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

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Posts for: April, 2015

By Brandon Macy, D.P.M.
April 19, 2015
Tags: Flat Feet   Orthotics   toe walking  

Yesterday we held our first Spring Foot Screening Clinic for children at the office.  It was a beautiful spring day outside, so there were plenty alternatives to coming in to have feet checked, but we still had a number of families attend.  Of course, my adorable little granddaughter Maggie was first in line with her parents and she checked out beautifully (of course!) 

 Maggie

Of interest to note is just how many children’s feet resemble so closely those of their parents.  Foot structure, like so many other features, is hereditary.  Even if your children aren’t complaining about much pain, if you want to know what’s in store for your child’s feet, look at the feet of other family members, particularly older siblings, parents and grandparents.  The match might not be exact, but you’ll get a huge clue.

  Mother and daughter look-alikes!

Our favorite story from the day was about a little 3 year old boy whose problem was a habit of walking on his toes. His toe walking was so severe that he wore holes in the tip of his shoes.  At first, he didn’t even want to be examined and let us know in no uncertain terms.  He finally relented with a promise that nothing would be done which would hurt.

It turns out that we felt that the reason he is a toe walker is because his feet flatten out so severely, he walks on his toes to obtain enough leverage to propel himself forward.  The muscles in his feet and legs are significantly weak as a result. 

We fit him with a pair of Little Steps orthotics, a prefabricated orthotic designed specifically for children. With no exaggeration, our little man was walking normally before he crossed the room.  Here and there, he resorted to his habit of toe walking for a few steps but for the most part, he was walking with the entire sole of his foot on the ground.

After not wanting to be examined, he didn’t want to leave the office.  To top it off, after walking out the door, his mom popped her head back in to tell us he had said “I’m so happy you fixed my feet!”

A good day as had by all and we’ll do this again in the not too distant future.  Moose said he'd come back too to doo his version of "consultations".

 Moose


By Brandon Macy, D.P.M.
April 12, 2015
Tags: Childhood obesity  

 

It is no secret that childhood obesity is epidemic in this country. There are many factors at play, including diet, sedentary lifestyles such as with kids who spend too much time playing video games and no enough time exercising.  Another factor which is often overlooked is the fact that foot pain and deformities can lead to childhood obesity when they interfere with the ability and willingness to participate in otherwise healthy physical activities.  

There is a common belief that excessive weight causes foot problems. While being overweight adds to the stress on our feet, in more cases, it is the other way around.  Common conditions in children such as ingrown toenails and warts are painful, but can typically be resolved fairly quickly.  More insidious is the developmental flatfoot in children that may not even be severely painful, but can result in foot or leg fatigue, balance and coordination issues, intoe gait and toe walking.   These are the issues that make it less enjoyable for a child to participate in sports, dancing, gymnastics, martial arts and other healthy physical activities. They also increase the possibility of injury when they do participate.  

These issues are largely a byproduct of the structure of the body—the “engineering” of the skeleton—which is hereditary in nature.  If you need evidence of this, look at the feet of the siblings, parents and grandparents.  Most likely you’ll see similarities and a picture of what will be in your child’s future as he or she grown into adulthood.  

It doesn’t take much to see the connection between these problems and the obesity epidemic.  For this reason, it is recommended that children be examined for these developmental problems, even if there hasn’t been a specific complaint of pain.  

For those of you in the Clark, New Jersey area, from 1:00-5:00 PM on Saturday April 18, Dr. Brandon Macy of Clark Podiatry Center will be conducting a free foot screening examination for children from 1-17 at the office located at 1114 Raritan Rd. in Clark.  A brief but thorough examination is offered, with recommendations for treatment which could be indicated and answers for your questions or concerns regarding your child’s foot health.  

Appointments are recommended to minimize waiting time, but aren’t necessary.  To schedule an appointment or if you have questions, please call the office at 732-382-3470 or contact us through our website at www.clarkpodiatry.com.  Remember, it is NEVER normal for a child to have foot pain, foot problems aren't always painful in children and it is unlikely that they will "grow out of" foot problems.

#Childhoodobesity #Clarkpodiatrycenter #childrensfootproblems


By Brandon Macy, D.P.M.
April 06, 2015
Category: Foot Care
Tags: Marathon Training   Running  

marathon runningWhether you’re training for your very first marathon or preparing for your tenth, it’s important to begin your training program on the right foot.  A lack of experience coupled with the repetitive impact placed on the feet and ankles during a long run can produce enough stress to cause hairline fractures and other debilitating foot injuries.

Many foot problems seen in marathoners are caused by the repetitive pounding over the months of long-distance running. In some people injury is triggered by the abnormal foot biomechanics and in others it is because of poor training. During a 10-mile run, the feet make about 15,000 strikes, at a force of three to four times the body's weight. Even if you have perfect foot mechanics, injuries and pain are often unavoidable with this amount of stress.  

To prevent injury during training, it’s important to pay close attention to your feet.  When increasing mileage, avoid doing so too quickly. The increased forced can make your feet more susceptible to stress fractures.

Basic tips for training include:

  • Follow a training schedule that is appropriate for your experience level
  • Start easy and increase your mileage slowly
  • Stretch and warm up properly to reduce strain on muscles, tendons and joints
  • Choose appropriate footwear based on your foot structure, function, body type, running environment and training regimen
  • Never ignore pain. If the pain gets worse with reduced exercise and rest, stop training and visit your podiatrist

Aside from stress fractures which often occur from overtraining, additional foot problems you may experience include:

  • Toenail problems, including ingrown and fungus
  • Heel pain, such as plantar fasciitis
  • Achilles tendon and calf pain
  • Toe pain, such as bunions
  • Shin splints

Before you start training, our Clark, NJ podiatrist recommends visiting a podiatrist for a complete evaluation of your lower extremities.  Our Clark office will examine your feet and identify potential problems, discuss training tactics, prescribe an orthotic device that fits into a running shoe (if needed), and recommend the best style of footwear for your feet to allow for injury free training all the way up to your race day. It is especially important to come in for an exam if you have already started training and are experiencing foot or ankle pain.  

Training for a marathon is hard work. It takes time and dedication.  At Clark Podiatry Center, we offer special interest and expertise working with marathoners to ensure good foot health throughout your entire training program to help you achieve your goals.

 




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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