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

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Posts for: December, 2017

By Clark Podiatry Center
December 29, 2017
Category: Shoes

After babies become toddlers, wearing shoes is a new item of worry for parents. You’ve got to find ones that fit, factor in the time it takes to get the shoes on, and keep track of them after they’re taken off. Then, of course you have to remember that kids grow out of clothing and shoes so quickly, so even after just a few wears, they’ve got to change into new shoes.

Sounds a bit overwhelming, but as long as you pay attention to the following tips for buying shoes, your children’s feet will be in great shape!

Shoe Size

  • Measure your child’s foot (or have a store associate measure them for you) each time you buy new shoes. It’s hard to know exactly how much your children’s feet have grown, so you may end up buying the next size up, when they really needed two sizes up.
  • A finger’s worth of room beyond the toes should be enough for about 3 to 6 months before you need another pair.

Comfort and Cushion

  • If you can, have your children try on the shoes at the store. If they complain of pain anywhere, it’s probably uncomfortable. That could lead to blisters or calluses, so those are not the right shoes for them.
  • While it’s less important for first time toddlers, children who walk, run, and jump well on their own should have some cushioning on the bottom of the shoe to prevent overuse injuries such as Sever’s disease.
  • Avoid taking hand-me-downs as these could have a different foot imprint and less cushioning available to protect your child’s feet.

Arch and Heel Support

  • Check for built-in arches and stiff siding by the heels.

Don’t judge a shoe by its cover

  • Don’t let your children choose their shoes until after they have tried them on. If they have a character that they are crazy about, they will want to choose those shoes no matter what. However, it’s better for them to get shoes that will protect their feet.

Are your children complaining of foot pain or wanting to get out of shoes as soon as possible? Those are signs that they may be outgrowing their shoes. Other clues include blisters, calluses, and redness. Or maybe you are concerned that their feet or ankles are not developing properly. Consult with our board-certified podiatrist, Dr. Brandon Macy at Clark Podiatry Center. Specializing in children and family foot care, our doctor will address any concerns you have about their footwear. Request an appointment at our office in Clark, NJ.

 


Patients with bunions either ask me why they have bunions or tell me why they THINK they have bunions.  Here’s the real deal:  bunions are hereditary.  Most likely they come from one or both of your parents, but they may have skipped a generation and come from your grandparents.  Specifically, it’s all about how your skeleton was built and engineered by them.

People whose skeleton isn’t biomechanically stable—mostly, people whose feet flatten out more than they should—have structural instability which causes the bones in the ball of your foot to spread out.  This is why the ball of the feet of people with bunions can be so wide and difficult to fit into shoes.  The joint at the base of the big toe buckles sideways and that’s the bunion!

(On a side note, the smaller toes may buckle upwards for the same reason, these are known as hammertoes which can cause painful joints or corns.)

Here’s the surprising fact:  there’s a lot of information out there that tight or pointed-toe shoes cause bunions.  FALSE!  Shoes make the best (or worst) of a given situation.  Those kinds of shoes can make bunions or hammertoes more painful.  But think about this:  how can a shoe which is too tight allow the ball of the foot to spread out?  Answer: It CAN’T!

Now that you know the real facts, then it’s a matter of how you deal with bunions.  Depending on how much pain you have and what type of pain you have (yes, there are different types of bunion pain) bunions can be treated via surgery and/or orthotics.  Orthotics deal with WHY you have bunions, surgery deals with the painful deformity itself.

The takeaway point from this message is that once we know WHY you have bunions, we’re better able to deal with them the right way and the best way.     

If you or somebody you know has bunions, come on in and we’ll explain thing in more depth.  For more information or an appointment, contact us at 732-382-3470 or visit our website at www.clarkpodiatry.com

At Clark Podiatry Center, we want to keep you walking!

#ClarkPodiatryCenter #NJCFHI


By Clark Podiatry Center
December 18, 2017

When it comes to women’s foot problems, both genetics and fashion play major roles. It also accounts for why women seem to have more foot and ankles issues than men do. One such problem that affects women more than men is Haglund’s Deformity, also known as retrocalcaneal bursitis.

Commonly called “pump bump”, it is a condition characterized by a painful enlargement of the back of the heel bone. The irritation caused on the back of the heel bone results in a bony growth, which in turn can also cause inflammation of the bursa (fluid-filled sac meant to cushion against friction bones or joints). It can cause redness, pain, and swelling at the back of the heel.

Those with high arches, tight Achilles tendons, and/or a tendency to walk on the outside of the heel are more likely to develop this deformity. Shoes with a rigid back, like those in pumps (high heels, no strap, and cupped heels) can cause further irritation on the back of the heel. It’s often accompanied by blisters from where the shoe repeatedly rubs on the back of the heel.

Treatment options:

  • Heel pads, whether it be over-the-counter or custom orthotics, can help to reduce irritation to the back of the heel. Other inserts can also help to correct your gait or add support for high arches or a tight Achilles tendon.
  • Our podiatrist may also suggest topical or oral anti-inflammatory medications for relief as you get the symptoms under control.
  • Physical therapy might also be helpful to loosen tight heel cords.
  • If the symptoms are severe, our podiatrist might recommend immobilization in a brace or cast until symptoms subside.

If after you have tried non-surgical treatments and you are still suffering, or if an X-ray shows significant bony growth, our podiatrist may suggest surgery. However, this requires extensive recovery efforts, so it would be a last resort. Come see our board-certified podiatrist, Dr. Brandon Macy to receive an assessment of your heel pain. Make an appointment today at Clark Podiatry Center to see us at our Clark, NJ office. We keep you walking.

 


5 Reasons Seniors Should Visit a Podiatrist.

Proper foot health is often overlooked but an extremely important issue for senior citizens. It is vitally important to maintain an active lifestyle. Seniors need to visit a podiatrist for a proper assessment and, if necessary, treatment of and foot or ankle problems to ensure good foot health.  Here are 5 reasons why.

  1. Nail care.  Many seniors suffer from ingrown nails due to pressures on the nails or improper cutting.  This can often result in various kinds of infections which require professional care. There are also thick, painful and ugly fungal nail conditions.  If physically unable to perform regular nail care, podiatrists are positioned to do so safely.

  2. Specialized care for diabetics, people with poor circulation and those on anticoagulants.  Even for simple trimming of nails and corns/calluses, this population is at-risk for complications of self-care. Podiatrists are also able to prescribe appropriate foot care measures to treat and hopefully prevent serious problems.

  3. Fall risk assessments and footwear advice are vital to maintain mobility and a healthy, active lifestyle.  This is a particular need for diabetics or anybody with peripheral neuropathies or gait abnormalities due to strokes, joint replacement surgery or other problems.

  4. Skin conditions/dermatological exams. Many seniors have little lumps, bumps and rashes in their skin, particularly in the sun-exposed areas. There are the more common athlete’s foot and psoriasis conditions, the surprising fact is that it is not at all uncommon for skin cancers to manifest on the feet and lower legs. These skin conditions need to be identified, often by biopsy, so they can be dealt with properly and promptly.

  5. Injuries and other painful conditions.  Pain in the feet of seniors is not always age-related “arthritis”.  Pain is never normal.  There are injuries and other conditions which need to be evaluated and treated properly and promptly so as not to become something potentially far worse and debilitating.

The takeaway point is that seniors should not take their feet for granted.  There are many options for proper evaluation, treatment and advice on maintaining an active, healthy lifestyle.

For more information or an appointment, contact us at 732-382-3470 or visit our website at www.clarkpodiatry.com

At Clark Podiatry Center, we want to keep you walking!

#ClarkPodiatryCenter #NJCFHI   

"Aspire, break bounds. Endeavor to be good, and better still, best."

- Robert Browning (1812 - 1889)

English poet


When your children participate in sports, it can help them develop physically and socially. It’s a great way to keep them physically active, but it also comes with risks of injury. In particular, for children ages 9 to 14, Sever’s Disease can affect their growing heel bones. This disease, also known as calcaneal apophysitis, is usually brought on by an injury while playing sports.

What is it?

Sever’s Disease is a condition of pain that develops as a result of overuse. Children playing sports that include walking, running or jumping can experience painful heels from the repetitive impact on the growth plate. Since the heel bone and tendons are still growing, they are more at risk of injury.

What are the symptoms?

When children complain of heel pain or limp due to heel pain, the foot should be examined. The pain is felt mostly along the bottom and rear of the heel, and may show no exterior symptoms. Our podiatrist can check for a sure sign of the disease by using the “squeeze test”, in which the sides of the heel are squeezed, causing immediate discomfort or pain for the child. Remember that prolonged pain in the feet is not normal and should not be attributed to “growing pains”.

How is it treated?

The immediate treatment includes resting and icing the heel bone to reduce pain and inner inflammation of the growth plate.

  • If the heel feels discomfort sometimes, but not all the time: Some children may insist on finishing the season. If the pain is not severe, your child may be able to use heel cups, stretching exercises, and orthotics to prevent worsening symptoms. After the season, you’ll need to rest the feet to allow for recovery.
  • If putting weight on the foot is painful all the time: This may indicate a severe condition and your child should stop activity for at least 2 weeks. In some cases, our podiatrist will recommend use of a walking boot or cast.

Sever’s Disease can sometimes resolve itself as the heel bone fully develops. This can be as simple as resting for several weeks, or continuous pain for many years. In other cases, it can lead to some developmental problems as the bone continues to grow. In very rare cases of severe injury, bone can break off at the point of attachment to the Achilles tendon.

While we understand the importance of finishing a season or your child not wanting to miss out on sports activities, it’s better to come see us for treatment to decide whether or not they should continue playing. Treating earlier can mean missing out on less of their favorite activities. Consult with our board-certified podiatrist, Dr. Brandon Macy. Our team is 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