Foot surgery is a big step for any patient.  There is a lot of concern about how the procedure will affect the patient’s life and activity level going forward.  There are a lot of things that need to be taken into account.

Ask about our minimally invasive treatment options for all your feet & ankle needs!

If you’ve tried it all, don’t let your fear of surgery prevent you from living your life pain free!

If you’re considering surgical correction of a foot or ankle problem, take the next step toward happy feet and scheduling today! We promise your feet will be in good hands!

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We often see patients who have undergone surgery for a certain condition in other locations without a careful exam.  This results in less than optimal results. Sometimes the main diagnosis has been missed entirely because the doctor who performed surgery did not do a careful clinical exam.

Our goal is to provide the best physical exam of the foot and ankle the patient has ever had. At Next Step Foot and Ankle Clinic, we have very rigid protocols that help us make the correct diagnosis to help your condition.



At Next Step Foot and Ankle Clinic, we take into consideration not just the foot condition, but the patient as well. For example, even with the same diagnosis, the procedure you perform on an 85-year-old patient may not be the same procedure you perform on a 20-year-old, highly active patient.

Also, there may be minimally invasive procedures, which most doctors are unfamiliar with, that offer a much shorter recovery time.

The degree of deformity or the amount of correction needed to make the foot functional is a consideration.

Oftentimes, a doctor only performs one or two procedures for a given deformity. This can sometimes limit the surgical outcomes to less than optimal results.

We customize our procedure selection to our patient’s needs. 



Pain is a big concern when you’re undergoing surgery. At Next Step Foot and Ankle Clinic we have strict protocols that help us limit the amount of postoperative pain our patients experience. 

Our patients are educated on what they should and should not be doing during the post-operative period, and steps are taken during surgery to minimize the potential pain levels a patient experiences after surgery.

It is never guaranteed, but frequently our patients will only need to take 1 or 2 pain pills following a procedure.



We have a surgical center on site. No need to go to a busy hospital. We have partnered with Christus Santa Rosa to provide a very intimate and warm environment for surgery housed in our Universal City location.



The current trend in all medicine is to try and do less harm and achieve the same results. At Next Step Foot and Ankle Clinic, our doctors are trained in minimally invasive surgery.

There are many deformities and conditions that can be addressed with very little trauma to the foot and ankle.


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. Sometimes combining these modalities can magnify the effects.

Some of those modalities are used to treat your foot & ankle needs, such as:

Nerve Decompression Surgery

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

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, Dr. Silvester 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.

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Click the link to hear from Dr. Silvester and a younger patient discuss his Toenail Surgery with Amazing Results.

One of the most common problems people face with their feet is ingrown toenails. Ranging from annoying to incredibly painful, ingrown toenails typically occur on the big toe. Ingrown nails occur when edges of the nail plate dig into the skin surrounding the nail, causing swelling, irritation, and even infection.

Read more about symptoms, complications and treatment of ingrown toenails by clicking the link below:

Learn More >

Click here to learn more about Arthroscopic Surgery and how it can benefit you. 

Sometimes, nothing else works so surgery is necessary.  We use many different types of surgical approaches to heel pain one of them that is very helpful is a percutaneous procedure where the incision is about as wide as a pencil lead.  This results in a very quick return to work and activity.

There are very minimally invasive procedures available for chronic plantar fasciitis. These require an incision that is about the width of  a pencil.  These can be done endoscopically or with the use of an ultrasound. The success rate of this kind of surgery is about 90%.
There are also more traditional open procedures.  These require a much longer recovery.
These surgeries can be combined with some of the advanced therapies listed above to speed the recovery and increase the success of the surgery.

In general, If we perform surgery on heel pain we use these minimally invasive techniques 1st.

Want to learn more about our Minimally Invasive Surgical techniques? Click here.

Click here to hear from Dr. Silvester share how we diagnose and treat heel pain using our in-office ultrasound.

If you suffer from persistent heel pain that hasn't responded to other treatment methods, cryosurgery may be right for you. Dr. Darren Silvester, podiatrist in Pleasanton, TX, offers minimally invasive cryosurgery to treat heel pain.

Click the link to hear from Dr. Silvester direct discuss: Cryosurgery: Effective Treatment for Persistent Heel Pain

success story

Nerve Decompression Surgery - Patient Testimonial

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Click the video to hear from one of our patients her success story with Nerve Decompression Surgery. Let us help you!


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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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