What We Do

The Foot and Ankle Rapid Access Clinic (RAC) Clinic is a new model of care created to help assess and manage Ontarians with foot and ankle pain and related symptoms. The clinic provides patients with rapid access, thorough assessment and personalized self-management plans to empower patients to take control of their foot and ankle pain.

The following conditions are seen in our Foot and Ankle RAC clinic:


  • Instability/sprain
  • Osteorchondral lesion
  • Ankle/subtalar arthritis
  • Achilles tendonitis
  • Deformity/tendon contracture
  • Second Opinion – with detailed reason for referral


  • Severe hallux valgus/bunion
  • Hallux rigidus/1st MTPJ arthritis
  • Midfoot arthritis
  • Pes planus/flatfeet
  • Accessory navicular/tarsal coalition
  • Pes cavus/high arch feet
  • Second Opinion – with detailed reason for referral

Acute foot and ankle injuries, including fractures, should be referred directly to TWH Fracture Clinic (Fax: 416 603 6752).

At the RAC clinic, patients are assessed by an Advanced Practitioner who has advanced training in arthritis and musculoskeletal care through the Advanced Clinician Practitioner in Arthritis Care (ACPAC) Program in addition to training directly with the specialist orthopedic surgeon. Patients who require surgical intervention will be referred to an orthopedic surgeon. Patients who do not require surgery will be provided with an evidence-based self-management plan, streamlined access to specialists and diagnostic services when indicated, and directed to local services if needed.


  • Foot and ankle assessment – may include diagnostics (x-rays, MRI, CT scan)
  • Self-care management – e.g., education, exercise prescription, bracing, orthotics
  • Orthopaedic surgery – e.g., arthroscopic, ligament repair, hindfoot/forefoot reconstruction

Having Surgery?

Our team performs some of the most complex surgeries in Canada. Find out how to prepare and what to expect during and after your hospital stay:

How to Prepare

It is very important to bring these CDs or DVDs with you for your consultation.

  • Ankle x-rays – Standing AP, lateral and oblique views of the affected ankle
  • Foot x-rays – Standing AP, lateral, and oblique views of the affected foot

Learn more about what you can expect when you have a clinic appointment.​

 Materials and Resources to Help You

Visit our Health Information section to find dedicated resources to help you understand your condition. Find the information you're looking for.

 Meet Our Team

The Foot and Ankle Rapid Access Clinic Team consists of an Advanced Physiotherapy Practitioner and an orthopedic surgeon. They work collaboratively to provide you with timely access to assessment and appropriate evidence-based conservative and surgical management to enable you to manage your foot and ankle joint related symptoms.


Administrative Team

Barbara Carvahlo
Phone: 416 603 6292

Advanced Physiotherapy Practitioner

Tamara Gotal
Phone: 416 603 5800 ext. 3195

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