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

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Posts for: August, 2015

By Clark Podiatry Center
August 26, 2015
Tags: toe walking  

Are they in pain? Is something wrong with their feet? Will they toe walk when they are adults?

If you are asking yourself these questions, don’t worry. Toe walking, also known as equinus gait is normal in the early childhood phase. Children, both boys and girls, walk on their toes when they learn to walk and move around the room. The first step to check what is causing this problem is to make sure that your child is wearing the correct size and type of shoes and whether they are comfortable and appropriate. While many children grow out of toe walking by the age of 5, it can become a habit and continue in some kids. When children walk on their toes, this causes stiff muscles to develop in the legs and restricts movement in the ankle. Early intervention plays a big part in preventing problems in children who toe walk.

So, how do you know if it’s merely a part of the growth process or a more serious problem?

Symptoms

  • Your child walks on his/her toes most of the time
  • Your child seems clumsy/out of balance
  • Your child falls or trips easily
  • Your child seems to bend without ease or flexibility
  • Your child’s fine motor skills show a delay (utensils, zippering, buttoning)
  • Your child toe walks and has a speech or language delay

Causes

Neuromuscular

  • Cerebral Palsy or Muscular Dystrophy
  • Leg lengths are different
  • Spinal Cord Abnormality
  • Autism

Physical / Other

  • Idiopathic toe walking - unknown cause meaning that your child is walking on toes out of habit
  • Short Achilles Tendon

Diagnosis

  • Examination and evaluation to check whether it is physical or mental problem.
  • An assessment of your child's brain function and motor development

Treatment

Physical Condition                                                             

  • Stretching exercises                                                  
  • Physical therapy                                                                    
  • Botox injections/Surgery                                                  
  • Special footwear (Orthotics)

Mental Condition

  • Development Assessment
  • Therapy

If your child or a child you know or care for is experiencing any of the above symptoms, visit Dr. Brandon Macy without delay. Dr. Brandon Macy is a board certified podiatrist who focuses on children’s foot problems. At Clark Podiatry Center, Dr. Brandon Macy and his delightful staff treat a wide range of foot and ankle services at their office located in Clark, New Jersey. Call us now at (732) 382-3470 to schedule your appointment or to have an online consultation with Dr. Brandon Macy via virtual appointment.

 

 


By Clark Podiatry Center
August 19, 2015
Tags: Flat Feet  

Every parent’s greatest joy is watching their child grow and make progress from crawling, to standing with support, to finally taking those first few steps. As they grow and begin to master their walking and motor skills, this is a key time to carefully observe your children’s feet and their growth.

It is widely known that most infants are born with flat feet. Studies state that almost 90% of infants born in the United States have some type of flat foot. Most children outgrow this condition and naturally develop arches and no treatment is necessary. Others however, never fully develop the arches, which may become painful.

Dr. Brandon A. Macy, board certified podiatrist at Clark Podiatry has been practicing podiatry for the past 34 years and is committed to treating children’s foot disorders with the utmost care. Dr. Brandon A. Macy is specialized in pediatric podiatry and he will conduct a thorough patient evaluation and examination to identify the best course of treatment. Click here to see a video by Dr. Brandon A. Macy on some of the possible remedies for flat foot conditions.

Clark Podiatry is conveniently located in Clark, New Jersey and serves Union County and the Westfield area.

Your time is precious to Dr. Brandon A. Macy and his wonderful staff will be there for you in spite of your busy schedules with appointments available on a daily basis as well as in emergency situations.

We welcome you to call us today at (732) 382-3470 with any questions you may have or request an appointment for a dedicated approach to all your foot and ankle needs.


By Clark Podiatry Center
August 13, 2015
Category: Orthotics
Tags: Untagged

Shoe companies love your feet.  They make shoes with memory foam, springs and even air.  When you’ve tried them all and still feel foot pain, you're ready to think about shoe inserts.

Shoe inserts, or orthotics, are supports that are worn inside a shoe to help alleviate discomfort and provide support for your arches.  However, if there is an underlying cause to your foot and ankle pain, you may need a custom orthotic device. Custom orthotics are molded to the unique structure of your foot and are designed for the way you move to ensure more accurate support and correction.

Orthotics can help with the treatment of a number of conditions, including plantar fasciitis or heel pain, tendonitis, foot ulcerations, bunions, rheumatoid arthritis, recurrent ankle sprains or stress fractures, and many other common conditions.

There are two main types of orthotics:

  • Functional orthotics - designed to control or correct abnormal foot function.  The motion of the two major foot joints directly below the ankle joint is controlled by the orthotic. These inserts are made of flexible, semi-rigid or rigid plastic or graphite materials, which are durable and thin and will easily fit into standard shoe types.  However, they are firm and do not offer much cushioning.
  • Accommodative orthotics  - these are softer and designed to provide additional support and cushioning to relieve pressure for painful conditions such as a diabetic foot ulcers and calluses.  The materials used for these inserts are cork, leather, plastic foams and rubber.  They are flexible and can easily be adjusted for a more comfortable shape, although they can be bulky, less durable and frequently need adjustments to work properly.

Here at Clark Podiatry Center, our board certified podiatrist, Dr. Brandon A. Macy, will examine your feet and ankles to look for biomechanical problems and other foot issues. If a custom-fit orthotic is deemed necessary, Dr. Macy will use video gait analysis and 3-D digital scanning to get the most accurate 3-dimensional model of your feet.  We also have a pedorthist at our Union County and Westfield area location for your shoe modification needs. After a full and thorough examination, Dr. Macy will be able to determine what type of orthotic will be best for you. If you think you may benefit from custom orthotics or if you have any other foot or ankle issues, call our Clark office today for an appointment at 732-382-3470 or use our online appointment request.


We got the World Cup!  How inspiring this is for our little girls and boys.  With the spirit of competition and an active lifestyle, more parents encourage organized sports to their children.  We see younger kids on the fields more than ever.  This is great, however, parents must be aware of this fact: children are more likely to experience broken bones than adults.

Injuries resulting in a sprain to an adult are more likely to be a broken foot or ankle to a child as their ligaments and tendons are relatively stronger than their bones.   Though a child's forefoot is flexible and resilient to injuries, having a fractured bone in the foot or in one of their toes can be very painful.

The repetitive forces that children’s feet endure during practice might result in one of the foot fractures called a stress fracture.  These tiny cracks in the surface of the bones, if left untreated, may eventually lead to bone fractures.  

Other causes of a broken foot are having something hard or heavy dropped on the foot causing the bone to crush, excessive kicking on a hard object or surface resulting in a broken toe, landing on the feet from falling and breaking a heel, and abrupt movement that might twist an ankle.  If there is no shift in bone alignment, it is considered a stable or non-displaced fracture.  If the bone ends do not line up, then it is considered to be a displaced fracture. A closed fracture is when the bones do not show through the skin, otherwise, it is called an open fracture.

Seeing a child in so much pain can be nerve-wracking to a parent.  Examine the injured foot to check for broken bones by removing the shoes and socks from both feet and then compare them to see how much swelling and bruising are evident in the injured foot.  Look for any open wounds or cuts that might expose a broken bone and seek immediate medical advice when this happens. 

Servicing Union County and the Westfield area, our Digital x-ray on facility at Clark Podiatry Center located in Clark, NJ can help accurately diagnose a broken bone. Make an online appointment or call 732-382-3470 to consult with our foot specialist.  Brandon Macy, DPM will evaluate and treat the injury as well as assess for long lasting, growth-related damage of the fracture and the possibility of early degenerative joint changes as a child’s foot has basic differences to that of an adult.

There are 26 bones in our feet, around a quarter of all the bones in our body.   Your budding athlete needs all of them to be healthy and strong!




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We encourage you to contact us whenever you have an interest or concern about our services.

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