Whether you have diabetes, poor circulation, or both, foot ulcers wreak havoc on your health. Dr. Darren Silvester and Dr. Boyd Bills are experienced podiatrists who provide comprehensive care for your foot ulcer. At Next Step Foot & Ankle Clinic, with two locations in the San Antonio area, caring for wounds such as ulcers mean the difference in your health. Schedule your appointment at either the Universal City or Pleasanton, Texas, office as soon as you suspect a foot ulcer for immediate relief and treatment.

What is a foot ulcer?

A foot ulcer is an open sore on your foot. Your skin tissue breaks down, causing a hole in the deeper layers of your skin. Ulcer size ranges from very small to larger than the size of a half-dollar.

Foot ulcers can be crater-like and deepen the longer they are left untreated.

How do I know if I have a foot ulcer?

Ulcers appear most often under your big toes and balls of your feet. Some ulcers are so small, you won’t notice them until they are infected. An early sign of infected ulcers is drainage stains on your socks.

Other symptoms include:

  • Pain
  • Discomfort
  • Swelling
  • Redness
  • An unusual odor
  • Irritation


Checking your feet daily for any changes helps you recognize a foot ulcer before infection sets in.

Why did I get a foot ulcer?

Poor circulation and diabetes are the most common causes of foot ulcers. Without healthy circulation of blood in your system, small cuts or scrapes don’t heal quickly enough, forming a foot ulcer.

Nerve damage decreases the feeling in your feet and can cause small sores from dry, cracked skin to go unnoticed until they turn into ulcers.

What treatments are available for foot ulcers?

Once the highly skilled team at Next Step Foot & Ankle Clinic diagnoses you with a foot ulcer, treatment needs to start right away. Your doctor suggests treating your ulcer with:

  • Resting your feet
  • Wearing orthotic shoes or braces
  • Removing dead skin at the clinic
  • Using an antibiotic


Your doctor may request an X-ray to check for bone infections or send some samples of your skin cells to the lab. The lab determines if an antibiotic will help fight your infection.

How can I prevent a foot ulcer?

You can prevent foot ulcers in several ways, including:

  • Foot baths
  • Checking for cuts or scrapes daily
  • Wearing shoes that fit well
  • Trimming your toenails correctly, cutting straight across the nail instead of rounding the edges
  • Avoiding smoking


Seeing a podiatrist regularly will help you spot a foot ulcer before it becomes infected.

If you live in the San Antonio area, call Next Step Foot & Ankle Clinic’s Pleasanton or Universal City, Texas, office for available appointments with the trained staff or book your appointment online.



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