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

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Posts for: August, 2018

By Clark Podiatry Center
August 29, 2018
Category: Shoes

An important aspect of foot care is to make sure that you have good shoe habits. That includes long-term shoe maintenance and wearing them properly so that they provide maximum support to your feet.

Here are some habits you should adopt, as well as some habits you should drop!

DOs:

  • Keep your shoes clean, which includes keeping your feet clean. This will help prevent the growth of microorganisms such as bacteria and fungi that could rot your shoes and make them smell! You might use a shoe spray or an activated charcoal bag to absorb moisture if your feet tend to sweat a lot. Additionally, keeping them clean of dirt (and in the winter, of rock salt) can reduce the rate at which they degrade.
  • Wear socks with shoes, especially closed-toe shoes. You are more likely to have bacterial or fungal growth/infection without socks to absorb some of the moisture from your feet. Got hyperhidrosis? You may want to bring an extra pair of socks with you to change into midday.
  • Unlace your shoes before taking them off to reduce wear and tear on the materials that make up the structure of your shoe. Overstretching the material can reduce the supportiveness of the shoes and prevent your shoes from fitting with the proper snugness for your feet.

DO NOTs:

  • DON’T wear one pair of shoes every single day.  Not only are you wearing them down quicker, they can also become smelly and harbor bacteria and fungi, as these microorganisms thrive in damp, dark, warm surfaces. Try to rotate between at least two pairs of shoes to allow them to dry out completely. Additionally, do not put shoes in an enclosed space right away. Instead, allow them to air out overnight and then put them away if need be.
  • DON’T fold shoe backs. Some shoes have flexible backs that can forcibly be folded down if you’re in a hurry to get out the door. After a few instances of folding the back, you will notice that they stay folded down. This means that the structure of the shoe becomes compromised and your feet may have to strain more to remain stable. You might suffer from chronic overuse injuries like plantar fasciitis or Achilles tendonitis.
  • DON’T drag your feet. Dragging the feet will wear down the outer soles of your shoes and can also make you more prone to tripping over your own feet or a curb. You can sustain an injury like an ankle sprain or broken toe if you’re not careful!
  • DON’T continue to wear shoes that hurt. If shoes hurt your feet, you can either donate them or try adding cushioning with orthotic inserts to better support your feet.

Have your shoes turned on you and started causing you pain? Let us help you find a solution to your foot or ankle woes. Make an appointment today at Clark Podiatry Center. Our board-certified podiatrist, Dr. Brandon Macy will assess your feet to find the best treatments or solutions for your feet. We are located in Clark, NJ and serve patients in all the surrounding Union County towns!

 


By Clark Podiatry Center
August 22, 2018
Category: Foot Pain
Tags: Bunions   Flat Feet   Hammertoes   Neuroma   Shoes   injury   orthotic   dancing  

A neuroma is a condition in which the tissue around a nerve becomes thickened.

You might have a neuroma in your foot if you:

  • feel like you want to remove a small stone that you keep stepping on, but when you take your shoes off, it’s never there.
  • feel like you have a pinched nerve in the ball of your foot.
  • have burning pain, numbness, or tingling between the third and fourth toes.

A neuroma in your foot is called Morton’s Neuroma and it’s usually caused by inflammation, irritation or injury. Repetitive motions with high pressure on the balls of the feet can cause chronic inflammation on the soft tissues near the nerve. This can include wearing shoes with high heels and/or narrow toe boxes for long periods of time. Participating in activities like dancing or sports that involve running, sprinting, or jumping are also likely culprits. Additionally, if you injure the foot by dropping something on it or stepping hard on a pointed object, it can cause a prolonged inflammation in that nerve.

Some foot deformities can also put you at higher risk of developing symptoms of Morton’s Neuroma. Hammertoes, bunions, flat feet, or very high arches can all shift your body weight so that the ball of the foot has to unevenly bear more weight. 

Once symptoms set in, it’s important to rest the foot and reduce inflammation and pain to prevent worsening and ongoing symptoms. Using orthotic inserts, applying ice, massaging the foot, and/or anti-inflammatory drugs may help you feel better. You may also consider how your shoes might be affecting the way your feet feel on a day-to-day basis. If they are too tight, your toes might need more room to relax throughout the day. If you don’t have enough arch support or cushioning, the balls of your feet might have to strain more.

If conservative at-home treatments and adjusting your shoes do not help, our podiatrist might use cortisone injections or sclerosing alcohol injections to relieve pain. At worst case scenario, the nerve may need to be surgically removed.

Don’t suffer from Morton’s Neuroma! We can help you feel better! Make an appointment today at Clark Podiatry Center. Our board-certified podiatrist, Dr. Brandon Macy will assess your feet to find the best treatments or solutions for your feet. We are located in Clark, NJ and serve patients in all the surrounding Union County towns!


Also known as Adult-Acquired Flat Foot or Tibialis Posterior Tendonitis, this condition results in a flattened arch in the foot. Those affected might experience symptoms such as pain along the inside of the ankle and foot, as well as a foot deformity with a shifted heel bone. Left untreated, it can cause chronic pain and severe deformity, making it hard to find shoes that fit comfortably.

What causes it?

  • Posterior Tibial Tendon Dysfunction (PTTD) – This is one of the most common causes of painful progressive flat foot. When there is inflammation of the posterior tibial tendon, or if it is damaged or torn, it can no longer properly hold up the arches of the feet.
  • Health issuesObesity (excess weight that the feet have to bear), Diabetes (reduced sensation can lead to weakened foot structures and eventually lead to Charcot Foot), and Hypertension (reduced blood supply to the tendon).
  • Arthritis: When joints and bones are affected by arthritis, they can become weakened and allow for a collapsed arch.
  • Injury: Blunt trauma can cause the issues that lead to a fallen arch, including inflamed or torn tendon, or structural deformity in the feet.
  • Flat foot since childhood – Some folks are born with flat feet, and they may not always cause problems until later in life when the arch collapses.

What can be done to treat it?

  • Orthotics, including custom supportive inserts, specially made shoes, immobilizing casts, or supportive braces. These assistive devices can help to correct your gait and posture. They can prevent your feet from rolling inward from having flat feet, as well as relieve pressure on the arches as you walk and stand.  
  • Physical therapy can be helpful to strengthen the soft tissue in the feet to correct gait.
  • Icing and NSAIDs can help relieve pain, swelling, and inflammation.
  • Treat health conditions like obesity (weight loss), diabetes, hypertension, and arthritis.
  • In rare cases, surgery might be an option to treat any posterior tibial tendon issues, or if there are any structural bone issues.

If you suspect that your arches have fallen and if you have pain along the inside of your feet or ankles, make an appointment today at Clark Podiatry Center. Our board-certified podiatrist, Dr. Brandon Macy will assess your feet to find the best treatments or solutions for your feet. We are located in Clark, NJ and serve patients in all the surrounding Union County towns!


    

 

 

 

Foot problems are not only the issue of older people.  In fact, many foot ankle   and leg issues in adults can be traced back to things missed or neglected from   childhood.  Here are 5 examples:

  1.   Gait abnormalities. Toe walking, intoe (pigeon-toe) gait, flat feet,   developmental delays in early walkers are best evaluated and treated at the   earliest age possible.  Just because there is no pain doesn’t mean it isn’t a       problem that should be addressed.
  2.   Pain or fatigue in the feet, legs or knees.  Pain is NEVER normal.
  3. “Growing pains”.  Largely a myth, but heel or knee pain in the 9-14 year old age group is often a minor but annoying injury to the growth plates which can be addressed easily and with little or no downtime from sports
  4. Sports injuries.  Sprains, strains and fractures.  Podiatrists are more familiar with anatomy and mechanisms of injury than emergency rooms—without the long waiting times.
  5. Dermatological issues: warts, ingrown nails, athlete’s foot, and excessive perspiration (hyperhidrosis) are all common in children.

At Clark Podiatry Center and the New Jersey Children’s Foot Health Institute, we firmly believe that ”prevention is better than correction”. To that end, we are hosting our 4th Annual (Free) Kids Foot Screening event in our office on Saturday, September 15, 2018 at 9:00 AM. Bring all your children and we’ll evaluate them and make treatment recommendations according to their needs.  It’s a popular event, so to economize on time, we recommend scheduling an appointment for the screening examination

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 Health Institute, we want to keep you walking!

 


By Clark Podiatry Center
August 08, 2018
Category: Orthotics

Do you ever find yourself wanting your shoes to be more comfortable? Maybe if they had a little more padding on this part of the shoe, you would be able to wear them for a bit longer. If only there was more arch support, you wouldn’t suffer from chronic plantar fasciitis. Is there a way to find comfort without buying new shoes altogether?

orthotics

Yes! Orthotics to the rescue!

Sometimes, finding comfort and extra support can be as simple as adding over-the-counter orthotic inserts. If your shoes are in good condition, other than making your feet tired, you may just need some arch pads, ball of feet pads, or heel cups to stabilize your feet. Shoes like high heels, flats, and some sandals need some orthotic inserts to reduce foot pain for a long day of standing or walking.

For other issues, like foot deformities (e.g. bunions or hammertoes), you may need custom-made orthotics. They might be inserts or whole shoes that are custom-formed for your specific needs. For example, your feet may not fit into typical shoe shapes if you have a severe bunion deformity. The orthotic shoe can help prevent worsening symptoms and allow for foot comfort from chronic pain and other symptoms.

Additionally, some people may need temporary orthotic support when rehabilitating from an injury. Foot or ankle braces can ensure that bones and soft tissues heal properly. It can also support the ankle joints so they may continue to function while the healing tissues are gaining strength.  

Furthermore, children who might have developmental issues or injuries can also benefit from orthotics. Using orthotics can help correct problems like pigeon-toeing, overpronation, or Sever’s Disease.

There is a broad range of orthotics that can help with many different situations for your family’s feet and ankles. If you think that you or a family member can benefit from orthotics, make an appointment today at Clark Podiatry Center. Our board-certified podiatrist, Dr. Brandon Macy will assess your feet to find the best treatments or solutions for your feet. We are located in Clark, NJ and serve patients in all the surrounding Union County towns!




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1114 Raritan Road
Clark, NJ 07066

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