Elisheva Chamblin, PT

Mark F. Schwall, PT

Rudolph Vidi, PT


Advanced Care for:

 Acute & chronic tendonitis

 Adhesive capsulitis

 Ankle sprains

 Arthritis and joint pain

  Auto accidents

  Back & Neck

  Carpal tunnel syndrome

 de Quervain’s disease

 Difficulty walking/balance

 Headaches & TMJ

  Hip pain

  Knee, elbow pain

 Lat. & medial epicondylitis

  Leg pain/sciatica


Morton’s neuroma

Patellofemoral pain

Plantar fasciitis

Postsurgical rehabilitation

Postural syndromes

Rotator cuff tendonitis/bursitis

Shoulder pain

Spinal dysfunction

Sports injuries

Workers’ compensation

Woman’s health Vertigo/BPPV

Bicycle Ergometer

Electrical Stimulation

Joint replacement rehab

Lymphedema massage

McKenzie spinal program

Neuromuscular Re-education


Skilled joint mobilization

Soft-tissue mobilization

State of the Art Cold Laser

SportsArt Treadmill

SportsArt UBE

Sports Rehabilitation

Therapeutic Exercise


Compassionate Care with Proven Results:

Two convenient locations:


1322 Route 72 W., Suite 1

Manahawkin, NJ 08050

(609) 489-0230

fax: (609) 489-0232

Toms River

1594 Route 9, Unit 2

Toms River, NJ 08755

(732) 557-9319

fax: (732) 557-9519

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Risk Factors Identified for “Runner’s Knee”

MRI of the knee

Image via Wikipedia

Newswise — From professional athletes to weekend warriors, the condition known as “runner’s knee” is a painful and potentially debilitating injury suffered by millions of people – although until now, it has been unclear just what causes it.

But new research from the University of North Carolina at Chapel Hill has zeroed in on what appear to be the main culprits of the condition, formally known as patellofemoral pain syndrome.

The study is believed to be the first large, long-term project to track athletes from before they developed runner’s knee, said study co-author Darin Padua, Ph.D., associate professor of exercise and sport science in the UNC College of Arts and Sciences.

“Earlier studies have usually looked at people after the problem sets in,” Padua said. “That means that while previous research has identified possible risk factors related to strength and biomechanics, it’s been unclear whether those caused the injury, or whether people’s muscles and the way they moved changed in response to their injury.”

The research appears in the November issue of the American Journal of Sports Medicine.

Runner’s knee – the bane of many types of exercise, from running to basketball to dance – affects one in four physically active people. If unchecked, it can lead to more serious problems such as patellofemoral osteoarthristis.

“Patellofemoral pain syndrome can be devastating,” said Padua. “The pain can severely curtail a person’s ability to exercise and the symptoms commonly reoccur. That said, athletes often have a high pain threshold and may ignore it. But if they do, their cartilage may break down – and if that gets to the point of bone on bone contact, nothing can be done to replace the damaged cartilage.”

Padua and his colleagues studied almost 1,600 midshipmen from the United States Naval Academy. Researchers analyzed participants’ biomechanics when they first enrolled at the academy, then followed them for several years to see if they developed patellofemoral pain syndrome.

A total of 40 participants (24 women and 16 men) developed the syndrome during the follow-up period. The study found:

• Participants with weaker hamstring muscles were 2.9 times more likely to develop the syndrome that those with the strongest hamstrings
• Those with weaker quadriceps muscles were 5.5 times more likely
• Those with a larger navicular drop (a measure of arch flattening when bearing weight) were 3.4 times more likely
• Participants with smaller knee flexion angle (those whose knees bent less on landing during a jump test) were 3.1 times more likely

Padua said the pain associated with the condition could be explained by those different factors coming together to create a focal point of pressure between the kneecap and the underlying bone.

“Overall, these people generally have weaker quads and hamstrings. As a result, they don’t bend their knees as much when doing task, such as running or jumping. That means the contact area between the kneecap and the femur is smaller, so pressure is focused and pinpointed on a smaller area.

“Also, the more a person’s arch falls when bearing weight, the more their whole leg may rotate inwards. That will mean their kneecap won’t track properly, leading to yet more pressure and more potential pain.”

Padua said the good news is that the study appears to confirm that if people can change the way they move and improve their leg strength, they can prevent or correct the problem.

Everyday athletes can also spot for themselves whether they are at risk: if their knee crosses over the big toe when squatting; the arches of their feet collapse when landing from a jump; and if they do not bend their knees much when they land, they stand a greater chance of developing the syndrome, Padua said.

The researchers are now looking into which exercises are best for improving the biomechanics involved. They have also developed a simple screening tool, called LESS (Landing Error Scoring System), for identifying people most at risk of runner’s knee and similar conditions, and of suffering ACL (anterior cruciate ligament) injuries.

The study’s lead author was Michelle C. Boling, Ph.D., a UNC doctoral student at the time of the study, now an assistant professor at the University of North Florida, Jacksonville, Florida. Other co-authors are Kevin Guskiewicz, Ph.D., professor and chair of the UNC exercise and sport science department; Stephen W. Marshall, Ph.D., associate professor of exercise and sport science, and of epidemiology and orthopedics in the UNC Gillings School of Global Public Health and the UNC School of Medicine, respectively; Scott Pyne, M.D, United States Naval Academy, Annapolis, Md.; and Anthony Beutler, M.D, Uniformed Services University of the Health Sciences, Bethesda, Md.

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Elisheva Chamblin, PT recognized by American Cancer Society Cancer Action Network, Eastern Division 

Press Release

For Immediate Release


Manahawkin, NJ, November 18, 2009:  Elisheva Chamblin, PT, a founding partner of Future Physical Therapy in Manahawkin, NJ and Toms River, NJ was recognized by the American Cancer Society Cancer Action Network (ACS CAN) at the November 12th, 2009 meeting of the ACS CAN in New Brunswick, NJ.  On behalf of the District 3 ACS CAN Team, Elisheva accepted the 2009 New Jersey Ambassador Team Award.

As a Breast Cancer Survivor herself, Elisheva has been a passionate and tireless advocate both in her professional life as a physical therapist that specializes in post-breast cancer rehabilitation and in her role as an advocate for ACS CAN on behalf of all cancer patients.


For more information contact Mark F. Schwall, PT by phone at 732-557-9319 or by email at


Acetaminophen Risks Can be Great

This article With this Drug, Enough is Enough from today's Washington Post points out the risks sometimes associated with common over the counter medications that many patients take to relieve common musculoskeletal pain.  As it's page title states, Acetaminophen: Good Painkiller can be deadly if overused.  And overused can be anything even slightly over the recommended dose.

If you are dealing with musculoskeletal pain, consider Physical Therapy as a safer and effective alternative to drugs.  You liver may thank you for it.


Low Level Laser Therapy Shown to be Effective for Neck Pain 

In an article published on Medscape "Laser Therapy Effective for Acute Neck Pain" evidence shows that the use of Low Level Laser Therapy is an effective treatment for acute neck pain.  Future Physical Therapy offers Low Level Laser Therapy as well as an active program of manual therapy and therapeutic exercise which are also supported by current research as effective treatments for neck pain.


Future Physical Therapy Celebrates its Sixth Anniversary

A decorated birthday cake


Future Physical Therapy, PC is celebrating six years of serving the Ocean County community.  Since November of 2003, we have sought to provide residents of Ocean County with the compassionate care and proven results that we brought to this practice with well over 30 years of combined professional experience. 

With offices in Toms River and Manahawkin, we provide Physical Therapy services to treat a wide range of functional impairments caused by musculoskeletal and neurological and cancer conditions.  Whether it is a knee injury, back pain or some other orthopedic condition, stroke or other injury to the nervous system or upper extremity lymphedema caused by treatment for breast cancer, we are here to serve our community.

We thank our many loyal patients and referring physicians for the continued opportunity to be of service.