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

All Posts in Category: Neck 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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Jake Arrieta’s Full-Body Pilates Workout and a bunch of NFL players who take Authentic Pilates lessons as well!

The Chicago Cubs pitcher transformed from a struggling young pitcher to Cy Young winner by doing this routine.  Strong statement we know, but that comes directly from Muscle and Fitness magazine!  Lets look a little closer however at the stats leading up to Jake Arrieta doing Authentic Pilates.

Directly from the article:  “Before discovering Pilates, Arrieta, 30, had never won more than 10 games in a season. So it’s fair to say that Pilates helped kick-start the Texas native’s career. However, a dedication to functional range conditioning, weight training, cardio training, massage therapy, and a healthy diet relying heavily on pregame smoothies didn’t hold him back, either.”

Link:  http://www.muscleandfitness.com/features/edge/jake-arrietas-full-body-pilates-workout

With the addition of Jill Kemenosh we hope to have Authentic Pilates and ELDOA Method lessons running very soon at the office!

Need even more reasons to try out Pilates and get your core right?  Check out the link below!

Link:  http://drmarkkemenoshandassociates.com/antonio-brown-martellus-bennett-brandin-cooks-michael-campanaro-chris-givens-common/

Antonio Brown, Hunter Pence, Matt Forte, Brandon Marshall, Martellus Bennett, Brandin Cooks, Michael Campanaro, and Chris Givens all regularly do Pilates and we have some video to prove it!

If you are looking for a Pilates instructor, give our office a call!

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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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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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New guidelines outline how to handle back pain – American College of Physicians say the first line of therapy should be non-drug treatments

From the CBS News Review:  

New guidelines from the American College of Physicians say the first line of therapy should be non-drug treatments. For pain lasting less than three months, those include heat wraps, massage, acupuncture and spinal manipulation (hey, that is what we do here at the office, combined with Active Release Technique). The authors stress that clinicians should avoid costly and potentially harmful treatments like narcotics.

For pain lasting more than three months, treatments include stretching and strengthening exercises, tai chi, yoga, acupuncture, and mindfulness techniques like meditation to relieve stress.

If those fail, anti-inflammatories such as ibuprofen should be considered first, then medications that can dull nerve pain, like tramadol or duloxetine.

“Some of these treatments such as yoga or massage are often offered outside the traditional healthcare system,” said Dr. Steven Atlas of Massachusetts General Hospital, who wrote an editorial about the guidelines.

“Some of these guidelines may be a shot across the bow to insurers to say that maybe we should be covering them better,” Atlas said.

From the Wall Street Journal Review:  

The new guidelines could influence how doctors treat patients with complaints of back pain. They are an update from 2007’s and include a review of more than 150 studies. Recommendations were broken down into acute and subacute lower back pain, which is pain lasting less than 12 weeks, and chronic pain, which is pain lasting more than 12 weeks. They don’t apply to radicular low back pain, sometimes referred to as sciatica, which is caused by compression of the nerves in the spine and can result in leg pain.

For acute and subacute pain, the guidelines recommend nondrug therapies first, such as applying heat, massage, acupuncture or spinal manipulation, which is often done by a chiropractor. If a patient requests drugs, the first line of treatment should be nonsteroidal anti-inflammatory drugs (NSAIDS)—over-the-counter, such as Advil, or prescription, such as celecoxib (brand name Celebrex), or muscle relaxants, such as cyclobenzaprine (brand name Flexeril).

Links to Articles:  

Wall Street Journal:  https://www.wsj.com/articles/no-drugs-for-back-pain-new-guidelines-say-1487024168?mod=e2tw

CBS News:  http://www.cbsnews.com/news/new-guidelines-how-to-handle-back-pain/?ftag=CNM-00-10aab7e&linkId=34463543

Questions about what we can and can’t help out with?  Feel free to call us at 856-228-3100

OR

Email us on our Contact Us Page!  

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Very nice summation of Chiropractic at Harvard Health’s website!

Up until last year the “Chiropractic” write up on Harvard Health’s website was very bland and vanilla.  It was more or less a very basic article.  At some point in 2016, they updated it and it truly aligns with the feelings of our office and how we approach our piece of medicine!

Article Link:  http://www.health.harvard.edu/pain/chiropractic-care-for-pain-relief?inf_contact_key=cd3df7fb1bc932636c26c98ec9f77b669326fbb8a84664eeb96b5eb28d57211b

Some VERY valuable outtakes from the article are:

“Most research on chiropractic has focused on spinal manipulation for back pain. Chiropractic treatment for many other problems—including other musculoskeletal pain, headaches, asthma, carpal tunnel syndrome, and fibromyalgia—has also been studied. A recent review concluded that chiropractic spinal manipulation may be helpful for back pain, migraine, neck pain, and whiplash.”

AND…

“In addition, a chiropractor may advise you about changing your biomechanics and posture and suggest other treatments and techniques. The ultimate goal of chiropractic is to help relieve pain and help patients better manage their condition at home.”

Those two statements align extremely strongly with our views here at the office.  All of the associates here at the office, Dr. Andrew, Dr. Craig, and Dr. Tim found a great deal of ease working with Dr. Kemenosh because he always feels strongly that you treat the conditions we know we can help with and we refer out to other medical professionals whenever that is the best options for the patient!

If you are suffering with pain, and old sports injury, a relatively new sports injury, or some type of dysfunction in the body, we may be able to help!  If you have questions, you can always call our main line at 856-228.3100 or reach out to us on our CONTACT US PAGE BELOW!

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If you have been diagnosed with a disc herniation and you want to get better, you better not smoke!

While reading and trying to stay up to date on some research on intravertebral disc herniation, I came across a study by Tsarouhas et al in 2011 which stated that smoking resulted in more severe pain with disc injury which then also was coupled to a longer resorption time of herniated disc material and that smokers also have a longer duration of symptoms. 

The exact statement we found particularly powerful in the study was:

— Smoking habits were found to have a negative dose-dependent effect on the transcript levels of MMP-3 and MMP-13 and a positive correlation with pain intensity, suggesting an unfavorable role for smoking in the regression process of herniated disc fragments.

And

— Specifically, smoking was found to be negatively correlate to the duration of symptoms and positively correlated to the intensity of pain.

You can read the entire study for free on PubMed:

http://www.ncbi.nlm.nih.gov/pubmed/?term=Tsarouhas+smoking+2011

We share this information primarily to help our patients realize that smoking is bad (Yeah, we know you already knew that, it says so right on the package doc!  However, this specific study shows the correlation with disc issues and smoking which is something a lot of patients present to us for.)  We also have Dr. Andrew Gross and Dr. Tim Legath in our office who are Chiropractors certified in the McKenzie Method for treating the spine which is a very strong system for diagnosing and treating disc herniations.  Dr. Craig Evans has also completed post grad work in the Cox Technique which is a system of treating and diagnosing cervical and lumbar disc issues.

We plan to blog more in the future about the use of the McKenzie Method, however if you would like bit of reading in the mean time, you can get the basics at:

http://www.spine-health.com/wellness/exercise/what-mckenzie-method-back-pain-and-neck-pain

In closing, we just had to share this angry little guy to remind you that smoking is bad for everything!

no-smoking-smoking-is-bad-for-your-back-disc-herniation

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