Fall Prevention Tips by Dr Marshall P. Allegra

It seems that from the moment you learn to walk, you also learn to struggle not to fall. Falls Prevention Awareness, celebrated in September, is a national health campaign observed on the first day of fall to increase awareness around falls health and injury prevention.

The reporting of falls has increased over the years.  Many falls do not cause injuries, although some falls do cause serious injury such as broken bones or a head injury.  There are a significant number of falls that are severe enough to require medical attention each year.

As reported by the Center for Disease Control (CDC), next to the elderly, children between zero to four years old and youths between fifteen to nineteen years old are the most at risk to suffer from a head injury caused by a fall. The severity of head injuries can differ depending on the fall’s impact, but one of the most severe outcomes of hitting your head when you fall is Traumatic Brain Injury (TBI).

We have all seen children trip on air, their own feet and general clumsiness. Many of these falls are preventable. There are strategies to protect our children from fall-related injuries which include:

  • Supervision is the key!
  • Installing safety gates on stairs and guards on windows to prevent falls by young children.
  • Providing a soft-landing surface below playground equipment.
  • Using the proper safety equipment, such as knee pads, elbow pads, wrist guards, and helmets, while playing sports.
  • Removing fall hazards whenever possible (objects on the floor, clutter, unsecured area rugs, extension cords).

Across all age groups and regions, all genders are at risk of falls. Risk factors effecting the adult population include:

  • occupations at elevated heights or other hazardous working conditions.
  • alcohol or substance use.
  • socioeconomic factors including poverty, overcrowded housing, sole parenthood, young maternal age.
  • underlying medical conditions, such as neurological, cardiac, or other disabling conditions.
  • side effects of prescription and over-the-counter medication, physical inactivity, and loss of balance, particularly among older people.
  • poor mobility, cognition, and vision, particularly among those living in an institution, such as a nursing home or chronic care facility.
  • unsafe environments, particularly for those with poor balance and limited vision.

Older adults are very vulnerable to falls. When a senior falls, the chances of more serious injury due to their age is worrisome.   There are many risk factors which can be modified to prevent them. Just as you had to child proof your toddler’s environment, the same needs to be done for our senior citizens. Observe their home in terms of possible tripping and falling risks. Accident-proof your home; getting rid of tripping hazards, adding grab bars in vulnerable areas like the shower and toilet, improve the lighting throughout the home, use non-slip mats in the bathroom and area rugs throughout the home.

How can you prevent falls and strengthen your body against them?

  • Do exercise regularly, especially those that will improve balance.
  • Have your vision checked regularly.
  • Wear flat, wide toed shoes
  • Remain active
  • Do appropriate weight training to strengthen legs.

What should you do when a fall occurs?

First and foremost, stay calm. Take a moment to assess your situation. Do you feel pain? Is there blood? Are you able to move?

If you are not hurt, try to get up from the floor slowly and carefully. Call a friend, family member or neighbor and let them know

If you are hurt or unable to get off the floor, call for help and keep warm and moving as best you can while you wait. Fall alert pendants and bracelets are wonderful tools, as are smart speaker such as Alexa. Use your phone to call a neighbor or friend, or 911 if you feel you are injured.

Whether or not you think you are injured, you should still be checked over by your doctor for injuries and even possible causes of the fall. You should be more concerned when:

  • A person falls more than twice in a year, especially if the falls occur inside the house
  • There is loss of consciousness or difficulty in remembering the events surrounding the fall
  • A person stays on the ground for several hours

If you are unsure of the cause of the fall and whether or not you may have sustained injury, it would be our pleasure to see you for a consultation.

Dr. Marshall P. Allegra is a board-certified orthopedic surgeon in private practice in Monmouth County for over 25 years. As an experienced diagnostician, Dr. Allegra can expertly determine your bone health, injuries, and then determine the best treatment options to boost your normal life, restore functionality and range of motion as quickly as possible and avoid long term implications.

Joint Replacement in Monmouth County that Avoids A Hospital Stay

It’s Spring and that is a time to get out there and revive your garden, get back to enjoying the great outdoors and renew your own spirit!

Except for that pesky pain in your hip, or is it your knee?  If you have gone from doctor to doctor in all different modalities of medicine.  Chiropractor… Physical Therapist… Pain Management… Orthopedist…they may have told you the same thing.  You need a joint replacement.

Dr. Marshall P. Allegra performs both partial and total joint replacement surgical procedures for patients from Monmouth County and surrounding areas. In many cases, Dr. Allegra can perform total joint replacement surgery in an outpatient setting, or same day surgery in a hospital or surgical center.

Partial and total joint reconstructive surgery procedures can relieve severe pain and loss of motion in joints that do not respond to more conservative treatment. Replacement surgeries are most usually performed on the hip, shoulder, or knee. Prosthetic replacement joints are made of durable materials designed to fit together smoothly and move like regular joints.

Ninety percent of people who go through hip or knee replacement have osteoarthritis. Other possible issues leading to hip replacement surgery may be to correct problems related to broken bones or other medical conditions, such as osteonecrosis.

On one hand, you are lucky to be a candidate for total replacement.  Not everyone is. You have no contraindications that would suggest potential risks outweighing the benefits of surgery. If you have an infection in the bone, severe osteoarthritis which makes for brittle bones, cannot handle follow up surgical instructions, or use tobacco in any form may make you ineligible.

Some of the indications that replacement surgery may be your future:

  • When the pain interferes with your daily life
  • Difficulty walking, climbing stairs, and getting in and out of chairs
  • Pain is moderate to severe even while at rest.
  • Range of motion during normal activities is limited.
  • Limping.
  • Non-steroidal anti-inflammatory drugs (NSAIDs), physical therapy, steroid injections don’t adequately relieve pain
  • Need the use of a cane or walker.

Dr. Marshall Allegra performs both partial and total joint replacement surgical procedures for patients from Monmouth County and surrounding areas. Partial joint replacement surgeries are minimally invasive procedures, most commonly performed on weight-bearing joints such as the knees and hips. Hip replacement surgery can be performed traditionally or by using what is considered a minimally invasive technique. The main difference between the two procedures is the size of the incision.

 

In many cases, Dr. Allegra is even performing total joint replacement surgery in an outpatient setting, or same day surgery in a hospital or surgical center.  Overall stay in the hospital, if necessary, is reduced to one to two days for most patients rather than the typical four to six days. Speak to Dr. Allegra about whether your individual needs qualify for this. How and where you recover depends on you, and your personal health issues.

Not sure if you are a candidate for joint replacement? Dr. Marshall P. Allegra is a board-certified orthopedic surgeon in private practice in Monmouth County for over 25 years. As an experienced diagnostician, Dr. Allegra can expertly determine your bone health, injuries, and then determine the best treatment options to boost your normal life, restore functionality and range of motion as quickly as possible and avoid long term implications.

Total Joint Replacement surgeries were impacted by Covid-19

Total Joint Replacement surgeries were impacted by Covid-19. There is an estimated decline in these types of surgeries in 2020 of 12.1%, not because the need was not there. The medical world was otherwise occupied.

Technology is amazing in every field, but especially the field of orthopedic surgery. This was not an overnight occurrence, the severity of joint pain has led to many experimental surgeries to replace worn out, painful joints. First ever orthopedic prostheses and implants were found in Egyptian mummies dating back to over 3000 years ago!

Because of arthritis and injuries, our joints tend to get irreversibly damaged, leaving us with limited mobility and in pain. More than a million Americans have joint replacement surgery every year. Thanks to technology in medicine, there is no need to suffer in pain and reduced mobility. It is time to get back to enjoying life.

KNEES

The knee is the largest joint in the body and having healthy knees is required to perform most everyday activities. The most common cause of chronic knee pain and disability is arthritis. Although there are many types of arthritis, most knee pain is caused by just three types: osteoarthritis, rheumatoid arthritis, and post-traumatic arthritis. Nearly 1/2 of American adults will develop knee osteoarthritis in at least one knee in their lifetime.

The production of the total knee arthroplasty began way back in the early 1860s. A German surgeon first surgically implanted a hinge joint made of iron. It was not until 1951 that an acrylic hinge joint was introduced, then switching to cobalt and chrome in 1958. In the 1960s, a metal-on-polyethylene total hip arthroplasty was introduced, which inspired elements of total knee replacement. In 1968, the first-ever total knee replacement surgery was completed.

Since then, there have been continued efforts in perfecting sizing, better instrumentation, better range, and the option of patella-femoral replacement. The degree of invasiveness has changed drastically, and the recovery time has as well. In many cases, a hospital stay is no longer necessary, and surgery can be performed in an outpatient facility. More than 90% of people who have knee replacement surgery experience a dramatic reduction in knee pain.

HIPS

When the hip joint is exposed to injury or arthritis, the layer of protective cartilage that lines it becomes damaged, causing extreme pain. Hip joint is a ball and socket joint, which connects our legs to the body. It is a weight bearing joint, taking the entire load of our body.

The earliest recorded attempts at hip replacement occurred in Germany in 1891. Extensive research began over a century ago to explore the possibility of hip replacement.

Different versions of hip arthroplasty had advantages and disadvantages. Metal-on-metal, ceramic-on-ceramic, and metal-on-polyethylene all had their pros and cons. Hybrid hips and cementless hips were experimented with. Throughout the years, the surgery has become much less invasive and, using computer assisted surgery improves accuracy. A combination of conventional surgical technique, computerized navigation and CT scan-based customization has resulted in the latest “Robotic” technology for joint replacements.

450,000 hip replacements are performed in the United States each year. According to the Arthritis Foundation, it was estimated that over 78 million people in the U.S. who are 18 years of age or above are anticipated to be diagnosed with arthritis by 2040.

SHOULDER

Also a ball-and-socket joint, the shoulder allows your arm to move up and down, forward, and backward and in a circular motion. Ligaments connect the bones, while the tendons connect muscles to the bone. Cartilage keeps the bones apart, so they do not rub against each other.

Although less common than hip or knee replacements, more than 50,000 shoulder replacements are done in the U.S. each year.

Three types of shoulder replacement surgeries:

  • Total shoulder replacement: It replaces the ball at the top of your humerus with a metal ball, which gets attached to the remaining bone. The socket gets covered with a new plastic surface.
  • Partial shoulder replacement: Only the ball gets replaced.
  • Reverse shoulder replacement: The metal ball gets attached to your shoulder bones, and a socket is implanted at the top of your arm. Used to repair torn rotator cuffs.

Because the shoulder is not weight bearing, the recovery time is much less. Most patients go home the same day and physical therapy will be needed.

Not sure if you are a candidate for joint replacement? Dr. Marshall P. Allegra is a board-certified orthopedic surgeon in private practice in Monmouth County for over 25 years. As an experienced diagnostician, Dr. Allegra can expertly determine your bone health, injuries, and then determine the best treatment options to boost your normal life, restore functionality and range of motion as quickly as possible and avoid long term implications.

Bone Joint Health

Yes, it’s a given…regular exercise has enormous benefits for health.

Why?  Most importantly, it will diminish the risk of heart attack, stroke, and premature death.

Need more reason? Consider the many studies that link physical activity to protection against diabetes, obesity, high blood pressure, osteoporosis and fractures, depression, insomnia, dementia, colon cancer, breast cancer, and possibly prostate cancer.

In actuality, only about 1/3 of American adults get the exercise they need. Lack of time seems to be the most common reason. Moderate exercise can be built into daily life.  It is important to speak with your doctor about your health before beginning any fitness program.

There is also a nasty little rumor that exercise causes arthritis. Studies show that exercise can be safe for joints, both in older, overweight folks and in athletes.

The younger you start, the better the benefits, although it is never too late to start. The best time to build bone density is during years of rapid growth. Our peak bone mass in maximum strength and density is achieved in our late twenties. Exercise can prevent or slow bone loss, maintain muscle mass to preserve and strengthen surrounding bone, and decrease the risk of falling. Both men and women also need good nutrition, calcium, and Vitamin D to preserve their bone mass.

Weight-bearing, strength training or resistance exercises are the very best for your bones. Weight-bearing exercises force you to work against gravity.  What that does is increase your bone density, your muscle strength, your flexibility, as well as boost your mood and your cognitive function.

Bone mass decreases with age naturally. Women will typically lose 30 to 50 percent and men 20 to 30 percent of their bone density over a lifetime.

What is considered a weight bearing/strength training/resistance exercise?

 

  • walking
  • hiking
  • jogging
  • climbing stairs
  • Racquet sports
  • dancing
  • lifting weights
  • Resistance Training

An effective exercise program for bone health includes 30 minutes of weight-bearing activity, four or more days a week. Start slow, take rest days, and always use proper form. The benefits of lifting weights include building muscle, burning body fat, strengthening your bones and joints, reducing injury risk, and improving heart health. 

Choose an activity that you enjoy, maybe one that combines social tine. There are many activities that will get you on your feet and moving.

Adding strength training to your workouts is a great way to improve your overall fitness, from burning body fat and strengthening your bones to preventing injury and making your heart healthier. Other exercises such as swimming and bicycling can help build and maintain strong muscles and have excellent cardiovascular benefits. Tai Chi and yoga provide significant flexibility and balance training benefits.  Strengthening balance is essential to prevent dangerous falls for seniors.

Keeping your joints healthy should begin with the initial goal of reducing the wear and tear on the cartilage over time. Some of the best exercises you can wrap into your routine to support your joint health.

  • Cross-training
  • Flexibility exercises
  • Stretching exercises
  • Aerobics
  • Cardiovascular exercises
  • Low-impact exercises
  • Bicycling,
  • Paddleboarding,
  • Walking
  • Swimming
  • Weight training

Exercise can have a colossal influence on your mood. In fact, it is thought that exercise can be just as effective as anti-depressants in treating mild-to-moderate depression. It will increase your energy levels, help you get a good night’s sleep, improve your self-esteem, increase your confidence, and relieves the stress.

Not sure if you are a candidate to begin a workout regime? Dr. Marshall P. Allegra is a board-certified orthopedic surgeon in private practice in Monmouth County for over 25 years. As an experienced diagnostician, Dr. Allegra can expertly determine your bone health, injuries, and then determine the best treatment options boost your normal life, restore functionality and range of motion as quickly as possible and avoiding long term implications.

Good Old Summertime is here!

Yippee, after months of hibernation and social distancing, the Good Old Summertime is here! It seems like forever since we were able to be at our normal activity level.

Increased activity means an increase in injuries, especially if you have been a sofa spud for over a year. Sports account for 2/3 of the hospitalizations that occur outside of the home. In 2019, that totaled 2.3 million injuries.

Take is slow and easy, build up to where you used to/think you should be. Do not forget to warm-up and stretch, hydrate to avoid problems, wear your sunscreen, plan your safety gear, and take breaks as you need to. An avoidable injury or issue can kill the rest of your summer.

In many sports, they advise to keep your eye on the ball.  When it comes to your family, keep your eyes on the kids.

Here are some helpful tips and facts to help you have a safe and injury-free summer.

·         AMUSEMENT PARK, STATE FAIR AND CARNIVAL RIDE INJURIES: safety rules and restrictions should be followed, and thought should be put into the appropriate clothing and shoes to wear.
·         ATV, MOPED AND MINIBIKE INJURIES: Using ATVs on paved roads is an accident waiting to happen. By all means, enforce helmet wearing and proper clothing to protect your family. Make sure the vehicle is age appropriate, if they are too young to drive then maybe they need to be a passenger.
·         BASEBALL AND SOFTBALL INJURIES: While they are non-contact sports, injuries happen less frequently. Keep the safety gear on, warm up and stretch. This can help prevent common strains and sprains.
·         BICYCLE INJURIES: Wearing a helmet will reduce the chance of a head injury by 85 percent. Be mindful of overuse injuries by starting out too aggressively. Do stretches to create flexibility. Shift your posture occasionally to avoid neck tension.
·         PLAYGROUND INJURIES: Studies indicate that roughly 7 out of 10 playground injuries happen because of a fall or an equipment failure. Choose a playground that is age appropriate for your children. Proper play clothing and shoes can help your child stay safe. Safety ground cover is so important. the best play surface is rubber or wood chips, which give some cushion for falls. Monkey bars, climbing equipment and swings are the most likely to be injured on. Supervision is key.
·         SWIMMING INJURIES: supervision is key with youngsters for obvious reasons. Swimmer’s Shoulder, neck injuries, knee issues and swimmer’s ear go hand and hand with increased water exposure. Diving boards, and diving in general, while fun, can lead to serious head and neck injuries.
·         TEAM SPORTS INJURIES: Basketball, Soccer and Football injuries are on the higher side as these are contact sports. Warmups and cool-downs are key to preventing many injuries, including the severe sprains, torn cartilage, and damaged anterior cruciate ligaments (ACLs). Use all safety equipment fitted for your player.
·         TRAMPOLINE INJURIES: while great fun, trampolines cause nearly 100,000 injuries in a one-year period among children, some being life threatening and serious. Roughly 20% are injuries to the spinal cord.  Supervision cannot be stressed enough. Too many on at the same time, improper surface, trying daring stunts all lead to an increased danger level.  Sprains and fractures are the most common among them, but bruises, bumps and bloody noses are also a concern.
·         VOLLEYBALL INJURIES: Staying fit and stretch and warm up time before a game is essential. A softer playing surface has its pluses and minuses.
·         WATER SPORTS INJURIES: Many of these injuries can be prevented with preseason conditioning and a purposeful warm up before your exercise.
·         YARDWORK AND HOME IMPROVEMENTS caused 775,000 in 2019, mostly due to eye injuries and fingers.  Get the proper safety gear, please.

 

Dr. Marshall P. Allegra is a board-certified orthopedic surgeon in private practice in Monmouth County for over 25 years. As an experienced diagnostician, Dr. Allegra can expertly determine injuries, and then determine the best treatment options to return you back to your normal life, restoring functionality and range of motion as quickly as possible and avoiding long term implications.

Knee And Hip Replacement

Dr Allegra is now performing total joint replacement surgery on selected patients in an outpatient setting. Hip and knee replacement can now be performed in a same day surgery setting in the hospital or even a surgical center. Overall stays in hospitals, when necessary, are reduced to one or two days in the majority of patients.

If you have ever suffered from joint pain, you will know it can be excruciating…especially your knee and your hip.  You don’t realize how often you use a joint until it screams at you in pain.

Unfortunately, due to Covid19, so many people are living with the pain to avoid doctors’ appointments and elective surgery.  At Allegra Orthopedics, we have taken all precautions to keep our patients and staff safe. That being said, do not suffer needlessly.

Joints are moving parts that can become weak and painful.  The layer of cartilage which protects the bones from rubbing against each other thins and erodes over time. The rubbing of bone on bone limits your range of motion and impacts your daily life with pain.

Knee Replacement Surgery, or arthroplasty, has come a long way and is now one of the most common bone surgeries in the United States with over 600,000 being performed annually. We offer several options depending on what your need is:

  • Total knee replacement- replaces the surfaces of the thigh bone and shin bone that connects to the knee.
  • Partial knee replacement-minimally invasive procedures if you have strong knee ligaments and the rest of the cartilage in the knee is normal.

 

This type of surgery involves removal and replacement of damaged parts of the hip joint that have irreversible damage. Over 300,000 hip replacement surgeries are performed in the United States every year.

Hip replacement surgery can be performed traditionally, or by using what is considered a minimally invasive technique. The main difference between the two procedures is the size of the incision. Dr. Allegra can explain your options and help you understand the risks and benefits of each type of surgery.

Dr Allegra is performing total joint replacement surgery on selected patients in an outpatient setting. Hip and knee replacement can now be performed in a same day surgery setting in the hospital or even a surgical center. Overall stays in hospitals, when necessary, are reduced to one or two days in the majority of patients.  Speak to Dr. Allegra about whether your individual needs qualify for this. How and where you recover depends on you and your individual needs.

Our most popular post-surgery comment from patients who have had either surgery tends to be “Why did I wait so long?”.  Your day-to-day suffering with the painful joints so outweighs the surgery and recovery.

Dr. Marshall P. Allegra is a board-certified orthopedic surgeon in private practice in Monmouth County for over 25 years. As an experienced diagnostician, Dr. Allegra can expertly determine injuries, and then determine the best treatment options to return you back to your normal life, restoring functionality and range of motion as quickly as possible and avoiding long term implications.

 

Think well, live well, be well.

Dr. Marshall P. Allegra

879 Poole Avenue, Hazlet New Jersey, 07730
Phone: (732) 888-8388


  • This field is for validation purposes and should be left unchanged.

October is Bone and Joint Health Awareness Month!

Every October, the United States Bone and Joint Initiative promotes Bone and Joint Health Awareness Week. Their focus is on educating the general public about musculoskeletal (bone and joint) conditions.

Why October?

  • October 12 – World Arthritis Day
  • October 16 – World Spine Day
  • October 17 – World Trauma Day
  • October 19 – World Pediatric Bone and Joint (PB&J) Day
  • October 20 – World Osteoporosis Day

Bone and joint diseases affect roughly 50% of the nation’s population. The disease presents itself in the form of arthritis in various kinds, Spondyloarthritis, osteoporosis, Metabolic bone diseases, Scoliosis, fractures, and muscle and ligament injuries and is a leading cause of chronic pain and physical disability worldwide for backs, knees, and hips. These conditions include everything from childhood conditions to advanced arthritic issues in elderly patients.

The Baby Boom generation started becoming eligible for Medicare beginning in 2011. The older we get, the more frequently we fall down and go boom while still leading increasingly healthy and active lives.  One of the keys to the outreach program is prevention as part of joint and bone health.

How can you help keep your bones and joints healthy?

  • Keep a healthy body weight – Additional weight can increase the stress on your hard-working joints.
  • Physical activity helps maintain your bone density as you age.
  • Exercise keeps your joints limber
  • Improve your balance
  • Make smart food choices rich in calcium and vitamin D which helps your body to absorb this essential nutrient.
  • Seek medical advice for bone or joint pain, don’t wait until you are at crisis level. Your pain can be something simple but possibly a sign of a major health issue. The sooner you intervene the better.
  • Live…but live cautiously

Globally, musculoskeletal conditions are the most common causes of severe long-term pain and physical disability. Thanks to improved medical care, we have a population throughout the developed world that lives longer. Along with the long life and increasing pain comes an increase in costs to treat the joint diseases which account for half of all chronic conditions in the elderly. In the United States alone, musculoskeletal conditions are a foremost source of disability, accounting for more than 130 million annual patient visits to medical professionals.

Forty percent of all women over the age of 50 years are expected to suffer at least one osteoporotic fracture in their lifetime. Traffic accidents account for as much as 25% of all health care expenditures in developing nations due to our increasingly mobile society.

If you are feeling symptoms indicating a musculoskeletal injury, it will save you time and money to go to an orthopedic specialist directly instead of seeing your primary care physician first, if your insurance coverage will allow this.

When to go straight to Dr. Allegra

  • If a soft tissue injury has not shown improvement in 48 hours
  • If you have chronic pain in the joints and bones, especially in the neck, knee, hips, elbows, and/or back
  • Changes in range of motion and function in joints; pain, stiffness
  • Unable to perform your everyday tasks because of your symptoms
  • Change in posture

Dr. Marshall P. Allegra is a board-certified orthopedic surgeon in private practice in Monmouth County for over 25 years. As an experienced diagnostician, Dr. Allegra can expertly determine injuries, and then determine the best treatment options to return you back to your normal life, restoring functionality and range of motion as quickly as possible and avoiding long term implications.

Think well, live well, be well.


CONTACT US TODAY

  • This field is for validation purposes and should be left unchanged.

Shouldering Shoulder Pain

Now that the world is opening up a bit, especially for outdoor activities, certain body parts and joints may be making themselves known to you.  Most have had it very easy for the last 4-5 months and do not share your exuberance to resuming your athletic life.

One particularly cranky one can be your shoulders, especially if you play golf, tennis, baseball, volleyball or even if you swim.  You do not have to play a contact sport like football to get injured.  Repetitive motion can make joints irritable.  We rely on our shoulders to support many of our most basic motions, including pushing, pulling, lifting, and throwing. Anything you do with repetitive or strenuous motion can impair functionality, range of motion, and cause you pain.

Be on the lookout for signs of:

Shoulder Arthritis– loss of the normal cartilage (smooth surfaces) that line your shoulder joint.  This makes moving your shoulder and arm painful and inflamed. If you have trouble lifting your arm, hear a clicking when you do, or have pain, stiffness, or redness in the area…it could be a sign.

Frozen Shoulder– the capsule of connective tissue that surrounds the shoulder thickens and contracts which leads to stiffness and shoulder pain from restricted movement. This typically affects adults ages 40 to 60. It can also be caused by diabetes, hypothyroidism, hyperthyroidism, Parkinson’s, or cardiac disease.

Rotator Cuff – The collarbone, the upper arm bone, and the shoulder blade form the Shoulder. The group of muscles which are attached to the shoulder are known together as the Rotator Cuff, which gives you your range of motion.  This group is prone to tendonitis, bursitis, and tears.  You may experience weakness, tenderness, limited range of motion, snapping or cracking sensations and your sleep may be affected since you just cannot get comfortable.

Dislocations – The humerus bone can become partially or completely separated from the socket from a bad fall, accident, or strong contact during sports.  You may experience symptoms of swelling, numbness, weakness, bruising, pain, instability, and even muscle spasms.

Fractures– Broken bones can affect the shoulder, such as your collar bone, upper arm (humerus), shoulder blade (Scapula).  The older you get, the more prone you are to fractures because of osteoporosis.

Instability- when muscles and ligaments are not strong enough to hold the bones in the socket securely, loose, or torn ligaments are comment as well as dislocations

Separation – Often confused with dislocation, this happens when the connection between the shoulder blade and collar bone are disrupted. This would cause severe pain and possible a deformed appearance.

Impingement– when you raise your arm above shoulder height, the space between your shoulder blade and rotator cuff narrows and can rub or press on the tendon and bursa.

In pain?  Need a shoulder to cry on? Don’t have a chip on your shoulder, you should not have to shoulder the burden of injury or pain.  If you are experiencing any of the symptoms described, call Dr. Marshall Allegra.  He promises not to give you the cold shoulder!

Dr. Marshall P. Allegra is a board-certified orthopedic surgeon in private practice in Monmouth County for over 25 years. As an experienced diagnostician, Dr. Allegra can expertly determine injuries, and then determine the best treatment options to return you back to your normal life, restoring functionality and range of motion as quickly as possible and avoiding long term implications.

 

Think well, live well, be well.

Dr. Marshall P. Allegra

879 Poole Avenue, Hazlet New Jersey, 07730
Phone: (732) 888-8388

Spring Brings Eternal Hope…For Golf

We have all heard the saying Hope Springs Eternal, which is taken to mean that people will continue to hope although it seems unlikely.  Well, we can all hope that Spring will bring eternal health, happiness, and the joy of life back to us after weathering the last several months in quarantine.

It appears as though our elected officials are testing the waters, allowing some access to parks and the great outdoors.  Even the golf courses are open!

That being said, within a short period of time after a delayed golf season being declared, the phone starts to ring with golf injuries.  Be mindful that for the last few months most people have been a combination of lounge lizard and couch-potato…you need to ease into the roll of Tigger and slow your roll to avoid injuries.

Most golf injuries are a result of poor mechanics and overuse. Non-golfers do not understand that you use your entire body to execute a golf swing in a complicated, coordinated movement.  It truly is a sport and not just a hobby.

Most common injuries in golf

  • Back pain
  • Elbow tendonitis
  • Rotator cuff
  • Shoulder pain
  • Knee pain
  • Wrist pain

You may want to play a round of air golf before you hit the course. Similar to air guitar, this is practicing your swing motion without the club in hand.  This will loosen up your joints and muscles to the once familiar swing motion.  Warming up before playing any sport is essential.

Working on your mobility can ward off evil injuries. Stretching and rotating your knees, hips and lower back as well as your neck and shoulders feels wonderful and is a great help. Balance plays a big part in your game and your safety.  Work on your core strength and cross body coordination as well as the oblique muscles needed for your ultimate torso rotation/swing.

Playing a full 18 holes requires a lot of repetitive movements, putting stress on the same muscles, tendons, and joints time after time. To try and avoid injuries:

  • Ease into the 18-hole game with a shorter one at first.
  • Dress for success with proper footwear and appropriate clothing for the weather
  • Don’t forget your sunscreen, sunglasses and a hat
  • Warm up for 10-15 minutes to stretch and increase your range of motion
  • Be mindful of posture- poor posture leads to back, neck and shoulder pain
  • Brace yourself if certain body parts tend to be weak and need support

 

If you are experiencing pain apply ice/a cold pack for 15-20 minutes at a time to reduce inflammation, every 3 hours if possible. You can use heat when inflammation subsides. Rest it out, take an anti-inflammatory or analgesic if allowed.

If the pain does not diminish within a few days to a week, you might be wise to visit an Orthopedic Specialist to rule out serious or chronic injuries.

Be smart and maintain social distancing and wear your mask as long as it is recommended. The golf course may be open, but life is not quite back to normal yet.

 

Think well, live well, be well.

Dr. Marshall P. Allegra

879 Poole Avenue, Hazlet New Jersey, 07730
Phone: (732) 888-8388

Dr. Marshall P. Allegra is a board-certified orthopedic surgeon in private practice in Monmouth County for over 25 years. As an experienced diagnostician, Dr. Allegra can expertly determine injuries, and then determine the best treatment options to return you back to your normal life, restoring functionality and range of motion as quickly as possible and avoiding long term implications.

Coping with Quarantine- Don’t let Corona Get the Better of You and Yours

Life is not easy for anyone, anywhere right now.  You have the threat of physical illness, financial worries, shortages of necessities, children home 24/7 driving you nuts, weak and elderly loved ones you can’t get to and a sense of isolation.

Staying positive is so important. Don’t watch that sad movie, don’t dwell on the fears, continually count your blessings.

Here are some ideas to come out of this traumatic life event in one piece and maybe a little wiser, healthier, and happier.

  • Physical exercise is really important, though this may be particularly hard confined to home. Consider jump roping, Yoga, Tai Chi, or Pilates from online classes or something you find on the web. 10 minutes a day makes a difference.
  • Turn up some good music and dance, dance, dance. Keep moving and your heart pumping. Usually within five minutes after moderate exercise you get a mood-enhancement effect.
  • Walk off your anxiety, with or without Fido and the kids. Fresh air and sunshine does wonders for the mood and the endorphins need an airing out too. Chat with your neighbors from 6 feet away.
  • Create a daily routine, it will add structure to your day. Set your alarm clock regardless, get yourself dressed to start your day, you will feel better and more purposeful.
  • If you work at home, keep your routine as close to going to work as possible including getting dressed.
  • Take breaks from the news stories in any format, including social media. You are living a pandemic, you don’t need to be hearing about it repeatedly, adding to your stress.
  • Don’t stress eat, nothing good will come of it. Try to eat healthy, balanced meals.
  • Search the web for new recipes you never had the time or energy to try before. Take the food pantry challenge, what delicious meals can you make from what you have at home already to avoid going shopping. Make it a family activity, divide into teams to see who comes up with the best meals.
  • Ease off on the caffeine and avoid alcohol. Caffeine makes many anxious and jumpy and alcohol, while it gives you that lovely buzz, is a depressant.
  • Make the most out of family time while you have this opportunity. Don’t share your anxiety with your children. Your kids are already stressed with what they hear, try alleviating their fears by making an adventure out of it as much as possible. They are stuck in with no school, no afterschool activities, no friends.
  • Take that online course you have been considering, sharpen your skill set. Learn a language or musical instrument!
  • Clean and organize your home, doing all the things you never had time to do before. If you have your family around you, make it a group effort.
  • Social isolation is a terrible thing. Connect with others. Make a list of people that you want to check in on, especially those who bring your spirits up. Reach out to people you might not have spoken with in a long time. Avoid Debby Downer and Sad Sam. Make use of facetime and Zoom to see their faces and know they are well.
  • If you love the outdoors, gardening is actually a low-impact workout.  Pulling weeds can burn 200 calories an hour, but more so it puts you in touch with nature and renews your spirit.
  • It is early spring in New Jersey, spend time on the web planning out your perennials and vegetable garden so when it is time to sow, you are in the know.

Think well, live well, be well.

Dr. Marshall P. Allegra

879 Poole Avenue, Hazlet New Jersey, 07730
Phone: (732) 888-8388

Dr. Marshall P. Allegra is a board-certified orthopedic surgeon in private practice in Monmouth County for over 25 years. As an experienced diagnostician, Dr. Allegra can expertly determine injuries, and then determine the best treatment options to return you back to your normal life, restoring functionality and range of motion as quickly as possible and avoiding long term implications.