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

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By Clark Podiatry Center
May 23, 2018
Category: Shoes

You traded in your high heels for flats, because it’s probably the better decision. Or is it?

While it’s true that most high heels are not supportive enough for the feet and can cause ongoing foot problems, it’s not necessarily true that flats are the antidote. In most cases, flats are probably less problematic, but that depends on whether or not they have supportive features.

Because both high heels and flats are usually worn with fashion in mind, they tend to lack supportive features that are necessary to keep feet healthy and pain-free. High heels can cause pain in the balls of the feet and the toes, but flats can cause pain along the bottom of the feet. So if you have foot pain even when you thought you remedied the problems caused by high heels, it’s probably due to the flatness of flats.

Flats can be your arch nemesis if they lack the following supportive features:

Arch support - Most flats have flat inner soles. This can cause excessive straining for the plantar fascia, which aggravates any problems that folks with fallen arches or flat feet might have, like plantar fasciitis.

Supportive heel cups and solid heel contours - When heels are not supported with specific heel grooves, they may be prone to sliding around, which can result in blisters and calluses, or Achilles tendonitis as feet can under- or over-pronate.

Cushioning in the soles - Most inner soles tend to have a very thin lining and lack cushioning. This can increase the impact felt by the feet, ankles, knees, hips, and back.

Roomy toe boxes - Many flats tend to become narrow in the front and are tight around the feet because they do not have straps or laces to keep them secured on the feet. Tight toe boxes can cause problems like hammertoes or worsen pre-existing problems like bunions.

This doesn’t mean that you should never buy flats. Instead of swearing off all flats, you can find flats with built-in support. Alternatively, you can use over-the-counter orthotic inserts. However, if you need custom-made orthotics, we can help! 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
May 21, 2018
Category: Foot safety
Tags: sprain  

The weather has warmed up and that means more time outdoors for you and your family. Flowers are blooming, trees are filling up with new leaves, and the grass is going to start to need some mowing. Whether it’s you or your teenager’s chore to do, it’s one that’s got to get done so that critters don’t hide in the tall grass and become a problem!

Nonetheless, before you fill up the old lawn mower and fire it up, take these safety tips into consideration:

Safety Gear:

  • Sunglasses or goggles to protect from debris. Earplugs or earphones to protect from the loud noise of the lawn mower. Hat and sunblock to protect from sunburn.
  • Closed-toed shoes made of thick material and outer soles with anti-slip grip.

Maintenance:

  • If your lawn mower is new, remember to check the operating instructions before you begin. Check for safety features and emergency shutoff options.
  • Be sure that the lawn mower is working properly or it can cause you to slip or trip.

Obstacles:

  • Do not mow the lawn when grass is wet.
  • Clear the lawn of debris, toys, branches, and of course, pets and children. Do not allow for the risk of children running out into the yard while you are mowing since you may not see or hear them.

Before you start any type of strenuous activity, such as mowing lawns, it’s a good idea to warm up and stretch, especially if you have a large lawn or will be working on hills.

NEVER let your child sit on your lap on a riding mower. Whether or not the machine is on, a lawn mower has dangerous parts that could injure a child.

Have you felt pain as you mowed the lawn? Or sustained an injury? If you need immediate attention, call 911 and get emergency medical care. If it’s a strain or sprain, come see our board-certified podiatrist, Dr. Brandon Macy for an assessment. Make an appointment today at Clark Podiatry Center. You and your children will get top quality foot care at our Clark, NJ office, which serves the surrounding Union County areas. We keep you walking!

By Clark Podiatry Center
May 09, 2018
Tags: Bunions   Shoes  

Toddlers’ feet grow so quickly! Have you noticed that toddlers seem to need bigger shoes only a few days after they’ve stepped into the ones you just got them? It’s tempting to get shoes that are 2 sizes bigger so that you don’t have to keep buying new ones!

However, we advise you not to give into that temptation. Instead, first figure out the signs that your toddler needs new shoes. Then, find out how to find the best shoes for your growing toddler. Not all toddlers can express their foot pain, so it’s important to look for signs and symptoms.

Do they need new shoes? Or are they just trying to change up their fashion?

  • Is it hard for you to get their shoes on? Be sure to put socks on their feet before putting shoes on to prevent skin irritation and to make it smoother to put shoes on. However, if it seems difficult to get shoes on, it could be a sign that their feet are getting too big for their shoes.
  • Do they have marks on the feet? When you take shoes off, do they have red marks on the skin that might indicate irritation from the shoes being too tight? If the toes look tightly curled up or are red from being too tight in the front of the shoes, that’s another sign.
  • Compare the bottom of the shoes with the bottom of their feet. The outline of the shoes should be larger than the outline of your toddlers’ feet. If they seem to look the same, the shoes are too small.
  • Do they have signs of bunions? Check to see if their feet look like the big toe is growing towards the smaller toes, instead of straight on. If it looks like the big toe joint is sticking out, they may be developing bunions. Give more room to the toes by buying a larger size.

How to best purchase toddler shoes:

  • Measure children’s feet every time you shop. Buying shoes later in the day is best because that’s when they are largest. Also, the left and right feet can differ in size. Buy shoes that fit the larger foot.
  • Try shoes on rather than buying by size. Different shoe companies may label their sizes differently. Not all shoe sizes will match based on age since toddlers grow at different rates.
  • Shoes should have a little bit of extra room. You can either leave a half an inch between the front of the shoes and the big toe or fit your index finger in the back of the shoe when your toddler is wearing it.

Does it seem like your child is complaining of foot pain? Are his or her feet looking deformed? Come see our board-certified podiatrist, Dr. Brandon Macy for an assessment. Make an appointment today at the New Jersey Children's Foot Health Institute at Clark Podiatry Center. Your children will get top quality foot care at our Clark, NJ office, which serves the surrounding Union County areas. We keep you walking!

 

By Clark Podiatry Center
May 02, 2018
Category: Foot Pain

Did you know that you have 2 small pea-sized bones near your big toe joint that are not connected to any other bones? Don’t worry; it’s not as weird as it sounds. They are not just floating around in your feet, but rather, connected to the tendons. Yes, every time you move your big toe up and down and take a step, your tendons are sliding along the sesamoids, kind of like a pulley.

So why are they to blame for foot pain?

In the same way that your Achilles tendon in your ankle can become irritated and inflamed, the tendon in your feet can also experience tendonitis, called sesamoiditis. Either the tendons are overused and become irritated as they repeatedly pass over the sesamoids, or they have endured an injury to the tendon or bones, causing inflammation.

Ballet dancers, sprinters, golfers, and baseball players commonly experience this injury because of the position their feet are often in. A lot of weight and pressure goes onto the big toe joint, making it more vulnerable to overuse injury.

If your foot pain looks like this:

  • Swelling and possibly bruising under the big toe joint,
  • Big toe joint pain when moving the big toe,
  • Inability to bear weight on the front of the foot, then you might be able to blame Sesamoiditis for your foot pain.

How can you get relief from Sesamoiditis?

  • RICE method (not just for children!)
  • NSAIDs (non-steroidal anti-inflammatory drugs), like ibuprofen and naproxen
  • Tape the foot or use a brace to keep the toe bent downward to reduce tension on the affected tendon
  • Steroid injection near the site of pain

Remember, since sesamoids are also bones, they could become fractured in an injury (or stress fractured due to overuse). If the pain is very severe and does not subside, get medical attention from our podiatrist ASAP.  Come see our board-certified podiatrist, Dr. Brandon Macy for an assessment. Make an appointment today to have your sesamoids treated with care. We are located in Clark, NJ and serve patients in all of Union County! We keep you walking!

By Brandon Macy. D.P.M.
May 01, 2018
Tags: toe walking  

“Get up on your toes” is a figure of speech urging you to prepare to start something energetically.  But when your child appears to be walking on tiptoe most of the time, you sense that something isn’t quite right.

Many parents fear something dire is going on, whether it might be tightness of the Achilles tendons in need of intensive physical therapy, surgery or some neurological issue which sounds even worse.  Fortunately, although those situations do sometimes happen, more commonly the answer is far simpler and easier to deal with.

Feet which overpronate (flatten) too much are unstable—there is a lack of ‘leverage’ during walking and running—which is a very inefficient way of getting around.  To combat this, raising up on the toes puts the foot in a more stable position.  Also, depending on the balance between the forefoot and the rearfoot and the tightness of the Achilles tendon, the heel may lift off the ground prematurely during the gait cycle.

In these cases, muscles, tendons and ligaments have to work extra hard resulting in early fatigue, achiness and pain, affecting their gait and their athletic activities. Over many years, this can lead to foot deformities and arthritic damage to the feet, knees, hips and back.

Most of the time, if your child can stand with both heels on the ground, there is no major tightening of the Achilles tendon.  Fortunately, providing proper support and balancing of the feet with a good set of orthotics such as our LittleSteps pediatric orthotics or our adult versions for those over the age of 10 can help deal with the majority of these situations.  Using good orthotics on a daily basis can change things rather quickly, decreasing the toe walking and allowing your child to participate fully in their sports activities with less fatigue and pain—not to mention preventing larger problems into adulthood.

For more information about toe walking or an appointment, contact us at 732-382-3470 or visit our website at www.clarkpodiatry.com

At Clark Podiatry Center and the New Jersey Children’s Foot Health Institute, we want to keep you and your child walking! 

#ToeWalking #ClarkPodiatryCenter #NJCFHI

 





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1114 Raritan Road
Clark, NJ 07066

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