YOUR FIRST STOP FOR HEEL PAIN in San Antonio & South Texas
Frequently Asked Questions
If you suffer from heel or arch pain in your feet,you probably start your day like many others with the same pain—convincing yourself to “get it over with” and to put your feet on the floor for the first time that morning.
This is often when pain is the worst for those suffering with chronic foot pain, and many people have simply accepted that this is now part of their morning routine.
Stop letting heel pain interrupt your life!
Conquering your Heel pain is as easy as taking the next step toward happy feet and scheduling today!
Is your pain worse in the morning?
If you truly have plantar fasciitis that’s all you have, we have a wonderful treatment plan that usually can get you feeling better fairly quickly (a few days). We follow that up with long-term plan to heal the damaged tissue. This is all determined by how you are doing with our therapies. On your first visit our goal is to have you 85-90% better in 2-5 days.
To do that we do several things all at once. This approach has been very successful for our patients. Most of the things mentioned above are in that plan. We also include medications, injections, night splints, and nutritional supplements.
We have an array of therapies not available in most clinics if needed. First, your ligament needs to heal. Your podiatrist may suggest reducing your activity level or taking a break from activities for a short time. Elevating and icing your foot also help reduce the swelling.
Treatments for plantar fasciitis can vary depending on the severity and nature of your inflammation. Sometimes, simple at-home options such as stretches, ice packs, and shoe modifications can help reduce irritation, and are often initially prescribed to reduce pain and symptoms. If the pain continues, more aggressive treatments such as night splints and casts, injections, or orthotics are employed.
The professional team at Next Step Foot & Ankle Center helps you determine the best way to alleviate plantar fasciitis, in the most conservative way as possible.
Most cases of plantar fasciitis go away after treatment methods such as:
WEARING SUPPORTIVE SHOES
Changing your shoes to more comfortable footwear and/or adding orthotic insoles to relieve the pressure on your ligament can help increase your elasticity and heal.
REDUCING HIGH-IMPACT ACTIVITIES SUCH AS RUNNING
Click the video below to see how Dr. Silvester recommends stretches to help treat your Heel Pain. Stretching helps loosen your ligaments, increasing the elasticity and helping them heal.
Wearing a night splint or brace keeps your muscles from pulling on your bone while you sleep, assisting further in helping you heal.
In studies it works to treat Plantar Fasciitis about 65% of the time without doing anything else.
ADVANCED & MINIMALLY INVASIVE
TREATMENTS & SURGERIES
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 Plantar Fasciitis, such as:
Shockwave therapy if appropriately applied has been shown to be as effective as surgery. It does not interrupt your activities of daily living, has a very quick results in general, and can help induce long-term healing to the tissues. Shock wave has been shown to be as effective as surgery for plantar fasciitis.
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.
Learn More >
TO HELP YOU HEAL FASTER!
Frequently if the heel pain has been present for a long time or is significant degeneration in the ligament (plantar fascia). This treatment can provide a structural repair model for the tissue to heal itself.
This is often used in conjunction with shockwave therapy.
Also, we occasionally use amnion injections to help tissue heal.
Almost every podiatrist does orthotics. Unfortunately, the vast majority of orthotics dispensed are nothing more than expensive arch supports and do not take into consideration what the patient’s foot is like.
We do a good exam so when you get your orthotic it really controls your foot and decreases stress on the plantar fascia. We have the most advanced digitized foot scan and dynamic pressure plate analysis platform commercially available.
Click the link to learn more about the FitStation by Hewlett Packard.
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.
In general, If we perform surgery on heel pain we use these minimally invasive techniques 1st.
We have the gold standard in laser therapy. It is a robotic computerized laser that provides multiple benefits: Anti-inflammatory, analgesic, accelerated tissue repair, and improved vascularity are just a few.
Click the link to learn more about our MLS Laser Therapy and all it's benefits.
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.
Why choose us to treat your heel pain with Plantar Fasciitis?
(hover mouse over to learn more)
Click the video to hear from Dr. Silvester direct on why we provide the best care for heel pain caused by plantar fasciitis. Let us help you!
how to CONTACT US
Call us direct at 210-375-3318.
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to happy feet!
Click the links to request your appointment or learn more about what Next Step Foot & Ankle Clinic can do for you.
Dr’s Educational Presentations
- High Arch Feet
- How to Relieve Heel Pain without Surgery
- Using a Night Splint for Heel Pain
- How to Treat Chronic Heel Pain
- Shockwave Therapy
- MLS Laser Therapy
- One-Two Punch for Foot Pain
Blog Articles on Heel and Arch Pain
- Heel Pain: What You Need to Know
- Rehab Your High Arches with Toe Exercises
- An Overview of Heel Pain
- Say Farewell to Heel Fissures
- Haglund’s Deformity: Bumps on Heels
- Cavus Foot: Abnormally High Arches
Videos on Stretches for Heel and Arch Pain
- Stretches for Heel Pain
- Arch Strengthening Exercises
- Strengthening Foot Muscles
- Podiatrist Recommended Stretches to Relieve Heel Pain
- Why does my high-arched foot hurt?
- What is the difference between tendinitis and bursitis?
- What are the main causes of heel pain?