Back and Neck Pain Are Serious Problems

September 28, 2017
posted by Admin

Back and neck pain are serious problems for 80% of Americans. See a chiropractor first for pain management: www.f4cp.com/findadoctor. #ThinkChiropractic

How to Be Healthy as a Horse

September 26, 2017
posted by Admin

by Rebecca Moore

The Ultimate Heat Illness Prevention Guideline is Here

When summer rolls around, everyone praises the return of longer days filled with sun, heat and humidity. This is all great if you’re sitting on the beach with a cold beverage in hand… but not so great if you’re in full athletic gear, running around a field.

Exertional heat illnesses have become a top-of-mind condition across sports medicine as we step into the muggy months of outdoor sporting events. These don’t just include elite or collegiate athletes either; think of all of the kids playing Little League Baseball or participating in soccer camps. Everyone needs to be taken care of in the hot summer sun, and getting a grasp on how you can best advocate for your athletes’ health and wellbeing during this time is critical now more than ever.

In 2015, the National Athletic Trainers’ Association (NATA) published a Position Statement on Exertional Heat Illnesses to present best-practice recommendations for the prevention, recognition and treatment of exertional heat illnesses and to describe the relevant physiology of thermoregulation. This document outlines years of research and data that give athletic trainers a solid foundation to understand and prevent heat illness. Drink it all in (pun intended).
 

5 Types of Heat Illnesses

According to the NATA’s Position Statement, there are five distinct heat illnesses that an athlete can suffer:

  1. Exercise-associated muscle cramps: Involuntary, painful contractions of muscle during or after exercise.
  2. Heat syncope: Dizziness that often occurs in unfit or heat-unacclimatized persons who stand for a long period of time in the heat or during sudden changes in posture in the heat.
  3. Heat exhaustion: The inability to effectively exercise in the heat, secondary to a combination of factors, including cardiovascular insufficiency, hypotension, energy depletion, and central fatigue.
  4. Heat injury: Moderate to severe heat illness characterized by organ and tissue injury resulting from strenuous exercise and environmental heat exposure.
  5. Exertional heat stroke: The most severe heat illness, characterized by neuropsychiatric impairment and a high core body temperature.

 
Unfortunately, the variety of causes of exertional heat illness has made it difficult to produce experimental evidence of exactly what it takes to prevent them. Regardless, the NATA and its panel of qualified professionals have pulled together their top recommendations to stop all five of these conditions before they start. These tips can be broken down into three categories: acclimation, hydration and education.

Heat Illness Prevention Strategy #1: Acclimation

Just like you wouldn’t ask an athlete to enter a practice or game without warming up, you shouldn’t expect them to start practicing in warm temperatures without adjusting to the heat first. The NATA suggests that developing a pre-season heat acclimation policy should be your first step in heat illness prevention.

“Individuals should be acclimatized to the heat gradually over 7 to 14 days…The first 2–3 weeks of preseason practice typically present the greatest risk of exertional heat illness, particularly in equipment-intensive sports. All possible preventive measures should be used during this time to address this high-risk period” (Casa et al. 2015).

Alongside this policy, a careful medical screening should be administered during pre-season to identify athletes with risk factors. Some of these risk factors include history of heat injuries, and a prior muscle, tendon or ligament injury (Casa et al. 2015).
 

Heat Illness Prevention Strategy #2: Hydration

According to the NATA’s Position Statement covering Fluid Replacement for Athletes, establishing a pre-exercise hydration, hydration and rehydration protocol for athletes is another key staple in preventing heat illness. Here are the NATA’s recommended considerations when building an efficient hydration strategy:

  • Athlete’s sweat rate
  • Sport dynamics
  • Environmental factors
  • Acclimatization state
  • Exercise duration
  • Exercise intensity
  • Individual preferences (Casa et al. 2000).

 

Pre-Hydration

Getting ahead of hydration issues can prevent them from happening in the first place. “To ensure proper pre-exercise hydration, the athlete should consume approximately 17 to 20 fl oz of water or a sports drink two to three hours before exercise, and 7 to 10 fl oz of water or a sports drink ten to twenty minutes before exercise” (Casa et al. 2000).
 

Hydration During Activity

It’s easy for both coaches and athletes to get carried away during practices and games; everyone wants to compete, keep up a strong pace and get the most out of every minute. However, not taking breaks to maintain proper hydration levels is extremely detrimental to the health of each athlete; no matter how much of the event they’ve participated in or the environment in which the event is taking place. Just how much should athletes be hydrating? According to the professionals at the NATA, it depends on the sport.

“A proper hydration protocol considers each sport’s unique features. If rehydration opportunities are frequent (e.g., baseball, football, track and field), the athlete can consume smaller volumes at a convenient pace based on sweat rate and environmental conditions. If rehydration must occur at specific times (e.g., soccer, lacrosse, distance running), the athlete must consume fluids to maximize hydration within the sport’s confines and rules” (Casa et al. 2000).

Risk can also depend on the venue or environment that the athletic event is taking place in. If the game is being held indoors, do the facilities have proper climate controls like air conditioning? If outdoors, what’s the weather going to be like? Some athletic programs might brush this consideration to the side because they live in predominantly colder climates, but Tim Kelly ATC, Head Athletic Trainer and Associate Athletic Director at West Point United States Military Academy, suggests that everyone treat hydration protocol like they’ll be playing in the hottest environment imaginable.

“We prepare just like we live in the deep south during preseason for any of the teams that are working out all summer at West Point,” said Kelly. “We do have a heat plan for all of our athletes, we’re fortunate at West Point that our athletes are in the field a great deal of the time doing military stuff and it’s drilled into them that hydration is an important part of keeping them healthy and maximizing their training opportunities.”

Kelly’s hydration plan involves many factors, but he most notably expresses the importance of having unlimited beverages available to athletes at all time. To check this off your hydration plan checklist, purchasing gear like the Cramer PowerFlo Pro Hydration Unit gives everyone access to safe hydration on the field. Especially convenient when working in multiple locations and changing fields regularly, this unit has a rechargeable battery and zero-maintenance wheels that never go flat. Portability and stability that can’t be beat!

Lastly, closely monitoring potential dehydration symptoms during activity decreases the incidence and severity of heat illness. These signs include:

  • Thirst
  • Irritability and general discomfort
  • Headache
  • Weakness or dizziness
  • Cramps
  • Chills
  • Vomiting
  • Nausea
  • Head or neck heat sensations
  • Decreased performance (Casa et al. 2000).

 

Re-Hydration

Post-exercise rehydration restores any fluid loss accumulated during a game or practice. Ideally completed within two hours, rehydration should contain water to restore hydration, carbohydrates to replenish glycogen stores and electrolytes to speed rehydration (Casa et al. 2000).

Many athletic trainers or team physicians measure hydration with urine color against a color scale. But, an easier (and less invasive) method of hydration measurement is monitoring body weight; athletes should see less than 2% body weight reduction post-activity. Sound complicated? Don’t worry. Mike Harrison ATC, LAT, Sports Medicine Coordinator and Head Athletic Trainer at Allen High School, has gotten his athletes to buy into this method: and it works.

“I think it all starts with educating our athletes,” said Harrison. “I meet with them at the beginning of the year and I use a race car analogy or a truck analogy; my offensive linemen are big-rig trucks and my skill guys are race cars. Both of them burn fuel, and I use the gas tank analogy with them. They may come in here on a full tank, but come the next day you might have only replaced ¾ of a tank. If they finish that day up and have only replaced half a tank then you haven’t been hydrating correctly. So we weigh out athletes in and out everyday in the hot months, and for every pound that they lose they have to make that up with 20-24 ounces of fluid. It’s really all about the education.”

He’s right. For your hydration plans to really succeed, you need complete buy-in from the coaching staff and the athletes themselves. Educate your athletes on the effects of dehydration, how to monitor their hydration levels, and encourage coaches to help regulate these strategies to cover all of your bases (no pun intended this time). Which leads us to the last strategy…

Heat Illness Prevention Strategy #3: Education

You can’t prevent what you don’t understand or aren’t anticipating. As healthcare professionals, it’s essential that athletic trainers take control of their athletic environments and properly inform coaches, athletes, administrators, parents on the signs and dangers of heat illness.

“Down in Florida we do get some heat cramping scenarios, and we do a pretty good job; it’s a team effort,” said Paul Silvestri MS, LAT, ATC, Head Football Athletic Trainer at the University of Florida. “Our nutritional staff does a phenomenal job of staying on top of the guys to get them ready to be out there on the field. Our coaching staff does a good job as well of planning their practices, especially in training camp while we’re not out there in the heat of the day. It’s a collaborative effort.”

Need help getting started? Here are some potential topics that you can cover:

  • Preventing heat illness
  • Recognizing heat illness
  • Treating heat illness
  • Best drinks for hydration
  • Sleep regulations
  • Proper diet
  • How to rest the body effectively

 
To find data to support these topics, expert advice on heat illness and return to play recommendations, read through theNATA’s Position Statement on Exertional Heat Illnesses. Together, we can all play a huge role in reducing or eliminating these conditions and keep the athletes where they belong; on the field.
 
 

Sources:
Casa, Douglas J., et al. 2015. National Athletic Trainers’ Association Position Statement: Exertional Heat Illnesses. Journal of Athletic Training 50.9: 986-1000.
Casa, Douglas J., et al. 2000. National Athletic Trainers’ Association Position Statement: Fluid Replacement for Athletes.Journal of Athletic Training. 2000;35(2):212-224.

Normatec Takes Giants Recovery To Next Level

February 6, 2017
posted by Admin

We hope everybody enjoyed the Super Bowl. APRC is proud to have the NormaTec Recovery System available for our patients. At APRC, you don’t have to be a professional athlete to be treated like one.

NormaTec takes Giants recovery to next level

Your body knows when it needs chiropractic

January 20, 2017
posted by Admin

Every athlete can tell when something is not right. Your body gives you signals that you need to see your chiropractor: Pain, discomfort, restricted movement and poor performance.

A well adjusted body runs better

January 13, 2017
posted by Admin

Overuse injuries are common among runners and one of the top 10 injuries seen in distance runners. Chiropractic is key to top performance. 

To learn more sports TIPS, visit: http://bit.ly/2hQh748. #ThinkChiropractic

Chiropractic protects runners

January 10, 2017
posted by Admin

Athletes who are prone to shin splints and stress fractures can depend on chiropractic prevention.

To learn more sports TIPS, visit: http://bit.ly/2izVEAw.
#ThinkChiropractic

Chiropractic makes winter more fun

January 6, 2017
posted by Admin

Chiropractic makes winter more fun.
By improving balance and range of motion, chiropractic can prevent falls and reduce pain when accidents occur.

Chiropractic care relieves winter aches and pains.

December 25, 2016
posted by Admin

Have a well-adjusted holiday!

December 24, 2016
posted by Admin

Have a well-adjusted holiday. May it be full of joy and great health.

Achieve optimal health with Chiropractic care

December 21, 2016
posted by Admin

Chiropractic care is helping millions achieve optimal health without the use of drugs or surgery. 
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Chiropractic care helps millions achieve optimal health and continue doing the things they love. #ThinkChiropractic

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chiropracticFor 10 years in the NFL, former Giants punter Steve Weatherford never missed a game due to injury.

He thanks chiropractic and taking good care of himself for that, according to a news release from the Association of New Jersey Chiropractors.

“I was receiving chiropractic care since I was 14, which was the only reason I made it into the NFL,” he said to more than 500 chiropractic physicians at the Association of New Jersey Chiropractors Fall Summit in New Brunswick.

The skinniest player on the freshman team at 14, he developed back pain as a teenager from overdoing it in the weight room. But with the help of a chiropractor, he was able to grow from 108 pounds to 225 pounds by the time he graduated. He said that he has relied on chiropractors for weekly maintenance and injury prevention ever since.

Weatherford played college football for the University of Illinois and retired from the NFL with a Super Bowl ring from his stint with New York Giants. He also punted for the New Orleans Saints, Kansas City Chiefs, Jacksonville Jaguars and the New York Jets in his long career.

“There’s a reason every NFL team has an on-staff chiropractor available 24/7,” he said.

In fact, the Professional Football Chiropractic Society formed 15 years ago. Today, all 32 teams have chiropractors as part of the comprehensive medical team that tends to players. According to the society, “The average pro football chiropractor renders 30 to 50 treatments per week during the season. With the in-season (game-playing) duration lasting 16 weeks (not including quarterback camp, mini-camp, and pre- and post-season), 34 chiropractors conservatively give 16,320 to 27,200 adjustments to America’s superstars in just 120 days.”

Dr. Jason Levy of Short Hills is the team chiropractor for the New York Jets as well as the New York Red Bulls. Before a typical Jets game, he will treat 20 to 30 players for a variety of issues. But many, he said, come to him because “they want to feel balanced. Chiropractors are like mechanics. Chiropractic can certainly help the body feel better.”

Preventive care is a big part of the pre-game lineup each week, he said in the news release. In addition to attending every game, he also visits the Jets training facility about twice a week. He and the other NFL chiropractors are is part of comprehensive medical teams which include orthopedic surgeons, internal medicine specialists, athletic trainers and physical therapists.

Football players, unlike most other athletes, face physical contact every play of the game, often absorbing applied forces measuring hundreds of pounds per second. The majority of serious football injuries are caused by compression of the spine in the neck. By teaching football players about how their spine works and which positions to avoid during play, especially when tackling, chiropractors can help them avoid many injuries.

This is especially important for young football players, said Dr. Robert Haley of Lyndhurst.

Haley, who is chiropractor to the top-ranked St. Joseph Regional High School football team in Montvale, said in the news release that “every high school with an athletic program should be associated with a chiropractor, at least as a consultant.”

The chiropractor should also be versed in other areas of treatment like soft tissue work, kinesiology taping and stretching, Haley said. “We need to position chiropractic in a way that young football players and their parents understand it can reduce (not eliminate) injuries and help performance.”

Weatherford agrees.

“Athletes are like a high performance car. If the tires aren’t balanced, they aren’t going to be able to perform at the highest level,” he said.

 

Source: mycentraljersey.com

Got pain? Try chiropractic first

November 15, 2016
posted by Admin

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Chiropractic Care Improves Posture

November 15, 2016
posted by Admin

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Chiropractic care helps back-related leg pain

October 13, 2016
posted by Admin

Chiropractic Care Helps Back-Related Leg Pain

 

chiropracticBack-related leg pain is often disabling and costly. In people with back-related leg pain, spinal
manipulation therapy (SMT) plus home exercise and advice (HEA) provided more short-term
improvement in pain and ability than HEA alone, according to a study.
.
The trial consisted of 192 adults with subacute or chronic back-related leg pain who were randomized into two groups. Over the course of twelve weeks, one group received SMT along
with HEA and the other group received only HEA. During this time, patients worked with chiropractors, exercise therapists, and a personal trainer to receive efficient instruction and treatment to relieve back-related leg pain.
Chiropractic care including the use of spinal manipulation therapy in conjunction with home exercise and advice offers a safe and conservative approach to effectively reduce hindering and costly back-related leg pain.

Doctors of chiropractic (DCs) play an important role in the treatment and management of health conditions in the older adult. An estimated five million patients treated by DCs are 65 and older.

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Backpack Safety

September 6, 2016
posted by Admin

Your chiropractor can help determine the backpack size that is safe for your child.

backpack

Chiropractic Provides Better Sleep

September 6, 2016
posted by Admin

musuloskeletal

THE WORLD’S ELITE CHOOSE NORMATEC

August 21, 2016
posted by Admin

chiropractic

Olympic Athletes Depend On Chiropractic

August 8, 2016
posted by Admin

Olympic athletes depend on chiropractic, shouldn’t you?

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Swimmers Suffering From Severe Shoulder Aches

August 3, 2016
posted by Admin

chiropractic

Lower Cost at On-site Chiropractic Clinics

July 26, 2016
posted by Admin

Companies that offer chiropractic care at their on-site health clinics lower their costs, have greater productivity and increased employee satisfaction.

APRC

Chiropractic For Athletes

July 21, 2016
posted by Admin

“The care provided by a doctor of chiropractic can help athletes reduce the risk of injuries, accelerate recovery time and improve health through improvements in range of motion, flexibility, balance, muscle strength and other key factors. Chiropractic care provides athletes with the competitive edge to fuel peak performance and succeed during their time at the Olympics.”

– Dr. Botelho #ThinkChiropractic

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Brett

 

Dear Patients,

As part of our continued commitment to helping elite athletes and weekend warriors achieve peak performance and optimal health we’re always exploring the latest and most innovative emerging technologies.

This past week, Dr. Brett Pearsall and I took a short drive to Millburn to experience Whole Body Cryotherapy “WBC” at 256 Below. Yes, we dared to trust our bodies to the team at “256 Below” and found the results to be quite beneficial. The three minutes in the cryosauna passed rather quickly and we both emerged feeling very refreshed. The post treatment feeling was rather euphoric and left us feeling energized for several hours.

WBC is being used by over thirty professional sports teams and countless elite athletes in the United States to enhance performance and accelerate recovery. Originally invented in 1976 by Dr. Yamaguchi in Japan for the treatment of rheumatoid arthritis, WBC has since been refined and perfected for use in athletic performance and accelerating injury recovery. WBC is also used extensively to help minimize the pain and inflammation caused by arthritis, lyme’s disease and other chronic pain and auto-immune disorders including fibromyalgia, spinal stenosis, MS and Lupus.

There are many potential benefits but, as explained to me by the 256 Below team, the two things WBC does for everyone is to reduce inflammation and boost your metabolism. Just three minutes in a cryosauna provides the equivalent inflammation reduction of a one hour full body ice bath. Leister City, the 5000 to 1 underdogs who won the English Premier League Soccer Championship attribute a great deal of their success to daily cryotherapy sessions which allowed them to train harder and recover faster.

If you’d like to experience WBC for yourself at 256 Below, mention APRC and you’ll receive a 20% discount. http://www.256below.com/

 

Texting = Heavy Weight Pain

June 1, 2016
posted by Admin

 

heavy weight pain

 

Text-Neck Epidemic

May 29, 2016
posted by Admin

Combat Text Neck and improve your posture through chiropractic care. Chiropractors are trained to align the spine and restore the curve in your neck, keeping your body healthier and pain-free. #ThinkChiropractic

text-neck epidemic

BEAM Good Posture

May 18, 2016
posted by Admin

BEAM good posture: A body that is in equilibrium will attain its alignment and continue proper mobility. #ThinkChiropractic

Good posture is the position which is attained when the joints are biomechanically sound and able to move in the direction they are designed to and the spine is aligned. Maintaining good posture involves learning how to train your body to move and function where the least strain is placed on bones, joints and soft tissues. Additionally, a body that is in equilibrium will attain its alignment and continue proper mobility. Read More

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