THE MINIMALLY INVASIVE way to treat flat feet

children | teens | adults

HYPROCURE Frequently Asked Questions

TREATMENT for knee, hip & back PAIN

At Next Step Foot & Ankle Clinic, Dr. Darren Silvester is proud to offer several state-of-the-art foot and ankle treatments for his patients.

One of these is a minimally invasive surgery called HyProCure, and if you have foot pain from fallen arches or flat feet, it could be your best chance to eliminate the pain without requiring an invasive, traditional surgery.

Every day in our office, we hear stories from people dealing with some kind of painful foot condition—heel pain, tendonitis, bunions, etc. What most people don’t know is that these are often secondary issues—symptoms rather than causes. The real culprit is feet that are flat or misaligned and cannot distribute forces in a normal, healthy way. Treating the secondary problem alone is kind of like re-inflating a tire without fixing the leak—you might get some temporarily relief, but the core issue remains.

What do we mean by “misaligned”? In many cases, that means that the ankle joint has “slipped” a bit out of place relative to the heel bone. It doesn’t take much of a slip before you may start noticing big problems, and a misaligned foot can throw your entire body out of balance, causing not only foot pain but discomfort throughout your body, including knees, hips, and back.

The HyProCure is a titanium stent, the approximate size and shape of a small screw, that is placed through a minimally invasive procedure, usually under twilight/local sedation, into a naturally occurring space between the ankle and heel bones.

Following placement of the HyProCure titanium stent instantly realigns and stabilized the hindfoot while allowing normal joint range of motion. 

Overall balance and alignment of the foot/ankle is improved and the arch of the foot may appear more normal.

It may not look like much, but this little device has helped tens of thousands overcome painful and even debilitating pain.


Common symptoms in both children and adults include:

  • Growing Pains / Shin Splints
  • Overpronation / Hyperpronation
  • Bunions / Hammertoes
  • Heel Pain / Spurs (Plantar Fasciitis)
  • Tendon and Ligament Strain
  • Knee, Hip and Back Pain

This condition will not resolve on it’s own. Patients do not grow out of it and it cannot be properly treated with exercise or physical therapy.

It is an anatomical, internal problem and only an internal solution can restore proper alignment.

The secondary effects of talotarsal displacement include abnormal strain and pressure on joints, ligaments and bones throughout the body.

When the secondary conditions are treated without properly addressing the partial talotarsal dislocation, the treatment results will be temporary. The symptoms will most likely recur or shift to another part of the body.

In the procedure, the HyProCure stent is inserted into a naturally occurring space between the ankle and heel.

Thanks to the unique titanium threading, the soft tissues in your foot are then able to quickly adhere to the stent naturally, with no screws or plates necessary.

Once in place, the device instantly realigns and stabilizes your hindfoot, moving your foot, ankle, hips, and knees back into proper alignment.

Your weight is rebalanced into a healthy configuration, decreasing pressure on sensitive joints and putting very little pressure on the stent itself.

In addition, you will also find improved range of motion in your ankle, and may even notice your arch return to a more normal shape.

Traditional surgery to correct adult-acquired flatfoot or to realign the ankle often requires large incisions, plates or screws, and a lengthy recovery period.

Bones, tendons, and ligaments may need to be cut, transferred, or realigned. Although surgery is usually successful and the end result will be a healthy foot, it is a major procedure and can keep you off your feet for a long time.

By contrast, minimally invasive HyProCure surgery is a minimally invasive procedure that only requires a small incision.

The stent is positioned in soft tissues inside a naturally occurring gap, which means no bones or tendons need to be cut or fused, and no screws or plates are required.

Thus yielding, much quicker recovery times.

Post-op the HyProCure procedure, we recommend you stay off your feet as much as possible for the first few days, but most people can get rid of the crutches after just 3-5 days, experience significant improvement in walking ability after 10 days, and can resume most activities after just 4-6 weeks with only minimal soreness.

The key to remember, the more you can rest and stay off your feet, the quicker your recovery will be.

Discover how HyProCure can help you take back your quality of life!

If you’re suffering from any kind of foot pain, especially if you’ve noticed flattening in your arches over time, you may be a candidate for this procedure. We are excited to offer this advanced procedure, and we’re proud to be one of only around 20 places in the country certified as a HyProCure Center of Excellence.

Take the next step toward happy feet and contact us today!

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The minimally invasive way to treat flat feet!


Don't just mask the symptoms, fix the underlying cause!


How Can HyProCure Help Me?

The HyProCure procedure can dramatically reduce and even eliminate your pain, while improving your quality of life.

Following the HyProCure procedure:

  • You should be able to gently step on your foot
  • Swelling or bruising is common for the first several days
  • There is a temporary period of abnormal walking until your foot adapts to it’s corrected position
  • After the first year, your body has typically fully adapted

Don't let your flatmisaligned feet slow you down!

Does your child walk funny?


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

Does my child have flat feet?

Flat feet can be a major problem for kids. Many people (some doctors included) think it is just something you have to live with. This is not the case.

So if you think your child is struggling with flat feet give us a call and let us discuss which options might be best for you and your child.

Dr. Silvester talks about flat feet in children and why we are the best choice to treat your children’s flat feet and help give them the active life, pain-free, they deserve!


Children with Flat/Misaligned Feet

cautionary signs to look for:

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):


Always wanting to be held

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


Avoiding physical activities

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


Shoelaces always coming untied

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


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.


Unusually over-weight

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


Collapsed arches or "too many toes syndrome"

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


Patient Success Story

In this video, a young patient and mom share their success story with our minimally invasive procedure to fix flat/misaligned feet with HyProCure.

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.


choose us?

At Next Step Foot & Ankle Clinic we are proud to announce that we are now a certified HyProCure Center of Excellence.

The HyProCure Treatment helps patients with a variety of conditions caused by poorly aligned feet.

If you have pain in your feet, ankles, hips, back, or knees, schedule an appointment with Dr. Darren Silvester today!


Call us direct at 210-375-3318.

Fill out our quick Appointment Request.

Click the CHAT button on the bottom right.

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