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




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Posts for tag: Stress Fractures

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
April 11, 2017
Category: Athletic Foot Care

Rock climbing is a whole body exercise. While a lot of the strength must come from the upper body, your feet actively participate. They can be the determining factor of whether or not you can endure a long, difficult climb, since they enable you to reach farther distances and give your arms and shoulders some rest from carrying your body weight. 


In order to support your climbing, your feet have to conform to the shape of the climbing shoes. Most are designed so that your toes come together to a pointed tip at the top of the shoe. The point gives you the ability to step on the smallest rocks or holds. The feet have to cramp into this “V” shape, which puts pressure on the toes. When the pointed tip is used as a step, much pressure goes to the big toe joint, as it would for ballet dancers when they go “on point”. 


While some climbers do not encounter many foot issues, others are very familiar with the problems that can come about. With repeated activity and inadequate breaks in between, this strain on the joints and toes can cause issues for climbers. Some common issues that arise for consistent climbers include:


Additionally, foot hygiene, including bacterial, fungal, and viral infection, as well as foot odor can cause problems for your feet. Busy climbing gyms and communal shower spaces make for a facility with lots of germs being shared among climbers. The following are some tips for maintaining foot health while climbing. 


  • Try on climbing shoes before buying them. The shoes should fit snugly, but not so much that they cut off circulation or give you pain just by wearing them. Your feet should not “cram in”. 
  • Clean hands, feet, and shoes before and after the climb. While the gyms usually require climbing shoes, some of the spaces are often shared with people wearing regular outside germs, and who knows that they have walked through. 
  • In between each climb, especially the long or difficult routes, take your climbing shoes off to stretch your feet and toes out. This will also allow for airing out your shoes so that they do not get too smelly. 


If you have foot or ankle issues from rock climbing, make an appointment today at Clark Podiatry Center. Our board-certified podiatrist, Dr. Brandon Macy will assess your feet and ankles to keep you walking. We are located in Clark, NJ and serve patients in all the surrounding Union County towns! 

By Clark Podiatry Center
March 08, 2017
Category: Foot Pain

While it is good for team building and socializing, there are also negative foot health effects for having children play sports starting at a young age. This is especially true for children and teenagers that specialize in one sport, repeating specific movements that include high-impact jumping or running. Sports like basketball, track, tennis, and gymnastics can lead to overuse injuries like stress fractures and tendonitis. 

How does a stress fracture happen?

After repeated use of specific muscles (like in jumping or kicking), muscles become tired and cannot absorb impacts. Instead the bone begins to absorb the shocks. Over time, the impacts build up and the bone begins to fracture as a small crack in the bone. There is increased risk for a stress fracture if you have bone insufficiency (lack of vitamin D and calcium), improper technique, surface imbalance, and lack of proper conditioning or training. When your child has a stress fracture, you will see symptoms such as pain, swelling, tenderness, and inflammation. 

Treating a Stress Fracture

Do you suspect that your child is complaining of pain and swelling because of a stress fracture? It’s important that you come see us at Clark Podiatry Center right away. In the mean time, use the RICE (rest, ice, compression, elevation) method as well as ibuprofen or aspirin to prevent further swelling and pain.

If our board-certified podiatrist, Dr. Brandon Macy diagnoses the symptoms as a stress fracture, he may suggest the following treatments:

  • Rest is important during healing. Your child should stay off his or her injured foot.
  • Protective gear. To protect the healing foot and reduce stress on it, he may suggest wearing rigid shoes or removable boot. If the injury is severe or in a location that requires more time to heal, your child may need to wear a cast.
  • Surgery. If surgery is required, your child may have pins, plates, or screws inserted to keep the bones in place while they heal. This is mostly for keeping the bones of the foot and ankle together.

Make an appointment today to have your child’s pain and swelling assessed properly. Some stress fractures may feel like other pain, so a proper diagnosis is important to get prompt treatment. We are located in Clark, NJ in Union County and our team is ready to help! We keep you and your family walking.

Some of the clear stars of the Rio 2016 Olympics were The Final Five – our US Women’s Gymnastics Team. In particular, Simone Biles blew us away with stellar performances, leaving Rio with 5 medals at her first Olympics.

Like Simone and the rest of The Final Five, successful gymnasts all over the world generally start their careers by learning and training from a young age. It requires a lot of emotional and physical strain, not only from the gymnast, but also from supporters around him or her. Gymnasticsrescue.com has more tips about supporting young gymnasts, as well as information about preventing and caring for injuries.

What are some common gymnastics injuries to feet and ankles? Since most gymnasts are children and teenagers whose bodies are still developing, any number of injuries may occur. In particular, the following are important to pay attention to:

  • Ankle sprains happen often due to the amount of ankle and foot use in the different maneuvers in gymnastics. Young athletes need to strengthen the muscles around the ankles to prevent severe injury.

  • Achilles Tendonitis or Sever’s Disease can occur due to overuse of the tendon that connects the calf muscles to the heel. It can cause the center of the heel bone to thicken or fragment, making it painful around the heels.

  • Stress fractures tend to occur when there is repetitive impact or trauma from dismounts and landings. It can start from a small fracture that continues to grow with each impact, which then can cause a large fracture or broken bone.

The pain that is associated with each type of injury can be tolerable to severe. Just because pain is tolerable, it should not be ignored. Little injuries can develop into larger ones (e.g. stress fractures).

Teenage gymnasts should pay particular attention to injuries since their bodies are rapidly changing. During growth spurts, bones are growing and muscles and tissue are lengthening. Bones may not fully harden so they may fracture or break more easily and ligaments may stretch or loosen more easily.

Finally, young gymnasts should also keep focus while training. When training is repetitive, they may lose concentration and/or worsen any injuries they may have. While the abovementioned injuries may prevent further participation in training, other injuries can be more severe – gymnasts can suffer broken bones or worse, life-altering or life-threatening injuries, especially if they are injured in the head, neck, or spine.

If your child experiences acute, severe pain, see a doctor immediately. For mild sprains, make sure to use R.I.C.E. – rest, ice, compression, elevation. Use NSAIDs to reduce pain and swelling.

By Clark Podiatry Center
August 17, 2016


More and more children are encouraged to play sports and explore athletic abilities at young ages (though admittedly, there’s also a trend in more sedentary lifestyles as well). The positive benefits that children gain from team sports include healthy lifestyle, sportsmanship, and teamwork skills. On the other hand, growing children are more likely to encounter injuries that need critical attention, such as broken bones.


In particular, children who practice a sport and have to repeat certain motions can end up with small cracks at the surface of the bone, called stress fractures. These small cracks in the foot or toes can be very painful for children. If left untreated, it can lead to larger fractures over time, or even broken bones

If your child sustains a sports injury, first remain calm and assess the situation. Try to remove shoes and socks from their feet if it doesn’t cause too much pain to get a better picture of the injury. If the pain is too severe even after initial shock, you should seek medical advice immediately.


Sports that require kicking, such as soccer or martial arts are likely culprits of these types of fractures, especially if they are just learning and do not use proper technique. Safety equipment such as shin guards and protective shoes will help to reduce the chances of incurring these fractures. Proper stretching and warming up will also reduce the likelihood of other injuries, such as sprains or torn ligaments.


If your child sustains a sports injury, first remain calm and assess the situation. Try to remove shoes and socks from their feet if it doesn’t cause too much pain to get a better picture of the injury. If the pain is too severe even after initial shock, you should seek medical advice immediately.


Regardless of whether or not there was a specific injury, foot or ankle pain should be tended to sooner than later. If your child complains of pain, call our Clark, NJ office at 732-382-3470 to see our board-certified podiatrist, Dr. Brandon Macy of Clark Podiatry Center. Using the on-site X-ray machine, he will be able to assess the location of the pain and treat the injury or stress fracture.

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1114 Raritan Road
Clark, NJ 07066

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