Your Choice For Active Release, Sports Injury, and Chiropractic Care
Schedule an Appointment, Call : 856-228-3100
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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We apologize for sending out another email so close to our last, but this information can potentially affect us all! Please take a few moments of your day and read the following message. These changes will affect Chiro, PT, OT, Acupuncture and many other forms of manual therapy!
Do you have HORIZON BCBS Insurance? Are you fed up with changes being made to your health insurance, regardless of the carrier, without your approval or even a solid warning of changes greatly reflecting your healthcare? PLEASE READ ON!
BCBS is partnering with a 3rd party company to manage your chiropractic, physical therapy, acupuncture, occupational therapy and speech therapy benefits.
WHY IS THIS BAD? This company routinely denies care after just 5 visits of the 30 approved on many plans.
Taking action is easy: Click and SHARE this link: https://p2a.co/7ioySQl
The link will automatically identify the constituent’s legislators and will send the message directly to them and other key legislators before this partnership is approved. Please share this link and work together to fight this!
Thank you for taking the time to support this important message as we hope our elected officials will take a second look at this future partnership.
Information from other new sources –
Hello everyone! As most of you all know, Dr. Kemenosh and his daughter have been taking more seminars in the areas of ELDOA, a restorative deep myofasical stretching technique with many health benefits. Often times, ELDOA is best practiced as group fitness and we are currently holding Wednesday Evening classes at our Mount Laurel location at the corner of NJ Route 38 and Larchmont Blvd! Here is link below to our Facebook page which has a group event that you can RSVP to if you plan to attend. The cost for the class is $30.
Location: Framework Pilates Mount Laurel
Time: 6 – 7 PM
Date: Wednesday Evenings
Instructors: Mark Kemenosh and Jill Kemenosh
Check out our Facebook events post for more info and check out the thumbnail images below for more information on this fantastic course!
Facebook Event Link: https://www.facebook.com/events/1817636101865446/
The ELDOA exercises and Myofascial Stretches are specific techniques created by world renowned osteopath, Guy VOYER DO. ELDOA METHOD Classes are semi private group classes organized by certified ELDOA/MFS Instructor, Stephanie McCusker, who uses a combination of these techniques as well as other Somatraining techniques to deliver the most beneficial sessions possible. The ELDOA METHOD classes were founded in Los Angeles, CA and are now being offered here in Auckland, NZ. These Classes are not based on a formula. Every class is designed to respect the proper progressions and order of the techniques as taught by Dr. Voyer to ensure quality. These classes will vary depending on the needs of those participating. There will be an intentional goal set for each designated class and will be ever changing to continually challenge each individual while encouraging their overall improvements.
ELDOAs and Myofascial Stretches are very specific and complex techniques that require strong attention to form and correct progressions. Everyone will benefit from the effects of ELDOAs and MFS but each person is different and without proper instruction and help from a Certified ELDOA/MFS Instructor, these techniques will not be as effective. By attending the classes, you not only receive instruction from a certified instructor but the full hour dedicated to stretching enhances the many benefits including:
The ELDOA METHOD classes and website are not meant to diagnose or offer medical advice. Do not rely on the information provided as an alternative to medical advise from your doctor or other registered health care providers. If you have specific questions about any medical matter, please consult your physician or professional health care provider. All those with a chronic/acute injury or medical condition who wish to attend the ELDOA METHOD Classes must first receive clearance from their doctor or registered health professional prior to participation.
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
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.
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!
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.
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.”
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.
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.
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!
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=
625 Station Ave
7th & West High St. (Hoff’s Park)
Haddon Heights, NJ US 08035
Sponsored by the Haddon Heights Municipal Alliance.
New race morning Registration, Start, Finish, and Awards Ceremony location – Hoff’s Park (7th & W High St.)
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
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.
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
Looking for a great fourth of July race for actual day of Independence Day? The Pittman Freedom Four Miler is just the ticket and very well revered as a fast, local race that a lot of runners love year in and year out! What better way to get you July 4th celebrations started than by a nice run through historic and picturesque Pitman!
Facebook Link: https://www.facebook.com/PitmanFreedomFour/
Run Sign Up Link: https://runsignup.com/Race/NJ/Pitman/PitmanFreedomFourMilerRun?remMeAttempt=
110 S. BroadwayPitman, NJ 08071
Pitman, NJ US 08071
The 36th Annual Pitman Freedom Four Mile Road Race
An Independence Day run through one of South Jersey’s most picturesque towns!
WHEN: 8:45AM – Tuesday, JULY 4, 2017 * Rain or Shine
Paper Registration Form: Printable version of registration form
WHERE: Start and Finish near Broadway Theatre, Broadway, Pitman NJ
COURSE: Challenging, accurately measured 4 miles through Pitman. Our race is now more accurately timed using chip timing with jbsportstiming.com.
This course is not certified with USATF:
ONLINE REGISTRATION close at 7pm on July 2, 2017: Cost will be $25.00 before July 2, 2017. Come out on July 3, 2017 to the Pitman Middle School Gym from 4pm -8pm last chance to save some money on registration price of $30. Day of Registration will be at Borough Hall from 7:00am to 8:15am. Race day price will be $35.
PACKET PICKUP: July 3, 2017 at the Pitman Middle School Gym from 4pm – 8pm.
T-SHIRTS: Each runner will receive a race performance shirt.
PRIZES: $100 – To the 1st Male & Female finisher. Prizes to the top 3 finishers in the following age groups: 14 and under, 15-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70 plus. All age group will get there award mail to them. The only awards that will be giving out day of is the top overall winners.
TROPHIES: Top Pitman Male/Female
RACE DIRECTORS: Andy Fox, Allison Kostiuk, Eric Stanwood