The Next Step Difference


Welcome to Next Step Foot & Ankle Clinic where your foot and ankle health is our top priority. We have three podiatrists on staff: Dr. SilvesterDr. Larsen, and Dr. Grzywa, along with two clinic locations: one in Universal City, Texas and one in Pleasanton, Texas.

We strive to partner with our patients by getting to know you as a person. Our professional, friendly staff creates a welcoming environment that will put you at ease.

At Next Step Foot & Ankle Clinic, we enjoy treating patients of all ages, with all types of foot and ankle conditions. We offer many services other podiatrists do not, including minimally invasive treatment and surgery, as well as in-office diagnostic testing and treatment.

What makes us different from other podiatrist?

Exceptional Care from Friendly, Well Trained and Experienced Doctor of Podiatry with offices in San Antonio and South Texas

The podiatrists at the Next Step Foot & Ankle Clinic in San Antonio, Texas, are skilled foot and ankle physicians and surgeons with advanced and continued education, training, respected credentials and meaningful 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.

We Rely on Evidence-Based Medicine for the Best Results

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 Are Surgical Leaders, But Surgery Should Be the Last Resort

We believe in doing what’s best for your unique situation and that rarely begins with surgery. Instead, our physicians take a more conservative approach to treatment and only once we’ve exhausted all non-surgical treatment options will we pursue a minimally invasive surgical approach.

If we decide surgery is the only option for relief, you can rely on our surgical expertise for meaningful relief. Learn more about bunion surgery, neuroma surgery, and hammertoe surgery

We Are Specialists in Neuropathy Pain Relief

Next Step Foot & Ankle Clinic specializes in treating Neuropathy and related nerve pain and balance issues. We are very excited about the many treatment options available for nerve pain and we have the very latest diagnostic technologies available in our offices. Both Dr. Silvester and Dr. Larsen are members of the Association of Lower Extremity Nerve Surgeons (AENS). We have an extremely high success rate (near 85%) for Neuropathy relief.

We Are Specialists in Heel Pain Relief

At Next Step Foot & Ankle Clinic, we are specialist on treating chronic heel pain. We want you to know that heel pain is common but never normal.  If you suffer from heel or arch pain the simple fact is, you don’t have to just live with it.  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.

We have an extremely high success rate (near 95%) for plantar fasciitis and are known for curing even the most severe and extreme cases of heel pain.

We Can Also Help with Your Toenail Issues

Our physicians specialize in treatment of toenail fungus and ingrown toenails. If you have toenail fungus, we’ll provide you with the most current research-based treatment options including fungal lasers and pharmaceutical remedies. You’ll want to check out our Fungus to Fabulous Package. Our five-star approach will have your toenails fungus-free in 6 months. We take care of ingrown toenails quickly and with minimal pain as possible for both adults and children.

We Are Well Reviewed and Respected by Patients

It’s important to know that you’re in good hands when choosing a physician. This can be hard to determine without firsthand experience. One way to judge is to check out our Google and Facebook reviews from current and former patients. All of our physicians are consistently well-reviewed by their patients.

We Respect Your Time

We want to ensure that you are seen on time and rarely have to wait.  We schedule longer than average appointments and do not overbook. To help our goals of seeing each patient at their appointed time we ask that you complete your health information on our patient portal prior to your appointment. We also ask that you show up on time for your appointment.