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    (210) 375-3318

    Next Step Foot & Ankle Clinic

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      • In-Office Procedures
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        • Virtually Painless 5-step Toenail Removal Approach
      • Advanced In-Office Diagnostic Technology
        • Arthroscopic Diagnostics & Surgery
        • Diagnostic Injections
        • X-Ray Imaging
        • Fluoroscopy Imaging
        • Sudo Scan Nerve Testing
        • Risk Assessment Falls
        • Peripheral Arterial Disease (PAD) Screening
        • Ultrasound Imaging
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        • Electrical Signal Therapy
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    Phone: (210) 375-3318

    Fax: (210) 257-6931

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    Phone: (210) 375-3318

    Fax: (210) 257-6931

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    • About
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    • Appointments
    • Ask The Foot Doctor
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    • Bunions
    • Contact
    • Contents
      • "Why Do My Feet Hurt and What Can I Do About It?"
      • A Better Way to Treat Neuropathy Video
      • A Key Difference: Therapeutic Local Block Injections
      • A Red, Swollen Foot Doesn't Always Mean an Infection
      • Achilles Problems: Trouble with Your Power Tendon
      • Achilles Tendonitis
      • Achilles Tendonitis: More than a Greek Weakness
      • Advanced Foot Pain Treatments from Our Caring Staff
      • AmnioFix Injections for Plantar Fasciitis & Achilles Tendinitis
      • Ankle Pain Library
      • Anodyne Diabetic Footwear
      • Anodyne Men's Casual Diabetic Shoe Line
      • Anodyne Men's Sport Diabetic Shoe Line
      • Anodyne Men's Trail Diabetic Shoe Line
      • Anodyne Women's Casual Diabetic Shoe Line
      • Anodyne Women's Sport Diabetic Shoe Line
      • Anodyne Women's Trail Diabetic Shoe Line
      • Are You Suffering From Athlete’s Foot? Next Step Foot & Ankle Clinic Can Help You Beat It for Good!
      • Arrrggh, My Bunion Came Back! The problem.
      • Arthritis
      • Arthritis Library
      • Band Stretch at Home to Relieve Arch Pain
      • Before Your Surgery at Olympia Surgery Center
      • Before Your Surgery at Olympia Surgery Center (In-Network)
      • Before Your Surgery at Olympia Surgery Center (Out-of-Network)
      • Best Foot Care Habits: Finding Shoes that Fit
      • Billing for Your Surgery at Olympia Surgery Center
      • Black Toenails: Bumps and Bruises
      • Bunion Surgery and Recovery Time Video
      • Bunion Surgery Results
      • Bunions
      • Bursitis: Inflamed Tissue Protectors
      • Buying the Right Orthotics
      • Can Nerve Surgery Help Patients with Neuropathy?
      • Can orthotics help with flat feet?
      • Candy
      • Capsulitis: Toes in Turmoil
      • Cardiac Disease and Your Feet
      • Case Results
      • Case Results: Bunions
      • Case Results: Nail Fungus Treatment
      • Case Results: Surgery
      • Case Results: Toenail Fungus Treatment Results
      • Cavus Foot: Abnormally High Arches
      • Celi
      • Charcot Foot
      • Christina's Bunion Surgery Experience – 9 Months After Surgery
      • Christina's Bunion Surgery Experience – Day Five Video
      • Christina's Bunion Surgery Experience – Day Four
      • Christina's Bunion Surgery Experience – Day Three
      • Christina's Bunion Surgery Experience – Day Two
      • Chronic Foot Pain – Patient Testimonial
      • Claw Toe: Curled Under Digits
      • Common Conditions We Treat
        • Ankle Pain
          • Ankle Fractures
          • Ankle Sprains: The Right Treatment
          • Stress Fractures: Cracked Weight-Bearing Bones
        • Bone Issues
          • Deformities
        • Cancer
        • Diabetic Foot Care
        • Heel and Arch Pain
        • Nail and Skin Care
          • Blisters: Little Skin Sores
        • Nerve Issues
          • Lower Extremity Nerve Pain Conditions
        • Pediatric Foot Care
          • Clubfoot: Curved Baby Feet
          • Flatfoot Reconstruction: Rebuilding Shock Absorbers
          • In-Toeing and Out-Toeing: Learning How to Walk
        • Search Conditions
        • Sports Injuries
        • Surgery
        • Toe Pain
      • Corns and Calluses
      • Corns and Calluses Library
      • Corns and Calluses: Friction on Skin
      • Cuboid Syndrome
      • Custom Orthotics
      • Day One of Christina's Bunion Surgery Recovery Video
      • Deformities Library
      • Diabetes and Your Feet
      • Diabetic Foot Care Library
      • Diabetic Foot Ulcers
      • Diabetic Footwear
      • Diabetic Skin Care for Feet
      • Diabetic Wound Care
      • Do Injections for Ingrown Toenail Surgery Hurt?
      • Do You Have Hammertoes? Choose Next Step Foot & Ankle Clinic!
      • Doctor Approved Sandals and Shoes
      • Does the Neurogenx Treatment for Neuropathy Work?
      • Dr. Silvester explains ankle problems.
      • Dr.'s Remedy Nail Polish
      • Drill Sergeant's Experience with Heel Pain Video
      • Electrical Signal Therapy
      • Electrical Signal Therapy and your Neuropathy
      • Enchondroma
      • EST Therapy for Neuropathy
      • Everything You Need to Know About Bunion Surgery
      • Fall Prevention – Improve Balance & Stability with a Balance Device
      • Feel Your Feet Again with Nerve Decompression Surgery
      • Finding Foot Pain Relief: Testimonial
      • Finding Relief from Neuropathy Pain
      • Finding Relief from Unsteady Feet Video
      • FitStation by HP
      • Five Critical Steps for the Successful Treatment of Heel Pain
      • Flat Arches
      • Flat Feet in Children
      • Flatfoot Correction
      • FlatFoot Correction
      • Forefoot Surgery Results
      • Freiberg’s Disease: Rare Second Toe Breakdown
      • Frequently Asked Questions
        • Do you need to treat black toenails?
        • FAQ: Achilles Tendonitis
        • FAQ: Ankle Pain
        • FAQ: Ankle Sprains
        • FAQ: Ball of Foot Pain
        • FAQ: Bone Spurs
        • FAQ: Bunions
        • FAQ: Clubfoot
        • FAQ: Diabetic Foot Care
        • FAQ: Diabetic Foot Ulcers
        • FAQ: Electrical Signal Therapy
        • FAQ: Flat Feet
        • FAQ: Flat Foot Correction
        • FAQ: Fracture
        • FAQ: General
        • FAQ: Hammertoes
        • FAQ: Heel and Arch Pain
        • FAQ: HyproCure Treatment
        • FAQ: In-toeing and Out-toeing
        • FAQ: Ingrown Toenail
        • FAQ: MLS Laser Therapy
        • FAQ: Nail and Skin Care
        • FAQ: Nerve Pain
        • FAQ: Neuroma
        • FAQ: Neuropathy
        • FAQ: PAD
        • FAQ: Pediatrics
        • FAQ: Plantar Fasciitis
        • FAQ: Running Injuries
        • FAQ: Sever’s Disease
        • FAQ: Sports Injuries
        • FAQ: Surgery
        • FAQ: Toenail Fungus
        • FAQ: Turf Toe
        • How can I treat heel fissures at home?
        • Should I Pop the Blister on my Foot?
        • What are the Long Term Effects of Ankle Sprains?
        • What are the symptoms of skin cancer on my feet?
        • What should I do if my child has an ingrown toenail?
        • Why do my Toes Smell?
      • Fungal Skin and Nail Pack
      • General
      • General Library
      • General Testimonials
      • Going Over the Facts of Overpronation
      • Got Heel Pain? Choose Next Step Foot & Ankle Clinic Video
      • Gout
      • Haglund’s Deformity: Bumps on Heels
      • Hallux Rigidus
      • Hammertoes
      • Heel and Arch Pain Library
      • Heel Callus: Bones Under Pressure
      • How Acetyl L Carnitine Helps Treat Neuropathy Video
      • How Benfotiamine Helps Treat Neuropathy
      • How Dietary Supplements Can Help with Neuropathy Video
      • How Surgery Provided Relief for Ankle Pain
      • How to Fix an Ingrown Toenail at Home | Tutorial
      • How to Get Rid of Plantar Warts
      • How to Get Rid of Ugly Toenails Video
      • How to Heal a Pressure Ulcer or Diabetic Wound
      • How to refer a Worker's Compensation Patient to Next Step Foot & Ankle Clinic
      • How to Relieve Pain in the Ball of the Foot aka Neuroma Video
      • How to Remove Corns Safely and Permanently Video
      • How to Soften Dry, Cracked Heels Video
      • How to Speed Up Healing of a Painful Diabetic Ulcer
      • How to Split a Surgical Bandage to Relieve Pressure and Pain
      • How to Strengthen Foot Muscles with Towel Stretch Video
      • How to Treat Chronic Heel Pain Video
      • Hyfrecator Used for Ingrown Toenail Treatment
      • HyProCure
      • Hyprocure Treatment
      • HyProCure: Effective Treatment for Flat Feet
      • I feel like I have a new lease on life. I feel like I can go dancing.
      • I was very impressed
      • I went into this with a lot of hope and two weeks later the results exceeded my wildest dreams.
      • Information on Fungal Toenails
      • Ingrown Toenails
      • Insurance Plans Accepted by Next Step Foot and Ankle Clinic
      • Is it Painful to Get an Ingrown Toenail Removed?
      • Is there a Cure for Chronic, Degenerative Heel Pain? Video
      • Is Your Child Suffering From Heel Pain? He May Have Sever’s Disease, and Next Step Foot & Ankle Clinic Can Help
      • Know Your Pain: Ankle Sprain vs Fracture
      • L Arginine: Supplement to Help Relieve Neuropathy Symptoms Video
      • Lab Work For Your Surgery
      • Laura
      • Laurie
      • Learn More About Your Foot and Ankle Pain and How We Treat It Here
      • Leg Cramps and Bad Circulation in the Legs
      • Library
        • Diabetic Foot Ulcers
        • EpiFix Treatment for Diabetic Foot Ulcers
        • New!!! Advanced Wound Healing Technology now available at Next Step Foot & Ankle Clinic.
        • Patient Newsletters Library
        • Pediatric Ingrown Toenails
        • Physician to Physician Newsletters Library
        • Say Farewell to Heel Fissures
        • Skin Cancer and Your Feet
        • So You Have Neuropathy
        • Surgery at Northeast Methodist Hospital
        • Understanding Deformities of the Foot
      • Looking for a San Antonio or South Texas Podiatrist, Pediatric Podiatrist, Foot Doctor, or DPM Near You?
      • Mandy
      • Marilee Silvester
      • Meet Dr. Darren Silvester
      • Meet the Team
        • Darren Silvester, DPM, FACFAS, FABFAS, FAENS
        • Gregory Larsen, DPM, AENS
        • Staff
        • What Is A Podiatrist?
      • Metatarsalgia: Oh My Aching Forefoot
      • Michael Hoenig, Podiatrist at Next Step Foot & Ankle Clinic
      • MicroVas Therapy
      • Minimally Invasive Bunion Surgery Patient Testimonial Video
      • Minimally Invasive Bunion Surgery: Chevron Akin
      • Misty
      • MLS Laser Therapy
      • Moderate Bunion Deformity Surgery Results
      • Nail and Skin Care Library
      • Negative Side-Effects of Smoking on Your Feet
      • Negative Side-Effects of Smoking on Your Feet Video
      • Nerve Decompression Surgery: A Patient Testimonial Video
      • Nerve Pain
      • Nerve Pain Neuropathy
      • Nerve Pain Neuropathy
      • Neuroma
      • Neuropathy Treatment Testimonial
      • Neurostimulation Therapy: Life-changing Relief from Chronic Pain
      • New Treatment for Diabetic Neuropathy
      • News
      • Next Step Difference: Orthotics
      • Next Step Foot & Ankle Clinic FAQ
      • Next Step Foot and Ankle Clinic's Case of the Month: Flat Feet Video
      • Nutritional Supplements for Nerve Pain
      • One Patient's Story of Success with Neuropathy Treatments Video
      • Orthotics
      • Osteomyelitis: Bones Get Sick, Too
      • Overview of MLS Laser Therapy
      • Pain Relief from Bunion Surgery
      • Painful Bunions? Choose Next Step Foot & Ankle Clinic Video
      • Patient Recovery Experience with Charcot Foot Treatment
      • Patient Testimonial: Pain Free After Nerve Decompression Surgery
      • Patient treated for toenail fungus loves our staff.
      • Pediatrics Library
      • Peroneal Tendon Dislocation: Sliding in the Ankle Stabilizers
      • Physical Therapy: The Key to Complete Healing
      • Plantar Fasciitis
        • Plantar Fasciitis Specialist
      • Plantar Fasciitis Library
      • Plantar Warts
      • Podiatry
      • Pregnancy and Your Feet
      • QuadraStep System – Pre-fabricated Foot Orthotics
      • Quick fix for Hammertoes: Back in Shoes in 3 Days!
      • Rare Foot Diseases: Understanding Three Bone Problems
      • Reducing Neuropathy Discomfort with Alpha Lipoic Acid Video
      • Results of Surgery for Severe Bunion
      • Running Injuries Library
      • Schedule A Ride on Northeast Methodist Health Bus to Next Step Foot & Ankle Clinic at Universal City
      • Search
      • Senior Fall Prevention – Take a Stand to Prevent Falls
      • Sesamoiditis: Aching Ball of the Foot Pain
      • Severe Bunion Deformity Surgery Results
      • Shin Splints: Overuse in the Lower Legs
      • Shockwave Therapy for Foot & Ankle Pain
      • Simple Tips for Preventing Falls in the Home
      • Site Map
      • Sports Injuries Library
      • Stephanie
      • Steps to Take After Having Surgery
      • Stop the Pain of Ingrown Toenails
      • Stretches for Heel Pain Relief Video
      • Stretches to Treat Your Nerve Pain Video
      • Stretching Your Feet to Relieve Heel Pain Video
      • Successful Charcot Foot Surgery
      • Sudoscan Demo Video
      • Supplements you may want to check out to help lower your blood sugar.
      • Surgery at Olympia Surgery Center
      • Surgery at South Texas Regional Medical Center (STRMC)
      • Surgery Day at Olympia Surgery Center
      • Surgery Library
      • Swollen Feet from Edema
      • Take Care of Your Bunions with Minimally Invasive Surgery
      • Tarsal Tunnel Syndrome: Un-Pinching Nerves
      • Tear and Repair: Achilles Rupture and Surgery
      • The "Gold Standard" of Diabetic Wound Care
      • The Five-Step Lower Extremity Amputation Prevention (LEAP) Program
      • The Negative Effects of Smoking on Your Body
      • The Next Step Difference
        • The Next Step Difference: Adult Flat Foot
        • The Next Step Difference: Diabetes
        • The Next Step Difference: Foot Arthritis
        • The Next Step Difference: Foot Pain
        • The Next Step Difference: Foot Surgery
        • The Next Step Difference: Foot Ulcers
        • The Next Step Difference: For a Second Opinion
        • The Next Step Difference: Gout
        • The Next Step Difference: Minimally Invasive Foot and Ankle Surgery
      • The Next Step Difference: 2nd Opinions Video
      • The Next Step Difference: Achilles Tendinitis Video
      • The Next Step Difference: Arthritis Video
      • The Next Step Difference: Corns & Calluses Video
      • The Next Step Difference: Diabetic Foot Ulcers
      • The Next Step Difference: Flat Feet in Children Video
      • The Next Step Difference: Foot Pain Video
      • The Next Step Difference: Fungus Video
      • The Next Step Difference: Gout Video
      • The Next Step Difference: Heel Spurs Video
      • The Next Step Difference: Morton's Neuroma Video
      • The Next Step Difference: Numbness in Feet Video
      • The Next Step Difference: Plantar Fasciitis Video
      • The Next Step Difference: Plantar Warts
      • The One-Two Punch to Knock-Out Foot Pain
      • The Three Causes of Heel Pain Video
      • Tingling and Numbness in Your Feet Making it Difficult to Sleep Video
      • Tips for Fixing an Ingrown Toenail at Home
      • Tips to Eliminate Heel Pain without Surgery Video
      • Toe Pain Library
      • Toenail Fungus Treatment Results
      • Toenail Fungus: Unsightly Nail Changes
      • Treating Painful Diabetic Wounds and Ulcers
      • Treating Persistent Heel Pain
      • Treatment and Recovery Time for Minor Bunion Surgery
      • Treatment for Foot Nerve Entrapment Video
      • Turf Toe: Over-Bending the Big Toe
      • Unsteady Gait
      • Using a Night Splint for Heel Pain Video
      • Using Ultrasound to Diagnose and Treat Heel Pain Video
      • Vanessa
      • Vascular and Nerve Problems with the Feet
      • Videos
      • What Conditions can Orthotics Help Alleviate?
      • What do Diabetics Need to Know about Foot Health?
      • What Happens During Ingrown Toenail Surgery, Is it Painful?
      • What is electrical signal therapy?
      • What is osteomyelitis?
      • What is the Difference between Custom Orthotics and Arch Supports?
      • What to Expect After Bunion Surgery
      • What's Bothering You?
      • When the Bone Breaks: Healing Foot and Ankle Fractures Properly
      • Why is it Important for Diabetics to Exercise?
      • Why You Should Choose NSFAC for Ingrown Toenail Removal
      • Write A Review!
      • You Want A Second Opinion From A San Antonio or South Texas Podiatrist or Pediatric Podiatrist
      • Your Destination for Foot and Ankle Care in San Antonio and South Texas
    • Corns & Calluses
    • Dr’s Corner
    • E-Book Confirmation
    • Free Diabetic Foot Ulcers E-Book
    • Free E-Books
    • Free Heel Pain E-Book
    • Free Neuropathy E-book
    • Hammertoe
    • Home
    • In-Grown Toenails
    • Insurance
    • Insurance Providers
    • Meet Our Providers
      • Darren Silvester, DPM, FACFAS, FABFAS, FAENS
      • Gregory Larsen, DPM, AENS
    • Neuromas
    • Neuropathy
    • New Patients
      • Free Transportation to Next Step Foot & Ankle Clinic at Universal City
      • Insurance Information
      • No Insurance? No Problem!
      • Physician Referrals
    • Patient Referral Giveaway
    • Pay Your Bill
    • Peripheral Arterial Disease: Blocked Blood Highways
    • Plantar Fasciitis
    • Quiz: Does my child have flat feet?
    • Referring Physician Lunch and Learn
    • Review Us
    • Reviews
    • Sara E. Grzywa, DPM, AACFAS
    • Services
      • 3D Orthotics – FitStation by HP
      • Achilles Tendonitis Specialist
      • Arthritis Specialist
      • Arthroscopic Diagnostics & Surgery
      • Bunions Specialist
      • Corns And Calluses Specialist
      • Diagnostic Injections
      • Flat Feet Specialist
      • Fluoroscopy Imaging
      • Foot Pain Specialist
      • Foot Ulcer Specialist
      • Gout Specialist
      • Hammer Toe Specialist
      • Heel Spurs Specialist
      • Ingrown Toenail Specialist
      • Minimally Invasive Surgery Specialist
      • Neuroma Specialist
      • Neuropathy Specialist
      • Numbness In Feet Specialist
      • Orthotics Specialist
      • Other Orthotics
      • Peripheral Arterial Disease (PAD) Screening
      • Plantar Wart Specialist
      • Risk Assessment Falls
      • Sprained Ankle Specialist
      • Sudo Scan Nerve Testing
      • Toenail Fungus Specialist
      • Ultrasound Healing Therapy
      • Ultrasound Imaging
      • Virtually Painless 5-step Toenail Removal Approach
      • Vitamins
        • CoLig-10 (Collagen, Ligament & Tendon Support)
      • X-Ray Imaging
    • Severs Disease
    • Sitemap
    • Tarsal Tunnel/Tibial Nerve Entrapment
    • Testimonials & Reviews
    • Thank You
    • The Next Step Difference: Achilles Tendon Problems
    • The Next Step Difference: Plantar Fasciitis
    • Toenail Fungus
    • What Can We Improve?
    • Universal City Office
    • Pleasanton Office
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