flat feet specialists

cause of your hip, back or knee pain?

FLAT FEET Frequently Asked Questions

Believe it or not, your flat feet could be causing of your back, hip, or knee pain. The doctors at Next Step Foot & Ankle clinic explain how your arches support your body and what options are available to you for correcting your flat feet. 

How can I tell if I have flat feet?If your entire foot touches the floor when you stand, you have flat feet. Sometimes the arches in your feet don’t grow as expected and you’re left with fallen or collapsed arches. Flat feet don’t normally cause pain, but can add to pain in your ankles, knees, and other joints.

The team at Next Step Foot & Ankle Clinic explains your foot type and symptoms of flat feet through the wet test: If you place your foot in a pan of water and step on a heavy piece of paper or brown bag, you can see the shape of your foot. The three foot types are:

  • Flat or low arches
  • Normal or medium arches
  • High arches

Normal or medium arches are the most common, and show about half of your arch on the paper. You can tell that you have flat feet if more than half of your arch shows on the paper, and it means your foot rolls inward during impact.

Your podiatrist discusses your medical history and performs a thorough examination of your feet with you. He may suggest X-rays or other imaging tests for a more complete picture of your feet.


If children’s arches don’t develop, flat feet continues throughout life unless they’re corrected.

Most children grow out of flat feet, treated early to avoid long-term problems as an adult.

Learn More about Flat Fleet in Children >

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Conquering your Heel pain is as easy as taking the next step toward happy feet and scheduling today!

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flat feet

treatment options

Once the team determines whether you have flat feet, they formulate a personalized treatment plan with you.

The muscles and tendons in your arch will need extra support for proper health and optimal use of your ankles and knees.


Flat feet don’t typically go away on their own, but some suggestions for correcting flat feet include:



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. 

We are the first and currently only provider in and around San Antonio that offers custom 3D orthotics with our FitStation by Hewlette Packard. Providing the doctors with more data points, such as your individual pressure points per your gait (way/manner in which you walk) in order to design a perfectly custom orthotic.



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.



Your health care professionals may also recommend weight loss for better distribution on your feet.



Although, at Next Step it is our goal to get you off pain medication, in extreme cases it may be necessary. 

Advanced & Minimally Invasive

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 flat feet, such as:

  • HyProCure for Flat Feet

Orthotics and physical therapy make having flat feet more comfortable, but aren’t a cure. Next Step Foot & Ankle Clinic is a Center of Excellence in HyProCure, a minimally invasive surgery for correcting flat feet.

Your podiatrist uses a local anesthetic before performing a 20-minute in-office procedure in which your doctor realigns your bones using a titanium stent.

Sound's scarier than it is. You or your little one are awake and able to watch the entire thing. A simple local anesthetic, tiny little screw and a couple stiches and you're all set for recovery and healing.  

With HyProCure, your tendons, ligaments, and bones adapt to the correct position, relieving stress on your feet. After only a few short weeks, you can walk and return to your normal activities.

Click the video's below to hear from our very own, Dr. Silvester, himself and even a pediatric patient testimonial with getting the HyProCure procedure done to treat her flat feet.

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Why choose us to treat YOU or YOUR CHILD'S flat feet?

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Click the video to hear from Dr. Silvester direct on why we provide the best care for flat feet in children and adults. He shares a patients before and after's for a look at what's possible. 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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