Frostbite

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Frostbite occurs when a body part is exposed to extreme cold. If conditions are cold enough for the water within the tissues to freeze and form ice crystals, cell death can occur. The feet, hands, ears and nose are particularly prone to frostbite due to their location away from the body’s core.
 
Mild exposure to cold typically produces pain and irritation of the skin. Greater exposure may produce burning and numbness as well as blistering and reversible damage to the outer skin layers. Eventually there will be complete loss of sensation and permanent damage to all layers of the skin, arteries, muscles and tendons.

Frostbite can be prevented by limiting exposure and keeping the feet as warm and dry as possible. If, however, frostbite is suspected, the feet should be rapidly re-warmed by immersion in warm water (approximately 100 degrees Farenheit).  Avoid vigorous rubbing/massaging and dry heat (such as from a hair dryer), as burns may result if numbness is present. To avoid infection, blisters or damaged skin should be treated with antibiotic cream and loose bandages, and medical attention should be sought as soon as possible.


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UPDATE 3/23/20: In attempt to maintain the safety of our patients, employees, and the community, the office is physically closed, other than for the care of patients with urgent concerns / emergenices only. Attempts will be made to return phone calls Monday through Thursday from 9AM to 1PM. Please use the "Request an Appointment" resource above to request an appointment. If an established patient, we encourage you to log into the Patient Portal and send a message to Dr. Barnes or the office with any questions or concerns. Thank you.

TeleHealth and Tele-Visits in the time of COVID-19

Step Ahead Foot & Ankle Clinic, PC has initiated a TeleHealth Service during the COVID-19 Pandemic for a number of reasons:

1.) Our top priority has always been, and continues to be, Patient, Employee, Community Health and Safety.

2.) With the primary goal of triaging, or prioritizing what's urgent and what's not, Dr. Barnes seeks to help patients with the foot concerns over the phone or computer. Caring for patients in this way, and arranging for visits in clinic if necessary (infections, ulcerations, injuries) and in a controlled environment, she hopes to do her part in allowing to the Urgent Cares and Emergencies Rooms help those with needs related to the virus. 

3.) Although Dr. Barnes obviously cannot physicially treat you or other patients over the phone or computer, she can hopefully see if your concern would be best treated physically, and arrange for this to be done. If she can help give you direction and advice over the computer or phone, she will do so. This particularly applies to you if you have foot pain, as many treatment options can be relayed in this way (stretches, shoe recommendations, orthotic recommendations). 

4.) During this time of anxiety, stress, and uncertainty, Dr. Barnes wants to do her part in helping you do the things you need to do (caring for a loved one, running outside for stress relief, or walking on a treadmill at home, for example) without foot pain interfering. She does't want you to have to wait months or an indefinite period of time for you to get back on your feet! "CLICK HERE TO REQUEST A TELEVISIT."