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

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Posts for: March, 2017

By Clark Podiatry Center
March 29, 2017
Category: Ankle Pain
Tags: Ankle Sprains   RICE method  

On Sunday, March 19th, Brooklyn Nets’ point guard, Jeremy Lin jumped and then landed on another basketball player’s foot, spraining his right ankle. His game play was short-lived, having to sit out within the first few minutes of the first quarter of the game against the Dallas Mavericks. He limped off the court, but was seen riding a stationary bicycle during the second half.

After the game, coach Atkinson told journalists that while Lin needed more assessment, the injury did not seem very serious. This was important, given that he’d been out for several weeks in the beginning of the season due to hamstring issues. Tuesday, however, Lin sat out of the game, as he was not fully recovered. He and his coach decided that he wouldn’t play until he was back to 100%.

A few lessons can be learned here:

  1. A sprained ankle does not always mean that you cannot do any more activity. There are alternative exercises that you can do, that are low-impact. A stationary bike or swimming can be good alternatives to cardiovascular exercise when you cannot play other sports due to ankle sprain. However, it’s important to listen to your body, as pain does not help the healing process and can come with inflammation.
  2. There are varying levels of ankle sprains that can have varying degrees of severity: Grade 1: ligament(s) is overstretched, Grade 2: ligament is partially torn, Grade 3: ligament is fully torn. Depending on how severe the injury is, recovery can take much time and patients need to stay away from activity that could worsen symptoms. (See previous blog post for additional information).
  3. Even athletes suffer from ankle sprains. They warm up and condition constantly, and yet anything can happen. This is why it is important to take care of your ankles and do exercises to strengthen them. It is also important to wait until you are fully recovered before getting back into the game.

If you or your child has an ankle sprain, first assess how severe it is. If your symptoms are mild, like pain and swelling, you can use the RICE method (Rest, Ice, Compression, Elevation) until healed. When symptoms are more severe, especially if there is severe pain and you’re unable to bear weight or move the ankle without pain, you should come see our podiatrist.

If you or your child has a severely sprained ankle, make an appointment today at Clark Podiatry Center. Our board-certified podiatrist, Dr. Brandon Macy can find the best treatment option for recovery. We are located in Clark, NJ in Union County and our team is ready to help! We keep you walking.


By Clark Podiatry Center
March 24, 2017
Tags: Ankle Sprains  

A rolled or twisted ankle is not uncommon in many sports, especially ones with high-impact or contact. Many times, the momentary pain can go away in a matter of a few seconds, while other times, it can leave your child with immense pain and swelling. In scenarios of severe pain after a turn, roll, or twist that is too fast, too far, or at a steep angle, it is most likely due to a sprain. When ligaments that connect the ankle and leg bones are stretched too much or torn, it’s called a sprain.

Types and Grades of Sprains

  • Inversion or Lateral Ligament Sprain: This is when the ankle rolls out and the bottom of the foot faces inward and upward. The outer ligaments of the ankle are damaged.
  • Eversion or Medial Ligament Sprain: This is when the ankle rolls inward and the bottom of the foot faces outward. This type of injury to the ligaments on the inside of the ankle are very rare.
  • Chronic Sprains: If a sprain is reinjured repeatedly in a 4 to 6 week period, it can be categorized as chronic sprain. When the sprain does not heal during this time, symptoms can flare up when the ankle is engaged with rolling or twisting movement.
  1. Grade 1 Sprain is when the ligament is overstretched.
  2. Grade 2 Sprain is when the ligament is partially torn.
  3. Grade 3 Sprain is when the ligament is completely torn.

Symptoms and Treatment

If your child has a sprain injury, you may see the following symptoms: pain, swollen ankle, and inability to bear weight or use the ankles.

If symptoms seem mild, as with a grade 1 sprain, you can try to treat the sprained ankle at home. Home treatment would include the RICE method: Rest (stay off the ankle), Ice (for 20 minutes at a time to reduce swelling and pain), Compression (Use a wrap or compression sleeve to reduce swelling), Elevation (prop the ankle on pillows to be as close to heart level as possible when sitting or lying down). Anti-inflammatory medications can be taken if necessary.

However, if your child’s sprain seems to get worse, or if he or she is experiencing severe pain and cannot bear weight on the ankle, you should call our podiatrist right away. Our podiatrist may recommend the use of crutches, immobilization with a split or a walking cast, depending on how bad the injury is.

If your child has a severely sprained ankle, make an appointment today at Clark Podiatry Center. Our board-certified podiatrist, Dr. Brandon Macy can find the best treatment option for your child’s recovery. We are located in Clark, NJ in Union County and our team is ready to help! We keep you walking.


By Clark Podiatry Center
March 15, 2017
Category: Foot Conditions
Tags: Bunions   Flat Feet   Hammertoes   bursitis  

Most of the time, when bunions are mentioned, they are in the context of a podiatric issue for adults (mostly women). However, did you know that bunions affect children too? 

A bunion is characterized by an outwardly protruding bump that occurs at the big toe joint (metatarsophalangeal joint). In adults, it is typically an extra bone growth that protrudes outward, caused by genetics, shoes, or other foot issues. For children and adolescents, though, it is usually due to developmental structural problems. These issues are usually a developmental deformity where the toes point inward too much or when there is a joint misalignment. Hereditary traits and having flat feet are risk factors for juvenile bunions.

Treatment Options

Bunions may or may not be painful, but can be uncomfortable in certain shoes. They may also continue to get larger, depending on the situation. For adults, changing shoes, using inserts, applying ice, and padding shoes can help to relieve pain and inflammation. In extreme cases, a podiatrist may determine if surgery is necessary.

For children, podiatrists will encourage padding the area, changing shoes, and altering activities that aggravate the bunion. If the problem is treated early, orthotics and custom gear may be able to halt bunion growth and correct developmental issues since bones are not yet fully hardened.

The main difference in treatment is that surgery is not highly encouraged. This is because children are still growing and bones are not fully formed. Surgery on the bones can affect the growth plate, which, if disturbed, can affect future growth. Nonetheless, surgeries for mild bunions are usually successful at correcting alignment issues. They are usually performed further away from the growth plate, so risks are lower. The surgeries for more severe bunions require attention closer to the growth plate, so there is a higher risk of complication. For these reasons, if possible, surgery is put off until after bones have fully formed, in later teenage years.

Untreated bunions can lead to more complex issues. Not only will wearing shoes be uncomfortable and painful, there are also higher risks for bursitis, hammertoes, and alignment issues for other toes.

If you or your children are experiencing bunion pain, come see us at Clark Podiatry Center right away. Our board-certified podiatrist, Dr. Brandon Macy can find the best treatment options for you or your child. Make an appointment today so that our team can help you resolve the issue sooner, rather than later. We are located in Clark, NJ in Union County and our team is ready to help! We keep you walking.


By Clark Podiatry Center
March 08, 2017
Category: Foot Pain

While it is good for team building and socializing, there are also negative foot health effects for having children play sports starting at a young age. This is especially true for children and teenagers that specialize in one sport, repeating specific movements that include high-impact jumping or running. Sports like basketball, track, tennis, and gymnastics can lead to overuse injuries like stress fractures and tendonitis. 

How does a stress fracture happen?

After repeated use of specific muscles (like in jumping or kicking), muscles become tired and cannot absorb impacts. Instead the bone begins to absorb the shocks. Over time, the impacts build up and the bone begins to fracture as a small crack in the bone. There is increased risk for a stress fracture if you have bone insufficiency (lack of vitamin D and calcium), improper technique, surface imbalance, and lack of proper conditioning or training. When your child has a stress fracture, you will see symptoms such as pain, swelling, tenderness, and inflammation. 

Treating a Stress Fracture

Do you suspect that your child is complaining of pain and swelling because of a stress fracture? It’s important that you come see us at Clark Podiatry Center right away. In the mean time, use the RICE (rest, ice, compression, elevation) method as well as ibuprofen or aspirin to prevent further swelling and pain.

If our board-certified podiatrist, Dr. Brandon Macy diagnoses the symptoms as a stress fracture, he may suggest the following treatments:

  • Rest is important during healing. Your child should stay off his or her injured foot.
  • Protective gear. To protect the healing foot and reduce stress on it, he may suggest wearing rigid shoes or removable boot. If the injury is severe or in a location that requires more time to heal, your child may need to wear a cast.
  • Surgery. If surgery is required, your child may have pins, plates, or screws inserted to keep the bones in place while they heal. This is mostly for keeping the bones of the foot and ankle together.

Make an appointment today to have your child’s pain and swelling assessed properly. Some stress fractures may feel like other pain, so a proper diagnosis is important to get prompt treatment. We are located in Clark, NJ in Union County and our team is ready to help! We keep you and your family walking.


By Clark Podiatry Center
March 01, 2017
Tags: Plantar Warts   verucca   virus  

Adults and children alike can contract plantar warts, or verucca. They are caused by a virus that enters openings in the skin, such as cuts, scrapes, or cracks in dry skin. They can manifest as round bumps on the bottom of the feet and are either flat or look like cauliflower. The most obvious symptom is that it causes you pain when you put pressure on it (or with every step you take).

Because the virus lives in moist areas, it’s easily spread from person to person by direct touch or using the same item as someone who has it. For children, it can happen on playgrounds or the public swimming pool. For adults, it can be the same, including gym locker rooms and communal showers.

For healthy people, plantar warts can come and go with no pain. However, since viruses can live in your body for long times, they can easily form warts again. The best defense is to practice healthy hygiene and prevent contracting the virus.

  • Wear flip-flops when on communal floors and try not to be barefoot on playgrounds and other gym or play areas.
  • After being barefoot, make sure to promptly wash your feet with soap and warm water.
  • Don’t share shoes with anyone with plantar warts and avoid direct contact with someone with warts.

When you have plantar warts, you can try to treat them with salicylic acid treatments at your local drugstore. Soft padding can help to reduce pressure on the plantar wart. If these remedies do not work, and the pain continues, make an appointment today to have our board-certified podiatrist, Dr. Brandon Macy assess you (or your child’s warts). He may suggest treatments such as cryotherapy, chemical treatments, or surgery. Clark Podiatry Center is located in Clark, NJ office in Union County and our team is ready to help! We keep you walking.

 




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1114 Raritan Road
Clark, NJ 07066

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