pediatric foot care

- protecting their future -

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!

Take the next step toward happy feet and schedule today.

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treatment options

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.


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

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

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

  • HyProCure for Flat/Misaligned Feet
  • Tendon Lengthening

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success story

A MINIMALLY INVASIVE treatment for Children with Flat/Misaligned Feet

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EFFECTIVE Treatment for Flat Feet in Children

A young patient and her mom follow-up nearly a year later, sharing their AMAZING results treating her flat feet with our minimally invasive procedure, HyProCure.


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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.

Take the next step
to happy feet!

Click the links to request your appointment or learn more about what Next Step Foot & Ankle Clinic can do for you.

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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