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Phone: 830-569-3338
Next Step Foot & Ankle Clinic


We at Next Step Foot & Ankle Clinic would like to tell you of an exciting treatment option we have in our office for the treatment of heel pain and other painful conditions. Plantar Fasciitis is a common cause of heel pain, and it is usually connected with symptoms such as heel spurs or generalized heel pain.

Over the years many different treatments have been developed to try to eliminate these painful conditions. Cortisone injections, strappings, orthotics, and anti-inflammatories have had limited success. Even the newer surgical procedures such as endoscopic plantar fasciotomies, and shockwave therapy have not shown dramatic results. Frustrated by this, Dr. Silvester began researching cryoanalgesia, which is a specialized technique for providing long-term pain relief for various podiatric conditions, one being Plantar Fasciitis. Dr. Silvester has purchased and been trained to use the Cryostar, a treatment modality that uses the application of cold to the nerve causing your pain, creating a conduction block. This is similar to the effect of local anesthetics, but the effect is long-lasting. Pain relief from the nerve freezing occurs because the formation of an ice crystal disrupts the sensory component of the nerve structure.

How cryosurgery can stop heel pain

Cryosurgery is performed in the office. This minimally invasive technique takes about 30 minutes to perform from start to finish. Once the painful nerve is located, the area is numbed under local anesthetic. A small incision is made and the cryoprobe is inserted into the foot. The nerve is then frozen for approximately 6 minutes, and the probe is removed. Stitches are not usually necessary. Patients leave the office with a sterile dressing and an antibiotic ointment placed over the site. Postoperative discomfort is minimal. It is suggested that you decrease your normal level of activity over the first 48-hours. Your next scheduled visit would be within 3 - 7 days. The procedure may be repeated if necessary.

Cryoanalgesia is an extremely effective technique for providing long-term pain relief for patients suffering from Plantar fasciitis, Morton's neuroma and other conditions. This technique is now being widely used and is considered by many doctors to be a superior treatment. The treatment is a covered benefit under most insurance plans. Our staff will help you determine if it is covered under your particular insurance plan.

We would love to discuss this exciting treatment opportunity with you. Please call our office to schedule an appointment with Dr. Silvester to find out how you may benefit from this treatment.