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




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Posts for category: Orthotics

By Clark Podiatry Center
April 24, 2019
Category: Orthotics

There are many reasons to wear an orthotic, depending on the type of foot problem you may have.

Reasons to wear an orthotic include:

  • Flat feet – low arches
  • Supination – an outward roll of the foot when stepping
  • Overpronation – inward roll of the foot when taking a step
  • Diabetes – lack of insulin in your bloodstream
  • Shin splints – painful swelling of the shin from repeated pounding on hard surfaces
  • Morton’s neuroma – tingling in your forefoot caused by damaged nerve
  • Metatarsalgia – pain in the ball of your foot
  • Heel spurs – painful swelling of the heel usually caused by a buildup of calcium
  • Morton’s toe – where your second toe is longer than your big toe
  • Plantar Fasciitis – the inflammation of the bottom of your foot

In each of the above cases, a specific orthotic can be of great help. Many orthotics provide much needed extra cushioning for such conditions as diabetes, shin splints or flat feet, yet each provides cushioning different from the other. Those suffering from diabetes need a softer orthotic, whereas shin splints need cushioning that will absorb the shock of pounding feet. Flat feet, however, need greater support in the arch. Each condition requires knowledge about your specific foot problem. While there are many orthotics or insoles on the market, the best resource for this is your podiatrist who will diagnose your exact condition and determine just what orthotic is best for you.

Basic types of orthotics:

  • Semi-rigid – more flexible orthotic providing cushioning without a lot of arch support
  • Rigid – a stiffer orthotic that is considered aggressive support often used for arches.

Other types of orthotics may include athletic, gel, heat moldable, high heel, children’s and memory foam. Each treat different types of problems so just getting a basic insole is not enough. Your foot has a specific need and must have a specific type of orthotic. The best person to determine what your foot requires is your podiatrist.

If you believe you need an orthotic or have any other foot concerns, please make an appointment with us. Dr. Brandon A. Macy, who is associated with New Jersey Children's Foot Health Institute. He will assess your feet and find the appropriate treatments to get you back to being active. Call Clark Podiatry at (732) 382-3470.

By Clark Podiatry Center
August 08, 2018
Category: Orthotics

Do you ever find yourself wanting your shoes to be more comfortable? Maybe if they had a little more padding on this part of the shoe, you would be able to wear them for a bit longer. If only there was more arch support, you wouldn’t suffer from chronic plantar fasciitis. Is there a way to find comfort without buying new shoes altogether?


Yes! Orthotics to the rescue!

Sometimes, finding comfort and extra support can be as simple as adding over-the-counter orthotic inserts. If your shoes are in good condition, other than making your feet tired, you may just need some arch pads, ball of feet pads, or heel cups to stabilize your feet. Shoes like high heels, flats, and some sandals need some orthotic inserts to reduce foot pain for a long day of standing or walking.

For other issues, like foot deformities (e.g. bunions or hammertoes), you may need custom-made orthotics. They might be inserts or whole shoes that are custom-formed for your specific needs. For example, your feet may not fit into typical shoe shapes if you have a severe bunion deformity. The orthotic shoe can help prevent worsening symptoms and allow for foot comfort from chronic pain and other symptoms.

Additionally, some people may need temporary orthotic support when rehabilitating from an injury. Foot or ankle braces can ensure that bones and soft tissues heal properly. It can also support the ankle joints so they may continue to function while the healing tissues are gaining strength.  

Furthermore, children who might have developmental issues or injuries can also benefit from orthotics. Using orthotics can help correct problems like pigeon-toeing, overpronation, or Sever’s Disease.

There is a broad range of orthotics that can help with many different situations for your family’s feet and ankles. If you think that you or a family member can benefit from orthotics, 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!

All Orthotics Are NOT Created Equal!

Patients come in all the time asking about or carrying in some form of orthotics that they received from another office, bought in a drug store, supermarket, sporting goods store, shoe store or even a Dr. Scholl’s display—and sometimes from a television infomercial.  What they all have in common is foot pain that hasn’t been resolved and they wonder why their orthotic hasn’t fixed their problem as advertised.

While orthotics are not the answer to every foot problem, more commonly what has gone wrong is in the construction of the orthotic.  Let me show you what I mean:

The goal of most orthotics is to do one of two things:

  1. In an unstable foot—one that flattens out or pronates too much—we’re trying to stabilize/support or control the foot so that you can walk or run more efficiently. This results in less fatigue, less stress and strain on joints, muscles, tendons and ligaments.
  2. In a more rigid foot, we’re trying to increase the surface area of contact and improve shock absorption.

Most inexpensive OTC orthotics look good in the package but are too flimsy in their construction.  Being way too flexible, they can’t support much of anything and the cushioning is too cheap to improve shock absorption to any significant degree.

For some problems, using an off the shelf orthotic can be very good.  We dispense a ‘one-style fits all’ type which works well in many cases.  Patients are individuals, however, and we tend to categorize feet into one of 6 basic foot ‘types’ and we have specialized off the shelf orthotics based on your foot type.

For a number of reasons, we’ll often recommend custom orthotics.  How are these different?  For starters, they are custom made for your particular feet, important for the very common situation where one foot flattens out more than the other.  Your particular needs regarding your foot conditions, activities, shoe styles and structural abnormalities can often best be addressed by customization instead of an off the shelf  product.  There are many different materials and modifications to orthotics that are used based on your specific needs.

At Clark Podiatry, we make custom orthotics from 3-dimensional digital images of your feet, the most accurate method available.  Foam impressions often don’t capture the foot in the proper position; plaster impressions can be excellent but can be inconsistent depending on who is taking the casts.  Digital images are very accurate and are transmitted to the lab in minutes after scanning, allowing for a faster turnaround time, meaning that they’re available for you to use and get relief from your foot pain so much faster.

For more information about orthotics, any other foot problem or an appointment, contact us at 732-382-3470 or visit our website at www.clarkpodiatry.com

#ClarkPodiatryCenter #NJCFHI #footorthotics

At Clark Podiatry Center, we want to keep you walking!

What do a 70-year old woman with diabetes and an 8-year old boy with an intoeing deformity have in common? They both are improving their foot health by wearing custom-fitted orthotic devices.

Orthotics are inserts that fit into shoes to correct an abnormal walking pattern or redistribute pressure to alleviate a foot problem. Some shoe inserts are available over-the-counter - these may help somewhat in mild cases but they are not custom-fitted to the patient's specific foot structure or needs.

Custom-fitted orthotics can be very powerful tools in allowing people to stand and move more efficiently as well as helping to heal certain foot conditions. And orthotics are not just for adults! Here are a few examples of foot problems where custom-fitted orthotics can help:

Calluses, blisters and ulcers: These skin conditions often result from excessive pressure on certain spots on the foot and can be especially problematic for patients with diabetes. Soft, flexible orthotics help protect the skin in these situations by moving stress away from pressure points.

Aches, pains and strains in lower leg and back: Rigid orthotics can control foot function and motion in foot joints to relieve the pain of shin splints, tendonitis and other injuries.

Flat foot: Orthotics can help stabilize the foot and improve foot function in adults and children over age 8 with flat feet. Wearing orthotics will help limit both pain and the damage from arthritis.

Heel pain: The discomfort of plantar fasciitis can be relieved with orthotics to redistribute pressure more evenly and allow healing.

Balance for walking and sports activities: Orthotics that are semi-rigid are more flexible than those that are rigid to accommodate excess forces during sports. Athletes often use these to relieve the pain of a heavy workout.

Children's Foot Issues Benefit from Custom-Fitted Orthotics Too

Although most of us think of orthotics in terms of adult foot problems, children can benefit from custom-fitted orthotics as well.

Children's heel pain is often Sever's disease, where in a growth spurt the tendons and muscles supporting the heel bone are overstretched. Wearing orthotics as part of the treatment to rest and heal the area can reduce stress on the heel.

Intoeing, a condition usually present from birth where the child's toes point inward toward each other, often disappears as the child matures. Custom-fitted orthotics may be needed to help realign the feet and to prevent further problems as an adult.

We Can Assess Your Foot Health To Determine if Orthotics Can Help

If you or your child has any foot or ankle pain, please do not hesitate to contact Dr. Brandon Macy, board certified podiatrist at Clark Podiatry Center . We have the right expertise to diagnose and treat your foot problems. Please call us for an appointment in our Clark office at 732-382-3470 or use the contact information at the website. We can create custom-fitted orthotics of any size to fit our patients - both young and not-so-young!

By Clark Podiatry Center
August 13, 2015
Category: Orthotics
Tags: Untagged

Shoe companies love your feet.  They make shoes with memory foam, springs and even air.  When you’ve tried them all and still feel foot pain, you're ready to think about shoe inserts.

Shoe inserts, or orthotics, are supports that are worn inside a shoe to help alleviate discomfort and provide support for your arches.  However, if there is an underlying cause to your foot and ankle pain, you may need a custom orthotic device. Custom orthotics are molded to the unique structure of your foot and are designed for the way you move to ensure more accurate support and correction.

Orthotics can help with the treatment of a number of conditions, including plantar fasciitis or heel pain, tendonitis, foot ulcerations, bunions, rheumatoid arthritis, recurrent ankle sprains or stress fractures, and many other common conditions.

There are two main types of orthotics:

  • Functional orthotics - designed to control or correct abnormal foot function.  The motion of the two major foot joints directly below the ankle joint is controlled by the orthotic. These inserts are made of flexible, semi-rigid or rigid plastic or graphite materials, which are durable and thin and will easily fit into standard shoe types.  However, they are firm and do not offer much cushioning.
  • Accommodative orthotics  - these are softer and designed to provide additional support and cushioning to relieve pressure for painful conditions such as a diabetic foot ulcers and calluses.  The materials used for these inserts are cork, leather, plastic foams and rubber.  They are flexible and can easily be adjusted for a more comfortable shape, although they can be bulky, less durable and frequently need adjustments to work properly.

Here at Clark Podiatry Center, our board certified podiatrist, Dr. Brandon A. Macy, will examine your feet and ankles to look for biomechanical problems and other foot issues. If a custom-fit orthotic is deemed necessary, Dr. Macy will use video gait analysis and 3-D digital scanning to get the most accurate 3-dimensional model of your feet.  We also have a pedorthist at our Union County and Westfield area location for your shoe modification needs. After a full and thorough examination, Dr. Macy will be able to determine what type of orthotic will be best for you. If you think you may benefit from custom orthotics or if you have any other foot or ankle issues, call our Clark office today for an appointment at 732-382-3470 or use our online appointment request.

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1114 Raritan Road
Clark, NJ 07066

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