put your best foot forward

Your feet and ankles are the foundation of your daily mobility. When they hurt, everything suffers. Our foot and ankle specialists are here, not just to alleviate pain, but to identify and correct any underlying structural and over-use issues that may be causing it.

Orthopedic foot and ankle surgeons, such as ours, hold important distinctions over other foot and ankle care providers:

  • Four years of medical school
    • Nationally licensed as medical doctors
    • Five years of surgical residency for the entire musculoskeletal system
    • One year of advanced fellowship training in foot & ankle surgery
    • Obtain national orthopedic specialty certification
    • Practice under the regulation of state medical boards

The best foot and ankle care is the kind provided by a coordinated multispecialty team. Our physicians work in concert with nurse practitioners, physician assistants, imaging specialists, physical therapists, and orthotists/pedorthists–those certified in the creation and application of custom footwear and supportive devices­–to provide every patient with a treatment plan that gets them back on their feet again.

Services

Physical Therapy

The goal of physical therapy is to restore function, improve mobility, relieve pain, and limit disability within an overall plan of fitness and health. For patients with foot and ankle conditions, physical therapists play a key role in helping patients build strength and maximize range of motion, function, stability, strength, balance, and movement for life at home, work, and play.

Working closely with your foot and ankle surgeon and other providers, physical therapists develop an informed, individualized plan of care to rehabilitate your foot and ankle in the therapy gym and at home through a targeted home exercise plan. They will apply topical therapies such as electrical stimulation, thermal (cold/hot) compresses, and ultrasound, combined with deep-tissue massage and traction to reduce pain and swelling, while increasing motion and strength. They also teach patients how to safely use crutches, walkers, wheelchairs, and knee caddies.

Physical therapist assistants, under the direction and supervision of a physical therapist, may perform routine support tasks to help implement a treatment plan.

Radiology/Imaging

The Center utilizes Computed Radiography (CR) for its diagnostic imaging (x-rays), which is technology designed specifically for orthopedic patients. It produces hospital-quality digital images on a computer screen, which is far superior to conventional film. The Center’s x-ray experience is also tailored to minimize patient discomfort and maximize patient safety. The imaging room is centralized within The Center to minimize walking distance. The imaging equipment is designed to require only a small step up (on some occasions, other equipment requiring a higher step may be utilized). Our expert staff has years of experience in assisting patients throughout the x-ray process, taking every precaution and being considerate of pain, limited mobility, and weakness.

Pedorthist Service – Custom Orthotics & Shoes

Custom orthotics and properly fit shoes are, together, an essential part of conservative foot care. Custom orthotics provide a long-term mechanical solution for the everyday stresses that we place on our feet, while the correct shoe for your foot type and functional needs plays a critical role in the success of your orthotics. The Center’s custom orthotics are made from a wide range of materials that are carefully selected based on the specific needs of each patient. We also carry a wide variety of shoes from quality lines such as New Balance, Aetrex, and Dr. Comfort.

Your appointment will include a comprehensive evaluation by Pete Padilla, a Board Certified Pedorthist. A Pedorthist is a specially trained expert in orthotics fabrication, shoe fitting, custom shoe making, shoe alterations, gait analysis, and other related services. Pete will first assess your feet, taking into consideration any foot problems you may have. He will then thoroughly explain all options for the best type of orthotic for your needs. If indicated, he will also measure and fit the best shoe based on your foot type and functional need. Pete’s extensive knowledge of shoe construction equips him to fit even the most challenging types of foot problems.

Casting

The term “Casting” refers to specialists who are expertly trained to place painful feet and ankles into splints, casts, or medical devices that help stabilize, support, and nurture recovery. These specialists teach patients how to take care of themselves and their splint, cast, or device after placement. The Casting Technologists perform other procedures as well, such as the removal of sutures and placement of wound dressings.

At The Center for Foot & Ankle, patients receive care from senior Casting Technologist Desiree L. She is trained in the proper fitting of casts, splints, and medical devices such as offloading boots and high-quality ankle braces. She also has specialized training to perform fittings for custom ankle braces, e.g. the Arizona brace. If prescribed by a foot and ankle provider, custom braces are very effective in the conservative (nonoperative) treatment of moderate to severe pain and weakness caused by chronic conditions such as arthritis, deformity, and neurological disease. Proper fitting requires the Casting Technologist to accurately measure the ankle and make a custom mold. The mold is then sent to the manufacturer for building the custom brace, and the brace is then returned for fitting and adjustments as needed.

Amputee & Prosthetics

For patients who are considering amputation of a lower limb, or for those who have already undergone amputation, The Center for Foot & Ankle offers caring expertise by professionals who are specially qualified in all aspects of amputee and prosthetics services. Our support team understands that the amputation of a limb can involve medical and personal decision-making that is unfamiliar and even disorienting. Our staff offer medical and practical expertise to help patients and families navigate through this time, equipping them to reach beyond to a healthier life.

At the forefront of our amputee and prosthetic expertise, Dr. Stephen T. Brown is a local specialist who has personally experienced amputation, offering both expertise and encouragement to those needing his special care. As a local graduate from the University of Nevada, Reno School of Medicine, he then completed his residency in Physiatry at the University of Pennsylvania. In 1999, he became Board Certified in Physical Medicine and Rehabilitation and has since served the community by specializing in amputee and prosthetics care. He is very active as a hiker, bicyclist, kayaker, and participant in many other outdoor activities.

Dr. Brown conducts a monthly clinic on the first Monday of the month at The Center for Foot & Ankle. He will offer consultation services for patients considering amputation, and will then coordinate preoperative planning and postoperative rehabilitation therapy, including physical therapy and prosthetic services. You may either schedule an appointment in person at The Center for Foot & Ankle, or call our scheduler for an appointment.

Foot & Toenail Care

An important part of foot health is the proper care of skin and toenails. Yet oftentimes it is difficult to take care of our feet, especially after hip, knee, shoulder, or back surgery. Other orthopedic and medical disorders can also limit the ability to reach and care for our feet, making it virtually impossible. For patients with medical conditions such as diabetes and rheumatoid arthritis, proper nail and callus care is critical to preserving limbs. Research has shown that foot and toenail hygiene reduces the risk of wounds that can lead to amputations.

The qualifications of the foot care provider are an essential component of foot health. The Center for Foot & Ankle employs registered nurses (RNs) with advanced education, training, and experience in order to provide the highest quality foot care possible. RNs have long enjoyed the highest levels of public trust and are uniquely known for their caring approach to patient care. One such provider is RN Kim Mitchell.

Foot and toenail care for the person without diabetes is typically not a covered service under most insurance plans. As part of The Center’s commitment to comprehensive foot and ankle care, we offer high-quality foot care for all patients at a reasonable price. Please ask your orthopedic provider for a contact card or call us for an appointment.

How much will it cost?
The cost of this one-hour service is $60.

How can I make an appointment?
Call 775-786-3040 to schedule an appointment or ask a ROC desk receptionist to assist you.

When is it available?
Appointments are available on Wednesdays from 8 am to 3 pm.

What is this service?
The Center for Foot & Ankle offers high-quality foot and toenail care provided by a registered nurse (RN).

This service may include:

  • Foot assessment
  • Foot care education
  • Treatment
  • Foot soak
  • Trim and file toenails
  • Reduce corns and calluses
  • Foot and lower leg massage
  • Cuticle care
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Foot Care Products – The Shop at ROC

Choosing the right orthotic, brace, splint, or pad can make the difference between pain-free movement or a painful day on your feet. Likewise, having the appropriate exercise or therapeutic devices to help rehabilitate a painful foot or ankle is essential to a timely recovery. With a flood of products to choose from, it helps to have a trustworthy source for selecting and applying new foot and ankle products.

The Shop at ROC, located on the first floor of the ROC Medical Plaza next to The Center for Foot & Ankle, is uniquely equipped to help with foot and ankle needs. 

The Shop provides only those products and services that meet the highest orthopedic, pedorthic, and medical standards, exemplifying The Shop’s commitment to comprehensive orthopedic care.

Should you need custom orthotics, please ask your provider for a referral to The Center’s pedorthist, Pete Padilla, or to a local orthotic provider designated by your insurance company.

  • "The staff in the foot and ankle clinic are always professional, thorough and caring"
  • "From top to bottom, everyone who was invloved with my visit was professional. Good team you guys have put together!"
  • "Over the last year all employees have exceeded expectations. Thank you for all you do."
  • "Wonderful, caring, and extremely helpful. I don't recommend breaking a bone but if you do this is the place to be!"