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

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Posts for: September, 2013

By Brandon Macy, D.P.M.
September 22, 2013
Category: Running

What a fun day!  Arrived early to set up our sponsor's table with my wife, Mary, and my assistant, Audrey.  

The organizers couldn't have been nicer.  Met a few of the other sponsors.  A number of people stopped by our table to pick up information and ask questions. One of my favorites was an older gentleman who came in from Staten Island.  He spoke of a heel injury suffered in 1951. In school, their track shoes were converted baseball spikes.  But her still runs, slowly, but he runs.

 

As for me and the actual race--well, I finished.  This race was on a "retired" golf course and in the first 1.5 miles there were two uphill par-4 holes, the second of which I don't know if I could have reached in 2 shots when the course was open.  Those took a lot out of my legs [note to self: a bit more specialized training on hills].  As a result, I walked more than I thought I would have to, but the good news was that I was actually keeping up a good pace--for me--in spite of it all.  My training took me at about an 11:30 pace and that's what I accoplished, even with all the walking mixed in.  35:40 for the 5K, not bad for the first effort in 9-10 years.  I finished faster than at least 30 people and was 14th in my age group.  Should I mention there were about 200 runners overall?  

That's OK, it was all about putting one foot in front of the other and finishing.  It was all about the fresh air, exercise and the fun of the experience.  And the food.  Good food, drink, and snack provided by the other sponsors.  And the day was made even more complete later on when we made the trek to Piscataway, NJ to see Rutgers' come-from-behind victory over Arkansas!

 

The little kids fun run at the end was adorable.  Plenty of people brought dogs to the park--not to run, but to help cheer on their owners.  Next year, I'll for sure bring my dog Moose.  He'll be happy to greet the masses as he's sure everybody he meets has come out to see him.  He'll even be an experienced runner.  Next month, after my next 5K in Bethelehem PA, we'll run together in a 1 mile dog run.


By Brandon Macy D.P.M.
September 19, 2013
Category: Running

Saturday, I'm running in my first 5K race in many years, the Paul Jackson 5K in Clark.  There will be a Clark Podiatry Center sponsor's table set up for runners, walkers and their entourage to stop by to say hello, pick up a little educational information and ask me any questions you might have.  I'll be there before the race and, depending on how long it takes me to finish, after the race.

 

It has been a long road back to racing this year.  I started up with running in May, barely being able to run 6 minutes at a time before various aches and pains set in.  I'd mix in walking and running to the point where I can complete those 3.1 miles (I'm fairly sure I can, at least).  How fast and how much walking will be mixed in remains to be seen, especially if it is windy or if there are too many of those "mountains" to climb in the park formely known as the Oak Ridge Golf Course.  Playing golf there was far easier save for the all-too-frequent errant shot.

 

I had a patient come in earlier in the week, a marathon veteran who is dialing things down to 10K and half marathons and she said that for her, and I suppose for many of the longer distance runners, running 5Ks is for when you want to support a charity.  It's a nice warm up run. For the rest of us beginners and novices, we can barely finish the 5K, but for them, the first 3 miles of a workout are the hard part and this patient CLAIMS that in miles 4, 5 and beyond it actually gets easier.  She may well be right, but I'll believe it when I see it.

There's hope, though.  Last time I ran over in Tamques Park in Westfield, at the end of 3 laps (2.4 miles) my legs were very tired.  Thereafter, alternating 1/10 mil walking with 1/10 mile running hard--the mileposts are marked--resulted in each successive "sprint" being faster and easier than the last.  That could be my way of busting through the barrier.  We'll see.  

 

Anyway, I hope to see as many of you as possible on Saturday Sept. 21 at Oak Ridge Park. Stop by and say hello and after the race I'll get back to the booth as fast as my tired old legs will take me.

 


By Brandon Macy, D.P.M
September 16, 2013
Category: Uncategorized

Tarsar Tunnel SyndromeMaybe you've heard of carpal tunnel syndrome, a condition in the wrist that occurs when swelling or a change in position of the tissue within the carpal tunnel squeezes and irritates the median nerve. Similar to carpal tunnel syndrome is tarsal tunnel syndrome, an ankle condition that occurs from the compression of a nerve in a confined space.

What is tarsal tunnel syndrome?

The tarsal tunnel is a narrow space located on the inside of the ankle next to the ankle bones. Protected by the tarsal tunnel are many arteries, veins, tendons and nerves, one of which is the posterior tibial nerve- the main focus of tarsal tunnel syndrome.

Tarsal tunnel syndrome is caused from a compression on the posterior tibial nerve. Causes include:

  • Injury to the ankle, which may produce swelling near the nerve
  • Abnormal blood vessels or cysts that occupy space within the tunnel
  • Scar tissue that press against the nerve
  • Foot deformities, such as flat feet which increase strain on the nerve
  • Systematic diseases, such as diabetes or arthritis

When patients visit us at our Clark office with tarsal tunnel syndrome, they often experience one or more symptoms, usually felt on the bottom of the foot or the inside of the ankle. In some cases, the pain may extend to the heel, arch, toes and calf. Symptoms include:

  • Pain
  • Numbness
  • Burning or tingling sensation

Brandon Macy, D.P.M can help

Whenever you experience pain, burning and tingling in your feet or toes, make an appointment with our Clark office. Left untreated, tarsal tunnel syndrome could result in permanent nerve damage. Treatment for tarsal tunnel syndrome varies depending on the severity of your condition. Anti-inflammatory medications, cortisone injections, immobilization, rest and modifications in footwear are a few methods used to treat the damaged nerve and reduce the pain. When non-surgical treatments are unsuccessful, surgery may be recommended.


By Brandon Macy, D.P.M.
September 03, 2013
Category: Orthotics

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 orthotics haven’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, distribute weight over a larger area and thereby improve shock absorption.

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

For milder problems, light sports participation and as a short-term answer to many problems, we use the medical version of Powerstep orthotics which have excellent cushioning and a firm, supportive plastic shell which does a good job of providing both stability and cushioning.  There are even versions which can fit better in women’s casual shoes and dress shoes. We also have a children's version for kids in need of extra support.

As a long term answer to many foot problems often we’ll recommend custom orthotics.  How are these different?  For starters, they are 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 and structural abnormalities can often best be addressed by customization instead of an off the shelf  product.  There are many different materials, styles 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 are very good but can be inconsistent depending on who is taking the casts.  Digital images are very accurate and the presciption that is based on our examination, x-rays and video gait analysis is 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, call us at 732-382-3470 or use the Contact Us form on the website




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1114 Raritan Road
Clark, NJ 07066

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