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

All Posts in Category: Active Release Treatment

Pitchers: improving mobility can prevent Tommy John injury

Pitchers: improving mobility can prevent Tommy John injury

Spring is in the air – and that means baseball. Even though we’re not sure if this year’s season will proceed on schedule, it’s best to be prepared. So, we’re talking “Tommy John.” It affects other athletes, too, but baseball players are at higher risk for injuring the ulnar collateral ligament – the UCL. 

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Hidden trauma: improving long-term problems after concussion

Hidden trauma: improving long-term problems after concussion

The protocols around concussion in sports have really advanced in the past 10 years, especially considering new standards adopted and publicized by the NFL and other professional sports organizations. Following traditional concussion care, athletes can often benefit from chiropractic treatment.

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COVID-19 an opportunity for education

COVID-19 an opportunity for education

The COVID-19 pandemic is creating new challenges for just about everybody in the western world. As we work to stay healthy – we’re going to unprecedented lengths to help protect the most vulnerable in the community and slow the spread of the virus to lessen the load on the healthcare system.

At the urging of both state and federal authorities, we have closed all five of our offices to do our part. Our first priority remains and always will be the well-being of our patients and their families.

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Parents – What you should know or understand about your kids’ back pain!

Unfortunately, back pain isn’t just a problem for adults, our children get back pain as well! Recent studies have shown that back pain actually affects many children and adolescents. The good news is that most discomfort is not caused by serious health conditions, but it can be disconcerting for parents and getting to the bottom of the issue is best.  We thought an article like this would greatly help the many student athletes we see daily at our offices around Southern New Jersey.

Childhood is a critical period for physical development when the bones and tissues in kids’ bodies are constantly under stress. Parents are surprised, however, when their otherwise healthy kid complains of a sore back. A few of the doctors in our office became chiropractors due to various injuries as kids and the typical yell after soccer and basketball practice of “MOM MY BACK HURTS”. Most of us associate back pain with old age. In reality, research has found that nearly 34% of children can experience this kind of discomfort in the course of a year. Naturally, this percentage increases along with the age of the child; by 15 years old, the rate can be as high as 70%. Some factors that raise the risk for back pain include being overweight, carrying overly loaded backpacks, weightlifting with poor form and participating in competitive sports. 

Find out more about the sources of back pain for kids, other signs and symptoms that are cause for concern, and what parents should do to get their child appropriate medical care.


Why Is My Child’s Back Hurting? 

Don’t panic. There are many reasons that your kid may complain of a sore back and not all of them are serious. The possible diagnoses range from non-specific pain and muscle strain, to conditions like scoliosis. Keep reading to understand why your child may say his or her back hurts and an overview of the available treatment options.


Non-Specific Pain

Aside from regular growing pains, some children may experience dull, aching pain and stiffness. They may feel this type of discomfort come and go, or notice it after slouching or standing for an extended period of time. Kids may feel non-specific back pain because of poor posture, iPhone overuse long hours playing play station, inactivity or physical strain. If it persists, X-rays and physical exams may be required to rule out more serious problems. Then, the doctor or pediatrician may recommend lifestyle changes for exercise and diet, prescribe physical or chiropractic therapy to strengthen core muscles, and/or chiropractic adjustments to treat the pain.


Muscular Pain

The most common source of back pain for adolescents is muscle strain from overuse, poor conditioning, or bad posture. Imaging is often not useful for making a diagnosis for muscle pain. The first treatment recommendations should be rest and decreasing the level of physical activity to give the child time to fully recover. Additional treatment may include chiropractic care (HEY THAT’S US) or massage therapy (which we have available in our Laurel Springs and Mount Laurel offices, as well as many trusted massage therapists around South Jersey.


Stress Fractures

Sharp back pain with sudden onset could be a symptom of a stress fracture in the spine. This type of spinal injury occurs most often among adolescents. Spondylolysis is the most common type of stress fracture especially among young people doing athletic activities where the back can be hyperextended. These include sports like gymnastics, diving, football and wrestling. Fractures on both sides of the spine can lead to vertebral misalignment or a spinal slip, known as spondylolisthesis

Although it may never heal completely, this type of childhood injury does not necessarily correlate to back pain as an adult. Stress fractures can be treated without surgery and most commonly are, they simply need time to heal. Your child’s doctor may prescribe a back brace to be worn for a number of months, corrective exercises (rehab), anti-inflammatory medication to manage pain, or steroid injections (which are rarely used in anyone under the age of 18-20 dependent upon the patients maturity and duration of problems).


Herniated Disc

Though not as common in adolescence as in adulthood, children can have disc herniations. Children tend to have more flexible discs, yet trauma and forceful injuries can damage them. When this important cushion between the vertebrae ruptures, it can push on the spinal cord or nerves. This leads to pain, numbness, and tingling sensations in the extremities. MRI imaging is usually required to fully diagnose a herniated disc, but a good exam usually can lead towards a strong diagnosis before an MRI is needed to fully confirm the diagnosis of a discal issue. Before turning to surgical solutions, pediatric patients are advised to treat disc injuries with rest, physiotherapy to increase mobility, and chiropractic adjustments.


Infections

Toddlers and young children sometimes contract infections which attack the spine or discs. This type of illness can be difficult for doctors to identify because symptoms are vague and similar to the flu, such as fever and back ache. Localized inflammation seen in imaging and lab testing which shows that the body is fighting an infection are key. Then, treatment usually only requires rest and antibiotics to clear away the infection. These types of issues are best handled by pediatricians familiar with infectious issues and these specialists are commonly found at larger institutions in our region like CHOP, Cooper, and Nemours Dupont.


Spinal Misalignment

Back pain may be the first symptom of a spinal deformity. The most common which affect children are scoliosis and Scheuermann’s kyphosis disease. Scoliosis generally presents as an S-shaped curve in the spine which becomes noticeable during the period of growth prior to puberty. Scheuermann’s kyphosis is associated with a humpback curve in the spine which develops soon before or after puberty. Treatment options include observation, wearing a brace, physical therapy, chiropractic care, and surgery for severe cases which is RARE. X-Ray and MRI are always taken into consideration before progressing towards a surgical procedure on an adolescent.


When Should Parents Worry About Back Pain?  

It’s normal for parents to worry, but it’s also important to know what signs to look for in order to understand the seriousness of your child’s pain. You should seek medical assistance if your child complains of back pains AND: 

  • Is less than 4 years old; 
  • Has a fever; 
  • Discomfort is persistent;  
  • Pain is increasing or spreading; 
  • Muscle weakness, numbness, or tingling are felt in the arms or legs; 
  • The child is less active than usual;  
  • Walking and engaging in normal activities has become difficult;  
  • Has bowel or bladder problems; OR 
  • The child has neurological impairment, such as difficulting talking or coordinating movement, or a lack of reflexes. 

These warning signs may not signify a serious health condition, however, they are an indication that further medical attention may be needed. 


Exams to Request for Adolescent Back Pain  

Your pediatrician or chiropractor should begin with a complete medical history and physical exam. It’s important to discuss when the pain started, if it was associated with an injury or activity, where it’s located, and the progression of pain. Additionally, the doctor should ask about any other symptoms that may be related. 

A thorough physical exam should look at the child’s posture and for signs of abnormal spinal curvature and deformation. The child may be asked to stand, walk or bend over in order to check for abnormalities.  Further exams may include X-ray or MRI imaging of the neck and spine, reflex testing, and in some cases blood tests can help to rule out issues lingering for too long.


Need help? Contact the Office —

Phone — 856.228.3100

If you have questions about an issue you are facing, let us know by using our CONTACT US PAGE!

https://drmarkkemenoshandassociates.com/contact/

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What is Active Release Techniques®(ART) to Individuals, Athletes, and Patients?

ART® is a patented, state of the art soft tissue system/movement based massage technique that treats problems with muscles, tendons, ligaments, fascia and nerves. Headaches, back pain, carpal tunnel syndrome, shin splints, shoulder pain, sciatica, plantar fasciitis, knee problems, and tennis elbow are just a few of the many conditions that can be resolved quickly and permanently with ART. These conditions all have one important thing in common: they are often a result of overused muscles.

HOW DO OVERUSE CONDITIONS OCCUR?

Over-used muscles (and other soft tissues) change in three important ways:

  • acute conditions (pulls, tears, collisions, etc)
  • accumulation of small tears (micro-trauma)
  • not getting enough oxygen (hypoxia)

Each of these factors can cause your body to produce tough, dense scar tissue in the affected area. This scar tissue binds up and ties down tissues that need to move freely. As scar tissue builds up, muscles become shorter and weaker, tension on tendons causes tendonitis, and nerves can become trapped. This can cause reduced range of motion, loss of strength, and pain. If a nerve is trapped you may also feel tingling, numbness, and weakness.

WHAT IS AN ART® TREATMENT LIKE?

Every ART® session is actually a combination of examination and treatment. The ART® provider uses his or her hands to evaluate the texture, tightness and movement of muscles, fascia, tendons, ligaments and nerves. Abnormal tissues are treated by combining precisely directed tension with very specific patient movements.

These treatment protocols – over 500 specific moves – are unique to ART®. They allow providers to identify and correct the specific problems that are affecting each individual patient. ART® is not a cookie-cutter approach.

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Active Release Techniques Therapy

Active Release Techniques:
Active Release Techniques (ART) is a patented soft tissue treatment system invented by Colorado Springs, CO Chiropractor Mike Leahy. Active Release Therapy is a form of deep tissue work that involves the muscles, tendons, fascia (covers muscle), ligaments, and nerves. It is used to treat acute or chronic injuries, repetitive strain injury and nerve entrapment’s like carpal tunnel syndrome, and sciatica. ART is also used before and after surgery to reduce scar tissue formation and build up.

What conditions can ART help?
ART can alleviate headaches, TMJ pain, back pain, neck pain, shoulder pain, elbow pain, wrist pain, hand pain, thumb pain, hip pain, knee pain, calf pain, ankle pain, and foot pain. ART also works on common injuries like; ITB Syndrome, Runners Knee, Shin Splints, Plantar Fasciitis, Rotator Cuff Injuries, Golfer’s and Tennis Elbow, Piriformis Syndrome, Carpal Tunnel Syndrome, and Sciatica. ART also can remove scar tissue build up after surgery, and scar tissue build up from joint replacements, instead of going through painful and sometimes risky manipulations under Anesthesia.

How does ART work?
ART works to break up and remove scar tissue deep within and between muscles, tendons, ligaments, and nerves. ART treatment is a hands on treatment where the doctor contacts the injured muscle, joint, ligament, or nerves with his thumb or fingers, the tissue is then shortened and moved through a range of motion while a tension is held over the injured structure. This breaks up the scared or fibrotic tissue present while reducing pain and improving range of motion.

How long will it take?
The average number of ART treatments for all conditions ranges between 5-15 visits per condition depending on severity and duration of symptoms. Typically treatments are 10-15 minutes long, and patients should bring shorts for lower back, hip, knee, ankle or foot injuries. For neck, shoulder, elbow, wrist and hand injuries a tank top is recommended.

What do I do if I have questions?
Please use the CONTACT US page on our website or give us a call today!
https://drmarkkemenoshandassociates.com/contact/

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Lower Back Injury and what you can do!

Every year thousands of people suffer some type of lower back injury. This often requires a visit to their chiropractor as a result of gardening or doing some other type of yard work. This happens a lot in the spring when people are anxious to get outside and tend to their yards after months of being penned indoors by the winter season.

It is relatively easy to injure your back, especially if you are moving heavy objects around the yard. While good chiropractic care is always one of the first things you should do after receiving such an injury, you also want to consider the fact that chiropractic care, which occurs on a fairly regular basis, may help to curb some of these injuries in the first place as does following some common safety precautions when you are working in your yard. Our team can help you improve your readiness for the spring season using Active Release Technique, Chiropractic Manipulation, home exercise strategies, and improving your stretching at home as well!

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Haddonfield Adrenaline 5K Race and Post Active Release Party 2019

The Haddonfield Adrenaline 5K Race went off with a bang this year, just like it has every year in the past and will continue to do so in the future! Dr’s Trisha Sileo and Craig Evans both ran the race and held their own in different respective ways. Dr. Trisha held a solid race long pace of about 30 seconds faster than she normally trains at during cardio races and Dr. Craig nearly pushed his daughters in the double stroller to a sub 30 minute total race which may likely be one of his best to date in the double stroller.

Across the board times were very fast for the event and several men and women finished in sub 20 minutes which is a very good sign for the quality of field that a race like the Adrenaline Run brings out each year. The race quality is thankful for the concerted efforts of the Haddonfield Running Co and the best shoe sponsor around, Brooks Running! Dave and TJ always make the day great and outside support from running clubs like the SJAC (South Jersey Athletic Club), Pine Land Striders, Run856, Run215, Break Neck Running Club and the Bryn Mawr Running Clubs are always great to see. Various high school and college aged runners from various organizations are almost always present as well including Haddonfield High School, Haddon Township High School, Haddon Heights School, Cherry Hill East, Cherry Hill West, Cherokee, Lenape, Shawnee, Bishop Eustace and Camden Catholic were all represented to at least some extent!

For us, some of the most fun comes after the race when we set up a few chiropractic tables in the basement of the Haddonfield Running Company and get to work using Active Release, IASTM, and our Chiropractic skills on most any runner who is or has been a patient. Talking running and working with runners to solve “runner probs” is more or less when of the best parts about this job! Thank you ten times over to the Haddonfield Running Co for hosting such an AWESOME race and letting us be a part of it now for 7 or 8 years straight!

Here are some pictures of the post race Active Release being done in the basement of the Running Co, it’s sweaty, a lot of bad jokes are told and a lot of running injuries are discussed! Click on the thumbnails below for some priceless expressions.

Need help with a running injury, back pain, or some other sports injury in South Jersey? Use the contact us page to get in touch or call our office today, 856.228.3100
https://drmarkkemenoshandassociates.com/contact/

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Framework Pilates ONE YEAR Anniversary & Lululemon Trunk Show!

Framework Pilates One Year Anniversary is COMING UP QUICK! Can you believe it’s been a little over one year for our office in Mount Laurel, New jersey for Chiropractic, Active Release, and Cox Technique! It has been exactly one year for the Pilates/ELDOA side of the office! Congrats Framework Pilates! This same Saturday last year is when we celebrated this offices Grand Opening. The office is going great! We have classes running daily for ELDOA, Pilates, the Infrared Sauna and many other options like Barre! The Chiropractic side of the office is now open five full days a week! Last summer we were open two days per week by comparison, so in a little under one year we now have at times two doctors working in the Mount Laurel office!

So, as a BIG THANK YOU to everyone, Framework Pilates is hosting a BIG one year anniversary event this SATURDAY, 11/17/2018 with demo classes featuring Pilates and ELDOA as well as some small bites and a Lululemon Trunk Show!

Facebook Event — https://www.facebook.com/events/355319185274133/

Please use the Facebook event page if you are planning on attending! We really hope you can make it and we need at least a rough count of how many will be attending.

Framework Pilates Facebook Page — https://www.facebook.com/frameworkbodies/

Framework Pilates Website — http://www.frameworkbodies.com/

Dr Mark Kemenosh and Associates Facebook Page — https://www.facebook.com/DrMarkKemenoshAndAssociates/

Dr Mark Kemenosh and Associates Website — http://DrMarkKemenoshAndAssociates.com/

 

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Adrenaline Run Post Race Party Recovery Room – Haddonfield Adrenaline 5k

The Haddonfield Adrenaline 5k almost  always signals that we are at least getting somewhat close to spring in South Jersey.Just like last year we had the honor of setting up in the basement of the Haddonfield Running Co after the Haddonfield Adrenaline Run 5k. Per the norm we had the Physical Therapy team from The Training Room of Cherry Hill and The Training Room of Haddonfield along with us and they even brought there newest form of therapy, a cold laser. Runners, runner injuries, runner issues, and triathletes make up a very big part of our patient population and while some doctors offices don’t enjoy runners, we look forward to the challenge of getting someone feeling better with a goal in mind like a big race or a triathlon.

You can see the from the photos that follow that we had a full docket of our runners, friends and family looking forward to some Active Release Therapy after the race.

Questions about the big race?

The 13th Annual Haddonfield Adrenaline 5K Run will be held Saturday, March 17, 2018.  The 5k starts at 9am in front of Haddonfield High School and is followed by a kids 1/4 mile and 100 meter races on the Haddonfield High School track. The 5K race is USATF certified, and serves as the MidAtlantic 5K Championship. This event is sponsored by the RunningCo. of Haddonfield. Kick off the 2018 running season with an adrenaline pumping race!

This race sells out year in and year out! If you want to joint us next year to get your adrenaline pumping for the spring running season, be ready to sign up in late winter!

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

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