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All Posts in Category: Low Back Pain

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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ESPN Outside The Lines – Quality Of Care – Back Pain Strikes Down two Indiana University Athletes

While I was on the treadmill and working out yesterday at the gym ESPN’s investigative reporting journal, Outside The Lines, came on and showed a very interesting story (to a chiropractor who works on a good deal of young athletes at least).  The story started about the mismanagement and treatment of several young athletes at the Indiana University who developed a great deal of mid, low back and hip pain.  Two in particular had striking stories about the misdiagnosis of back pain that was very serious and one had to have a fairly serious surgery that might very well have been corrected using conservative measures if they were properly diagnosed and treated in the first place.  In the case of the football player, it seemed to some extent that he was “machoed” into continuing to suit up by the coaching staff. The simple fact is this, if you can barely walk across campus, you probably can’t withstand football practice.  If you are an athlete or the parent of an athlete, you should probably check out this podcast or look for a re-run of the episode on ESPN because it was saddening and informative about what happens when athletes quite simply push themselves too far.  While it was tough to say who is truly at fault, it was a poor choice of the coaches and trainers at the university who let these issues spiral out of control.

If you are in a situation where you are simply being told to rub some dirt on it and to play and something truly feels off, please seek outside medical care from a qualified healthcare practitioner.  In both of the cases shown in this article, it took far too long for the true problem to be identified, diagnosed and the proper treatment protocols activated.

Podcast Teaser: Indiana football coach Kevin Wilson lost his job in December and reports surfaced of players alleging medical care had been neglected. Our 3-month investigation found more.

Podcast Link: http://www.espn.com/espnradio/play?id=19223941

 

Struggling with a sports related injury?  Please give us a call at 856-228-3100 to see if we can help.

If email is easier, hit us up on our contact us page linked below!

 

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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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Testimonials for Dr. Mark Kemenosh & Associates Laurel Springs, NJ Chiropractors

We had a new testimonial site over at http://my-testimonials.com/DrMarkKemenosh/3Y2Q1 that has been slowly building and we are getting some pretty nice responses!

4.7 stars out of 5 based on 377 responses

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What’s the opposite of a push-up? This pilates routine.

Dr. Kemenosh and his daughter Jill have been jumping back into Pilates with a vengeance of late!  Between the ELDOA Method and several different takes on Pilates, we have been watching videos from all walks of life improving their lives with exercise!  Check out Denver Broncos CB Kayvon Webster’s AM workout with True Pilates Miami!  Yes, that’s an NFL player doing Pilates during the off season to keep his core rock solid!

Who is Jill Kemenosh? A previously internationally ranked equestrian, Jill began practicing Pilates at fourteen, as it was a perfect supplement to her riding regiment. After graduating with a B.A. in Communication from the University of Delaware, and trying a corporate job on for size, she decided to pursue a different career path. Her love for Pilates and desire to stay fit directed her to the New York Pilates Studio® Teacher Certification Program headed by Brett Howard. Jill became a graduate of the program in 2016 and takes great pride in the precision of the Authentic Pilates™ method and the amazing results that it produces. Outside of the studio, Jill enjoys traveling, cooking and exploring New York City as an accomplished foodie, one up-and-coming restaurant at a time.

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Jill Kemenosh is now Level I and II certified in the Eldoa Method!

Dr. Mark was introduced to the Eldoa Method last fall at the TPI World Golf Classic and saw a great deal of refinement in the way they handled back related discomfort and pain when integrating exercises and stabilization movements into the mix.  Once getting back and sharing some of the short videos he took at the seminar, his daughter Jill, a certified Pilates instructor took immediate interest since she has such close relationships with 5 chiropractors!

So what is the the Eldoa Method?  The ELDOA exercises and Myofascial Stretches are specific techniques created by world renowned osteopath, Guy VOYER DO. ELDOA METHOD Classes are semi private group classes organized by certified instructors.  To see our last post about Dr. Mark and Jill taking the Eldoa part 1 certification courses last month, see the link below!

http://drmarkkemenoshandassociates.com/dr-mark-kemenosh-eldoa-method-colorado-seminar-past-weekend/

Without warning, and without Dr. Mark, Jill pressed on to part II of the Eldoa certification this month.  The mix at Eldoa certification seminars ranges from Pilates and Yoga instructors all the way up to Physical Therapists and Chiropractors, which for the most part are the practitioners who deal most with back pain of all sorts.

BENEFITS OF ELDOA METHOD Classes and Instruction 

ELDOAs and Myofascial Stretches are very specific and complex techniques that require strong attention to form and correct progressions. Everyone will benefit from the effects of ELDOAs and MFS but each person is different and without proper instruction and help from a Certified ELDOA/MFS Instructor, these techniques will not be as effective. By attending the classes, you not only receive instruction from a certified instructor but the full hour dedicated to stretching enhances the many benefits including:

  • Normalize Disc Bulges
  • Reduced Degrees of Scoliosis
  • Increased Flexibility
  • Improved Muscle Performance and Tone
  • Normalization of Visceral Function
  • Reduced Stress
  • Injury Recovery and Prevention
  • Reduced Joint Inflammation and Arthrosis
  • Delayed Disc Degeneration
  • Increased Disc Hydration
  • Increased Blood Flow
  • Improved Posture
  • Relief of Chronic and Acute Back Pain
  • Relief of Neck and Shoulder Tension
  • Improved Awareness and Overall Wellbeing
  • Improved Recovery Time for Sports and Training
  • Reduced Forward Head Posture

Definition:  The ELDOA are postural exercises (LOADS) that you can do yourself with the primary goal being to increase the space within a chosen articulation. As the ELDOA “create” space, there is an improvement in joint mechanics, increased blood flow, reduced pressure on the discs, a reduction of pain, spinal disc rehydration, better muscle tone, improved posture, and a sense of well being and awareness.

The human spine is a complicated and vital structure. Compression and articular blocks can cause pain, arthritis and neurological conditions. The ELDOA exercises are a highly effective solution to these conditions. The ELDOA are very precise postures that target a specific joint region to provide relief from pain and restore balance. LOADS (Longitudinal Osteo-articular Decoaptation Stretches) are postural self-normalizing techniques, which aim at widening the space within a pair of joints. It is possible in one minute a day to relieve disc compression between L5-S1 or even more specifically at the base of the long arm of the left sacroiliac joint.

The coolest part of the seminars are that portions of the classes are taught right outside of the Super Dome in New  Orleans!  Check out these pictures and more from Jill’s second round of certifications in the ELDOA Method.

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Krill Oil found to be overrated! Just use good fish oil for Omega 3 supplementation!

Another myth busted by Dr. David Seaman, the best practitioner at deflaming your diet is back to show you why Krill oil derived Omega 3’s just doesn’t make sense when put to the test.  We get a lot of patients telling us that they get Krill oil pushed on them from other avenues (Television, Radio Ad’s, Popup Stands at Costco and Walmart) and they all discuss that Omega 3’s from Krill oil are better and that is just not simply true.  Check out the video below narrated by Dr. Seaman showing you why good Omega 3’s Fish Oils like the products we carry from Anabolic Labs.

So what are the basics of Omega 3 fatty acids from both fish and plant sources.  Here we go hold on tight.

There are the two main types of omega-3 fatty acids:

Long-chain omega-3 fatty acids are EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid). These are plentiful in fish and shellfish. Algae often provides only DHA.

Short-chain omega-3 fatty acids are ALA (alpha-linolenic acid). These are found in plants, such as flaxseed. Though beneficial, ALA omega-3 fatty acids have less potent health benefits than EPA and DHA. You’d have to eat a lot to gain the same benefits as you do from fish.  This somewhat puts vegetarians at a bit of a disadvantage right from the start when dealing with inflammation levels.  

At this time we have very supportive but not conclusive research shows that consumption of EPA and DHA omega-3 fatty acids may reduce the risk of coronary heart disease.

Hundreds of studies also suggest that omega-3s may provide SOME benefits to a wide range of diseases: asthma, depression, cardiovascular disease, ADHD, and autoimmune diseases, such as rheumatoid arthritis, and even possibly neurologically disorders like Alzheimers all may benefit from omega-3 consumption.

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Prevention.com – 4 Things You’re Doing That Are Ruining Your Joints

Dr Tim Legath forwarded me this article the other day and stated he thought it would be important if we linked it up on our blog! Before you go reading some of what has been copy and pasted below, you need to realize that we share this information for everyone’s benefit and that we are not trying to knock running, yoga, or pilates, but hoping that you need to realize that a wide variety of exercise and cross training best benefit your joints.

Prevention Magazine:  http://www.prevention.com/fitness/4-mistakes-making-joints-weak

The following is taken from the article written by CASSIE SHORTSLEEVE

“It used to be that joint replacements were a problem for older people. But today orthopedic surgeons are seeing people in their 40s, 50s, or younger. In fact, surgeons at The Mount Sinai Hospital in New York City say the number of people younger than 60 going under the knife is up at least 15% in the last 2 years. Plus, data from the National Center for Health Statistics finds the number of hip replacements more than doubled in a 10-year span, skyrocketing by 205% in people ages 45 to 54.
Surgeons attribute the rise to people wanting to stay active while they age, says Calin Moucha, MD, chief of adult reconstruction and joint replacement surgery at The Mount Sinai Hospital. Today’s implants also last longer than they once did, sometimes up to 40 years, he says. This means joint replacements are now an option at a younger age, since physicians aren’t as worried about having to replace them.”

So what does this all mean to you?  Well, our runners might not like what comes next…

“You’re a runner and only a runner.

Moucha says that many patients seeking joint replacement are in good cardiovascular health, but not necessarily good physical health. If you’re running marathons or triathlons only, you might have imbalances when it comes to muscle strength and flexibility. And this, paired with repetitive trauma over time, could lead to arthritis, he notes, causing your joints to wear away. 

“It’s important to cross-train,” says Moucha. Giving certain muscle groups (like the ones you use on long, slow jogs) a break once or twice a week while activating new muscles (like the ones you might use sprinting) can fend off injury, he notes. (You should consider working these strength-training moves into your exercise program.)”

Well what about all that Yoga that I do?  That’s probably good for me right?…

“You push yourself beyond your limits in yoga.

Intense workouts like HIIT and mud runs aren’t the only way to injure your joints. While yoga and Pilates are great ways to boost flexibility and strength, anything extreme when it comes to range of motion—like reaching for that pose your body’s not quite ready for—can put you at risk for a joint injury, notes Moucha. “When you create range of motion extremes, you can create bony spurs (projections along a bone’s edges) that may predispose you to arthritis,” he says. Your best bet isn’t to skip yoga but rather to stick with the modifications that work for you, and give yourself time before trying anything you might not be ready for.”

Check the article out for yourself today!  The link is below.

Prevention.com Article:  http://www.prevention.com/fitness/4-mistakes-making-joints-weak/

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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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How come your office works so well with other doctors? We were trained this way!

One of the hallmark reasons most of the associates here at Dr. Mark Kemenosh and Associates are excited to work on this team is because we do our best to adhere to the mantra of “do best by the patient”.  As you can see on this article from our alma mater, the National University of Health Sciences further down, one of the fundamental lessons we learned was to treat the conditions you can treat and to refer out, ask for help, or even further research who can help the occasional issue we run into here at the offices.

At NUHS in Chicago, we had a pathologist on staff who was an MD and often times another MD and DO who floated around our clinic a few days each week.  This helped introduce us to many different treatments and helped us to always remember that the answer may not always be purely Chiropractic oriented.  We know that the future of better patient care is integrated healthcare and we do our best to help that process along at this office.

Just recently I received an email that a new MD would be helping out at our whole health clinic in Lombard, IL, please see the title and link below!

NUHS Whole Health Center welcomes Asad Zaman, M.D., to its clinical staff

Link:  http://www.nuhs.edu/news/2016/12/whole-health-center-welcomes-asad-zaman,-md,-to-its-clinical-staff/

So when you look around our website and notice that often times our office is sent referrals from pediatricians, orthopedics, family practice doctors, and many more, you can rest assured that we have earned the trust and respect of many in our field.

If you have questions or need help with issues that are holding you back, please give our office a call at 856-228-3100 or fill out a contact us request at the link below!

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