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

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Posts for: April, 2016

What do a 70-year old woman with diabetes and an 8-year old boy with an intoeing deformity have in common? They both are improving their foot health by wearing custom-fitted orthotic devices.

Orthotics are inserts that fit into shoes to correct an abnormal walking pattern or redistribute pressure to alleviate a foot problem. Some shoe inserts are available over-the-counter - these may help somewhat in mild cases but they are not custom-fitted to the patient's specific foot structure or needs.

Custom-fitted orthotics can be very powerful tools in allowing people to stand and move more efficiently as well as helping to heal certain foot conditions. And orthotics are not just for adults! Here are a few examples of foot problems where custom-fitted orthotics can help:

Calluses, blisters and ulcers: These skin conditions often result from excessive pressure on certain spots on the foot and can be especially problematic for patients with diabetes. Soft, flexible orthotics help protect the skin in these situations by moving stress away from pressure points.

Aches, pains and strains in lower leg and back: Rigid orthotics can control foot function and motion in foot joints to relieve the pain of shin splints, tendonitis and other injuries.

Flat foot: Orthotics can help stabilize the foot and improve foot function in adults and children over age 8 with flat feet. Wearing orthotics will help limit both pain and the damage from arthritis.

Heel pain: The discomfort of plantar fasciitis can be relieved with orthotics to redistribute pressure more evenly and allow healing.

Balance for walking and sports activities: Orthotics that are semi-rigid are more flexible than those that are rigid to accommodate excess forces during sports. Athletes often use these to relieve the pain of a heavy workout.

Children's Foot Issues Benefit from Custom-Fitted Orthotics Too

Although most of us think of orthotics in terms of adult foot problems, children can benefit from custom-fitted orthotics as well.

Children's heel pain is often Sever's disease, where in a growth spurt the tendons and muscles supporting the heel bone are overstretched. Wearing orthotics as part of the treatment to rest and heal the area can reduce stress on the heel.

Intoeing, a condition usually present from birth where the child's toes point inward toward each other, often disappears as the child matures. Custom-fitted orthotics may be needed to help realign the feet and to prevent further problems as an adult.

We Can Assess Your Foot Health To Determine if Orthotics Can Help

If you or your child has any foot or ankle pain, please do not hesitate to contact Dr. Brandon Macy, board certified podiatrist at Clark Podiatry Center . We have the right expertise to diagnose and treat your foot problems. Please call us for an appointment in our Clark office at 732-382-3470 or use the contact information at the website. We can create custom-fitted orthotics of any size to fit our patients - both young and not-so-young!


The professional baseball season has just started but already the injuries are mounting up.

Yankee reliever pitcher Bryan Mitchell will be out until at least August because of injuries suffered in a recent Disney World game against the Braves. One injury is bad enough, but Mitchell had the unfortunate luck to suffer two at the same time: a fractured sesamoid bone and a grade 3 turf toe injury. He underwent immediate surgery and is expected to be out for 4 months.

Sesamoid Bone Injuries

There are a few bones in our bodies that are not connected to other bones, instead connecting only to tendons. These are called sesamoid bones and there are 2 very small ones under the foot close to the big toe. Because they help us bear weight and transfer muscle force over the tendons, they are important for walking, jumping and running.

The sesamoid tendons can become inflamed with overuse, causing sesamoiditis. They can also be fractured from a forceful, sudden blow to the foot, causing immediate and severe pain.

Turf Toe

Mitchell's second injury was a grade 3 turf toe injury. Turf toe is a sprain of the ligaments surrounding the big toe joint. It's fairly common with football players, especially on artificial turf - hence the name - but can be seen in many other sports and other activities like ballet.

Symptoms of turf toe include swelling, pain and limited movement of the joint. Grade 3 means that the injury is severe and may require surgery. After surgery, long-term immobilization in a cast will be necessary to allow the ligaments to heal.

Treating Severe Toe Injuries

Many times conservative treatments like R.I.C.E. - rest, ice, compress and elevate - along with immobilizing the toe can help the problem. Steroid injections can reduce pain and inflammation, and custom-fitted orthotics will provide long-term treatment to redistribute pressure.

In serious cases such as Mitchell's, surgery is indicated based on the individual's needs. The presence of 2 different, simultaneous injuries - sesamoid fracture and turf toe - surely complicated his situation.

Contact Us for any Foot, Toe or Ankle Injury

Most serious, painful foot and ankle injuries will not heal on their own, and it can be very damaging to continue playing sports while injured. Please call Dr. Brandon Macy, board certified podiatrist at Clark Podiatry Center for help with any foot or ankle pain. You can reach us to make an appointment in our Clark office at 732-382-3470 or use the contact information at the website. Every patient is treated like a professional sports superstar at the Clark Podiatry Center!


By Clark Podiatry Center
April 13, 2016
Category: Foot Care

Ah, the lowly foot. It's the last thing we think about - maybe because it's so far away from our brains? - unless it hurts.

Our feet are amazing combinations of bones, muscles, joints, ligaments and tendons. Together they work hard to allow us to walk, jump and run, and even help us keep our balance.

The American Podiatric Medical Association (APMA) has designated April as the month to honor our feet and build greater awareness of how hard they work for us every day. It's the perfect time to start some good foot health habits that will ensure that your tootsies carry you safely for a good many years to come.

Easy Foot Care Tips

  • Feet can burn too - don't forget to apply sunscreen regularly to feet and ankles.
  • Take care when indulging in a nail salon pedicure. Check for current licenses and that all foot baths and instruments are sterilized. Learn more safety points from the APMA.
  • If you prefer a home pedicure, soak the feet first and then rub gently with a pumice stone to remove dead skin. Always cut toenails straight across, don't round them at the corners. We have complete at-home pedicure pointers here.
  • Choose shoes made of materials that breathe like leather. Make sure they are well-fitting and comfortable and roomy in the toe area. When purchasing shoes, shop later in the day when feet are bigger and always measure both feet each time.
  • Avoid going barefoot to prevent injuries.
  • Toenail fungus and athlete's foot are contagious so always wear flip-flops or shower shoes in public areas like swimming pools, spas and locker rooms.
  • Limit wearing high heels to a couple of hours and alternate with comfortable, low-heeled shoes.
  • Reduce the time that you wear flip-flops also. They provide little support and can cause a host of foot and ankle problems. Select instead sturdier sandals - they can be fashionable too!

Most importantly, check your feet - and your children's feet too - every day for skin problems, cuts, bruises or any abnormality. If you have diabetes, it's extra important to thoroughly check your feet daily and report anything unusual to us.

At the Clark Podiatry Center, we urge you to come see us whenever you observe anything abnormal with your feet or have any foot or ankle pain. Our goal is to do whatever it takes to keep you walking and enjoying your normal exercise, sports and other activities.

Read up on foot care for children and teens in our blogs on Preventing Youth Injury in Sports, Diagnosing Heel Pain in Children, Keep Babies Barefoot Until Walking and Choosing Children's Athletic Shoes.

We'll Help You Take Good Care of Your Feet

Dr. Brandon Macy, board certified podiatrist has extensive experience in foot care for patients of all ages and for all types of foot and ankle injuries. Please call us for an appointment in our Clark office at 732-382-3470 or use the contact information at the website. Your feet are valuable so take good care of them!


Although young and resilient, children and teens are not immune to sports-related injuries.

The Centers for Disease Control and Prevention (CDC) reports that more than 2.6 million teens and children are treated each year in U.S. emergency rooms for injuries suffered while participating in sports activities.

Without taking the proper precautions, your child may be one of those harmed in one of these sports-related injuries:

  • Overuse injuries occur when muscles, bones, ligaments and tendons are subjected to repeated stress without healing time. Overuse or repetitive motion injuries can include stress fractures, tendonitis or plantar fasciitis, inflammation of the plantar fascia, which often results from jumping or running on inflexible surfaces.
  • Strains and sprains are very common sports-related injuries. A strain is an injured muscle or tendon, while an ankle sprain occurs at the joint where the ligament attaches.
  • When youth are still growing, they may experience growth plate injuries. The growth plate is a tissue area that appears at the end of longer bones such as the forearm, lower and upper leg, foot and hand and finger bones. Symptoms of growth plate injuries are similar to broken bones. A growth plate injury must be evaluated and treated by a foot doctor or orthopedic surgeon.
  • Heat-related illnesses like dehydration, heat exhaustion and heat stroke can be very serious, especially for the young.

Use Common Sense to Prevent Sports-Related Injuries

Many injuries can be prevented with careful preparation as well as parental involvement:

  • Meet all coaches and check that they are qualified in the sport, know how to use all equipment and have both CPR and first aid training.
  • Monitor your child's workouts and games to safeguard that they are not being stretched too far.
  • Always outfit your child in properly-fitting footwear that is not worn out and is appropriate to each activity. Invest in good protective gear.
  • Make sure there is plenty of water available before, during and after sports sessions to stay hydrated.
  • Your child should gradually build up endurance in the sport. Check for adequate warm up and cool down periods with safe, gentle stretching.

If your child or teen complains of any discomfort or pain, don't ignore it. Continued athletic activity can increase stress on an injury and make it worse. Contact Clark Podiatry Center for an appointment right away to have the pain evaluated and treated.

Many injuries can be treated at home with the R.I.C.E. method: Rest, Icing, use Compression and Elevate the leg. However, if your child has severe pain or if the foot or ankle is obviously broken, significantly swollen or appears dislocated, please go to an emergency room or come to our office right away.

Learn more in our blog Choose Children's Athletic Shoes Carefully.

We Treat All Types of Youth Foot and Ankle Injuries

Dr. Brandon Macy, board certified podiatrist has extensive experience with teen and children foot and ankle injuries. You can reach us for an appointment in our Clark office at 732-382-3470 or use the contact information at the website. Please call us soon if you suspect a foot or ankle injury.




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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