lower-extremity

NERVE PAIN CONDITIONS

Lower Extremity NERVE PAIN Frequently Asked Questions

Lower extremity nerve pain, or weakness associated with nerve dysfunction, is experienced by people of all ages and demographic backgrounds. It most often occurs in middle age or later. It can also be the result of injury that happened earlier in life. Many times it is related to an underlying metabolic disease such as diabetes, thyroid conditions, or others.

There are a number of causes of lower leg and foot nerve pain. Often, these common problems go undiagnosed or misdiagnosed because symptoms can be so varied, and because the onset of symptoms is sometimes very slow.

Neuropathy

Neuropathy is nerve damage that generally results from a systemic disease. Diabetes, thyroid problems, lupus, rheumatoid arthritis, Sjorgren’s syndrome, and celiac disease are just some of diseases that can contribute to nerve damage. The most common form of neuropathy is diabetic peripheral neuropathy; up to 30% of the cases of peripheral neuropathy are caused by this disease.

Tarsal Tunnel Syndrome: AKA Nerve Entrapment

At the inside of your ankle, a nerve divides into branches and crosses from the leg into the foot through a series of tunnels. This main nerve is called the tibial nerve, and it branches out to the medial and lateral plantar, and the calcaneal nerves. Sometimes, when the ankle moves the nerve gets pressed. When the nerve gets pressed, blood flow to the nerve decreases, and the nerve sends a message of numbness and tingling, or buzzing of the foot/toes. This is very common in patients with diabetes because elevated blood sugar can make the nerve swell. If the nerve gets too big, it gets pinched going through its tunnel, causing symptoms to be felt on the bottom of the foot.

Neuromas

Compression of the sensory nerve between the metatarsals is a very common condition of the foot. The symptoms most people complain about are burning, numbness, cramping, and ball of foot pain. Interdigital neuroma can occur between any of the toes. With an interdigital neuroma, the burning, numbness, and cramping are often felt on the top of the foot.

At Next Step Foot & Ankle Clinic we are very exited about the many treatment options for nerve pain and that we have the very latest technologies available in our offices.

What sets us apart is a multi-pronged approach in treating nerve pain that helps heal the nerve. We hope you consider Next Step Foot and Ankle Clinic as your next step for healthy feet. 

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Lower Extremity
Nerve Pain

treatment options

Can conservative care help treat my lower extremity nerve pain?

The expert team at Next Step Foot & Ankle Clinic wants you feeling comfortable with your treatment and designs a personalized treatment plan with you in mind.

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conservative treatment options for:

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Below are links to educational video’s of Dr. Silvester and Dr. Larsen talking about some of the conservative ways we treat neuropathy, such as:

 
Taking Supplements
    • How Dietary Supplements Can Help with Neuropathy – see video here
    • L Arginine: Supplement to Help Relieve Neuropathy Symptoms – see video here
    • How Acetyl L Carnitine Helps Treat Neuropathy – see video here
    • Reducing Neuropathy Discomfort with Alpha Lipoic Acid – see vide here
    • How Benfotiamine Helps Treat Neuropathy – see video here
Stretching
    • Stretches to Relieve Your Nerve Pain – see video here
    • Stretches for Heel Pain | Stretching Demonstration – see video here

For more info about neuropathy and how our specialists at Next Step Foot & Ankle Clinic can help you and your lower extremity nerve pain, click here.

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In the video below, Dr.Silvester explains why Next Step Foot & Ankle Clinic is your best option for treating Morton’s Neuroma.

For more info about neuromas and how our specialists at Next Step Foot & Ankle Clinic can help you and your lower extremity nerve pain, click here.

Don't let painful nerve pain stop you from living your best life!

advanced
minimially invasive

treatment & surgery
options

for lower extremity nerve pain

Looking for a Nerve Pain Expert but don’t live in San Antonio?

Dr. Silvester received his nerve training from the Association of Extremity Nerve Surgeons. To find a nerve pain expert in your local area, with at least 2 years of experience and has completed specialty training from the Association of Extremity Nerve Surgeons.

Click the logo below to use the Find A Doctor tool.

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treatment & surgery options

Dr. Silvester and Dr. Larsen specialize in many advanced minimally and non-invasive treatments, and if necessaryadvanced minimally invasive and traditional surgical techniques with patient proven success stories.

If your nerve pain isn’t responding to conservative treatments, surgery may be your best option, such as:

  • Nerve Decompression Surgery
  • Electrical Signal Therapy (EST)

Decompression surgery reduces the pressure on the nerve causing pain. Decompression surgery also cuts some of the ligaments near the bones.

In other cases, your medical team removes the nerve or tumor causing the pain. After your surgery, you may still have numbness, but the pain subsides.

When other non-operative treatments fail and compression of the nerve is playing a role in the nerve dysfunction, surgery may be the best option. Sometimes nerve disease is like sleeping on your elbow wrong. You wake up and your hand is numb or tingling. The nerve is just always being compressed.

Nerve decompression surgery allows the surgeon to open the tight area through which the nerves pass by dividing the anatomical structures that encase the nerve.

Click here to learn more about Nerve Decompression Surgery. 

Surgical procedures can be performed in the comfort of our Olympia Surgery Center located next door.

Dr. Silvester and Dr. Larsen have additional certifications in nerve surgery. They have undergone specialized training in the treatment of painful nerve conditions.

The organization called The Association of Extremity Nerve Surgeons (AENS) provides advanced training in the medical, physiological, and surgical treatment of nerve conditions. Through this organization and other ongoing medical education, Dr. Silvester and Dr. Larsen chose to specialize in the treatment of these difficult and perplexing conditions.

Dr. Silvester achieved adequate surgical experience and demonstrated proficiency in the procedure, and is now a Fellow of the Association of Extremity Nerve Surgeons.

Electrical Signal Therapy (EST) is a treatment program for patients who suffer with diabetic and peripheral neuropathy and other chronic pain issues found in their feet and ankles.

The neoGEN-Series® signal energy waves, along with associated harmonic resonance frequencies, are used to physiologically imitate, exhaust or block certain functions of the amacrine, somatic or sympathetic nerve fibers for comprehensive patient treatment success.

The neoGEN-Series® system is a state-of-the art, technically-innovative medical device for producing electric cell signaling energy waves (EST and ESI). The system is used to successfully treat circulatory issues, all types of acute and chronic pain, long-term (intractable) pain and drug-resistant pain.

Click here to learn more about Electrical Signal Therapy and how it can help your lower extremity nerve pain.

In this video, Dr. Silvester with Next Step Foot & Ankle Clinic shares with all of you how Electrical Signal Therapy is a great minimally invasive way to treat lower extremity nerve pain.

Want to know more? Click the chat button at the bottom right of your screen to chat with a NSFAC staff member today, or click the prompts below.

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Patient Success Story

In this video, our patient shares her success story with Nerve Decompression Surgery at Next Step Foot & Ankle Clinic.

Want to know more? Click the chat button at the bottom right of your screen to chat with a NSFAC staff member today, or click the prompts below.

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choose us?

This patient said GOODBYE to nerve pain!

In this video, our patient shares her experience and success story with getting Nerve Decompression Surgery for Nerve Entrapment at Next Step Foot & Ankle Clinic.

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