Your Choice For Active Release, Sports Injury, and Chiropractic Care

Schedule an Appointment, Call : 856-228-3100

Locations : Laurel Springs, Haddonfield, Mt Laurel, Somers Point, and Washington Township, NJ

All Posts in Category: IASTM

Calling all Philadelphia and South Jersey manual therapists! We are hosting SMART Tools with The Training Room!

Dr. Mark Kemenosh and Associates with the help of our good friends at The Training Room Physical Therapy group of South Jersey are proud to announce we are hosting the SMART Tools Level 1 IASTM certification at our shared facility in Washington Township aka Sewell, NJ.  We are putting the word out to everyone in manual medicine who would like to come out to feel welcome!  We plan to have DPT’s (Doctors of Physical Therapy), DC’s (Doctors of Chiropractic),  ATC’s (Athletic Trainers), and possibly more attending this event!  The course is a full two days and will be held on July 29th and 30th, a little down the road in the middle of summer!

SMART TOOLS – LEVEL 1 CERTIFICATION – SEWELL, NJ

Date: Sat July 29 – Sun July 30, 2017

Time: 8am – 5pm (each day)

Venue: The Training Room of Washington Township (Inside Velocity Sports Performance)

309 Fries Mill Rd
Sewell, NJ 08080

This course lays the foundation for how to properly use the SMART Tools most effectively with respect to movement. The tools were made specifically for these technique protocols to produce superior patient outcomes compared to other IASTM technique. This is an evidence-based technique that stresses early loading exercises and kinesiology tape after SMART Tools treatment.

The goal of therapy is to provide an optimal environment for the healing, by either modifying physiologic responses to injury (e.g., inflammation, muscle spasms, pain) or enhancing components of the normal musculoskeletal function (e.g., increase range of motion, increased muscular strength). No single therapeutic approach in isolation will completely resolve an impairment of musculoskeletal function. Smart Tool Plus® represents an approach to soft tissue manipulation that uses five different stainless steel instruments to release scar tissue, adhesions, and fascial restrictions. SMART Tools are designed to be used in conjunction with a thorough medical evaluation, movement based examination and other modalities to help patients overcome injuries.

Therapeutic stretches and exercises (preferably eccentric exercises) are necessary to promote tissue lengthening and collagen fiber realignment, which help to prevent the released tissue from becoming restricted again.

The primary objective of the Level 1 Certification course is to develop an understanding of the STP and how to apply it into the full spectrum of the musculoskeletal treatment approaches. By the end of the training, students will be able to:

Demonstrate a working knowledge of the STP Instruments, STP treatments and potential effects and benefits.
Identify and discuss the indications, contraindications (relative and absolute) of IASTM.
Review and develop a better understanding of soft tissue injury, healing and potential reactivity to instrument-assisted soft tissue mobilization (therapeutic and adverse).
Develop skill and competence in the STP application of the IASTM to the major regions of the spine and extremities.

Treatment effects of IASTM

  • Breakup abnormal densities in tissue
  • Stimulate nervous system
  • Reinitiate first-stage healing in the body via proliferation
  • SMART Tools IASTM techniques aim to treat the following Tissue Extensibility Dysfunctions

(TEDS):

  • Scarring & Fibrosis
  • Facial Tension & Densification
  • Neural Tension
  • Muscle Shortening
  • Neurologic Restriction
  • Trigger Points

This isn’t Gua Sha, nor is this another general IASTM course. This is a movement-based IASTM course unlike anything currently offered. Our training course addresses the neurological component, as well as the physiological component of the IASTM and corrective exercises in ways other courses do not.

This course is designed for clinicians that either have never used tools or have been using tools for years. Each will come away with new, innovative material.

So if you want faster patient outcomes, quicker recovery time, improved clinician ergonomics to save your hands, and last but not least, no patient bruising, then register for a course today and add a powerful technique to your toolbox… no pun intended.

Need more info?  Ready to register?

LINK:  http://www.smarttoolsplus.com/product/level-1-sewell-nj

 

 

Need more info?  Ready to register?

LINK:  http://www.smarttoolsplus.com/product/level-1-sewell-nj

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SMART Tools – ITBand Treatment (Short Version)

So a lot of our patients have issues with pain, tenderness and tightness in and around the Iliotibial Band, often times referred to as the ITBand.  While in most cases there are various reasons why our patients present with pain in this particular tissue, treating it has been done various ways in the past, some with great success and some with no success.  Here at the office we do our best to treat each patient individually using a mixture of treatment methods best on several things like the presentation of the patients issue, where it is located on the ITBand (near the hip, in the middle of the femur, or at the lateral border of the knee) and the mechanism of injury or in some cases the mechanism of aggravation (take that runners, cyclists, and crossfitters, I have a new way of explaining to you guys and gals who like to say to me “but I never actually hurt it”).

In all conditions, the first thing most patients do is GOOGLE IT to see what comes up.  In most cases of googling things that sound like ITBand Syndrome, here is an excerpt of the results.

Iliotibial band syndrome occurs when the connective tissue (ligament) extending from the pelvic bone to the shinbone becomes so tight that it rubs against the thighbone. Distance runners and cyclists are especially susceptible to it.

The main symptom is pain between the hip and knees that worsens with activity.

Treatments such as physical therapy and sometimes corticosteroid injections may help. In rare cases, surgery may be needed.

In my opinion, the only thing Google got right in the treatment section is that physcial therapy almost always helps because a good physical therapist will help you strength the posterior gluteal regions, lateral hips, hip rotators and the pressure on the ITBand will decrease in almost all cases.  Every so often we find an ITBand that needs a corticosteroid injection but those are fairly rare as well.  We are not the biggest fans of ITBand release surgical procedures unless something other than running 5k’s is the causation to the problem, but again, every tool has it’s purpose and when properly used/applied it makes sense.  So getting past all of that, lets take a look at what we are working with here.

If you are familiar with our office, then you are familiar with the fact that we treat the Tensor Fasica Lata muscle on almost every runner and cyclist who comes to our office.  We also commonly treat gluteus medius, and sometimes gluteus maximus as well because the Iliotibialband itself is a fairly dense/tough piece of tissue that runs from the lateral border of the ilium down to the lateral border just below the knee and attaches to tibia, hence it’s name, the ITBand (Iliotibialband).

What a lot of patients don’t realize that now we are using SMART Tools as well for some “harder to deal with” cases of ITBand syndrome and this video from Smart Tools shows one very effective technique for mobilize the borders of the ITBand with motion.  As seen in the video below, this is just another way that we are ever expanding our use of manual medicine here at the office and not just relying on Chiropractic Manipulation, Active Release Technique, RockTape, Corrective Exercises, or SMART Tools IASTM (Instrument Assisted Soft Tissue Manipulation) to keep you, our patient, going and doing what you love!

Please note that if you ever need help from us about something giving you issues, please shoot us an email and will do our absolute best to get back to you in 24 hours or less!

Contact Us Page:  http://drmarkkemenoshandassociates.com/contact/

Need to see more pics of the Tensor Fascia Lata, Iliotibial Band, and Gluteus Medius you can trust, here is a cartoon version in a runner that is somewhat accurate.

Lastly, here are a few shots from our meeting at the Haddonfield Running Co a few weeks back where we talked running, problems like ITBand Pain, ITBand Tenderness, ITBand Tightness, and ITBand Syndrome.  In these pictures I the Active Release Techniques movements for treating the Tensor Fascia Lata and ITB!

 Contact Us Page:  http://drmarkkemenoshandassociates.com/contact/

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Haddonfield Adrenaline 5k – Quickly approaching SELL OUT!

Date:  Saturday, March 18th, 2017

Adult’s Race Type:  5k Run

Children’s Race Type:  Kids 1/4 Mile Run and 100 Meter Run

Description: The 12th Annual Haddonfield Adrenaline 5K Run will be held Saturday, March 18, 2017. 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 2017 running season with an adrenaline pumping race!!!

Link:  https://runsignup.com/Race/NJ/Haddonfield/HaddonfieldAdrenaline5K

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 15-17 from 10AM – 7PM at Haddonfield Running Company, 121 Kings Highway East, Haddonfield, NJ 08033.

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

****** ONLINE REGISTRATION CLOSES MIDNIGHT SUNDAY, MARCH 12 *****

The race almost always sells out before Sunday, March 12th however so do not wait.  

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 12 year design!!!

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+.

Check out the video for more info!

 

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Plantar Fasciitis and Shin Splints – Why doesn’t Active Release and Instrument Assisted Soft Tissue Manipulation pop up on Google sooner?

Listening to Dr. Kemenosh, Dr. Gross, and a patient converse today, a very good point was brought up that for the sake of patient care, it’s sad that Active Release and IASTM (Instrument Assisted Soft Tissue Manipulation i.e. Graston, FAKTR) doesn’t come up sooner when sufferers are surfing Google looking for help.  Right now if you go to Google and search for “plantar fasciitis treatment” the results are somewhat abstract and trying to sell you items like the socks that pull up on your toes while you sleep, devices that stretch out or roll out the middle of your foot, as well as other devices.  These are probably great, however in a chronic case of plantar fasciitis, you need more.

We have found that the results are slightly better for “shin splints treatment”, but again, a good hands on treatment like Active Release and using an instrument on the areas like Graston/FAKTR/SMART Tools don’t come up.  In both of these cases, you have to treat the other areas around the actual pain, usually the calf muscles in these cases.  We also then use corrective exercises and other items like RockTape to help strengthen the areas, remove inflammation, and give you a long term fix with the ultimate goal of greatly improving and removing your pain.

Regardless, if you are fighting an uphill battle with Plantar related pain or shin splints, give us a call and we will gladly set you up with an examination and if we feel we can get you back on your feet with less or with out pain, we will treat you!  856-228-3100

 

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Our new SMART Tools Plus Kit is here! Better than a new phone book!

A few months back we ordered our new SMART Tools Plus Kit for the main office and they came in last week, just in time for the Cross Country Sectionals and States races that we are highly involved with here in South Jersey.  SMART Tools are medical grade 304 stainless steel instrument assisted soft tissue manipulation tools.  The tools are fully double beveled, so the skin contact is great in almost all situations.  These tools come very highly recommended by Chiropractors, DPT’s, Athletic Trainers, and just about anyone who is serious about Instrument Assisted Soft Tissue Manipulation and Manual Therapies.  Here at the office, we find that most of our sports related soft tissue injuries are best treated with a combination of Active Release Technique, and if need be, localized, targeted, Instrument Assisted Soft Tissue Manipulation.

From the SMART Tools Website:

“I have used a number of different soft-tissue manipulation instruments in both the clinical and academic setting and I must say that I am most impressed with SMART Tools. They are incredibly well crafted. The ease at which they glide over tissue to decrease scar tissue and adhesions is unparalleled. What I really like about these instruments is their double beveled treatment edge which is more functional for the practitioner and more comfortable for the patient. I would recommend these instruments to any manual therapist looking to add instrument-assisted soft tissue manipulation to their practice.”

Kevin J. Curtin, D.C.
Assistant Professor
National University of Health Sciences
Lombard, IL

smart-tools-1-iastm-kemenosh-evans-gross smart-tools-2-iastm-evans-kemenosh-gross

The contour edges on these tools are better than most others on the market and will allow us the ability to better treat more of the conditions we see on a regular basis.  Some of the issues we regularly treat with tools are plantar fasciitis that is truly localized and “stuck” in the bottom of the foot, lateral epicondylitis which is also known as tennis elbow, medial tibial stress syndrome which is a really cool and fancy name for shin splints on the inside of your shins, Achilles tendinitis, carpal tunnel syndrome, as well as many more soft tissue injuries, aches, pain!

If you have questions about what we do and how we treat, give us a call at 856-228.3100!  We have locations in Laurel Springs (aka Clementon/Blackwood), Haddonfield, Somers Point, and Washington Township aka Sewell), New Jersey!

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Instrument-Assisted Soft Tissue Mobilization – Another way to heel up better and recover faster!

So if you have been watching our Blogs and Facebook page lately you might have noticed that we picked up new IASTM (Instrument-Assisted Soft Tissue Mobilization) from Smart Tools.  IASTM has been around for about 20 – 30 years now and adopted many different techniques dating back to Gua Sha, which was Chinese medicines version of IASTM technique which dates back thousands of years and has been traditionally done with jade tools.  We realize that often time’s people have questions about IASTM and this blog posts goal is to answer some general questions.

What is Instrument-Assisted Soft Tissue Manipulation (also called Mobilization)?

IASTM is a form of mobilization applied to an area of dysfunction focusing on the interaction between soft tissue, connective tissue, and muscle.  In most modern medical uses, the tools are made of 304 grade surgical stainless steel.  Areas of dysfunction may contain scar tissue, fibrotic tissue, or fascial adhesions which all feel differently when the tool is applied to the area using an emollient as a lubricant.

What can ISATM treat?

IASTM has shown good results and an effective treatment for several types of soft tissue injuries.  Specific to runners, IASTM can effectively treat:  ITB (iliotibial band) syndrome, tibialis tendinosis (shin splints), compartment syndromes, ankle sprains, nerve entrapments, tennis elbow, golfers elbow, Achilles tendinosis, plantar fasciitis, patellar tendinosis, as well as many types of muscular strains from all types of different sports and occupations.

Why should I try IASTM treatments on my area of pain? 

Often times we have to start slow and soft with IASTM manipulation to see how resilient your injury will be to bruising.  Often times it is not necessary to severely bruise the tissues by doing IASTM, but causing the tissue to turn red from the use of the tools is common.  In most cases, after applying treatment using the tools, patients realize increases in range of motion (increased flexibility) and often times a decrease in pain.  Levels of pain decrease often times are dependent on the severity of the injury, but with follow up treatments in a reasonable amount of time, fibrotic tissues and scar tissues often break down over time, leaving patients with long term decreases in pain and much improved ranges of motion.

Can Active Release Technique and IASTM be used together? 

Yes and no.  We often do mix the techniques, but usually not on the exact same areas.  IASTM allows to quickly address very acute, specific areas of dysfunction.  IASTM also causes some low levels of inflammation of the treated structures and depending on the level of force applied to the area, the thickness or thinness of the tissue, and the nature of some areas being very tender, we sometimes do apply both techniques or may use our discretion to whether one or the other is best.

What should I do if I am interested in possibly having IASTM or Active Release technique at your office? 

Feel free to call our office at 856.228.3100 to make an appointment with our doctors of Chiropractic who all use Active Release Technique and Instrument Assisted Soft Tissue Mobilization to help our patient’s heel and recover as quickly as possible from musculo-skeletal injuries!

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