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The Next Step Difference
Our Team
Dr. Silvester
Dr. Larsen
Dr. Grzywa
Dr. Van Pelt
Meet the Team
What Is A Podiatrist?
Conditions
Nail and Skin Care
In-Grown Toenails
Toenail Fungus
Corns And Calluses
Lower Extremity Nerve Pain Conditions
Neuropathy
Tarsal Tunnel/Tibial Nerve Entrapment
Neuromas
Pediatric Foot Care
Flat Feet in Children
In-Toeing and Out-Toeing
Club Foot
Flat Feet Specialist
Heel Spurs Specialist
Orthotics Specialist
Severs Disease
Diabetic Foot Care
Heel and Arch Pain
Plantar Fasciitis Specialist
Ankle Pain
Bone Issues & Deformities
Hammertoe
Bunions
Toe Pain
Foot & Ankle Arthritis
Sports Injuries
Services
Foot & Ankle Surgery
Minimally Invasive Foot & Ankle Surgery
Feel Your Feet Again with Nerve Decompression Surgery
Custom Orthotics
3D Orthotics – FitStation by HP
Other Orthotics
Orthotics for Children
In-Office Procedures
HyProCure
Virtually Painless 5-step Toenail Removal Approach
Advanced In-Office Diagnostic Technology
Arthroscopic Diagnostics & Surgery
Diagnostic Injections
X-Ray Imaging
Fluoroscopy Imaging
Sudo Scan Nerve Testing
Risk Assessment Falls
Peripheral Arterial Disease (PAD) Screening
Ultrasound Imaging
Innovative Minimally | Non-Invasive Treatments
MLS Laser Therapy
Electrical Signal Therapy
Shockwave Therapy
Fungal Laser Therapy
Ultrasound Healing Therapy
Amnio Injections
Vitamins
CoLig-10 (Collagen, Ligament & Tendon Support)
Safe Balance
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Education
Next Step Blog
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FAQ’s
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Pay My Bill
Patient Portal
New Patients
New Patient Fillable Form
New Patient Downloadable Form
Financial & Privacy Policy
Library
Directions to Our Offices
Free Transportation to our Universal City Location
Patient Testimonials
Free E-Books
Free Diabetic Foot Ulcers E-Book
Free Heel Pain E-Book
Free Neuropathy E-book
Patient Referral Giveaway
Locations
Universal City Office
Pleasanton Office
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Fluoroscopy Imaging
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Contents
"Why Do My Feet Hurt and What Can I Do About It?"
A Better Way to Treat Neuropathy Video
A Key Difference: Therapeutic Local Block Injections
A Red, Swollen Foot Doesn't Always Mean an Infection
Achilles Problems: Trouble with Your Power Tendon
Achilles Tendonitis
Achilles Tendonitis: More than a Greek Weakness
Advanced Foot Pain Treatments from Our Caring Staff
AmnioFix Injections for Plantar Fasciitis & Achilles Tendinitis
Ankle Pain Library
Anodyne Diabetic Footwear
Anodyne Men's Casual Diabetic Shoe Line
Anodyne Men's Sport Diabetic Shoe Line
Anodyne Men's Trail Diabetic Shoe Line
Anodyne Women's Casual Diabetic Shoe Line
Anodyne Women's Sport Diabetic Shoe Line
Anodyne Women's Trail Diabetic Shoe Line
Are You Suffering From Athlete’s Foot? Next Step Foot & Ankle Clinic Can Help You Beat It for Good!
Arrrggh, My Bunion Came Back! The problem.
Arthritis
Arthritis Library
Band Stretch at Home to Relieve Arch Pain
Before Your Surgery at Olympia Surgery Center
Before Your Surgery at Olympia Surgery Center (In-Network)
Before Your Surgery at Olympia Surgery Center (Out-of-Network)
Best Foot Care Habits: Finding Shoes that Fit
Billing for Your Surgery at Olympia Surgery Center
Black Toenails: Bumps and Bruises
Bunion Surgery and Recovery Time Video
Bunion Surgery Results
Bunions
Bursitis: Inflamed Tissue Protectors
Buying the Right Orthotics
Can Nerve Surgery Help Patients with Neuropathy?
Can orthotics help with flat feet?
Candy
Capsulitis: Toes in Turmoil
Cardiac Disease and Your Feet
Case Results
Case Results: Bunions
Case Results: Nail Fungus Treatment
Case Results: Surgery
Case Results: Toenail Fungus Treatment Results
Cavus Foot: Abnormally High Arches
Celi
Charcot Foot
Christina's Bunion Surgery Experience – 9 Months After Surgery
Christina's Bunion Surgery Experience – Day Five Video
Christina's Bunion Surgery Experience – Day Four
Christina's Bunion Surgery Experience – Day Three
Christina's Bunion Surgery Experience – Day Two
Chronic Foot Pain – Patient Testimonial
Claw Toe: Curled Under Digits
Common Conditions We Treat
Ankle Pain
Ankle Fractures
Ankle Sprains: The Right Treatment
Stress Fractures: Cracked Weight-Bearing Bones
Bone Issues
Deformities
Cancer
Diabetic Foot Care
Heel and Arch Pain
Nail and Skin Care
Blisters: Little Skin Sores
Nerve Issues
Lower Extremity Nerve Pain Conditions
Pediatric Foot Care
Clubfoot: Curved Baby Feet
Flatfoot Reconstruction: Rebuilding Shock Absorbers
In-Toeing and Out-Toeing: Learning How to Walk
Search Conditions
Sports Injuries
Surgery
Toe Pain
Corns and Calluses
Corns and Calluses Library
Corns and Calluses: Friction on Skin
Cuboid Syndrome
Custom Orthotics
Day One of Christina's Bunion Surgery Recovery Video
Deformities Library
Diabetes and Your Feet
Diabetic Foot Care Library
Diabetic Foot Ulcers
Diabetic Footwear
Diabetic Skin Care for Feet
Diabetic Wound Care
Do Injections for Ingrown Toenail Surgery Hurt?
Do You Have Hammertoes? Choose Next Step Foot & Ankle Clinic!
Doctor Approved Sandals and Shoes
Does the Neurogenx Treatment for Neuropathy Work?
Dr. Silvester explains ankle problems.
Dr.'s Remedy Nail Polish
Drill Sergeant's Experience with Heel Pain Video
Electrical Signal Therapy
Electrical Signal Therapy and your Neuropathy
Enchondroma
EST Therapy for Neuropathy
Everything You Need to Know About Bunion Surgery
Fall Prevention – Improve Balance & Stability with a Balance Device
Feel Your Feet Again with Nerve Decompression Surgery
Finding Foot Pain Relief: Testimonial
Finding Relief from Neuropathy Pain
Finding Relief from Unsteady Feet Video
FitStation by HP
Five Critical Steps for the Successful Treatment of Heel Pain
Flat Arches
Flat Feet in Children
Flatfoot Correction
FlatFoot Correction
Forefoot Surgery Results
Freiberg’s Disease: Rare Second Toe Breakdown
Frequently Asked Questions
Do you need to treat black toenails?
FAQ: Achilles Tendonitis
FAQ: Ankle Pain
FAQ: Ankle Sprains
FAQ: Ball of Foot Pain
FAQ: Bone Spurs
FAQ: Bunions
FAQ: Clubfoot
FAQ: Diabetic Foot Care
FAQ: Diabetic Foot Ulcers
FAQ: Electrical Signal Therapy
FAQ: Flat Feet
FAQ: Flat Foot Correction
FAQ: Fracture
FAQ: General
FAQ: Hammertoes
FAQ: Heel and Arch Pain
FAQ: HyproCure Treatment
FAQ: In-toeing and Out-toeing
FAQ: Ingrown Toenail
FAQ: MLS Laser Therapy
FAQ: Nail and Skin Care
FAQ: Nerve Pain
FAQ: Neuroma
FAQ: Neuropathy
FAQ: PAD
FAQ: Pediatrics
FAQ: Plantar Fasciitis
FAQ: Running Injuries
FAQ: Sever’s Disease
FAQ: Sports Injuries
FAQ: Surgery
FAQ: Toenail Fungus
FAQ: Turf Toe
How can I treat heel fissures at home?
Should I Pop the Blister on my Foot?
What are the Long Term Effects of Ankle Sprains?
What are the symptoms of skin cancer on my feet?
What should I do if my child has an ingrown toenail?
Why do my Toes Smell?
Fungal Skin and Nail Pack
General
General Library
General Testimonials
Going Over the Facts of Overpronation
Got Heel Pain? Choose Next Step Foot & Ankle Clinic Video
Gout
Haglund’s Deformity: Bumps on Heels
Hallux Rigidus
Hammertoes
Heel and Arch Pain Library
Heel Callus: Bones Under Pressure
How Acetyl L Carnitine Helps Treat Neuropathy Video
How Benfotiamine Helps Treat Neuropathy
How Dietary Supplements Can Help with Neuropathy Video
How Surgery Provided Relief for Ankle Pain
How to Fix an Ingrown Toenail at Home | Tutorial
How to Get Rid of Plantar Warts
How to Get Rid of Ugly Toenails Video
How to Heal a Pressure Ulcer or Diabetic Wound
How to refer a Worker's Compensation Patient to Next Step Foot & Ankle Clinic
How to Relieve Pain in the Ball of the Foot aka Neuroma Video
How to Remove Corns Safely and Permanently Video
How to Soften Dry, Cracked Heels Video
How to Speed Up Healing of a Painful Diabetic Ulcer
How to Split a Surgical Bandage to Relieve Pressure and Pain
How to Strengthen Foot Muscles with Towel Stretch Video
How to Treat Chronic Heel Pain Video
Hyfrecator Used for Ingrown Toenail Treatment
HyProCure
Hyprocure Treatment
HyProCure: Effective Treatment for Flat Feet
I feel like I have a new lease on life. I feel like I can go dancing.
I was very impressed
I went into this with a lot of hope and two weeks later the results exceeded my wildest dreams.
Information on Fungal Toenails
Ingrown Toenails
Insurance Plans Accepted by Next Step Foot and Ankle Clinic
Is it Painful to Get an Ingrown Toenail Removed?
Is there a Cure for Chronic, Degenerative Heel Pain? Video
Is Your Child Suffering From Heel Pain? He May Have Sever’s Disease, and Next Step Foot & Ankle Clinic Can Help
Know Your Pain: Ankle Sprain vs Fracture
L Arginine: Supplement to Help Relieve Neuropathy Symptoms Video
Lab Work For Your Surgery
Laura
Laurie
Learn More About Your Foot and Ankle Pain and How We Treat It Here
Leg Cramps and Bad Circulation in the Legs
Library
Diabetic Foot Ulcers
EpiFix Treatment for Diabetic Foot Ulcers
New!!! Advanced Wound Healing Technology now available at Next Step Foot & Ankle Clinic.
Patient Newsletters Library
Pediatric Ingrown Toenails
Physician to Physician Newsletters Library
Say Farewell to Heel Fissures
Skin Cancer and Your Feet
So You Have Neuropathy
Surgery at Northeast Methodist Hospital
Understanding Deformities of the Foot
Looking for a San Antonio or South Texas Podiatrist, Pediatric Podiatrist, Foot Doctor, or DPM Near You?
Mandy
Marilee Silvester
Meet Dr. Darren Silvester
Meet the Team
Darren Silvester, DPM, FACFAS, FABFAS, FAENS
Gregory Larsen, DPM, AENS
Staff
What Is A Podiatrist?
Metatarsalgia: Oh My Aching Forefoot
Michael Hoenig, Podiatrist at Next Step Foot & Ankle Clinic
MicroVas Therapy
Minimally Invasive Bunion Surgery Patient Testimonial Video
Minimally Invasive Bunion Surgery: Chevron Akin
Misty
MLS Laser Therapy
Moderate Bunion Deformity Surgery Results
Nail and Skin Care Library
Negative Side-Effects of Smoking on Your Feet
Negative Side-Effects of Smoking on Your Feet Video
Nerve Decompression Surgery: A Patient Testimonial Video
Nerve Pain
Nerve Pain Neuropathy
Nerve Pain Neuropathy
Neuroma
Neuropathy Treatment Testimonial
Neurostimulation Therapy: Life-changing Relief from Chronic Pain
New Treatment for Diabetic Neuropathy
News
Next Step Difference: Orthotics
Next Step Foot & Ankle Clinic FAQ
Next Step Foot and Ankle Clinic's Case of the Month: Flat Feet Video
Nutritional Supplements for Nerve Pain
One Patient's Story of Success with Neuropathy Treatments Video
Orthotics
Osteomyelitis: Bones Get Sick, Too
Overview of MLS Laser Therapy
Pain Relief from Bunion Surgery
Painful Bunions? Choose Next Step Foot & Ankle Clinic Video
Patient Recovery Experience with Charcot Foot Treatment
Patient Testimonial: Pain Free After Nerve Decompression Surgery
Patient treated for toenail fungus loves our staff.
Pediatrics Library
Peroneal Tendon Dislocation: Sliding in the Ankle Stabilizers
Physical Therapy: The Key to Complete Healing
Plantar Fasciitis
Plantar Fasciitis Specialist
Plantar Fasciitis Library
Plantar Warts
Podiatry
Pregnancy and Your Feet
QuadraStep System – Pre-fabricated Foot Orthotics
Quick fix for Hammertoes: Back in Shoes in 3 Days!
Rare Foot Diseases: Understanding Three Bone Problems
Reducing Neuropathy Discomfort with Alpha Lipoic Acid Video
Results of Surgery for Severe Bunion
Running Injuries Library
Schedule A Ride on Northeast Methodist Health Bus to Next Step Foot & Ankle Clinic at Universal City
Search
Senior Fall Prevention – Take a Stand to Prevent Falls
Sesamoiditis: Aching Ball of the Foot Pain
Severe Bunion Deformity Surgery Results
Shin Splints: Overuse in the Lower Legs
Shockwave Therapy for Foot & Ankle Pain
Simple Tips for Preventing Falls in the Home
Site Map
Sports Injuries Library
Stephanie
Steps to Take After Having Surgery
Stop the Pain of Ingrown Toenails
Stretches for Heel Pain Relief Video
Stretches to Treat Your Nerve Pain Video
Stretching Your Feet to Relieve Heel Pain Video
Successful Charcot Foot Surgery
Sudoscan Demo Video
Supplements you may want to check out to help lower your blood sugar.
Surgery at Olympia Surgery Center
Surgery at South Texas Regional Medical Center (STRMC)
Surgery Day at Olympia Surgery Center
Surgery Library
Swollen Feet from Edema
Take Care of Your Bunions with Minimally Invasive Surgery
Tarsal Tunnel Syndrome: Un-Pinching Nerves
Tear and Repair: Achilles Rupture and Surgery
The "Gold Standard" of Diabetic Wound Care
The Five-Step Lower Extremity Amputation Prevention (LEAP) Program
The Negative Effects of Smoking on Your Body
The Next Step Difference
The Next Step Difference: Adult Flat Foot
The Next Step Difference: Diabetes
The Next Step Difference: Foot Arthritis
The Next Step Difference: Foot Pain
The Next Step Difference: Foot Surgery
The Next Step Difference: Foot Ulcers
The Next Step Difference: For a Second Opinion
The Next Step Difference: Gout
The Next Step Difference: Minimally Invasive Foot and Ankle Surgery
The Next Step Difference: 2nd Opinions Video
The Next Step Difference: Achilles Tendinitis Video
The Next Step Difference: Arthritis Video
The Next Step Difference: Corns & Calluses Video
The Next Step Difference: Diabetic Foot Ulcers
The Next Step Difference: Flat Feet in Children Video
The Next Step Difference: Foot Pain Video
The Next Step Difference: Fungus Video
The Next Step Difference: Gout Video
The Next Step Difference: Heel Spurs Video
The Next Step Difference: Morton's Neuroma Video
The Next Step Difference: Numbness in Feet Video
The Next Step Difference: Plantar Fasciitis Video
The Next Step Difference: Plantar Warts
The One-Two Punch to Knock-Out Foot Pain
The Three Causes of Heel Pain Video
Tingling and Numbness in Your Feet Making it Difficult to Sleep Video
Tips for Fixing an Ingrown Toenail at Home
Tips to Eliminate Heel Pain without Surgery Video
Toe Pain Library
Toenail Fungus Treatment Results
Toenail Fungus: Unsightly Nail Changes
Treating Painful Diabetic Wounds and Ulcers
Treating Persistent Heel Pain
Treatment and Recovery Time for Minor Bunion Surgery
Treatment for Foot Nerve Entrapment Video
Turf Toe: Over-Bending the Big Toe
Unsteady Gait
Using a Night Splint for Heel Pain Video
Using Ultrasound to Diagnose and Treat Heel Pain Video
Vanessa
Vascular and Nerve Problems with the Feet
Videos
What Conditions can Orthotics Help Alleviate?
What do Diabetics Need to Know about Foot Health?
What Happens During Ingrown Toenail Surgery, Is it Painful?
What is electrical signal therapy?
What is osteomyelitis?
What is the Difference between Custom Orthotics and Arch Supports?
What to Expect After Bunion Surgery
What's Bothering You?
When the Bone Breaks: Healing Foot and Ankle Fractures Properly
Why is it Important for Diabetics to Exercise?
Why You Should Choose NSFAC for Ingrown Toenail Removal
Write A Review!
You Want A Second Opinion From A San Antonio or South Texas Podiatrist or Pediatric Podiatrist
Your Destination for Foot and Ankle Care in San Antonio and South Texas
Corns & Calluses
Dr’s Corner
Dr. Carolina Van Pelt, DPM
E-Book Confirmation
Free Diabetic Foot Ulcers E-Book
Free E-Books
Free Heel Pain E-Book
Free Neuropathy E-book
Hammertoe
Home
In-Grown Toenails
Insurance
Insurance Providers
Meet Our Providers
Darren Silvester, DPM, FACFAS, FABFAS, FAENS
Gregory Larsen, DPM, AENS
Neuromas
Neuropathy
New Patients
Free Transportation to Next Step Foot & Ankle Clinic at Universal City
Insurance Information
No Insurance? No Problem!
Physician Referrals
Patient Referral Giveaway
Pay Your Bill
Peripheral Arterial Disease: Blocked Blood Highways
Plantar Fasciitis
Quiz: Does my child have flat feet?
Referring Physician Lunch and Learn
Review Us
Reviews
Sara E. Grzywa, DPM, AACFAS
Services
3D Orthotics – FitStation by HP
Achilles Tendonitis Specialist
Arthritis Specialist
Arthroscopic Diagnostics & Surgery
Bunions Specialist
Corns And Calluses Specialist
Diagnostic Injections
Flat Feet Specialist
Fluoroscopy Imaging
Foot Pain Specialist
Foot Ulcer Specialist
Gout Specialist
Hammer Toe Specialist
Heel Spurs Specialist
Ingrown Toenail Specialist
Minimally Invasive Surgery Specialist
Neuroma Specialist
Neuropathy Specialist
Numbness In Feet Specialist
Orthotics Specialist
Other Orthotics
Peripheral Arterial Disease (PAD) Screening
Plantar Wart Specialist
Risk Assessment Falls
Sprained Ankle Specialist
Sudo Scan Nerve Testing
Toenail Fungus Specialist
Ultrasound Healing Therapy
Ultrasound Imaging
Virtually Painless 5-step Toenail Removal Approach
Vitamins
CoLig-10 (Collagen, Ligament & Tendon Support)
X-Ray Imaging
Severs Disease
Sitemap
Tarsal Tunnel/Tibial Nerve Entrapment
Testimonials & Reviews
Thank You
The Next Step Difference: Achilles Tendon Problems
The Next Step Difference: Plantar Fasciitis
Toenail Fungus
What Can We Improve?
Universal City Office
Pleasanton Office
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