The Simple Nutritional Supplements to Take to Manage Knee Pain & Inflammation

Written by Dr. Frank Fuscaldo, Jr., M.S., D.C., D.C.B.C.N., C.N.S.

Knee pain can be caused by many things, such as strenuous physical activities, injuries like sprains or strains, tears in the ligaments or cartilage (meniscus), arthritis, and lack of use, just to name a few.  The pain can be acute (having a sudden, recent onset) or chronic (having a long duration).  In most cases, knee pain is accompanied by stiffness, swelling and inflammation, regardless of the cause or length of time you’ve had the pain.

For many people, knee pain can become so severe that it limits their daily activities.  For others, the pain can be a mild annoyance that can still prevent them from doing the things they love to do.  In either case, knee pain should not be ignored.

There are many treatment options for patients with knee pain.  They vary from exercising and Physical Therapy treatments, to knee injections, or even surgery, depending on the severity of the condition.  There are also many nutritional supplements that can help reduce the pain and inflammation even in the most severe cases.  In almost all cases, these nutritional supplements are not only safe, but very effective in helping the patients manage the pain and inflammation.

Here are some effective nutritional supplements that can help reduce knee pain and inflammation with little or no side effects:

Turmeric 

Turmeric is a spice that contains curcumin which is an extremely powerful anti-inflammatory compound.  In fact, many peer-reviewed journal articles have found that turmeric is more effective and safer than using certain conventional anti-inflammatory and pain relieving medications.  The curcumin found in turmeric has been found to play important roles in various stages of the inflammatory process on a molecular level.  For these reasons, turmeric can be very beneficial in helping to reduce knee pain and inflammation.

Vitamin C

Most people think of taking vitamin C to prevent colds and boost our immune system.  However, vitamin C is essential in the production of collagen, which is the main structural protein found in muscles, bones, skin and tendons, where it helps to provide strength and structure.  Vitamin C is also needed for the metabolism of joint cartilage and is also a powerful antioxidant found in joint fluid.  A good intake of vitamin C can help reduce cartilage loss and reduce joint inflammation.

Vitamin D

Vitamin D is essential for human health.  Unfortunately, vitamin D deficiency is becoming a widespread health concern.  While vitamin D has always been linked to bone health, recent studies have also linked vitamin D deficiency to joint pain.  Getting enough vitamin D from your diet alone is nearly impossible.  It is therefore necessary to take a high quality nutritional supplement to achieve and maintain a healthy level of vitamin D.

Omega-3 Fatty Acids 

Omega-3 fatty acids are considered essential in that they are necessary for human health, but the body can’t make them.  Therefore, you need to get them through food, such as fish, some plants, nut oils, and/or nutritional supplements.  Unfortunately, we cannot get enough Omega-3 fatty acids from the food we eat, so supplementing with a high quality pharmaceutical grade or molecular distilled fish oil is necessary.  Omega-3 fatty acids have been shown to reduce the production of certain substances that are released during the body’s natural inflammatory response, thus helping to reduce pain and inflammation.

These are just a few suggestions for helping you manage your knee pain using natural, safe and effective alternatives to conventional medications.  The above-mentioned supplements are all available at Monmouth Pain and Rehabilitation, and are all of the highest quality available.

If you have any questions, or would like to discuss these options further, please feel free to schedule a FREE nutritional consultation with Dr. Fuscaldo. To book your consultation, fill out the form on the right side of this page or call 732-345-1377.

To learn more about MPR’s nutrition program, click here.

The One Simple Way to Say Goodbye to Seasonal Allergies

For those who suffer from seasonal allergies, this time of the year can be miserable. You’re either enduring the symptoms, including watery eyes, itchiness, sneezing, or rashes, or you’re bogged down by the drowsiness and other negative effects that come along with so many allergy medicines. MPR’s Dr. Keith Murray, DC, is here to tell you the easy way to put your symptoms to rest.

What’s wrong with taking allergy medicine?

Allergy medicines don’t cure allergies. They simply ease the symptoms, but do not serve any long term effects. Decongestants, antihistamines, and corticosteroids may make you feel better, but they also usually come along with drowsiness, dizziness, insomnia, gastrointestinal problems, and high blood pressure.

How does Chiropractic help with allergies?

When there is interference between the nervous system and the immune system, problems arise. It’s like a chain of reactions – if the nervous system is interrupted, the immune system is affected, it can’t effectively fight infection, and suffering from allergies becomes much more likely. Chiropractic care aligns the spine to eliminate nerve interference, getting to the root of the problem and stopping it in its tracks.

Additionally, regular adjustments improve your overall health, whether you suffer from seasonal allergies or not!

People often think that chiropractic adjustments are only for those with back pain. But just because you don’t feel any pain doesn’t mean the spine isn’t misaligned. The C1 and C2 vertebrae on the top of the spine support the skull. They are so close to the brain stem that any misalignment there could cause pressure on the body’s main message center, leading to a number of negative symptoms that the average person may not even associate with the spine.

There’s no need to continue enduring a runny nose, itchy eyes, sneezing, or any of the other symptoms that come along with seasonal allergies. Make your appointment to get adjusted at Monmouth Pain & Rehabilitation in Shrewsbury and Wall Township, NJ to relieve your allergy symptoms. Call 732-345-1377 or fill out the form on this page.

Running Injuries: Etiology, Treatment, and Prevention

Written by: Marcia D’Argenio PT, DPT

Running is one of the world’s most popular forms of exercise. Upwards of 40 million people run regularly and more than 10 million people run at least 100 days per year in the US. Although running is an effective way to achieve many health benefits, it is associated with a high risk of injury.  Every year, up to 50% of all runners report an injury due to overuse. Read on for more information on how these injuries occur, as well as how to treat and prevent them from derailing you running goals.

Patellofemoral Pain Syndrome

Patellofemoral pain syndrome (PFPS) is the irritation of the cartilage on the underside of the patella or kneecap. Risk factors include overpronation (excessive inward foot rolling) and weak muscles around the hips and knees. In order to decrease pain, taking extra rest days and reducing your mileage is necessary. Avoid running downhill, which can exacerbate pain. Biking, swimming, and the elliptical may speed up your recovery by strengthening the quads.

Stress Fractures

A stress fracture is a small crack in a bone that typically affects runners in the hip, shin and even the feet. It’s often due to repetitive motions such as running and jumping. The pain gets worse with activity and improves with rest. Rest is important, as continued stress on the bone can lead to more serious injury.

Cartilage Tears

If you experience a “clicking” or “catching” feeling and have intermittent pain from a recent hip twist or fall, you could have a cartilage tear. Tears in cartilage of the knee or hip are usually caused by trauma.  Stop running and see a sports medicine specialist if the joint has a pain, swelling, and a sudden decreased range of motion, all hallmark signs of a cartilage tear.

Iliotibial Band Syndrome

If you experience lateral knee or hip pain and most of your running is done on the road or track, your hip pain could be caused by Iliotibial Band Syndrome, which is irritation of the “ITB” that runs down the outside of the thigh from the hip to the shin. The ITB can be irritated by always running on the same side of the road or the same direction on the track, running too much too soon, tight hip or knee muscles, or wearing unsupportive shoes. Change your route or alternate directions on the track, stretch your hamstrings and ITB, and replace your shoes to treat and prevent progression of this all too common injury.

Prevent Injuries Before they Occur

So how can one prevent these common running injuries from sidelining them? Stretching plays a useful role in the management of common running injuries. In a study of 900 military recruits, those who stretched regularly experienced lower rates of low back and soft tissue pain.

As far as “warming up” is concerned, there is insufficient quality research to determine whether warming up reduces injury rates in runners.

Although debate continues regarding the role footwear plays in runners, it is important to wear a shoe best suited to the runner’s foot type in order to prevent injury. Common types of shoes are those with cushioning for runners with high arches, neutral shoes for those with an adequate arch, and shoes for those with a low arch (over-pronators) that are designed to minimize foot motion.

Additionally, optimal nutrition does enhance performance and recovery. It is important to consume adequate calories, carbohydrates, protein and healthy fats.

Lastly, runners should drink before, during, and after exercise as water loss of as little as 2 percent body mass can decrease performance. Weigh yourself before and after a run and drink 16 to 24 ounces of fluid for every pound lost during exercise.


Don’t let your injuries go without taking proper care of them. When in serious pain, it is important to see a professional. The Physical Therapy team at Monmouth Pain & Rehabilitation can work with you to get you back into your running routine if something is stopping you. Call 732-345-1377 or fill out the form on this page to make an appointment.

Fending Off the Flu with Chiropractic Adjustments

It’s that unfortunate time of the year: seemingly everyone around you is sick with the cold or flu. Instead of just adamantly wishing that you’re not the next victim, why not get proactive and take control of your health?

Cold symptoms include congestion, runny nose, and sneezing. The flu includes those same symptoms in addition to aching, fever, and coughing. Flu season lasts from October to May, with peak months typically being December and February.

It may be difficult to see how chiropractic care can affect your immune system and prevent you from getting sick, but it is important to remember that the human body is a network of cooperative systems, each with their own role in keeping the body going.

In order to keep your body healthy, the musculoskeletal system, central nervous system, and lymphatic system work together, keeping the immune system functioning throughout the body. When the spine is misaligned, communication within the central nervous system becomes difficult. Subluxations occur in the spine, blocking the lymphatic system from draining out viruses and bacteria. The musculoskeletal system can be negatively impacted when you are misaligned as well.  Chiropractic adjustments keep your spine aligned so everything is able to work properly and efficiently.

Even MPR chiropractor Dr. Bill says, “Whenever I feel like something’s starting to come on – a cold, the flu – I get Dr. Murray to adjust me”. Preventative medicine in action!

Getting adjusted when you are sick preps your body to fight off infection and makes sure everything is in working order. Regular adjustments when you’re healthy ensure that your immune system is in great shape should infection come on. For the same reason, chiropractic care can help alleviate allergies. If your body is kept in great working condition with regular adjustments, you should notice a difference in how you feel.

A chiropractic adjustment when you’re feeling congested can be the most relieving feeling in the world – and it’s safer for your body than loading up on medicine!

If you’ve started to feel the sniffles coming on, or want to take action before any viruses can get to you, make your appointment at Monmouth Pain & Rehabilitation today! Call 732-345-1377 or fill out the form on this page.

Top 5 Pain Myths, BUSTED!

Written by: Angie Mohamed, PTA

Pain is a burden everyone deals with throughout their lives. It could be a short-lived, acute injury or a chronic long term condition. Regardless, the pain is there and it can be very burdensome and frustrating.

Since pain is so common, there are a lot of misconceptions and myths relating to pain that we will bust today. These myths could hinder your treatment and relief and therefore are important to discuss. On the other hand, some of these myths, although silly-sounding, are in fact true.

Here are the facts you need to know:

  1. Weather can affect your pain.

    If your joint pain gets worse in the cold and/or when it is raining, it’s not your imagination. Studies have shown mixed results, but overall, changes in barometric pressure can cause some people to have increased pain. When the weather gets warmer, known as “high pressure system”, the increased pressure usually brings about relief.

  2. Rest is good for back pain.

    Apart from immediate post-injury or surgical recovery, complete bed rest is one of the worst things you can do for back pain. If you are inactive, your body becomes quickly deconditioned, causing more pain when you start moving. Stretching and strengthening under the supervision of a medical doctor and/or physical therapist and chiropractor at our facility can help ensure that you are protecting yourself from increased pain in the long run by facilitating healing in a supervised and professional manner.

  3. The pain is in your head if there is no medical cause.

    Just because medical doctors cannot find an exact source of your pain, does not mean you don’t feel it. Due to the complexity of the human body, it is not possible to determine all the possible causes of nociception, which is your sensory nervous system’s response to certain stimuli. Fibromyalgia and chronic fatigue syndrome are just two of the many hard-to-pin down conditions that may cause persistent pain.

  4. You don’t need to worry about minor pain.

    Many people believe that pain is just something to live with. Pain should not be ignored, especially if lasting more than a week or two and interferes with your activities of daily living. Think of pain as one of the lights that pop up on your dashboard. That light is indicating that something is wrong and you should seek medical attention.

  5. Pain is a natural part of aging.

    Just like gray hair and wrinkles, a few aches and pains are a part of everyone’s life. Chronic pain, however, does not have to be. Most people should be able to live relatively pain-free lives as they age.

If you are bothered by acute and/or chronic pain, our medical doctor, staff of physical therapists, chiropractors, acupuncturists, and massage therapist can help you find relief. Call Monmouth Pain today for a free evaluation ($245 value) and get pain-free today! You can reach our Shrewsbury and Wall offices at (732) 345-1377.

New Year, New You!

Written by Dr. Frank Fuscaldo, Jr., M.S., D.C., D.C.B.C.N., C.N.S.

The holiday season has come and gone and the new year has started with great promise.  However, for many of us, the holiday season brought increased consumption of alcohol and foods that have higher amounts of salt, sugar and unhealthy fats, leaving us with a few unwanted items, such as weight gain, mental and physical fatigue, sluggishness, and a weakened immune system.  This is often followed up with New Year’s Resolutions to lose weight, eat healthier, and exercise more.  But how long do these resolutions actually last?  It’s been estimated that more than 50% of Americans make New Year’s Resolutions, but only 8% of those succeed in achieving their goals.  In most cases, people fail to achieve their goals because they don’t have the information or the tools necessary to successfully complete their New Year’s Resolutions.  That is why Monmouth Pain and Rehabilitation is excited and proud to begin offering our patients a chance to participate in the ClearVite Detoxification Program from Apex Energetics.

What is the ClearVite Detoxification Program?

The ClearVite Detoxification Program is a 21-day nutritional and detoxification support program.  The program is simple to follow and uses a specific dietary plan along with one of several ClearVite formulas.  The ClearVite product is a multivitamin, mineral and herbal dietary supplement powder.  There are several ClearVite formulas based on the patient’s needs and/or flavor preferences.  However, all ClearVite options contain key nutrients and cofactors that have been shown to be necessary to support the detoxification reactions and process.  These include important vitamins, minerals, amino acids and phytonutrients that help support blood sugar metabolism, as well as gastrointestinal health; digestive enzymes to support nutrient digestion and absorption; antioxidants to support the liver; key botanical extracts to support bile formation, secretion, and elimination; lipotropic nutrients to support the breakdown and utilization of fat; and additional nutritional compounds to help with energy levels.

How long does this program take?

First-time users of the ClearVite program should adhere to the 21-day program.  However, the program can be easily modified to a 14-day program to suite the patient’s needs and/or healthcare goals.  For patients who require additional detoxification support, additional dietary supplements may be included to maximize the detoxification program.

Is the program difficult to follow?

The ClearVite detoxification program is very easy to follow and comes with specific instruction on which foods to eat, which foods to avoid, and how much and when to take the ClearVite dietary supplement powder.

Do I need to spend a lot of money and buy lots of products?

The simple answer to this is NO.  In fact, to perform the basic ClearVite detoxification program, you will only need to purchase on container of the ClearVite multivitamin, mineral, and herbal dietary supplement powder.  This product is very affordable and can be purchased at our office.  Please contact our office for prices.

Can anyone perform this program?

Most patients will have no restrictions in performing this program.  However, as with any new dietary and/or supplement program, it is recommended that you consult with the appropriate healthcare professional to determine if you are eligible to safely perform this program.  For purposes of the ClearVite detoxification program, you may contact our office to schedule a FREE consultation ($245 value) with myself, Dr. Frank Fuscaldo, Jr., before starting the program.  I am a Board Certified Clinical Nutritionist, as well as a Certified Nutrition Specialist, who can help you determine if you are eligible to safely participate in this program.

If you have any questions, please contact Monmouth Pain and Rehabilitation at 732-345-1377 or fill out the form on this page.

How to Prevent Ski Injuries

Written by: Michael Sabatino PT, DPT

It’s that time of the year again to dust off the skis and hit the slopes. In recent years, ACL injuries have become quite prevalent in Alpine skiing.

An injury to the ACL can result in an unstable knee, which may lead to expensive surgery. This can also cause a lengthy period of rehabilitation in order for the skier to resume an active lifestyle. The good news is that a little education can go a long way to minimize the risk involved, and you can be a weekend warrior without the hospital visit.

The anterior cruciate ligament (ACL) is the main ligament that connects your thigh to your shin bone and keeps your knee stable and shin in place. While there are three other ligaments that provide knee stability, the focus here is on the ACL due to its high prevalence of injury. According to (Majewski 2006), approximately 20,000 skiers become injured each year. There are various ways in which this injury can occur. The most predominant cause of this injury results from an innocuous, slow, and twisting fall backwards. The other most common way to injure the ACL is when a person falls while his or her foot is stuck in the ski and binding. This results in the skis becoming twisted which places adverse strain on the ACL.
Following a few simple suggestions can help you to avoid ACL injuries during ski season.  Ensure that you are physically ready for the slopes. As you begin to fatigue, follow proper technique and take breaks as needed. Avoid potentially dangerous situations altogether – there is nothing wrong with sticking to the nicely groomed trails and powder and steering clear of the obstacle park!

If a fall appears imminent, below are tips for a safe landing:

  • Keep your feet together
  • Do not straighten your knees during the fall
  • Try to land on your side; do not try to break the fall with your arms. If your skis are still moving, your knees are at risk.
  • Do not try to get up until you have completely stopped sliding. You can always get your equipment back afterwards.

Injuries on the slopes occasionally occur, but taking the necessary precautions will help prevent injuries and keep you healthy on the slopes all season long.

The physical therapists at Monmouth Pain and Rehabilitation in Shrewsbury and Wall Township are experienced in working with patients to prevent, treat and rehabilitate ACL injuries. To learn more about MPR’s comprehensive physical therapy treatment program call 732-345-1377 or fill out the form on this page.

Q & A with Dr. Nichole: Physical Therapy and Hockey

Dr. Nichole Chaviano graduated from the University of Delaware in 2010 with a BS in Exercise Science with a concentration in Physiology and a minor in Strength + Conditioning. While at UD, she had the opportunity to work with many Division 1 athletes as a Strength + Conditioning intern, not only in the weight room but also in a rehabilitation setting. She went on to attend Rutgers University, where she received her Doctorate of Physical Therapy degree in May 2015.

What are the most common hockey injuries you have seen?
Knee & Hip injuries- from ACL and other ligamentous injuries and injuries of the meniscus, as well as pulls, strains and tears of the groin and hamstrings to fractures of the lower leg.
Ankle & Foot injuries including ankle sprains, Achilles tendinitis and ruptures and blisters.
Shoulder, Head & Spine injuries including Concussions, whip lash, neck strains, Rotator cuff sprains/tears, shoulder dislocations & separations, disc herniations and fractures.

Do you have any tips for preventing Hockey Injuries?
Wear appropriate, fitted equipment. This may include helmets, pads, mouth guards, and fitted skates. In addition to appropriate equipment it is especially important for athletes to be physically prepared for sport, with sport specific strength and conditioning. Athletes should also participate in pre-testing for concussion management. In the event an athlete sustains a head injury having the pre-injury data helps to drive treatment and return to sport protocol more safely and quickly.

What should an athlete do if they are injured?
Depending on the extent of the injury the athlete should be cleared of any immediate risk of bleeding or fracture by MD. Once cleared they should see a Physical Therapist for treatment to safely and quickly return to the rink. At MPR this can include some of the latest technology including ImPact ™ Concussion testing, and Game Ready ™. All of our therapists create individualized treatment plans including the use of sport specific equipment including slide boards, airex and BOSU ™ balance training systems and Power Plates ™.

To learn more about the physical therapy program at Monmouth Pain and Rehabilitation call us at 732-345-1377 to schedule a free consultation ($245 value) at our Shrewsbury or Wall Township location.

How to stay in Motion while Sitting

Chair exercise is mainly geared for those who are at an increased risk of falling, have severe joint problems, or are wheelchair-bound. Exercise is important for people of all ages and fitness levels because it increases strength, flexibility and blood circulation while improving your mood! MPR Physical Therapy Assistant, Amy Ramos, demonstrates three full-body chair exercises that involve both the upper and lower body as well as core muscles.

Exercise 1:  Leg kick with twist – targets thighs and waist

Exercise 2:  Skater reach – targets core, waist, legs

Exercise 3: Seated running – targets core muscles, arms and legs

If you are trying to get back to a healthier version of yourself we are here to help. The physical therapists, chiropractors, acupuncturists, massage therapists and physicians at Monmouth Pain and Rehabilitation are experts in helping individuals throughout their lifelong journey of vibrant health. Contact us at 732-345-1377 or fill out the form on this page to learn how we can help you.

Learn how Posture can cause Headaches, Vision Issues & Pain!

Does your back ache throughout the day? Many people who spend their work day at a desk or behind the wheel of a vehicle accept back pain as part of their job description but it does not have to be.

Postural syndrome, also known as ‘Poor Posture Syndrome,’ results from the body being positioned with compromised posture for extended periods of time. If you sit in a slouched position your back is in the same position it would be in if you were to bend over and touch your toes. This is the ‘maximal bend’ of your back and places a considerable amount of pressure on the joints in your back.  This prolonged stretching on the back naturally causes aches and pain.

Postural Syndrome typically exhibits itself in pain and dull aches throughout the back, the area between the shoulder blades and the neck. Typically, the pain is the most severe while the body is in the anatomically incorrect posture while sitting, standing or lying. Over time, functioning with poor posture can also result in compromised neck strength, reduced range of motion, scar tissue and misaligned joints.

Fortunately, postural syndrome can be effectively treated with holistic therapies. Treatment goals typically focus on relieving pain, restoring balanced muscle strength, reestablishing full range of motion and establishing ergonomically correct posture. Monmouth Pain and Rehabilitation is a multi-disciplinary facility comprised of medical doctors, chiropractors, physical therapists, acupuncturists and massage therapists experienced in treating postural syndrome. If you think you might be suffering from postural syndrome contact Monmouth Pain and Rehabilitation today to eliminate aches and pains from your day to day. Call 732-345-1377 or visit www.MonmouthPain.com to schedule a free consultation ($245 value) in Shrewsbury and Wall Township, NJ.

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