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

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Posts for: October, 2014

By Brandon Macy, D.P.M.
October 15, 2014
Category: Heel pain

Heel pain.  Miserable when you first stand up getting out of bed in the morning or when getting out of the car after driving home at the end of the work day.  Or even after you’ve been sitting down for a few minutes and stand up.  This symptom is known as post static dyskinesia, a very common symptom of a condition known as plantar fasciitis.  There’s an association with heel spurs or heel spur syndrome, but let me explain the connection between the two.

Each of our bodies is a complex “walking machine” that functions according to how it was built –by our parents.  The basic structure of our skeleton is akin to the structural framework of a building or a machine.   Faulty “engineering” leads to faulty function.  We may see it as feet that are unstable—they pronate or the arch flattens out excessively or in very rigid feet [Note that I don’t refer to a high or a low arched foot—it is the stability of the arch that matters].  When this happens, there’s an excessive amount of tension placed on the plantar fascia, a tough band of ligaments under the arch of the foot. 

Over a great deal of time, this extra tension on the plantar fascia may result in calcification of its attachment to the heel on the bottom of the foot.  This is what becomes known as a heel spur.   This can also happen on the back of the heel where the Achilles tendon attaches.

 Small heel spurs on the bottom and back of the heel. 

The good news is that heel spurs rarely cause pain directly.  They’re not under the weight bearing surface of the heel.  When the area is painful, it is most typically caused by a strain of the plantar fascia itself—plantar fasciitis.  In fact, I’ve seen countless patients in a great deal of pain but have no spur on x-ray examination.  I’ve also seen many large spurs on x-ray where there’s never been a day’s worth of heel pain.

How do we treat heel spurs?  As no more than about 1% of heel spurs are the direct cause of pain, it is rare that a spur needs to be removed surgically.  Symptomatic plantar fasciitis does need to be treated, starting with prescription orthotics which can reduce the biomechanical strain on the plantar fascia, along with any number of other modalities done to reduce the pain and inflammation including corticosteroid injections and laser treatment.  Advanced techniques such as shockwave therapy and amniotic tissue injections can be of help in the long-term, stubborn cases.

For more information about heel spurs, plantar fasciitis, orthotics or if you have other questions about foot problems you’d like answered, visit our website at www.clarkpodiatry.com.  You can also call for an appointment at 732-382-3470.

 

#heelpain #plantar fasciitis #heelspur #ClarkPodiatry


By Brandon Macy, D.P.M.
October 13, 2014
Tags: Jones fracture   foot injury  

 Kevin Durant of the Oklahoma CIty Thunder and the reigning MVP of the NBA will be out for a minimum of 6-8 weeks after suffering a fracture of the 5th metatarsal bone of his right foot that will require surgical repair.  This is a very common injury among basketball players and may indeed be the most common surgical procedure they undergo.

It has been diagnosed as a "Jones fracture", which carries with it a significantly higher risk of delayed healing as compared to other fractures, even of the same bone.  What is a Jones fracture and why can it be such a problem?

The 5th metarsal bone is the bone on the outside  of the foot, behind the small toe.  You may notice a bump on the outside border of your foot, approximately in the middle.  This bump is actually the base of the bone, the other end (the head) being a part of the ball of your foot.  A Jones fracture (pictured in the x-ray) occurs just beyond the base of the bone at an area called the diaphysis.  The problem in this area is twofold:  the fracture occurs in an area where there is poor blood supply within the bone and there are tendons which attach at the tip of the base of the metatarsal bone which are pulling the fracture site apart.

For these reasons, Jones fractures are notorious for delayed union or non-union of rthe fracture.  As such, they are typically treated surgically, with a screw inserted to hold the fragments together and provide compression.  Healing progress is monitored closely over the 6-8 weeks.  Fortunately for him, professional athletes are provided with the facilities to maintain their aerobic conditioning and combined with his young age, hopefully he'll heal uneventfully and be back on the court working his magic some time in December.

If you are experiencing pain in your foot, if you suspect that you might have injured your foot, call at once for an appointment at 732-282-3470 or request an appointment via our website at www.clarkpodiatry.com.  We'll fit you into the schedule ASAP.  We have a digital x-ray on the premises so we can find out in a matter of seconds whether you have broken your foot--or hopefully not!  

#kevindurant #clarkpodiatry #Jonesfracture

 

 


By Brandon Macy, D.P.M
October 02, 2014
Category: Foot Pain
Tags: Painful Arthritis  

Foot ArthritisWith age, it’s not uncommon to experience pain and stiffness in your feet and ankles.  Carefully monitoring your pain is important, however, as this noticeable discomfort could be an early indication of a more serious condition known as arthritis. Arthritis is a group of conditions that typically involves pain and inflammation in the joints.  There are many types of arthritis, with osteoarthritis being the most common form.  Left untreated, pain caused by arthritis will get worse, eventually leading to joint weakness that can interfere with the most basic daily activities.  

Arthritis can have a serious impact on the structure and function of your feet and ankles. See a podiatrist if you experience any of the following symptoms:

  • Swelling
  • Chronic pain or tenderness
  • Limited mobility or motion
  • Stiffness early in the day
  • Changes in skin, including growths and rashes                                              

Whenever you notice a change in your lower extremities, contact our podiatrists at Clark Podiatry Center for a thorough evaluation. When detected early, proper treatment can slow the development of arthritis and get you back to your active lifestyle.

Treating Arthritis of the Foot and Ankle

Brandon Macy, D.P.M can help you determine the best treatment option depending on the type and severity of your arthritis.  

Treatment options include:

  • Anti-inflammatory medications or steroid injections for the joint
  • Shoe insets, pads, braces or arch supports
  • Physical therapy and exercise
  • Custom-designed shoes
  • Weight management

When arthritis doesn’t respond to conservative treatment, surgical intervention may be considered as the last resort.

A thorough evaluation of your health and type of arthritis will allow our podiatrists to recommend the best treatment plan for you. Arthritis is a disabling disease, but with early detection, you can help manage the pain associated with arthritis of the foot and ankle and maintain a healthy, fulfilling life.  Allow our Clark podiatrists to assess your foot and ankle pain and get you back on your feet.




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1114 Raritan Road
Clark, NJ 07066

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