Archive for the 'News' Category

by Rebecca Moore

The Ultimate Heat Illness Prevention Guideline is Here

When summer rolls around, everyone praises the return of longer days filled with sun, heat and humidity. This is all great if you’re sitting on the beach with a cold beverage in hand… but not so great if you’re in full athletic gear, running around a field.

Exertional heat illnesses have become a top-of-mind condition across sports medicine as we step into the muggy months of outdoor sporting events. These don’t just include elite or collegiate athletes either; think of all of the kids playing Little League Baseball or participating in soccer camps. Everyone needs to be taken care of in the hot summer sun, and getting a grasp on how you can best advocate for your athletes’ health and wellbeing during this time is critical now more than ever.

In 2015, the National Athletic Trainers’ Association (NATA) published a Position Statement on Exertional Heat Illnesses to present best-practice recommendations for the prevention, recognition and treatment of exertional heat illnesses and to describe the relevant physiology of thermoregulation. This document outlines years of research and data that give athletic trainers a solid foundation to understand and prevent heat illness. Drink it all in (pun intended).
 

5 Types of Heat Illnesses

According to the NATA’s Position Statement, there are five distinct heat illnesses that an athlete can suffer:

  1. Exercise-associated muscle cramps: Involuntary, painful contractions of muscle during or after exercise.
  2. Heat syncope: Dizziness that often occurs in unfit or heat-unacclimatized persons who stand for a long period of time in the heat or during sudden changes in posture in the heat.
  3. Heat exhaustion: The inability to effectively exercise in the heat, secondary to a combination of factors, including cardiovascular insufficiency, hypotension, energy depletion, and central fatigue.
  4. Heat injury: Moderate to severe heat illness characterized by organ and tissue injury resulting from strenuous exercise and environmental heat exposure.
  5. Exertional heat stroke: The most severe heat illness, characterized by neuropsychiatric impairment and a high core body temperature.

 
Unfortunately, the variety of causes of exertional heat illness has made it difficult to produce experimental evidence of exactly what it takes to prevent them. Regardless, the NATA and its panel of qualified professionals have pulled together their top recommendations to stop all five of these conditions before they start. These tips can be broken down into three categories: acclimation, hydration and education.

Heat Illness Prevention Strategy #1: Acclimation

Just like you wouldn’t ask an athlete to enter a practice or game without warming up, you shouldn’t expect them to start practicing in warm temperatures without adjusting to the heat first. The NATA suggests that developing a pre-season heat acclimation policy should be your first step in heat illness prevention.

“Individuals should be acclimatized to the heat gradually over 7 to 14 days…The first 2–3 weeks of preseason practice typically present the greatest risk of exertional heat illness, particularly in equipment-intensive sports. All possible preventive measures should be used during this time to address this high-risk period” (Casa et al. 2015).

Alongside this policy, a careful medical screening should be administered during pre-season to identify athletes with risk factors. Some of these risk factors include history of heat injuries, and a prior muscle, tendon or ligament injury (Casa et al. 2015).
 

Heat Illness Prevention Strategy #2: Hydration

According to the NATA’s Position Statement covering Fluid Replacement for Athletes, establishing a pre-exercise hydration, hydration and rehydration protocol for athletes is another key staple in preventing heat illness. Here are the NATA’s recommended considerations when building an efficient hydration strategy:

  • Athlete’s sweat rate
  • Sport dynamics
  • Environmental factors
  • Acclimatization state
  • Exercise duration
  • Exercise intensity
  • Individual preferences (Casa et al. 2000).

 

Pre-Hydration

Getting ahead of hydration issues can prevent them from happening in the first place. “To ensure proper pre-exercise hydration, the athlete should consume approximately 17 to 20 fl oz of water or a sports drink two to three hours before exercise, and 7 to 10 fl oz of water or a sports drink ten to twenty minutes before exercise” (Casa et al. 2000).
 

Hydration During Activity

It’s easy for both coaches and athletes to get carried away during practices and games; everyone wants to compete, keep up a strong pace and get the most out of every minute. However, not taking breaks to maintain proper hydration levels is extremely detrimental to the health of each athlete; no matter how much of the event they’ve participated in or the environment in which the event is taking place. Just how much should athletes be hydrating? According to the professionals at the NATA, it depends on the sport.

“A proper hydration protocol considers each sport’s unique features. If rehydration opportunities are frequent (e.g., baseball, football, track and field), the athlete can consume smaller volumes at a convenient pace based on sweat rate and environmental conditions. If rehydration must occur at specific times (e.g., soccer, lacrosse, distance running), the athlete must consume fluids to maximize hydration within the sport’s confines and rules” (Casa et al. 2000).

Risk can also depend on the venue or environment that the athletic event is taking place in. If the game is being held indoors, do the facilities have proper climate controls like air conditioning? If outdoors, what’s the weather going to be like? Some athletic programs might brush this consideration to the side because they live in predominantly colder climates, but Tim Kelly ATC, Head Athletic Trainer and Associate Athletic Director at West Point United States Military Academy, suggests that everyone treat hydration protocol like they’ll be playing in the hottest environment imaginable.

“We prepare just like we live in the deep south during preseason for any of the teams that are working out all summer at West Point,” said Kelly. “We do have a heat plan for all of our athletes, we’re fortunate at West Point that our athletes are in the field a great deal of the time doing military stuff and it’s drilled into them that hydration is an important part of keeping them healthy and maximizing their training opportunities.”

Kelly’s hydration plan involves many factors, but he most notably expresses the importance of having unlimited beverages available to athletes at all time. To check this off your hydration plan checklist, purchasing gear like the Cramer PowerFlo Pro Hydration Unit gives everyone access to safe hydration on the field. Especially convenient when working in multiple locations and changing fields regularly, this unit has a rechargeable battery and zero-maintenance wheels that never go flat. Portability and stability that can’t be beat!

Lastly, closely monitoring potential dehydration symptoms during activity decreases the incidence and severity of heat illness. These signs include:

  • Thirst
  • Irritability and general discomfort
  • Headache
  • Weakness or dizziness
  • Cramps
  • Chills
  • Vomiting
  • Nausea
  • Head or neck heat sensations
  • Decreased performance (Casa et al. 2000).

 

Re-Hydration

Post-exercise rehydration restores any fluid loss accumulated during a game or practice. Ideally completed within two hours, rehydration should contain water to restore hydration, carbohydrates to replenish glycogen stores and electrolytes to speed rehydration (Casa et al. 2000).

Many athletic trainers or team physicians measure hydration with urine color against a color scale. But, an easier (and less invasive) method of hydration measurement is monitoring body weight; athletes should see less than 2% body weight reduction post-activity. Sound complicated? Don’t worry. Mike Harrison ATC, LAT, Sports Medicine Coordinator and Head Athletic Trainer at Allen High School, has gotten his athletes to buy into this method: and it works.

“I think it all starts with educating our athletes,” said Harrison. “I meet with them at the beginning of the year and I use a race car analogy or a truck analogy; my offensive linemen are big-rig trucks and my skill guys are race cars. Both of them burn fuel, and I use the gas tank analogy with them. They may come in here on a full tank, but come the next day you might have only replaced ¾ of a tank. If they finish that day up and have only replaced half a tank then you haven’t been hydrating correctly. So we weigh out athletes in and out everyday in the hot months, and for every pound that they lose they have to make that up with 20-24 ounces of fluid. It’s really all about the education.”

He’s right. For your hydration plans to really succeed, you need complete buy-in from the coaching staff and the athletes themselves. Educate your athletes on the effects of dehydration, how to monitor their hydration levels, and encourage coaches to help regulate these strategies to cover all of your bases (no pun intended this time). Which leads us to the last strategy…

Heat Illness Prevention Strategy #3: Education

You can’t prevent what you don’t understand or aren’t anticipating. As healthcare professionals, it’s essential that athletic trainers take control of their athletic environments and properly inform coaches, athletes, administrators, parents on the signs and dangers of heat illness.

“Down in Florida we do get some heat cramping scenarios, and we do a pretty good job; it’s a team effort,” said Paul Silvestri MS, LAT, ATC, Head Football Athletic Trainer at the University of Florida. “Our nutritional staff does a phenomenal job of staying on top of the guys to get them ready to be out there on the field. Our coaching staff does a good job as well of planning their practices, especially in training camp while we’re not out there in the heat of the day. It’s a collaborative effort.”

Need help getting started? Here are some potential topics that you can cover:

  • Preventing heat illness
  • Recognizing heat illness
  • Treating heat illness
  • Best drinks for hydration
  • Sleep regulations
  • Proper diet
  • How to rest the body effectively

 
To find data to support these topics, expert advice on heat illness and return to play recommendations, read through theNATA’s Position Statement on Exertional Heat Illnesses. Together, we can all play a huge role in reducing or eliminating these conditions and keep the athletes where they belong; on the field.
 
 

Sources:
Casa, Douglas J., et al. 2015. National Athletic Trainers’ Association Position Statement: Exertional Heat Illnesses. Journal of Athletic Training 50.9: 986-1000.
Casa, Douglas J., et al. 2000. National Athletic Trainers’ Association Position Statement: Fluid Replacement for Athletes.Journal of Athletic Training. 2000;35(2):212-224.

Normatec Takes Giants Recovery To Next Level

February 6, 2017
posted by Admin

We hope everybody enjoyed the Super Bowl. APRC is proud to have the NormaTec Recovery System available for our patients. At APRC, you don’t have to be a professional athlete to be treated like one.

NormaTec takes Giants recovery to next level

Doctors of chiropractic (DCs) play an important role in the treatment and management of health conditions in the older adult. An estimated five million patients treated by DCs are 65 and older.

chiropractic

THE WORLD’S ELITE CHOOSE NORMATEC

August 21, 2016
posted by Admin

chiropractic

Olympic Athletes Depend On Chiropractic

August 8, 2016
posted by Admin

Olympic athletes depend on chiropractic, shouldn’t you?

chiropractic

Lower Cost at On-site Chiropractic Clinics

July 26, 2016
posted by Admin

Companies that offer chiropractic care at their on-site health clinics lower their costs, have greater productivity and increased employee satisfaction.

APRC

Chiropractic For Athletes

July 21, 2016
posted by Admin

“The care provided by a doctor of chiropractic can help athletes reduce the risk of injuries, accelerate recovery time and improve health through improvements in range of motion, flexibility, balance, muscle strength and other key factors. Chiropractic care provides athletes with the competitive edge to fuel peak performance and succeed during their time at the Olympics.”

– Dr. Botelho #ThinkChiropractic

chiropractic

Texting = Heavy Weight Pain

June 1, 2016
posted by Admin

 

heavy weight pain

 

Text-Neck Epidemic

May 29, 2016
posted by Admin

Combat Text Neck and improve your posture through chiropractic care. Chiropractors are trained to align the spine and restore the curve in your neck, keeping your body healthier and pain-free. #ThinkChiropractic

text-neck epidemic

Although it has been ingrained for years that bacteria is a bad thing, more and more studies each day show that the Microbiome – a collection of all the bacteria and fungi in our bodies – is actually a necessary tool for health. There are roughly 10X more bacteria and fungi cells than human cells on our bodies! These GOOD bacteria have specific tasks to protect the body from birth by recognizing and setting off the proper immune response. In addition, these bacteria help with digestion, colon health, and overall health. A good way to grow and maintain your good bacteria is to eat a diet high in probiotics and prebiotics (the fuel for probiotics). You can get probiotics naturally from fermented foods like sauerkraut and kimchi as well as Kombucha drinks. Prebiotics are high in root vegetables like Jerusalem artichoke, onions, and garlic! In addition you can find high quality supplements that contain the beneficial bacteria as well.

Below is a fun, animated video showing your Microbiome at work!

 

Source: NPR.ORG

How To Destroy Your Child's Athletic Future In 3 Easy StepsIn over two decades of coaching athletes I have had the pleasure of seeing some of my junior athletes make it all the way to the professional level.  Along the way I have developed a somewhat global perspective on what it takes to go from this point A to the very distant point B.  I worked with some wonderful parents that contributed greatly to their child’s successes.  But I unfortunately witnessed more parents, sometime unwittingly and always with the best intentions, sabotage their child’s athletic future.  If they had just heeded a few simple rules, or examined a few of their motives, not only would their child been a better athlete, they would have been a better competitor, happier, and healthier child.

If you are find yourself excited at the potential of your child’s athletic career, I invite you take an objective look within.  And if you catch yourself doing any of the three following things, I can all but guarantee your child will not end up where you believe they will.

1.  Imposing your own ambitions upon your child.  I find it interesting that some of the most accomplished athletes I have known are not the overbearing parents you might expect when it comes to athletics.  In fact they may take a somewhat laisez faire attitude towards their young children’s athleticism.  My personal opinion is that these parents have a greater understanding of the developmental process.  Laying the foundation, learning the skill sets, and graciously handling the pitfalls competition are put above awards and accolades.  They are intimately familiar with the long timeline and sacrifices required to get to the top of a sport, and even the odds of getting there.  They tend to be more respectful towards the coaches and patient with the coaching process.  They in short have gained a perspective most of us do not possess.

Parents that have not experienced competition simply never developed the mental skills sets required of an athlete.  They may be experiencing athletic competition for the first time through the prism of their child; which can be a very slippery slope.  Others believe their child represents a “second chance” at righting the wrongs of their not so illustrious athletic past.  At any rate the most important thing to understand is that a pre-adolescent child has three basic motivations for participating in a sport: to have fun, to socialize, and to please their parents.  Too many children end up just doing the later, and that almost never works for long.  These kids seldom last in a sport to high level competition, and may even end up quitting their sport, after years of development, because it is an convenient way to rebel against a parent.  Post- competition, often the first words I hear from parents are evaluative or criticizing when they should be simply “did you have fun today?”

2.  Over-specializing too early.  I once consulted with a somewhat anxious dad regarding his injured daughters training. The doctor had advised three weeks off of training to allow her injury to heal, but he felt this was too conservative and that his daughter would give up too much ground by taking this time off. She was NINE years old by the way. Obviously he had his own agenda in mind and not his daughters best interest. I seriously doubted that she would still be competing in her sport at twelve.

There has been an astounding rise in orthopedic injuries among children in the last decade.  This corresponds with the rise in early single sport specialization.  Kids are training too hard, too often, too repetitively and way too early without a proper foundation.  Training and coaching programs have capitalized on this, often ignoring orthopedic guidelines for training children in favor or showing early results to the parents.  Children do not have a stable enough platform to put high volume training upon, especially during growth phases.  Injuries to growth plates, vertebral discs, meniscus tears, and tendon/ligament strain can leave a child with permanent damage.  The body is not designed to repeat specific movements over and over, especially at an early age.  We are designed for multi-planer movements which is more akin to “going outside and playing” vs. training.  If you really want to develop an athlete from a young age you do just that- develop them.  You develop skill sets and general coordination, strength, and agility that is age appropriate.  A good coach/parent should be charting growth phases and adjusting training load accordingly, monitoring rest and recovery, teaching and imposing proper nutrition, and developing mental skill sets. Yet these equally important areas of opportunity are often neglected.  The bottom line is that if your child is getting chronically injured, or even if their team mates are sustaining a high level of overuse injuries, the coaching and training system is failing your child no matter how well their top athletes are performing.

3.  Focusing on a Single Sport.  It is somewhat logical to believe that the more time spent training a sport the better an athlete will become over time.  And no doubt the occasional Tiger Woods comes along.  But this mentality more often leaves multiples of young athletes broken down on the side of the road.  Developing an athlete is like unlocking a door.  You must have exactly the right key, that engages all the tumblers of the lock, to open the door.  Training is just one of the tumblers- not the key.

A child will not self-actualize in a sport until adolescence as I mentioned above.  In order to find out what they are really good at, really enjoy, and really want to succeed at they must try a number of things.  This is good, this is healthy, and it keeps them from burning out in a single sport.  But too many parents see a bit of talent of aptitude and want to call it their child’s “sport.”  Participating in multiple sports or activities may even help prevent the injuries associated with over-specialization.  You should be asking your child if they want to try different sports, or even gently prodding them to do so.  Over time they can narrow their focus.  Joining the traveling soccer team at an early age may keep your child from finding out that they were more talented at (and passionate about) baseball.

If your child is under the age of twelve, and you find yourself on the sideline with the words “champion,” “scholarship,” and “phenom” swirling around your head you likely need a perspective check.  One of the hardest lessons you will have to learn is that at some point they will get to decide if they want to continue in a sport.  And there will be nothing you can do to make them compete if they no longer have the will or desire. It is a simple fact that all your hours in the car, thousands paid out for coaching, and years spent attending games and practices will likely, statistically, lead- nowhere.  But that is not to say that they will get value out of the experience of competition.  Sport can bring out the best (and sometimes the worst) in both athlete and parent alike.  The values taught and gained on the athletic field will be far more valuable than any award; values such as sportsmanship, honor, integrity, fitness, hard work, and team work.  Your relationship that you develop around your child’s competition will have a huge impact on their future. The decisions you make as a parent will have a tremendous effect not only on your child’s athletic development, but their health, well being, and ethics.  Choose wisely.

Matt Russ has coached and trained athletes up to the professional level, domestically and internationally, for over 20 years. He has achieved the highest level of licensing by both USA Triathlon and USA Cycling, and is a licensed USA Track and Field coach. Matt is head coach and owner of The Sport Factory, and coaches athletes of all levels full time. He is also freelance author and his articles are regularly featured in a variety of magazines and websites. Visit www.thesportfactory.com for more information or email him at coachmatt@thesportfactory.com

Reference: The Sport Factory

Dr. Pearsall received his Bachelors of Science degree in Biology and a Minor in Human Sciences from James Madison.

He attended Parker University in Dallas, Tx where he graduated with his Doctor of Chiropractic degree.

Dr. Pearsall has a passion for helping people and is certified in Active Release Techniques (ART), Graston, Selective Functional Movement Analysis (SFMA), and Kinesiotaping.  He is also certified by the Titleist Performance Institute (TPI) as a golf biomechanics specialist, and has worked with many of the golf pros at the Golf Academy of America in Dallas. In an effort to stay up to date on the latest techniques.

Dr. Pearsall will be continuing his post-graduate training in the Fascial Distortion Model (FDM), and Chiropractic Biophysics (CBP); a technique which assists with developing and maintaining ideal posture from head to toe. In addition to this, Dr. Pearsall has had a lot of experience helping people suffering from headaches and neck pain, as well as an assortment of sports injuries/strains/sprains, and much more.

Click the link to find out more about Dr. Brett Pearsall.

Chiropractic Care During Pregnancy

June 9, 2015
posted by Admin

Birkenstock, a brand traditionally associated with hippies, not high style, is having a moment.  Particularly their Gizeh sandal, which combines extreme comfort—including arch support, a roomy toe box and adjustable strap, and a deep heel cup—with a flattering, wear-with-anything leather thong style.

These cushiony sandals feel amazing right out of the box, but here’s the best part—the more you wear them, the more the suede covered cork foot-bed conforms to your exact foot shape. Thankfully, they come in a variety of colors, from patent black to bright white—because you’ll want at least a few pairs to last you through sandal season. Try them with jeans, leggings, cropped pants, shorts, flowy skirts and maxi dresses.

Fair warning: Your other shoes are going to get jealous.

 To see a great video on this sandal, please click here: https://www.joyus.com/accessories/1-2903/comfort-is-cool-again-springs-hot-shoe-hosted-by-zoe-ruderman?utm_source=social-share-link&utm_medium=link&utm_campaign=ZLK04NI0001&utm_content=vp2903_comfortisc

Train Harder, Recover Faster, Perform Better

May 16, 2014
posted by Admin

boots

 

 

 

Pro-Level Recovery Tools for APRC Patients 

We are very excited to announce that we have NormaTec MVP Compression Boots.  They are FDA-approved, help speed up your recovery and perform at your best.

Call our office  for your FREE TRIAL.

Click here to learn more.

Did you know that United States Olympic Marathoner and 2014 Boston Marathon Champion Meb Keflezighi, World Champion Triathlete Mirinda Carfrae, the New York Jets, the Boston Celtics, the Philadelphia Flyers, the New York Red Bulls, and many other professional teams use NormaTec MVP Compression Boots as part of their post-training recovery?  Now, patients of APRC can too!  We are very excited to announce that we have NormaTec Compression Boots.  They are FDA-approved, help speed up your recovery and perform at you best.

To learn more about the compression boots, please visit the NormaTec website:  NormaTec Recovery Systems (http://www.normatecrecovery.com) and see our flyer for a special offer:

 

Dr_Jason_Levy_with_Spencer_Baron

APRC would like to recognize Dr. Michael Teytelbaum for achieving Board Certified status in Chiropractic Neurology! For those of you not familiar with the field, it is a non-invasive, drug-free approach to many neurological conditions like balance and movement disorders, concussions, headaches/migraines, among many others.  The treatment can consist of specific brain-based exercises, adjustments, and nutritional support.    If your CT and MRI scans are normal, but you are still having symptoms, chiropractic neurology may be able to help.  You can call the office if you have further questions or Email Dr. Teytelbaum directly at ChiroMikeT@gmail.com.

Dear Patients,

We are extremely excited to announce that Dr. Jessica Merker-Levy has opened her second office located in the Atlantic Sports Health building in Morristown, NJ.

Dr. Merker-Levy will be available for appointments in Morristown on Mondays from 9am-1pm.  The address for her office is:  Atlantic Sports Health – 111 Madison Avenue, Suite 400 – Morristown, NJ 07960.

Dr. Merker-Levy will continue to be available at her Short Hills office on Tuesdays from 10am-1:30pm and on Thursdays from 4-8pm.

Dr. Vincenza Mineo will continue to be available in Short Hills on Mondays and Wednesdays from 9am-7pm and Saturdays from 10am-2pm.

To schedule an appointment at either of her 2 locations, please call 973-467-9011.

 

Foam Rolling Workshop

May 15, 2013
posted by Admin


 
On Tuesday, May 14th, Drs. Jason Levy & Courtney Centrelli performed a hands-on foam roller workshop for members of Paramount Multi Sport Club.  The workshop taught members how to use a foam roller for Optimal Performance and Injury Prevention. By attending this workshop, members learned how to utilize a foam roller to move more efficiently and reduce the aches and pains associated with triathlon training.

Dr. Jessica Merker-Levy, DPM, was recently appointed the Team Podiatrist for the New York Red Bulls, Major League Soccer (MLS). Dr. Jessica Merker-Levy has proven herself to the team and has a record for success as a podiatrist. She is looking forward to serving the team and keeping the players in top physical condition. To learn more, please visit: www.aprcnj.com.

The sports chiropractors at APRC are looking forward to the 2013 Mapso Triathlon Club season to begin!

Dr. Jason Levy with Dr. Anthony Iselborn (Jacksonville Jaguars Chiropractor)

Dr. Jason Levy with Dr. Anthony Iselborn (Jacksonville Jaguars Chiropractor)

APRC Chiropractors Learn NeuroKinectic Therapy!

June 13, 2012
posted by Admin

APRC’s Chiropractors, Drs. Centrelli, Levy, and Teytelbaum attended a NeuroKinetic Therapy seminar the weekend of 6/2/12 and learned another technique to help athletes and patients to increase their function and performance! The therapy utilizes specific muscle testing and establishes where one’s weaknesses or strengths may be. The Doctors are excited to integrate another approach to help better serve you!

Heel Pain 101

June 13, 2012
posted by Admin

Check out the link below for some vital information regarding Heel Pain from Dr. Vincenza Mineo

Heel+Pain+101

Success with BPPV Vertigo!

June 13, 2012
posted by Admin

Dr. Michael Teytelbaum just had another successful treatment for a patient with BPPV vertigo! If you are having any dizziness or nausea when moving your head or body from one position to another, you might be suffering from Benign Paroxysmal Positional Vertigo. Good news is that Dr. Teytelbaum, Board Eligible Chiropractic Neurologist, may be able to help you! To find out more, call Advanced Performance & Rehabilitation Center at (973)467-9011.

A BIG congrats to our fellow doc, Courtney R. Centrelli who become CACCP  (Certified Academy of Family Practice & Council on Chiropractic Pediatrics) certified.

 

CONGRATS AGAIN  COURTNEY!!!!

It’s All About Function!

May 3, 2012
posted by Admin

(Originally Published via the Children’s Chiropractic Research Foundation)

Today’s parents are more concerned than ever about the adverse effects drugs have on their children. Parents are increasingly asking, when handed a prescription for a child’s recurrent problem, “Is this really all I can do for my child? Is there a safer alternative?”

Parents are hesitant to merely mask symptoms with drugs and are worried about side effects. Their desire to achieve a state of true health-has led parents to seek health care options which support their children’s own natural ability to be healthy.

Chiropractic care is one such option. All children function better with 100% nerve function. All children deserve the right to express their fullest potential. Chiropractic care for children is safe, gentle and effective. It allows for the opportunity for maximum potential for well-being.

 

Dr Vincenza Mineo will be performing free Gait Analysis at the Sneaker Factory located at 308 Millburn Ave. Millburn NJ 07041 (973) 376-6094 on Saturday April 7th from 1-3 pm.

PEDICURE POINTERS

Who doesn’t love to be pampered? Especially since summer is right around the corner, a pedicure is a great way to get ready for those beach days, showing some skin and wearing sandals. Many women visit nail salons to pretty up their feet; however, some do experience complications like fungal nails, ingrown nails and possibly a bacterial infection like MRSA.

Licensed nail salons are subjected to inspection by the health department, frequency of inspection can vary along with the compliance of the nail salon. There is even an International Pedicure Association, developed by a podiatrist, which teaches the salon about pedicure safety. Many of these tips were also published by the American Podiatric Medical Association (APMA).  I hope this blog gives you some tips on how to protect yourself.

 

THESE SIMPLE TIPS WILL ENSURE HAPPY FEET AND YOUR SAFETY

  1. Schedule your appointment first thing in the morning when salon baths are the cleanest.  You should also look for a salon that uses free standing basins with no inner plumbing/workings where bacteria like MRSA or other germs/debris can hide. Cleaning the footbaths takes time and involves scrubbing them down with hot soapy water, removing the filter, and cleaning with a hospital grade disinfectant.
  2. Bring your own tools and make sure you clean them after every use with either rubbing alcohol or hot soapy water. At the nail salon, the tools should either be autoclaved or placed in a special chemical bath. The nail technician should wash their hands between clients and lay out new tools for the next client.
  3. Use a toenail clipper with a straight edge when cutting nails. Nails should be cut straight across, not too short or with rounded edges. If they are not cut straight across, you are at risk for an ingrown toe nail.
  4. Don’t use a sharp tool under the nails or a razor on the skin to remove calluses. This makes it easy to puncture the skin, making it suspect to infection. Gently use a wooden or rubber manicure stick or even a manicure brush under your nails to keep them free from dirt and build up. Use a foot buffer or a pumice stone to gently debride calluses.
  5. Bring your own nail polish to the salon. Look for nail polish without formaldehyde, toluene, and dibutyl phthalate, like Dr. Remedy. They can be irritating to the skin.
  6. Do not use a nail polish to cover up thick or discolored nails. This will not allow the nail bed to get necessary moisture and can make the fungus worse.
  7. Use nail polish to paint healthy nails and remove regularly with a non- acetone remover.
  8. Bring your own nail file, do not share with others, and file your nails in the same direction.
  9. Use a rubber cuticle pusher or manicure stick to gently push back cuticle. Consider leaving cuticles intact because cutting them puts you at risk for an infection. Also, persistently pushing them back can make them thicker.
  10. Use an emollient enriched moisturizer to keep you skin moist and your soles soft. Place the moisturizer on the top and bottom of both feet. Do not place between toes. Leaving moisture between toes can promote fungus or skin cracking.
  11. Do not shave for at least 24 hours before you go to the salon. Freshly shaven legs, small cuts or even dry skin may allow bacteria to enter.

*Remember if you do contract a fungal infection, bacterial infection or an ingrown toe nail you should see a podiatrist or other physician for care.  Some signs you should look out for are redness, swelling, pain or drainage from the affected area.