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

Next Step Foot & Ankle Clinic: Texas HyProCure Center of Excellence

"Hi, this is Dr. Silvester and I’m happy to announce that our office has been selected to be one of about 20 places in the country that are Hyprocure Centers of Excellence. I’m going to tell you a little bit about what that means.

What it means is that we’ve met certain qualification criteria in order for the company to approve our office as a place where we have put in enough of the procedures and have met certain testing criteria and also the office has met certain criteria, to achieve this status of being a center of excellence.

What the Hyprocure implant is for is for people who have poorly aligned feet. We have every day, patients who come into our office, that have poorly aligned feet – but that’s not what they come in for. What they come in for are painful conditions that are the result of having poorly aligned feet. For example, they might come in with heel pain or tendonitis or chronic postural fatigue, hammertoes, or a bunion deformity – things like that that are kind of the secondary complaint, or secondary manifestation of a poorly aligned foot. So, we can usually treat those conditions, we can treat them and make them feel better and get their comfort level back down to where they want to function, but the problem is that it’s kind of like having a flat tire and just put air in the tire. It’s not the same as fixing the flat and then putting air in the tire to allow it to function more normally.

What the Hyprocure implant is – I’m just going to show you on this skeleton device here – a small implant about this size, not very large, and it comes in a few different sizes, depending on the foot. We put the device inside the subtalar joint, and it’s actually outside of the joint itself, but in an area where it’s not implanted into the bone or anything. What it does is stop the foot from being too far pronated – where the forefoot everts and the arch collapses and the ankles cave in a little bit.

If you want to test yourself, you can stand in front of a mirror, draw a line down the front of your leg, and draw a line to your second toe, up your foot to the second metatarsal, and see how your foot lines up. If everything is fairly straight, what we call collinear, then that’s a pretty normally aligned foot. If you have eversion of your forefoot where the second toe is pointing outwards, then that’s a poorly aligned foot, and there are things that can be done for that – one being the Hyprocure treatment.

We have the option of putting it in in the office, because we have become a center of excellence, we also have the option of doing it at the hospital if you so prefer. Patients that do this are many – we have a significant number of patients who have problems with poorly aligned feet and most of them, when they come in, they’re not even aware of it. They say, “I’ve got this problem,” and we point out that that problem is the result of a poorly aligned foot.

By the way, poorly aligned feet can cause a lot of problems with the knees, hips, and back, and so other conditions we’ve found that when we treat their poorly aligned feet, a lot of their other complaints in their lower extremities seem to go away as well.

We’re very pleased with our designation of being one of twenty places in the United States that are Hyprocure Centers of Excellence. We look forward to providing this service to our patients in a more frequent and hopefully in a way that provides them with not only solving their foot pain problems, but also solving the problems that cause the foot pain."