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




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Posts for category: pediatric foot conditions

By Clark Podiatry Center
April 01, 2019

If you’ve just become a new parent, life has suddenly become full of wonderful surprises. Making sure your child grows up happy and healthy will be one of your priorities and keeping track of your child’s foot health is important. So, what can you expect?

Unlike an adult’s, a newborn’s feet will be much more padded and flexible allowing for the growth of bones and muscles. A baby’s feet are often blue, wrinkled and peeling having been inside the mother’s womb covered in amniotic fluid. Do not fret, though. They will naturally begin to pinken as they get warm.

Things to look for:

  • Proper Hip structure – making sure the hips are not dislocated.
  • Neurological response – the pediatrician will tickle the soles to see if the infant responds.
  • Clubfoot – abnormally small feet with toes pointed inward.
  • Metatarsus adductus or ‘C’ foot – a condition where the big toe points toward the other foot.
  • Extra toes – a common occurrence that is easily remedied with surgery.
  • Web feet – also a common occurrence remedied with surgery.

While all the above are possible, they are not automatic, so don’t be alarmed. Your podiatrist is specifically trained to assess and treat where needed.

While it is fine to look forward to seeing your child take their first step, don’t be too anxious. Each child will develop on their own and rushing them could set back their efforts.  Most children don’t start walking until they are 8 to 18 months old. Until then, it is important for them to be able to stretch their legs and move their toes. It is perfectly fine for toddlers to go barefoot as they refine their balance, posture, and coordination. Very important is the transfer of information from the soles of the child’s feet to their brain.

When it comes to shoes, a child’s feet should be professionally measured for length and width. It is not uncommon for shoe sizes to change every few months as feet will grow rapidly in the first few years. This is the beginning of a new chapter in your life. Enjoy it.

If you have any concerns with your child’s feet or their development or any other foot concerns, please make an appointment with us.  Our podiatrist, 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.

By Brandon Macy. D.P.M.
May 01, 2018
Tags: toe walking  

“Get up on your toes” is a figure of speech urging you to prepare to start something energetically.  But when your child appears to be walking on tiptoe most of the time, you sense that something isn’t quite right.

Many parents fear something dire is going on, whether it might be tightness of the Achilles tendons in need of intensive physical therapy, surgery or some neurological issue which sounds even worse.  Fortunately, although those situations do sometimes happen, more commonly the answer is far simpler and easier to deal with.

Feet which overpronate (flatten) too much are unstable—there is a lack of ‘leverage’ during walking and running—which is a very inefficient way of getting around.  To combat this, raising up on the toes puts the foot in a more stable position.  Also, depending on the balance between the forefoot and the rearfoot and the tightness of the Achilles tendon, the heel may lift off the ground prematurely during the gait cycle.

In these cases, muscles, tendons and ligaments have to work extra hard resulting in early fatigue, achiness and pain, affecting their gait and their athletic activities. Over many years, this can lead to foot deformities and arthritic damage to the feet, knees, hips and back.

Most of the time, if your child can stand with both heels on the ground, there is no major tightening of the Achilles tendon.  Fortunately, providing proper support and balancing of the feet with a good set of orthotics such as our LittleSteps pediatric orthotics or our adult versions for those over the age of 10 can help deal with the majority of these situations.  Using good orthotics on a daily basis can change things rather quickly, decreasing the toe walking and allowing your child to participate fully in their sports activities with less fatigue and pain—not to mention preventing larger problems into adulthood.

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

At Clark Podiatry Center and the New Jersey Children’s Foot Health Institute, we want to keep you and your child walking! 

#ToeWalking #ClarkPodiatryCenter #NJCFHI


Down syndrome also known as trisomy 21, is a genetic disorder caused by the presence of all or part of a third copy of chromosome 21. It is typically associated with physical growth delays, characteristic facial features and mild to moderate intellectual disability. Symptoims which can affect foot function and, therefore, the lives of those affected is hypotonia (low muscle tone) and ligamentous laxity.

How this manifests in the feet is a typical broad, low-arched foot. The ligamentous laxity allows the feet to pronate (flatten) to excess. Combining this with low muscle tone, there is a loss of biomechanical efficiency during normal walking, resulting in easy fatigue, deformities and quite often pain.

How to combat this?  A quality orthotic device (not the types which can be found in drug stores, shoe stores, sporting goods stores and other commercial establishments) will serve to provide balance and stability to the foot and leg structure. Better support and ‘leverage’ from orthotics improves function dramatically, reducing fatigue and pain.

The takeaway point is that there is a fairly simple solution to an unfortunate problem.  A proper orthotic device for Down Syndrome children (and adults too!) can improve the quality of their life in a big way!

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!

#DownSyndrome #orthotics #NJCFHI #ClarkPodiatryCenter

A common concern that parents have when they come in to see us at The New Jersey Children's Foot Heath Institute, is Pigeon Toeing or Intoeing. This means that when they walk or run, the one or both feet point inward, toward the other, rather than straight ahead. 

However, you don’t need to be alarmed just yet! When children first begin to walk, their muscles and bones are not yet fully developed, so it can be normal for toddlers to have a pigeon-toe gait and appear bow-legged. However, if the problem is severe, or if it doesn’t correct itself after the age of 2, some intervention may be necessary. 

What causes it?

Intoeing can develop during pregnancy, as a birth defect, or due to hereditary factors (children who have a parent that had a pigeon-toed gait are more likely to have this problem). There’s not much that can be done to prevent it, but treating non-correcting intoeing earlier can make for better results. The main causes include: 

  • metatarsus adductus (foot deformity where it turns inward), 
  • tibial torsion (shin bone turns inward), or 
  • femoral anteversion (inwardly rotated upper leg bone). 

When to see a Podiatrist

Most cases of pigeon toeing can resolve on their own when the children are about 8 or 9, especially metatarsus adductus and femoral anteversion. Because there is no easy way to tell if a child will grow out of it, consulting our podiatrist is a good idea. Additionally, if your child seems to fall or trip often, orthotics may be necessary to help stabilize him or her in her everyday walking. For severe cases, surgery may be required to correctly align the position of the bones.

If your child complains about pain in the feet, ankles, knees, or hips, or has problems walking, come see us. For the best treatment options, come see our board-certified podiatrist, Dr. Brandon Macy. Make an appointment today at The New Jersey Children's Foot Heath Institute at Clark Podiatry Center to have your child’s intoe-ing assessed and treated with care. We are located in Clark, NJ and serve patients in all the surrounding Union County towns! We keep you walking!

By Clark Podiatry Center
July 13, 2017

At The New Jersey Children's Foot Heath Institute, we know that your children’s health is extremely important to you. So today, we have a top tip for you: When it comes to your children’s feet, growing pains are not normal. Pain in the feet usually indicates that something is wrong. Without treatment, some pain may linger and even worsen over time. Worst-case scenario, children’s bones can develop or form incorrectly when problems are not treated promptly. We can help!


If your child complains about pain, there are several possible causes behind it:


  • Achilles Tendonitis – The Achilles tendon connects the calf muscle to the heel bone. When the Achilles tendon is strained, such as when there is a sudden increase in activity or change in intensity of activity, it can become inflamed, causing pain in the back of the heel. It is also a common overuse injury for children who participate in sports with repetitive activities like running and jumping. 
  • Plantar Fasciitis – Another overuse injury, the connective tissues along the bottom of the feet that connect the midfoot to the heel can become irritated and inflamed. Running, walking, or standing for long periods of time, as well as intense activity can make it worse, especially if shoes are not supportive in the arches. As the tissues become tight, the heels may feel pain. 
  • Heel Spurs – This is a bony growth that protrudes from the heel. It can happen if the plantar fascia is constantly tight or inflamed. When the bone is developing or healing, it may develop a spur to compensate for problems in the feet. These spurs can be painful if weight is put on them. 
  • Sever’s Disease – Typically brought on during sports or injury, the growth plate of a developing heel bone can become irritate. A tight Achilles tendon can aggravate the problem by pulling excessively on the growth plate. It can also cause the feet to flatten, further worsening problems in the feet. 
  • Fractures – Repeated use of the heel or traumatic injury can cause fractures. The growing heel bone in your children’s feet are more at risk of fracture since they are not yet fully formed. Children playing high impact sports are more prone to this injury.


If your child complains about heel pain, do not hesitate to bring him or her into our office. The earlier any of these conditions are treated, the better the healing time and outcome. For the best treatment, come see our board-certified podiatrist, Dr. Brandon Macy. Make an appointment today at The New Jersey Children's Foot Heath Institute at Clark Podiatry Center to have your child’s heel pain assessed and treated with care. We are located in Clark, NJ and serve patients in all the surrounding Union County towns! We keep you walking!


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Call Today 732-382-3470

1114 Raritan Road
Clark, NJ 07066

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