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Resolving the causes and effects of back pain – Active Release – Dr Mark Kemenosh and Associates

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

Resolving the causes and effects of back pain – Active Release Technique – Dr Mark Kemenosh and Associates

One of the most common injuries that ART® providers treat, indiscriminate of their work setting, is lower back pain. Accordingly, it’s no surprise that lower back pain is the most commonly recorded musculoskeletal disorder. In the United States alone, it is the culprit of $100-200 billion in medical expenses each year. 80% of the U.S. population is affected by back pain at some time in their life. The high prevalence of back pain has enabled us at Active Release Techniques® to spend a lot of time studying the causes and most effective treatment protocols for each individual cause.

Back pain results from a wide array of working circumstances including heavy or repetitive lifting, over-reaching working in an awkward posture, and remaining bent over or seated for too long, just to name a few. These tasks create scar tissue, which causes pain, weakness, and reduced range of motion. Because of the large variety of behaviors causing back pain, cases of back-related MSDs can be found in nearly any workplace setting, from offices to factories. Whether the activity causing the pain is sitting, reaching, or lifting, pain origination is frequently linked to doing any of these activities with an awkward posture. Additionally, as people age, their incidence of back pain rises as does the cost, which increases at a greater rate due to the increased time, medication, and procedures necessary for their recovery.

Sitting puts twice as much stress on your back as standing, and when you slouch that stress is compounded. Further, sitting in a slouched position over-stretches the ligaments in your back. Not only do sitting and slouching add stress, they also prevent nutrients from getting to the discs in your spine. Excessive sitting can also cause pain in your hips and pelvis because it tightens and shortens the tendons in that region, placing even more pressure on the lower back. Pain resulting from maintaining an awkward posture, such as crouching or bending for an extended period of time, is often caused by some variation on this same reasoning.

Back pain as a result of heavy or repetitive lifting is also frequently a function of lifting with an awkward or incorrect posture. The weight being lifted adds additional stress to the spine, and awkward posture exacerbates the issue by causing muscles, tendons, or ligaments to over-stretch or tear.

So many of the things we do every day can build up scar tissue over time and cause back pain. Luckily, ART® can help, not only to relieve your pain and release your scar tissue, but also, through our onsite wellness programs, suggest things that you can do to prevent that scar tissue from building up in the first place.

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

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Knee Pain – A common injury with many causes – Dr Mark Kemenosh and Associates

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

ART® has a long history working with athletes of all kinds, and was actually developed when the founder, Dr. P. Michael Leahy was working with elite athletes to help them get back to peak performance more quickly. No matter the kind of athletic endeavor in which you partake, knee injuries are a common frustration that can be resolved with ART® In addition to being extremely prevalent, knee injuries can also be some of the most nagging, because they can take a long time to come back from, and can stop people from working out or training for weeks or months.

The knee must support body weight as well as flex and extend to generate the propulsive forces needed to move the body. To help the knee serve its very important function, it is surrounded by a complex group of muscles that must be strong, flexible, and coordinated enough to protect and stabilize the knee.

Knee injuries are so common because the knee is interconnected with other joints, namely the hip and the ankle, as a part of the kinetic chain. The knee is a hinge joint that is designed to move backward and forward, but the other joints in the kinetic chain, the hip and ankle, move front to back, side to side, and around in circles. Understanding how pain in one joint can come from elsewhere in the kinetic chain is an important part of how ART® providers diagnose a soft-tissue injury. Very often, knee pain is symptomatic of issues in the adjacent muscles or joints. If the hip or foot has even a minor issue such as over-tightness, weakness, muscle imbalance, or faulty alignment, it can overload the bones and ligaments in the knee, and places even more demand on the muscles around the knee as they try to keep it from moving from side to side or twisting.

When there is a problem anywhere in this kinetic chain, the knee is often the first place to develop pain, even if it is not the source of the problem. This is referred to as movement compensation. The forces generated by any athletic activity do not get properly distributed and they become focused at the knee. For this reason, when diagnosing knee pain, ART® providers know that they must examine the entire kinetic chain, and not just the knee and its surrounding muscles. Treatment that focuses on just the knee often results in re-injury because the root of the problem is not addressed.

Traditional treatments for knee pain often involve some combination of heat, ice, ultrasound, muscle stimulation, steroid injections, exercises, and sometimes even surgery. Many of these methods are ways to temporarily relax the muscles, and all of them deal exclusively with the knee and the muscles surrounding it. These treatments often take a long time to see significant results, and even then those results are temporary and the injury usually recurs. This is because the root of the problem has not been addressed, the entire kinetic chain has not been examined, and scar tissue has not been released.

An ART® provider watches you move and examines the entire kinetic chain using tactile observation to feel the texture and tension of each muscle, and releases the scar tissue that sustains the injury with palpation. This assures that the root of the problem is addressed and keeps the injury from happening again. Best of all, ART® treatment delivers noticeable results in just one 15-minute treatment and can resolve the injury completely with just 5-10 treatments, so you can get back to your active lifestyle as quickly as possible.

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

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Running Works – Day Of Distance 2018 – Date Announced – Friday, March 16, 2018 at 8 AM – 4 PM

We know it’s early but we are charged up about keeping running alive and well in our region of South Jersey! All too often we hear running community members say if they would have only known about the Day Of Distance earlier they would have signed up! Well it’s on and the date is Friday, March 16, 2018 8 AM to 4 PM.  While we don’t have all the details just yet, we can tell you that the Running Works team has started to circulate a Facebook Event Page confirming the date, time, and the location, which is always, Villanova University.

Day Of Distance Facebook Invite Page – https://www.facebook.com/events/1905653229751357/

So far the keynote speakers for 2018 will be Craig Virgin and Chris Fox.  We will post more info when we know about it!

Here are some pictures from the 2017 Running Works Day Of Distance –

Here are a few pictures of Dr. Mark Kemenosh speaking at the break out sessions of the 2016 Day of Distance on the benefits for Active Release when applied to cross country and track and field athletes!

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Haddonfield Adrenaline 5K Race Walk and Kids Race – HADDONFIELD, NJ –

Holy smokes, it’s almost time for Christmas, New Years and so much more! Where did 2017 go? Is Cross Country really already over? Well, I guess it’s time to plan for spring and there is no better way to break out of a winter time funk than to sign for up the Haddonfield Running Co Adrenaline 5k Run/Walk and Kids Races! Inside tip, we usually setup in the basement of the Running Co for a post race recovery room with the Training Room of Haddonfield Physical Therapy group!

Place

Haddonfield Memorial High School
Haddonfield, NJ US 08033

Race Description

The 13th Annual Haddonfield Adrenaline 5K Run will be held Saturday, March 17, 2018. The 5k starts at 9am in front of Haddonfield High School and is followed by a kids 1/4 mile and 100 meter races on the Haddonfield High School track.

The 5K race is USATF certified, and serves as the MidAtlantic 5K Championship. This event is sponsored by the RunningCo. of Haddonfield. Kick off the 2018 running season with an adrenaline pumping race!

Team Challenges

Note: No Race Day Team Registration.

Corporate Team Registration allows an organization to pay for their employees and families. Click on Corporate Team and Create New Team.

Competitive teams will still be the same:

3 to a team to score, no maximum. Awards to top 2 teams in each of the following categories:

– High School Club Team (Male and Female)

– Family Team

– Corporate Team

Packet Pickup

March 14-16 from 10AM – 7PM at RunningCo. of Haddonfield, 121 Kings Highway East, Haddonfield, NJ 08033.

Race Day Packet Pickup at Haddonfield High School starting at 7AM.

Directions

From the Ben Franklin Bridge, take Rt. 30 East. Follow signs for “Cherry Hill”. After ramp, take Route 70 East about 3 miles to Route 41 exit to Haddonfield, continue straight. After the second traffic light, Park Ave., Haddonfield High School is on your right. Follow signs for parking.

From Rt. 295, take Exit 32 – Haddonfield/Gibbsboro. At the end of the exit ramp, turn onto Route 561 West (Haddonfield/Berlin Road) towards Haddonfield. Travel straight on Route 561 for about 3 or 4 miles, make a right onto Kings Highway, Haddonfield High School is on your left. Follow signs for parking.

Cash Prizes

Top 5 Overall Male and Female Runners:

1st – $400
2nd – $250
3rd – $150
4th – $100
5th – $50

Top 3 Overall Masters Male and Female

1st – $100
2nd – $75
3rd – $50

Awards

Finishers medals for all runners. Wait til you see the 13 year design!!! St Pats Special!!!!

Awards to Top 3 Male and Females in the following Age Groups: Under 14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70+.

Link to SIGN UP — https://runsignup.com/Race/NJ/Haddonfield/HaddonfieldAdrenaline5K

Hosted by the Running Co of South Jersey – Haddonfield, Moorestown, Mullica Hill, and Medford

Link to SIGN UP — https://runsignup.com/Race/NJ/Haddonfield/HaddonfieldAdrenaline5K

Pics from years gone by and a short jaunt down memory lane of the Haddonfield Adrenaline 5k – All photos are thumbnails! Click on them to see more detail!

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Atrophy of gluteus maximus among women with a history of chronic low back pain

Saw a nice article recently post from our neighbors over at Department of Physical Therapy, Thomas Jefferson University, Philadelphia, Pennsylvania, 2 School of Health and Rehabilitation Sciences, The Ohio State University, Columbus, Ohio, 3 Department of Biomedical Education and Anatomy, The Ohio State University, Columbus, Ohio.

Article Title: Atrophy of gluteus maximus among women with a history of chronic low back pain

Methods:  For this case-control study, we analyzed medical history and pelvic computed tomography (CT) scans for 36 female patients with a history of chronic LBP, and 32 female patients without a history of LBP. Muscle cross-sectional area of gluteus maximus was measured from axial CT scans using OsiriX MD software, then was normalized to patient height, and used to compare the two groups. The number of back pain-related medical visits was also correlated with gluteus maximus cross-sectional area.

Conclusions: This research demonstrated a previously only minimally explored relationship between gluteus maximus cross-sectional area and LBP in women. Further research is indicated in individuals with varying age, sex, and LBP diagnoses.

Direct Link: http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0177008

Take away ideas from this study in a nut shell:  

This research confirmed Thomas Jefferson’s Physical Therapy Researchers hypothesis that Glute Max atrophy would be greater in individuals with chronic LBP. Further research is indicated on Glute Max CSA in individuals with varying age, sex, and LBP diagnoses. Research on the potential impact of exercise interventions targeting GM in individuals with chronic LBP is also indicated.

If you are struggling with low back pain, we can almost always help! We combine chiropractic, active release, home exercise programs and much more to the treatment of all types of back pain. Give us a call at 856.228.3100 for more information or send us an email a the link below!

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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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The New York Times – How To Avoid Heatstroke

Wanted to share a nice little article that showed up on my social feed this morning about avoiding heat stroke this summer.  We as adults often times think it does not happen to us as “recreational runners” but I have witnessed everything from hypothermia to heatstroke at running races!  Check out the article at the following link and remember that it is not just high school kids at summer practices who take it a bit too far.

NYT Link — https://well.blogs.nytimes.com/2009/07/29/how-to-avoid-heatstroke/

One thing we are fairly certain of is that it does always involve hydration levels either and even ambient temperature around you can be anywhere from the 70’s, 80’s, or 90’s in terms of Farenhiet when heatstroke can set in, even on overcast days versus sunny days. It simply has to do with core temperature levels of the athlete.

The following info is taken directly from the article:

Scientists don’t yet know why some people become seriously ill while exercising in hot weather, and others don’t. At one time, it was believed that exercise-related heat illness was caused by the sizzling rays of the sun beating onto an athlete’s skin, causing overheating from the outside in, and contributing to dehydration, which was thought to be a primary cause of heat problems. But that theory doesn’t explain why athletes develop heat illness on overcast days, when sunlight isn’t directly reaching them. They’ve also been known to become ill on relatively cool days, when temperatures are below 80 degrees. And many collapse despite being fully hydrated.

“There’s still a lot we don’t understand” about heat illness, says Douglas Casa, an associate professor in the Department of Kinesiology at the University of Connecticut, who’s extensively studied athletic performance in the heat.

Heat illness itself is an omnibus term, covering “a spectrum of seven or eight different conditions,” that range from mild heat exhaustion to life-threatening heat stroke, Casa says. August is prime season for the illnesses, since, even as temperatures soar, many athletes must or choose to continue exercising outside. “Football teams start two-a-day practices at this time of year,” Casa says. Runners training for a fall marathon increase their mileage. So do cyclists and triathletes preparing for autumn events.

Scientists have a pretty clear picture of what happens inside these athletes as they exert themselves. They bake. Muscles in motion generate enormous amounts of energy, only about 25 percent of which is used in contractions. The other 75 percent or so becomes body heat.

NYT Link — https://well.blogs.nytimes.com/2009/07/29/how-to-avoid-heatstroke/

We highly encourage you to check out this fantastic article and if you are suffering from common running issues, athletic performance issues, or any time of injury, give us a call at 856.228.3100 or send us an email at the link below!

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

Need a great little 5k to get your blood pumping the morning of the Fourth of July, look no further than the Haddon Heights FireCracker 5k.  This race has been going on for several years now and is always a local favorite with our patients and friends who like to run.  This race is a very big draw due to it’s proximity with Cherry Hill, Haddonfield, and Haddon Township, so be sure to sign up as soon as you can!  Online registration closes on SUNDAY JULY 2ND!

Run Sign Up Link: https://runsignup.com/Race/NJ/HaddonHeights/FireCracker5k2?remMeAttempt=

Place
625 Station Ave
7th & West High St. (Hoff’s Park)
Haddon Heights, NJ US 08035

Description

Sponsored by the Haddon Heights Municipal Alliance.

New race morning Registration, Start, Finish, and Awards Ceremony location – Hoff’s Park (7th & W High St.)

Amenities
T-Shirts; Refreshments; Water Tables on Course; and Course Police Controlled.

Online Registration, Timing/Results, & Finish Line by L & M Computer Sports. www.LMSPORTS.com

Information
Questions? Bridgette Griffith (856) 655-5988

ONLINE Registration closes midnight Sunday night, July 2.

Race Day Info
July 4th 6:30am – 7:45am at Hoff’s Park (7th & West High St), Haddon Heights, NJ. “Rain or Shine”

Race Day entry fee: $25.

Flat, fast & mostly shaded – point to point. Ends at Hoff’s Park, which is also the parade finish. Course roads are police controlled.

Early Packet Pick-Up & Entry
July 3rd – Avoid race day lines, stop in Monday night 6pm to 7:30pm at the Haddon Heights Borough Hall, 625 Station Ave. Haddon Heights. Entry fee still $20. (Race Day $25.)

ONLINE Registration closes 10pm, Sunday, July 2.

Awards

1st Male & Female – $150. ea 2nd Male & Female – $100. ea 3rd Male & Female – $50. ea

Age Groups: Top 3 M & F in each of the following divisions: 14 & under; 15 – 19; 20 – 29; 30 – 34; 35 – 39; 40 – 44; 45 – 49; 50 – 59; 60 – 69; 70+

Special Award Divisions: Top 3 M & F Public Safety Personnel (Police/Fire/EMS/Federal LE); Top 3 M & F Military

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

Looking for a great fourth of July race for actual day of Independence Day? The Pittman Freedom Four Miler is just the ticket and very well revered as a fast, local race that a lot of runners love year in and year out! What better way to get you July 4th celebrations started than by a nice run through historic and picturesque Pitman!

Facebook Link:  https://www.facebook.com/PitmanFreedomFour/

Run Sign Up Link:  https://runsignup.com/Race/NJ/Pitman/PitmanFreedomFourMilerRun?remMeAttempt=

Place
110 S. BroadwayPitman, NJ 08071
Pitman, NJ US 08071
Description

The 36th Annual Pitman Freedom Four Mile Road Race
An Independence Day run through one of South Jersey’s most picturesque towns!

WHEN: 8:45AM – Tuesday, JULY 4, 2017 * Rain or Shine
Paper Registration Form: Printable version of registration form
WHERE: Start and Finish near Broadway Theatre, Broadway, Pitman NJ

COURSE: Challenging, accurately measured 4 miles through Pitman. Our race is now more accurately timed using chip timing with jbsportstiming.com.

This course is not certified with USATF:

ONLINE REGISTRATION close at 7pm on July 2, 2017: Cost will be $25.00 before July 2, 2017. Come out on July 3, 2017 to the Pitman Middle School Gym from 4pm -8pm last chance to save some money on registration price of $30. Day of Registration will be at Borough Hall from 7:00am to 8:15am. Race day price will be $35.

PACKET PICKUP: July 3, 2017 at the Pitman Middle School Gym from 4pm – 8pm.

T-SHIRTS: Each runner will receive a race performance shirt.

PRIZES: $100 – To the 1st Male & Female finisher. Prizes to the top 3 finishers in the following age groups: 14 and under, 15-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70 plus. All age group will get there award mail to them. The only awards that will be giving out day of is the top overall winners.

TROPHIES: Top Pitman Male/Female

RACE DIRECTORS: Andy Fox, Allison Kostiuk, Eric Stanwood

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