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

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Posts for: January, 2019

By Clark Podiatry Center
January 30, 2019

Ever since the day you brought them home from the hospital, you’ve probably thought that every part of your child is precious – from the strands of hair at the top of his/her head to the tickly bottoms of his/her feet. One of the most dreaded acts you had to perform was probably cutting the fingernails and toenails without accidentally drawing blood!

Today, we’ll talk about those cute toenails you cared for. Let’s start by saying that children’s toenail problems are not very common. However, there are a few things you should know about possible problems they can encounter.

  1. For one, if your child has toe deformities, they are more at risk of having toenail issues. The combination of toe shape, tightness of shoes, and toe grooming habits (which you may be in charge of) can lead to problems like ingrown toenails. To lower the risk of this painful issue, make sure your child’s toenails are cut straight across and not too short.
  2. You may consider fungal toenails an adult foot problem, but children are also susceptible. After all, some children do go to the same areas where fungal infections are easily spread, such as community pools, and gym locker rooms with their parents. It can even spread at home – by sharing a foot towel with a parent or sibling who is already infected.
  3. Some overall health issues will manifest as toenail problems. Autoimmune diseases or viral infections can lead to toenails separating from the nail bed and possibly even fall off.
  4. Spots, lines, or indentations in the nails can indicate a lapse in nutrition (like low zinc or iron), a period of sickness (fever), or slight trauma from repeatedly dropping something on the foot or kicking something (such as the front of a tight shoe).

Again, these problems are pretty rare, but they can happen. Practicing good hygiene, grooming correctly, having a nutritious diet, and ensuring a good fit in shoes will help to prevent these problems. If you suspect something is going on with your child’s toenails, come see our board-certified podiatrist, Dr. Brandon Macy at Clark Podiatry Center. He can assess your child’s feet at New Jersey Children's Foot Health Institute and find the best treatment for toenail problems. Make an appointment at our Clark, NJ office so we can keep your child walking.

 


By Clark Podiatry Center
January 23, 2019
Category: Exercise
Tags: stretch   workout   walk   comfortable shoes  

Have you been keeping up with your New Year’s Resolutions to be healthier this year? One way you can do that is to stay active and eat nutritious foods!

You might argue that:

  • You don’t have enough time to fit in a gym workout every day.
  • You’re too tired to exercise after a long day and commute home.
  • You lack the motivation to keep up an exercise routine.

Well, we are here to help you remedy that! We’ve got many ideas on how you can increase your physical activity where you spend many hours in your day. That’s right, you can add to your step count right at work!

Here are some sneaky ways to increase your energy output, where you might normally feel like you’re at an idle desk job:

  • Park at the other end of the parking lot, or get off the bus or subway one or two stops earlier.
  • Schedule water breaks. Set an alarm every hour (or more often if you plan to drink smaller amounts) to get a cup of water. Not only will you be sitting less all day, but you’ll also increase your step count AND meet your daily hydration goals. As an added bonus, the increased water intake will also prompt you to take more bathroom breaks as well! (Hint: take the long way to the kitchen or bathroom!)
  • Walk during your lunch. Pick up food at a restaurant down the street, make some phone calls as you walk, run an errand, or just take a walk at a nearby park during your lunch break. If you plan well enough, you may be able to eat while you work, so that your lunch break can be better utilized. (Hint: form a walking group and bring comfortable walking shoes to wear during your longer walks).
  • Carry your “instant” message to your coworker instead of sending a chat or ping. That may sound so foreign and inefficient, but that’s not the goal here. Our goal is to add steps, remember? Bonus points if your coworker is not on the same floor with you and you take the stairs rather than the elevator.
  • Stand up, stretch, and walk in place every 30 minutes to an hour. This will help increase your circulation and encourage an energy spike. Your posture will probably benefit too!

All of these little tricks can help you increase your activity and help you stay focused and alert! It’s a win-win situation at work!

If getting up so often is not appealing or might be distracting to co-workers or your boss, get some exercise by doing some toe exercises under the desk. If nothing else, it will help you strengthen your feet, ankles, and toes, as well as increase circulation. It’s especially important if you’re prone to swollen feet if you stay sitting for a long time. (We’re hinting at you, pregnant ladies!)


By Clark Podiatry Center
January 16, 2019

Congratulations! You have a little one on the way, and so you might be wondering all about how to care for him or her. There’s a lot to consider, like feeding, bathing, sleeping, swaddling, and of course, changing diapers. Getting all of those things figured out is not easy, and your mind might be swirling.

Just take one thing at a time, and you’ll be just fine!

Right after your baby is born, one of the first things you might want to do is to count the fingers and toes, to make sure you’ve got 10 of each. Your doctor will do the same to make sure the baby has no major problems. Just so that you are aware, after the exhaustion of giving birth, your care team will examine the following about your newborn’s feet:

  • Count the toes – Sometimes, babies can be born with 6 toes on one or both of the feet called polydactyly. Don’t worry though it can be easily treated by a simple surgical removal from the foot. Then, the child’s foot/feet will begin to develop normally, with 5 toes.
  • Check the toes – Some children can be born with webbed toes. They can be surgically corrected during infancy, or if there are no developmental problems, can be left alone.
  • Tickle the feet – The doctor will tickle the feet to make sure the nerves are functioning properly. When the feet are tickled, they should play.
  • Check the shape of the feet – If the feet and toes seem to point forward, the baby will likely have normal development. However, if the foot has more of a “C” shape, this is called metatarsus adductus. It can cause pigeon-toeing and difficulty fitting into shoes properly, depending on the severity of the deformity. Stretching and plastering starting from infancy will help correct the shape.
  • Check the angle of the feet – Depending on genetics or how much room the baby has in the womb, the feet can look like they are turned inward. With this condition, called clubfoot, the outer part and front part of the ankle is overstretched. Don’t worry too much though. Treatment can begin right after birth, while the bones are still soft. Doctors will stretch and cast the foot so that it develops more and more toward the proper position. Special orthotics can be used when the baby starts to walk in order to keep the position correct.
  • Check the ankles, knees, and hips – This is to ensure that their legs are not dislocated during the birthing process. Dislocation can cause the baby severe discomfort and abnormal development.

If your baby was born with normal feet, that’s great news! But if you’ve been informed about foot problems from birth, don’t worry, we can help! After initial care at the hospital, continued care can be sought at our office. Come see our board-certified podiatrist, Dr. Brandon Macy at New Jersey Children's Foot Health Institute of Clark Podiatry Center. He can assess your feet, and find the best treatment for your baby’s foot needs. Make an appointment at our Clark, NJ office so we can keep you walking.

 


By Clark Podiatry Center
January 07, 2019
Category: foot deformities

If you have toe deformities, chances are, your parents or their parents had them too. Many foot issues are inherited, and that includes digital deformities like bunions, hammertoes, mallet toes, claw toes, as well as overlapping and underlapping toes.

So, should you be worried about passing toe deformities on to your children?

While there’s a good chance that you might pass on your toe problems through your genes, the good news is that there are ways to treat them.

  • Bunion – A bunion is characterized by a bony growth from the side of the big toe joint, which, in turn, causes the big toe to point toward the other smaller toes. The bony spur can also develop on the outside of the pinky toe.  
  • Claw Toe – When you’ve got nerve damage in your toes, it can cause the joints in your toes to become weak. The joint at the base of the toe bends upward, while the rest of the toe slumps downward. It makes the toes look like it’s clawing the ground.
  • Hammertoes – When the middle toe joint bends upward, making the toe’s shape look like an upside-down “V” that is called a hammertoe. It occurs because there is an imbalance in the muscles, tendons, or the ligaments of the feet.
  • Mallet Toes – An additional deformity due to an imbalance of the muscles, tendons, or the ligaments of the feet is characterized by the toe joint closest to the toenail bending upward called mallet toes.
  • Overlapping or underlapping toes – In some cases, the conditions exist from birth. The smaller toes are usually the ones affected. The muscles, tendons, ligaments, or bones are misaligned.

In most cases, these toe deformities are treatable, especially when detected early. Some treatment options include:

  • Toe Exercises – For some mild cases of toe deformity issues, strengthening the soft tissues around toes can help the toes regain their form.
  • Taping – In the cases where the soft tissues just need a little help, taping the toes can help straighten them out.
  • Splinting – If the toes are in bad form, they may be interfering with certain activities. Splinting them can help them become stronger while keeping them in good shape.
  • Surgery – When non-invasive remedies don’t work, and the toe deformities are severe, it may be necessary to set the bones and/or loosen the tendons or ligaments that might be causing the toe deformity.

So if you’ve got toe deformities, don’t fret! Come see our board-certified podiatrist, Dr. Brandon Macy at Clark Podiatry Center. He can assess your feet, and find the best treatment for your toe problems. Make an appointment at our Clark, NJ office so we can keep you walking.

 


Now that we are in full swing of winter, it’s time to talk about all the fun you and your children will have during the cold winter months! Most winter activities, related to snow and ice can be a lot of fun but come with their share of possible foot and ankle injuries too.

The most common injuries that children and adults encounter while having winter fun include:

  • Stress fractures or broken bones: These are common from slips and falls on the slippery ice and snow.
  • Overuse injuries: Plantar fasciitis and Achilles tendonitis are common overuse injuries from straining the feet and ankles. If they seem to affect you often, we can help you with custom orthotics.
  • Ankle sprain: These injuries are also common from slips and falls, or twists of the ankles.
  • Blisters: Certain types of shoes or ill-fitting shoes can often cause blisters with winter activities.

Many of these injuries have to do with wearing the right shoes for the activity and making sure they fit well. Prevent winter fun foot injuries by checking your winter footwear habits:

  • Ski/snowboard boots and snowshoes – These are specific to the activity and need to fit properly to enjoy the activity without injury. Footwear that is too big or loose can cause you to lose control, as well as require a lot of strain and effort from your feet. Footwear that is too small or tight can leave you with cramped toes and blisters.
  • Ice skates – To glide effortlessly across the ice, you’ll need to have skates that fit well. Most skates tend to be pointy in the front, so be sure that your feet are not too cramped when trying them on. Otherwise, you can aggravate bunions, neuromas, and other toe issues like hammertoes. If you tend to blister in the same areas, use padding or a bandage to prevent excessive chafing of the skin.
  • Hiking boots – If you like taking winter hikes, be sure to have boots with thick tread to help you grip the snowy trails. Check out our tips on choosing your children’s hiking shoes.
  • Winter boots (in general) – If your children’s favorite activity in the winter is to go sledding, snow tubing, or snowball fights, there aren’t special shoes for those activities. You’ll still want to use winter boots, which we talked about here.
  • Socks - Okay, so these are not shoes, but are important to think about. Try on all winter shoes and boots with socks to make sure that thick socks can be accommodated comfortably.

More tips for preventing injuries during winter activities:

  • Start slowly, stretch, and warm up.
  • Prevent Frostbite. Children and adults should make sure that snow and ice do not get into the shoes. When socks and shoes are wet on the inside, the feet can be at risk for frostbite in cold temperatures. If socks get wet during winter fun activities, change them so that feet are not exposed to the cold for a long period.
  • Supervise children when they are participating in outdoor winter activities like sledding and snow tubing. If they are too rowdy, it can cause collisions with other children and injuries to many other parts of the body, including the head.

Have you or your child suffered an injury while trying to have some winter fun? Come see our board-certified podiatrist, Dr. Brandon Macy at Clark Podiatry Center. He can assess your feet, and find the best treatment for any winter foot injuries. Make an appointment at our Clark, NJ office so we can 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