painful bumps on the side of your foot

NEUROMA Frequently Asked Questions

The feeling of something extra inside your shoe can be annoying.

At Next Step Foot & Ankle Clinic, located in the greater San Antonio area with two offices in Pleasanton and Universal City, Texas, Dr. Darren Silvester and Dr. Gregory Larsen understand your frustration and offer comprehensive solutions for neuromas in your foot. The team of doctors proudly offer education about causes and treatments of intense pain in your foot and toes.

Nerves inside your foot help you stay balanced and feel the surface you’re walking on.

If the sensitive nerves in your foot become damaged, you’re going to notice when you feel something like a hard pebble or other odd sensation in your step.

The damaged nerve near the ball of your foot swells, making being on your feet hard to enjoy.

Neuroma causes increased numbness and pain when walking or the feeling of a pebble in your shoes when nothing is there. You might also notice:

  • Burning sensation
  • Tingling
  • Pins and needles
  • Sharp pain
  • Swelling

Because the symptoms could be from other issues with your feet, speaking with an expert local to you or us at Next Step Foot & Ankle Clinic can help you determine if you have a neuroma or just need bigger shoes.

Depending on the severity of your neuroma, the pain can range from a general soreness or intense shooting pain. Repetitive stress such as wearing high heels, constant standing or walking, or sports like skiing contribute to both the pain and the formation of neuromas.

If the pain near the ball of your foot continues for more than a few days, seek treatment, especially if you’re unable to walk without any pain.

If you’re suffering from pain while walking for more than a few days, call the best Podiatrists in South Texas, for the next available appointment.

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Neuroma Specialist


treatment options

Can conservative care help treat my neuroma?

The expert team at Next Step Foot & Ankle Clinic wants you feeling comfortable with your treatment and designs a personalized treatment plan with you in mind.


conservative treatment options

Neuromas form on nerves and without early treatment, could become permanent. The staff examines your foot first, looking for obvious outward trauma. Most cases of neuroma require conservative treatment such as:

  • Changing footwear
  • Adding orthotic support
  • Limiting hard impacts
  • Icing the area
  • Steroid injections
  • Corrective surgery

Don't let painful neuromas stop you from living your best life!

Neuroma Specialist

minimially invasive

treatment & surgery

for neuromas

In this video, Dr. Silvester with Next Step Foot & Ankle Clinic shares with all of you how to relieve pain in the ball of your foot.

Want to know more? Click the chat button at the bottom right of your screen to chat with a NSFAC staff member today, or click the prompt below.


treatment & surgery options

Dr. Silvester and Dr. Larsen specialize in many advanced minimally and non-invasive treatments, and if necessaryadvanced minimally invasive and traditional surgical techniques with patient proven success stories.

If your neuroma isn’t responding to conservative treatments, surgery may be your best option, such as:

Decompression surgery reduces the pressure on the nerve causing pain. Decompression surgery also cuts some of the ligaments near the bones.

In other cases, your medical team removes the nerve or tumor causing the pain. After your surgery, you may still have numbness, but the pain subsides.

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.

Click here to learn more about Nerve Decompression Surgery. 

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

Dr. Silvester and Dr. Larsen have additional certifications in nerve surgery. They have 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 and Dr. Larsen 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.

Looking for a Nerve Pain Expert but don’t live in San Antonio?

Dr. Silvester received his nerve training from the Association of Extremity Nerve Surgeons. To find a nerve pain expert in your local area, with at least 2 years of experience and has completed specialty training from the Association of Extremity Nerve Surgeons…click the logo below to use the Find A Doctor tool.


Patient Success Story

In this video, our patient shares her success story with Nerve Decompression Surgery at Next Step Foot & Ankle Clinic.

Want to know more? Click the chat button at the bottom right of your screen to chat with a NSFAC staff member today, or click the prompts below.


choose us?

In this video, Dr. Silvester with Next Step Foot & Ankle Clinic talks about The Next Step Difference approach we take for treating Morton’s Neuromas.


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