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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

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.

Although young and resilient, children and teens are not immune to sports-related injuries.

The Centers for Disease Control and Prevention (CDC) reports that more than 2.6 million teens and children are treated each year in U.S. emergency rooms for injuries suffered while participating in sports activities.

Without taking the proper precautions, your child may be one of those harmed in one of these sports-related injuries:

  • Overuse injuries occur when muscles, bones, ligaments and tendons are subjected to repeated stress without healing time. Overuse or repetitive motion injuries can include stress fractures, tendonitis or plantar fasciitis, inflammation of the plantar fascia, which often results from jumping or running on inflexible surfaces.
  • Strains and sprains are very common sports-related injuries. A strain is an injured muscle or tendon, while an ankle sprain occurs at the joint where the ligament attaches.
  • When youth are still growing, they may experience growth plate injuries. The growth plate is a tissue area that appears at the end of longer bones such as the forearm, lower and upper leg, foot and hand and finger bones. Symptoms of growth plate injuries are similar to broken bones. A growth plate injury must be evaluated and treated by a foot doctor or orthopedic surgeon.
  • Heat-related illnesses like dehydration, heat exhaustion and heat stroke can be very serious, especially for the young.

Use Common Sense to Prevent Sports-Related Injuries

Many injuries can be prevented with careful preparation as well as parental involvement:

  • Meet all coaches and check that they are qualified in the sport, know how to use all equipment and have both CPR and first aid training.
  • Monitor your child's workouts and games to safeguard that they are not being stretched too far.
  • Always outfit your child in properly-fitting footwear that is not worn out and is appropriate to each activity. Invest in good protective gear.
  • Make sure there is plenty of water available before, during and after sports sessions to stay hydrated.
  • Your child should gradually build up endurance in the sport. Check for adequate warm up and cool down periods with safe, gentle stretching.

If your child or teen complains of any discomfort or pain, don't ignore it. Continued athletic activity can increase stress on an injury and make it worse. Contact Clark Podiatry Center for an appointment right away to have the pain evaluated and treated.

Many injuries can be treated at home with the R.I.C.E. method: Rest, Icing, use Compression and Elevate the leg. However, if your child has severe pain or if the foot or ankle is obviously broken, significantly swollen or appears dislocated, please go to an emergency room or come to our office right away.

Learn more in our blog Choose Children's Athletic Shoes Carefully.

We Treat All Types of Youth Foot and Ankle Injuries

Dr. Brandon Macy, board certified podiatrist has extensive experience with teen and children foot and ankle injuries. You can reach us for an appointment in our Clark office at 732-382-3470 or use the contact information at the website. Please call us soon if you suspect a foot or ankle injury.

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1114 Raritan Road
Clark, NJ 07066

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