Common Marathon Training Injuries and Their Treatments - By Dr. John Schubbe and Kari Resch P.T.

The training for and actual running of a marathon puts a lot of stress on your body.  Although many people are able to complete these activities with few or no injuries, not everyone is so lucky. We’ve listed the most common injuries below and the treatments we would recommend at our offices.

Active Release Technique

Achilles Tendonitis is an inflammation of the Achilles tendon.  It is one of the more common injuries for the runner, and in most cases is caused by excessive training over an extended period of time.

Recommended Treatment –  Achilles Tendonitis can be treated with calf/Achilles stretching, rest, ice, supportive shoe wear, Kinesio Taping, Graston Technique , orthotics, Balance training, ankle/hip strengthening, and ice massage.

Chondromalcia or Runner’s Knee is a running injury where the cartilage underneath the kneecap starts to soften and break down.

Recommended Treatment –We start by addressing strength deficits and flexibility of the hip and thigh musculature.  It is best at first to avoid high impact exercise as well as kneeling and squatting.  Icing is recommended along with low resistance exercise such as stationary bicycling, pool running, or swimming (flutter kick).  Evaluation of foot wear is essential, and a patellar tracking brace is often helpful.  Finally strengthening and stretching of the quadriceps and hamstring muscle groups is critical for an effective and lasting rehabilitation of chondral malacia patella. Kinesio Taping can also provide relief.

Plantar Fasciitis is an inflammation of the plantar fascia – a thick, fibrous band that runs along the bottom of the foot.  Inflammation can be caused by direct injury or by repeated trauma.

Recommended Treatment – Typical treatment of plantar fasciitis includes calf/Achilles stretching, arch stretching/strengthening, orthotics, Graston Technique, Kinesio Taping, Ultrasound, ankle/hip strengthening, balance training, and ice massage

Iliotibial Band Syndrome The IT Band is a thick tendon that runs down the outside of the thigh and inserts just below the knee.  When the IT Band becomes tight, it pulls the knee joint out of alignment which results in inflammation and pain.

Recommended Treatment – Iliotibial band syndrome is most accurately treated by addressing strength and flexibility imbalances.  We evaluate training errors, improper foot wear, hyperpronation, muscle imbalances and lack of flexibility.  The main focus of this rehabilitation and prevention should be increasing the elasticity of the iliotibial band and restoring the strength of the gluteus medius muscle.  Stretching is usually prescribed, but the IT band, as well as the deep lateral rotators of the hip should be loosened up by deep tissue massage.

Shin Splints is a specific condition called Medial Tibial Stress Syndrome (MTSS). When the muscles that are attached to the tibia and fibula bones are overworked, they pull on the bones and cause pain.

Recommended Treatment – Shin splints can be treated using supportive shoe wear, orthotics, Kinesio Taping, rest, hip/ankle strengthening, balance training, and ice massage.

Any of the above injuries can be treated by one of our chiropractors or physical therapists, or a combination of the two.  Call one of our offices to schedule an appointment to keep you running strong!

Workplace Wellness at Schubbe Resch

On-Site Company Services are provided by our Neenah office.

Overall Goal:  Promote health and wellness with all company employees.

Meet individually with employees who are looking for advice in the areas of:

1.       Proper body mechanics with a work or non-work related activity.

2.       Alternative body mechanics advice when working around another health issue such as a previous knee or back condition.

3.       Office ergonomic set-up.

4.       Home office ergonomic advice.

5.       Home exercise programs are developed.  Advice regarding choosing the most appropriate safe strength exercises.  Advice on choosing the most appropriate safe cardiovascular exercises.  Teach employees safe strength training technique, target heart rate and how to monitor heart rate.

6.       Nutritional advice is given including how to read fool labels as it relates to calories and grams.

7.       Recommendations for the most appropriate splints or braces.  No splints or braces are given.

8.       Conservative recommendations for work related and non-work related “aches and pains.”

 Dave Gunderson will have a consultation with the employee and then give conservative recommendations that may include – posture, body mechanics, home ice/heat application, stretching and strengthening exercises.  No specific diagnosis or treatment is given.

Chris Resch, DC will take a history, examine, diagnose and give conservative recommendations.  The conservative recommendations may consist of – posture, body mechanics, home ice/heat application, stretching and strengthening exercises.  Referral recommendations regarding the most appropriate specialist is sometimes discussed.  No specific treatment is given.

Schubbe Resch also provides the following group presentations:

 Lower Back Injury Prevention – this presentation covers posture, lifting techniques, stretching and strengthening.   All topics are covered in great detail and from multiple perspectives.

Sitting on the Job – this presentation is geared toward the “office worker”.  Topics include- posture, body mechanics, office and work station set-up, common stretches and strengthening exercises.

Common Musculoskeletal Conditions – this presentation covers common conditions of the – neck, back, shoulder, elbow, wrist, hip, knee, ankle and foot.  We discuss common causes, self-treatment and preventative techniques associated with all of these conditions.

 Looking at “Life in Reverse”- this is a health and wellness presentation with a twist.  We discuss the seven most common causes of death prior to the United State average mortality age of 78.5.  Five of these Seven are heavily influenced by life style decisions.   The presentation then looks back at life style decisions that can be made to avoid becoming a mortality statistic.  We discuss CardioMetabolic Syndrome (cholesterol, blood pressure, triglycerides, blood sugar and waist circumference).  The presentation also teaches healthy techniques in the areas of nutrition (protein, carbohydrates, fats, food labels, grams and calories) and exercise (cardiovascular, full body strength and flexibility, target heart rate). 

These individual meetings and presentations are 100% in the best interest of our audience and they do not become a promotional opportunity for our office.  If you are interested in discussing Workplace Wellness, contact our Neenah office at 920-720-0660.  You can also read more about Workplace Wellness on our website.

Testimonial from Dr. Lara Klein's Patient

"Living with pain was not an option for me.  Thanks to Dr. Lara and Tiffany, I am not in pain.  After several spinal adjustments with Dr. Lara and therapeutic exercise sessions with Tiffany, my pain level went from very intense to non-existent.  Dr. Lara was able to locate the source of my pain and with adjustments, eliminate it. Tiffany devised an exercise program specifically made for me that gave me more mobility and range of motion.  Dr. Lara and Tiffany are caring, knowledgable and professional individuals, who will work with you to give you life without pain.  I can now stand, walk, go up and down stairs and dance with out pain!  Dr. Lara and Tiffany changed my life!  I love you both!"

-Janie K. of Neenah

Community Blood Drive - Help Someone You Know

Our offices will be participating in blood drives in March with the Community Blood Center.  The Neenah office's drive will be on Friday, March 8th from 1-4 p.m..  The Appleton office will have it's drive on Tuesday, March 19th from 8:00 to 11:30 a.m.  Please call either office to sign up!

We wanted to share with you why donating blood is so important.  Kathy Gertz is a member of our Appleton staff.  Her daughter Holly wrote to us about her experience donating and receiving blood:

"Donating blood is an extremely important thing! I have thought this from the first time I donated, in high school. I became a regular donor and was proud of the contribution I was making to my community; however I never thought I would be on the receiving end of blood. When I entered my junior year of college, I was diagnosed with ulcerative colitis and become quite ill. I was never able to control it which resulted the removal of my entire colon, also known as your large intestine. Over the course of four years, I received four complete blood transfusions and a round of iron infusions to help battle the weakness, fatigue, and general malaise I felt daily. I am now 29 and have received more blood transfusions over the years due to complications from surgery and other autoimmune disorders I have been diagnosed with.

Going from perfectly healthy to needing tests, blood transfusions, and even surgery is a scary thing. I can’t imagine if there wouldn’t have been people willing to donate their blood to help me carry on living a normal life by finishing college and becoming a teacher. If you are a healthy individual, I urge you from one former donor and receiver to donate blood!

I just turned 29, I currently teach 7^th and 8^th grade science, and I am fairly healthy living a normal life. This is due to the generosity of people in my community. My parents have also set a wonderful example, by being donors! One of my wonderful parents works at Schubbe Resch Chiropractic and Physical Therapy. "

We really appreciate Holly's willingness to share her story.  Let's all help by donating blood if we are able!

ALCAT Testing for Food Sensitivities - Ashley Zachor's Story

The following is a letter Ashley wrote to me - her dad - Dr. Nathan Zachor.  I wanted to share it with you because it shows the powerful information that can be gathered from food sensitivity testing.  We offer this service at Schubbe Resch as part of our nutritional counseling.  Please call our office if you are interested in checking to see if you have food sensitivities that are causing your health problems.

Hi, my name is Ashley!

I am 8 years old.  I have had tummy aches since I can remember.  In 1st grade, I had to stay in from several recesses because my tummy hurt so badly.  That was the worst!  I also had hives and sometimes boils.  Yuck!

My Mommy and Daddy took me to a special doctor in Milwaukee for my tummy issues.  That didn't work.  Although my parents were happy to have serious things ruled out.  Daddy then took me to the children's hospital to get a blood test  I was very brave.  I even got a stuffed animal.  He sent my blood labs to a place called ALCAT.

Then I was told that I couldn't eat corn, soy, blueberries, green and blue dyes, parsley, pears, cinnamon, bananas and lettuce.  I felt sad.  My Mommy and Daddy told me that I would only be doing this for a little while.

After a few weeks, I stopped having tummy aches!  My skin doesn't look like a teenager's.  I have been told by others that I behave really well these days.  And I am healthier than my brother and sister!  This makes me really happy, because I haven't always been the healthy one in the family.


It's been almost two months, and I am doing really well.  Thanks to my Daddy's testing, my Mommy's cooking, and my hard work eating the right foods.

Love,  Ashley

Dr. Laura Kemps Receives her Nutrition Diplomate!

Our offices would like congratulate Dr. Laura Kemps on the successful completion of her Clinical Nutrition Diplomate program.

This was a two year program that required a research paper, two case histories, 24 classes, and numerous exams.  Dr. Laura passed her annual exams as well as the National Board Exam for Nutrition.  She is now recognized as a certified nutritionist in addition to her chiropractic degree.

She will continue her education with additional nutrition seminars each year as well as requirements such as article reviews and more research papers.

To get a better idea of what nutritional counseling with Dr. Laura entails, please read the blog post - Nutritional Counseling - What to Expect.

Nutritional Counseling - What to Expect

Do you have questions about the supplements you are taking? Are you unsure of whether they are the right ones for you? Are you looking to lose weight?

Dr. Laura Kemps' nutritional counseling services may be right for you. Do you have a specific condition that needs to be addressed?. Did you know conditions such as diabetes, high blood pressure, obesity, asthma, irritable bowel syndrome, headaches and eczema  can all be helped through changes in diet and specific supplementation? 

What sets Dr. Kemps' services apart is that she treats people on an individual basis, and puts together a specific treatment plan of diet changes and supplementation based on blood work and other tests, as well as a thorough history taking and examination.  To learn more, here are some frequently asked questions regarding her services.

What can I expect on my first visit?

You will receive a 14 page health history to be completed prior to your first visit. The first visit is one hour long, and includes a review of your health history your goals for nutritional therapy.  Dr. Kemps then does a nutrition examination, looking at blood pressure, reflexes, skin, hair, nails, an abdominal exam, and any other tests she deems appropriate.  Typically, she then puts those findings together with any recent blood work or other tests you may have had done with your medical physician. Dr. Kemps may also recommend additional tests, which can range from more lab work with your medical provider to other  testing such as adrenal function testing, food allergy testing,  stool analysis, and others.  She then meets with you in one to two weeks when all the tests have been completed to go over her findings, called the "report of findings".

What is in the report of findings?

The report of findings, typically on the second visit, addresses your specific health goals as well as the problems Dr. Kemps found on your first visit.  It is a specific, individualized treatment plan of diet and lifestyle changes as well as supplementation to get you to your health goals.  Typically after the second meeting, you meet with Dr. Kemps once per month so she can assess your progress and trouble shoot any problems you may be having with the treatment plan.  These visits typically are 15-30 minutes each time.

What are the costs involved?

Dr. Kemp’s nutrition services are done on a cash basis as insurance rarely, if ever, covers nutrition services through a chiropractor.  The fee is $25 per 15 minute increment, so the first visit is $100.  Report of findings is an additional charge of $75.  Monthly visits then range from $25-$50 depending on how much time she spends with you.  Supplements purchased are in addition to this fee.

What if I have more than one condition/problem I want treated?

Dr. Kemps is trained to look at all the body systems as a whole, so you would be the perfect candidate for her services.  She will take into account all the different body systems and how they work together to put together the optimal nutrition schedule for you.

What are her qualifications?

Dr. Kemps has been a chiropractor since the year 2000.  She went to the University of Western States for her chiropractic degree and studied nutrition extensively while in chiropractic college. She was certified by the state of Wisconsin in nutritional counseling in 2007.  She completed a two year national board certification in clinical nutrition in 2013. She is the only Diplomate on the Chiropractic Board of Clinical Nutrition (D.C.B.C.N.) in the Fox Valley area. 

What if all I want to do is a detoxification/cleanse?

Dr. Kemps needs to screen you to make sure you are a good candidate. This involves filling out the health history and a  15-30 minute appointment.  We will  then order the proper detoxification kit for you, and can get you started.