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1114 Raritan Road
Clark, NJ 07066

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Posts for tag: Achilles tendon

By Clark Podiatry Center
June 26, 2018
Category: Shoes

You don’t have to be an older adult to have foot, ankle, knee, or hip problems from your job that requires you to stand all day. Those who work in healthcare, food service, or retail know all too well, how worn out the feet and legs can become at the end of a long shift. In order to survive the day-to-day, make sure you have the right footwear to support your feet and prevent pain all the way up to your back.

Here’s a checklist of features you want to look for in shoes to wear for standing all day:

  • Do they fit well? If shoes are too large or small, they can cause problems for your feet, either by causing instability or by cramping the toes. They should also have enough space in the toe box so that you can wiggle and stretch your toes a bit. Shoes that constrain the toes, like pointed-toe shoes, can cause cramping and chafing between the toes.
  • Is the outer sole non-slip, wide, and flat? The wider the surface area of the outer sole, the more stability in the shoes. You also want to make sure you have a non-slip grip on the outer soles so that you do not slip while walking.
  • Do you have good arch support? When standing, your ankles should not be rolling inward, especially if you have flat feet. Over time, pronating your ankles will cause pain to the Achilles tendon. Additionally, without arch support, plantar fascia can become strained and tight, causing inflammation (plantar fasciitis). 
  • Do you have enough cushioning? The inner sole should feel stable but have some cushion for comfort. If shoes do not have enough cushioning, use orthotic inserts to soften your surface.
  • Is the material protective? There are many who are at risk of workplace hazards. Dropping heavy objects, fumbling needles, or falling sharp knives all pose dangers to your feet. Depending on the type of work you do, be sure that you wear shoes made of a material that will protect your feet, even if it’s just for a short time.

Having the right shoes can make or break your mood after work. If you are tired and have pain from poor posture, you may not be in the mood to go meet friends or attend another of your kids’ sports practices. Far worse, it can eventually be what prevents or causes foot problems for you. If you have foot pain and have to stand all day, come in for a consultation with our podiatrist. Make an appointment to see us at Clark Podiatry Center. Our board-certified podiatrist, Dr. Brandon Macy will assess your feet to find the best treatment. We are located in Clark, NJ and are ready to serve patients in all the surrounding Union County towns! 

By Clark Podiatry Center
May 02, 2018
Category: Foot Pain

Did you know that you have 2 small pea-sized bones near your big toe joint that are not connected to any other bones? Don’t worry; it’s not as weird as it sounds. They are not just floating around in your feet, but rather, connected to the tendons. Yes, every time you move your big toe up and down and take a step, your tendons are sliding along the sesamoids, kind of like a pulley.

So why are they to blame for foot pain?

In the same way that your Achilles tendon in your ankle can become irritated and inflamed, the tendon in your feet can also experience tendonitis, called sesamoiditis. Either the tendons are overused and become irritated as they repeatedly pass over the sesamoids, or they have endured an injury to the tendon or bones, causing inflammation.

Ballet dancers, sprinters, golfers, and baseball players commonly experience this injury because of the position their feet are often in. A lot of weight and pressure goes onto the big toe joint, making it more vulnerable to overuse injury.

If your foot pain looks like this:

  • Swelling and possibly bruising under the big toe joint,
  • Big toe joint pain when moving the big toe,
  • Inability to bear weight on the front of the foot, then you might be able to blame Sesamoiditis for your foot pain.

How can you get relief from Sesamoiditis?

  • RICE method (not just for children!)
  • NSAIDs (non-steroidal anti-inflammatory drugs), like ibuprofen and naproxen
  • Tape the foot or use a brace to keep the toe bent downward to reduce tension on the affected tendon
  • Steroid injection near the site of pain

Remember, since sesamoids are also bones, they could become fractured in an injury (or stress fractured due to overuse). If the pain is very severe and does not subside, get medical attention from our podiatrist ASAP.  Come see our board-certified podiatrist, Dr. Brandon Macy for an assessment. Make an appointment today to have your sesamoids treated with care. We are located in Clark, NJ and serve patients in all of Union County! We keep you walking!

Our last blog post was about how problems regarding inflammation of the Achilles tendon, called Achilles Tendonitis, come about. For those who experience symptoms of pain from Achilles tendonitis, we’ve got your back (of the heel)!  Read on for options for treatment, as well as means of prevention.

Ways to treat symptoms of pain and inflammation:

  • A foot and ankle massage can relieve tightness and painful symptoms. You can use a bottle or foam roller for massaging the lower calf.
  • Apply a cold compress or ice to the area for very painful moments.
  • NSAIDs (non-steroidal anti-inflammatory drugs), such as Ibuprofen or naproxen can mitigate pain and swelling.
  • Physical Therapy, including stretching and strengthening exercises, can help to prevent worsening issues, such as small tears or ruptures.
  • Over-the-counter or custom orthotics can provide support to weakened ankles. It can also prevent worsening symptoms due to excessive strain.
  • Wear a boot to restrict further movement and therefore, irritation to the tendon.
  • Extracorporeal shockwave therapy (ESWT) is a non-invasive therapy for Achilles tendonitis.

However, the best way to deal with Achilles tendonitis is to prevent symptoms in the first place. Here are some ways to prevent symptoms:

  • Stretch the calf muscles in the morning and evening, and before and after a workout.
  • Strengthen the calf muscles to reduce strain on the back of the heels.
  • Use cushioned shoes when participating in high impact sports and activities. When weightlifting, use shoes with a small raised heel and heel cups to stabilize the feet.
  • Take it easy when increasing your intensity or volume of your workout because going too fast too hard can cause an Achilles injury.

If home treatments have not helped and there are no other options, surgery may be required. To figure out your best treatment option is to 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.

Did you know that the Achilles tendon (strong fibrous tissue that attaches the calf muscle to the back of the heel bone) is the largest tendon in the body? Without proper functioning Achilles tendons, we wouldn’t be able to walk or run! And because it is so involved in our daily lives as well as in the movements that playing sports entails, it’s also one of the most likely tendons to be inflamed or injured/ruptured.

Inflammation of the Achilles tendon is called Achilles Tendonitis. Depending on the location of the inflammation, middle or lower part of the tendon, it is classified as noninsertional or insertional Achilles tendonitis; the “insertional” part describes whether or not it’s affected at the part that inserts into the heel bone). Noninsertional Achilles tendonitis tends to occur in younger active people, while Insertional Achilles tendonitis can occur to non-active people as well, and is often accompanied by a bony spur.

Symptoms include:

  • Tenderness and/or stiffness of the Achilles tendon, especially when you wake up.
  • Thickened portions of the tendon (a bump), where tissues may be tearing.
  • Swelling or pain that gets worse with activity or after activity.
  • Pain the day after exercising.
  • Bone spur where the Achilles tendon meets the heel bone.

Causes of Achilles Tendonitis:

  • Not warming up before vigorous exercises, such as sprints or hill climbs.
  • Sudden changes in the intensity of exercise.
  • Wearing the wrong footwear, such as worn down or unsupportive shoes, while exercising.
  • Constantly running on hard pavement (increasing impact on the Achilles tendon) or uneven surfaces (straining the tendon and forcing it to flex more normal).
  • Flat feet, over-pronation, and/or fallen arches can put more strain on the Achilles tendon as it stretches and flexes at an angle.
  • Bone spurs can rub against the tendon, causing tears and inflammation.

Risk Factors:

  • It’s more likely to affect men than women.
  • The Achilles tendon weakens with age, so you’re more likely to experience it as you get older.
  • Those with flat feet or fallen arches are more likely to be affected.
  • Those with psoriasis or high blood pressure are at higher risk.
  • Side effects of certain medications, such as fluoroquinolone, include increased the risk of being affected by Achilles tendonitis, even after they stop the medication.

If you think you or your family member is being affected by pain from Achilles tendonitis, 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
February 22, 2017

Is your sporty child complaining of pain in the heel? Is there swelling or redness in the heels? Discomfort when you squeeze both sides of the heel? He or she may be suffering from Sever’s Disease, or calcaneal apophysitis. It is a heel bone disorder caused by inflammation of the growth plate, a condition commonly found in children ages 8-15 who play sports. Children in this age range are subject to this issue because they are still growing. The cartilage in this area becomes hard bone over time, but is susceptible to injury and inflammation until the bone is set.

Children who play sports with high impact to the feet are more prone to suffering from this disease. With many sports involving consistent practices, the problem can become worse due to overuse and repeated stress on the heel. Unfortunately, sport shoes with cleats are known to aggravate the condition, so soccer and football players are at higher risk. Furthermore, any issues with the Achilles tendon, such as tendonitis, can contribute to Sever’s Diease by pulling excessively on the heel bone’s growth plate. Other risk factors include: flat feet and overpronated feet; high arches; short leg syndrome; and overweight or obesity.

Treatment

While it may not be the best news your child can hear, the primary goal of treatment is to relieve pain and inflammation, which means rest and prevention of re-injury. This may mean cutting back or stopping sports if the pain is severe. Other treatments that your podiatrist may suggest include:

  • Rest and Icing the inflammation to reduce pain and swelling.
  • Compression stockings or elastic wrap to reduce pain and swelling.
  • Heel cups or orthotics to stabilize and support the heel. Arch supports can also help if children are flatfooted or overpronate.
  • Stretching and physical therapy of the tissues around the feet, ankles, and calf muscles.
  • Anti-inflammatory medications if necessary.
  • Short-term use of a walking boot or cast if the issue is severe.

Is your child suffering from heel pain? It may be Sever’s Disease, or it may be another issue. Make an appointment today to have our board-certified podiatrist, Dr. Brandon Macy assess your child’s needs and help him or her back to feeling well. Clark Podiatry Center is located in Clark, NJ office in Union County and our team is ready to help! We keep you walking.

 



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1114 Raritan Road
Clark, NJ 07066

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