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All Posts in Category: Low Back Pain

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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Testimonials for Dr. Mark Kemenosh & Associates Laurel Springs, NJ Chiropractors

We had a new testimonial site over at http://my-testimonials.com/DrMarkKemenosh/3Y2Q1 that has been slowly building and we are getting some pretty nice responses!

4.7 stars out of 5 based on 377 responses

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What’s the opposite of a push-up? This pilates routine.

Dr. Kemenosh and his daughter Jill have been jumping back into Pilates with a vengeance of late!  Between the ELDOA Method and several different takes on Pilates, we have been watching videos from all walks of life improving their lives with exercise!  Check out Denver Broncos CB Kayvon Webster’s AM workout with True Pilates Miami!  Yes, that’s an NFL player doing Pilates during the off season to keep his core rock solid!

Who is Jill Kemenosh? A previously internationally ranked equestrian, Jill began practicing Pilates at fourteen, as it was a perfect supplement to her riding regiment. After graduating with a B.A. in Communication from the University of Delaware, and trying a corporate job on for size, she decided to pursue a different career path. Her love for Pilates and desire to stay fit directed her to the New York Pilates Studio® Teacher Certification Program headed by Brett Howard. Jill became a graduate of the program in 2016 and takes great pride in the precision of the Authentic Pilates™ method and the amazing results that it produces. Outside of the studio, Jill enjoys traveling, cooking and exploring New York City as an accomplished foodie, one up-and-coming restaurant at a time.

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Jill Kemenosh is now Level I and II certified in the Eldoa Method!

Dr. Mark was introduced to the Eldoa Method last fall at the TPI World Golf Classic and saw a great deal of refinement in the way they handled back related discomfort and pain when integrating exercises and stabilization movements into the mix.  Once getting back and sharing some of the short videos he took at the seminar, his daughter Jill, a certified Pilates instructor took immediate interest since she has such close relationships with 5 chiropractors!

So what is the the Eldoa Method?  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 instructors.  To see our last post about Dr. Mark and Jill taking the Eldoa part 1 certification courses last month, see the link below!

https://drmarkkemenoshandassociates.com/dr-mark-kemenosh-eldoa-method-colorado-seminar-past-weekend/

Without warning, and without Dr. Mark, Jill pressed on to part II of the Eldoa certification this month.  The mix at Eldoa certification seminars ranges from Pilates and Yoga instructors all the way up to Physical Therapists and Chiropractors, which for the most part are the practitioners who deal most with back pain of all sorts.

BENEFITS OF ELDOA METHOD Classes and Instruction 

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:

  • Normalize Disc Bulges
  • Reduced Degrees of Scoliosis
  • Increased Flexibility
  • Improved Muscle Performance and Tone
  • Normalization of Visceral Function
  • Reduced Stress
  • Injury Recovery and Prevention
  • Reduced Joint Inflammation and Arthrosis
  • Delayed Disc Degeneration
  • Increased Disc Hydration
  • Increased Blood Flow
  • Improved Posture
  • Relief of Chronic and Acute Back Pain
  • Relief of Neck and Shoulder Tension
  • Improved Awareness and Overall Wellbeing
  • Improved Recovery Time for Sports and Training
  • Reduced Forward Head Posture

Definition:  The ELDOA are postural exercises (LOADS) that you can do yourself with the primary goal being to increase the space within a chosen articulation. As the ELDOA “create” space, there is an improvement in joint mechanics, increased blood flow, reduced pressure on the discs, a reduction of pain, spinal disc rehydration, better muscle tone, improved posture, and a sense of well being and awareness.

The human spine is a complicated and vital structure. Compression and articular blocks can cause pain, arthritis and neurological conditions. The ELDOA exercises are a highly effective solution to these conditions. The ELDOA are very precise postures that target a specific joint region to provide relief from pain and restore balance. LOADS (Longitudinal Osteo-articular Decoaptation Stretches) are postural self-normalizing techniques, which aim at widening the space within a pair of joints. It is possible in one minute a day to relieve disc compression between L5-S1 or even more specifically at the base of the long arm of the left sacroiliac joint.

The coolest part of the seminars are that portions of the classes are taught right outside of the Super Dome in New  Orleans!  Check out these pictures and more from Jill’s second round of certifications in the ELDOA Method.

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Krill Oil found to be overrated! Just use good fish oil for Omega 3 supplementation!

Another myth busted by Dr. David Seaman, the best practitioner at deflaming your diet is back to show you why Krill oil derived Omega 3’s just doesn’t make sense when put to the test.  We get a lot of patients telling us that they get Krill oil pushed on them from other avenues (Television, Radio Ad’s, Popup Stands at Costco and Walmart) and they all discuss that Omega 3’s from Krill oil are better and that is just not simply true.  Check out the video below narrated by Dr. Seaman showing you why good Omega 3’s Fish Oils like the products we carry from Anabolic Labs.

So what are the basics of Omega 3 fatty acids from both fish and plant sources.  Here we go hold on tight.

There are the two main types of omega-3 fatty acids:

Long-chain omega-3 fatty acids are EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid). These are plentiful in fish and shellfish. Algae often provides only DHA.

Short-chain omega-3 fatty acids are ALA (alpha-linolenic acid). These are found in plants, such as flaxseed. Though beneficial, ALA omega-3 fatty acids have less potent health benefits than EPA and DHA. You’d have to eat a lot to gain the same benefits as you do from fish.  This somewhat puts vegetarians at a bit of a disadvantage right from the start when dealing with inflammation levels.  

At this time we have very supportive but not conclusive research shows that consumption of EPA and DHA omega-3 fatty acids may reduce the risk of coronary heart disease.

Hundreds of studies also suggest that omega-3s may provide SOME benefits to a wide range of diseases: asthma, depression, cardiovascular disease, ADHD, and autoimmune diseases, such as rheumatoid arthritis, and even possibly neurologically disorders like Alzheimers all may benefit from omega-3 consumption.

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Prevention.com – 4 Things You’re Doing That Are Ruining Your Joints

Dr Tim Legath forwarded me this article the other day and stated he thought it would be important if we linked it up on our blog! Before you go reading some of what has been copy and pasted below, you need to realize that we share this information for everyone’s benefit and that we are not trying to knock running, yoga, or pilates, but hoping that you need to realize that a wide variety of exercise and cross training best benefit your joints.

Prevention Magazine:  http://www.prevention.com/fitness/4-mistakes-making-joints-weak

The following is taken from the article written by CASSIE SHORTSLEEVE

“It used to be that joint replacements were a problem for older people. But today orthopedic surgeons are seeing people in their 40s, 50s, or younger. In fact, surgeons at The Mount Sinai Hospital in New York City say the number of people younger than 60 going under the knife is up at least 15% in the last 2 years. Plus, data from the National Center for Health Statistics finds the number of hip replacements more than doubled in a 10-year span, skyrocketing by 205% in people ages 45 to 54.
Surgeons attribute the rise to people wanting to stay active while they age, says Calin Moucha, MD, chief of adult reconstruction and joint replacement surgery at The Mount Sinai Hospital. Today’s implants also last longer than they once did, sometimes up to 40 years, he says. This means joint replacements are now an option at a younger age, since physicians aren’t as worried about having to replace them.”

So what does this all mean to you?  Well, our runners might not like what comes next…

“You’re a runner and only a runner.

Moucha says that many patients seeking joint replacement are in good cardiovascular health, but not necessarily good physical health. If you’re running marathons or triathlons only, you might have imbalances when it comes to muscle strength and flexibility. And this, paired with repetitive trauma over time, could lead to arthritis, he notes, causing your joints to wear away. 

“It’s important to cross-train,” says Moucha. Giving certain muscle groups (like the ones you use on long, slow jogs) a break once or twice a week while activating new muscles (like the ones you might use sprinting) can fend off injury, he notes. (You should consider working these strength-training moves into your exercise program.)”

Well what about all that Yoga that I do?  That’s probably good for me right?…

“You push yourself beyond your limits in yoga.

Intense workouts like HIIT and mud runs aren’t the only way to injure your joints. While yoga and Pilates are great ways to boost flexibility and strength, anything extreme when it comes to range of motion—like reaching for that pose your body’s not quite ready for—can put you at risk for a joint injury, notes Moucha. “When you create range of motion extremes, you can create bony spurs (projections along a bone’s edges) that may predispose you to arthritis,” he says. Your best bet isn’t to skip yoga but rather to stick with the modifications that work for you, and give yourself time before trying anything you might not be ready for.”

Check the article out for yourself today!  The link is below.

Prevention.com Article:  http://www.prevention.com/fitness/4-mistakes-making-joints-weak/

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