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Universal City 210-375-3318
Pleasanton 830-569-FEET (3338)
Toll-Free: 855-972-9512
Next Step Foot & Ankle Clinic

Has Foot and Ankle Pain Put Your Life on Hold? Get Back to What Matters With Next Step Foot & Ankle Clinic!

Welcome to the website of Next Step Foot & Ankle Clinic. Whether you are here because of lifelong foot and ankle problems, an injury, or new pain, we know how important it is for you to get back on your feet.  We are always accepting new patients. Click to learn more about new patients think about the Next Step Foot & Ankle Clinic.

Some of the common foot & ankle conditions that we treat include:

Neuropathy Plantar Warts Bunions Vionic Shoes
Heel and Arch Pain Ankle Sprains Diabetic Feet Orthotics
Sever's Disease Flat Feet Ingrown Toenails Nerve Pain
Nail and Skin Care Pediatric Feet PAD Ankle Pain
Toenail Fungus Surgery Sports Injuries Deformities

From flat feet to ingrown nails, our mission is to serve our patients with HEART by offering each person who comes through our doors:

  • Happy environment to pursue a future without foot pain. Our staff aims to please by making your experience with us stress-free and comfortable.
  • Excellence in foot and ankle care for you and your family. At Next Step, our team is always “in step” with the latest in treatment and care for a range of podiatric ailments.
  • Appreciation that our team is able to help patients of all ages achieve pain-free lifestyles, and that you have chosen to take the Next Step with us.
  • Restoration of your foot and ankle function quickly, with proven and effective solutions that will keep your feet happy.
  • Teaching environment that helps you stay informed and involved in everything from your treatment to the billing process.

Serving San Antonio and South Texas

  • Universal City
  • San Antonio
  • Live Oak
  • Hondo
  • Cibolo
  • Pleasanton
  • Pearsall
  • Jourdanton
  • Devine
  • Schertz
  • Floresville
  • Kenedy
  • La Vernia
  • Castroville
  • Converse
  • Marion
  • Windcrest
  • Selma
  • Poteet
  • New Braunfels


American College of Foot & Ankle Surgeons   American Podiatric Medical Association   The Association of Extremity Nerve Surgeons
Texas Podiatric Medical Association   The Dellon Institutes for Peripheral Nerve Surgery   American Board of Foot and Ankle Surgery



How We Can Help

Arthritis Arthritis
Arthritis simply means inflammation of the joint.  There are over 100 types of arthritis and associated diseases but a few top the list and account for most of the problems people have in their feet.
Nerve Pain Nerve Pain

In the last decade, I've seen firsthand the incidence of lower extremity nerve pain increasing as our general population continues to age. Many patients say they have been told that nothing can be done about their pain. Don't give up hope! You CAN find relief and we can help!

Heel and Arch Pain Heel and Arch Pain

Many people have surrendered to the fact that pain in their heels and arches will be a part of their life forever. It greets them in the morning as soon as their feet hit the floor, and sends them to bed with a throbbing ache.

At Next Step Foot & Ankle Clinic, we want you to know that pain is not something that you need to live with! Our cutting edge treatment and therapy can help you look forward to pain-free mornings and days that are not plagued with hurting feet. Visit our Heel and Arch Pain page to read more about how Dr. Silvester and the Next Step family can erase your pain for good!

Flat Feet Flat Feet
Flat feet can cause your feet huge amounts of pain if not addressed. Let Dr. Silvester of Next Step Foot & Ankle Clinic help get you on the road to recovery!
Deformities Deformities
Foot, ankle and toe deformities may be congenital or caused by trauma, injury or fracture.  
Ankle Pain Ankle Pain

Your ankle is a network of bones, ligaments, tendons and muscles. Strong enough to bear your body weight and enable you to move, your ankle can be prone to injury and pain.

You might feel the pain on the inside or outside of your ankle or along the Achilles tendon, which connects the muscles in your lower leg to your heel bone.

Toe Pain Toe Pain

Toe pain is a relatively common condition that affects a large number of individuals from time to time. It is worth paying attention to the slightest pain in the toes, as some of these conditions, if allowed to worsen, may easily result in restricted movement or limited mobility for the individual.

Cancer Cancer
Any mole that seems to change from a regular bump to a large or unusually shaped one has a high risk for cancer. The key really is, then, to check your feet often for these changes.
Nail and Skin Care Nail and Skin Care

Nearly everyone has had a run-in with an ingrown toenail, nail fungus, or other issue with the skin on their feet. While pain and discomfort can be a result, most people are simply embarrassed and frustrated that they cannot seem to make it “go away.”

If you are sick of unsightly nail fungus, or tired of irritated nail beds, the team at Next Step Foot & Ankle is here to help. If you are ready to say goodbye to the over-the-counter remedies that have failed you for years and say hello to beautiful, pain-free toes and feet, check out our page on nail and skin care today.

Diabetic Foot Care Diabetic Foot Care

When you think of diabetes, you probably think about avoiding sugar and taking blood tests. If you’ve been diagnosed with the condition, however, you should also be thinking about your feet and ankles. Diabetes affects every area of your health, requiring constant monitoring. You have to manage your fluctuating blood sugar levels to prevent permanent damage to your internal organs, vision, nerves, and lower limbs. In fact, good diabetic foot care can be crucial for preventing severe, painful complications that could deteriorate into life-threatening infections or limb amputations.

Sports Injuries Sports Injuries

You see it often enough in games: athletes limping around or even laying on the ground, holding a foot or an ankle as their teammates take a respectful knee. Sports injuries can happen to anyone, from professionals to kids on recreational teams. Even if you’re just a “weekend warrior,” you are not exempt from the possibility. These conditions need to be treated right away to prevent the problem from worsening and keeping you from your favorite sport indefinitely.

Pediatrics Pediatrics

Children often suffer from pain in their ankles, heels, and feet, but many time parents assume that these are simply growing pains that will fade in time. Your child does not need to wait out her pain—the foot care experts at Next Step Foot & Ankle Clinic can help address your child’s pain and get her back in the game of being an active, pain-free kid!

Orthotics Orthotics
Orthotics, or custom insoles come in many shapes and sizes. They can be used as a preventive measure or help relieve pain or discomfort associated with an injury or congenital abnormality. Custom orthotics, also known as custom insoles or arch supports, are specifically made to conform to your foot, thereby helping correct issues within the structure of your feet, ankles, and legs.
Surgery Surgery

Most doctors will typically initially choose to treat medical problems with the least invasive option possible. Sometimes, though, these treatments are simply not enough. At this point, your podiatrist may discuss surgical options, and at Next Step, we offer patients several cutting-edge surgical treatments to help them get back on their feet.

Vionic Shoes Vionic Shoes
Developed by Philip Vasyli, renowned Australian podiatrist and founder of Orthaheel® Technology, Vionic shoes provide essential stability and addictive support. With a contour seamlessly engineered into each shoe, sandal and slipper, Vionic helps support natural alignment from the ground up.