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

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

All Posts Tagged: SOUTH JERSEY CHIRO

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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Nicky’s Run 5K & Family Fun Walk – Sat June 10 2017

Nicky’s Run 5K & Family Fun Walk – Sat June 10 2017 
Place
1 Mill Creek Rd & Powell Rd.
Eastampton, NJ US 08060
Description

The 5th Annual Nicky’s Run Memorial 5K promotes youth suicide awareness and prevention. All proceeds benefit the Nicky Green Foundation (NG52).

This event is a 5K race on the Rancocas Valley Regional High School’s varsity cross country course at their sports complex at 1 Mill Creek Rd & Powell Rd. in Eastampton, NJ.

Trail run on a secluded course — no public roadways!
Registration

5K Run:

June 8th: $25.00

Early Check-in and Day of Run Registration (June 10): $30

1 Mile Fun Run/Walk Pre & Race Day: $20

T-Shirts guaranteed to all participants registered prior to May 15th.

ONLINE Registration closes 10pm Thursday night, June 8th.

Early Check-in/Packet Pick-up – Friday, June 9th. Time and Location TBD

Day of Run Check in begins at 7am for those who did not Check in on Friday night.
Awards

Awards to Top M & F Finishers.

Medals to the 1st, 2nd, and 3rd place M & F finishers in the following Age Groups:

14 and under; 15 – 18; 19 – 29; 30 – 39; 40 – 49; 50 – 59; 60 – 69; 70+

Sign Up Link – https://runsignup.com/Race/NJ/Eastampton/NickyGreenMemorial5kRun1MileRunWalk?remMeAttempt=

Nicky’s Run Facebook Page – https://www.facebook.com/Nickys-Run-503471789710983/

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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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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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Yoga for improving health-related quality of life, mental health and cancer-related symptoms in women diagnosed with breast cancer.

So Cochrane reviews are very high standards of research and we found it very interesting recently that such a rigorous review supported yoga for improving the outcomes of women diagnosed with breast cancer.  Yoga has many pallative aspects of its practice as shown here in the following Cochrane review which looked at 24 studies and found a fair amount of compelling evidence that yoga is helpful post treatments for breast cancer.

Link:  https://www.ncbi.nlm.nih.gov/pubmed/28045199

Authors Conclusions from the studies reviewed:

Moderate-quality evidence supports the recommendation of yoga as a supportive intervention for improving health-related quality of life and reducing fatigue and sleep disturbances when compared with no therapy, as well as for reducing depression, anxiety and fatigue, when compared with psychosocial/educational interventions. Very low-quality evidence suggests that yoga might be as effective as other exercise interventions and might be used as an alternative to other exercise programs.

Link:  https://www.ncbi.nlm.nih.gov/pubmed/28045199

Here at the office, we are all fans of yoga when practiced in a safe and supportive manner.  If you are dealing with issues of discomfort, tenderness, or pain, feel free to give our office a call at 856.228.3100 to see if we can help you.

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Article shared on MuscleDevelopment.com about bodybuilding and Active Release Technique

Had a very high level bodybuilder in the office today who had originally heard bodybuilding titans like Jay Cutler (4 time Mr. Olympia Jay Cutler, not that poor guy the Chicago Bears send out each week to play quarterback) and Phil Heath (the current reigning Mr. Olympia and the face of body building for about 5 years at this point) both keep ART as a par of their tough training regimens.  While searching for a youtube video where Jay Cutler talks about his Chiropractor and Massage Therapist who both do ART being his best friends during the peak of his career, I stumbled on to this article discussing low back pain after dead lifts and the patient being treated and returned to lifting fairly quickly with the application of Active Release Technique followed by chiropractic manipulation of the spine.  Check out the article below on MuscleDevelopment.com if you are wondering just how effective Active Release and spinal manipulation can be in back pain, hip pain, and hamstring tightness!

Article:  Kiss that back pain away

MuscleDevelopment.com Link:  http://www.musculardevelopment.com/1018-column-archives/injuryrehab/1024-kiss-that-back-pain-away.html#.VnJLZBUrLIU

And now for the most important part, watch Dr. Jon Petrick of the Las Vegas Pain Relief Center perform some pretty heavy duty Active Release Technique on 4 time Mr. Olympia, Jay Cutler.  Please note that often times it does not hurt as bad at this video portrays and most individuals are not as tight as a full time, professional bodybuilders.  Please also do not focus on the language used a few times by Mr. Cutler during his treatment.

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Who needs 315 feet of RockTape? These docs!

UPS man just dropped off 315 feet of RockTape!  Who needs 315 feet of RockTape, look no further than these docs!  Looking ahead to the the spring running season, spring track, as well as many other sports, it was time to get loaded up again on our favorite form of Kinesiology Tape, RockTape!

big-rocktape-boxes

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The Canadian Armed Forces has thrown out dated fitness testing in favor of real-world tasks. Sit-ups tossed out.

The Toronto Star published a story recently (January 20th, 2016) with the headline, “The Death of the Sit Up”.  The article immediately popped up on my social media feeds because one of the consultants mentioned in the article is Stuart McGill, PhD.  Dr. McGill is a professor of spine biomechanics at the University of Waterloo.  Dr. McGill is also widely known as one of the best researchers around for prevention of low-back-injuries.

Original Article Link:  http://www.thestar.com/news/gta/2016/01/20/the-death-of-the-sit-up.html

The article discusses that once a staple of physical fitness in gym classes and military fitness tests, the Canadian Armed Forces have thrown out using sit-ups as a measure of physical fitness.  Dr. McGill has been researching spines for over 30 years and has shown several times over that flexion of the spine, the motion used in a sit-up can statistically put you at a great risk for developing a low back disorder.  Dr. McGill is quoted in the article that he has now been contacted by the US Military and asked to show his findings that doing repeated traditional sit-ups causes damage over time and as repetitions increase, the more likelyhood of a disorder of the spine develops allowing the spine to become damaged.  The largest problem with the traditional situp are that if a disc bulge begins to form, repeated sit up motions can actually increase the size of the bulge due to simultaneous compression and bending of the discs and spine.

The article goes on to talk about ways other exercises are being used now to evaluate physical fitness and military training.

The last few words on the article more or less sum up most of McGill’s findings and our advice as well:

“McGill says every exercise is a tool to achieve a goal. “If (your goal) is to become faster, stronger, or if it’s to become injury-resilient and have less pain in life and make yourself generally fit to enjoy life, then the answer is don’t do sit -ups,” he says. Exercises such as planks, he notes, are safer for lower backs and better engage core muscles.

“But if you’re a UFC fighter or a jiu-jitsu master and you have to do groundwork to fight an opponent off your back, you should probably do a few sit-ups.”

We highly encourage you to check out the original article at the Toronto Star authored by Mary Ormsby:

http://www.thestar.com/news/gta/2016/01/20/the-death-of-the-sit-up.html

stick-figure-sit-ups-hard-on-the-back-dr-craig-evans

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The necessary evils of sitting, work stations, work desks and office chairs!

Recently sitting at a desk, using a computer, and sitting in office chairs have been under heavy attacks from all angles due to sitting too much and it possibly being a repetitive trauma to some areas of the body.  It’s hard to think about sitting and working at a desk as possible trauma, but when you add up years and years of it, it starts to take it’s toll on the body.

First things first, you want to be sure your posture is doing well.  You will want to sit as close as possible to the the desk and that you sit squarely with the desk.  It’s important that your arms remain parallel to your spine and your hands rest comfortably on the work surface.  If possible, you want your arms in a comfortable position close to a 90 degree angle.  Whenever you posture starts to become a problem, it is best to stand up, stretch and walk around as much as possible.

Most often, for most people, an office chair height should range from about 16 to 21 inches off the ground and is suitable for most body types.  Having a non adjustable chair is very much a problem and you need to make sure that the chair fits you as best as possible.

With many of our patients we are seeing a trend of stepping away from sitting at a desk and using a standing desk more and more often.  Raising your work surface greatly allows for better mechanics of the spine and hips because they more remain more naturally in neutral.  Another side note on a standing desk is that you stay more alert when using a standing desk because you are not as easily able to slump or else you might fall over, so some studies have shown that you use 60 – 80 more calories per day when standing.  The standing desk industry as a whole is starting to truly take off.  Here at the office headquarters in Laurel Springs, we intentionally built a standing work station for the doctors to use with many power outlets since most of us have a smart phone, iPad, and a laptop.   We also like to remain on our feet as we work for the most part, so a standing work station allows us to check notes without the up and down of an office chair.

Check your screen height!  It’s sad to say it, but looking down for long periods can become hard on the neck, just like reading a book for too long, or texting too long.  With your chair adjusted properly to the height of your table, your legs should be comfortable and your back well supported by the lumbar areas of your chair.  When you look forward somewhat comfortable and relaxed, you want to be well aimed at your computer screen.  Often times with laptop computers this is far from the case you look down to see your screen, effectively putting your neck into forward flexion of the cervical spine.  You want to best raise your screen level to an effective height that does not cause you to look down.  Lifting your laptop is sometimes tough and requires the addition of a second screen or a lifting device to help you stay looking forward and not down hill.

Lastly, the armrests on your chair can be important.  I personally would not buy an office chair without adjustable armrests because properly adjusted armrests can help lower neck and shoulder strain over the 6 – 8 hours you work each day.  Proper armrests also can help to slow the likelihood that you end up slouching forward as the day progresses and you become increasingly fatigued.

Overall, the biggest factor of spending several hours a day in a chair is that you’re in a compromised position to at least some extent.  There is no replacement for standing up, taking a walk and stretching.  Watching your posture in a position that you will spend several years of your life in is very important to protect for you long term health.

If you have questions about Chiropractic, Active Release Techniques, Corrective Exercise / Rehabilitation and just about anything related to sitting in poor posture for too long, we hope you will give us a call at 856.228.3100 to see if we can help you!  We have found that Active Release Technique combined with some Chiropractic Manipulation and Corrective Exercise based on the patients needs can greatly help reduce issues related to poor ergonomics at work and suggestions on getting those issues fixed long term make for great patient outcomes!

dr-mark-kemenosh-and-associates-office-window-glass-sewell-nj-pic-5

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