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

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By Clark Podiatry Center
October 18, 2017
Tags: bowed legs   knock knees  

As we wrap up Bone and Joint Action Week, let’s focus on World Pediatric Bone and Joint Day, also known as PB&J Day. Tomorrow, October 19th, is a day to raise awareness for musculoskeletal issues in children and youth. Many bone and joint issues begin from childhood and continue through adulthood. In fact, 10% of people affected by a disabling musculoskeletal condition are children.

This year’s theme is “Kids, Bones, Joints & Obesity - Tips for Parents and Patients, and Primary Care Providers”. Children who are obese are a much higher risk of developing musculoskeletal problems, so it’s very important to look out for signs and symptoms to catch and treat them early.

Musculoskeletal Issues will most strongly affect the following parts of the body in obese children:

  • Back: Obese children are more likely to have back pain.
  • Hips: The hip growth plate can be affected or injured by excessive weight in developing children, causing pain in the groin area or outer hip joint.
  • Legs: Obese can make bowed legs or knock knees worse. X-rays can help determine the extent of the problem.

Prevention and early treatment will help reduce the chance of musculoskeletal issues affecting them when they are adults. The following are tips for health bones and joints for your children:

  • Have them eat a well-balanced and nutritious diet, including plenty of sources of calcium, vitamin D, as well as omega-3 fatty acids. Dairy, dark leafy greens, fatty fish, and plenty of sunshine are examples of food sources.
  • Make sure they engage in regular exercise to prevent or reduce overweight and obesity issues. Aerobic exercises, as well as some weight-bearing exercises are important to keeping bones healthy and strong.
  • Small injuries can become much worse if it is not treated promptly for developing children who are overweight.

For foot and ankle injuries, consult with 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
October 06, 2017
Category: Foot Health Tips
Tags: arthritis   osteoporosis  

If you’ve been reading our blog posts, you may remember that we have 26 bones, 33 joints, and more than 100 muscles, tendons and ligaments in each foot (including the ankle). That’s a lot of moving parts that can be affected by musculoskeletal diseases such as arthritis or osteoporosis. That’s why we are taking part in raising awareness, as part of Bone and Joint Action Week, which takes place from October 12th to the 20th.

We’ve gathered some facts and tips for our patients so that you may be well-informed about these issues. We hope they will help you take preventative measures, as well as learn the signs and symptoms related to musculoskeletal disease so that you can treat them early.

  • If you are over the age of 18, you’ve got over a 50% chance of being affected by one of the many musculoskeletal (bone and joint) conditions.
  • Common musculoskeletal issues include: arthritis, osteoporosis, spinal problems and back pain, as well as traumatic injury.
  • Musculoskeletal issues are a leading cause of physical disability and severe long-term pain.
  • “Movement is Medicine – Keep moving for health and wealth!” is the theme put forth by the Global Alliance for Musculoskeletal Health of the Bone and Joint Decade. This is to stress the importance of physical activity, not only to prevent bone and joint issues, but also to remind those with musculoskeletal disease to keep moving to feel better.
  • Keep your bones and joints healthy! Take care of them through regular lifelong activity, eating a healthy and wholesome diet, as well as healthcare maintenance with regular checkups. See your doctor at first sign of pain or discomfort in your bones, before disease progression. Developing strong bones earlier is important for bone health later, as your bones begin to deteriorate as you get older.
  • Prevention Tips: Developing your strength, endurance, flexibility, and posture are essential to maintaining good bone and joint health. Learn how your body reacts to certain activities and foods, especially if you or someone in your family has arthritis. Furthermore, take caution when engaging in certain activities, making sure to use protective gear and equipment, as well as wearing the correct types of shoes.

If you’ve got symptoms of musculoskeletal conditions affecting your bones and joints, consult with our board-certified podiatrist, Dr. Brandon Macy for an assessment of your feet and ankles. 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
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
September 27, 2017
Tags: Orthotics   plantar fascia  

As your body experiences wear and tear, you become aware of different parts of the body, mostly because they start to ail you. This is very much the case for many of the soft tissues (ligaments and tendons) in your feet and ankles because of how much they are used each day. In particular, for those that do a lot of walking, standing, or sports training, plantar fasciitis can have an effect sooner than for others.

Once you notice that the soles of your feet are tight or give you pain with each step, you should start with some of the following home relief techniques.

·Morning stretch: You may experience pain with the first few steps you take after you get out of bed in the morning. To prevent excessive pain and tightness, stretch the soles of the feet before you get out of bed. Try the following steps: 1. Straighten the legs in front of you with feet flexed. 2. Then, pull the tops of the feet toward you. Can’t reach? Use a strap, thin blanket, or towel.

·Morning/evening foot massage: 1. While sitting, rest the right ankle across the left leg’s knee so that the sole of the foot faces up. Pull the big toe back with your right hand to stretch the sole. Rub along the sole with the other left thumb. Then switch and repeat on the other foot. 2. You can also do a foot rub by rolling your foot on a golf or lacrosse ball on the ground.

·Rest and rotate exercises: If you train hard for a sport or exercise very often, you need to slow down and allow time for rest and recovery. In particular, if you tend to exercise by doing a lot of jumping (basketball, long jumps) or putting weight on the front of the feet (boxing, running), the plantar fascia may become inflamed more often. Switch up the type of exercises you do throughout the week to give your feet time to rest.

·Footwear: Shoes with arch and heel support are important to keep the feet in the correct position. If your feet tend to overpronate (rotate inward), it can worsen symptoms of plantar fasciitis. Buy shoes with good arch support or use orthotic inserts to help with this issue. High heels and flats can both make plantar fasciitis pain worse.

·Night splint: If you have recurring morning plantar fasciitis pain, an immobilization splint worn during the evening may help prevent that tension by keeping the foot flexed.

·Anti-inflammatory meds: If your soles or heels are swelling after a long day of walking or standing, you may need ice and NSAIDs (non-steroidal anti-inflammatory drugs) to help reduce the inflammation and pain.

If you the pain gets worse, or it causes you pain on your heels, consult our board-certified podiatrist, Dr. Brandon Macy at Clark Podiatry Center. Make an appointment to see us today at our Clark, NJ office so that we can help you find the best solutions for your particular needs. We keep you walking!

 

By Clark Podiatry Center
September 20, 2017
Tags: intoeing   bowlegged  

Every milestone that your baby achieves can feel like a miracle. However, with information overload from books, the Internet, and other parents, each new step can also feel daunting. What are the right things for parents to be doing to help promote their growth and development? Should babies be protected from harm or should they learn by trial and error?

In the case of babies that are transitioning from being immobile, to sitting, crawling (or maybe they’ll skip this), standing, and eventually, walking, there are many opinions about how babies should be handled. The following are some do’s and don’ts from a podiatric standpoint:

Do:

  • Allow them to go at their own pace. Each child is going to have his/her own pace of development. Forcing a child to try to sit or stand before (s)he is ready can be dangerous because of lack of muscle development. Babies will learn to keep their head up, roll from back to front, etc. as their muscles allow them to. The baby steps of muscle development can help them move to the next positions.
  • See what your baby can do, but only with your support and supervision. Does your baby like to “stand” while you support under the armpits? Contrary to some myths, this will not necessarily cause your baby to have bowlegs. If they cannot stand “standing”, their legs will give way and they will stop standing (which is why you should always be supporting and supervising).
  • Allow your baby to learn to walk on their bare feet at home. It helps with developing balance and coordination, which rigid shoes can prevent. Also, their exposed toes can also help them grip the floor.
  • Pay attention to the way that they walk or stand. If you notice that they are bowlegged, intoeing, or walking on their tiptoes, check to see if things get worse or not. Many children may start out walking this way, but can outgrow them as their legs and feet continue to develop.

Don’t:

  • Don’t let children walk around barefoot outside or in the cold. As long as they are flexible and can grip slippery surfaces, shoes are better than going barefoot in public places since they can pick up diseases or accidentally cut their feet when not at home.
  • Don’t use a walking assistant or a walker device to teach babies how to walk. These devices can support and encourage walking while they strengthen lower leg muscles, but they do not strengthen upper leg muscles or hip muscles. In essence they are not supporting their own weight, so they do not learn to properly walk on their own.

If you have further questions about your baby’s development with regards to their feet and standing or walking, it’s best to consult our board-certified podiatrist, Dr. Brandon Macy. If you are concerned that your toddler has walking issues and has not grown out of them by the age of 3, they may need some additional support and treatment. We are here for you at Clark Podiatry Center and The New Jersey Children’s Foot Health Institute. 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