My Blog

September 13, 2017

September is Peripheral Arterial Disease ( P.A.D.) Awareness Month!


Vascular Access Centers of Eatontown, is offering PAD Screening at No Cost all Month!


Here are some interesting facts about Peripheral Arterial Disease that many people don't know!                                                      

  • 180,000 non-traumatic AMPUTATIONS are performed in the US every year. Over half of these are done WITHOUT a proper evaluation or screening first, to determine if the limb could have been SAVED.
  • An estimated 10-12+ million Americans suffer from poor circulation in their legs and feet due to PERIPHERAL ARTERIAL DISEASE (PAD).  PAD limits 
  • walking ability, and decreases Quality of Life even in the earliest stages!
  • PAD is a common circulation problem in the arteries of the leg. Over time, these arteries become blocked with plaque, putting you at risk for STROKE, HEART ATTACK, and lower limb/extremity AMPUTATION.

Vascular Access Centers has launched the Health Evaluations for Limb Preservation (HELP) Initiative to assist patients and Health Care providers identify circulation issues sooner and prevent amputations.

Don't become a statistic. Let Vascular Access Centers HELP. Take the first STEP, and call us today to schedule your evaluation! Vascular Access Centers is committed to keeping you on your feet by saving your limbs and your quality of life.

Something to think about is that "Half of those who suffer from PAD will show NO signs or symptoms." Knowing what to look for is imperative in staying healthy.

The following are some risk factors that play a key role in determining if you're at risk. These risk factors include:

  • Diabetes
  • Smoking
  • High Blood Pressure
  • High Cholesterol
  • Obesity
  • Family History
  • Age (50+)

SIGNS or SYMPTOMS may include pain at exertion or rest, numbness, tingling and fatigue in the hips, buttocks, legs and feet.

Many amputations can be AVOIDED, and circulation in the legs and feet improved through MINIMALLY INVASIVE/NON-SURGICAL techniques (via a BANDAID-SIZED incision). Vascular Access Centers of Eatontown specializes in all endovascular techniques to treat PAD both ABOVE AND BELOW THE KNEE!

Take Action!!!

If you, or anyone you know, might be at risk, don't wait! PAD is a PROGRESSIVE disease. Vascular Access Centers of Eatontown can HELP by offering full service from diagnosis to treatment all within a comfortable OUTPATIENT atmosphere, requiring no overnight/hospital stay!

Article/Blog provided by:

Jennifer Noble at Vascular Access Centers of Eatontown & Piscataway

For more information on PAD, please visit   




Steroid injections have been around what seems like forever but platelet rich plasma (PRP) has been the new latest craze in heel pain treatment in New Jersey.  How effective are these treatments for heel pain?  Dr. Cheney at AllCare Foot & Ankle in Oakhurst, New Jersey finds steroid injections to be a good short-term treatment for plantar fasciitis.  When patients seek treatment early on with symptoms of heel pain, Dr. Cheney has found her steroid injection to be more effective.  Unfortunately, many patients delay treatment due to optimism that the pain will go away or just too busy to get treatment.  Pain that has lingered longer than 2-3mo is less likely to respond well to the corticosteroid injection.  When this is the case Dr. Cheney typically will recommend an initial treatment with an orthotic, home treatment routine and possibly an oral anti-inflammatory.  After no improvement, Dr. Cheney will consider PRP.  Platelet rich plasma increases the body’s own response to injury and allows actual true healing vs just decreasing inflammation.  Dr. Cheney’s go-to treatment for heel pain however remains Extracorporeal Pulse Activation Technology (EPAT).  To find out what treatment is best for you visit  

Many people have so many questions and concerns when considering treatment options for heel pain.  New non-invasive heel pain treatment with EPAT brings many questions by patients at our Jersey Shore Podiatry office in Oakhurst. 

Well, let’s start by explaining the basics! What exactly is EPAT Therapy and what does it entail? It is a non-invasive heel pain treatment to help the blood flow back into your heels, which generally after about 3 treatments, makes the pain you are experiencing in your heels cease to exist! All that is required is some daily stretching, a little bit of icing and to come in for your treatments when scheduled! That’s it!!!

Okay, so still on the fence? Here are some FAQ’s for those of you that need a little push but haven’t been able to take the leap to a better you!

Q: Is EPAT FDA approved?

A: Yes, EPAT is FDA approved for acute and musculoskeletal pain.


Q: Is EPAT covered by my insurance?

A: No, but the cost of treatment is typically less than the out of pocket cost associated with prolonged conservative care currently covered by insurance.


Q: What are the success rates for EPAT treatments?

A: In clinical studies, EPAT has greater than 80% success rates.


Q: Are there any side effects associated with treatments?

A: The only side effect reported in any of the clinical 

and FDA studies was minor bruising to the treatment area.


Q: Can EPAT make my injury worse?

A: No, EPAT will not make your injury worse.


Q: Does the treatment hurt?

A: It can be uncomfortable, however the treatments only last approximately four minutes and you will have immediate relief as soon as the treatment Is over.


Q: Is there any down time associated with EPAT treatment?

A: No, you can return to normal activities immediately after treat



Q: How many treatments will I need?

A: Typically, 3-5 treatments are needed, with 1 treatment administered per week.


Q: How does EPAT work?

A: EPAT promotes your body’s own healing process by increasing blood flow to the area as well as speeding up your metabolism to the site treated.


Q: Can I continue to take my current medication?

A: You must stop taking anti-inflammatories such as ibuprofen. It is ok to take Tylenol, aspirin, and blood thinners.

There you have it! Most commonly asked questions are answered but if you still have questions call us.  If you are still a bit skeptical, don’t take our word for it, just listen to some of the testimonials from our patients on our website at If you do have any additional questions that were not mentioned in this blog, call AllCare Foot & Ankle in Oakhurst, New Jersey at (732) 695-3668 or message us on facebook at

May 01, 2017
Category: Ingrown Toenail

Ingrown Toenail - How to Treat and Prevent


Ingrown toenails, medically known as onychocryptosis, usually is caused by trimming toenails too short.  Specifically, the area on the sides of the big toes is most commonly seen. Another cause of ingrown toenails may also be shoe pressure.  If a shoe is too tight or short pressure of skin against nail can cause the nail to ingrow.  Other less common causes are injury, fungal infections, heredity, or poor foot structure.

How do I know if I have an ingrown toenail?  Ingrown toenails occur when the corners or sides of the toenail dig into the skin, often causing infection.  This common ailment, can be extremely painful to both adults and children. Ingrown toenails start out hard, swollen, and tender. When left untreated, the nail area may become sore, red, and infected and the skin may start to grow over the ingrown toenail, which means it’s time for a trip to your Oakhurst, NJ Foot Doctor, Dr. Allison Cheney.

When treated early, most cases are simple to treat: soak the foot in warm, soapy water several times each day. Avoid wearing tight shoes or socks. Antibiotics are sometimes prescribed if an infection is present.  When left untreated for long periods of time the problem becomes severe. If an acute infection occurs, surgical removal of part of the ingrown toenail may be needed.  This treatment option is known as a partial nail avulsion, the procedure involves injecting the toe with an anesthetic and cutting out the ingrown part of the toenail.

How to Prevent Ingrown Toenail:

  • Trimming toenails straight across with no rounded corners.
  • Ensuring that shoes and socks are not too tight.
  • Keeping feet clean at all times.


This information is not meant as medical advice. It is provided solely for education. Our Monmouth County podiatry office in Oakhurst, New Jersey would be pleased to discuss your unique circumstances and needs as they relate to these topics.

March 23, 2017
Category: Uncategorized
Tags: Untagged

Acupuncture has been used for thousands of years to treat many diseases, chronic conditions and acute symptoms. It can be particularly beneficial for pain, as it can treat both locally and systemically. Both acute and chronic conditions have been shown to respond well to acupuncture treatments, and can even help where conventional medicine was ineffective, according to an article published in 1996 in "Acupuncture in Medicine." Be sure to discuss your condition thoroughly with your physician and acupuncturist before beginning acupuncture treatments.

Pain in Traditional Chinese Medicine

According to the Traditional Chinese Medicine Information Page, pain is considered a stagnation of qi, or energy, in traditional Chinese medicine. Qi runs in channels throughout the body. When an energy channel, or meridian, is blocked, pain can be experienced. Bruising occurs when one such meridian is blocked near the surface of the skin, while arthritis stems from qi stagnation in the joints. Acupuncture helps to break up the blockages and directly promote the smooth flow of qi.

Causes of Foot Pain

The phrase "foot pain" is not enough information for any type of practitioner to begin treatment. The foot has 38 bones, a myriad of tendons and ligaments, and is responsible for a great deal of our ability to stand, walk and run. Because of all these moving parts, many types of injuries can occur, and pain symptoms can vary greatly. The website Acupuncture Today lists improper foot posture, such as pronation, as one of the main triggers of foot pain. Improper footwear, edema, neuromas, overuse, exercise, and foot problems such as bunions and hammertoes can also cause pain in the feet. Each of these causes can be accompanied by pain in a specific area or certain type of pain. Plantar fascitis can have pain stemming from the heel and radiating toward the toes, while a bunion can cause pain and swelling in a more local area.

Several studies have found acupuncture to be an effective method for relieving different types of foot pain. In 1996, a study was published in "Acupuncture in Medicine" stating that acupuncture treatments on chronic foot pain were effective where western medical treatments were not. The journal "Medical Acupuncture" conducted a study using electroacupuncture on plantar fascitis. Electroacupuncture consists of passing an electric current through needles inserted into the patient's skin. According to this study, 82 percent of patients claimed a 50 percent or more improvement in pain reduction. They also found a correlation between the duration of disease and the number of treatments required, implying that the more chronic a condition, the more treatments will be needed.

Acupuncture Points on the Foot


Heel pain or heat in the soles of the feet, according to "A Manual of Acupuncture," can be treated by needling spleen 4, which is located on the inside of the foot, in the depression at the base of the first metatarsal bone. Spleen 5, located near the medial malleous, or inner ankle bone, can be particularly helpful in cases of ankle pain. For chronic numbness or pain, an acupuncturist may choose a point on the sole of the foot, kidney 1. There are points in between the toes on the top side of the foot, as well as along the outside edge of the foot. Your acupuncturist will decide which points are right for you, based on your specific condition.

Acupuncture and Western Medicine


According to the Traditional Chinese Medicine Information Page, acupuncture helps treat pain in a variety of ways. From a western medical perspective, acupuncture treatments help to release endorphins and enkephalins, substances needed for pain mediation. It also stimulates certain neurotransmitters, which are also important in pain perception, as well as adrenocoricotropic hormone, or ACTH. ACTH a hormone that triggers the release of cortisol from the adrenal glands. Cortisol is important in the body's inflammatory response, and it is also involved in the release of norepinephrine and epinephrine. Epinephrine is adrenaline, a potent hormone that can help decrease pain perception.

Article/Blog provided by:

Donna Zou, Licensed Acupuncturist of Traditional Acupuncture at the Jersey Shore.

For More Information on Acupuncture, please visit



This website includes materials that are protected by copyright, or other proprietary rights. Transmission or reproduction of protected items beyond that allowed by fair use, as defined in the copyright laws, requires the written permission of the copyright owners.