What care is needed after ingrown toenail surgery? 

FAQ: General 

Post Op Instructions:  Ingrown Toenail Surgery

First Day Care

Go home and if possible, keep foot elevated for the first day.  Leave bandage on for 24 hours.  Do not remove dressing.  You may add additional gauze on top of the dressing if needed.

  Second Day Care

Wash toe with Anti-bacterial soap and rinse well.  Blot dry.  Apply triple antibiotic cream (such as NeoSporin) to surgery site and apply sterile bandage.  Repeat twice daily until the wound is healed.  Do not let the toe dry out!  Keep covered and treat it until you see us again two weeks.   If you have questions, you can call our Universal City office at 210.375.3318 or Pleasanton office at 830.569.3338. 


Will physical therapy speed up my recovery? 

FAQ: General

Physical therapy absolutely speeds up and improves your recovery. You see this clearly in the difference between professional and recreational athletes. Injuries that might sideline a weekend warrior for weeks while recovering may only take half the time with a professional athlete. This is largely because they get immediate medical treatment, including thorough physical therapy. You see faster recoveries with physical therapy in many situations. The treatment rehabilitates your limbs over time so that they build up strength, improve their range of motion, and generally restore their function. The sooner this happens, the more effective and quickly it works. Otherwise you’re left waiting for the injury to heal as best it can on its own, and then trying to rebuild the muscle strength you need to walk or move around correctly. If you’re struggling with a lower limb injury, don’t just wait for it to get better. Take an active role in healing it through physical therapy. Dr. Darren Silvester and our team at Next Step Foot & Ankle Clinic will help. Just call (210) 375-3318 to make an appointment. How does pregnancy affect your feet? 

FAQ: General

Pregnancy has a huge effect on your feet, sometimes in surprising ways. One of the most common issues with pregnancy and your feet is edema, or swelling. Extra weight and pressure from a weight-bearing stance that accommodates your growing belly can contribute to swelling in your feet and ankles. Cramping feet and spider veins are common consequences of weight gain as well. Many women develop a problem with overpronation, which can lead to arch, heel, and even ball of the foot pain. Plantar fasciitisis, unfortunately, a possible side effect of all this, too. Changes in hormones, along with added weight gain, can cause your feet to widen and flatten. This can actually increase your shoe size. Many women need to change their footwear to avoid pain from pinched feet. The right foot care can help you adjust to all these changes and take steps to alleviate any discomfort that may arise. Dr. Darren Silvester and our team at Next Step Foot & Ankle Clinic is more than happy to help you. Just make an appointment at our Pleasanton office through our website, or by calling (210) 375-3318. What kinds of foot conditions are considered rare? 

FAQ: General Rare foot conditions are any sort of disease, disorder, deformity, or even injury that only affects a few people. This range from cancer to forms of arthritis to unusual infections. Three specific rare foot disorders are Kohler’s disease, Maffucci syndrome, and Freiberg’s disease. All three involve damage or deterioration to the bones in the feet. Kohler’s disease is an arch problem. Something limits the blood flow to a midfoot bone called the tarsal navicular bone, causing it to break down and start to crumble. This creates pain and swelling in the arch. Maffucci syndrome involves benign bone tumors growing near the ends of long bones in your feet. These can deform your lower limbs, impair joint function, and increase your fracture risk. Freiberg’s disease flattens the head of a metatarsal bone. This causes a forefoot ache that worsens with activity and stiffens the affected toe. The sooner you seek a diagnosis for any of these conditions, the better it is for the affected feet. Let Dr. Darren and our team at Next Step Foot & Ankle Clinic help you diagnose and manage any rare foot disorders. Contact our Pleasanton, TX, office through our website or by calling (210) 375-3318.