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Dr. Brandon Macy
Podiatrist - Clark, NJ
1114 Raritan Road
Clark, NJ 07066

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Posts for category: Foot Conditions

Also known as Adult-Acquired Flat Foot or Tibialis Posterior Tendonitis, this condition results in a flattened arch in the foot. Those affected might experience symptoms such as pain along the inside of the ankle and foot, as well as a foot deformity with a shifted heel bone. Left untreated, it can cause chronic pain and severe deformity, making it hard to find shoes that fit comfortably.

What causes it?

  • Posterior Tibial Tendon Dysfunction (PTTD) – This is one of the most common causes of painful progressive flat foot. When there is inflammation of the posterior tibial tendon, or if it is damaged or torn, it can no longer properly hold up the arches of the feet.
  • Health issuesObesity (excess weight that the feet have to bear), Diabetes (reduced sensation can lead to weakened foot structures and eventually lead to Charcot Foot), and Hypertension (reduced blood supply to the tendon).
  • Arthritis: When joints and bones are affected by arthritis, they can become weakened and allow for a collapsed arch.
  • Injury: Blunt trauma can cause the issues that lead to a fallen arch, including inflamed or torn tendon, or structural deformity in the feet.
  • Flat foot since childhood – Some folks are born with flat feet, and they may not always cause problems until later in life when the arch collapses.

What can be done to treat it?

  • Orthotics, including custom supportive inserts, specially made shoes, immobilizing casts, or supportive braces. These assistive devices can help to correct your gait and posture. They can prevent your feet from rolling inward from having flat feet, as well as relieve pressure on the arches as you walk and stand.  
  • Physical therapy can be helpful to strengthen the soft tissue in the feet to correct gait.
  • Icing and NSAIDs can help relieve pain, swelling, and inflammation.
  • Treat health conditions like obesity (weight loss), diabetes, hypertension, and arthritis.
  • In rare cases, surgery might be an option to treat any posterior tibial tendon issues, or if there are any structural bone issues.

If you suspect that your arches have fallen and if you have pain along the inside of your feet or ankles, make an appointment today at Clark Podiatry Center. Our board-certified podiatrist, Dr. Brandon Macy will assess your feet to find the best treatments or solutions for your feet. We are located in Clark, NJ and serve patients in all the surrounding Union County towns!

 

It’s very common to have a so-called ‘minor procedure’ performed in the office or a same-day surgical unit.  This could possibly involve removing a wart, dealing with an ingrown toenail, a biopsy of a skin lesion or something else.  Then there are the larger surgical procedures such as for bunions, hammertoes or for serious infections in the foot.

What is really meant by minor surgery?

In general terms, so-called minor procedures are performed under local anesthesia, frequently in the office setting and there is typically little or no disability and relatively mild discomfort afterwards.  It is sometime also used to make a surgical procedure seem smaller to ease patients’ normal fears.

Here at Clark Podiatry Center, we go by the adage that “the definition of minor surgery is an operation performed on somebody else.”  What that means is that we take even the smallest of procedures very seriously and recognize that patients can be just as apprehensive over the little things as much as the big things.

While sometimes it is in the best interests to perform some form of surgical procedure, we’ll take the time to answer your questions, do our best to allay your fears and do what we can to make the process as quick and stress-free as possible.

For more information about any type of procedure or an appointment, contact us at 732-382-3470 or visit our website at www.clarkpodiatry.com

At Clark Podiatry Center want to keep you walking!

#ClarkPodiatryCenter #NJCFHI

By Clark Podiatry Center
July 18, 2018
Category: Foot Conditions
Tags: arthritis   swelling   RICE method   gout   healthy diet  

If you or a loved one suffers from gout, you know that it can be a crippling condition. This intense form of arthritis can suddenly cause pain, swelling, and redness in a joint – most commonly in the big toe joint. It can cause pain to most of the forefoot and even in the ankles and/or knees as well.

NOTE: If you feel that you might have gout, make sure that you have made an appointment with your doctor and received a proper diagnosis.

After some time, gout patients may get really good at recognizing symptoms of an oncoming attack. You may feel sensations of burning or tingling, stiff or sore joints, and eventually, redness, swelling, and pain. For some, the pain can come suddenly in the middle of the night, causing you to wake up.

Gout attacks generally occur after drinking more than usual, eating foods that are high in purine (like liver or mussels), being dehydrated, ingesting a lot of sugar, or as a side effect of taking certain medications.

When you feel an attack coming on, try the following:

  • RICE method: Rest, Ice, Compression*, Elevation to reduce symptoms. *If even the littlest bit of contact with the gout joint causes you pain, you may not want to use compression.
  • Drink a LOT of water. Hydration will help you flush out the buildup of uric acid in your joints.
  • Take NSAIDs (non-steroidal anti-inflammatory drugs) to alleviate pain and reduce inflammation.
  • If possible, get moving. Low-impact exercise can help to get blood and fluids circulating to reduce the uric acid build up. Even doing some exercises while resting the affected foot/feet in bed can help your symptoms.

When a gout attack is in full swing, you may be in too much pain to do much. You’ll want to have friends or family members help you with daily tasks and take it easy in general. Eat a nutritious and healthy diet and drink lots of water. Additionally, use cushiony, soft slippers when you do need to walk around (like going to the bathroom) to alleviate pain.

If you experience more than 2 or 3 attacks per year, you’ll probably want to take prescription gout medications. Make an appointment today at Clark Podiatry Center. Our board-certified podiatrist, Dr. Brandon Macy will assess your feet to find the best treatments or solutions for your feet. We are located in Clark, NJ and serve patients in all the surrounding Union County towns!

By Clark Podiatry Center
June 22, 2017
Category: Foot Conditions
Tags: corns   calluses   Hammertoes  

Hammertoes can be a pain. Literally. Typically, the deformity affects your second toe (closest to the big toe), but can happen to your other small toes as well. A weakened toe muscle begins to put pressure on the toe’s joints and tendons, making the toe’s second toe joint stick up. It makes a tented shape with the toe. Related conditions include mallet toe and claw toe, in which the end joint or both end and middle joints are bent upward. 

When you’ve got hammertoes, it can be uncomfortable at the least. Shoes may not fit properly and you may become unhappy with the shape of your feet. Worse, hammertoes can cause you pain because the shape of the toes can cause you to have corns or calluses on the bent joint. The friction from wearing tight shoes makes it worse.

Why you get Hammertoes: Genetics plays a major part in why you may develop hammertoes. The foot type you are born with can make you prone to certain conditions like hammertoes. Shoes that do not fit well can make things worse. If they tend to make you put more pressure on the front of the foot (like with high heels), hammertoes can become aggravated. Additionally, if you’ve got an injury, arthritis, or even diabetes, you may be at higher risk of developing hammertoes. 

 

Prevention and Treatment:

If your family is prone to hammertoes or if you sense that your toes are starting to show signs of hammertoes, there are some steps you can take to prevent them from getting worse.

  • It’s best for you to wear comfortable and supportive shoes. Arch supports can help slow progression of hammertoes. Also, shoes that have high heels and/or a narrow toebox will cramp your toes and make it much more likely for you to develop hammertoes. 
  • Some foot exercises can help to keep up strength in your toes so that the deformity does not become worse. Exercises involving extending and curling the toes, as well as picking up small objects to move them can help strengthen toes. 

 

For hammertoes that have progressed, the following treatments are available:

  • If the hammertoes are still flexible, it’s possible to slow the progress of the deformity by using some strips and splints. Additionally, you can use pads to cushion the bent portion of your toes, especially if you have corns or calluses. You can also do a warm foot soak and use a pumice stone to file down corns. 
  • For severe cases where hammertoes that have become rigid and painful, surgery is probably the best option. It can be performed in an outpatient setting with a short recovery period. 

If you suspect development of hammertoes, it’s best that you come to see us sooner than later so that the problem does not get much worse. Make an appointment today at Clark Podiatry Center. Our board-certified podiatrist, Dr. Brandon Macy will assess your toes to find the best treatment. We are located in Clark, NJ and serve patients in all the surrounding Union County towns!

 
By Clark Podiatry Center
March 15, 2017
Category: Foot Conditions
Tags: Bunions   Flat Feet   Hammertoes   bursitis  

Most of the time, when bunions are mentioned, they are in the context of a podiatric issue for adults (mostly women). However, did you know that bunions affect children too? 

A bunion is characterized by an outwardly protruding bump that occurs at the big toe joint (metatarsophalangeal joint). In adults, it is typically an extra bone growth that protrudes outward, caused by genetics, shoes, or other foot issues. For children and adolescents, though, it is usually due to developmental structural problems. These issues are usually a developmental deformity where the toes point inward too much or when there is a joint misalignment. Hereditary traits and having flat feet are risk factors for juvenile bunions.

Treatment Options

Bunions may or may not be painful, but can be uncomfortable in certain shoes. They may also continue to get larger, depending on the situation. For adults, changing shoes, using inserts, applying ice, and padding shoes can help to relieve pain and inflammation. In extreme cases, a podiatrist may determine if surgery is necessary.

For children, podiatrists will encourage padding the area, changing shoes, and altering activities that aggravate the bunion. If the problem is treated early, orthotics and custom gear may be able to halt bunion growth and correct developmental issues since bones are not yet fully hardened.

The main difference in treatment is that surgery is not highly encouraged. This is because children are still growing and bones are not fully formed. Surgery on the bones can affect the growth plate, which, if disturbed, can affect future growth. Nonetheless, surgeries for mild bunions are usually successful at correcting alignment issues. They are usually performed further away from the growth plate, so risks are lower. The surgeries for more severe bunions require attention closer to the growth plate, so there is a higher risk of complication. For these reasons, if possible, surgery is put off until after bones have fully formed, in later teenage years.

Untreated bunions can lead to more complex issues. Not only will wearing shoes be uncomfortable and painful, there are also higher risks for bursitis, hammertoes, and alignment issues for other toes.

If you or your children are experiencing bunion pain, come see us at Clark Podiatry Center right away. Our board-certified podiatrist, Dr. Brandon Macy can find the best treatment options for you or your child. Make an appointment today so that our team can help you resolve the issue sooner, rather than later. We are located in Clark, NJ in Union County and our team is ready to help! We keep you walking.



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1114 Raritan Road
Clark, NJ 07066

Podiatrist - Clark, Dr. Brandon Macy, 1114 Raritan Road, Clark NJ, 07066 732-382-3470