Author Archives: Joe Hilbert

  1. Top 10 Things to Know & Do for Non-Alcoholic Fatty Liver Disease (NAFLD)

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    Expert Tips from Tiffany Rios, RD, CDE of Shore Physicians Group

    If you’ve recently been diagnosed with non-alcoholic fatty liver disease (NAFLD), you’re not alone—this condition affects nearly one in four adults worldwide. The good news? NAFLD can often be reversed through lifestyle changes. To help guide you, we turned to Tiffany Rios, RD, CDE of Shore Physicians Group’s Endocrinology Division for her expert advice.

    1. Lose Weight (If Overweight) – Even 5–10% Helps
      “Losing just 5–10% of your body weight can significantly reduce liver fat and inflammation,” says Rios. Aim for gradual weight loss—1 to 2 pounds per week—to avoid stressing the liver further.
    2. Cut Out Processed Sugar & Refined Carbs
      Avoid sugary drinks, white bread, and processed snacks. Instead, choose whole grains, non-starchy vegetables, and healthy fats. “These swaps can dramatically improve blood sugar and liver function,” Rios explains.
    3. Prioritize Lean Protein to Support Liver Function
      Choose lean poultry, fish rich in omega-3s, eggs, and plant-based proteins like lentils. “Limit red and processed meats, which can contribute to inflammation,” says Rios.
    4. Exercise Regularly – Aim for 150 Minutes a Week
      “A combination of aerobic exercise and strength training improves liver fat content and insulin sensitivity,” notes Rios. Even brisk walking for 30 minutes five times a week can make a difference.
    5. Reduce or Eliminate Alcohol
      “Even though NAFLD isn’t caused by alcohol, drinking can still damage the liver,” cautions Rios. Limit to one drink per day for women, two for men—or avoid it altogether.
    6. Support Your Liver with Key Nutrients
      Helpful supplements include Vitamin E (400–800 IU), Omega-3s (2,000 mg), milk thistle, berberine, and choline. Niacin (vitamin B3) is also beneficial for NAFLD, as it helps reduce oxidative stress in the liver and may improve liver enzyme levels. Typical courses of niacin range from 500 mg to 2,000 mg daily, but it’s important to consult your doctor before starting, since higher doses require monitoring. “These nutrients have been shown to support liver detox and reduce fat accumulation,” says Rios. Avoid high-dose iron or vitamin A unless your doctor advises it.
    7. Stay Hydrated with Liver-Friendly Drinks
      Drink 8–10 cups of water daily. Green tea and black coffee—without sugar—may help reduce liver fat. “Skip sugary beverages and diet sodas, which can do more harm than good,” Rios advises.
    8. Manage Blood Sugar & Insulin Resistance
      High insulin levels worsen NAFLD. Rios recommends pairing protein with fiber at every meal and following a low-carb or Mediterranean-style eating plan to keep blood sugar stable.
    9. Improve Gut Health – It’s All Connected
      “A healthy gut can help reduce liver inflammation,” says Rios. Add probiotics, prebiotic foods like garlic and onions, and avoid artificial sweeteners.
    10. Get Regular Liver Checkups & Monitor Progress
      Stay proactive with liver enzyme tests and imaging like ultrasounds. “Monitoring your liver health helps prevent progression to more serious conditions like NASH or fibrosis,” warns Rios.

    The Bottom Line

    NAFLD is a wake-up call—but it’s one you can answer with lasting changes. With the right diet, exercise, and support, your liver has the power to heal.

    Tiffany Rios is a Registered Dietician and Certified Diabetes Educator with Shore Physicians Group’s Endocrinology office located at 18 West New York Ave in Somers Point, NJ. To schedule an in-person or virtual appointment with Tiffany Rios, call 609.365.5300.

  2. How Salmon and Omega-3s May Help Slow the Aging Process

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    A recent study has brought renewed attention to the potential anti-aging benefits of omega-3 fatty acids, particularly those found in fatty fish like salmon. The research found that individuals who maintained higher levels of omega-3s in their bloodstream showed markers of slower biological aging, largely due to reduced chronic inflammation.

    Offering insight into the findings is Kristy Liekfet, APN, a nurse practitioner specializing in Adult Gerontology and Primary Care at Shore Physicians Group’s primary care office located at 401 Bethel Road in Somers Point. Liekfet works closely with patients managing chronic diseases and has a strong understanding of how dietary choices can impact long-term health.

    “Based on the study design and the outcomes presented, it appears to be a good study,” Liekfet said. “The evidence supports the idea that regular intake of omega-3 fatty acids can play a role in slowing the biological processes associated with aging.”

    Omega-3 fatty acids are known for their anti-inflammatory properties. “One of the key drivers of aging and age-related diseases is chronic inflammation,” she explained. “Omega-3s help reduce this inflammation, and that reduction may help protect against cellular damage and maintain healthy body systems.”

    Liekfet also pointed out that omega-3s support healthy cell membranes, which enhances cellular resilience and function. “This helps protect cells from oxidative stress and damage caused by free radicals, which are factors closely linked to the aging process.”

    When asked about practical dietary strategies, Liekfet highlighted salmon as an excellent source of omega-3s but also cautioned against overconsumption due to potential mercury exposure. “Salmon once or twice a week is generally considered safe and beneficial, but people should be mindful of mercury levels, especially if they consume large quantities of fish,” she advised.

    She also emphasized that omega-3s can be obtained from a variety of sources. “Other fatty fish such as mackerel, herring, anchovies, whitefish, and bluefin tuna provide similar benefits. For those who prefer plant-based options, flaxseeds, chia seeds, and walnuts are excellent sources of omega-3s. Supplements are also a safe and effective alternative for individuals who do not consume fish regularly.”

    Liekfet stressed the importance of preparation methods to maximize health benefits. “How salmon is cooked matters. Frying or adding mayonnaise-based dressings can negate some of the nutritional benefits. Baking, grilling, or preparing salmon with olive oil and lemon are healthier options.”

    She also recommended avoiding processed oils like vegetable or canola oil and instead opting for olive oil or other heart-healthy fats.

    “There’s no single fountain of youth,” Liekfet concluded. “But we do have tools at our disposal—healthy diet, regular exercise, and smart supplementation—that can support aging gracefully. Omega-3s are one of those tools, and when incorporated thoughtfully into the diet, they can have a meaningful impact on long-term health.”

    Kristy Liekfet, APN, specializes in Adult Gerontology and Primary Care. She treats patients at Shore Physicians Group’s Primary Care office located at 401 Bethel Road in Somers Point, NJ. To schedule an appointment with Kristy Liekfet, call 609.365.6200.

  3. Back in Action: How Minimally Invasive Spine Surgery Is Changing Lives

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    When people hear the words “spine surgery,” it often conjures images of long hospital stays, large incisions, and lengthy recoveries. But thanks to advances in technology and technique, those ideas are becoming a thing of the past. Dr. Michael Spadola, a Penn Medicine neurosurgeon treating patients through Shore Physicians Group’s Neurosurgery Division in Somers Point, NJ, is helping rewrite that narrative—one small incision at a time.

    Dr. Spadola specializes in minimally invasive spine surgery, an approach that offers remarkable benefits for patients, especially older adults. Using advanced tools like tubular retractors, he’s able to access the spine through an incision just centimeters long, working through the body’s natural tissue planes rather than cutting through muscle.

    “This kind of surgery minimizes injury to normal structures in the body,” explains Dr. Spadola. “That means less pain for the patient, especially in older adults who are more likely to have arthritis and degenerative spine changes. The recovery is much faster, and patients are getting back to their lives in days, not weeks.”

    Minimally invasive techniques can be used to treat a range of spinal conditions, including herniated discs, spinal stenosis, degenerative disc disease, and spondylolisthesis—a condition where one vertebra slips over another. The Society for Minimally Invasive Spine Surgery offers further detail on these and other procedures.

    In the past, these types of procedures required large incisions and days of hospitalization. Today, many are performed as same-day surgeries, dramatically reducing the physical trauma of surgery and the burden on patients and their families.

    Dr. Spadola sees firsthand how the perception of spine surgery hasn’t caught up with reality. “A lot of people still think spine surgery means wearing a back brace or staying in the hospital for a week,” he says. “But with these techniques, people are often up and walking the same day.”

    For older patients in particular, the benefits are profound. Because the surgery avoids major muscle dissection, the recovery is not only faster, but also safer, reducing the risks of complications and prolonged immobility. Research backs this up, showing that minimally invasive spine surgery patients return to normal activities and even work much sooner than those who undergo traditional open procedures.

    Dr. Spadola recommends patients considering spine surgery talk to their doctor about minimally invasive options—and to do their research from reputable sources. “There are plenty of studies out there showing the advantages. The key is finding information from trusted medical organizations and providers,” he says.

    With growing awareness and access to skilled neurosurgeons like Dr. Spadola, patients in South Jersey now have more options than ever to relieve their pain and reclaim their mobility—without the long road to recovery. For more information or to schedule an appointment, call Shore Physicians Group Neurosurgery Division at 609-365-6239.

  4. Blood in Your Urine? It Could be a Sign of Bladder Cancer

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    By Erica H. Lambert, MD
    Board Certified Urologist & Robotics Expert
    Shore Physicians Group

    Bladder cancer is a disease that often goes unnoticed until it reaches an advanced stage, making awareness and early detection critical. This type of cancer develops in the bladder, the organ responsible for storing urine, and occurs when abnormal cells begin to grow uncontrollably in the bladder lining. While it can affect anyone, certain risk factors significantly increase the likelihood of developing the disease.

    Each year in the United States, tens of thousands of people are diagnosed with bladder cancer. In 2025 alone, an estimated 84,870 new cases are expected, with men disproportionately affected—about 65,080 cases compared to 19,790 in women. The mortality rate remains concerning, with approximately 213,000 deaths from bladder cancer annually.

    The Hidden Risks Behind Bladder Cancer

    One of the biggest culprits behind bladder cancer is smoking. It is the single most significant risk factor, with smokers facing a risk up to four times higher than non-smokers. The reason? Harmful chemicals in tobacco smoke enter the bloodstream, get filtered by the kidneys, and accumulate in the bladder, damaging its lining over time. Age and gender also play a role, as the disease is more common in older adults and significantly more prevalent in men.

    But smoking isn’t the only concern. Occupational exposure to certain chemicals—such as those found in dyes, paints, and industrial solvents—has also been linked to bladder cancer. Chronic urinary tract infections, long-term catheter use, and even genetic predisposition can contribute to a person’s risk. In rare cases, a parasitic infection called schistosomiasis has been associated with squamous cell carcinoma of the bladder.

    Recognizing the Warning Signs

    The most common—and often the first—symptom of bladder cancer is blood in the urine. This may be visible to the naked eye or only detected under a microscope during routine testing. Unfortunately, many people, especially women, mistake this symptom for a urinary tract infection and delay seeking medical attention. Unlike a UTI, bladder cancer doesn’t usually come with pain or discomfort in its early stages, making it even easier to overlook.

    When symptoms persist, a urologist may recommend a cystoscopy, a procedure similar to a colonoscopy but for the bladder. This allows doctors to examine the bladder directly and detect any abnormalities. Additional imaging tests, such as CT scans and ultrasounds, can also help in diagnosis, along with urine cytology, which looks for abnormal cells in the urine.

    Breaking Barriers in Treatment

    The treatment for bladder cancer depends on its stage and severity. The first step is typically to remove the tumor, but further intervention may be needed depending on whether the cancer has spread. Fortunately, medical advancements have expanded treatment options, offering patients more effective and less invasive solutions.

    Innovative treatments—such as intravesical chemotherapy delivered directly into the bladder, and for advanced cases, robotic-assisted bladder removal surgery—are improving outcomes and are available right here at Shore. At Shore Cancer Center, a member of the Penn Cancer Network, we take a multidisciplinary approach, working closely with top medical oncologists like Dr. Vijay Sandilya and Penn Medicine Radiation Oncologist Dr. John Wilson. Our tumor board meets monthly to discuss complex cases, ensuring that patients receive the most comprehensive and personalized care—all without having to travel far from home.

    Prevention: What You Can Do

    The most powerful step you can take to reduce your risk of bladder cancer is quitting smoking. The benefits increase over time; within 25 years of quitting, a former smoker’s risk becomes nearly equivalent to someone who has never smoked.

    Lifestyle adjustments, such as staying well-hydrated and reducing exposure to harmful chemicals, may also help protect the bladder. While there is no standard screening test for bladder cancer, smokers and individuals at higher risk should consider regular urinalysis to check for blood in their urine. Early detection remains key.

    Final Thoughts

    Bladder cancer is a serious condition, but awareness can make all the difference. If you notice blood in your urine, don’t ignore it—seek medical advice. While there may be other explanations, such as kidney stones or an enlarged prostate, only a proper evaluation can rule out cancer. Your health is too important to leave to chance.

    About Dr. Erica Lambert

    Erica H. Lambert, MD, is a board-certified urologist and robotic surgery expert with over 15 years of experience specializing in robotic, laparoscopic, and minimally invasive treatments for bladder, kidney, and prostate cancer. She earned her medical degree from Thomas Jefferson University and completed advanced training at New York-Presbyterian and Vanderbilt University. Recently relocating to South Jersey, Dr. Lambert is excited to bring her expertise to the community and provide cutting-edge urologic care at Shore Medical Center. Dr. Lambert will begin seeing patients at Shore Cancer Center beginning April 29.

  5. Understanding Measles and the Importance of Vaccination Amidst Recent Outbreaks

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    A recent measles outbreak in Texas has raised concerns about the resurgence of this highly contagious disease. With confirmed cases reported across multiple states and the tragic death of an unvaccinated child—the first measles-related fatality in the U.S. in nearly a decade—health officials are urging the public to take preventive measures. Measles is a vaccine-preventable illness, yet declining vaccination rates have contributed to its return in communities that were once protected. Understanding what measles is, how it spreads, and why vaccination is crucial can help prevent further outbreaks and protect public health.

    What Is Measles?

    Measles is a highly contagious viral infection caused by the measles virus. It primarily affects the respiratory system and is known for its characteristic red, blotchy skin rash. The virus spreads through respiratory droplets when an infected person coughs or sneezes, and it can remain viable in the air for up to two hours, making transmission exceptionally easy.

    Symptoms and Complications

    Initial symptoms of measles appear 7 to 14 days after exposure and include high fever, cough, runny nose, and red, watery eyes. These are followed by a distinctive rash that typically starts on the face and spreads downward. While many individuals recover without complications, measles can lead to severe health issues such as ear infections, diarrhea, pneumonia, encephalitis (brain swelling), and, in rare cases, death. Children under five, adults over 20, pregnant women, and immunocompromised individuals are at higher risk for these complications.

    The Role of Vaccination

    Vaccination is the most effective measure to prevent measles. The Measles, Mumps, and Rubella (MMR) vaccine is approximately 97% effective after two doses. The Centers for Disease Control and Prevention (CDC) recommend that children receive the first dose at 12 to 15 months of age and the second dose at 4 to 6 years of age. For those who have not been vaccinated according to this schedule, it’s crucial to consult with a healthcare provider to determine the appropriate course of action.

    Addressing Vaccination Concerns

    Some individuals have reservations about vaccines, often due to misinformation. It’s important to understand that the MMR vaccine has been extensively studied and is proven to be safe and effective. Common side effects are typically mild, such as a low-grade fever or mild rash, and serious adverse reactions are exceedingly rare. The benefits of vaccination far outweigh the minimal risks, as vaccines not only protect the individual but also contribute to community immunity, safeguarding those who cannot be vaccinated due to medical reasons.

    Consequences of Non-Vaccination

    Choosing not to vaccinate increases the risk of contracting and spreading measles. Unvaccinated individuals are susceptible to infection, which can lead to outbreaks, especially in communities with low vaccination rates. The recent outbreak in Texas, primarily affecting unvaccinated populations, exemplifies the dangers of declining vaccination coverage. Without treatment, measles can progress to severe complications, and while supportive care can manage symptoms, there is no specific antiviral treatment for the virus itself.

    Preventive Measures and Recommendations

    To protect yourself and your community, ensure that you and your family are up-to-date with the MMR vaccination. If you’re uncertain about your vaccination status or have concerns about the vaccine, please consult your healthcare provider. They can provide personalized advice and address any questions you may have. Maintaining high vaccination rates is essential to prevent future outbreaks and protect public health.

    In light of the current situation, it’s more important than ever to rely on accurate information and make informed decisions about vaccination. Your health and the well-being of our community depend on it.

    The contents of this article have been reviewed by Dr. Megan McQuarrie with Shore Physicians Group. Dr. McQuarrie treats patients at Shore Physicians Group’s office located at 1645 Haven Ave, Suite C in Ocean City, NJ. To schedule an appointment with Dr. McQuarrie call 609.399.6263.

  6. Healing Hands: Expert Care from Hand Surgeon, Dr. Jasmine Bauknight

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    In the intricate world of hand surgery, Dr. Jasmine Bauknight has established herself as a physician who takes the time to listen, investigate, and solve complex problems that others might miss. As a hand and upper extremity surgeon at Shore Physicians Group’s Orthopaedic Division in Somers Point, she brings a methodical yet personalized approach to treating conditions that affect some of the body’s most complex structures.

    “The hand is incredibly intricate – there’s a lot going on in a small space,” Dr. Bauknight explains. “There are multiple joints, tendons, nerves, everything packed together. What might seem like a straightforward problem could actually be coming from several different sources.”

    Tailoring Treatment to Each Patient

    Dr. Bauknight doesn’t believe in a one-size-fits-all treatment plan. “Medicine isn’t just about following a textbook. It’s about what works best for the patient,” she says. She takes into account their job, daily activities, and personal preferences when deciding on a treatment plan. “Sometimes, getting to the bottom of an issue takes more than one visit. I appreciate when patients trust me to take the time to figure out what’s really going on.”

    Her reputation extends far beyond the local area. “I’ve had patients travel from as far as Long Island and Toms River for treatment,” Dr. Bauknight says. One patient, after a successful surgery on her finger, returned a year later from Long Island for wrist surgery. Recognizing the burden of long travel, Dr. Bauknight accommodates these patients with virtual follow-ups and therapy recommendations closer to home.

    Navigating Common and Complex Conditions

    While some conditions, like tendon lacerations, have clear-cut solutions, others—such as carpal tunnel syndrome, arthritis, or trigger finger—require a more layered approach. “Many patients assume their hand pain is just carpal tunnel, but it’s often more complicated,” she explains. By carefully evaluating symptoms and conducting detailed examinations, she ensures patients receive the right treatment, whether it’s bracing, medication, therapy, or surgery.

    For arthritis, Dr. Bauknight follows a step-by-step approach, starting with bracing, anti-inflammatories, and injections before considering surgery. “I always tell patients, ‘We treat the person, not the X-ray.’ Some patients have severe-looking arthritis on imaging but minimal pain, while others have mild imaging changes but significant discomfort.”

    Carpal tunnel syndrome, on the other hand, is often underestimated. “People think of it as a simple nuisance, but it can lead to permanent weakness and numbness if left untreated,” she warns. “If you’re experiencing tingling or burning sensations in your hand, don’t ignore it. Get checked before it’s too late.”

    Practical Safety Tips for Hand Health

    Dr. Bauknight shares key advice for preventing hand injuries:

    • Remove rings immediately after an injury. Swelling can make it impossible to remove the ring, leading to the finger not getting adequate blood supply and serious complications.
    • Use caution with power tools and knives. Many of Dr. Bauknight’s patients suffer injuries from woodworking accidents or improper knife handling.
    • Seek help for nerve injuries quickly. Tendon and nerve repairs have a limited window for repair—waiting too long could result in permanent damage.

    The Most Rewarding Part of Her Work

    For Dr. Bauknight, the greatest joy comes from finally providing relief to patients who have struggled for years. “When someone tells me, ‘I can finally do the things I love again,’ it makes all the effort worthwhile,” she says. “Many patients refuse to go anywhere else because we’ve built a trust. That’s an incredible honor.”

    With her deep expertise and compassionate approach, Dr. Jasmine Bauknight is making a lasting impact on patients’ lives—one hand at a time.

    About Dr. Jasmine Bauknight

    Dr. Jasmine Bauknight, MD, is an orthopedic hand and upper extremity surgeon specializing in conditions affecting the elbow, wrist, forearm, hand, and fingers. She treats fractures, arthritis, tendon and nerve injuries, as well as conditions like carpal and cubital tunnel syndrome, trigger finger, mallet finger, and Dupuytren’s contracture.

    Dr. Bauknight also addresses sports-related injuries such as tennis and golfer’s elbow, TFCC injuries, ligament tears like skier’s thumb and scapholunate ligament injuries, and tendon conditions including DeQuervain’s tenosynovitis and tendon lacerations. Additionally, she treats wrist pain from ganglion cysts and nerve lacerations, and even cases of “avocado hand.”

    A New Jersey native, Dr. Bauknight earned her undergraduate and medical degrees from Brown University, completed her residency at Howard University Hospital, and pursued a fellowship in Hand and Upper Extremity at Allegheny General Hospital. As a former chief resident, she is dedicated to helping patients regain function and return to the activities they love. In her spare time, she enjoys playing percussion, piano, and guitar, attending musicals, kayaking, and samba dancing.

    Click here to learn more about Dr. Bauknight, or call 609-365-6280 to make an appointment today. Dr. Bauknight practices at SPG’s Orthopaedic Division, located at 710 Centre Street, 2nd floor, Somers Point, NJ.

  7. Unlock Your Strength: Embrace Bodyweight Exercises for Total Fitness

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    Embarking on a fitness journey doesn’t require expensive equipment or gym memberships. Bodyweight exercises offer a practical and effective way to build strength, enhance flexibility, and improve overall health, all within the comfort of your home. These exercises utilize your body’s weight as resistance, making them accessible to individuals of all fitness levels.

    Benefits of Bodyweight Exercises

    Bodyweight exercises are functional movements that mimic everyday activities, promoting better movement patterns and reducing the risk of injury. They engage multiple muscle groups simultaneously, leading to improved coordination and balance. Additionally, these exercises can be easily modified to increase or decrease difficulty, allowing for continuous progression as your strength and endurance improve.

    Upper Body Exercises

    Push-Ups

    Benefits:

    • Strengthen the chest, shoulders, triceps, and core muscles.
    • Enhance upper body muscular endurance.
    • Stabilize the shoulder blades to decrease risk of neck pain

    How to Perform Safely:

    • Begin in a plank position with your hands placed slightly wider than shoulder-width apart.
    • Keep your body in a straight line from head to heels, engaging your core throughout the movement.
    • Lower your body by bending your elbows until your chest nearly touches the floor.
    • Push through your palms to return to the starting position while stabilizing your shoulder blades

    Safety Tips:

    • Maintain a neutral spine to avoid sagging or arching your back.
    • If standard push-ups are challenging, perform them on your knees or against a wall to reduce resistance.

    Demonstration Video: Proper Push-Up Form

    Pull-Ups

    Benefits:

    • Target the back, shoulders, and biceps.
    • Improve grip strength and upper body power.

    How to Perform Safely:

    • Grasp a pull-up bar with an overhand grip, hands slightly wider than shoulder-width apart.
    • Hang with your arms fully extended and engage your core. Make sure shoulder blades stay back.
    • Pull your body upward until your chin is above the bar.
    • Lower yourself back to the starting position with control.

    Safety Tips:

    • Avoid swinging or using momentum; focus on controlled movements.
    • Avoid shrugging shoulders up. This can cause strain to your neck.
    • If pull-ups are too difficult, use resistance bands for assistance or perform inverted rows as a modification.

    Demonstration Video: Proper Pull-Up Technique

    Squats

    Benefits:

    • Strengthen the quadriceps, hamstrings, glutes, and calves.
    • Enhance core stability and balance.

    How to Perform Safely:

    • Stand with your feet shoulder-width apart, toes slightly pointed outward.
    • Initiate the movement by pushing your hips back, then bend your knees to lower your body.
    • Descend until your thighs are parallel to the ground, keeping your chest upright.
    • Press through your heels to return to the standing position.

    Safety Tips:

    • Ensure your knees track over your toes without extending past them.
    • Keep your weight distributed evenly across your feet.
    • Do not squat your hips below your knees

    Demonstration Video: Proper Squat Form

    Lunges

    Benefits:

    • Target the glutes, quadriceps, hamstrings, and calves.
    • Improve unilateral (one-sided) strength and coordination.

    How to Perform Safely:

    • Stand upright with your feet together.
    • Step forward with one leg, lowering your hips until both knees are bent at approximately 90-degree angles.
    • Ensure your front knee is directly above your ankle, and your back knee hovers just above the floor.
    • Push through the heel of your front foot to return to the starting position, then repeat on the opposite side.

    Safety Tips:

    • Maintain an upright torso throughout the movement.
    • Avoid letting your front knee collapse inward.

    Demonstration Video: Proper Lunge Technique

    Incorporating these bodyweight exercises into your fitness routine can lead to substantial improvements in strength, flexibility, and overall health. They offer the convenience of being performed anywhere and can be modified to match your fitness level. As with any exercise regimen, prioritize proper form and listen to your body to prevent injury.

    The contents of this article have been reviewed by Dr. Dante Marconi with Shore Physicians Group. Dr. Marconi treats patients at Shore Physicians Group’s Orthopaedic Division offices located at 710 Centre Street, 2nd Floor in Somers Point, NJ, and 4450 East Black Horse Pike, Mays Landing, NJ. To schedule an appointment with Dr. Marconi, call 609-365-6280.

  8. Palliative Care in the Outpatient Setting: Enhancing Quality of Life for Patients with Chronic Illness

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    When people hear the term “palliative care,” they often think of hospice or end-of-life care. However, palliative care is much broader—it is specialized medical care focused on improving the quality of life for people living with chronic illnesses. In an outpatient setting, palliative care provides patients with ongoing symptom management, helping them maintain independence and avoid unnecessary hospitalizations.

    At Shore Physicians Group, Kristy Liekfet, APN, is dedicated to supporting patients with conditions such as congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), diabetes, and chronic kidney disorders. COPD, a progressive lung disease that makes breathing difficult, is one of the many conditions where symptom management plays a crucial role in keeping patients well and out of the hospital.

    A Holistic Approach to Chronic Disease Management

    Unlike acute medical treatments that focus on curing disease, palliative care takes a holistic approach to managing chronic conditions. This specialized care includes pain management, emotional support, and assistance with treatment decisions. The goal is to help patients live comfortably while maintaining as much independence as possible.

    “Palliative care is about managing chronic illnesses in a way that helps patients feel their best while staying out of the hospital,” says Kristy Liekfet, APN. “We work closely with patients to help them manage their symptoms, whether that’s shortness of breath, fatigue, pain, or emotional distress.”

    Through regular outpatient visits, palliative care providers assess each patient’s unique needs and adjust treatment plans accordingly. This may include medication adjustments, lifestyle recommendations, or referrals to physical therapy and other supportive services.

    Preventing Hospitalizations and Emergency Visits

    One of the most significant benefits of outpatient palliative care is its ability to reduce hospital admissions. Many patients with chronic conditions experience frequent exacerbations, which can lead to emergency room visits and hospital stays. By proactively managing symptoms and addressing issues before they become critical, palliative care helps prevent these disruptions to a patient’s life.

    For example, a patient with CHF may struggle with fluid retention and shortness of breath. Without proper management, these symptoms could escalate, requiring hospitalization. Through palliative care, this patient can receive close monitoring, medication adjustments, and dietary guidance to prevent complications.

    Enhancing Communication and Decision-Making

    Palliative care also plays a crucial role in helping patients and their families navigate complex medical decisions. Many chronic conditions come with difficult choices regarding treatment options and long-term care planning. Palliative care specialists help patients understand their options and make informed decisions based on their goals and values.

    Additionally, palliative care teams coordinate with primary care physicians and specialists to ensure seamless communication and comprehensive care. This team-based approach ensures that patients receive well-rounded support tailored to their needs.

    A Compassionate and Supportive Care Option

    Palliative care in the outpatient setting is a compassionate and proactive approach to managing chronic illness. It empowers patients to take control of their health while minimizing hospital visits and improving their overall well-being.

    By focusing on symptom relief, emotional support, and personalized care plans, specialists like Kristy Liekfet, APN, are helping patients live fuller, more comfortable lives. If you or a loved one is managing a chronic illness, exploring palliative care as part of your healthcare plan could make a meaningful difference.

    The contents of this article have been reviewed by Kristy Liekfet, APN with Shore Physicians Group. Kristy treats patients at Shore Physicians Group’s Primary Care office located at 401 Bethel Road in Somers Point. To schedule an appointment with Kristy Liekfet, APN, call 609-365-6200.

  9. Finding Relief from Neck and Back Pain: Is Disc Replacement Surgery Right for You?

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    Chronic neck and back pain can be debilitating, making even the simplest daily tasks difficult. While many people find relief through conservative treatments like physical therapy and medication, others require surgery to address underlying spinal issues. For those facing surgery, disc replacement is emerging as a more effective alternative to traditional spinal fusion, preserving mobility and reducing the risk of future complications.

    At Shore Physicians Group’s Neurosurgery Division, Penn Medicine neurosurgeon Dr. Michael Spadola specializes in treating spinal conditions with advanced surgical techniques, including cervical and lumbar disc replacement. If you are experiencing persistent pain that hasn’t improved with nonsurgical treatments, Dr. Spadola can help determine if disc replacement is the right solution for you.

    When Surgery Becomes Necessary

    Neck and back pain can result from a variety of conditions, including degenerative disc disease, herniated discs, spinal stenosis, and injuries. In many cases, these issues can be managed without surgery. However, if you are experiencing chronic pain, numbness, weakness, or reduced mobility, it may be time to consider surgical options.

    For decades, spinal fusion was the go-to procedure for patients requiring surgery. While effective at stabilizing the spine, fusion limits mobility and can place added stress on adjacent discs, leading to further degeneration over time. Disc replacement offers a modern alternative that maintains natural spinal movement while effectively relieving pain.

    Cervical vs. Lumbar Disc Replacement

    Disc replacement surgery is designed to replace a damaged or degenerated spinal disc with an artificial one, allowing for normal motion in the spine. The procedure can be performed in two primary areas:

    Cervical Disc Replacement (Neck)

    • Used to treat herniated discs or degenerative disc disease in the neck
    • Helps relieve pain, stiffness, and nerve compression that can cause weakness in the arms or hands
    • Allows patients to maintain natural head and neck movement

    Lumbar Disc Replacement (Lower Back)

    • Aimed at treating degenerative disc disease in the lower spine
    • Helps relieve lower back pain, sciatica, and leg numbness
    • Preserves natural motion, reducing the likelihood of future disc problems in adjacent areas

    Why Choose Disc Replacement Over Fusion?

    Disc replacement offers several advantages compared to fusion surgery, including:

    • Preserved Mobility – Unlike fusion, which restricts movement, disc replacement allows for normal spinal function.
    • Lower Risk of Adjacent Segment Disease – Fusion increases stress on nearby discs, potentially causing future degeneration.
    • Faster Recovery – Many patients experience a quicker return to daily activities compared to fusion surgery.
    • Reduced Need for Future Surgeries – Because disc replacement maintains flexibility, it lowers the risk of requiring additional procedures later.

    If you are struggling with persistent neck or back pain and want to explore disc replacement surgery, Dr. Michael Spadola at Shore Physicians Group’s Neurosurgery Division is here to help. As a Penn Medicine neurosurgeon, Dr. Spadola specializes in the latest spinal surgical techniques, ensuring that patients receive top-quality care tailored to their needs.

    Dr. Spadola treats patients at 155 Medical Center Way, Somers Point, NJ, providing state-of-the-art spinal care in a convenient location. If you are considering surgery for neck or back pain, a consultation with Dr. Spadola could be your first step toward lasting relief and restored mobility.

    To learn more or to book an appointment, contact Shore Physicians Group Neurosurgery Division today by calling 609.365.6239.

    The contents of this article have been reviewed by Dr. Michael Spadola, a Penn Medicine neurosurgeon. Dr. Spadola treats patients at Shore Physicians Group’s Neurosurgery Division office located at 155 Medical Center Way in Somers Point, NJ. To schedule an appointment with Dr. Spadola, call 609-365-6239.

  10. Silent Signals: Unexpected Signs Your Heart May Be in Trouble

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    When we think of heart problems, we often imagine crushing chest pain or dramatic shortness of breath. But sometimes, the heart sends more subtle warning signs that are easy to overlook. These symptoms may not seem related to the heart at all, but ignoring them could be dangerous.

    Knowing these less obvious signs—and how they can differ between men and women—can help you recognize when it’s time to seek medical attention.

    1. Unexplained Fatigue That Won’t Go Away

    Feeling exhausted for no clear reason could be your heart struggling to keep up. This type of fatigue isn’t just feeling tired after a long day—it’s a deep, unshakable sense of exhaustion.

    • Women, in particular, may notice feeling drained even after mild activities like grocery shopping or making the bed.
    • Men are more likely to dismiss extreme tiredness, but if it comes on suddenly, it shouldn’t be ignored.

    2. Sleep Disturbances and Restlessness

    Many people don’t realize that poor sleep can be linked to heart trouble. If you find yourself waking up frequently, struggling to breathe, or feeling restless at night, your heart may not be functioning properly.

    • Sleep apnea—a condition where breathing repeatedly stops during sleep—is a major risk factor for heart disease.
    • Women with heart issues are more likely to report trouble falling or staying asleep.
    • Men often experience snoring and gasping for air, which could indicate oxygen deprivation.

    3. Jaw, Neck, or Upper Back Pain

    Heart pain isn’t always felt in the chest. Sometimes, it radiates to other areas, making it easy to mistake for muscle strain or a dental issue.

    • Women are more likely to experience pain in the jaw, neck, or upper back rather than in the chest.
    • Men tend to report left arm pain, but some may feel discomfort in the shoulders or throat.

    If you have unexplained discomfort in these areas that comes and goes or worsens with activity, it could be heart-related.

    4. Persistent Nausea or Digestive Issues

    Heart problems can sometimes feel like an upset stomach, acid reflux, or even food poisoning.

    • Nausea, vomiting, bloating, or indigestion that doesn’t seem to have a clear cause could be a red flag.
    • Women are more likely to experience stomach-related symptoms before or during a heart attack.

    If you feel unwell after eating, experience sudden appetite loss, or have ongoing stomach discomfort, it might not just be your digestive system—it could be your heart.

    5. Lightheadedness or Feeling Like You Might Faint

    Dizziness and feeling like you’re about to pass out can be signs that your heart isn’t pumping enough blood to the brain.

    • This can happen suddenly, even when standing up too fast.
    • It could be linked to low blood pressure or abnormal heart rhythms, which can increase stroke and heart attack risk.

    If dizziness is frequent, unexplained, or paired with chest discomfort, seek medical attention.

    6. Cold Sweats and Unusual Anxiety

    A sudden, clammy sweat—especially if you’re not exercising or overheating—can be a silent sign of heart distress.

    • Some people mistake it for a symptom of stress or panic attacks.
    • Women experiencing heart trouble often report feeling anxious or having a sense of doom before a heart event.

    If you break out in a sweat for no reason and feel off, don’t ignore it—it could be your body’s way of warning you.

    Trust Your Body’s Signals

    Heart symptoms aren’t always obvious, and they don’t always follow the classic “Hollywood heart attack” scene. If something feels different or unusual, listen to your body and don’t dismiss the warning signs. A quick check-up with your primary care provider could make all the difference.

    The contents of this article have been reviewed by Rosario Alfaro, APN with Shore Physicians Group. Rosario treats patients at Shore Physicians Group’s Primary Care office located at 2605 Shore Road in Northfield. To schedule an appointment with her, call 609-365-5300.

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