heel & arch pain

YOUR FIRST STOP FOR HEEL & ARCH PAIN in San Antonio & South Texas

If you suffer from heel or arch pain in your feet, you probably start your day like many others with the same pain—convincing yourself to “get it over with” and to put your feet on the floor for the first time that morning.

This is often when pain is the worst for those suffering with chronic foot pain, and many people have simply accepted that this is now part of their morning routine.

Do not admit defeat!

Conquering your Heel & Arch pain is as easy as taking the next step toward happy feet and scheduling today!

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Heel and Arch Pain

heel & arch pain

treatment options

Do your heels scream with pain first thing in the morning? At Next Step Foot & Ankle Clinic, we encounter people every day who have assumed—or been told—that there is no hope for their heel and arch pain.

Dr. Silvester and his team take great pride in the fact that they do not just offer effective treatments and therapies; they offer hope to those who have been told that pain will be a part of their life indefinitely.




Find out the difference between custom orthotics and arch supports and if they may be right for you.



Click the video below to see how Dr. Silvester recommends some at-home stretches. Stretching helps loosen your ligaments, increasing the elasticity and helping them heal.



Dr. Silvester shows you and our patient with chronic heel pain how to put her night splint on.

Provides a gentle stretch on the ligament causing the heel pain (plantar fasciitis)

In studies it works about 65% of the time without doing anything else. 



This is an option, but at Next Step Foot & Ankle Clinic we use these as “treatment options” last and if needed.


Dr. Silvester and Dr. Larsen specialize in many advanced minimally and non-invasive treatments, and if necessary, advanced minimally invasive and traditional surgical techniques with patient proven success stories.

Some of those are used to treat your heel & arch pain, such as:

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Shockwave therapy if appropriately applied has been shown to be as effective as surgery.

It does not interrupt your activities of daily living, has a very quick results in general, and can help  induce long-term healing to the tissues.

Shock wave has been shown to be as effective as surgery for plantar fasciitis.

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Nerve Decompression Surgery

When other non-operative treatments fail and compression of the nerve is playing a role in the nerve dysfunction, surgery may be the best option. Sometimes nerve disease is like sleeping on your elbow wrong. You wake up and your hand is numb or tingling. The nerve is just always being compressed.

Nerve decompression surgery allows the surgeon to open the tight area through which the nerves pass by dividing the anatomical structures that encase the nerve. Surgical procedures can be performed in the comfort of our Olympia Surgery Center.

Dr. Silvester and Dr. Larsen have additional certifications in nerve surgery. He has undergone specialized training in the treatment of painful nerve conditions. The organization called The Association of Extremity Nerve Surgeons (AENS) provides advanced training in the medical, physiological, and surgical treatment of nerve conditions. Through this organization and other ongoing medical education, Dr. Silvester chose to specialize in the treatment of these difficult and perplexing conditions. Dr. Silvester achieved adequate surgical experience and demonstrated proficiency in the procedure, and is now a Fellow of the Association of Extremity Nerve Surgeons.

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Injectable extracellular matrix is used to help you heal faster.  Frequently, if the heel pain has been present for a long time or is significant degeneration in the ligament (plantar fascia).

This treatment can provide a structural repair model for the tissue to heal itself. This is often used in conjunction with shockwave therapy.


We occasionally use amnion injections to help tissue heal.

Sometimes, nothing else works so surgery is necessary.

We use many different types of surgical approaches to heel pain one of them that is very helpful is a percutaneous procedure where the incision is about as wide as a pencil lead.  This results in a very quick return to work and activity

We have the gold standard in laser therapy.

Our MLS Laser Therapy is a robotic computerized laser that provides multiple benefits: Anti-inflammatory, analgesic, accelerated tissue repair, and improved vascularity are just a few.


Call us direct at 210-375-3318.

Fill out our quick Appointment Request

Click the CHAT button on the bottom right.

Take the next step
to happy feet!

Click the links to request your appointment or learn more about what Next Step Foot & Ankle Clinic can do for you.

Where will take you?

Dr’s Educational Presentations

Blog Articles on Heel and Arch Pain


Videos on Stretches for Heel and Arch Pain



If you are ready to wake up with pain-free heels and arches without problems, Next Step Foot & Ankle Clinic has a solution for you.

Contact Our Office Today to Set Up Your Consultation Appointment!

Browse our website to learn more about our services, or contact us directly at 210.375.3318 to schedule an appointment.

Related Areas:

Achilles Tendonitis

Plantar Fasciitis