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All Posts in Category: Dr Josh Sand

Before or after? When is stretching best?

It’s amazing how often we do things because “that’s how it’s always been done.” The COVID pandemic has at least one silver lining; it has forced us to revisit old habits.

We’re reexamining everything, it seems, including how we exercise—with gyms closed and all the other disruptions. That brings an opportunity. We are rethinking whether it is better to stretch before or after exercise.

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For pain: heat, ice or neither?

It’s one of our most frequently asked questions. For muscle and joint pain, what’s best—heat or ice? As in much of medicine, the answer—it depends.

First, it’s important to make the distinction between treating the problem and the symptoms. For the most part, heat and ice work on symptoms. It’s been studied and some research suggests a therapeutic benefit, but those results are very limited and not well established.

Neither will do much to mitigate the cause of the pain. But for a pulled muscle, back spasms, twisted ankle or soreness after intense activity—ice or heat can help you feel better. And there’s a third option: nothing. Sometimes it’s best to just leave it alone.

Let’s break it down.

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Second impact syndrome: winning the game isn’t worth losing your head.

Getting a concussion is bad. But getting more than one can be significantly worse. Doctors use the term second impact syndrome to describe the aftereffects of multiple concussions in a short period of time. It can be deadly. 
Concussion happens when the brain moves beyond its normal limits. With a blow or jolt to the head or body, the head and brain move back and forth rapidly. These sudden movements can make the brain bounce or twist inside the skull.  It’s also known as mild traumatic brain injury. The new name came from recent efforts to make it sound as serious as it actually is.

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The runner’s nemesis: IT band

Runners love to hate their IT bands. Trouble there can keep you off the road, the runner’s worst nightmare.

Short for iliotibial, the IT is a long band of connective tissue on the outside of each leg, running from hip to knee. When it gets inflamed, it usually causes pain on the outside of the knee. But it can also cause pain at the hip or lower back.

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What’s a coronavirus, anyway? Our most frequently asked questions – and answers.

The global COVID-19 outbreak is dominating headlines and causing serious disruptions in daily life. Not surprisingly, like most healthcare providers, we are getting a lot of questions about the virus – and about viruses in general. Since the topic is on most everyone’s mind, here are some answers, based on current science and accepted guidelines.

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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 […]

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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 […]

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Ice or Heat for Injuries – Is the medical standard changing

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 […]

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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 […]

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