Advanced Treatments

Xray is the standard diagnostic tool for viewing skeletal problems. Align has the lowest radiation-emitting and highest contrast X-ray in-office to provide safe, efficient, and sharp imaging to help diagnose even the most subtle problems in bones, joints, soft tissue.

Ultrasound imaging, clear enough to identify even minute changes in the structures below the skin, are safe and cost effective imaging for soft tissue and boney problems. Let science help identify problems to help outline the problem, all done in-house

Gait, or how someone walks, is a simple motion with underlying complex components. Align Foot and Ankle has the most advanced gait analysis, utilizing a combination of sensors, cameras, and orthotic measurements to analyze every component in normal vs abnormal gait. The analysis can scientifically pinpoint the root problem. 3D imaging can aid in constructing orthotics and braces. Gait analysis can accurately help plan surgery and map a definitive recovery plan after injuries. This advanced tool is covered by Medicare and most commercial insurers.

Correction of maligned first toe and metatarsal through tiny incisions for rapid healing, lower complications, and higher patient satisfaction. Walking 2-7 days after procedure.

A reproducible, highly accurate system utilized by Dr. Barnett to correct the most significant, challenging bunions. The system allows for successful mid foot fusion for the most severe bunions at over 95% effective in preventing recurrence. Walking at 2-4 weeks allowed.

Joint replacement at the ankle joint, performed by Dr. Barnett and utilizing the latest technology, CT planning, and detailed and closely monitored post op rehab. Dr. Barnett will guide every patient from day 1 until fully recovered. This is evaluated versus ankle fusion and Dr. Barnett is highly versed in both effective options from end stage arthritis.

With the most comprehensive sports training, from the University of Louisville School of Medicine, Dr. Barnett is well versed in every aspect of sports surgery and rehab. Utilizing minimal incisions, biological hardware, and cutting edge techniques, sports injuries don’t have to be career enders. Dr. Barnett has operated successfully on high school, college, and professional athletes for years.

Any foot ailment, position, or structural abnormality that causes gait issues, appearance problems, pain, and loss of function. Surgery can reconstruct and restore positional problems and restore function

Mild to severe injuries often need surgery to realign and repair. No surgery heals the injury but allows the body to best chance to heal. Dr. Barnett uses advanced technique with regenerative medicine to heal traumatic injuries.

Dr. Barnett has surgical emphasis on revision surgery, whether a failed correction, a nonunion, or additional surgery for a poor surgical outcome.

Utilizing placental, blood plasma, bone marrow aspirate, and umbilical products to rapidly and most effectively repair damaged tissue with effectiveness and no surgery. Dr. Barnett is at the forefront in regenerative medicine options.

Extracorporal shockwave therapy is a noninvasive, in-office therapy that uses high energy to micro-traumatize damaged tissue to initiate a cascade of healing by increasing blood flow, promoting new cell growth, and eliminating scar tissue. This highly researched, evidence-based therapy triggers a massive immune response in damaged tissue to allow chronic pain to be alleviated permanently. Dr. Barnett uses the most advanced, highest energy producing shockwave available (1-8.0 bar) to treat even the most damaged tissue will effectiveness.

Swift is a pioneering new microwave therapy for skin. With painless treatment times in seconds, Swift provides Patient with a new, precise and easy way of treating soft tissue lesions. With no downtime and the most successful results, backed by years of research, Swift will cure the most challenging warts and skin problems. Only available through Dr Barnett.

Highest energy laser therapy for foot and ankle conditions cleared by the FDA. Four different wavelengths trigger tissue to rapidly repair and creates a power pain relieving effect.

Hemp derived cannibanoid blocks pain receptors to alleviate pain naturally without need of pharmaceuticals, anesthetics, or pain medicine. Comes in variety of forms from orals or sauve/gel/cream. Dr. Barnett uses the strongest medical grade strength on the market, with evidence based evidence and regulated processing techniques for safe and effective pain relief.

A revolutionary non invasive correction system for painful ingrown toenails with no shots needed.

A medical grade cosmetic nail restoration system. Restore appearance of a normal nail including nail polish while still treating the damaged nail.

Dr. Barnett utilizes an minimal invasive in-office technique, which consists of local anesthetic & fine, pinpoint fenestrations to quickly and most effectively resolve even the most troubling warts.

A custom designed, 3D molded foot insert that realigns and corrects foot position and dynamic movements to alleviate foot pain and protect soft tissue from injury. Align combines full exam, X-ray, and gait lab analysis to construct the most accurate device that has over 500 modifications to fit every foot, every shoe, every lifestyle. Satisfaction guaranteed*

Bracing is the most corrective, supportive, and effective device to control foot and ankle motion and alleviate pain without surgery. Dr. Barnett evaluates, designs, and orders every device for every pathology. Whether is is short, tall, thin, thick, dynamic spring, internal or external, metal or carbon fiber, Align has every application available. Braces are guaranteed so any modification and adjustment can be done through Align Foot and Ankle.

Surgery or injury evaluation is just the start. A detailed, thorough rehab protocol by Dr. Barnett will dramatically decrease pain, shorten recovery time, improve function.

This unique category of injury is more high impact, high energy, and harder to treat due to the active person that is hurt. The most advanced methods of diagnosis and treatment is needed. Dr. Barnett is at the cutting edge of this field S. with advanced training in sports surgery and advanced rehab. Everything Dr. Barnett does has been tested on olympic athletes, NFL and NBA. Dr. Barnett has performed surgery and advanced therapies on pro athletes, special forces military, and “weekend warriors”. Dr Barnett also consults with many pro team physicians to stay up to date with the latest technology and surgery to get athletes back in the game as fast as medicine allows. Dr. Barnett offers more comprehensive treatment options for top level athletes. This specific area of medicine is one of the main reasons Dr. Barnett started his own practice, to provide the absolute best care for the highest demand patient.

Sudden injuries like car accident, falls, etc can cause sudden and severe pain. It is best to stay off the injured foot and come in for assessment

A ligament tear, capsule injury and trauma to the bottom of the great toe. This injury is often missed diagnosed, not treated accurately, and thus career ending in sports

Pediatric injuries is one of the focuses of Dr. Barnetts practice. Kids often get injured in activity and sports and not one speciality outside podiatry treats it all. With advanced training in pediatric orthopedics at the University of Louisville, under guidance from Dr. Shari Gabriel, Dr. Barnett is on the cutting edge of pediatric injuries.

Ligaments are non flexible structures inside the body that hold bone to bone. When flexibility, injury, genetics, or systemic problems occur the ligaments can be torn or long standing damage can happen with the way someone walks. Injured ligaments or sprains can cause temporary or chronic pain and instability and alter walking, limit motion, and hinder activity.

This is extremely common in the population and involves the act of “collapsing arches”. There is both a factor from bone structure and how someone walks that causes fallen arches and foot pain. The longer flat feet are not treated the worse the pain. It causes tendon damage, ligament damage, swollen feet, and later arthritis. It can be corrected in a variety of methods

Also known as cavus feet, the cause is genetic, gradual progression, trauma, nerve damage, tendon damage, poor walking style and gait abnormalities

Club foot is a bending inward and down of the foot on the ankle. Referred to as Talipes Equinovarus, it can either be congenital or acquired form injury or nerve damage.

The problem where the foot will not bend up voluntarily or is very weak causing the way someone walks to be severely altered. Usually not painful but creates major issues in joints and tendons in other parts that take the altered stress. Usually caused from nerve damage, trauma, infections, arthritis, systemic illness. It can be resolves or accommodated.

A bone spur is a protrusion of bone growth generally caused by arthritis, tight tendons, narrow joints, foot deformity, or injury. It is common in the foot and ankle and has many options of correction and pain. A haglunds deformity is a large bone spur inside the achilles tendon (pump bump) at the back of the heel.

Also viewed as a big toe joint “bump,” hallux abductovalgus if a protrusion of the first metatarsal and a curving over of the big toe towards the second toe. It makes wearing shoes difficult and often gets swollen and red at the joint. This condition is genetic and also progresses as time goes on. There are many misconceptions about what a bunion is and what is needed to resolve it.

A “curling and turning of the little toes of the foot. Caused from nerve damage, genetics, biomechanics, or injury, curling toes can cause ulcers, joint arthritis, and pain in shoes.

There are many foot conditions that are genetic and congenital. Examples include club feet, coalitions, conjoined bones, malunions, hammertoes, bunions, CP foot, pes planus.

The Achilles Tendon is the largest tendon in the body with poor blood flow. Injuries to the achilles can either be sudden or over time, causing swelling, pain and trouble walking.

Tendons connect muscle to bone and move joints actively. Known as tendinitis, or inflamed tendons, a damaged tendon can be very painful and hard to walk with. Caused by overuse, injury, nerve damage, foot type, altered gait.

Nerve pain, or electrical signal problems, is very common and often misdiagnosing, under treated, and debilitating. Pills are not the sole answer. Patients will never be given the cookie cutter answer, there is no cure, just “live with it”.

Bone are connected to each other by joints. A joint allows movement and the bond ends are covered with cartilage, fluid, and a joint capsule. Think of a sealed balloon with liquid inside. Over time, either due to injuries to the joints, systemic issues like gout or autoimmune disease, or wear and tear, the cartilage wears down and limits motion and causes pain and swelling.

Tight calf muscles in research has been linked to over 20 foot problems from bunions and hammertoes to neuromas and stress fractures. The most common side effect is calf cramping or heel pain.

There are several causes of heel pain, and plantar fasciitis is the most common. Caused most commonly from tight calves, muscle imbalance, gait compensation, and inflammation, plants fasciitis can be one of the most painful foot conditions that rarely need surgery. Other causes of heel pain include heel fractures, cysts, nerve damage, and tendon damage.

Callus is very painful but very simple to determine. It is a buildup of keratin due to pressure. Generally they form in between toes, over a prominent bone, or from a previous cut or wound.

A wart is a skin problem caused from HPV virus. The virus causes a spot on the foot that can be painful, bleed, and form hard skin. It hurts to walk and put pressure when it gets big enough.

An itchy patty rash on the soles and tops of the feet that can be very pain, contagious, spreading, and unsightly.

Known as hyperhidrosis, sweaty feet is overactive sweat glands on the feet combined with bacteria that cause discomfort and odor. It affects millions a year and there are solid options available.

Similar to a tree that shows severe bark damage, toenails can become thick, discolored, and painful. It can involve one to ten toenails and all ages are vulnerable to nail damage. One of the most common causes of nail damage is onychomycosis, or nail fungus. It is one of the hardest ailments to treat due to the anatomy of the toenail, invasiveness of the fungus, and the slowly growing nail. A toenail only grows 1 mm a month so even the most effective treatment takes a long time to show results. Slow and steady wins this race!

Nails are made of keratin and grow on the nail bed. Nails can have a variety of shapes. The more curved the nail is genetically the more prone to injury or pain. Ingrown toenails are a condition in which the nail irritates the nearby skin causing swelling, redness, pain. A true ingrown is an infection of the skin due to nail pressure.

Diabetes affected millions of Americans, and a foot complication involves joint damage. Nerve damage mixed with vascular problems cause the minerals to wash away and walking in unsupportive shoes tends to break these vulnerable joints down. It causes the foot to change shape, bones to fracture, and ulcers to form. Very few doctors specialize in every option for this complex disease.

Diabetic foot ulcers are generally preventable and if addressed early can heal without major issue. The longer someone waits the worse the prognosis. Comorbidities such as PAD and neuropathy compound the concern.

Genetics, injuries, shoe gear, and age create unsightly foot problems at times. Dr. Barnett offers minimal invasive cosmetic surgery for a variety of ailments. He combines innovative surgical techniques with evidence based medicines and products to give unsightly feet a bright new future.