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

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Posts for tag: Plantar Fasciitis

By Clark Podiatry Center
April 24, 2019
Category: Orthotics

There are many reasons to wear an orthotic, depending on the type of foot problem you may have.

Reasons to wear an orthotic include:

  • Flat feet – low arches
  • Supination – an outward roll of the foot when stepping
  • Overpronation – inward roll of the foot when taking a step
  • Diabetes – lack of insulin in your bloodstream
  • Shin splints – painful swelling of the shin from repeated pounding on hard surfaces
  • Morton’s neuroma – tingling in your forefoot caused by damaged nerve
  • Metatarsalgia – pain in the ball of your foot
  • Heel spurs – painful swelling of the heel usually caused by a buildup of calcium
  • Morton’s toe – where your second toe is longer than your big toe
  • Plantar Fasciitis – the inflammation of the bottom of your foot

In each of the above cases, a specific orthotic can be of great help. Many orthotics provide much needed extra cushioning for such conditions as diabetes, shin splints or flat feet, yet each provides cushioning different from the other. Those suffering from diabetes need a softer orthotic, whereas shin splints need cushioning that will absorb the shock of pounding feet. Flat feet, however, need greater support in the arch. Each condition requires knowledge about your specific foot problem. While there are many orthotics or insoles on the market, the best resource for this is your podiatrist who will diagnose your exact condition and determine just what orthotic is best for you.

Basic types of orthotics:

  • Semi-rigid – more flexible orthotic providing cushioning without a lot of arch support
  • Rigid – a stiffer orthotic that is considered aggressive support often used for arches.

Other types of orthotics may include athletic, gel, heat moldable, high heel, children’s and memory foam. Each treat different types of problems so just getting a basic insole is not enough. Your foot has a specific need and must have a specific type of orthotic. The best person to determine what your foot requires is your podiatrist.

If you believe you need an orthotic or 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. He will assess your feet and find the appropriate treatments to get you back to being active. Call Clark Podiatry at (732) 382-3470.

By Clark Podiatry Center
March 05, 2019
Category: Heel pain
Tags: x-ray   Flat Feet   Plantar Fasciitis   Orthotics   Shoes   stretch   MRI  

The foot is one of the most complicated parts of the human body. With 19 separate muscles, 26 bones, 33 joints, and at least 107 ligaments and tendons, it is easy to see why taking care of your feet is very important. One of the common ailments many people experience is called Plantar fasciitis, a painful inflammation of connective tissue that runs across the bottom of the foot connecting the heel bone to the rest of the foot.  Plantar Fasciitis is commonly experienced by people whose feet constantly pound hard, flat surfaces and are often caused by Heel Spurs or bony protrusions of calcium on the heel.

Risk Factors for Plantar Fasciitis

  • Age - Between the ages of 40 and 60.
  • Diabetes
  • Exercise -  Activities that put a lot of stress on your heel - long-distance running, jumping activities, basketball, ballet, and aerobic dance.
  • Foot mechanics - Having flat feet, a high arch or an abnormal pattern of walking that distributes weight unevenly on the foot.
  • Obesity - Being overweight.
  • Occupation - Factory workers, teachers, construction workers, athletes, nurses and others who walk or stand a lot on hard surfaces.

Some of the ways to avoid Plantar Fasciitis

  • Lose weight.
  • Always wear appropriate athletic shoes.
  • Wear shoes that are supportive, have good arch support and absorb shock well.
  • Stretch and warm up before exercising.
  • See your doctor if you suspect you have Plantar Fasciitis.

If you do see your doctor, there are several ways to treat the ailment depending on the severity of the inflammation. They include:

  • Examination- Physical examination of the inflamed site.
  • X-Ray or MRI (Magnetic Resonance Imaging) to see if there is a damaged nerve or fracture.
  • Ultrasound
  • Medicine - Doctor prescribed mostly over the counter pain meds.
  • Stretching - ligaments, tendons, and muscles before exercise especially.  
  • Therapy -  Physical Therapy, Night Splints and the use of Orthotics.
  • Surgery - At times this may be necessary if other methods are not successful.

If you have any questions or would like to see a podiatrist, please make an appointment with our friendly staff. Dr. Brandon Macy will assess your feet and find the appropriate treatments to get you back to being active. Call Clark Podiatry at (732) 382-3470. If you have concerns with your children’s feet, Dr. Macy specializes in pediatrics and can assess your children’s feet at New Jersey Children’s Foot Health Institute.

By Clark Podiatry Center
February 26, 2019
Category: Heel pain

Sore soles at the end of a long day of standing or walking; burning or tingling pain when you get out of bed in the morning; pain at the base of your heel. These are all symptoms associated with plantar fasciitis foot pain. While it might not be completely debilitating, it can definitely cause extreme discomfort and cause your whole body to feel tired.

Those who suffer from chronic plantar fasciitis pain know the uncomfortable feeling. The soreness of the feet can ruin plans for the evening or prevent you from wanting to be active. That’s why they might also know that prevention is the key to reduce the risk of experiencing pain each day (and night).

Here are a few ways to prevent or treat mild foot pain before it gets worse:

  • Cushioned shoes with arch and heel support.
  • RICE method – Rest, Ice, Compression, and Elevation after a long day. This will help prevent symptoms from developing when you take your shoes off and relax. Tip: freeze some water bottles and use them to apply ice and massage your feet.
  • Foot massagers: there are several different types you can use, such as a golf ball, lacrosse ball, foot rollers, an automatic foot massager, or a foot soak with massagers built in. Finally, there’s the tried and true partner foot massage, if available.
  • Exercises to prevent plantar fasciitis pain: 1. Calf stretches like pulling your toes toward you when you have your feet stretched in front of you. 2. Low squat with the heels down to stretch the Achilles tendon and plantar fascia. 3. Point and flex the feet whenever you’re sitting at your desk or watching TV.

If you know that you’ve worked your feet harder than usual, perhaps during a hike or a difficult workout, try some of the above tips to prevent painful symptoms from settling in. If you’re familiar with chronic plantar fasciitis pain, you may also need to use NSAIDs to prevent inflammation of the ligament.

Need help with chronic severe plantar fasciitis pain? See our board-certified podiatrist, Dr. Brandon Macy at Clark Podiatry Center. He can assess your feet and find the best treatment for any concern you may have. 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.

 

By Clark Podiatry Center
December 11, 2018
Category: Shoes

If you haven’t already, dust off those winter boots! The winter weather can cause quite a chill from the top of your head to the tips of your toes. Keeping your feet warm can help warm up the entire body, so why resist wearing those boots?

First things first. How are your old boots?

  • They may only be a year old if you bought them last year, but depending on the quality of their build, they can already be worn down. Check for any signs of problems with structural integrity or worn down insoles. Additionally, check if the outer soles are also in good shape. After all, you want them to be able to help you grip when it’s slippery outside.
  • Even as adults, our feet can change shape or size, so double check that they still fit you well.
  • For children, this is especially true and might need new boots each year. Their feet can keep growing until around 16-20 years of age.

Time for new winter boots?

If your winter boots are worn down or don’t seem to fit correctly (maybe due to worsening bunions), consider buying new shoes for the season. Winter boots may feel like they should just be comfortable and chunky, but without proper support, a day of trudging through the snow can leave you with tired and achy feet, like with plantar fasciitis.

Here’s what to keep in mind when buying new boots for you and your family:

  • Get measured in the afternoon. Just like regular shoes, you’ll want winter boots to fit properly. There’s a good chance your children’s feet have become bigger and won’t fit into last year’s boots.
  • Buy boots with grippy outer soles to help you when you walk over any snow or ice.
  • The inner arch and heel cup will also help stabilize your feet if you encounter slippery conditions.

Finally, make sure you try on your boots with thick socks. As the weather becomes even colder, you might want to layer up. Your boots should have enough room to accommodate thicker socks.

Can’t find boots that fit you well? Do you have a foot deformity or other foot issues? We can help you with custom orthotics. Come to see our board-certified podiatrist, Dr. Brandon Macy at Clark Podiatry Center. He can assess your feet, and find a solution to keep your feet comfortable and warm this winter. 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