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

All Posts in Category: Dr Josh Sand

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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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 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

 

 

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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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Washington Township / Sewell NJ office now located within South Jersey Sports Medicine!

While it’s been a few months now, we are still getting calls about moving out of the Hollydell Ice Arena and in with our good friends at South Jersey Sports Medicine. Our location is now permenant and we are very happy being surrounded by a bunch of orthopedics. Yes a chiropractic office inside of an orthopedic office. Never thought you would see that did you? We promise for Dr. Josh’s sanity we will not be moving again for any reason.

Address:

556 Egg Harbor Rd Ste A
Sewell, New Jersey 08080

Phone Number:

856.228.3100

Have a question or need to know if we can help with your issue? Send us an email on our Contact Us Page at the link below!

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Resolving the causes and effects of back pain – Active Release – Dr Mark Kemenosh and Associates

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

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Atrophy of gluteus maximus among women with a history of chronic low back pain

Saw a nice article recently post from our neighbors over at Department of Physical Therapy, Thomas Jefferson University, Philadelphia, Pennsylvania, 2 School of Health and Rehabilitation Sciences, The Ohio State University, Columbus, Ohio, 3 Department of Biomedical Education and Anatomy, The Ohio State University, Columbus, Ohio.

Article Title: Atrophy of gluteus maximus among women with a history of chronic low back pain

Methods:  For this case-control study, we analyzed medical history and pelvic computed tomography (CT) scans for 36 female patients with a history of chronic LBP, and 32 female patients without a history of LBP. Muscle cross-sectional area of gluteus maximus was measured from axial CT scans using OsiriX MD software, then was normalized to patient height, and used to compare the two groups. The number of back pain-related medical visits was also correlated with gluteus maximus cross-sectional area.

Conclusions: This research demonstrated a previously only minimally explored relationship between gluteus maximus cross-sectional area and LBP in women. Further research is indicated in individuals with varying age, sex, and LBP diagnoses.

Direct Link: http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0177008

Take away ideas from this study in a nut shell:  

This research confirmed Thomas Jefferson’s Physical Therapy Researchers hypothesis that Glute Max atrophy would be greater in individuals with chronic LBP. Further research is indicated on Glute Max CSA in individuals with varying age, sex, and LBP diagnoses. Research on the potential impact of exercise interventions targeting GM in individuals with chronic LBP is also indicated.

If you are struggling with low back pain, we can almost always help! We combine chiropractic, active release, home exercise programs and much more to the treatment of all types of back pain. Give us a call at 856.228.3100 for more information or send us an email a the link below!

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Injured Redskins turn to chiropractor to recover quickly – Richmond Times

Earlier this month a great article went up on the Richmond Times about how Washington Redskins players were turning to Chiropractic Medicine to return to the field quicker. We love great information about Chiropractic, Active Release Technique, and Instrument Assisted Soft Tissue work! The best part of the story is that the Chiropractor helped him with his Achilles injuries, just like we do at our office here in South Jersey. We do a lot more than just low back pain and neck pain, check out the article below for more info.

Link: http://webcache.googleusercontent.com/search?q=cache:1RIqXi4TG5cJ:www.richmond.com/redskins-xtra/injured-redskins-turn-to-chiropractor-to-recover-quickly/article_a72268f8-3bac-598e-94b3-dda2761f5310.html&num=1&hl=en&gl=us&strip=0&vwsrc=0

From the article:

Running back Mack Brown watched Josh Doctson’s college film this offseason, seeing clips of his teammate toe tapping in the end zone, high pointing passes and running crisp routes rolled into five-minute YouTube videos.

Doctson tried TheraBands to fix his Achilles injury, he tried stretching it and none of it helped reclaim his health. Brown knew what Doctson could do for the Redskins’ offense this season, so he recommended Doctson see Dr. Craig, a chiropractor in the Ashburn area who Brown visits for body maintenance.

“I knew he really was in pain. I was like, ‘You really need to go to this doctor to get your body worked on,’” Brown said. “You get Doctson at 100 percent, he’s a problem for the league, one of the best receivers in the league. We need to get him back healthy.”

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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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The New York Times – How To Avoid Heatstroke

Wanted to share a nice little article that showed up on my social feed this morning about avoiding heat stroke this summer.  We as adults often times think it does not happen to us as “recreational runners” but I have witnessed everything from hypothermia to heatstroke at running races!  Check out the article at the following link and remember that it is not just high school kids at summer practices who take it a bit too far.

NYT Link — https://well.blogs.nytimes.com/2009/07/29/how-to-avoid-heatstroke/

One thing we are fairly certain of is that it does always involve hydration levels either and even ambient temperature around you can be anywhere from the 70’s, 80’s, or 90’s in terms of Farenhiet when heatstroke can set in, even on overcast days versus sunny days. It simply has to do with core temperature levels of the athlete.

The following info is taken directly from the article:

Scientists don’t yet know why some people become seriously ill while exercising in hot weather, and others don’t. At one time, it was believed that exercise-related heat illness was caused by the sizzling rays of the sun beating onto an athlete’s skin, causing overheating from the outside in, and contributing to dehydration, which was thought to be a primary cause of heat problems. But that theory doesn’t explain why athletes develop heat illness on overcast days, when sunlight isn’t directly reaching them. They’ve also been known to become ill on relatively cool days, when temperatures are below 80 degrees. And many collapse despite being fully hydrated.

“There’s still a lot we don’t understand” about heat illness, says Douglas Casa, an associate professor in the Department of Kinesiology at the University of Connecticut, who’s extensively studied athletic performance in the heat.

Heat illness itself is an omnibus term, covering “a spectrum of seven or eight different conditions,” that range from mild heat exhaustion to life-threatening heat stroke, Casa says. August is prime season for the illnesses, since, even as temperatures soar, many athletes must or choose to continue exercising outside. “Football teams start two-a-day practices at this time of year,” Casa says. Runners training for a fall marathon increase their mileage. So do cyclists and triathletes preparing for autumn events.

Scientists have a pretty clear picture of what happens inside these athletes as they exert themselves. They bake. Muscles in motion generate enormous amounts of energy, only about 25 percent of which is used in contractions. The other 75 percent or so becomes body heat.

NYT Link — https://well.blogs.nytimes.com/2009/07/29/how-to-avoid-heatstroke/

We highly encourage you to check out this fantastic article and if you are suffering from common running issues, athletic performance issues, or any time of injury, give us a call at 856.228.3100 or send us an email at the link below!

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Haddon Heights FireCracker 5k – Fourth of July Race – Haddon Heights, NJ

Need a great little 5k to get your blood pumping the morning of the Fourth of July, look no further than the Haddon Heights FireCracker 5k.  This race has been going on for several years now and is always a local favorite with our patients and friends who like to run.  This race is a very big draw due to it’s proximity with Cherry Hill, Haddonfield, and Haddon Township, so be sure to sign up as soon as you can!  Online registration closes on SUNDAY JULY 2ND!

Run Sign Up Link: https://runsignup.com/Race/NJ/HaddonHeights/FireCracker5k2?remMeAttempt=

Place
625 Station Ave
7th & West High St. (Hoff’s Park)
Haddon Heights, NJ US 08035

Description

Sponsored by the Haddon Heights Municipal Alliance.

New race morning Registration, Start, Finish, and Awards Ceremony location – Hoff’s Park (7th & W High St.)

Amenities
T-Shirts; Refreshments; Water Tables on Course; and Course Police Controlled.

Online Registration, Timing/Results, & Finish Line by L & M Computer Sports. www.LMSPORTS.com

Information
Questions? Bridgette Griffith (856) 655-5988

ONLINE Registration closes midnight Sunday night, July 2.

Race Day Info
July 4th 6:30am – 7:45am at Hoff’s Park (7th & West High St), Haddon Heights, NJ. “Rain or Shine”

Race Day entry fee: $25.

Flat, fast & mostly shaded – point to point. Ends at Hoff’s Park, which is also the parade finish. Course roads are police controlled.

Early Packet Pick-Up & Entry
July 3rd – Avoid race day lines, stop in Monday night 6pm to 7:30pm at the Haddon Heights Borough Hall, 625 Station Ave. Haddon Heights. Entry fee still $20. (Race Day $25.)

ONLINE Registration closes 10pm, Sunday, July 2.

Awards

1st Male & Female – $150. ea 2nd Male & Female – $100. ea 3rd Male & Female – $50. ea

Age Groups: Top 3 M & F in each of the following divisions: 14 & under; 15 – 19; 20 – 29; 30 – 34; 35 – 39; 40 – 44; 45 – 49; 50 – 59; 60 – 69; 70+

Special Award Divisions: Top 3 M & F Public Safety Personnel (Police/Fire/EMS/Federal LE); Top 3 M & F Military

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