Your First Stop for Heel Pain and Arch Pain in San Antonio and Southern 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.

High Arch Feet

Do Not Admit Defeat! Conquering Your Pain Is as Easy as Taking the Next Step

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.

If you have recently developed pain in your heel, we can help you manage and overcome your pain through a variety of treatments available right here in our office!

Planter Fasciitis a.k.a. Heel Spur Syndrome

Do your heels scream with pain first thing in the morning? This pain can be caused by anything from arthritis or a fracture to nerve irritation, but most commonly, it is caused by plantar fasciitis.

Plantar fasciitis, a condition also known as heel spur syndrome, is an inflammation of the plantar fascia—a band of tissue that runs from your heel to your toes. This inflammation is typically caused by an abnormality in the structure of the foot, such as extremely high arches or flat feet—or by an external irritation, such as non-supportive footwear over long periods of time.

Treatments for plantar fasciitis can vary depending on the severity and nature of your inflammation. Sometimes, simple at-home options such as stretches, ice packs, and shoe modifications can help reduce irritation, and are often initially prescribed to reduce pain and symptoms. If the pain continues, more aggressive treatments such as night splints and casts, injections, or orthotics are employed.

For pain that persists after less invasive treatments, Dr. Silvester and the Next Step team now offer cryosurgery. An in-office procedure that takes about 30 minutes, the doctor locates the nerve causing your pain and essentially freezes it. There are typically no stitches involved, and postoperative discomfort is minimal.

What is a Heel Spur?

heel spur is a bone-growth that looks like a spur at the insertion of the plantar fascia on the heel. They’re seen more frequently in people with painful heels but they are also seen quite frequently in people that have no pain. The presence or absence of a heel spur does not make the diagnosis of plantar fasciitis but does suggest the presence of the disease. The spur does not (usually) need to be removed to alleviate heel pain. Many many people live their whole lives with heel spurs with no pain in their heels.

What can be done to diagnose your Heel Pain?

Probably the most important thing that a podiatrist can provide you with is the correct diagnosis. In our office we use diagnostic ultrasound and x-rays to evaluate the patient and make the correct diagnosis. In about 10% of the patients that come into our office, the plantar fascia is not involved in the patient’s pain.

Heel Pain in Children

Sever’s Disease and Heel PainOne of the most common childhood complaints, heel pain is often caused by Sever’s disease. Sever’s disease is the result of the growth plates in the heel growing faster than the Achilles tendon, which causes irritation and pain as the tendon and other muscles tighten. Dr. Silvester can help treat symptoms effectively and economically with shoe inserts and therapy.

What are possible treatments for Heel and Arch Pain?

As mentioned above, specific instructions in stretching and strengthening of the foot can be given.  Also we can provide you with appropriate suggestions on shoe gear and arch supports or custom orthotics. Additionally, injections can be given. There are other devices that we use in the treatment of heel pain as well such as night splints, and occasionally cam walkers.

How to Relieve Heel Pain without SurgeryUsing a Night Splint for Heel PainHow to Treat Chronic Heel PainShockwave TherapyMLS Laser TherapyOne-Two Punch for Foot Pain

Blog Articles on Heel and Arch Pain

Heel Pain: What You Need to KnowRehab Your High Arches with Toe ExercisesAn Overview of Heel PainSay Farewell to Heel FissuresHaglund’s Deformity: Bumps on HeelsCavus Foot: Abnormally High Arches

Videos on Stretches for Heel and Arch Pain

Stretches for Heel PainArch Strengthening ExercisesStrengthening Foot MusclesPodiatrist Recommended Stretches to Relieve Heel Pain


Why does my high-arched foot hurt?What is the difference between tendinitis and bursitis?What are the main causes of heel pain?

Contact Our Office Today to Set Up Your Consultation Appointment!

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. Browse our website to learn more about our services, or contact us directly at 830-569-3338 or 855-972-9512 to schedule an appointment.

Related Areas:

Achilles TendonitisPlantar Fasciitis