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

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Posts for tag: Fractures

By Clark Podiatry Center
October 16, 2018
Category: bone health
Tags: Fractures   osteoporosis   vitamin D   calcium  

For Bone and Joint Action Week (Oct. 12th-20th) we thought it might be a good time to talk about how osteoporosis can affect your feet and ankles. After all, your feet have 26 bones each!

As you get older, your bones begin to absorb calcium at a slower rate. For those who experience calcium loss at a faster rate than its absorption, it’s likely that osteoporosis is playing a part. This is a disease that might have many different causes and risk factors, such as genetics, hormone changes, excessive drinking, or smoking.

What can be done?

The best way to reduce the risk of suffering from osteoporosis is to get enough calcium and vitamin D, as well as to perform weight-bearing exercises when you are young. The weights increase resistance and compacts the bones to make them stronger.

However, if you already have an osteoporosis diagnosis, there are medications that could be effective in stopping or slowing the rate of calcium loss. There might be some drugs that could even help re-build bones.

When your feet suffer from osteoporosis:

  • Your foot can easily suffer from stress fractures or broken toes. (This can actually be the first sign of osteoporosis in your bones.)
  • You can experience bone pain, especially at the tops and sides of the feet.
  • You might get a fracture or broken bone from the smallest injury or high impact activity (like jumping or tripping).

Since osteoporosis can be hereditary, find out if it runs in your family. If it does, you might want to have a bone evaluation. Additionally, if you have received a diagnosis, you may need custom prescription shoes. Orthotics might be the answer for your foot support needs. Come to see our board-certified podiatrist, Dr. Brandon Macy to be sure. Make an appointment today at the Clark Podiatry Center. You’ll receive the best treatments and foot care tips at our Clark, NJ office, which serves the surrounding Union County areas. We keep you walking!

 

By Clark Podiatry Center
July 13, 2017

At The New Jersey Children's Foot Heath Institute, we know that your children’s health is extremely important to you. So today, we have a top tip for you: When it comes to your children’s feet, growing pains are not normal. Pain in the feet usually indicates that something is wrong. Without treatment, some pain may linger and even worsen over time. Worst-case scenario, children’s bones can develop or form incorrectly when problems are not treated promptly. We can help!

 

If your child complains about pain, there are several possible causes behind it:

 

  • Achilles Tendonitis – The Achilles tendon connects the calf muscle to the heel bone. When the Achilles tendon is strained, such as when there is a sudden increase in activity or change in intensity of activity, it can become inflamed, causing pain in the back of the heel. It is also a common overuse injury for children who participate in sports with repetitive activities like running and jumping. 
  • Plantar Fasciitis – Another overuse injury, the connective tissues along the bottom of the feet that connect the midfoot to the heel can become irritated and inflamed. Running, walking, or standing for long periods of time, as well as intense activity can make it worse, especially if shoes are not supportive in the arches. As the tissues become tight, the heels may feel pain. 
  • Heel Spurs – This is a bony growth that protrudes from the heel. It can happen if the plantar fascia is constantly tight or inflamed. When the bone is developing or healing, it may develop a spur to compensate for problems in the feet. These spurs can be painful if weight is put on them. 
  • Sever’s Disease – Typically brought on during sports or injury, the growth plate of a developing heel bone can become irritate. A tight Achilles tendon can aggravate the problem by pulling excessively on the growth plate. It can also cause the feet to flatten, further worsening problems in the feet. 
  • Fractures – Repeated use of the heel or traumatic injury can cause fractures. The growing heel bone in your children’s feet are more at risk of fracture since they are not yet fully formed. Children playing high impact sports are more prone to this injury.

 

If your child complains about heel pain, do not hesitate to bring him or her into our office. The earlier any of these conditions are treated, the better the healing time and outcome. For the best treatment, come see our board-certified podiatrist, Dr. Brandon Macy. Make an appointment today at The New Jersey Children's Foot Heath Institute at Clark Podiatry Center to have your child’s heel pain assessed and treated with care. We are located in Clark, NJ and serve patients in all the surrounding Union County towns! We keep you walking!

 
By Brandon Macy, D.P.M.
February 10, 2011
Category: Uncategorized
Tags: Fractures   ankle injuries   x-ray   broken toes  

A patient presented this morning after injuring her ankle the other day, having slipped on some ice. While she was fortunate in that nothing appears to have been broken, people are often caught trying to decide on their own whether they've broken a bone or not, using that information to determine whether to seek professional care. Here are some common statements and questions I've heard over the years:

 

"If I can move it/walk on it, that means it isn't broken". Not true. Broken bones hurt. A lot. You can walk on a broken foot, but it can hurt. A lot. Moving your foot may be difficult and painful, but it can be moved. The best way to determine if it is broken is by x-ray. As an aside, many people are unaware that we take x-rays in our office--we don't send you out to a radiologist. The results are obtained within a few minutes and your injury is treated appropriately--and immediately.

 

"A fracture is not as bad as a break". Not true. A fracture IS a broken bone. It may be described that way as not as serious of a break, such as in a "hairline fracture" where the break is noted as a fine line on x-ray. Sometimes we have to perform an ultrasound/sonogram study to help diagnose one of those hairline fractures [also performed in our office]. But in either case, the healing time remains the same. Broken bones heal in 6-8 weeks, even though most of the pain is relieved sooner.

 

"You can't do anything about a broken toe". Not true. At the very least, an x-ray needs to be taken to determine whether the toe(s) are broken and, if so, whether the fracture is in good alignment or not (displaced). Broken toes which are in good alignment are treated by "buddy taping" to the next toe. If not, then the fracture needs to be set before the taping. Minor malalignments are typically set in the office under local anesthesia.

 

"Ice or heat--which is best?" In the first 24-48 hours following an injury such as an ankle sprain, think "RICE": Rest, ice, compression, elevation. Get off your feet. Elevate you foot to the level of your hip. Apply ice for 15-20 minutes out of every hour (followed by 40-45 minutes without icing). Mild compression consisting of an elastic ankle support or ace wrap will also help keep swelling to a minimum.

 

Contact Us if you have any concerns or questions about an injury. Again, we have an x-ray machine in the office, so your injury can be taken care of promptly and in one location. Outside of regular office hours, our voice mail box has an emergency number for you to call if you're in need. 24/7/365.

 

 

By Brandon Macy, D.P.M.
December 28, 2010
Category: Uncategorized

Winter is here. 20+ inches of snow on Boxing Day in the northeast was Mother Nature's holiday greeting to us all. It was light and fluffy, but still quite a chore to dig out, and with so much, there's still plenty of slush and ice to make things dangerous for drivers.

 

The most dangerous spots may well be on your own driveways, sidewalks and front steps at home. I can't begin to tell you how many patients have had serious injuries as a result of slips and falls after stepping outside just to do some innocent chore. Picking up a newspaper, taking garbage cans to the curb, checking the mailbox. Typically, they were wearing indoor shoes or slippers and the steps or walkway were a bit more slippery than expected.

 

I've treated my share of ankle sprains and fractures as a result, but I've also had patients suffer worse injuries to hips, backs, broken wrists and arms. All because "I was just going out for a minute".

 

An ounce of prevention is worth a pound of cure. Even if you're going out for a moment, such as checking the mailbox, dress appropriately. Besides keeping warm, wear appropriate footwear such as boots. If you don't want to use salt on the sidewalks and driveways, use sand or cat litter to improve traction.

 

If you need the assistance of a cane or walker, get somebody else to do the cleaning up, have somebody else pick up your mail and newspaper and stay inside until it is safe to go out. Please!

 

When the weather is bad, many times we can still make it into the office to see those patients who can make it in, BUT...please don't feel obligated to keep your appointment if conditions outside are icy or otherwise dangerous. For most conditions, there's nothing that can't wait a few days. Call the office

or contact us via our website to reschedule your appointment. We'd rather you arrive safe and sound and a few days later.

 

One last thing: If you have an elderly or disabled neighbor, be a good Samaritan and help them dig out. Offer to sand. or salt sidewalks, bring in their mail, perhaps make a quick grocery store run if they need a couple of items. Its a neighborly thing to do.

 

Be safe!

 



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1114 Raritan Road
Clark, NJ 07066

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