Author Archives: Joe Hilbert

  1. Perimenopause: Understanding Subtle Signs and Talking to Your Doctor

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    If you’re a woman in your 30s or 40s and have started noticing some strange changes—like unexpected heart palpitations, dry itchy skin, or brain fog—you’re not alone. These subtle, sometimes confusing symptoms may be signs of perimenopause, the natural transitional phase before menopause.

    Perimenopause happens because your ovaries begin producing less estrogen and progesterone, hormones that not only regulate your menstrual cycle but also influence many other systems throughout your body. These hormonal shifts can affect your brain, heart, skin, joints, and more, causing a wide range of symptoms that often feel unrelated or hard to explain.

    According to Dr. Kaitlin Healy of Shore Physicians Group’s Ocean City primary care office, recognizing and talking about these symptoms openly with your healthcare provider is key.

    “There’s no one-size-fits-all experience for perimenopause,” Dr. Healy explains. “But it’s crucial your doctor listens to you carefully. Even if a symptom doesn’t fit textbook descriptions, it’s still valid and worth addressing.”

    A Holistic and Validating Approach

    Dr. Healy takes a patient-centered approach, emphasizing the importance of validation and partnership in care. She encourages women to share all symptoms, even those that seem vague or unrelated.

    “I might not always have an immediate answer,” she says, “but I’m here to work through it with you. The goal is to help you regain a good quality of life.”

    Historically, women’s health issues during perimenopause have often been dismissed or minimized with reassurances that symptoms aren’t serious. But when symptoms disrupt daily life, such explanations don’t help. The good news? Awareness and research on perimenopause are growing.

    “In the past couple of years, I’ve seen more research and more providers specializing in hormone health and a broader recognition that hormonal changes can start earlier and cause diverse symptoms,” Dr. Healy notes.

    Beyond Hot Flashes: The Lesser-Known Symptoms of Perimenopause

    While irregular periods and hot flashes are well-known signs, perimenopause can cause a surprisingly wide range of symptoms, including:

    • Heart palpitations or increased anxiety
    • Sleep disturbances
    • New or worsening headaches
    • Itchy or dry skin
    • Joint aches and pain
    • Heightened sensitivity to temperature
    • Changes in body odor
    • Mood swings or emotional sensitivity
    • Hair thinning or loss
    • Tingling or “pins and needles” sensations
    • Fatigue or brain fog

    “When patients come in with vague symptoms like palpitations or joint pain, I consider whether hormonal changes might be involved,” says Dr. Healy. “I’ve seen many women improve significantly after connecting with the right provider or trying hormone therapy and lifestyle adjustments.”

    The Importance of Evaluation and Open Conversation

    Dr. Healy typically begins with a thorough evaluation can include hormone panels (like estrogen, progesterone, testosterone), thyroid function tests, vitamin levels (such as D and B12), iron studies, and an EKG if cardiac symptoms are present.

    She cautions that lab results don’t always tell the full story.

    If needed, Dr. Healy refers patients to specialists in hormone replacement therapy and women’s wellness, aiming to empower women with options tailored to their unique needs.

    “There’s no single solution for every woman,” she says. “Some find relief with medication or hormone therapy, others with lifestyle changes, and many benefit from simply understanding what’s happening in their bodies.”

    You’re Not Alone — and You Don’t Have to Suffer in Silence

    Dr. Healy reassures women that experiencing these symptoms doesn’t mean you’re “just being emotional” or imagining things.

    “You’re not crazy. It might just be hormones,” she says. “And you don’t have to live with these symptoms without support.”

    She encourages women to speak openly with their healthcare providers about any changes, no matter how small or unusual.

    “It’s always okay to ask questions and seek help.”

    Dr. Healy is currently seeing patients at Shore Physicians Group’s Ocean City office located at 1645 Haven Avenue. For more information or to schedule a visit with Dr. Healy, please call 609-399-6263.

  2. Understanding the Stages of Type 1 Diabetes: Insights from Dr. Matthew Corcoran

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    Type 1 diabetes (T1D) has long been thought of as a sudden diagnosis—one day you’re healthy, the next you’re living with a chronic condition. But medical understanding has evolved, and experts like Dr. Matthew Corcoran, endocrinologist with Shore Physicians Group, are working to help the public understand that type 1 diabetes actually progresses through distinct stages, before any symptoms appear. The concept of “stages” in type 1 diabetes comes from years of clinical research, notably from internationally recognized experts as well as organizations like the Juvenile Diabetes Research Foundation (JDRF) and the American Diabetes Association.

    Dr. Corcoran recently appeared on local talk radio station WOND 92.3FM/1400AM to discuss this very topic, emphasizing how this newer framework of classification can lead to earlier detection, more effective monitoring, and possibly even future interventions to prevent full onset of the disease.

    During his WOND interview, Dr. Corcoran emphasize the importance and understanding that type 1 diabetes is not simply an autoimmune disorder of children and teens. Fifty percent of those people diagnosed with type 1 diabetes are over the age of 20 years of age, and he notes that he routinely diagnosis people who are in their 50s through 70s with type 1 diabetes. Corcoran broke down the disease progression of type 1 diabetes into three defined stages:

    Stage 1: Autoimmunity Begins (No Symptoms)

    At this stage, an individual has two or more diabetes-related autoantibodies, but normal blood sugar levels. There are no symptoms, and the individual likely feels completely healthy. This stage is often only identified through screening—usually in people who have a family history of T1D or participate in research programs.

    Dr. Corcoran explained that while this stage is “invisible,” it is crucial: “This is when the immune system has begun attacking the insulin-producing beta cells of the pancreas, but enough cells are still functioning to keep glucose levels in a healthy range.”

    Patients with Stage 1 Type 1 diabetes have nearly a 100% risk of progressing to Stage 3 and the need for insulin therapy.

    Stage 2: Blood Sugar Abnormalities (Still No Symptoms)

    Here, autoantibodies are still present, but now glucose levels begin to rise, especially after meals. There still aren’t outward symptoms, but the body is starting to struggle with insulin production. People in stage 2 have a 75% risk of progressing to stage 3 type 1 diabetes and requiring insulin within the next 5 years, and their lifetime risk of progression is nearly 100%.

    “Stage 2 is when we may start to see early signs in lab work, even if the person still feels completely normal,” noted Dr. Corcoran. This stage represents a critical window for possible intervention and monitoring. Importantly, in the past 2-3 years a landmark immunotherapy has been approved for use in those who are 8 years of age and older with stage 2 type 1 diabetes. This therapy delays the progression from stage 2 to stage 3 type 1 diabetes. In doing so, the therapy delays the need for intensive insulin therapy, as well as all of the monitoring and management that comes with the progression from stage 2 to stage 3.

    Dr. Corcoran emphasizes that the glucose levels in stage 2 are consistent with what is commonly known in the community as prediabetes. In his opinion, it is critical that we evaluate these people with prediabetes and high risk for type 1 diabetes and/or other autoimmune disorders for the possibility of autoimmune related or type 1 diabetes and not simply assume that it represents a stage prior to type 2 diabetes. If we do not do this, many people in our community will begin therapy for the management of type 2 diabetes as opposed to the appropriate management of type 1 diabetes.

    Stage 3: Clinical Diagnosis

    Stage 3 is the traditional point of diagnosis, when symptoms appear and blood sugar levels become clinically abnormal. These symptoms typically include increased thirst, frequent urination, weight loss, and fatigue.

    “This is the stage people are most familiar with,” said Dr. Corcoran, “but we now know that the disease process has been underway for many months to years before these symptoms show up.”

    Recognizing that type 1 diabetes develops in stages empowers patients and families to take action earlier—sometimes even before symptoms appear. This knowledge opens the door to a proactive approach centered on doing whatever is necessary—whether that means starting medication, adopting a nutrition plan, increasing physical activity, or making broader lifestyle changes—to help delay progression to full clinical diabetes. Dr. Corcoran emphasized that with the right interventions and support, individuals at risk can often manage their condition more effectively and improve long-term outcomes.

    In addition to treating patients at Shore Physicians Group, Dr. Matthew Corcoran is also the founder and president of Diabetes Training Camp (DTC), a unique South jersey based nonprofit dedicated to empowering people with diabetes to thrive through education, fitness, and community support. DTC recently hosted an educational event focused on raising awareness about the stages of type 1 diabetes, offering attendees practical guidance and clinical insight into early detection and disease progression. The event featured Dr. Corcoran, who shared the same science-based, proactive approach he discussed on WOND, highlighting how understanding the stages can lead to more personalized and effective care. The event exemplified DTC’s mission to not only educate but also motivate individuals to take control of their health and diabetes journey. DTC also just wrapped up its 1st in person camp of the season-a wellness-based camp for adults with type 1 diabetes that they host every June at Stockton University in Atlantic City.

    The understanding of type 1 diabetes is evolving, and thanks to dedicated professionals like Dr. Matthew Corcoran, patients and families have access to the latest science and tools. Whether through educational outreach on platforms like WOND or programs like Diabetes Training Camp, the message is clear: knowledge is power.

    If you or a loved one has a family history of type 1 diabetes, speak with your healthcare provider about screening options. Early knowledge of your risk could make all the difference.

    Endocrinologist Dr. Matthew Corcoran treats patients Shore Physicians Group’s Endocrinology office located at 18 West New York Ave in Somers Point, NJ. To schedule an appointment with Dr. Corcoran, call 609.365.5300.

  3. Balancing Innovation and Care: How Shore Physicians Group Is Using AI to Enhance Patient Visits

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    Artificial intelligence (AI) is rapidly reshaping industries around the world, and healthcare is no exception. From hospital systems to individual providers, AI is generating excitement for its potential to streamline care, reduce costs, and improve patient outcomes. But it also raises valid concerns—about privacy, safety, and the role of technology in deeply personal decisions.

    Right here in South Jersey, Shore Physicians Group (SPG) is taking a thoughtful, patient-first approach to AI. The organization is currently implementing Ambient AI—a listening technology that helps physicians document visits more efficiently—in a way that enhances communication, preserves privacy, and strengthens the provider-patient relationship. Here’s how SPG is doing it.

    Hadley Winthrop, Director of Operations at SPG, explains, “We’re using Ambient AI to enhance communication, reduce physician burnout, and ultimately improve the quality of care. It’s not about replacing doctors—it’s about supporting them.”

    Dr. Ulices Perez, President of SPG and a primary care physician in the Northfield office, says the technology has been a game changer. “One of the biggest challenges in clinical practice is the time it takes to document complex patient encounters,” he says. “With Ambient AI, I can spend more time having meaningful conversations with my patients, without having to type constantly during the visit.”

    Importantly, the Ambient AI tool does not record or store conversations. It listens in real time, processes speech, and extracts medically relevant information into the electronic medical record. Any non-essential information is discarded, ensuring patient privacy and HIPAA compliance. Physicians remain fully in control, reviewing and approving every note.

    Patients notice the difference. “They feel heard,” says Dr. Perez. “Patients sometimes voice concerns that their doctors seem more focused on the computer screen than on them. With this technology, I can give patients my full attention, which improves both communication and trust.”

    Operationally, SPG is already seeing benefits. With less time needed for documentation, providers can see more patients each day—reducing wait times and expanding access to care. In turn, this enhances the patient experience and allows SPG to operate more efficiently.

    Both providers and patients have the choice to opt in. “If a patient prefers not to use AI during their visit, we absolutely respect that,” says Winthrop. “We also see generational differences among physicians. Younger providers often embrace the technology more readily, while experienced clinicians may prefer traditional documentation. We support both approaches.”

    The AI tool currently in use was carefully selected by SPG’s interdisciplinary AI committee, which includes leaders from operations, IT, legal, and clinical teams. The team vetted multiple platforms before selecting the one best aligned with SPG’s goals. As of now, about 15% of SPG providers are using the system as part of an ongoing pilot.

    While more advanced AI features—like diagnosis suggestions or medication recommendations—exist within SPG’s electronic health records, those are not being used. “Just because the technology is available doesn’t mean it’s ready for patient care,” Winthrop emphasizes. “We’re taking a measured, responsible approach.”

  4. Hunger or Habit? Understanding Emotional vs. Physical Hunger with SPG’s Registered Dietitian Tiffany Rios

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    When we reach for a snack, how often do we pause and ask ourselves: Am I truly hungry—or just bored, stressed, or seeking comfort? According to Tiffany Rios, RD, CDE, a Registered Dietitian and Certified Diabetes Educator with Shore Physicians Group, understanding the difference between physical and emotional hunger is a powerful first step toward better nutrition and self-awareness.

    Mind Over Munchies: Breaking the Habit Loop

    Many people find themselves eating on autopilot. Rios explains that this unconscious behavior forms what’s known as a “habit loop,” a concept explored in the book The Hunger Habit by Dr. Judson Brewer. “You experience a trigger—stress, fatigue, boredom—and the behavior follows, like snacking,” she says. “The reward may be temporary relief, but if it’s not true hunger, guilt or regret often follows.”

    Rios encourages a ten-second pause before eating to assess the motivation behind the impulse. “Ask yourself what you’re feeling. Are you tired? Overwhelmed? Bored? If you’re not physically hungry, food won’t solve that.”

    Physical Hunger Signals: Listening to the Body

    True hunger originates in the body—not the mind. One clear sign is stomach growling, caused by an empty digestive system preparing for food. “That growling is a signal from the brain, releasing the hunger hormone ghrelin,” says Rios. “It’s telling your body to prepare to eat.”

    Other physical hunger cues can include lightheadedness, headaches, or a lack of focus—often due to low blood sugar or even dehydration. In contrast, emotional hunger comes on suddenly and is usually linked to a specific craving or situation (like seeing donuts in the break room after a stressful meeting).

    The Brain–Body Connection

    “Digestion starts in the mouth,” says Rios. “Your brain triggers salivary enzymes the moment you anticipate food. It’s a full-body process guided by brain signals.” The two key hormones involved are ghrelin (hunger) and leptin (fullness). Eating protein- and fiber-rich meals helps suppress ghrelin and allows leptin to signal satisfaction, encouraging more balanced eating.

    The Mindfulness Check-In: A 4-Step Guide

    Rios advocates using a mindfulness check-in as a tool to disrupt emotional eating patterns:

    1. Pause & Breathe – Take 10 seconds before eating to become aware of your feelings.
    2. Assess Your Hunger – Use a hunger scale. Are you truly at a level 3 or 4 (moderately hungry)?
    3. Identify the Trigger – What led to this desire to eat? Stress? Boredom? Fatigue?
    4. Choose Your Path – If you’re physically hungry, choose a nourishing snack or meal. If not, ask, “What else could meet this need?” (e.g., take a walk, call a friend, drink water).

    Planning ahead also helps. “Keep a healthy snack like fruit or a protein bar on hand,” says Rios. “That way, you’re ready when real hunger strikes.”

    Rewiring the Reward System

    Rios reminds us that occasional emotional eating is human, especially at celebrations or social events. But awareness is the key. “Many people tell me, ‘I’m an emotional eater,’” she says. “But the truth is, with a little mindfulness and preparation, you can learn to respond to real hunger—not emotional cues.”

    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.

  5. Shore Physicians Group Welcomes Dr. Kaitlin Healy to its Ocean City Primary Care Office

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    Shore Physicians Group announced today the addition of Kaitlin Healy, MD, to its Ocean City Primary Care Office, located at 1645 Haven Avenue. Board certified in family medicine, Dr. Healy brings her compassionate, patient-centered approach to primary care for individuals aged 12 and older.

    Dr. Healy has been serving the Cape May County community since 2021 and now joins a highly respected team in Ocean City that includes Megan Mahon McQuarrie, MD, C.A.Q.S.M, Primary Care & Sports Medicine physician, and Amy Riordan, MSN, APN.

    Dr. Healy earned her Bachelor of Science in Biology with a minor in Psychology from Carnegie Mellon University in 2012. She then attended the Lewis Katz School of Medicine at Temple University, where she received both her Doctor of Medicine and a Master’s in Urban Bioethics in 2018. She completed her residency at Crozer Keystone Family Medicine, where she was named Chief Resident in May 2020.

    Before becoming a physician, Dr. Healy conducted neurobiological research focusing on schizophrenia spectrum disorders and the genetics of cognitive aging. Her scholarly work during medical school included publications on Alzheimer’s disease and genetics.

    As a primary care physician, Dr. Healy emphasizes a holistic and collaborative approach to medicine, empowering her patients with the education and resources they need to make informed decisions about their health. “I strive to treat the whole person, and I value the opportunity to help people while continuing to learn every day,” she said.

    Outside of her medical practice, Dr. Healy enjoys hiking, biking, and spending time at the beach with her family. She is an avid traveler who especially enjoys visiting National Parks and spending time with loved ones in the Philadelphia area.

    To schedule an appointment with Dr. Healy at Shore Physicians Group’s Ocean City office, please call 609-399-6263.

  6. Protecting Your Future Self: Why Midlife Is the Time to Prioritize Your Health

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    As we move through our 40s, 50s, and 60s, we often begin to notice unexpected changes in our bodies. These changes can feel sudden—but according to Physician Assistant Julianne Jackson, PA-C, of Shore Physicians Group in Mays Landing, they’re usually the result of long-term shifts that have been quietly taking place in our bodies for years.

    “Midlife is when people tend to get their wake-up call,” Jackson says. “They’ve felt great for decades, and then all of a sudden, they notice joint pain, trouble sleeping, or low energy. But it’s not just aging—it’s the body asking for more care.”

    What’s Really Happening Inside?

    One of the major behind-the-scenes changes is a slowdown in cellular regeneration. As Jackson explains, “Your body just doesn’t repair itself as efficiently. Cells don’t turn over as quickly, so recovery takes longer, and damage accumulates faster.”

    This affects everything from skin and muscle to major organs like the kidneys and heart—especially if risk factors like high blood pressure or high cholesterol have gone unmanaged. Hormonal changes also become more noticeable during this stage of life. Women may experience perimenopause or menopause, bringing mood swings, metabolism changes, and sleep disruptions. Men, too, experience gradual hormonal shifts, which can affect muscle mass, energy, and libido.

    But these changes don’t mean decline is inevitable. In fact, Jackson says midlife can be a powerful time to reset and focus on your long-term health.

    Start Sooner Than You Think

    Many people assume they don’t need to worry about health screenings or preventive care until they’re older, but that’s a mistake, says Jackson. “If you wait until something feels wrong, it may already be advanced. Prevention starts years earlier.”

    She encourages patients to get annual checkups, keep tabs on blood pressure and cholesterol, and talk with their provider about family history and risk factors. Routine regular screenings—like mammograms, colonoscopies, and prostate checks—can catch problems early when they’re most treatable.

    Your Lifestyle Still Has the Biggest Impact

    While screenings and checkups are important, your everyday habits remain the most powerful tools for healthy aging. Jackson emphasizes the importance of a nutrient-rich diet—especially one high in protein and leafy greens—and daily physical activity, including strength training to preserve muscle mass.

    “Movement is medicine,” she says. “Medications like GLP-1s can be helpful for things like diabetes and weight loss, but they’re not a replacement for lifestyle. They don’t build muscle or teach you how to eat for long-term health.”

    Reducing sugar and processed foods, staying hydrated, and avoiding smoking and excessive alcohol can also have a dramatic impact on how you feel—and how you age.

    Don’t Overlook Mental Health

    Midlife is often a time of intense pressure, especially for people caring for children, aging parents, or both. Jackson frequently sees patients—especially women and high-achieving professionals—who are burned out but haven’t prioritized their own well-being.

    “You can’t pour from an empty cup,” she says. “Mental health is just as important as physical health. Talk to your provider. Be honest about how you’re feeling.”

    Regular mental health check-ins, stress management, and self-care are essential tools for long-term health and happiness.

    It’s Never Too Late to Start

    No matter where you’re starting from, Jackson wants patients to know they’re not too late. She’s seen people in their 40s, 50s, and 60s make meaningful changes—losing weight, managing chronic conditions, and feeling better than they have in years.

    “You didn’t miss your chance,” she says. “Every step you take—whether it’s eating better, walking more, or finally making that doctor’s appointment—makes a difference.”

    The choices you make now will shape your future. Take care of the version of yourself you haven’t met yet. They’ll thank you for it.

    Julianne Jackson, PA-C, treats patients ages 16 and older at Shore Physicians Group’s Mays Landing office, located at Festival At Hamilton Shopping Plaza, 4450 Black Horse Pike, Mays Landing, NJ. Appointments can be made by calling 609-365-6217 or online here.

  7. The Colors That May Be Harming Us: Food Dyes Under Fire

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    Shore Physicians Group Primary Care Provider Kristy Liekfet, APN, offered thoughtful insights following news that the U.S. Department of Health and Human Services (HHS) plans to phase out eight artificial food dyes by the end of next year. The announcement, covered in a recent ABC News article, points to growing concern over the potential health risks associated with synthetic color additives commonly found in foods, beverages, and even medications.

    Health Risks and Behavioral Effects

    Liekfet acknowledges that while research is ongoing, there is reason for concern—especially among children. “From a clinical standpoint, we have seen anecdotal and emerging evidence that some artificial dyes, particularly red and blue, can trigger hyperactivity in children,” she explains. “In my own family, my daughter avoids giving her kids anything with red dye because she’s seen how it affects their behavior. They become much more hyperactive.”

    The U.S. Food and Drug Administration previously considered banning Red Dye No. 3 after studies showed it caused cancer in lab rats. Though the ban has yet to take full effect, the renewed attention on food dyes reflects an evolving understanding of how synthetic chemicals may affect human health.

    A Step in the Right Direction

    Liekfet believes the HHS initiative is a positive move, though overdue. “It’s encouraging that these changes are finally being addressed,” she says. “But I also wonder—why has it taken this long? Perhaps it’s because these dyes are already in so many products in the supply chain, and eliminating them isn’t simple.”

    She appreciates that many companies are voluntarily adjusting formulations even before formal regulation requires it. “It’s a good sign when the food industry starts to respond to scientific evidence and public demand without waiting for a mandate.”

    The Bigger Picture: Why It Matters

    Liekfet encourages patients to be mindful of what they’re eating and to prioritize whole, minimally processed foods. “The more we rely on chemicals to make food look more appealing, the more we risk introducing substances that could be harmful. Natural foods aren’t always the most vibrant or ‘Instagram-worthy,’ but they’re typically much healthier.”

    She also draws attention to broader public health trends. “We spend more money on healthcare than most countries, yet we’re facing record levels of obesity, diabetes, and other chronic conditions. A big part of that starts with what’s on our plates.”

    While definitive answers about food dyes are still being studied, Liekfet advocates a precautionary approach. “If something is artificial and unnecessary—like many of these food dyes—why not avoid it when possible? It’s a small but significant step toward better health.”

    As the FDA and HHS continue reviewing the safety of food additives, Liekfet encourages ongoing research and transparency. “We need more studies, more data, and more accountability from manufacturers. It can only lead to better outcomes for all of us.”

    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.

  8. A Step Toward Healing: Understanding Tarsal Tunnel Syndrome

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    Many people are familiar with carpal tunnel syndrome, a common condition affecting the wrist, but fewer have heard of its counterpart in the lower body: tarsal tunnel syndrome. According to Megan Mahon McQuarrie, MD, C.A.Q.S.M, a primary care and sports medicine physician who treats patients at Shore Physicians Group’s Ocean City office, tarsal tunnel syndrome is a condition that can cause a wide range of uncomfortable symptoms and is often difficult to diagnose.

    “Tarsal tunnel syndrome is basically the carpal tunnel of the ankle,” said Dr. McQuarrie. “It involves compression of the posterior tibial nerve, which runs through a narrow space called the tarsal tunnel — a structure located along the inside of the ankle.”

    This tunnel is surrounded by bones and a thick band of tissue called the flexor retinaculum (or fascia), which holds several important structures in place, including nerves, tendons, and arteries. When that band thickens due to overuse, injury, or underlying foot structure issues like flat feet, it can place pressure on the nerve and other structures within the tunnel.

    What Does Tarsal Tunnel Syndrome Feel Like?

    People with tarsal tunnel syndrome may experience aching, numbness, tingling, or even a “dead” feeling in the foot. Weakness is also common.

    “You may feel like your foot is going numb or tingling, or you might have aching pain or weakness,” Dr. McQuarrie explained. “It’s all from compression on the nerve that goes through that tunnel. And it’s not just nerves — you can also get tendonitis, because the tendons running through the tunnel are being compressed too.”

    The variety of symptoms and the complex anatomy of the ankle can make diagnosis challenging.

    “There are so many tendons, muscles, nerves, and arteries going through the ankle that it can be hard to pinpoint exactly what’s causing the issue,” said Dr. McQuarrie.

    People with flat feet are particularly at risk. “If you have flat feet, that puts a lot of pressure on the tunnel. It can lead to tendonitis and nerve symptoms because of the altered mechanics of the foot,” she added.

    Is It a Nerve, Muscle, or Tendon Issue?

    “It’s often a combination of all three,” said Dr. McQuarrie. “Muscle pain usually presents as tenderness during movement, like jumping. But when you lose sensation — like your foot going dead — that’s nerve-related. That’s why it can be a tough diagnosis; you have to systematically rule out different possibilities.”

    How Is It Diagnosed and Treated?

    Diagnosis begins with a physical exam and a visual assessment of foot structure. “We look at how you stand — for example, if you’re flat-footed — and then we may get imaging like X-rays to look at the bony anatomy or MRI and ultrasound to evaluate soft tissues,” Dr. McQuarrie explained.

    In some cases, if there’s still uncertainty, a nerve conduction study may be performed to determine where the compression is occurring. “That test shows if the compression is at the ankle or coming from higher up, like the back,” she noted.

    Dr. McQuarrie said that conservative treatment usually comes first. This may include orthotics for arch support, activity modification, or physical therapy. In some cases, injections may be used.

    “There are injections we can do using lidocaine or a corticosteroid to relieve pressure and inflammation in the tunnel,” she said. “We can do this under ultrasound guidance to target the affected area.”

    Patients may also be placed in a CAM boot (controlled ankle motion boot) to stabilize the ankle and reduce stress on the nerve.

    Advanced treatment options can include shockwave therapy — a form of therapeutic ultrasound used to stimulate healing — or, in severe cases, surgical release of the tarsal tunnel.

    Why See a Sports Medicine Specialist?

    Because the symptoms of tarsal tunnel syndrome can mimic other conditions, Dr. McQuarrie emphasized the value of seeing a provider trained in both primary care and sports medicine.

    “With the sports medicine training, I’ve had additional education in anatomy, gait analysis, and the use of musculoskeletal ultrasound, which helps with both diagnosis and treatment,” she said. “Whether you’re a competitive athlete or a weekend warrior, we’re trained to evaluate your movement and identify weaknesses or imbalances that may be contributing to your pain.”

    According to the American College of Foot and Ankle Surgeons, tarsal tunnel syndrome is a condition that should not be ignored. Without treatment, symptoms can worsen and lead to permanent nerve damage. Source: FootHealthFacts.org

    Dr. McQuarrie treats patients ages 10 and older at Shore Physicians Group’s Ocean City office, located at 1645 Haven Avenue, Suite C, Ocean City, NJ. Appointments can be made by calling 609-399-6263.

  9. Dr. Dante Marconi of Shore Physicians Group Offers Expert Insight on Jayson Tatum’s Achilles Surgery

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    News that Boston Celtics star Jayson Tatum underwent surgery this week to repair a torn Achilles tendon has sent shockwaves through the NBA. The injury, confirmed on May 13, is one of the most serious a basketball player can suffer — with recovery often taking the better part of a year. To help break down what this injury entails and what Tatum’s road to recovery might look like, Dante Marconi, MD, orthopedic surgeon and sports medicine physician with Shore Physicians Group, shared his clinical perspective.

    Dr. Marconi, who treats patients at 710 Shore Road in Somers Point and at the Festival at Hamilton Shopping Plaza, 4450 East Black Horse Pike in Mays Landing, specializes in treating injuries of the muscles, tendons, and joints in athletes and active individuals. He says the Achilles tendon plays a vital role in lower-body function.

    “The Achilles is the tendon that connects your calf muscles to your heel bone,” said Dr. Marconi. “It’s responsible for powering movements like pushing off when running or jumping. When it tears, the ability to perform those actions is completely lost.”

    Tatum’s injury reportedly occurred during a quick change of direction — a common mechanism in Achilles ruptures. The tear often happens suddenly and without contact.

    “These injuries tend to occur during explosive movements,” Dr. Marconi said. “Athletes might feel a pop or a sudden sharp pain and lose strength and mobility almost instantly.”

    He noted that the Achilles tendon is vulnerable in a particular area known as the watershed zone — a segment of the tendon located 2 to 6 centimeters above the heel bone. This region has the poorest blood supply in the tendon, which makes it more prone to injury and more challenging to heal.

    “The watershed zone is where most Achilles ruptures occur,” said Dr. Marconi. “Because of the limited blood flow, once the tendon tears there, healing can be slower and more complicated, which is why surgical repair is often necessary for athletes.”

    Surgical repair is the standard of care for elite athletes like Tatum. The procedure involves reattaching the torn ends of the tendon to restore function. Post-surgery, patients are typically placed in a CAM boot — a controlled ankle motion boot — to immobilize the ankle while still allowing some flexibility for early rehab protocols.

    “With a well-performed surgery and a strong rehab plan, many athletes are able to return to their sport, but the process is long,” Dr. Marconi said.

    Rehabilitation after Achilles surgery is critical and unfolds in multiple phases. Initially, patients use the CAM boot to protect the tendon while beginning limited weight-bearing. Physical therapy starts with gentle range of motion exercises and progresses to strength training and proprioception work — restoring balance and coordination. Sport-specific movements and drills come much later in the process.

    “Most athletes need at least nine months before they can return to full activity, and even then, it depends on how their body responds to the recovery process,” Dr. Marconi said. “Some may return a bit sooner, but for a sport like basketball, which demands constant sprinting, cutting, and jumping, caution is key.”

    Age also plays a major role in recovery. At 27, Tatum is well-positioned to bounce back.

    “Younger patients like Tatum tend to have better tissue quality, which aids in healing,” Dr. Marconi explained. “They usually regain strength and mobility faster, and their ability to rebuild muscle is stronger than what we typically see in older adults.”

    In contrast, he said, patients over 40 or 50 may take longer to heal, experience more stiffness, and have a slower overall rehabilitation timeline.

    “Age doesn’t prevent a full recovery, but it can affect how efficiently someone gets there,” said Dr. Marconi.

    While some athletes do make successful returns — such as Kevin Durant — others may need more time to regain full explosiveness and confidence on the court. Regardless, with modern surgical techniques and guided rehab, the outlook has become much more favorable.

    “Every patient is different, but with professional care and dedication to rehab, a strong return is possible,” Dr. Marconi said.

    Dr. Marconi provides the same high-quality care to local athletes and active adults recovering from Achilles injuries and other orthopedic conditions. He works with each patient to develop a treatment plan tailored to their needs, whether that includes surgical intervention, conservative management, or comprehensive rehabilitation.

    To book an appointment with Dr. Marconi, call 609-365-6280.

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

    Comments Off on Top 10 Things to Know & Do for Non-Alcoholic Fatty Liver Disease (NAFLD)

    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.

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