Our Vision
Our vision is to be the BEST practice in South Texas by providing the most comprehensive foot & ankle care. We are creating & growing a profitable practice in order to make a significant impact on the lives of our patients, team and community.
Why Choose Us
Here at Next Step Foot & Ankle Clinic, your foot and ankle health is our top priority. With our four experts: Dr. Silvester, Dr. Larsen, Dr. Grzywa, and Dr. Van Pelt our clinic has over 50 years of combined experience! Also, for our patient’s convenience we offer to clinic locations: Universal City, Texas and Pleasanton, Texas.
We strive to partner with our patients by initially focusing on the interpersonal aspects. Our professional, friendly staff provides a welcoming, family-oriented environment to ease your mind.
Our clinic enjoys treating patients of all ages, suffering from all types of foot and ankle conditions. We offer many services to ensure our patients can continue to leave a healthy, active lifestyle.
The Next Step Difference
Click the tabs below to learn more about the opportunities we provide to new and established patients. While our Next Step Foot & Ankle doctors and staff members are always working to improve, one thing that will never render is the exceptional care and knowledge we offer to our patients!
Our podiatrists at Next Step Foot & Ankle Clinic are skilled foot and ankle physicians and surgeons with advanced and continued education, training, respected credentials and hands-on experience in their chosen field.
Our doctors and staff are known for their friendliness, thoroughness, excellence and are well respected by both patients and the medical community. They are authorities on orthotics and all aspects of foot and ankle care and diagnosis from routine matters to the most complex.
Evidence-based medicine is the application of evidence gained from research to the treatment of patients. When treatment is based on the best and most recent studies, more effective relief of foot and ankle problems can be achieved.
Our doctors regularly evaluate the latest and most pertinent research and rely on evidence-based medicine to ensure their patients receive the best possible care. Our specialists are known for their conservative approach that results in a highly effective standard of care and has earned the trust of referring physicians.
We believe in tailoring all treatments options to match the needs of our patients, which very rarely begins with surgery. Instead, our physicians take a more conservative approach to treatment. Once we have exhausted all non-surgical treatment options, we will then pursue a minimally invasive surgical approach.
If we decide surgery is the only option for relief, you can rely on our surgical expertise to get you back on your feet!
Click the provided links to learn more about minimally invasive surgeries, such as: bunion , neuroma , and hammertoe surgery.
Next Step Foot & Ankle Clinic specializes in treating Neuropathy, related nerve pain and balance issues. We are very excited about the many treatment options available for nerve pain and we have advanced diagnostic technologies available in our offices. With both Dr. Silvester and Dr. Larsen being members of the Association of Lower Extremity Nerve Surgeons (AENS) , we have an 85% success rate for Neuropathy relief.
At Next Step Foot & Ankle Clinic, we are specialized in treating chronic heel pain. It is essential to know, heel pain is common but never normal. If you suffer from heel or arch pain, there are treatment options for you! Plantar Fasciitis is the most common cause of heel pain. We treat this with expertise as well as other causes of heel pain such as Achilles Tendonitis, heel spurs, stress injuries and more.
With a 95% success rate for Plantar Fasciitis, our doctors are known for curing even the most severe and extreme cases of heel pain.
Our physicians specialize in treatment of toenail fungus and ingrown toenails. If you have toenail fungus, we will provide you with the most current research-based treatment options, including fungal lasers and pharmaceutical remedies. You will want to check out our Fungus to Fabulous Package, for more detailed information! Our five-star approach will have your toenails fungus-free in as little as 6 months. We take care of ingrown toenails quickly and with minimal pain for both adults and children.
It is important to know that you are in great hands when choosing a Next Step Foot and Ankle physician. We understand this can be hard to determine without firsthand experience. However, one way to judge is to check out our Google and Facebook reviews from current and former patients. All of our physicians consistently receive 5-star reviews from new and established patients. We also like to think we serve 5-star patients!
Our clinic wants to ensure you are seen on time and experience a relatively short wait time. As a result, we schedule all new patients for a 45 minute appointment, to allow for a sufficient amount of questions and information to be exchanged. To help our goal of seeing each patient at their appointed time, we ask that you arrive at least 15 minutes prior to your appointment to complete your health information on our patient portal. We also ask that you show up on time for your appointment!