis.

Direct Link: https://www.ncbi.nlm.nih.gov/pubmed/28533290

While looking for pertinent and relative research to issues we deal with here at the office, I came across this article online which was very recently published in supplementation research.  PubMed is your basic search site for indexing research studies and usually one of the first places we look as doctors trying to stay ahead on the evidence based practice spectrum of chiropractic.

For about 15-20 years, Chriopractors, Nutritionists, and some other medical professionals have felt confident that Chondroitin and Glucosamine supplements from GOOD SOURCES help to keep arthritic joints moving freely.  Please note that we stress good sources with all supplements.  We don’t mind if you buy your supplements from other sources than our office, just be sure the source is reputable!

The best part of this study is this, the conclusion in a study basically tells you what the researchers what you want to know and this one goes right to the point in dealing with osteoarthritis, pain, and tightness in the joints.

CONCLUSION:  A 800 mg/day pharmaceutical-grade CS is superior to placebo and similar to celecoxib in reducing pain and improving function over 6 months in symptomatic knee osteoarthritis (OA) patients. This formulation of CS should be considered a first-line treatment in the medical management of knee OA.

Here at the office we of both a basic Chondroitin and Glucosamine from Anabolic Labratories, but also an even better version known as Nutra-Disc which contains several different natural anti-inflammatories like Turmeric, Bromelain, Curcumin and many others. Nutra Disc is a unique proprietary product for disc injuries and related connective tissue problems.  Nutra Disc contains a specialized blend of ingredients designed to support the body’s natural response to maintain good joint health, promote the production of collagen, and support the rebuilding of cartilage.

We previously published positive quality research about Chondroitin and Glucoasamine supplementation on our blog a few months back which you can see at the link below.

Link: http://drmarkkemenoshandassociates.com/positive-studies-chondroitin-glucosamine-osteoarthritis-continue-grow/

Direct link to the Nutra-Disc label: http://www.anaboliclabs.com/User/Document/Labels/Nutra%20Disc%203629-180C%203.0×9%20optimized.pdf

Direct link to the Nutra-Disc data sheet: http://www.anaboliclabs.com/User/Document/Fact_Sheets/NutraDisc_DataSheet.pdf

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Medscape – Statin Use Increases Odds of Back Disorder: Cohort Study

Reading up on back pain like a good chiropractor this weekend I saw an article on Medscape which greatly attracted my interest — Medscape – Statin Use Increases Odds of Back Disorder: Cohort Study.

While rare, we do see occasionally increased musculoskeletal issues (aches, pains, and strains) related to the use of statin drugs which help to control cholesterol.  The most important thing to remember here is YOU CAN NOT SIMPLY STOP TAKING YOUR STATINS JUST BECAUSE YOU FEEL LIKE IT OR THINK YOU SHOULD!  PLEASE SEE THE NEXT LINE TAKEN DIRECTLY FROM THE STUDY!

“Further prospective studies are needed to better understand the mechanism of how statins can contribute to back disorder diagnoses,” said Makris.

“We are not advocating for taking patients off statins if they have cardiovascular risk factors. As clinicians we should be aware of these potential associations and understand the spectrum of potential adverse effects.”

Link to Medscape Article: http://www.medscape.com/viewarticle/879387

Can Statins Cause Back Pain?

Two previous studies based on NHANES data reported that statin use was associated with musculoskeletal pain including back pain among individuals without arthritis[2,3].

Severe back pain is both debilitating and costly. In 2005, it was estimated that back pain cost the healthcare system more than $100 billion, Makris noted.

The researchers retrieved data from 60,455 individuals who were at least 30 years old, lived in the San Antonio area, and were enrolled in the TRICARE health insurance system from 2003 to 2012. Of these, 17% were active military personnel and the rest were family members and veterans.

About one in six individuals (10,910) had been prescribed a statin, usually simvastatin (in 72% of prescriptions), and on average, they had been taking this drug for 3.7 years.

The researchers matched 6728 statin users with an equal number of statin nonusers. They had a mean age of 52 and 47% were women. A quarter were overweight or obese; 53% had hypertension; 20% had diabetes; and 40% had osteoarthritis.

Close to a third (30%) had a back disorder.

In the propensity-matched cohort, being prescribed a statin (as opposed to not being prescribed this drug) significantly raised the odds of having a back disorder (odds ratio 1.27; 95% CI 1.19–1.36).

In the overall cohort and in prespecified subgroups (such as nonobese individuals, healthy individuals, or those without musculoskeletal conditions at baseline, statin use was consistently associated with increased odds of being diagnosed with a back disorder.

In an analysis of the overall cohort, but with adjustment for propensity scores, the risk increase for a back disorder went from 30% among statin users to 47% among those taking high-intensity statins. It also increased with duration to as high as 59% with >4 years of use.

Link to Medscape Article: http://www.medscape.com/viewarticle/879387

Struggling with back pain, hip pain or something similar, give us a call at 856.228.3100 to see if we can help!

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U.S. News and World Report – Sports Chiropractic Treatment for Running Injuries

Cruising the web this weekend waiting for Sunday to roll around for the Broad Street Run in Philadelphia, this article popped up on my twitter feed shared by colleague in North Jersey!  I’m usually all over good press for the work my team and I do here at the office, and even more so on the look out when it comes to helping runners.

Link: http://health.usnews.com/health-news/blogs/eat-run/2013/11/04/sports-chiropractic-treatment-for-running-injuries

From the article:

Why see a sports chiropractor for a running injury?

Although physical therapy is often the first line of defense in rehabbing a running injury, many athletes and runners have started to rely on sports medicine-trained chiropractors. While physical therapy can focus on strengthening and coordination, chiropractic care is designed to improve joint mobilization, making sure that all the joints in the body are moving correctly. Hirad Bagy, founder of the United Wellness Center in Herndon, Va., and team chiropractor for the Washington Redskins, Washington Nationals and DC United, believes that sports chiropractic care has evolved to incorporate the best of both worlds of joint mobilization techniques and soft tissue repair, creating a new gold standard of best practices in treatment plans for patients.

Link: http://health.usnews.com/health-news/blogs/eat-run/2013/11/04/sports-chiropractic-treatment-for-running-injuries

From the article:

Active Release Technique for runners

After three months of not being able to run, in almost constant pain ranging from my iliotibial band to the back of my hip and then into my psoas muscle, I was admittedly ready for anything when my orthopedist suggested trying Active Release Technique. According to Bagy, the reason that Active Release Technique can be beneficial – especially for iliotibial band and hip injuries – is that it combines different muscle work that breaks down scar tissue while also emphasizing correct flexibility. Through Active Release, as Bagy explains, you can actually “elongate some of the muscle fibers making those muscles more pliable and therefore healthier.”

Anyone preparing for ART should know that this is not a particularly gentle treatment. I tried telling myself that it would be like a deep tissue massage, which I enjoy, although I quickly learned that while highly effective (after three weeks my pain, though still there, was incrementally improving), the pressure and work on the muscles is deep and sometimes painful.

Questions about running related injuries and soreness?  Give us a call at 856-228-3100 or email us at the link below!

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Dr. Axe – 5 Active Release Technique Benefits, Including Lowered Pain & Increased Performance

An awesome article popped up on my Facebook feed this weekend as I was aggressively looking for updates about the Penn Relays!  Dr. Josh Axe gets invited reguarly to speak on shows like The Doctors and Dr. Oz.  It was awesome to see more in the news about Active Release Technique and how it can be used to treat most common conditions.

Dr. Axe’s blog had the following information to get started about what Active Release is:

Relieving tight muscles and trigger points can make a big difference in reducing joint stress and improving your overall quality of life. That’s why you should consider active release technique (ART). It can help turn on muscles that have been turned off due to injury and eliminate muscular pain.

Active release technique is a type of soft tissue therapy that helps relieve tight muscles and nerve trigger points, greatly reducing joint stress or muscular pains. I’ve visited ART practitioners for years to help me overcome a number of muscle- and joint-related injuries.

DIRECT LINK: https://draxe.com/active-release-technique/

 

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Dr Craig’s favorite prehabilitation exercise – Monster Walk with Theraband

I teach this exact exercise several times a day as well as a few variations almost on the daily since the basis of most of our patients are runners.  This exercise can never be done slowly enough, anyone can do this movement quickly but slow down and act like you have a hot cup of coffee in your hands.  Almost everyone does these exercises quickly and while there is nothing wrong with that, slower is almost always better.  Check out all the following videos on how to practice this excellent prehab movement for most runners struggling with “typical runner stuff”.

If you are a South Jersey runner struggling with pain and tenderness as we lead up to the big part of summer running season which is just ahead (Broad Street Run, Philly Rock N Roll Half, Chicago Marathon, Philly Half and Philly Marathon are all on the horizon) give us a call at 856.228.3100.

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JAMA – Association of Spinal Manipulative Therapy With Clinical Benefit and Harm for Acute Low Back Pain

Title: Association of Spinal Manipulative Therapy With Clinical Benefit and Harm for Acute Low Back Pain – Systematic Review and Meta-analysis

My good friend who is a pediatrician in Wisconsin alerted me that JAMA produced a reasonable and sound systematic review and meta-analysis yesterday on spinal manipulation for acute low back pain which can be read at the following link!

Link: http://jamanetwork.com/journals/jama/article-abstract/2616395?utm_medium=alert&utm_source=JAMALatestIssue&utm_campaign=11-04-2017

Reading the entire post is great over at the JAMA site linked above, but for most of you the conclusion is what you are more concerned about so here it is.

Conclusions and Relevance  Among patients with acute low back pain, spinal manipulative therapy was associated with modest improvements in pain and function at up to 6 weeks, with transient minor musculoskeletal harms. However, heterogeneity in study results was large.

Spinal Manipulation is the basis of what most chiropractors perform on a daily basis, here at the offices we combine multiple techniques including chiropractic manipulation of the spine and extremities with other treatments like Active Release Techniques, McKenzie Mechanical Diagnosis and Treatment, Cox Flexion and Distraction Technique and Instrument Assisted Soft Tissue Manipulation.  In some cases we give patients take home Corrective Exercise’s or refer out for physical therapy when needed, recommendations for staying out of pain and avoiding future incidences and aggravation of back pain.  With articles like these being produced by JAMA (The Journal of the American Medical Association) we hope that more family doctors will refer you to our offices for better treatment and management of issues related to back pain.

If you are struggling with acute or chronic issues and would like to be seen in our office, please give us a call at 856-228-3100 or use the CONTACT US link below!

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