About 20 million Americans suffer from neuropathy, but many of them don’t receive accurate or timely diagnosis and treatment. Dr. Darren Silvester and Dr. Boyd Bills use the latest technology at Next Step Foot & Ankle Clinic in the San Antonio area to correctly diagnose and treat neuropathy to help you live a better life. Call or book an appointment online today at one of the two locations in Universal City and Pleasanton, Texas.

What is neuropathy?

Neuropathy is a disease that involves damage to the nervous system. The nervous system carries and interprets signals between other parts of our body and brain, so if something happens to it, complex functions come to a halt.

If you have neuropathy, your nerves either don’t send information, send the wrong information, or send distorted information. It usually affects the nerves of the foot and may cause numbness, pain, burning, loss of balance, and deformities in your toes. It’s also a major contributing cause of ulcers and limb loss.

What causes neuropathy?

Nerve injury from accidents, falls, sports, arthritis, and medical procedures can cause neuropathy. Some other causes of neuropathy include:

  • Autoimmune diseases
  • Kidney and liver disorders
  • Exposure to toxins
  • Hormonal imbalances
  • Certain cancers and benign tumors
  • Chemotherapy
  • Diabetes (When the nerve damage is caused by diabetes, it is called diabetic neuropathy.)

How is neuropathy diagnosed?

At Next Step Foot & Ankle Clinic, you get a comprehensive neuropathy exam complete with patient history, thorough physical and neurological exam, and diagnostic testing.

The expert team uses the latest technology in neuropathy diagnosis with SudoScan®, a quick and painless procedure that obtains an accurate evaluation of the severity of your nerve damage.

Your doctor may also suggest a diagnostic ultrasound evaluation to assess the size of your nerves, as neuropathy patients often have enlarged nerves.

What treatments are available for neuropathy?

When your podiatrist at Next Step Foot & Ankle Clinic has assessed your nerves and damage, he prescribes one or a combination of more than one of the following treatment methods:

Electrical signal therapy (EST)

Electrical signal therapy (EST) is a highly advanced treatment for neuropathy that provides relief from neuropathy symptoms, including numbness and pain. Medicare and most commercial insurances cover EST.

MLS® laser therapy

MLS (Multiwave Locked System) laser therapy is a noninvasive, pain-free alternative to prescription pain medications. It has no side effects and works by stimulating nerve repair. It also releases endorphins that reduce pain and swelling, increase blood flow, and stimulate repair and regrowth of your nerve tissue. MLS laser therapy is successful in 9 out of 10 patients.


People with diabetic neuropathy often have nerves that are twice as large as people without neuropathy. The increased size often causes these nerves to get trapped at certain spots in the feet, causing numbness, burning, and pain.

The expert team uses an innovative surgery to release the trapped spots and restore your nerve function.

The podiatrists help you add the correct nutrition to your diet so that your body has the needed support to heal itself. If you desire true freedom from the pain of neuropathy, call or book an appointment online today.


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