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

All Posts in Category: Low Back Pain

Chiropractic Care at Dr. Mark Kemenosh and Associates

Chiropractic care at Dr. Mark Kemenosh and Associates chiropractic clinic can diagnose and treat problems that affect the nerves, muscles, bones, and joints of your body, in the back and spine, or in the extremities as well. At a basic level a chiropractor will gently adjust your spine which often times brings relief of back pain when possible. At a deeper level chiropractors are doing much more than just adjusting or manipulation of the spine.

After your initial visit and consultation your chiropractor at Dr. Mark Kemenosh and Associates, we will have a good idea of what your treatment plan is going to consist of. We almost always treat on the first day you see us because we are interested in getting you up and back to moving around as quickly as medically responsible.

How many treatments will you need?

Dr. Mark Kemenosh and Associates chiropractic treatments can range from a few days to several weeks depending on the severity of your condition or the results you want to achieve. Chiropractic care can also be a lifelong choice to keep you on a path of well-being and solid core strength.

Many professional athletes continue to see a chiropractor even when there is no acute pain, as regular adjustments can keep you aligned and in peak form. The Chiropractic team at Dr. Mark Kemenosh and Associates in various offices across South Jersey are not just there when it really hurts; they can be in your corner frequently, keeping your body’s systems communicating at a high level and keeping muscle and bone deterioration at bay.

What causes back pain?

The back is a complex structure of bones, joints, ligaments, and muscles. Damage to any of the structures can lead to back pain, with various degrees of severity. Back pain has a long list of causes and we are all likely to suffer at some point in our lives from poor posture, obesity, or psychological stress. Each of these can lead to back pain or take it from a point of being able to manage yourself to need a professional team like our office to help you stay up right and moving freely without pain or discomfort.

Some tips to prevent back pain:

  • Maintain a healthy diet and weight
  • Stretch and exercise (ask your chiropractor what is safe or effective in relieving pain as well as increasing function)
  • Maintain proper posture at work
  • Wear low heeled shoes with adequate support and fit

While this is not an exhaustive list of tips, it’s a good starting point on the road to optimum back health. Contact our awesome team of Chiropractic Physcians today for more information. 856.228.3100 has been our phone number for over 30 years!

You can also send us an email anytime, day or night but using the Contact Us page on our website below! Please don’t hesitate to reach out with questions. https://drmarkkemenoshandassociates.com/contact/

Our offices are located in Mount Laurel, Haddonfield, Laurel Springs (Blackwood and Clementon borders on Chews Landing Road), Sewell, and Somers Point, New Jersey! This enables our team to do our best to service most of South Jersey!

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Dr Mark Kemenosh and Associates – Chiropractic Clinic – Bulging Discs – Herniated Discs

Bulging Discs – Herniated Discs – Slipped Discs – Back Pain – Sciatica

Have you ever heard of a slipped disc? It’s a misnomer. Discs almost never truly “slip”, but they can often times bulge or herniate. When they do, our team can almost always be able to help. Intervertebral disc disorders are referred to as “contained” or “non-contained.” A bulging disc is considered a contained disc disorder.

What is a bulging disc?

A bulging disc is actually the tough outer layer of cartilage in between your vertebrae that has not fully broken open – think of squeezing a balloon filled with hair gel. The disc may protrude into the spinal canal without pain or breaking open, instead, a small bubble pops out but remains attached to the disc.
Discs are exactly the right size to fit between your vertebrae so when a disc bulges, it extends outside the space it should normally occupy and can push into nerves in your spinal column.
Bulging is considered part of the normal aging process of the disc making bulging discs an extremely common spinal injury. A bulging disc can stay relatively pain free and undetected until you twist the wrong way, lift the wrong object, sneeze, or cough. A bulging disc can cause excruciating pain, lead to a diminished range of motion, and can in some cases cause organ dysfunction.
The good news is that even an acute disc bulge can heal itself over time and your chiropractor can likely help the healing process happen more efficiently.

Here are 4 steps you can follow to ease the pain of a bulging disc:

  1. Develop a relationship with the team at our office!

There are many bulging disc treatments; talk to your chiropractor and ask questions about your MRI or X-ray. Everyone is different and a good chiropractor can help you find the correct wellness path and will not close off any avenue to get you well. In our office we offer several diffferent methods of Chiropractic, Active Release Technique, Cox Flexion Distraction Technique and many others for helping you deal with the pain and related issues of discal problems.

  1. Improve your posture

Reduce or eliminate bending, lifting, twisting and even sitting for too long. Sleep on your back with your knees propped up, or on your side with a pillow between your legs. These simple adjustments will ease the stress on the disc in question. We often overlook something as basic as good posture in cases of a disc related issue, but it is paramount to keep the disc as centered and comfortable with the loads being distrubuted evenly.

  1. Strengthen your core

Your abdominal muscles and leg muscles all support your back. While the core was once thought to only be the abdominal muscles, we now commonly refer to the core as being everything from the diaphragm which attaches to your thoracic spine. Modified yoga or Pilates routines that eliminate twisting, stooping or bending can help heal your bulging disc or help to prevent further damage. Our pilates team in Mount Laurel offers modified courses in ELDOA and Pilates which target specific types of back pain related disorders as well.

Contact our team at Dr. Mark Kemenosh and Associates today if you are suffering with the problems listed above. We look forward to hearing from you soon, 856.228.3100

If you have questions and need to email our doctors, please use the Contact Us Page on our website today!

To visit the website for our Pilates – Barre – ELDOA clases, please visit Frame Work Bodies today!

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Sciatic pain HELP! Suffering with pain down your leg, please read this following blog post!

Sciatic pain HELP! Yes, our office can almost always greatly improve that pain you are struggling with!

Sciatica is a condition that is often misdiagnosed and attributed to any intense lower back pain. Any pain in the lower back that limits your movement or stops you from enjoying life requires attention, but not all lower back pain is sciatic pain. This type of pain is unique and while it can be debilitating, it can be helped by our team here at Dr Mark Kemenosh and Associates.

Sciatica Basics

Your sciatic nerve runs from your lower back, downward through your buttocks, and into the back of each leg. It is the longest nerve in your body and the widest, controlling the muscles in your lower legs. It also provides sensation to your legs and soles of your feet. When someone suffers from sciatica it means they feel persistent pain along their sciatic nerve.
Besides sharp pain, sciatica sufferers may experience dull aches, tingling, numbness, or even a burning sensation. The pain and other feelings are typically felt on just one side of the body. People between 30 and 50 are most likely to suffer from sciatica, and the symptoms are usually attributed to basic wear and tear rather than a specific injury. Sciatic pain often gets worse after prolonged sitting, physical activity, sneezing, coughing, or other sudden movements.

Chiropractic Gets to the Cause of sciatica

People suffering from intense sciatic pain will often try just about anything to make it go away, but the problem with many conventional treatments is that they simply mask the symptoms with pain medication or muscle relaxants. A chiropractor will work to find the cause of your pain, and if it is determined to be sciatica, treatment will begin to relieve some of the pressure on the nerve.

Many patients prefer chiropractic treatment because it is completely non-invasive and drug-free. People tend to be wary of more invasive treatments where their spine is concerned. And most people figure out quickly that taking pain medications is only covering up a symptom, and not really getting to the heart of the issue.

Preventative Tips

Of course, you can always help yourself when it comes to lower back pain. Sciatica can’t always be prevented, but if you work to maintain a healthy weight, watch your posture, avoid prolonged periods of sitting, use proper lifting technique, and exercise regularly you’ll be giving yourself a good head start. These tips, combined with treatment from our chiropractic team at Dr Mark Kemenosh and Associates will help make your sciatic pain a thing of the past.

If you have further questions or need to schedule an appointment, please call our office at 856.228.3100

If you have questions, please email us today at https://drmarkkemenoshandassociates.com/contact/

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Car Accident Tips from Dr Mark Kemenosh and Associates

If you’ve ever been in a major (or minor) car accident, you know that it can be a traumatizing and life changing experience. Even accidents at low speed that cause minimal injury (or none that can be detected at the time) can be potentially harmful. An injury to your neck or spine can be masked by adrenaline and stress. In short, you may be injured and not know it yet. A common line that we often hear in our office is “I was too worried about my passengers or my car to realize that I was hurting until the next day”. Follow these simple car accident tips to get better in a timely manner.

The first 48 to 72 hours after a car accident are critical and a common injury like whiplash can go undetected for hours, days, or even weeks. You may have whiplash if you are suffering from any of these symptoms:

  • Blurred vision
  • Headaches
  • Neck pain
  • Dizziness
  • Shoulder pain
  • Reduced range of motion in the neck
  • Arm pain
  • Neck stiffness
  • Lower back pain

To reduce future pain or discomfort, whiplash should be evaluated within 72 hours by a medical professional when ever necessary!

Keep in mind these 5 facts about car accidents:

  1. Just because your car is not damaged does not mean you’re not. Bumpers take a lot of the force of a slow moving impact, but not all. The force has to travel somewhere and it travels through you. If in doubt always consult our chiropractic team first. The phone number at our main office has been 856.228.3100 for over 30 years.
  2. Seat belts prevent you from being thrown against the steering wheel and from being thrown out of the car. You are, however, thrown against the belt. Shoulder injuries and whiplash are common symptoms and should be addressed by a qualified chiropractor.
  3. Pain can take up to 10 days to show up after the most minor of car accidents. In particular, injuries to muscles, ligaments, and tendons can take several days to manifest.
  4. Even minor to moderate accident-related injuries can take up to 3 months of regular chiropractic treatment to show tangible and lasting relief from pain.
  5. When you are in a car accident you are often jarred forward unexpectedly, making your head and neck especially vulnerable. After a car accident it is always advisable to see your doctor as soon as possible.

For more information contact our office at 856.228.3100 or use the CONTACT US LINK on our website anytime!

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Cox Technic Flexion Distraction

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
— stenosis
— spondylolisthesis
— 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/

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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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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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Achy Joints – More EVIDENCE that HIGH QUALITY Chondroitin Sulfate supplementation helps arthritis.

Direct Link: https://www.ncbi.nlm.nih.gov/pubmed/28533290

While looking for pertinent and relative research to issues we deal with here at the office, I came across this article online which was very recently published in supplementation research.  PubMed is your basic search site for indexing research studies and usually one of the first places we look as doctors trying to stay ahead on the evidence based practice spectrum of chiropractic.

For about 15-20 years, Chriopractors, Nutritionists, and some other medical professionals have felt confident that Chondroitin and Glucosamine supplements from GOOD SOURCES help to keep arthritic joints moving freely.  Please note that we stress good sources with all supplements.  We don’t mind if you buy your supplements from other sources than our office, just be sure the source is reputable!

The best part of this study is this, the conclusion in a study basically tells you what the researchers what you want to know and this one goes right to the point in dealing with osteoarthritis, pain, and tightness in the joints.

CONCLUSION:  A 800 mg/day pharmaceutical-grade CS is superior to placebo and similar to celecoxib in reducing pain and improving function over 6 months in symptomatic knee osteoarthritis (OA) patients. This formulation of CS should be considered a first-line treatment in the medical management of knee OA.

Here at the office we of both a basic Chondroitin and Glucosamine from Anabolic Labratories, but also an even better version known as Nutra-Disc which contains several different natural anti-inflammatories like Turmeric, Bromelain, Curcumin and many others. Nutra Disc is a unique proprietary product for disc injuries and related connective tissue problems.  Nutra Disc contains a specialized blend of ingredients designed to support the body’s natural response to maintain good joint health, promote the production of collagen, and support the rebuilding of cartilage.

We previously published positive quality research about Chondroitin and Glucoasamine supplementation on our blog a few months back which you can see at the link below.

Link: https://drmarkkemenoshandassociates.com/positive-studies-chondroitin-glucosamine-osteoarthritis-continue-grow/

Direct link to the Nutra-Disc label: http://www.anaboliclabs.com/User/Document/Labels/Nutra%20Disc%203629-180C%203.0×9%20optimized.pdf

Direct link to the Nutra-Disc data sheet: http://www.anaboliclabs.com/User/Document/Fact_Sheets/NutraDisc_DataSheet.pdf

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ESPN Outside The Lines – Quality Of Care – Back Pain Strikes Down two Indiana University Athletes

While I was on the treadmill and working out yesterday at the gym ESPN’s investigative reporting journal, Outside The Lines, came on and showed a very interesting story (to a chiropractor who works on a good deal of young athletes at least).  The story started about the mismanagement and treatment of several young athletes at the Indiana University who developed a great deal of mid, low back and hip pain.  Two in particular had striking stories about the misdiagnosis of back pain that was very serious and one had to have a fairly serious surgery that might very well have been corrected using conservative measures if they were properly diagnosed and treated in the first place.  In the case of the football player, it seemed to some extent that he was “machoed” into continuing to suit up by the coaching staff. The simple fact is this, if you can barely walk across campus, you probably can’t withstand football practice.  If you are an athlete or the parent of an athlete, you should probably check out this podcast or look for a re-run of the episode on ESPN because it was saddening and informative about what happens when athletes quite simply push themselves too far.  While it was tough to say who is truly at fault, it was a poor choice of the coaches and trainers at the university who let these issues spiral out of control.

If you are in a situation where you are simply being told to rub some dirt on it and to play and something truly feels off, please seek outside medical care from a qualified healthcare practitioner.  In both of the cases shown in this article, it took far too long for the true problem to be identified, diagnosed and the proper treatment protocols activated.

Podcast Teaser: Indiana football coach Kevin Wilson lost his job in December and reports surfaced of players alleging medical care had been neglected. Our 3-month investigation found more.

Podcast Link: http://www.espn.com/espnradio/play?id=19223941

 

Struggling with a sports related injury?  Please give us a call at 856-228-3100 to see if we can help.

If email is easier, hit us up on our contact us page linked below!

 

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JAMA – Association of Spinal Manipulative Therapy With Clinical Benefit and Harm for Acute Low Back Pain

Title: Association of Spinal Manipulative Therapy With Clinical Benefit and Harm for Acute Low Back Pain – Systematic Review and Meta-analysis

My good friend who is a pediatrician in Wisconsin alerted me that JAMA produced a reasonable and sound systematic review and meta-analysis yesterday on spinal manipulation for acute low back pain which can be read at the following link!

Link: http://jamanetwork.com/journals/jama/article-abstract/2616395?utm_medium=alert&utm_source=JAMALatestIssue&utm_campaign=11-04-2017

Reading the entire post is great over at the JAMA site linked above, but for most of you the conclusion is what you are more concerned about so here it is.

Conclusions and Relevance  Among patients with acute low back pain, spinal manipulative therapy was associated with modest improvements in pain and function at up to 6 weeks, with transient minor musculoskeletal harms. However, heterogeneity in study results was large.

Spinal Manipulation is the basis of what most chiropractors perform on a daily basis, here at the offices we combine multiple techniques including chiropractic manipulation of the spine and extremities with other treatments like Active Release Techniques, McKenzie Mechanical Diagnosis and Treatment, Cox Flexion and Distraction Technique and Instrument Assisted Soft Tissue Manipulation.  In some cases we give patients take home Corrective Exercise’s or refer out for physical therapy when needed, recommendations for staying out of pain and avoiding future incidences and aggravation of back pain.  With articles like these being produced by JAMA (The Journal of the American Medical Association) we hope that more family doctors will refer you to our offices for better treatment and management of issues related to back pain.

If you are struggling with acute or chronic issues and would like to be seen in our office, please give us a call at 856-228-3100 or use the CONTACT US link below!

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