feel your feet again with

nerve decompression surgery


Losing feeling in any part of the body is scary. That emotion is compounded when your feet become numb. Not only are you faced with figuring out the source of the problem—you may fear that you will lose your mobility as well.

Finding an expert who understands the intricacies of nerve damage and offers real solutions can bring peace of mind. Dr. Darren Silvester and Dr. Gregory Larsen at Next Step Foot & Ankle are highly trained podiatrists who specializes in nerve conditions and nerve surgery.

Nerve Decompression surgery is a minimally invasive surgical procedure relieve pressure on the pinched or entrapped nerve.

Dr. Darren Silvester or Dr. Gregory Larsen will determine which nerve is causing your pain, and will consider all conservative options first.

However, surgery may be the best course of action to relieve pressure and restore your feet. Nerve decompression surgery is a broad category of procedures, but each has the same end goal—fully-functioning feet.

During the procedure, the doctor will preserve the nerve by expanding the area around it. This is called a release. The name makes sense, because the nerve is literally being released from the pressure that has resulted in your symptoms. In the case of tarsal tunnel syndrome, the tarsal tunnel which houses the tibial nerve, is cleared. This allows the nerve to do its job without interference from its surroundings.

This surgical intervention is typically done as an outpatient procedure. The incision is small, but you will need to stay off of your feet during the week after surgery. Plan to rest at home with your foot elevated during that time, and then proceed with caution until you are cleared for normal activity. As with any surgery, there are some risks, and following the detailed after-care plan is your best bet for a full and speedy recovery. Cheating on rest and care could result in further need for treatment.

Nerves that are affected by swelling or compression are often the result of a tumor or inflammation of the area around the nerve. In the feet, we commonly see patients who are experiencing the effects of Morton’s neuroma or tarsal tunnel syndrome. In both cases, the affected nerve is under extreme pressure.

Dr. Silvester and Dr. Larsen have additional certifications in nerve surgery. He has 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, our doctors 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.

Put the feeling back in your feet!

Take the next step toward happy feet and schedule today!

quick links:

Do you have numbness in your feet?


Click the video to hear from Dr. Silvester himself on his recommendations for numbness in feet.

If you have numbness in you feet you may want to consider seeing one of our specialists at Next Step Foot & Ankle Clinic today!

success stories

Patients SPEAK OUT about their success with Nerve Decompression Surgery!

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Our patients can't stop sharing their success stories. Click the videos to hear from them direct.


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The Best Options for Feeling in Your Feet

Your feet are the foundation of everything you do, so their care is essential. Whom do you trust when you’re experiencing numbness or other concerning symptoms? The answer is just around the corner at Next Step Foot & Ankle in Universal City and Pleasanton, TX. Dr. Darren Silvester has over twenty-five years of foot care experience. He has been specially trained and certified through the Dellon Institute for Peripheral Nerve Surgery, and he is a Fellow of the Association of Extremity Nerve Surgeons. His education and experience will serve you and your feet well. Call 210.375.3318 or contact us online for an appointment today if you’re in the San Antonio, TX area.