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Locations : Laurel Springs, Haddonfield, Mt Laurel, Somers Point, and Washington Township, NJ
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.
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.
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.
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).
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.
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.
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:
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.
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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!
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
We have great news South Jersey back pain sufferers! Cox Technic is now fully ready to take off at our offices! We are very excited to announce that we now have two full blown Cox 8 Flexion Distraction tables available to our patients. The Cox 8 tables are located in Mount Laurel and Laurel Springs. The tables are truly state of the art and unlike most anything that is offered in our region, period. We also offer lumbar only flexion distraction tables at our Haddonfield and Somers Point locations as well.
Cox® Technic is non-surgical, doctor-controlled, hands-on spinal manipulation performed with the patient lying on The Cox® Table, our proprietary, specially designed chiropractic instrument. This table permits the effective administration of flexion-distraction and decompression adjustment and manipulation.
Well-researched and documented, flexion-distraction and decompression helps relieve spinal pain and return patients to their desired quality of life by …
— dropping intradiscal pressure to as low as -192mm Hg
— widening the spinal canal foraminal area by 28%
— reducing pressure on the spinal nerves
— returning motion to the spinal joints
The goal of Cox® Technic is to help the spinal pain patient go from “pain” to “no pain” as quickly as possible following the “rule of 50%” which governs the Cox® Technic System of Spinal Pain Management.
Evidence-based Cox® Technic is appropriate for conditions causing low back and leg pain as well as neck and arm pain. It also reduces pain attributable to …
— disc herniation
— a slipped disc
— a ruptured disc
— facet syndrome
— spinal degenerative disease also known as DJD
— other conditions of the spine and hips / shoulders producing varying issues into the extremities commonly referred to as sciatica or shooting pain.
For more information on Cox Flexion Distraction or to find a provider outside of the Southern New Jersey region, check out https://www.coxtechnic.com/
If you have questions about Cox Technic, Flexion Distraction techniques, or anything else, please feel free to use our Contact Us Page by going to https://drmarkkemenoshandassociates.com/contact/
A very interesting article appeared over at Spartan.com posing the question “Is RICE all wrong?”, and jumps to the question of Ice or Heat for injuries and it caught the eye of Dr. Andrew Gross and Dr. Josh Sand at out office because when we were in Chiropractic around five years ago, the automatic correct test answer in a lot of cases for injuries was ICE, there were rumblings that possibly RICE was going to be changed to something different.
For the most part RICE isn’t totally wrong, we just don’t feel it is as correct as it once was for all major injuries. Simply put icing most injuries is not a bad idea and safe. The idea of RICE comes from Dr. Gabe Mirkin MD who published a book about sportsmedicine (The Sportsmedicine Book) and ever since then the standard has been RICE which stands for Rest, Ice, Compression and Elevation. For around forty years now, Dr. Mirkin has been thought of as the authority on immediately icing an injury (along with compression and elevation.
We thought for a long time that icing the injury stopped, or at least limited the flow of inflammation to the injured region but we now understand that it only delays the processes. The newest ideas that numbing the injury only dulls the pain and sometimes does not permit you to feel the warning signs of pain being caused by injured tissue. The article linked below showed that 22 seperate studies found that “ice is commonly used after acute muscle strains, but there are no clinical studies of its effectiveness.” A report in the Journal of Strength and Conditioning Research was even more alarming. Not only does icing fail to help injuries heal, the authors found, it may well delay recovery from injury. In 2017 The Journal of Athletic Medicine Research recently showed that icing actually kills muscle cells when they are iced for too long of a period post injury most likely from the direct effects of the inflammatory response of the injury being “held” directly on the injured tissue and not being pumped around due to the ice holding it there.
Taken directly from the article on Spartan.com —
“You might think that Dr. Mirkin would bristle at this blow to his erstwhile recommendations. Not so—he now openly rejects at least half of the RICE advice that helped make him famous. “I do not believe in cooling anymore,” he explained via email. Nor does he believe in the “R” component of his famous prescription either.
In a foreword to the second edition of Iced!, Dr. Mirkin says most athletes are far more concerned with long-term healing than transient pain relief. “And research,” he writes, “now shows that both ice and prolonged rest actually delay recovery.”
Check out the article for yourself at https://life.spartan.com/post/is-r-i-c-e-all-wrong
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!
For the second year in a row I was able to attend The Running Works Day Of Distance hosted by Marcus O’Sullivan at Villanova University! For the second year in a row I was blown away at the shear amount of running knowledge and sense of community the coaches in Pennsylvania (mainly the Philadelphia area coaches) and New Jersey (mainly the South Jersey coaches). Shak and Cricket at The Running Works just keep putting on a better coaches clinic each year and it’s a lot of fun to meet the coaches from outside our region, South Jersey, and to see the look on their faces when they realize we are at cross country seminar for the various reasons we attend to better support our team and this year we even took a patient along who is looking to make the leap into coaching other triathletes very soon!
The day overall went by way too quickly! First off, Villanova’s athletic complexes are under a major overhaul right now and the transformation from last year to this year was a huge improvement! The football stadium and track may have been under snow to some extent, but you can see from the pictures below everything keeps getting better! We checked in around 8:00 AM and Craig Virgin, the famous American cross country and 10k meter racer spoke promptly at 9:15am. After a short break we jumped directly back into coaching talk with Chris Fox, the head coach of distance and cross country running from Syracuse University and recent Big East Champion and National Champion coach in Cross Country who politely reminded Villanova fans that to do that, you have to beat Nova and everyone had a good chuckle over that. Lunch just might be my favorite part of the day because I get a chance to sit with coaches that I don’t know and hear about issues from coaches outside of our region like the western suburbs of Philadelphia and northern New Jersey. The afternoon seminars I selected were with Phil Warton on Active Isolated Flexibility and Stretching followed by Marcus O’Sullivan on novice coaching solutions. Phil Warton’s session on stretching was very interactive and fun and he focused a great deal of his talk towards keeping young runner legs happy, including the hips! It was fun to see someone else who I have never met before “preaching the gospel” that happy hips make for good runner legs and improved spinal mechanics. The best part of my day, and my guest triathlete also agreed was “Novice Coaching Session with Marcus O’Sullivan” who broke down how easy it is to worry about to many variables when coaching high school cross country and while data and science can be infaliable, don’t forget when you are coaching middle schoolers, high schoolers, or even college kids to support them no matter what and to do the best to keep them healthy! Marcus when into how he almost retired from running and open road racing at age 32 because he had still never found a system of training before that which worked for him and it wasn’t until he started to let someone else help coach him along with decreasing the intensity of workouts from time to time based on blood lactate threshold levels and heart rate that he was then able to prolong her 5k and 10k racing career to the age of 37 and he joked several different times that he did it by listening to his body more and running hard a good bit less. Yes, you read that correctly, at 32 years of age, he ran almost as fast as he did at 22 in the prime of his career by listening to his coach and decreasing his high intensity mileage and working more on staying healthy.
Check out the pictures below!
Link to original content – http://activerelease.com/news.asp
Resolving the causes and effects of back pain – Active Release Technique – Dr Mark Kemenosh and Associates
One of the most common injuries that ART® providers treat, indiscriminate of their work setting, is lower back pain. Accordingly, it’s no surprise that lower back pain is the most commonly recorded musculoskeletal disorder. In the United States alone, it is the culprit of $100-200 billion in medical expenses each year. 80% of the U.S. population is affected by back pain at some time in their life. The high prevalence of back pain has enabled us at Active Release Techniques® to spend a lot of time studying the causes and most effective treatment protocols for each individual cause.
Back pain results from a wide array of working circumstances including heavy or repetitive lifting, over-reaching working in an awkward posture, and remaining bent over or seated for too long, just to name a few. These tasks create scar tissue, which causes pain, weakness, and reduced range of motion. Because of the large variety of behaviors causing back pain, cases of back-related MSDs can be found in nearly any workplace setting, from offices to factories. Whether the activity causing the pain is sitting, reaching, or lifting, pain origination is frequently linked to doing any of these activities with an awkward posture. Additionally, as people age, their incidence of back pain rises as does the cost, which increases at a greater rate due to the increased time, medication, and procedures necessary for their recovery.
Sitting puts twice as much stress on your back as standing, and when you slouch that stress is compounded. Further, sitting in a slouched position over-stretches the ligaments in your back. Not only do sitting and slouching add stress, they also prevent nutrients from getting to the discs in your spine. Excessive sitting can also cause pain in your hips and pelvis because it tightens and shortens the tendons in that region, placing even more pressure on the lower back. Pain resulting from maintaining an awkward posture, such as crouching or bending for an extended period of time, is often caused by some variation on this same reasoning.
Back pain as a result of heavy or repetitive lifting is also frequently a function of lifting with an awkward or incorrect posture. The weight being lifted adds additional stress to the spine, and awkward posture exacerbates the issue by causing muscles, tendons, or ligaments to over-stretch or tear.
So many of the things we do every day can build up scar tissue over time and cause back pain. Luckily, ART® can help, not only to relieve your pain and release your scar tissue, but also, through our onsite wellness programs, suggest things that you can do to prevent that scar tissue from building up in the first place.
Link to original content – http://activerelease.com/news.asp
Link to original content – http://activerelease.com/news.asp
ART® has a long history working with athletes of all kinds, and was actually developed when the founder, Dr. P. Michael Leahy was working with elite athletes to help them get back to peak performance more quickly. No matter the kind of athletic endeavor in which you partake, knee injuries are a common frustration that can be resolved with ART® In addition to being extremely prevalent, knee injuries can also be some of the most nagging, because they can take a long time to come back from, and can stop people from working out or training for weeks or months.
The knee must support body weight as well as flex and extend to generate the propulsive forces needed to move the body. To help the knee serve its very important function, it is surrounded by a complex group of muscles that must be strong, flexible, and coordinated enough to protect and stabilize the knee.
Knee injuries are so common because the knee is interconnected with other joints, namely the hip and the ankle, as a part of the kinetic chain. The knee is a hinge joint that is designed to move backward and forward, but the other joints in the kinetic chain, the hip and ankle, move front to back, side to side, and around in circles. Understanding how pain in one joint can come from elsewhere in the kinetic chain is an important part of how ART® providers diagnose a soft-tissue injury. Very often, knee pain is symptomatic of issues in the adjacent muscles or joints. If the hip or foot has even a minor issue such as over-tightness, weakness, muscle imbalance, or faulty alignment, it can overload the bones and ligaments in the knee, and places even more demand on the muscles around the knee as they try to keep it from moving from side to side or twisting.
When there is a problem anywhere in this kinetic chain, the knee is often the first place to develop pain, even if it is not the source of the problem. This is referred to as movement compensation. The forces generated by any athletic activity do not get properly distributed and they become focused at the knee. For this reason, when diagnosing knee pain, ART® providers know that they must examine the entire kinetic chain, and not just the knee and its surrounding muscles. Treatment that focuses on just the knee often results in re-injury because the root of the problem is not addressed.
Traditional treatments for knee pain often involve some combination of heat, ice, ultrasound, muscle stimulation, steroid injections, exercises, and sometimes even surgery. Many of these methods are ways to temporarily relax the muscles, and all of them deal exclusively with the knee and the muscles surrounding it. These treatments often take a long time to see significant results, and even then those results are temporary and the injury usually recurs. This is because the root of the problem has not been addressed, the entire kinetic chain has not been examined, and scar tissue has not been released.
An ART® provider watches you move and examines the entire kinetic chain using tactile observation to feel the texture and tension of each muscle, and releases the scar tissue that sustains the injury with palpation. This assures that the root of the problem is addressed and keeps the injury from happening again. Best of all, ART® treatment delivers noticeable results in just one 15-minute treatment and can resolve the injury completely with just 5-10 treatments, so you can get back to your active lifestyle as quickly as possible.
Link to original content – http://activerelease.com/news.asp