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

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Posts for tag: sever's disease

If your child’s heel hurts, they may be suffering from something called Sever’s Disease. Severs Disease, or Calcaneal apophysitis, is a condition that includes the painful swelling of their foot’s growth plate. Sever’s Disease is something more apt to be found in children. The pain will most likely emanate from the soft cartilage that lays next to the heel bone where much of the child’s foot growth occurs. Damage to this part of the foot can develop into something much more pronounced and painful over time if not corrected. The best person to diagnose Sever’s Disease is your podiatrist who should be consulted if your child is suffering from any type of heel pain.

Signs of Sever’s Disease include:

  • Pain and Redness in the heel
  • Foot Stiffness upon waking
  • Limping or walking on tiptoes to avoid pressure on the heel
  • Swelling

Often developed during puberty, Sever’s Disease can be caused by the rapid and uneven growth of foot bones, ligaments, tendons and muscles resulting in the distortion of the growth plate.

Candidates for Sever’s Disease include:

  • Athletes whose feet often hit a hard surface like in basketball, tennis, running and gymnastics
  • Anyone ages 9 to 16
  • Anyone who does a lot of standing

Treating Sever’s Disease includes:

  • Ice – Apply ice every 1 to 2 hours for 15 minutes at a time
  • Pain medicine – use Tylenol and only as directed on the bottle. If you are unsure of the dose, speak to your podiatrist
  • Orthotics - Wear specially designed foot supports to take stress off heel
  • Well-fitting shoes – choose footwear that is well cushioned and/or is open in the back to alleviate pressure on the heel
  • Physical therapy – see a physical therapist to strengthen your feet especially near the heel
  • Foot cast – as determined by your podiatrist
  • Activity change – change or reduce the amount of activity that led to the condition
  • Stretch – stretch your foot muscles before any activity
  • Lose weight – obesity can also contribute to Sever’s Disease

With appropriate treatment, most patients will resume activities in 2 weeks to 2 months.

Do you suspect your child may has Sever’s Disease or any other foot concerns schedule an appointment with Clark Podiatry Center to see our board-certified podiatrist, Dr. Brandon A. Macy who is  associated with New Jersey Children's Foot Health Institute . Come see us at our Clark, New Jersey office today!

By Clark Podiatry Center
April 09, 2019

It probably won’t be a surprise to you that much of a child’s foot health is inherited. High or no arches, tendencies to walk bow legged or the development of calluses are just some of what a child can expect if their parents suffered from the same. One common malady, however, is something called Severs Disease. Also known as Calcaneal apophysitis, Severs Disease is the inflammation of the growth plate in the heel of growing and active children. Severs disease causes pain and a slight swelling around the heel making it difficult to walk or run.

Treating Severs disease includes the following:

  • Reduce activities – Have your child immediately refrain from any activity that causes heel pain.
  • Ice – apply ice to the heel for 20 minutes 3 times a day.
  • Orthotics – children with high arches, no arch, or bowlegs an orthotic may be needed to alleviate the stress on the heel. See your podiatrist for this.
  • Short leg casts – in more dramatic cases children may need to have a short leg cast to temporarily rest the Achilles heel.
  • Shoes – wearing more elevated and cushioning shoes.
  • Stretching – stretching the Achilles tendon can loosen the affected area.
  • Pain meds – using non-steroidal anti-inflammatory pain medications like ibuprofen and naproxen can help. Male sure to only use as directed and see your podiatrist if you have any questions.

As long as the treatment works, your child can go back to their active self. It is not uncommon, though, for the malady to return unless long term care such as the above is taken. Some of the sports which would be prone to this are running, basketball, tennis and gymnastics, but any activity that requires pounding their feet on a hard surface can induce Severs.

If you or your child has heel pain or 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, 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
August 08, 2018
Category: Orthotics

Do you ever find yourself wanting your shoes to be more comfortable? Maybe if they had a little more padding on this part of the shoe, you would be able to wear them for a bit longer. If only there was more arch support, you wouldn’t suffer from chronic plantar fasciitis. Is there a way to find comfort without buying new shoes altogether?

orthotics

Yes! Orthotics to the rescue!

Sometimes, finding comfort and extra support can be as simple as adding over-the-counter orthotic inserts. If your shoes are in good condition, other than making your feet tired, you may just need some arch pads, ball of feet pads, or heel cups to stabilize your feet. Shoes like high heels, flats, and some sandals need some orthotic inserts to reduce foot pain for a long day of standing or walking.

For other issues, like foot deformities (e.g. bunions or hammertoes), you may need custom-made orthotics. They might be inserts or whole shoes that are custom-formed for your specific needs. For example, your feet may not fit into typical shoe shapes if you have a severe bunion deformity. The orthotic shoe can help prevent worsening symptoms and allow for foot comfort from chronic pain and other symptoms.

Additionally, some people may need temporary orthotic support when rehabilitating from an injury. Foot or ankle braces can ensure that bones and soft tissues heal properly. It can also support the ankle joints so they may continue to function while the healing tissues are gaining strength.  

Furthermore, children who might have developmental issues or injuries can also benefit from orthotics. Using orthotics can help correct problems like pigeon-toeing, overpronation, or Sever’s Disease.

There is a broad range of orthotics that can help with many different situations for your family’s feet and ankles. If you think that you or a family member can benefit from orthotics, make an appointment today at Clark Podiatry Center. Our board-certified podiatrist, Dr. Brandon Macy will assess your feet to find the best treatments or solutions for your feet. We are located in Clark, NJ and serve patients in all the surrounding Union County towns!

By Clark Podiatry Center
February 07, 2018

Ask friends who are parents and they’ll tell you, raising a child is no walk in the park. It seems like the work is never ending and there are so many things to keep track of to make sure that they grow up happy and healthy. At Clark Podiatry Center, we want to help make that process a bit easier. Here’s a little cheat sheet with general foot care tips for your children:

DO:

  1. Pay attention to the way your children’s feet are growing. In many cases, your child can outgrow foot problems, but foot pain usually indicates a more serious issue, such as Sever’s Disease.
  2. Check out these tips for purchasing shoes for children. Their feet grow quickly, so make sure you have them measured often.
  3. Have them engage in physical activity several times a week to keep them strong and fit. They will also be less likely to be holding a phone or tablet if they are engaged in martial arts, dance, or rock climbing instead.
  4. Consult with our podiatrist about custom orthotics for children who have developmental problems.

DO NOT:

  1. Ignore complaints about foot pain. Growing pains are not normal in the feet, so they should be tended to before symptoms worsen.
  2. Use hand me downs for children’s shoes, since they will not have the correct support for your children’s feet. Depending on how long the first child has worn the shoes, they can be molded to that particular child’s feet and the younger child’s feet will not fit that well.
  3. Use shoes indoors when your child is first learning to walk. Being barefoot when indoors will help them develop strength, balance, and coordination in the feet. However, use shoes when they will be outside, to protect from sharp objects or disease.

Do your children complain of foot pain during or after physical activity? Make an appointment at The New Jersey Children’s Foot Health Institute at Clark Podiatry Center to have your child see our board-certified podiatrist, Dr. Brandon Macy. He can assess your children’s feet and give them the treatment or orthotic support they need. Come see him at our Clark, NJ office.

By Clark Podiatry Center
January 10, 2018

As children’s bodies continue to grow, they may also develop issues that cause them pain. However, keep in mind that growing pains are not normal when it comes to feet. Any foot or ankle issues that they may experience indicate a foot problem that must be addressed to prevent further complications.

For the most part, children may grow out of certain conditions such as bow legs, flat feet, and in-toeing. Still, it’s important to come see our podiatrist, Dr. Brandon Macy, at The New Jersey Children’s Foot Health Institute as soon as they complain or seem to show signs of foot pain. Treating a problem early and using prevention methods are easier than trying to solve problems later, as they can become more complex and even require more invasive treatments, such as surgery.

A commonly prescribed treatment for children with foot problems is custom orthotics. They come in all shapes and sizes, and for mild symptoms, even over-the-counter inserts can be helpful. Dr. Macy can help you determine the best type of orthotics for your child’s needs.

In general, orthotics can be useful to relieve symptoms associated with:

  • Flat Feet: When the arches in the feet do not develop after learning to walk, children can experience pain along the bottom of the feet as the tendons and muscles around the arches strain to support the feet. Some children can “grow out of it” and develop arches later, but they should get supportive orthotics to relieve pain.
  • Overpronation: Often associated with flat feet, this is a condition in which the ankle bones tend to lean inward. This can cause strain on the ankle joints and heels as they grow out of alignment. Orthotics can help to support the feet and prevent the ankles from rolling inward.
  • Sever’s Disease (heel pain): This disease affects the growth plate at the base of the heel bone. It can be caused by repetitive stress or injury to the bottom of the foot, and is usually more common in active children. Orthotics can help displace the pressure placed on the growth plate to reduce inflammation and irritation.
  • Osgood Schlatters (knee pain): A painful bump below the kneecap can indicate inflammation to the knee, especially in children who run and jump and are experiencing growth spurts. Orthotics can be used to reduce the impact on the knees and relieve pain.

Is your child overpronating or complaining of foot or ankle pain? It’s important that their needs are addressed to prevent complications as they grow. Our board-certified podiatrist, Dr. Brandon Macy can assess your children’s feet and give them the treatment or orthotic support they need. Come see him at Clark Podiatry Center. Make an appointment to see us today at our Clark, NJ office.



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1114 Raritan Road
Clark, NJ 07066

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