Smart Checkin Infographics

Introducing Seaview Smart Check-In

Seaview Orthopaedics Smart Check-In Process Now Available at all Locations

See the infographic below for a step-by-step overview of how Smart Check-in works.


How to stay active at home featured image

How to Workout from Home During Coronavirus

How to Workout from Home During Coronavirus

Staying home and avoiding unnecessary travel is critically important for minimizing the risk of contracting and/or spreading the coronavirus. However, Dr. Green says it is also very important for New Jersey residents to remain active in order to bolster their immune systems. Particularly for seniors age 65 and older with chronic conditions, or who may be immunocompromised, exercising regularly is key for staying healthy. Dr. Green recommends 130 – 200 minutes of moderate exercise per week, as well as two strength-training sessions per week. Click play to learn more about how to workout from home during the coronavirus!

Although it might be tempting to work out for hours on end, strenuous exercise can actually have the opposite effect of what is desired. According to Dr. Green, there is evidence that too much exercise reduces immunity. That is because pushing the body to its limits produces certain hormones that cause a temporary decrease in immune system function. As we navigate this pandemic, individuals should refrain from activities that will negatively impact their ability to fight off sickness.

What Aerobic Exercises can I do at Home During the Pandemic?

Dr. Green recommends 130 – 200 minutes of moderate intensity exercise per week, especially for seniors. This level of activity averages out to one 30-minute session for five days out of the week. Some examples of at-home (or in-neighborhood) exercises include:

  • Walking stairs every hour
  • When watching TV, get up to walk during commercial breaks (or every hour)
  • Jumping rope for 15 minutes.
  • Walking for two miles in about 30 minutes
  • Biking for approximately five miles in 30 minutes

What Strength Training Exercises can I do at Home During the Pandemic?

Strength training should be including in your weekly exercise routine to maintain strength, flexibility, and joint health. According to Dr. Green, bodyweight exercises are all you need in order to implement at-home strength workouts. Here are some exercises you can try using just your bodyweight, or everyday items found around the house. Be sure to consult your physician before implementing a new exercise regimen .

  • Take advantage of exercise apps, YouTube videos, and other digital tools
  • Include items like milk jugs or water containers to modify bodyweight exercises
  • Perform bodyweight squats or lunges to train the lower body
  • Perform pushups or hold a plank position to train the upper body
  • For older adults, here is a list of the 8 Best Equiptment-Free Strength Exercises for Seniors

Adding an aerobic and strength-training regimen to your weekly routine can go a long way in keeping your immune system healthy during the covid-19 pandemic. As always, be sure to consult your physician before beginning a new exercise routine. Dr. Aron Green is a foot and ankle surgeon with over 15 years of experience helping patients in Middlesex, Monmouth, and Ocean county improve their foot health. Click here to learn more about Dr. Green. Be sure to like and share the video above to help your friends and family stay healthy as we navigate this pandemic together.


Coronavirus in NJ: Patients Delaying Surgery Endure Physical, Emotional Pain

Coronavirus in NJ: Patients Delaying Surgery Endure Physical, Emotional Pain

Dr. Arthur Vasen, managing partner of Seaview Orthopaedics in Ocean Township, said volume at his practice has decreased.

By Michael L. Diamond, Asbury Park Press
Published April 6, 2020

Dr. Vasen, our Managing Partner for Seaview Orthopaedics, explains in this article the impact the coronavirus has had on our practice.  See excerpts from the article below. To read the full article, click here

Excerpts from the Article

Doctors’ offices accustomed to hands-on treatment have had to reinvent themselves.

Seaview Orthopaedics, based in Ocean Township, has seen volume decline by 75%. It laid off 40% of its 300 employees until business picks up again. It rescheduled patients coming in for physical therapy to ensure there is no more than one person in the waiting room. And it is trying to update its technology so the administrative staff can work from home.


Coronavirus Update

Coronavirus Update

In compliance with NJ Governor Phil Murphy’s Executive Order No. 104, Seaview Orthopaedics remains open to provide treatment for urgent orthopedic issues. As our state enters this period of increased measures to curtail the spread of COVID-19, we remain committed to serving those in need of orthopedic care, this includes providing physical therapy.

Out of an abundance of caution for our patients and staff, patient visits will be staggered to ensure CDC social distancing guidelines are maintained in our waiting rooms. Please note the following:

  • All Seaview offices are open Monday – Friday from 8 – 5 PM
  • Call (732) 660-6200 during business hours to speak to a representative
  • Visit seaviewortho.com/insurance-information for participating insurances
  • Round-the-clock sterilization is in effect at all Seaview facilities
  • Visitors will be screened; stay home if experiencing flu-like symptoms

Though we are grappling with immensely difficult circumstances, we are confident that our New Jersey community will come together in support of one another like never before. Please continue to adhere to all social distancing measures. Visit cdc.gov and nj.gov/health for up-to-date COVID-19 information.

Sincerely,
Arthur P. Vasen, M.D., Ph.D.
Managing Partner, Seaview Orthopaedic & Medical Associates


Update: 3/17/20: As we navigate the COVID-19 pandemic together, we thank our healthcare workers for their tireless efforts caring for our most vulnerable populations, and treating those affected. To relieve the unprecedented demand placed on New Jersey’s medical infrastructure, Seaview Orthopaedics will provide same-day appointments for all urgent orthopedic issues, including physical therapy. We will continue to screen all visitors, and will maintain rigorous round-the-clock sanitization.

  • Offices are open from 8-5 pm Monday – Friday
  • We are located in Barnegat, Brick, Freehold, Holmdel, Monroe, and Ocean Township
  • For participating insurances, please visit seaviewortho.com/insurace-information

If you or a family member are sick, and/or have experienced a fever, cough, or shortness of breath, please contact your primary care provider immediately. We also ask that if you have experienced any of these symptoms, please contact our staff at (732) 660-6200 to reschedule your appointment.


Seaview has taken all of the appropriate precautions as advised by the government and health officials. As of now, we will keep the offices open in an effort to serve our patients. Note that we are making every effort to screen our patients and to limit the number of people in the waiting rooms – social distancing.


We at Seaview Orthopaedics advise patients and family members who are sick and or have a fever, cough, and shortness of breath to contact their primary care provider immediately.

If you have any of these symptoms, please contact our staff at (732)-660-6200 to reschedule your appointment.

For more information about the Coronavirus, please visit the Centers for Disease Control and Prevention website at https://www.cdc.gov/coronavirus/2019-ncov/index.html.


Sandal Season

Minimally Invasive Bunion Treatment

Sandal Season

Minimally Invasive Bunion Treatment for Warm Weather Footwear

The days are getting longer, and our favorite groundhog predicted an early spring. Soon, very soon, millions of women across the country will put their clunky winter boots away in favor of something more breathable and beautiful. Sandal season is coming, yet nothing can keep you from enjoying warm weather footwear like bunions. Bunions are a common deformity caused by genetics and environmental factors. In this article, you will learn about what causes Bunions and about a cutting edge, the minimally invasive treatment offered by Dr. Green of Seaview Orthopedics, known as Keyhole Bunion Surgery. Read on to learn how Dr. Green can get your feet beautified for sandal season!

Sandal Season

Signs of Bunions

  • A bulging bump on the outside of the base of your big toe
  • Swelling, redness or soreness around your big toe joint
  • Corns or calluses, often developing when the first and second toes rub against each other
  • Limited movement of your big toe

88% of woman have worn inappropriate shoe wear, and this can cause or accelerate the formation of a bunion.


What Causes Bunions?

Bunions are a common condition affecting the foot/forefoot. The deformity is usually found in
women but can occur in men as well. There are many causes for bunions —a small percentage of bunions are genetic and tend to occur in adolescents. But, the vast majority are caused by a combination of genetics and environmental factors. A large study done by the American Foot and Ankle Society found that 88% of woman have worn inappropriate shoe wear, and this can cause or accelerate the formation of a bunion. The bunion deformity we’re all familiar with  appens because the first metatarsal phalangeal joint (big toe joint) starts to dislocate. Ultimately, if not treated, it will completely dislocate.

Minimally Invasive Bunion Removal Surgery

Originally pioneered in Europe, minimally invasive bunion surgery (or keyhole bunion surgery) allows for faster recovery and less stiffness after surgery. With traditional open bunion surgery, large incisions are used to correct the bunion. Most traditional techniques require the use of screws, plates, and even specialized nails to allow for fixation of the correction. However, Dr. Green’s minimally invasive bunion surgery uses small incisions to correct the bunion, resulting in less scarring, greater range of motion, and faster recovery! Dr. Green was trained in this technique by Drs. Refern and Vernois –pioneers of minimally invasive foot surgery. He has over 10 years of experience performing minimally invasive keyhole surgery.

Seaview Orthopaedic Dr Green

Aron Green, MD, FAAOS
Foot & Ankle Surgeon
Specialty trained in keyhole bunion surgery
10+ years of surgical foot & ankle experience

Benefits of Keyhole Bunion Surgery

1) Smaller incisions resulting in decreased risk of infection and faster healing

2) Decreased post-operative stiffness in the foot so you start moving sooner

3) Earlier weight bearing on the foot due to lower-grade stiffness

4) Less damage to tissues and Minimal external scarring.

Don’t wait until it is too late. This is the time to get your feet ready for the warm weather shoes you love! Seaview Orthopaedic offers fast appointment scheduling: simply call (732) 660-6200 or visit seaviewortho.com/dr-aron-green to request your consultation today!


Bunion-Treatment

Keyhole Bunion Removal Surgery

Bunion Treatment: Get Your Feet Beautiful for Sandal Season!

Bunion Treatment

Don’t let unsightly bunions keep you from wearing your favorite footwear. Sandal season is soon upon us as warm weather is approaching, and you don’t want to be left out of the fun in the sun because of foot pain and discomfort.

Now is the time to take care of those pesky, painful bunions. At Seaview Orthopaedics, we can help. Dr. Aron Green specializes in minimally invasive bunion surgery (also known as keyhole bunion surgery). Minimally invasive bunion surgery will have you up and about in no time enjoying the warm weather and donning your favorite sandals.

What are bunions?

Bunions are one of the most common conditions that can affect the feet. They are deformities that occur at the joint at the base of the big toe. The first long bone in the foot, called the first metatarsal, shifts outward at the metatarsophalangeal (MTP) joint, creating a protruding bump on the side of the foot and causing the big toe to shift toward the second toe.



What causes bunions?

There are several factors that can contribute to the formation of bunions, including genetics and choice of footwear.

Bunions are thought to have a genetic component, including the laxity of the joints or poorly formed or abnormal collagen. In some cases, bunions develop in children due to a genetic predisposition to this foot deformity.

Improper footwear can also contribute to bunion formation or cause the deformity to worsen. Shoes that are too tight, ill-fitting, or narrow can increase the likelihood of bunion development. High heels may also be a contributing factor, as they force the toes to crowd into the front of the shoe. To decrease your chances of developing bunions, it is recommended that you avoid this type of footwear. Recommended footwear has a heel height of fewer than 1.5 inches.

Who is at a higher risk of developing a bunion?

Bunions are more common in women than in men. Footwear is thought to be a contributing factor, as a study by the American Foot and Ankle Society found that 88% of women have worn shoes that did not fit properly.

When is the right time to get treatment for bunions?

Bunions can be fixed and the right time to fix them is when it starts to hurt. Without proper treatment, bunions often worsen over time. As bunions get larger, they become more painful and may lead to additional problems. Bunions cause the MTP joint to become enlarged, which may lead to bursitis, an inflammation of the fluid-filled sac that cushions the joint. It can also lead to misalignment of the second toe, as the big toe angles further inward, causing a painful hammertoe.

What treatment options are available for bunions?

At Seaview Orthopaedics, we offer both nonsurgical and surgical treatment options for bunions to relieve pain and discomfort. Because bunions vary in shape and size there are over 100 different surgical techniques that can be used to correct a bunion deformity. Bunion deformities are categorized as mild, moderate, or severe. Based on the severity of the bunion, your orthopedic surgeon will choose the surgical technique that is best suited to correct the deformity.

Nonsurgical treatment can be helpful for reducing pain and preventing further progression of the deformity, but it will not correct the deformity.

Minimally Invasive Bunion Surgery

Minimally invasive bunion surgery or keyhole bunion surgery is the recommended treatment for large bunion deformities. Keyhole bunion surgery allows for faster recovery, easier rehabilitation, and almost immediate weight-bearing.  

At Seaview Orthopaedics, Dr. Green is a leader in the field. He has developed a proximal procedure (which is currently in the FDA approval process) to treat such large bunion deformities. 

What is keyhole bunion surgery?

During keyhole bunion surgery, your orthopedic surgeon makes very small keyhole cuts to access the bone around the bunion and cut them and shift them. Then specially crafted screws are passed through the very small cuts to hold the cut bones. Prominent bumps are shaved off, making the bump of the bunion much smaller and less prominent.

What is the recovery time for keyhole bunion surgery?

After surgery, you will have a soft bandage applied that needs to stay on for 2 weeks. It will be removed 2 weeks post-surgery at your follow-up appointment, and at that time you can start wearing supportive athletic shoes.

Immediately after surgery, you can walk with crutches for balance and support.

Since keyhole bunion surgery is a minimally invasive procedure, patients can expect to return to their normal activities within 2 to 4 weeks.  During recovery, patients are encouraged to limit any strenuous activity for at least 4 weeks after surgery.

Physical therapy, which is offered at all six Seaview office locations, may be recommended after surgery to restore strength and range of motion in the foot.

Possible complications of bunion surgery include stiffness and positional abnormalities in the big toe. There is also a chance that the bunion can recur after surgery. The chance of recurrence can be as low as 5% and as high as 50%. It is recommended that patients avoid tight, narrow shoes and high heels after bunion surgery to reduce the chance of recurrence.

How does open bunion surgery differ from keyhole bunion surgery?

With keyhole bunion surgery the incisions are much smaller than in open bunion surgery.  In open bunion surgery, the larger incisions cut through all layers of tissue around the bone all the way down to bone along the length of the cut. As a result, the scar is much bigger, the pain is more significant, and the recovery time is longer. The recovery period ranges from 6-8 weeks and patients are usually fitted with a cast or large walking boot. Because open bunion surgery is more invasive, patients cannot put weight on the operated foot for at least 2 weeks after surgery.

With keyhole bunion surgery, there are several benefits as compared to open bunion surgery. These include:

  • Smaller incisions resulting in decreased risk of infection and faster healing.
  • Decreased postoperative stiffness in the foot so you start moving faster.
  • Earlier weight-bearing on the foot due to lower-grade stiffness.
  • Less damage to tissues and minimal external scarring.

Keyhole Bunion Surgery in Jersey Shore and Central New Jersey

Our board-certified foot and ankle surgeon at Seaview Orthopaedics, Dr. Aron Green, specializes in keyhole bunion surgery. He has over 10 years of experience performing this procedure. If you would like to schedule an appointment with Dr. Green, at one of our six office locations, please call (732) 660-6200. You can also visit seaviewortho.com/dr-aron-green to request your consultation today. We look forward to helping you get your feet beautiful for sandal season!


Seaview Holmdel Now Accepting Patients

Seaview Holmdel Now Accepting Patients

Seaview Holmdel is now accepting patients! Thank you to all who attended our grand opening on 10/22/19, it was a truly enjoyable evening. We look forward to providing the Holmdel-Hazlet area with our signature brand of warm patient-centered care.


Seaview-Orthopaedic-arthrodesis-right-and-left-ankle-arthroplasty

Emerging Technology in the Foot and Ankle: Total Ankle Arthroplasty

Seaview-Orthopaedic-arthrodesis-right-and-left-ankle-arthroplasty

Ankle arthritis is fundamentally different from hip and knee arthritis; historically, the treatment has been different as well. Ankle arthritis is most frequently post traumatic in nature —usually occurring after a significant fracture or bone trauma. However, we are now finding that multiple episodes of instability, i.e., simple ankle sprains, can lead to the development of debilitating ankle arthritis.

The inflammatory arthridities (rheumatoid) can also significantly affect the ankle joint as well. Initial treatment for ankle arthritis is conservative. Physical therapy, NSAIDS, bracing and injections are the mainstays of conservative treatment. Traditionally, treatment for end stage ankle arthritis has been ankle arthrodesis, or fusion. Fusion eliminates motion at the level of the ankle and leads to functional limitations. It essentially eliminates the ankle as a motion segment leads to a limp and loss of function.

A Brief History of Ankle Replacements
Ankle replacements emerged in the 60’s and 70’s. But, they tended to fail quickly, and were not as reliable and long lasting as the total hip and knee replacements available at the time. During the 80’s, development of total ankle systems reached a point where they became viable options; but, there were still limitations. The first ankle replacement was approved by the FDA in the 90’s. It was more robust, reliable, and long lasting than those that came before it; however, it was still not as durable as hip and knee replacements. It was also found that there was a significant learning curve associated with performing total ankle replacement surgery.

Since then, several new ankle replacement systems have been introduced into the market. Moreover, some of these systems have undergone refinement and are now in their second and third generation versions. Compared to earlier options, these systems are now quite viable. They are reliable, reproducible, durable and able to rival the longevity of total hip and knee systems that are on the market currently.

Advantages of Ankle Replacements
The advantage of ankle replacement, over ankle fusion, is that an ankle replacement is a motion sparing procedure that also eliminates the pain of the arthritis. It allows for motion that ranges from “normal” to “more normal” and the ability (at times) to walk without a limp. The number of ankle replacements being performed increases every year. Some patients become concerned that like a hip and knee replacement, ankle replacements eventually wear out and need revision. Conversely, there is a perception that ankle fusions are forever.

In a sense this is true; however, a fusion will cause adjacent joints to move to a greater extent, and in a way they were not designed to move —this will cause adjacent joints to become arthritic. It has been shown that 10 to 15 years post ankle fusion, other major surgery is often needed around the foot and ankle to deal with adjacent joint degeneration. This essentially means regardless of treatment (both after an ankle replacement or after an ankle fusion) another major surgery will be needed 10 to 15 years after the index procedure.

Currently, ankle replacement is becoming the preferred treatment method for ankle arthritis. Things to look for while considering an ankle replacement is the volume of replacements done and the comfort level and understanding of ankle replacement by the surgeon, since there is a significant learning curve associated with this procedure.

Case study: S R

65 year old with post traumatic ankle arthritis.  Patient sustained an ankle fracture as a teenager.  She developed pain and limitations in function as she got older.  She has had treatment which had included physical therapy, injection therapy, bracing and oral medications that ultimately failed to control her symptoms.  She ultimately was evaluated at the University of Pennsylvania that was doing a clinical trial for fusion versus arthroplasty and was recommended for a replacement.  Unfortunately she also has a fairly significant metal allergy that could have had significant impact on function after total ankle arthroplasty.

Pre-op X-rays

After careful evaluation of the patient it was determined that she would benefit greatly from an ankle replacement.  However her metal allergy presented significant difficulty with providing her one.  After extensive review of her allergy reports a custom implant was created to minimize her possibility of reacting to her implants.  Because of the technique for the implant that would offer her the best level of function custom implants and semi custom carbon fiber plates were selected for her.  She underwent total ankle arthroplasty with a custom made implant to accommodate her metal allergy and underwent fixation of her fibular osteotomy with carbon implants which will have no allergic reaction.  She had complete resolution of her preoperative pain, no allergic reaction to implants and near pain free ambulation. 


Seaview Orthopaedic Monmouth Medical Centers Healthy Together Summer 19 digital edition 4

Patient Story: Follow-up Interview with Roseann M. | Partial Knee Replacement

When asked what attracted him to the field of orthopaedic surgery, Dr. Parcells will tell you that patient outcomes drew him to this specialty. For other medical disciplines, results can sometimes be a bit more difficult to measure. However, Dr. Parcells views his specialty as an opportunity to noticeably improve his patient’s quality of life. “I have patients that come in a wheelchair, and after surgery, they’re walking out of the hospital and getting back to all the activities they haven’t been able to do for over 10 years. I find that ability to make a big impact in people’s lives very gratifying,” says Dr. Parcells.

For individuals considering partial or total knee replacement, there is a hope that they’ll be able to return to foregone pastimes. Roseann M.’s story exemplifies the fulfillment of this hope, because after a partial knee replacement with Dr. Parcells, dancing is in the near future for the active 76-year-old. In February 2019, we published a video testimonial of Roseann sharing her post-surgery experience. Recently, the good folks over at Monmouth Medical Center’s Healthy Together Magazine caught up with Roseann and Dr. Parcells, to learn more about the strides she’s made thanks to her partial knee replacement. Both the video testimonial and magazine article can be viewed below. Enjoy.

Seaview Orthopaedic Monmouth Medical Centers Healthy Together Summer 19 digital edition 4
Seaview Orthopaedic Monmouth Medical Centers Healthy Together Summer 19 digital edition


Seaview Orthopaedic Bunion

Bunions: a Brief Overview & What to Expect

Seaview Orthopaedic Bunion

There are many types of bunion: mild, medium, large, and severe. They are all part of the continuum of deformity. Bunion deformities generally occur in women, more than men. They can also be congenital in nature — those that are, generally occur in teenagers. Bunions occurring later life are typically caused by a combination of genetics and improper shoe wear. It is estimated that at some point in their lives, 88% of women will have worn improper shoes.

Seaview Orthopaedic Bunion Overview

Bunions can initially cause pain because of rubbing of the medial eminence against a shoe. However over time, because the first metatarsal phalangeal joint subluxes (dislocates) arthric, changes will start to occur and irreversible joint damage will eventually take place. The good news is that bunions can be fixed, and the right time to fix a bunion, is when it starts to hurt.

When a bunion becomes painful, this means arthritis is starting to set in. If the joint is left out of position, more arthritic changes will occur and there will still be pain (even after fixing) because the joint now has significant degenerative changes. There are over one hundred described techniques to fix a bunion. What this means is that no particular technique works well, that there are many different kinds of bunions, and that each bunion needs to be addressed on an individual basis.

Seaview Orthopaedic Bunion Surgery

Fixing a bunion requires fixing the soft tissues as well as the bony deformity. For smaller bunions, all of the work can be done around the big toe joint. Sometimes pins can be placed to hold the bone cuts and these pins are pulled in the office so no hardware remains in the foot. For larger bunions, correction needs to be done at the level of the midfoot. Also, hardware is left in the foot. Hardware is needed to hold the bone correction until the bones heal.

Bone healing takes approximately six weeks, so limitations on weight bearing will be in place for that period of time. Physical therapy may be needed if joints are stiff. After six months to a year after healing has occurred hardware can be removed if it is symptomatic. As more advanced implants are developed there has been a trend to fixing bunions via minimally invasive techniques. This tends to lead to less scaring and quicker recovery. It generally takes about six weeks for the bones to heal enough to be weight bearing; however, newer implants are allowing earlier weight bearing as well. Complications from bunion surgery include stiffness and recurrence. Recurrence generally occurs if the wrong bunion procedure is chosen for a particular bunion.


Seaview Orthopaedic Dr Green

Aron Green, MD., specializes in care of the foot and ankle. This includes total ankle arthroplasty, post traumatic and congenital reconstruction, reconstruction of acquired deformities, sports injuries, and diabetic / rheumatologic foot care.Click here to learn more about Dr. Green.