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

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Posts for: May, 2018

By Clark Podiatry Center
May 30, 2018
Category: Foot safety

It’s summertime! You might be going (or at least thinking of going) to the gym more often now to get your body beach-ready. But before you go too crazy exercising, consider the following tips for keeping your feet and ankles (and the rest of your body) safe at the gym:

Wear appropriate gym shoes. One of the most important ways you can protect your feet and ankles is to wear shoes that are right for the type of workout you are doing.

  • If you are primarily doing cardio, you’ll want to wear running shoes that have extra cushioning to reduce the impact on your joints.
  • If you are weight-lifting, you want stable shoes with a raised heel.
  • If you will be doing a variety of different exercises, including plyometrics, calisthenics, weight-training, etc., cross-training shoes will be best.

Use gym equipment safely and be wary of hidden dangers. Whether you will be working out at your home gym or fitness club, you can prevent injury if you use equipment safely.

  • If you don’t know how to use a machine, ask a staff member or look at a manual.
  • Do not alter equipment unless it is made to do so. For example, do not add or remove weights from the weight stack.
  • Make sure that your workout area is not wet from spilled water, pooled sweat, or recent mopping. If the floor seems to be a bit slippery, use a rubber mat or change your shoes to ones with more traction.

Use a spotter. If you will be lifting heavy weights, it’s best to have a spotter. You may accidentally misstep and tweak your foot or ankle.

Increase speed/intensity slowly. Whether you are sprinting, squatting, or spinning, make sure you increase the intensity of your workout slowly. Dramatic increases in speed or intensity can cause excessive strain on your soft tissues. It can aggravate overuse problems like sesamoiditis or Achilles tendonitis.

Wash feet and use flip-flops. It’s best to shower after a sweaty workout, but this is especially true for your feet if you did your work out barefoot. Additionally, if you are walking around barefoot in communal locker rooms, you should wash your feet as well to prevent contagious disease like Athlete’s Foot. In fact, it’s best to wear non-slip flip-flops when in the communal shower.

If you sustain an injury while working out, be sure to use the RICE method to find pain relief until you can make an appointment to see us at Clark Podiatry Center. Our board-certified podiatrist, Dr. Brandon Macy will assess your feet and ankles to find the best treatment. We are located in Clark, NJ and serve patients in all the surrounding Union County towns!


Many parents notice that their child’s toes point in when they walk—also known as an “intoe gait”.  At times it is also referred to as being “pigeon toed”. It can look awkward and sometimes a child can not only look clumsy, they may indeed trip and fall more than is usual. There are several reasons toes point inward and sometimes more than one can be at play.  The key to treating is to identify the source of the problem. 

Most commonly there are biomechanical issues at the root of the problem.  Disproportionate hip rotation where they turn inward more than outward is often the problem.  As similar situation can also happen at the level of the knee.  There can also be torsional problems of the leg or thigh bones.

Within the foot, if the front part of the foot is tilted towards the outside as compared to the back part of the foot, the forefoot will rotate or flop inwards as the ball of the foot lands in the gait cycle.  Alternatively, due to congenital issues the front part of the foot can turn inward as compared to the back part of the foot. Known as metatarsus adductus, this is treated by serial casting in the very young and may become a surgical problem if older.

How is the intoeing best treated? By utilizing an orthotic—often one of our LittleSteps children’s orthotics which help balance the foot properly.  Very often we’ll use a specialized orthotic called a gait plate for a while and this helps encourage the foot and leg to turn outward and function more normally.

Asymmetrical hip rotation is made worse when a child in the “W” position with their feet outside their hips.  They should be encouraged to sit cross-legged and to participate in activities such as skating or horseback riding to increase external hip rotation. We may also recommend certain exercises and possibly refer for physical therapy to help strengthen and balance the muscles, tendons and ligaments.

The takeaway point is this: don’t let well meaning people tell you to let your child “grow out of” intoe issues. 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 and your child walking! 


By Clark Podiatry Center
May 23, 2018
Category: Shoes

You traded in your high heels for flats, because it’s probably the better decision. Or is it?

While it’s true that most high heels are not supportive enough for the feet and can cause ongoing foot problems, it’s not necessarily true that flats are the antidote. In most cases, flats are probably less problematic, but that depends on whether or not they have supportive features.

Because both high heels and flats are usually worn with fashion in mind, they tend to lack supportive features that are necessary to keep feet healthy and pain-free. High heels can cause pain in the balls of the feet and the toes, but flats can cause pain along the bottom of the feet. So if you have foot pain even when you thought you remedied the problems caused by high heels, it’s probably due to the flatness of flats.

Flats can be your arch nemesis if they lack the following supportive features:

Arch support - Most flats have flat inner soles. This can cause excessive straining for the plantar fascia, which aggravates any problems that folks with fallen arches or flat feet might have, like plantar fasciitis.

Supportive heel cups and solid heel contours - When heels are not supported with specific heel grooves, they may be prone to sliding around, which can result in blisters and calluses, or Achilles tendonitis as feet can under- or over-pronate.

Cushioning in the soles - Most inner soles tend to have a very thin lining and lack cushioning. This can increase the impact felt by the feet, ankles, knees, hips, and back.

Roomy toe boxes - Many flats tend to become narrow in the front and are tight around the feet because they do not have straps or laces to keep them secured on the feet. Tight toe boxes can cause problems like hammertoes or worsen pre-existing problems like bunions.

This doesn’t mean that you should never buy flats. Instead of swearing off all flats, you can find flats with built-in support. Alternatively, you can use over-the-counter orthotic inserts. However, if you need custom-made orthotics, we can help! Make an appointment to see our board-certified podiatrist, Dr. Brandon Macy at Clark Podiatry Center. He can assess your feet and give them the treatment or orthotic support they need. Come see him at our Clark, NJ office.


By Clark Podiatry Center
May 21, 2018
Category: Foot safety
Tags: sprain  

The weather has warmed up and that means more time outdoors for you and your family. Flowers are blooming, trees are filling up with new leaves, and the grass is going to start to need some mowing. Whether it’s you or your teenager’s chore to do, it’s one that’s got to get done so that critters don’t hide in the tall grass and become a problem!

Nonetheless, before you fill up the old lawn mower and fire it up, take these safety tips into consideration:

Safety Gear:

  • Sunglasses or goggles to protect from debris. Earplugs or earphones to protect from the loud noise of the lawn mower. Hat and sunblock to protect from sunburn.
  • Closed-toed shoes made of thick material and outer soles with anti-slip grip.

Maintenance:

  • If your lawn mower is new, remember to check the operating instructions before you begin. Check for safety features and emergency shutoff options.
  • Be sure that the lawn mower is working properly or it can cause you to slip or trip.

Obstacles:

  • Do not mow the lawn when grass is wet.
  • Clear the lawn of debris, toys, branches, and of course, pets and children. Do not allow for the risk of children running out into the yard while you are mowing since you may not see or hear them.

Before you start any type of strenuous activity, such as mowing lawns, it’s a good idea to warm up and stretch, especially if you have a large lawn or will be working on hills.

NEVER let your child sit on your lap on a riding mower. Whether or not the machine is on, a lawn mower has dangerous parts that could injure a child.

Have you felt pain as you mowed the lawn? Or sustained an injury? If you need immediate attention, call 911 and get emergency medical care. If it’s a strain or sprain, come see our board-certified podiatrist, Dr. Brandon Macy for an assessment. Make an appointment today at Clark Podiatry Center. You and your children will get top quality foot care at our Clark, NJ office, which serves the surrounding Union County areas. We keep you walking!


By Clark Podiatry Center
May 09, 2018
Tags: Bunions   Shoes  

Toddlers’ feet grow so quickly! Have you noticed that toddlers seem to need bigger shoes only a few days after they’ve stepped into the ones you just got them? It’s tempting to get shoes that are 2 sizes bigger so that you don’t have to keep buying new ones!

However, we advise you not to give into that temptation. Instead, first figure out the signs that your toddler needs new shoes. Then, find out how to find the best shoes for your growing toddler. Not all toddlers can express their foot pain, so it’s important to look for signs and symptoms.

Do they need new shoes? Or are they just trying to change up their fashion?

  • Is it hard for you to get their shoes on? Be sure to put socks on their feet before putting shoes on to prevent skin irritation and to make it smoother to put shoes on. However, if it seems difficult to get shoes on, it could be a sign that their feet are getting too big for their shoes.
  • Do they have marks on the feet? When you take shoes off, do they have red marks on the skin that might indicate irritation from the shoes being too tight? If the toes look tightly curled up or are red from being too tight in the front of the shoes, that’s another sign.
  • Compare the bottom of the shoes with the bottom of their feet. The outline of the shoes should be larger than the outline of your toddlers’ feet. If they seem to look the same, the shoes are too small.
  • Do they have signs of bunions? Check to see if their feet look like the big toe is growing towards the smaller toes, instead of straight on. If it looks like the big toe joint is sticking out, they may be developing bunions. Give more room to the toes by buying a larger size.

How to best purchase toddler shoes:

  • Measure children’s feet every time you shop. Buying shoes later in the day is best because that’s when they are largest. Also, the left and right feet can differ in size. Buy shoes that fit the larger foot.
  • Try shoes on rather than buying by size. Different shoe companies may label their sizes differently. Not all shoe sizes will match based on age since toddlers grow at different rates.
  • Shoes should have a little bit of extra room. You can either leave a half an inch between the front of the shoes and the big toe or fit your index finger in the back of the shoe when your toddler is wearing it.

Does it seem like your child is complaining of foot pain? Are his or her feet looking deformed? Come see our board-certified podiatrist, Dr. Brandon Macy for an assessment. Make an appointment today at the New Jersey Children's Foot Health Institute at Clark Podiatry Center. Your children will get top quality foot care at our Clark, NJ office, which serves the surrounding Union County areas. We keep you walking!

 




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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