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

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Posts for tag: surgery

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
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.

By Clark Podiatry Center
December 18, 2017

When it comes to women’s foot problems, both genetics and fashion play major roles. It also accounts for why women seem to have more foot and ankles issues than men do. One such problem that affects women more than men is Haglund’s Deformity, also known as retrocalcaneal bursitis.

Commonly called “pump bump”, it is a condition characterized by a painful enlargement of the back of the heel bone. The irritation caused on the back of the heel bone results in a bony growth, which in turn can also cause inflammation of the bursa (fluid-filled sac meant to cushion against friction bones or joints). It can cause redness, pain, and swelling at the back of the heel.

Those with high arches, tight Achilles tendons, and/or a tendency to walk on the outside of the heel are more likely to develop this deformity. Shoes with a rigid back, like those in pumps (high heels, no strap, and cupped heels) can cause further irritation on the back of the heel. It’s often accompanied by blisters from where the shoe repeatedly rubs on the back of the heel.

Treatment options:

  • Heel pads, whether it be over-the-counter or custom orthotics, can help to reduce irritation to the back of the heel. Other inserts can also help to correct your gait or add support for high arches or a tight Achilles tendon.
  • Our podiatrist may also suggest topical or oral anti-inflammatory medications for relief as you get the symptoms under control.
  • Physical therapy might also be helpful to loosen tight heel cords.
  • If the symptoms are severe, our podiatrist might recommend immobilization in a brace or cast until symptoms subside.

If after you have tried non-surgical treatments and you are still suffering, or if an X-ray shows significant bony growth, our podiatrist may suggest surgery. However, this requires extensive recovery efforts, so it would be a last resort. Come see our board-certified podiatrist, Dr. Brandon Macy to receive an assessment of your heel pain. Make an appointment today at Clark Podiatry Center to see us at our Clark, NJ office. 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