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

News

COVID-19 an opportunity for education

COVID-19 an opportunity for education

The COVID-19 pandemic is creating new challenges for just about everybody in the western world. As we work to stay healthy – we’re going to unprecedented lengths to help protect the most vulnerable in the community and slow the spread of the virus to lessen the load on the healthcare system.

At the urging of both state and federal authorities, we have closed all five of our offices to do our part. Our first priority remains and always will be the well-being of our patients and their families.

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Tiger Woods Golf Facts – The Masters – Chiropractic

Hey guys! Some updates from Dr. Gross! As the resident sports addict of the office, and with no live sports to discuss, I’ll take a look back in the history books. With The Masters having supposed to be played next week, here are some interesting Tiger Woods Masters stats:

– Jack Nicklaus has the most Masters titles with 6.

– Tiger Woods is second with 5, and is still playing!

– Tiger Woods won his first title in 1997 by a still record 12 strokes. That’s like Michael Phelps winning a 200m race by 5 seconds! Or the Eagles winning a game 80-0! (Yea, right…). This was also his first Masters as a professional, and he won, which has not been done since. It had only been done once before in the history of The Masters, dating back to 1933!

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Parents – What you should know or understand about your kids’ back pain!

Unfortunately, back pain isn’t just a problem for adults, our children get back pain as well! Recent studies have shown that back pain actually affects many children and adolescents. The good news is that most discomfort is not caused by serious health conditions, but it can be disconcerting for parents and getting to the bottom 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.


Non-Specific Pain

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.


Muscular 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.


Stress Fractures

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).


Herniated Disc

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.


Infections

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.


Spinal Misalignment

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: 

  • Is less than 4 years old; 
  • Has a fever; 
  • Discomfort is persistent;  
  • Pain is increasing or spreading; 
  • Muscle weakness, numbness, or tingling are felt in the arms or legs; 
  • The child is less active than usual;  
  • Walking and engaging in normal activities has become difficult;  
  • Has bowel or bladder problems; OR 
  • The child has neurological impairment, such as difficulting talking or coordinating movement, or a lack of reflexes. 

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.


Need help? Contact the Office —

Phone — 856.228.3100

If you have questions about an issue you are facing, let us know by using our CONTACT US PAGE!

https://drmarkkemenoshandassociates.com/contact/

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South Jersey Turkey Trots 2019

Medford Lakes Colony Turkey Trot 2019 – https://runsignup.com/Race/NJ/MedfordLakes/MedfordLakesColonyTurkeyTrot5K

Dr. Craig Evans and his family run the Medford Lakes Turker Trot every year! This race always sells out, do not hesitate!

Moorestown Turkey Trot 2019 – Low Key Race, no timing other than score board clock! – https://runsignup.com/Race/NJ/Moorestown/MoorestownTurkeyTrot

Ocean City, New Jersey – OCNJ – The Fast and the Furriest 5K Turkey Trot – https://runsignup.com/Race/NJ/OceanCity/TheFastandthefurriest5KTurkeyTrot

Marlton, New Jersey – 4th Annual Marlton Turkey Trot – 5K Run – https://runsignup.com/Race/NJ/EveshamTownship/MarltonTurkeyTrot5KRun

2nd Annual Haddons Pre-Game Turkey Trot 5K and Fun Run – https://runsignup.com/Race/NJ/Haddonfield/HaddonsPreGameTurkeyTrot

West Deptford, NJ – Greater Woodbury Turkey Trot – https://runsignup.com/Race/NJ/WestDeptford/WoodburyTurkeyTrot

Wenonah, NJ – The 5th Annual Wenonah Turkey Trot – https://runsignup.com/Race/NJ/Wenonah/AnnualWenonahTurkeyTrotandDrumstickDash

Wenonah is the hometown of Dr. Andrew Gross and Dr. Josh Sand, don’t be surprised if you see them on race day! Please note, the Wenonah Turkey Trot almost always sells out, so do not hesitate on signing up!

Haddon Township Turkey Trot 5k – https://runsignup.com/Race/NJ/Westmont/HaddonTownshipTurkeyTrot5k

Helen L. Diller Vacation Home for Blind Children Turkey Trot 5K Run/1.5 Mile Walk – https://runsignup.com/Race/NJ/Avalon/HelenLDillerVacationHomeTurkeyTrot5KRun15MileWalk

Marlton, NJ — Kings Grant Pine Cone Gobbler 5k – https://runsignup.com/Race/NJ/Marlton/KingsGrantPineConeGobbler5k

— Craig S. Evans, DC

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Urgent – Please Read! – Changes in Horizon Blue Cross Blue Shield Could Affect YOU!

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 –

NJ.com —
https://www.nj.com/business/2019/08/horizons-new-cost-cutting-plan-raises-fear-that-trips-to-chiropractor-may-be-limited.html?fbclid=IwAR35Tf61pJ2NyCcssntOSRzIV5wGd2rPisji7vSzFAUguCbMFusWDEW7IcQ

NJSpotlight –
https://www.njspotlight.com/stories/19/08/12/horizon-agreement-sparks-concerns-for-some-healthcare-providers/?ct=t%28EMAIL_CAMPAIGN_08_05_2019_COPY_01%29&mc_cid=ef25584ebd&mc_eid=db58c2138f&fbclid=IwAR2Was6EcSvBLdEOxbnIit2lHbJGM6iGOW-Yc7kzX33J4RWIFae-wrWnrrk

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What is Active Release Techniques®(ART) to Individuals, Athletes, and Patients?

ART® is a patented, state of the art soft tissue system/movement based massage technique that treats problems with muscles, tendons, ligaments, fascia and nerves. Headaches, back pain, carpal tunnel syndrome, shin splints, shoulder pain, sciatica, plantar fasciitis, knee problems, and tennis elbow are just a few of the many conditions that can be resolved quickly and permanently with ART. These conditions all have one important thing in common: they are often a result of overused muscles.

HOW DO OVERUSE CONDITIONS OCCUR?

Over-used muscles (and other soft tissues) change in three important ways:

  • acute conditions (pulls, tears, collisions, etc)
  • accumulation of small tears (micro-trauma)
  • not getting enough oxygen (hypoxia)

Each of these factors can cause your body to produce tough, dense scar tissue in the affected area. This scar tissue binds up and ties down tissues that need to move freely. As scar tissue builds up, muscles become shorter and weaker, tension on tendons causes tendonitis, and nerves can become trapped. This can cause reduced range of motion, loss of strength, and pain. If a nerve is trapped you may also feel tingling, numbness, and weakness.

WHAT IS AN ART® TREATMENT LIKE?

Every ART® session is actually a combination of examination and treatment. The ART® provider uses his or her hands to evaluate the texture, tightness and movement of muscles, fascia, tendons, ligaments and nerves. Abnormal tissues are treated by combining precisely directed tension with very specific patient movements.

These treatment protocols – over 500 specific moves – are unique to ART®. They allow providers to identify and correct the specific problems that are affecting each individual patient. ART® is not a cookie-cutter approach.

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Dr Mark Kemenosh and Assoc — PROPER CHILD BACKPACKS!

Children grow so quickly! Seriously take a look at your kids and you will realize they never stop growing! As they are growing their bones and muscles are susceptible to temporary backaches, joint pain, and muscle strains. Do your part to ensure your kids never start on the long road of back-related problems and choose the right backpack for them. Our team of Chiropractors at the office can help.

Meet our docs — https://drmarkkemenoshandassociates.com/meet-our-doctors/

To be safe, make it a game. The simplest tool is right in your bathroom. Get out that scale and weigh. Your small child’s backpack should weigh less than 10 pounds. For a 150-pound child, 15 pounds is the recommended maximum. For a 75 pound child, 7.5 pounds is the most they should safely carry.

Overly-heavy backpacks can contribute to ANY of the following:

  • Reduced blood flow
  • Lead to poor posture
  • Cause headaches
  • Disrupt natural curve of the middle and lower back
  • Cause the spine and muscles to lean to over compensate
  • Place undue stress on the lower back

TIPS FOR CHOOSING A GOOD BACKPACK:

Try to get your child into the habit of wearing a backpack correctly, i.e., putting it on right and picking it up CORRECTLY. This part seems so simple but we are all guilty of the morning rush to catch the bus and run out the door holding something awkwardly!

If you and your child follows these rules it’ll go a long way to maintain good spinal health.

Squat or kneel to pick up the backpack
Avoid twisting or bending picking up the backpack
Lift with the legs (goes for everything)
Slip it on (use a waist high table if you can)
Always wear both straps
Adjust the straps so the pack fits snugly
Always use the waist straps
If you are in the market for a new backpack make sure it has all or most of the following criteria:

Two Straps

Single strapped satchels are best avoided. It makes your child uneven and places the load off center on one side of their body. Two straps balance the load on both of their shoulders.

Realistic Size

We’ve all seen that kid with the bag bigger than they are; funny as it looks it’s no laughing matter. A child’s backpack should be no bigger than the child’s back and it should lie 1-2 inches below the shoulders, and no more than 4 inches below the waist.

Properly Padded Straps

Wide shoulder straps distribute the load over more surface area and wider is better, with a minimum of two padded inches the best way to go.

Padded Back Pad

A padded back alleviates any nasty pressure points and protects from that pencil case or game system poking the spine.

For more information use the contact us page on our website or make an appointment today! 856.228.3100

https://drmarkkemenoshandassociates.com/contact/

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Coffee: How many cups are too much to drink a day?

PLEASE NOTE THIS ARTICLE WAS ORIGINALLY POSTED ON SCIENCE DAILY AND NOTED BELOW! As a bunch of coffee and tea drinkers, we found this exceptionally interesting and worthy of being shared on our blog at this office! – Craig Evans, DC, ART

Date: May 10, 2019

Source: University of South Australia

Summary: A morning coffee is an essential for many people looking to kick start their day. But while the humble coffee may be a vital feature of the daily grind, how much is too much?

Latte, cappuccino or short black, a morning coffee is an essential for many people looking to kick start their day. But while the humble coffee may be a vital feature of the daily grind, how much is too much?

While the pros and cons of drinking coffee have been debated for decades, new research from the University of South Australia reveals that drinking six or more coffees a day can be detrimental to your health, increasing your risk of heart disease by up to 22 per cent.

In Australia, one in six people are affected by cardiovascular disease. It is a major cause of death with one person dying from the disease every 12 minutes. According to the World Health Organization, cardiovascular disease is the leading cause of death, yet one of the most preventable.

Investigating the association of long-term coffee consumption and cardiovascular disease, UniSA researchers Dr Ang Zhou and Professor Elina Hyppönen of the Australian Centre for Precision Health say their research confirms the point at which excess caffeine can cause high blood pressure, a precursor to heart disease.

This is the first time an upper limit has been placed on safe coffee consumption and cardiovascular health.

“Coffee is the most commonly consumed stimulant in the world — it wakes us up, boosts our energy and helps us focus — but people are always asking ‘How much caffeine is too much?’,” Prof Hyppönen says.

“Most people would agree that if you drink a lot of coffee, you might feel jittery, irritable or perhaps even nauseas — that’s because caffeine helps your body work faster and harder, but it is also likely to suggest that you may have reached your limit for the time being.

“We also know that risk of cardiovascular disease increases with high blood pressure, a known consequence of excess caffeine consumption.

“In order to maintain a healthy heart and a healthy blood pressure, people must limit their coffees to fewer than six cups a day — based on our data six was the tipping point where caffeine started to negatively affect cardiovascular risk.”

Using UK Biobank data of 347,077 participants aged 37-73 years, the study explored the ability of the caffeine-metabolizing gene (CYP1A2) to better process caffeine, identifying increased risks of cardiovascular disease in line with coffee consumption and genetic variations.

Prof Hyppönen says that despite carriers of the fast-processing gene variation being four times quicker at metabolising caffeine, the research does not support the belief that these people could safely consume more caffeine, more frequently, without detrimental health effects.

“An estimated three billion cups of coffee are enjoyed every day around the world,” Prof Hyppönen says.

“Knowing the limits of what’s good for you and what’s not is imperative.

“As with many things, it’s all about moderation; overindulge and your health will pay for it.”


Story Source:

Materials provided by University of South AustraliaNote: Content may be edited for style and length.


Journal Reference:

  1. Ang Zhou, Elina Hyppönen. Long-term coffee consumption, caffeine metabolism genetics, and risk of cardiovascular disease: a prospective analysis of up to 347,077 individuals and 8368 casesThe American Journal of Clinical Nutrition, 2019; 109 (3): 509 DOI: 10.1093/ajcn/nqy297

University of South Australia. “Coffee: How many cups are too much to drink a day?.” ScienceDaily. ScienceDaily, 10 May 2019. <http://www.sciencedaily.com/releases/2019/05/190510095102.htm>.

Wawa Coffee, a staple of South Jersey
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Active Release Techniques Therapy

Active Release Techniques:
Active Release Techniques (ART) is a patented soft tissue treatment system invented by Colorado Springs, CO Chiropractor Mike Leahy. Active Release Therapy is a form of deep tissue work that involves the muscles, tendons, fascia (covers muscle), ligaments, and nerves. It is used to treat acute or chronic injuries, repetitive strain injury and nerve entrapment’s like carpal tunnel syndrome, and sciatica. ART is also used before and after surgery to reduce scar tissue formation and build up.

What conditions can ART help?
ART can alleviate headaches, TMJ pain, back pain, neck pain, shoulder pain, elbow pain, wrist pain, hand pain, thumb pain, hip pain, knee pain, calf pain, ankle pain, and foot pain. ART also works on common injuries like; ITB Syndrome, Runners Knee, Shin Splints, Plantar Fasciitis, Rotator Cuff Injuries, Golfer’s and Tennis Elbow, Piriformis Syndrome, Carpal Tunnel Syndrome, and Sciatica. ART also can remove scar tissue build up after surgery, and scar tissue build up from joint replacements, instead of going through painful and sometimes risky manipulations under Anesthesia.

How does ART work?
ART works to break up and remove scar tissue deep within and between muscles, tendons, ligaments, and nerves. ART treatment is a hands on treatment where the doctor contacts the injured muscle, joint, ligament, or nerves with his thumb or fingers, the tissue is then shortened and moved through a range of motion while a tension is held over the injured structure. This breaks up the scared or fibrotic tissue present while reducing pain and improving range of motion.

How long will it take?
The average number of ART treatments for all conditions ranges between 5-15 visits per condition depending on severity and duration of symptoms. Typically treatments are 10-15 minutes long, and patients should bring shorts for lower back, hip, knee, ankle or foot injuries. For neck, shoulder, elbow, wrist and hand injuries a tank top is recommended.

What do I do if I have questions?
Please use the CONTACT US page on our website or give us a call today!
https://drmarkkemenoshandassociates.com/contact/

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