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

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Posts for: September, 2019

By Clark Podiatry Center
September 25, 2019
Category: fungal toenails
Tags: diabetes   Toenail Fungus   surgery   podiatrist  

Of the many conditions a person can have regarding their feet, one often ignored is toenail fungus. Maybe because it is such a basic problem that it is often considered normal. But having toenail fungus is certainly not a normal, or at least, a healthy condition as it can easily lead to athlete’s foot. So, what is toenail fungus and what does it look like?  Called onychomycosis, toenail fungus is a fungal infection of your toenails and nail bed. If it spreads to your toes, it becomes athlete’s foot or tinea pedis.

Symptoms of toenail fungus include:

  • Thickened nails – unusual thickness
  • Crumbly nails – toward the edges of the nails
  • Distorted shape – can grow to one side or the other
  • Bad smell – due to fungus
  • Dark color under the nail – from the buildup of the fungus

Causes of toenail fungus include:

  • Sweaty feet – moisture breeds fungus
  • Age – the older a person is, the more likely they are to have poor circulation and the buildup of fungus
  • Walking barefoot in public places – must wear sandals or flipflops to avoid infection
  • Sharing towels, socks and footwear – can spread disease
  • Diabetes – loss of sensation can help nurture fungus
  • Skin conditions like psoriasis – can contribute to fungus

If you have any of the above symptoms, you need to see your podiatrist who will test your feet for a fungus and treat appropriately. Some fungal infections are very stubborn and take time to be completely removed.

Treatments include:

  • Oral anti-fungal – such as Sporanox – can take 12 weeks to work
  • Anti-fungal nail polish or lacquer – applied to the nail. May have to be used for a year.
  • Anti-fungal nail cream – must be used on the nail and skin surrounding it
  • Oral anti-fungal – can be taken in pill form
  • Surgery – in the most severe cases, the entire nail may need to be removed and medication applied after

Need some more help and encouragement in caring for your feet or choosing the right shoes schedule an appointment with Clark Podiatry Center to see our board-certified podiatrist, Dr. Brandon A. Macy. He can assess your feet to ensure that there are no issues making sure that you not only choose the right shoes, but also keep your feet healthy. Come see us at our Clark, New Jersey office today!


By Clark Podiatry Center
September 18, 2019
Category: proper foot care
Tags: blisters   diabetes   toenails   Athlete's Foot   podiatrist  

One of the most common and taken for granted parts of the body is our feet. Maybe it’s because we use them every day without thinking that we just don’t always put a lot of emphasis on them. The truth of the matter, though, is that our feet are one of the most important parts of our body. Without them we’d be stationary, a condition not usually confronted by most people. It is because of their importance, realized or not that taking care of them is very important and should be of concern to everyone.

So how much importance do we put on them, and how do we make sure they are taken care of? Good questions. First, we need to ensure they are in good condition, and the best way to do this is to make an appointment with your podiatrist. Your podiatrist is trained to ensure that your feet are healthy and, if a condition arises, treated properly. While many of us believe we can do this ourselves, this is not always true or best for us.

Reasons to contact your podiatrist include:

  • Introductory appointment – if you haven’t seen your podiatrist, make an appointment now and have them diagnose your feet for any unknown issues
  • Regular visits – checkups can keep your feet in the best condition
  • Continued pain in your feet – pain is abnormal and an indicator there is a problem
  • Blisters on your feet – shows an infection or irregular wear may be associated with your footwear or part of a developing problem
  • Cracking or peeling of the skin on your feet – can be the sign of a fungus or athlete’s foot
  • Changes in the toenails – can be a sign of a fungal infection which can spread or develop into more serious complications
  • Diabetes – a very serious condition your podiatrist needs to know about
  • When home or over the counter treatments do not work – an obvious sign that more serious medical attention is needed

In any case, seeing your podiatrist is just good common sense. As we get older, we seem to get to know more and more doctors. Why not add your podiatrist to the mix and cover all the bases?

Need some more help and encouragement in caring for your feet or even choosing the right shoes? Schedule an appointment with Clark Podiatry Center to see our board-certified podiatrist, Dr. Brandon A. Macy. He can assess your feet to ensure that there are no issues, making sure that you not only choose the right shoes but also keep your feet healthy. See us at our Clark, New Jersey office today!


By Clark Podiatry Center
September 11, 2019
Category: toe injuries
Tags: turf toe   Fall sports   bunion   orthotic   podiatrist   athlete   pain  

With school starting, our children will be competing in a variety of fall sports. One issue that will unfortunately pop up will be something called turf toe. What is turf toe? Turf toe is when the main joint of the big toe is sprained. While a relatively recent injury, it usually occurs when an athlete plants their foot on artificial turf and overextends his big toe. Because turf increases traction, the surface is less forgiving than regular grass. Many schools have substituted artificial turf to increase athlete speed and save on maintenance costs.

Symptoms of turf toe include:

  • Inflammation – area around the big toe will swell
  • Bruising – big toe will be bruised
  • Pain – Turf toe is painful as it is a strain of the joint and can include damage to cartilage
  • Inability to bend toe forward – over extended toe losses some of its strength
  • Loose toe joint – destabilizes foot

Your podiatrist will use an X-ray and MRI or Magnetic Resonance Imaging scan to identify the extent of the injury. Turf toe is categorized by Grades – Grade 1 – Strain of the big toe joint, Grade 2 – partial tear of the area around the joint and Grade 3 – a complete tear of the toe joint. Each grade has to be treated differently.

  • Grade 1 – requires RICE or Rest, Ice, Compression and Elevation. The affected athlete can still participate in sports, but will probably have to wear a rigid orthotic.
  • Grade 2 - requires a boot or caste for up to a week. After, the foot will need to be taped for stability. Apply RICE.
  • Grade 3 – will require a boot or caste to be worn for several weeks with the toe bent downward.

When healed sufficiently, physical therapy will likely be recommended.

Surgery can be a treatment but is used for specific circumstances including:

  • Severe tear – must be stabilized to heal.
  • Instability of the big toe joint – same as above. Will severely impact walk if not attended to.
  • Bone chips – must be removed.
  • Damage to the cartilage – needs repair.
  • Development of a bunion – can be aggravated by turf toe.

Turf toe is usually treated successfully if acted on early enough.   

Do you have turf toe or any other questions regarding your feet, schedule an appointment with Clark Podiatry Center to see our board-certified podiatrist, Dr. Brandon A. Macy. He can assess your feet to ensure that there are no issues making sure that you not only choose the right shoes, but also keep your feet healthy. Come see us at our Clark, New Jersey office today!


By Clark Podiatry Center
September 05, 2019

Many children’s foot conditions will correct themselves as their bodies grow into themselves and muscles and bones stretch. Some though, if they persist, need to be addressed. Toe walking is one. What is toe walking? Just that. When the child walks only on their toes and doesn’t roll the foot to the ball.

This is usually prevalent when they begin to walk at age 12 to 15 months. By the age of 2, they usually have developed a heel-toe type of walk. If toe walking persists after 3, they need to see a podiatrist. One study, though, showed that a group of children grew out of toe walking by age 5.

Causes for toe walking after 3 include:

  • Cerebral palsy – condition of impaired muscle control
  • Autism – a broad range of problems including socialization skills, speech, non-verbal communication and repetitive actions
  • Muscle weakness
  • Nervous system disorder

Conditions that indicate concern include:

  • Walks on their toes all the time
  • Stumbles when they walk
  • Has fine motor skills that aren’t developing – buttoning a shirt
  • Has a family history of cerebral palsy or autism
  • Doesn’t bear full weight on a flat foot
  • Born prematurely
  • Avoids eye contact or has repetitive motions like rocking

It is very important to keep an eye on a child’s when walking which may or may not indicate other contributing issues, but don’t be too surprised to know that toe walking may just be that: toe walking which your child will grow out or can be successfully treated.

Treatments include physical therapy to stretch the calf muscle and tendons and the use of a cast at ages 4 or 5 to also help stretch the calf muscle. Other treatments include walking uphill, walking on uneven surfaces like a playground or sand, walking on your heels only and/or squatting. All these will stretch the foot and force it to roll and fully contact the ground.

If you’re child toe walks or you have any other foot concerns, please make an appointment with us. Dr. Brandon A. Macy, who is associated with New Jersey Children's Foot Health Institute, will assess your feet and find the appropriate treatments to get you back to being active. Call Clark Podiatry at (732) 382-3470.

 




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1114 Raritan Road
Clark, NJ 07066

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