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Podiatrist - Clark, NJ
1114 Raritan Road
Clark, NJ 07066

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Posts for tag: physical therapy

By Clark Podiatry Center
September 26, 2018
Category: arthritis

Your feet and ankles each have 33 joints that allow you to move about freely. Curling and pointing your toes, standing on your tip toes, as well as walking or running in different directions are all doable thanks to those joints. But a diagnosis of arthritis can change all that. Once arthritis sets in, your joints can become stiff and painful. You can have days of severe inflammation, where you can barely move around, even in your own home.

That’s why we’ve come up with some tips to make it easier to live with arthritis in the feet:

  • Physical therapy and Foot Exercises: It may seem counterintuitive to exercise the feet, but it’s actually very helpful to perform low-impact exercises. Especially for those with gouty arthritis, exercise can help prevent uric acid buildup, which can cause a painful gout attack. Flexibility and mobility exercises like stretching and swimming can reduce the risk of painful inflammation on tendons and ligaments in the joints.
  • Wear supportive shoes. A lot of cushioning can help reduce the impact on the joints. Additionally, you can use orthotic inserts to add padding to joints that are particularly painful (e.g. big toe joint or back of the heel).
  • Orthotics. During your podiatry assessment, Dr. Macy might recommend custom orthotics for your feet, depending on how arthritis is affecting you.
  • Reduce or eliminate high-impact activities. The more high-impact activities (e.g. basketball, football, running) that you participate in, the more likely you are to experience inflammation around your joints (which absorb that impact). This can worsen symptoms, so look to alternative exercises and activities to stay physically active.
  • Schedule in periods of rest. Sometimes, life seems to be about “go, go, go”. However, schedule in periods of rest so that your joints can recover in between periods of walking or standing to reduce the risk of arthritis flare-ups.
  • Make your home more comfortable. Use cushioned mats around the house, wherever you’ll be standing around. For examples, in front of sinks, the oven, and counters where you might prepare food.
  • Eat nutritiously and maintain a healthy weight. Anti-inflammatory foods are a must and the less weight that your joints have to support, the better for preventing inflammation.
  • Reduce stress. Stress tends to make inflammation worse in your body. Find ways to reduce stress, such as meditation and getting foot massages.

Take good care of your arthritic feet! If you’ve been experiencing joint pain in the feet, come in for an assessment! We can help you determine how you can best treat your condition. Make an appointment to see our board-certified podiatrist, Dr. Brandon Macy at Clark Podiatry Center. We are located in Clark, NJ and serve patients in all of Union County! We keep you walking!

By Clark Podiatry Center
April 04, 2018
Category: Plantar fasciitis

One of the most common causes of pain along the bottom of the feet is plantar fasciitis. The plantar fascia is a thick band of tissue (ligament) that connects the toes to the heel bone. When it is strained or injured, the body responds with inflammation, sending us signals that something is wrong. Painful and/or tingly sensations can be felt after a long period of rest (i.e. sleeping), as well as after intense exercise.

Arch Pain

Those who have high arches, overpronate (walk with arches flat on the ground and ankles rolling inward), wear high heels, or play sports with repetitive impact motions are more likely to experience arch pain with plantar fasciitis. These risk factors cause more strain on the plantar fascia.

Heel Pain

Over time, the ligament can pull on the bone enough to cause a bone spur to develop on the bottom/front of the heel bone. This can cause pain with each step since a bony growth begins to protrude. Like with arch pain due to plantar fasciitis, those who play sports including running, jumping or sudden twisting movements (i.e. golf) can feel heel pain.

If you suspect that you have symptoms of plantar fasciitis, you will want to take measures to prevent it from getting worse. You can try stretching the feet and calves when you wake up in the morning, massaging the plantar fascia ligament with a small ball, enjoying a warm foot soak, as well as using additional orthotic inserts or padding. For those with high arches or fallen arches, orthotics can help support the irregular shape of the foot so that the ligament does not have to strain so much to stabilize.

Have you tried some of these techniques and still found that your plantar fasciitis is getting worse? Come see us for podiatrist-prescribed treatment, such as physical therapy or laser therapy at our office. Make an appointment to see our board-certified podiatrist, Brandon Macy, DPM at Clark Podiatry Center. He can assess your feet and the best treatment options to get you back on track.  Come see him at our Clark, NJ office, which serves the surrounding Union County areas.

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.

By Clark Podiatry Center
October 25, 2017
Category: Foot Care
Tags: arthritis   yoga   physical therapy  

Those who have been diagnosed with arthritis know the painful and tiring symptoms that come with it. All arthritis patients may have similar symptoms, but each person can have their own sensitivities and triggers. Below, we’ll discuss some of the ways you can care for your arthritic feet, as well as some lifestyle changes you can make to help you in your day-to-day.

Since arthritis is a chronic condition of inflammation in the joints, minimize activities and foods that trigger inflammation. For example:

  • Find a way to reduce stress levels. If work stresses you out, it may be time to find something that will be easier to manage. Additionally, you can try to do stress relieving or preventing activities, such as exercise, meditation, and yoga.
  • Eat foods that have anti-inflammatory characteristics, such as salmon (and other foods with omega-3 fatty acids), nuts, and blueberries. You’ll want to avoid foods that are sugary or fried.

The following are changes you can make to help relieve symptoms and reduce risk of triggering inflammation events:

  • Keep track of your triggers so that you know how your body reacts.
  • Try to maintain a good sleep schedule and schedule rest periods throughout the day. It may take some trial and error to figure out the just how much rest your body needs.
  • Try your best to stay active, rather than staying still due to pain. In fact, some light/low-impact exercise and physical therapy can help reduce pain. Additionally, maintaining healthy body weight can reduce risk of increased symptoms due to being overweight or obese.
  • Take time to actively relieve pain. This could mean regular Epsom salt foot baths or a foot massage to increase circulation and relieve stiff joints.
  • Make adjustments at home. If going up and down the stairs is painful, you may need to move your bedroom to the first floor. Soft padded floors are helpful – use foam mats anywhere you stand for a long period of time, such as at the kitchen or bathroom sinks.
  • Find comfortable, supportive shoes. When arthritis affects the feet, it can be daunting just to move from one place to another. Orthotic inserts can be helpful, but over time, especially if joints become deformed, you may need custom orthotics made by our podiatrist.

If still need help with caring for arthritic feet, come see our board-certified podiatrist, Dr. Brandon Macy. He can assess your feet to meet your needs at Clark Podiatry Center. Make an appointment to see us today at our Clark, NJ office.

By Clark Podiatry Center
July 05, 2017
Category: Ankle Pain

The excitement of drafting Malik Monk to the Charlotte Hornets quickly simmered down after his ankle injury during the draft workout process. He suffered an ankle sprain and is expected to be out for about 2 to 4 weeks as he gets treatment. In the mean time, the rookie shooting guard will be learning about the team from the sidelines.  

What determines when he comes back?

A couple things should be considered after an ankle sprain: severity of the sprain, as well as time for healing and recovery.

Ankle Sprain Grades (according to the American Academy of Orthopaedic Surgeons):

  • Mild Sprain (Grade 1) – Overstretching and/or small tears of the ligament fibers.
  • Moderate Sprain (Grade 2) – Partial tears of the ligament.
  • Severe Sprain (Grade 3) – Complete tear of the ligament.

Healing and Recovery:

  • Grade 1 Sprain – PRINCE: Protection, Rest, Ice, NSAIDs, Compression, and Elevation. Swelling should subside within a couple of days, but the ankle should not be vigorously used until it is healed and rehabilitated with strengthening exercises (which takes about 2 weeks).
  • Grade 2 Sprain – In addition to the above, a removable air cast or boot can be used to immobilize and protect the sprained ankle while it heals. Crutches will probably be needed to assist in mobility. Physical Therapy will then help with recovery to strengthen and condition the ankle for regular use. The whole process can take 6+ weeks.
  • Grade 3 Sprain – For this kind of severe sprain, a short leg cast or cast-brace will be needed to immobilize and protect the ankle. The healing process can take much longer and so does the rehab process (with physical therapy). The whole process can take about 6 to 12 weeks.

Ankle sprains occur from a bad twist or injury to the ligaments of the ankle. Most occur on the outside of the ankle and symptoms will include pain and swelling. They can occur in many settings, with most occurring during athletic activity. Because of this, it’s important to strengthen and condition the ankles regularly, as it can happen to anyone – even start athletes like Malik Monk!

To properly diagnose the sprain and determine the best treatment, it’s best to consult our board-certified podiatrist, Dr. Brandon Macy. Make an appointment today at Clark Podiatry Center to have your ankle 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!

 



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1114 Raritan Road
Clark, NJ 07066

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