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

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Posts for category: Toenail problems

By Clark Podiatry Center
March 16, 2020
Category: Toenail problems

We’re getting closer to “show your toes” season. That’s right. We’re talking sandals, walks on the beach, you name it. While some people are thrilled for this season, other people may be a bit more hesitant. Why? Their toes aren’t ready. It can range from a basic need for a little toe TLC such as a pedicure or a fungal toenail infection. Rest easy. Here at the Clark Podiatry Center, we treat this condition with laser therapy for fungal toenails

What are some benefits of laser technology?

This treatment option is fast, painless, and limits the risks and side effects that may come along with an oral medication. When we say fast, we’re talking a 10-minute session. If you need an additional session, we offer a low-cost program for more laser treatments.

When will my toenails look better?

It can take some time before you begin to see a new, clear nail. We say about 5 to 6 months. Whether you use oral medication or laser therapy, the fungus doesn’t “fade.” Both treatment options should destroy the fungus spores. As the nail continues normal growth, the damaged nail is eventually pushed outward.

Why can’t I just try over-the-counter options?

Fungal infections are contagious, so you are at risk of passing this condition to others. For this reason, one of the biggest incentives is to treat the infection quickly and effectively. Not getting proper treatment can continue to damage your toenail. Until you are assessed by a podiatrist, it’s best to not assume your medical treatment.

Ready to begin the journey to clear, beach-ready toenails? Make an appointment with Dr. Brandon A. Macy, a board-certified podiatrist, located at our Clark, New Jersey office. Call (732) 382-3470. Don’t forget — the New Jersey’s Children’s Foot Health Institute is also part of Clark Podiatry Center. If you have questions or concerns about fungal toenails on your children’s feet, we’re here to help.

By Clark Podiatry Center
February 10, 2020
Category: Toenail problems

If you have an ingrown toenail, act fast. Without treatment, you may one day begin to notice that the skin surrounding your toenail is increasing in redness and pain. What is typically a simple fix may turn into a painful infection in need of much more attention. Dr. Brandon A. Macy and his team at Clark Podiatry Center want to share warning signs for a worsening ingrown toenail; they also want to share ways to avoid an infection.

What is an ingrown toenail?

When your toenail begins to dig into the surrounding skin, you have this condition. For most people, an ingrown toenail can be caused by an inherited toenail shape, an injury, or wearing the wrong type of footwear.

When can this condition become a problem?

If your toenail cuts or breaks the skin, you now have an open wound. Once this happens, you are at risk of developing an infection. Symptoms include increased redness and pain, swelling, or discharge near the ingrown toenail.

How can I prevent my toenail from becoming infected?

For mild cases, you can treat ingrown toenails with warm, soapy water. We always recommend that you schedule an appointment with a podiatrist so that they can assess the severity of your condition. If you frequently have ingrown toenails, you have another reason to seek medical help.

Any suggestions on how to avoid an ingrown toenail from the start?

As with most conditions, prevention is key. While some people may have an increased likelihood of developing an ingrown toenail because of heredity, most people can prevent this condition by trimming their nails properly, wearing shoes that fit well, and being aware of injuries to the toenail.

If you have an ingrown toenail, come in for a visit as soon as possible. Please schedule an appointment with Dr. Brandon A. Macy of Clark Podiatry Center; he is a board-certified podiatrist at our Clark, New Jersey office. New Jersey’s Children’s Foot Health Institute is a part of the Clark Podiatry Center, too. Call 732-382-3470.

By Clark Podiatry Center
October 28, 2019
Category: Toenail problems

At Clark Podiatry Center, we know it’s the time of year for ghoulish costumes and horror movies, but ghastly toe troubles are definitely something patients do not enjoy. We often take our toes for granted until something goes wrong. Below are some common toe problems and their sometimes gruesome symptoms.

Ingrown Toenails—this insidious condition can develop slowly, almost without you realizing it, until you start to experience pain and notice that your toenail appears to be blowing up with swelling. When a toenail grows downward and back into the skin, it’s called an ingrown nail. When the nail actually punctures the skin, it causes redness and swelling, and the area becomes incredibly tender and painful. It can also become infected, and if this happens, you may notice pus or other discharge as well.

Black Toenails—looking down and noticing your toenail is black can be frightening, but it is most often the sign of repetitive trauma or stress to the toe. If you are a runner, for example, the constant pounding of the toe up against the front of the shoe can cause bleeding under the nail, which pools and causes the black appearance. It’s still a good idea to have the foot doctor examine the toe to rule out any more serious conditions.

Fungal Toenails—a nail that has a fungal infection can appear discolored, and the edges may be brittle and crumbly. In some cases, the nail may even separate from the bed, and there can be a foul odor as well. The foot doctor has several treatment options available, including laser therapy, to restore your nail to health.

If you notice any unusual or concerning symptoms about your toes, nails, or any other part of your foot, make an appointment with Clark Podiatry Center by calling 732-382-3470. Our board-certified podiatrist, Dr. Brandon A. Macy will examine your feet and provide a prompt diagnosis of your disorder and the best course of treatment. We are proud to say that New Jersey’s Children’s Foot Health Institute is a part of the Clark Podiatry Center.

We look forward to serving you at our Clark, New Jersey office.

A very common foot ailment is an ingrown toenail. An ingrown toenail is just that, a nail that has grown into the nail bed and if not taken care of can become infected. Most ingrown toenails occur in the big toe but can occur in all nails.

Symptoms of an ingrown toenail include:

  • Pain – can occur on both sides of the nail
  • Swelling - irritation in the toe will cause swelling
  • Redness – in and around the nail and nail bed
  • An infection of the toenail – can include infected liquid around the nail

If you believe you have an ingrown toenail, your best bet is to contact your podiatrist to make the right diagnosis. An infected ingrown toenail can get worse fast, so let a trained professional treat you and avoid any unnecessary future problems.

Causes of an ingrown toenail are:

  • Wearing shoes that are too tight – especially around the toes
  • Cutting toenails too short – injures the nail bed
  • Injured toes – can deform the nail’s growth
  • Unusually curved toenails – promotes ingrown growth

Treatments for an ingrown toenail include both those applied at home and by a doctor. Home treatments include:

  • Soaking your feet in warm water – this loosens up the skin in and around the toenails
  • Applying cream – anti-biotic cream to prevent infection
  • Pain relievers – ibuprofen or similar
  • Good supportive footwearfootwear that doesn’t crowd the toes

If these treatments don’t help, then you need to see a podiatrist who can do any of the following:

  • Lifting the nail – if not infected, the doctor can lift the nail and place cotton under its edge so it grows above the skin
  • Removing the nail – if infected this is a more severe treatment, but will stop the nail from growing into the nail bed 
  • Removing the nail and root – this is the most severe treatment as it removes the nail and the nail’s root preventing the nail from growing in the same spot again

If you believe you are developing an ingrown toenail 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, will assess your feet and find the appropriate treatments to get you back to being active. Call Clark Podiatry at (732) 382-3470.

 

Patients are always asking why their ingrown nails keep coming back and why can't they be cut "properly" -- whatever that means--so that the problem never comes back.

Unfortunately, the shape of a toenail can't be changed by cutting it different—straight across, back on an angle or the anachronistic V-shaped notch in the middle of the nail (which has never worked going back to cave-man days). Nails grow straight out toward the tip of the toe.  Ingrown nails are nails which have curled so that the edges can't grow past the skin of the nail groove on the side and poke into the skin. A sharp edge or a poorly trimmed nail can break through the skin in which case an infection can ensue.

In these circumstances, cutting the nail better in the corners can help, but temporarily at best. And if frequent infections are the norm, even small ones, then the best way to deal with the problem is to fix it on a lasting basis by performing an in-office procedure called a matrixectomy. Simply put, this is done by making the nail more narrow on the affected side and then cauterizing the so-called "root" of the nail so that the removed portion does not return at all.

If you'd like to see a video of such a procedure, click on video below.  A word of warning: this is an actual surgical procedure and the contents are graphic in nature.

 

 

This particular patient had a problem with a border of both great toenails. The amount of nail removed is determined by how much the nail curls under. We remove as little as possible, but just the right amount to correct the problem

The process of cauterization takes about 60-90 seconds per nail border. Once again, what we're trying to do is to destroy the nail matrix or "root" of the nail in the area in order to prevent that part of the nail from ever growing back. Numbness from the local anesthetic lasts for a few hours and typically there is little or no need for pain medication afterwards, nothing more than ibuprofen or Tylenol.

We provide a wound care kit to use for postoperative care beginning the next day. The old bandages are removed, the toe is rinsed, dried and a small amount of medication is put into the nail groove and the area covered with a band aid. This is done once or twice per day until healing is complete.

Overall healing time is 2-3 weeks with little or no disability. The procedure is quick, simple and VERY successful at relieving the pain of an ingrown toenail once and for all.

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

At Clark Podiatry Center, we want to 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