Do you wish you could wear sandals, but are embarrassed about your toenails? Toenail fungus is common and at Next Step Foot & Ankle Clinic, with two San Antonio-area locations in Pleasanton and Universal City, Texas, Dr. Darren Silvester and Dr. Boyd Bills treat your toenails so that you won’t mind showing them off come summertime. Schedule an appointment using the online booking feature or by calling the office.

What is toenail fungus?

Toenail fungus is a common infection under the toenail. The infection breaks down the keratin in your nails and causes flaking and discoloration. Toenail fungus doesn’t usually cause pain, but it can cause your nails to become:

  • Brittle
  • Ragged
  • Misshapen
  • Thickened
  • Dull


Sometimes, your nail has an unusual odor and feels uncomfortable over time. Toenail fungus is contagious and very hard to get rid of. The expert team of podiatrists provides solutions for eliminating your infection and having your nails looking great again.

How is toenail fungus caused?

Walking barefoot around pools, saunas, public bathrooms, and locker rooms expose your toenails to infection. Direct contact with footwear or infected feet also spreads fungus.

Fungus that causes a toenail fungal infection thrive in warm, wet areas. The health care team at Next Step Foot & Ankle Clinic suggest wearing shoes and washing your feet to prevent the spread of infection once you’re diagnosed.

How is toenail fungus diagnosed?

At Next Step Foot & Ankle Clinic, the team examines your feet and toes for symptoms and signs of infection in your toenails. They scrape a small sample of your nail keratin and perform tests that confirm a fungal infection. Treatment for your nails begins right away with a customized plan for ridding your toenails of fungus.

What is the best way to treat my toenail fungus?

Without treatment, your toenail fungus gets worse. If you’ve tried at-home remedies such as antifungal creams and foot sprays but still aren’t finding relief, schedule an appointment with Next Step Foot & Ankle Clinic for more potent treatments.

A combination of treatments may work better for you than a single treatment. Your podiatrist can suggest a combination of treatments, such as:

  • Laser therapy
  • Antifungal skin treatment
  • Nail solution
  • Supplements
  • Shoe spray


Laser therapy quickly kills the fungus affecting your nails and when used with creams and sprays, it’s effective in getting your nails back to looking normal. Ask about Next Step Foot & Ankle Clinic’s new Fungal, Skin, and Nail Pack for results in as few as six months.

Next Step Foot & Ankle Clinic recommends continuous treatment before the problem becomes chronic. The experts suggest taking steps to prevent reinfection for fabulous feet. Call either the Pleasanton or Universal City, Texas, office for your appointment today or use the online booking tool.


Before and After

J.R., Pearsall, TX


Patient treated for toenail fungus loves our staff

the Next Step Difference