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

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Posts for: October, 2017

One of the more common reasons a parent will bring in their 9-13 year old child has to do with complaints of heel pain.  Most of these children are active sports participants--soccer, football, cross-country, but certainly other physical activities like dance and gymnastics. While there may be other causes, most often they suffer from a condition known as Sever’s Disease, also known as calcaneal apophysitis.

Calcaneal apophysitis is actually an injury to the growth plate of the heel bone.  The cause is an excessive amount of torque between the side of the growth plate where the Achilles tendon attaches and the other side where the rest of the foot is.  This usually happens in feet which overpronate (they flatten out too much).

The pain is felt at the bottom or side of the heel near the back and can be on one or both heels at the same time.  The pain increases as they tire during practices, games or in-school physical education classes. It can be worse in sports which utilize cleats, as the placement of cleats can hit in just the wrong spot.  The severity of the pain and how much it interferes with activities can vary as well.

Here’s the surprising fact:  many people try using some form of heel cushion or heel cup inside the shoe with limited success.  Why? Back to the cause—the problem isn’t usually a bruise from landing too hard, even though it tends to feel worse playing on harder surfaces, but from the biomechanical torque on the heel bone.   How is it best treated? By utilizing an orthotic—often one of our specialized LittleSteps children’s orthotics which provide shock absorption, support for the foot which is flattening out too much and a deep heel cup which controls that heel torque.  Unless the pain is severe, the need to miss time from participation is minimal and relief is rapid, usually within a few weeks.

The takeaway point is this: don’t let heel pain get in the way of your child’s enjoyment of playing! For more information or an appointment, contact us at 732-382-3470 or visit our website at www.clarkpodiatry.com

At Clark Podiatry Center and the New Jersey Children’s Foot Heath Institute, we want to keep you walking! #ClarkPodiatry #NJCFHI

"Whether you be man or woman you will never do anything in this world without courage. It is the greatest quality of the mind next to honor."- James Lane Allen (1849 - 1925) American Author


By Clark Podiatry Center
October 25, 2017
Category: Foot Care
Tags: arthritis   yoga   physical therapy  

Those who have been diagnosed with arthritis know the painful and tiring symptoms that come with it. All arthritis patients may have similar symptoms, but each person can have their own sensitivities and triggers. Below, we’ll discuss some of the ways you can care for your arthritic feet, as well as some lifestyle changes you can make to help you in your day-to-day.

Since arthritis is a chronic condition of inflammation in the joints, minimize activities and foods that trigger inflammation. For example:

  • Find a way to reduce stress levels. If work stresses you out, it may be time to find something that will be easier to manage. Additionally, you can try to do stress relieving or preventing activities, such as exercise, meditation, and yoga.
  • Eat foods that have anti-inflammatory characteristics, such as salmon (and other foods with omega-3 fatty acids), nuts, and blueberries. You’ll want to avoid foods that are sugary or fried.

The following are changes you can make to help relieve symptoms and reduce risk of triggering inflammation events:

  • Keep track of your triggers so that you know how your body reacts.
  • Try to maintain a good sleep schedule and schedule rest periods throughout the day. It may take some trial and error to figure out the just how much rest your body needs.
  • Try your best to stay active, rather than staying still due to pain. In fact, some light/low-impact exercise and physical therapy can help reduce pain. Additionally, maintaining healthy body weight can reduce risk of increased symptoms due to being overweight or obese.
  • Take time to actively relieve pain. This could mean regular Epsom salt foot baths or a foot massage to increase circulation and relieve stiff joints.
  • Make adjustments at home. If going up and down the stairs is painful, you may need to move your bedroom to the first floor. Soft padded floors are helpful – use foam mats anywhere you stand for a long period of time, such as at the kitchen or bathroom sinks.
  • Find comfortable, supportive shoes. When arthritis affects the feet, it can be daunting just to move from one place to another. Orthotic inserts can be helpful, but over time, especially if joints become deformed, you may need custom orthotics made by our podiatrist.

If still need help with caring for arthritic feet, come see our board-certified podiatrist, Dr. Brandon Macy. He can assess your feet to meet your needs at Clark Podiatry Center. Make an appointment to see us today at our Clark, NJ office.


By Clark Podiatry Center
October 18, 2017
Tags: bowed legs   knock knees  

As we wrap up Bone and Joint Action Week, let’s focus on World Pediatric Bone and Joint Day, also known as PB&J Day. Tomorrow, October 19th, is a day to raise awareness for musculoskeletal issues in children and youth. Many bone and joint issues begin from childhood and continue through adulthood. In fact, 10% of people affected by a disabling musculoskeletal condition are children.

This year’s theme is “Kids, Bones, Joints & Obesity - Tips for Parents and Patients, and Primary Care Providers”. Children who are obese are a much higher risk of developing musculoskeletal problems, so it’s very important to look out for signs and symptoms to catch and treat them early.

Musculoskeletal Issues will most strongly affect the following parts of the body in obese children:

  • Back: Obese children are more likely to have back pain.
  • Hips: The hip growth plate can be affected or injured by excessive weight in developing children, causing pain in the groin area or outer hip joint.
  • Legs: Obese can make bowed legs or knock knees worse. X-rays can help determine the extent of the problem.

Prevention and early treatment will help reduce the chance of musculoskeletal issues affecting them when they are adults. The following are tips for health bones and joints for your children:

  • Have them eat a well-balanced and nutritious diet, including plenty of sources of calcium, vitamin D, as well as omega-3 fatty acids. Dairy, dark leafy greens, fatty fish, and plenty of sunshine are examples of food sources.
  • Make sure they engage in regular exercise to prevent or reduce overweight and obesity issues. Aerobic exercises, as well as some weight-bearing exercises are important to keeping bones healthy and strong.
  • Small injuries can become much worse if it is not treated promptly for developing children who are overweight.

For foot and ankle injuries, consult with our board-certified podiatrist, Dr. Brandon Macy. We are here to treat your family’s needs at The New Jersey Children’s Foot Health Institute at Clark Podiatry Center. Make an appointment to see us today at our Clark, NJ office.

 


By Clark Podiatry Center
October 06, 2017
Category: Foot Health Tips
Tags: arthritis   osteoporosis  

If you’ve been reading our blog posts, you may remember that we have 26 bones, 33 joints, and more than 100 muscles, tendons and ligaments in each foot (including the ankle). That’s a lot of moving parts that can be affected by musculoskeletal diseases such as arthritis or osteoporosis. That’s why we are taking part in raising awareness, as part of Bone and Joint Action Week, which takes place from October 12th to the 20th.

We’ve gathered some facts and tips for our patients so that you may be well-informed about these issues. We hope they will help you take preventative measures, as well as learn the signs and symptoms related to musculoskeletal disease so that you can treat them early.

  • If you are over the age of 18, you’ve got over a 50% chance of being affected by one of the many musculoskeletal (bone and joint) conditions.
  • Common musculoskeletal issues include: arthritis, osteoporosis, spinal problems and back pain, as well as traumatic injury.
  • Musculoskeletal issues are a leading cause of physical disability and severe long-term pain.
  • “Movement is Medicine – Keep moving for health and wealth!” is the theme put forth by the Global Alliance for Musculoskeletal Health of the Bone and Joint Decade. This is to stress the importance of physical activity, not only to prevent bone and joint issues, but also to remind those with musculoskeletal disease to keep moving to feel better.
  • Keep your bones and joints healthy! Take care of them through regular lifelong activity, eating a healthy and wholesome diet, as well as healthcare maintenance with regular checkups. See your doctor at first sign of pain or discomfort in your bones, before disease progression. Developing strong bones earlier is important for bone health later, as your bones begin to deteriorate as you get older.
  • Prevention Tips: Developing your strength, endurance, flexibility, and posture are essential to maintaining good bone and joint health. Learn how your body reacts to certain activities and foods, especially if you or someone in your family has arthritis. Furthermore, take caution when engaging in certain activities, making sure to use protective gear and equipment, as well as wearing the correct types of shoes.

If you’ve got symptoms of musculoskeletal conditions affecting your bones and joints, consult with our board-certified podiatrist, Dr. Brandon Macy for an assessment of your feet and ankles. We are here to treat your family’s needs at The New Jersey Children’s Foot Health Institute at Clark Podiatry Center. Make an appointment to see us today at our Clark, NJ office.


By Clark Podiatry Center
October 04, 2017
Tags: arthritis   Ankle Sprains   fracture   tendonitis  

One of the top reasons why children are seen in the Emergency Department at US hospitals is unintentional injury, which includes sports injuries. While we encourage children to stay active and participate in sports, we also acknowledge the risk of injury to the feet and ankles that comes with it.

There are many ways that children can get injured while playing sports, including: collision with other children or objects, trips or falls, sprains, improper footwear, and overuse injuries. Some may be one-time injuries (i.e. cuts or bruises), but others can have long-term consequences that keep recurring (i.e. ankle sprains) or get worse (i.e. tendonitis or arthritis).

Depending on the injury, the treatment options range from simple home remedies, immobilization, physical therapy, corticosteroid injections, orthotics, and in worst cases, surgery. Today, we’d like to expand upon the home treatment option for mild foot or ankle injuries, known as the RICE method. When symptoms include minor or moderate pain, swelling, redness, or bruising in the feet or ankle, the RICE method can help control them to determine if further medical care is necessary.

Rest

  • After experiencing an injury or pain in an area of the foot or ankle, stop the activity to prevent it from getting worse.
  • Keep weight and pressure off the injury by using walking aids such as a cane or crutches.

Ice

  • For redness and swelling, apply a bag of ice or cold compress.
  • Apply for 15-20 minutes at a time, rotating with a rest of 15-20 minutes.
  • Continue icing for about 2 days, but if swelling does not decrease, seek physician care as soon as possible.    

Compression

  • Use an elastic bandage or compression sock to reduce and prevent further swelling.
  • It should have some pressure, but should not cut off circulation.

Elevation

  • Elevate the injury (with ice and compression), whenever possible. This will help reduce swelling.
  • Ideally, the injury should be elevated to above heart level, but any elevation at all while sitting can still be beneficial.

Please note: if there is excessive swelling, obvious deformity, loss of function, or if you suspect a fracture or broken bone, see a physician immediately for assessment.

If your child gets injured, start with the RICE method. If you do not see any improvements or if your child complains of worsening symptoms, you consult our board-certified podiatrist, Dr. Brandon Macy. We are here to treat your family’s needs at The New Jersey Children’s Foot Health Institute at Clark Podiatry Center. Make an appointment to see us today at our Clark, NJ office.




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1114 Raritan Road
Clark, NJ 07066

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