For The Athlete:
Many sports are hard on the feet because of quick repetitive movements, constricting footwear, and/or increased exposure to injury or trauma. At Step Ahead Foot & Ankle Clinic, Dr. Barnes enjoys using her training in Biomechanics & Gait Evaluation to help patients get back on their feet, oftentimes without surgery. Emphasis is placed on preventative medicine and appropriate biomechanical alignment. With the assistance of an on-site pedorthist and a research-quality In-Shoe Pressure Measurement / Gait Analysis System (F-scan), Dr. Barnes routinely favor a non-surgical approach to treating many athletic or overuse foot ailments, including heel pain, neuromas, bunions, big toe joint pain, and Achilles tendon pain. Many times this involves the fitting of either pre-fabricated or custom foot orthoses, or adjustments to existing orthotics, completed right on-site.
Custom foot orthoses (“orthotics”) are prescription medical devices that are designed to control alignment and function of the foot in order to prevent or treat injury-causing motions such as pronation (rolling-in) and supination (rolling-out). They also act to make activities such as running, walking – even standing – more efficient. Finally, they can act to redistribute pressure on the bottom of the foot to relieve pain from excessive pressure or calluses.
Most foot pain is the result of a faulty relationship between the bones and muscles of the foot. Even the slightest misalignment can result in significant discomfort. This abnormal function can result in problems such as bunions, hammer toes, arch and heel pain, corns, knee pain ... even back pain.
The function of custom orthotics is much more than an arch support. Orthotics realign the structures of the foot and leg to prevent bone mal-alignment as well as muscle, tendon, and ligament fatigue. They are often used after surgery to help stop the recurrence of foot deformities.
As your foot rests on the orthotic it is gently and consistently directed into the correct position for walking, running, and standing. Because your foot is now functioning properly, the pain of muscle strain and pressure points is relieved, and the progression of deformities is stopped or slowed.
To learn more about the different types of ortotics offered at Step Ahead Foot & Ankle Clinic, click here.
Step Ahead Foot & Ankle Clinic offers computerized gait analysis using the F-Scan® in-shoe pressure measurement system. This state-of-the-art system allows us to “see inside the shoe," giving us a better understanding of how a person’s foot interacts with their footwear as well as the earth, and helping us provide the best, most advanced care in the area.
The average person takes thousands of steps every day, generating a force equal to several hundred tons on the bottoms of their feet. Everyone walks a little bit differently, distributing this force in their own unique way. For some people, the distribution of force is very uneven. This creates areas of highly concentrated pressure that can cause pain in the foot itself, and can also cause misalignments that lead to pain throughout the lower body.
The F-Scan in-shoe pressurement measurement and analysis system, with the use of flexible, thin, trimmable sensors that are placed inside the shoe to capture timing and pressure information for foot function and gait analysis during a clinical test, helps us find and address the root cause of these problems by clearly quantifying areas of high pressure in a color-coded display. It also provides us with timing and gait parameters we can use to develop optimal treatments for each individual, whether it be with shoe recommendations or the formulation of recommendations related to prescription orthotics or simple adjustments to current orthotics. We can easily share a patient’s test results with them, making it easier to explain diagnoses and treatments.
To learn more about the F-Scan In-Shoe Pressure Measurement analysis offered at Step Ahead Foot & Ankle Clinic, click here.
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."