pediatric foot care


PEDIATRIC FOOT CARE Frequently Asked Questions

At Next Step Foot & Ankle Clinic we provide pediatric foot care to children of all ages.  

It is common to have foot conditions at a young age, but it is never normal.

In some cases foot pain is genetic, while in other cases, it is developed or acquired.  Regardless of how the condition occurred, if you notice something unusual about the way your child walks, stands or how their feet or ankles are developing, you should  make an appointment at Next Step Foot and Ankle Clinic with our pediatric foot specialist.

Our Doctors at Next Step team have helped children and teens treat and overcome several common childhood foot and ankle ailments, including:

Sever’s Disease and Heel Pain:

One 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.

Flat Feet:

Flat feet can often be a hereditary problem that causes lifeline knee, hip, and back pain. While many parents wait to see if the child will outgrow the problem, after the age of seven it is unlikely that the condition will improve. For serious cases, simple, minimally invasive surgery can help your child’s feet grow and develop in the proper alignment, which can offer pain-free support for a lifetime.

Toenail Fungus:

Ingrown Toenails:

Plantar Warts:

Children often experience problems with plantar warts, which can cause intense pain when they spring up on the ball of the foot or heel. With simple procedures that can be performed in the office with minimal pain over the course of a few weeks, your child can overcome their painful warts.

Sprains and Sports Injuries:

Many kids start sports at a young age, and this can often lead to injuries. Sprains are some of the most common sports injuries a child can suffer, and if not treated promptly, can lead to long-term problems. If your child has suffered an ankle sprain, let the Next Step Foot & Ankle Clinic help him get back on his feet!

Fractures and Overuse Injuries:

Fractures can either be the result of a direct trauma or overuse, and these can leave a child in serious pain. Next Step can help your child’s fracture heal and provide important follow-up therapy to ensure a total recovery.

Diabetes is a chronic (long-lasting) disease with no cure that plagues millions every year. Diabetes is the body’s inability to produce or respond to the hormone insulin, affecting how your body turns food into energy. The majority of the food you eat is broken down into sugar (glucose), then released into your bloodstream. When your blood sugar rises, it communicates with your pancreas to release insulin. Insulin allows the blood sugar to enter your body’s cells for use of energy.

If you’ve been diagnosed with diabetes, your body either doesn’t make enough insulin or simply can’t use the insulin it naturally creates as well as it should. When your body doesn’t have sufficient insulin or the cells no longer respond to the insulin, you retain a dangerous amount of blood sugar in your bloodstream. 

If you have an active kid, you are probably used to fielding an array of bumps, bruises, and minor injuries. What many parents are not used to dealing with, however, are complaints of chronic pain from their children.


Help your child get back to their active life, PAIN FREE!

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Pediatric Foot Care
Pediatric Foot Care

minimially invasive

treatment & surgery

for pediatric foot care

Many people assume that chronic pain and foot problems are unique to older people or experienced athletes, so they assume that their children will eventually outgrow their symptoms.

While many of their aches and pains may, indeed, be related to growing pains, the symptoms may not disappear—they could get worse.


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.

Some of those are used to treat your child’s foot conditions, such as:

  • HyProCure for Flat/Misaligned Feet
  • Custom Orthotics
  • Surgical Options
  • Tendon Lengthening

One of the best things for Freiberg’s disease that we have found are custom made orthotics.

They can dramatically decrease the pressure on the bone, and control the biomechanics so the bone can heal.

Check at our page on our custom orthotics (Go4D FitStation by Hewlette Packard). We have the most advanced  system available in South Texas for these devices.

The literature has been fairly extensive regarding surgical options for Freiberg’s disease. There is good evidence that surgery can decrease stress on the metatarsal head and preserve function.

Simple surgeries such as metatarsal osteotomies just to get pressure off the bone (by making it a little bit shorter ) have been shown to be very effective.

Cartilage replacement therapies have also been used.

The specific surgery depends on the stage of the disease.

Shortening of the bone with some drilling of the necrosed bone is a mainstay of surgery.

Removal of spurs, hypertrophied tissue and loose bodies as well are always done.  

Chronic pain is NEVER something your child should expected to live with!

Does your child walk funny?

Take our quick quiz to see if your child might have flat feet:

Does my child have flat feet?


cautionary signs:

Some children may not be able to verbalize the symptoms they are experiencing, but parents can still spot signs of a problem with their child’s feet.

Check to see if your child exhibits any of the following behaviors (signs):

Pediatric Foot Care

Always wanting to be held

Your child wants to be held and carried longer/more often than other children, especially when walking.

Pediatric Foot Care

Avoiding physical activities

Your child avoids/resists normal physical activities, runs significantly slower and/or is less coordinated than other children.

Pediatric Foot Care

Shoelaces always coming untied

Your child shoelaces come untied more than normal due to the foot rolling inward at the ankle.

Pediatric Foot Care

Growing pains & pain in their legs

Your child experiences growing pains at bedtime and/or wakes up shortly after falling asleep from pain in their legs.

Pediatric Foot Care

Unusually over-weight

Your child is unusually over-weight, typically due to a lack in activity level.

Pediatric Foot Care

Collapsed arches or "too many toes syndrome"

Your child has collapsed arches, or "too many toes syndrome".

Don't let your child's flatmisaligned feet slow them down!

Pediatric Foot Care

Your first stop for Children's Foot Care is with a Pediatric Foot Specialist at Next Step in San Antonio & South Texas.


is for everyone!

Commonly, the word Podiatry and Pediatrics are often mixed up, simply for how similar they sound.

Uncommonly, when most think of Podiatry they think of Podiatry as a practice reserved for adults.

For foot and ankle specialist like ours at Next Step Foot & Ankle Clinic, we have successfully helped children of all ages overcome their chronic pain and injuries to return to their pain-free and active lives. In so doing, also preventing further issues throughout their body and lives. After all, our feet are essentially our foundation.

choose us?

WHY CHOOSE US for your child's flat feet needs?

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Dr. Silvester shares why our specialists at Next Step Foot & Ankle Clinic are the best choice to treat your children's flat feet. Let us help you. Call and schedule today if you think your child is suffering from flat feet.


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Blog Articles

If you have noticed that your child is experiencing pain and tenderness—or, if they have suffered a foot or ankle injury—come see the Next Step team to see what we can do to help your child get back to being a kid!

Related Areas:


In-Toeing and Out-Toeing

Sever’s Disease