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

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Posts for tag: tendonitis

By Clark Podiatry Center
October 04, 2017
Tags: arthritis   Ankle Sprains   fracture   tendonitis  

One of the top reasons why children are seen in the Emergency Department at US hospitals is unintentional injury, which includes sports injuries. While we encourage children to stay active and participate in sports, we also acknowledge the risk of injury to the feet and ankles that comes with it.

There are many ways that children can get injured while playing sports, including: collision with other children or objects, trips or falls, sprains, improper footwear, and overuse injuries. Some may be one-time injuries (i.e. cuts or bruises), but others can have long-term consequences that keep recurring (i.e. ankle sprains) or get worse (i.e. tendonitis or arthritis).

Depending on the injury, the treatment options range from simple home remedies, immobilization, physical therapy, corticosteroid injections, orthotics, and in worst cases, surgery. Today, we’d like to expand upon the home treatment option for mild foot or ankle injuries, known as the RICE method. When symptoms include minor or moderate pain, swelling, redness, or bruising in the feet or ankle, the RICE method can help control them to determine if further medical care is necessary.

Rest

  • After experiencing an injury or pain in an area of the foot or ankle, stop the activity to prevent it from getting worse.
  • Keep weight and pressure off the injury by using walking aids such as a cane or crutches.

Ice

  • For redness and swelling, apply a bag of ice or cold compress.
  • Apply for 15-20 minutes at a time, rotating with a rest of 15-20 minutes.
  • Continue icing for about 2 days, but if swelling does not decrease, seek physician care as soon as possible.    

Compression

  • Use an elastic bandage or compression sock to reduce and prevent further swelling.
  • It should have some pressure, but should not cut off circulation.

Elevation

  • Elevate the injury (with ice and compression), whenever possible. This will help reduce swelling.
  • Ideally, the injury should be elevated to above heart level, but any elevation at all while sitting can still be beneficial.

Please note: if there is excessive swelling, obvious deformity, loss of function, or if you suspect a fracture or broken bone, see a physician immediately for assessment.

If your child gets injured, start with the RICE method. If you do not see any improvements or if your child complains of worsening symptoms, you consult our board-certified podiatrist, Dr. Brandon Macy. We are here to treat your family’s needs at The New Jersey Children’s Foot Health Institute at Clark Podiatry Center. Make an appointment to see us today at our Clark, NJ office.

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.

Summer Footwear for your Child: Limit Wearing Flip Flops

With warm weather catching up to us in New Jersey, it's time to outfit the kids in their new spring sandals. The ever-present flip flops may seem like economical and fun footwear for this time of year, but it's best to steer clear for your child's foot health.

We hope this doesn't end up in a kid vs. parent battle! Flip flops are convenient and a good idea for poolside and the beach, but all too often children wear them all day long. This puts them at risk of injury and also foot problems due to poor support.

Shoes Should Protect Little Feet

Flip flops offer little to no protection for your child's feet. Instead, their toes are vulnerable to scrapes, bruises, falling objects, sunburn and injury from being stepped on. Here at Clark Podiatry Center, we often see children with foot injuries from wearing flip flops.

The right sandals can offer good protection - for toddlers, look for those that cover the toes fully. A closed-toe sandal is cooler for summer weather and will still protect tiny toes too.

Look for Sandals with Ample Support

Flip flops are made of thin plastic with little support. Older children who are more coordinated may not need closed toes, but they all need good, sturdy support. Choose leather sandals with firm soles and straps that secure snugly both across the foot and around the back of the heel.

Wearing flip flops or other flimsy sandals can cause foot pain, tendonitis or heel pain - plantar fasciitis is a painful inflammation of tissue that runs along the bottom of the foot.

Flip Flops May Alter your Child's Gait

If you wear flip flops or backless sandals occasionally, you know that you must grip the sandals with your toes with every step. This gripping action actually results in taking shorter steps which can strain the muscles in the back and legs.

Tripping Injuries

On top of little protection and support, backless sandals like flip flops also place your child in danger of falling and tripping. When a child runs, jumps and plays, it's too easy for the flimsy sandal to slip off, resulting in injuries including a sprained ankle or cut from a sharp or rocky surface.

The bottom line? Outfit your child in both sturdy and fun sandals but make sure that flip flops are worn seldom and for short duration to keep your child's feet healthy and happy.

We Can Help with Pediatric Foot and Ankle Issues

Your children's feet are their foundation for many years of healthy activity. If you notice any problem with foot or ankle pain or a gait irregularity, please contact Dr. Brandon Macy, board certified podiatrist. You can reach us at our Clark, NJ office for an appointment at 732-382-3470 or use the contact information at the website. Start your children out right by starting at the bottom!

What do a 70-year old woman with diabetes and an 8-year old boy with an intoeing deformity have in common? They both are improving their foot health by wearing custom-fitted orthotic devices.

Orthotics are inserts that fit into shoes to correct an abnormal walking pattern or redistribute pressure to alleviate a foot problem. Some shoe inserts are available over-the-counter - these may help somewhat in mild cases but they are not custom-fitted to the patient's specific foot structure or needs.

Custom-fitted orthotics can be very powerful tools in allowing people to stand and move more efficiently as well as helping to heal certain foot conditions. And orthotics are not just for adults! Here are a few examples of foot problems where custom-fitted orthotics can help:

Calluses, blisters and ulcers: These skin conditions often result from excessive pressure on certain spots on the foot and can be especially problematic for patients with diabetes. Soft, flexible orthotics help protect the skin in these situations by moving stress away from pressure points.

Aches, pains and strains in lower leg and back: Rigid orthotics can control foot function and motion in foot joints to relieve the pain of shin splints, tendonitis and other injuries.

Flat foot: Orthotics can help stabilize the foot and improve foot function in adults and children over age 8 with flat feet. Wearing orthotics will help limit both pain and the damage from arthritis.

Heel pain: The discomfort of plantar fasciitis can be relieved with orthotics to redistribute pressure more evenly and allow healing.

Balance for walking and sports activities: Orthotics that are semi-rigid are more flexible than those that are rigid to accommodate excess forces during sports. Athletes often use these to relieve the pain of a heavy workout.

Children's Foot Issues Benefit from Custom-Fitted Orthotics Too

Although most of us think of orthotics in terms of adult foot problems, children can benefit from custom-fitted orthotics as well.

Children's heel pain is often Sever's disease, where in a growth spurt the tendons and muscles supporting the heel bone are overstretched. Wearing orthotics as part of the treatment to rest and heal the area can reduce stress on the heel.

Intoeing, a condition usually present from birth where the child's toes point inward toward each other, often disappears as the child matures. Custom-fitted orthotics may be needed to help realign the feet and to prevent further problems as an adult.

We Can Assess Your Foot Health To Determine if Orthotics Can Help

If you or your child has any foot or ankle pain, please do not hesitate to contact Dr. Brandon Macy, board certified podiatrist at Clark Podiatry Center . We have the right expertise to diagnose and treat your foot problems. Please call us for an appointment in our Clark office at 732-382-3470 or use the contact information at the website. We can create custom-fitted orthotics of any size to fit our patients - both young and not-so-young!



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1114 Raritan Road
Clark, NJ 07066

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