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

Advanced Foot Pain Treatments from Our Caring Staff

Heel pain. Nerve problems. Tendonitis. Every day we see people hobbled by foot, ankle, and leg pain and desperate for relief. Maybe they’ve already been to another doctor without finding a solution.

At Next Step Foot & Ankle Clinic, Dr. Darren Silvester is proud to offer advanced, cutting-edge techniques and technologies to our patients. Read on to learn about some of the exciting foot treatments we provide at our Greater San Antonio area offices.  

Healthy FeetAmnioFix Injectable Treatment for Plantar Fasciitis and Achilles Tendinitis

This is a new treatment available for Plantar Fasciitis and Achilles Tendinitis.  When injected, the growth factors will help your own cells regenerate the damaged tissue, reduce scar tissue formation, and control inflammation.   

EpiFix Treatment for Diabetic Foot Ulcers

If your foot wound has not progressed in the phases of healing in 4 weeks, it may be time to consider an advanced treatment such as EpiFix.

Fungal Skin and Nail Pack

From fungus to fabulous in six months!  Effectively eliminate foot, toe fungal infections with our Fungus Skin and Nail Pack.  


Many painful foot and leg conditions, including tendinitis, heel pain, hammertoes, bunions and more, are often secondary complications of a misaligned foot. Correct the alignment, and in many cases the pain goes away and the conditions do not get worse or return.

The HyProCure is a small titanium stent, placed inside a naturally occurring space in the subtalar joint of your heel, outside the bone. It realigns and stabilizes the hindfoot, reducing excessive forces on soft tissues and providing foot, leg, and back pain relief. The procedure is FDA-approved and minimally invasive, with a relatively short recovery time. Our office is one of only 20 in the country that offers this service.

MicroVas Therapy

MicroVas Therapy is used to treat a wide variety of foot and ankle conditions and may be used after surgery to encourage healing.

MLS Laser Therapy

Laser Therapy is the use of specific wavelengths of light to treat painful and debilitating conditions.  MLS Laser Therapy is useful for treating sore muscles, tendon and ligament injuries and so much more.


Neurogenx is an advanced, high-tech treatment for patients with peripheral neuropathy. The condition is common among older patients and those with diabetes, and often results in tingling, burning sensations, or numbness in the lower legs.

We combine the use of this FDA-approved device combines electrical signal therapy (EST), with nerve blocking injections, and nutritional support to promote nerve and cell nutrition, improve circulation, and reduce swelling. Many forms of neuropathy can be reversed using this technique, and patients often report other benefits beyond pain relief, including improved sleep and better balance and stability when walking.

The One-Two Punch for Foot Pain

The newest most advanced technology for foot pain at the cellular leval.


Quell is a new wearable pain relief device that is 100% drug free and delivers widespread relief from chronic pain associated with Neuropathy and Arthritis.  Quell is FDA cleared for 24/7 wear so you can experience pain relief day and night. 

QuadraStep System - Pre-fabricated Orthotics

Enhance your life with our revolutionary family of pre-fabricated orthotics.  If you have a bio-mechanical foot issue that can be corrected with orthotics, this may be the best course of treatment for you.  Check them out today!

Shockwave Therapy

Shockwave Therapy: Extracorporeal Pulse Activation Technology.  This treatment is the most advanced and highly effective non-invasive treatment method cleared by the FDA for  chronic heel pain associated with Achilles Tendonitis, Heel Spurs, or Plantar Fasciitis.


Advanced Treatment with HEART

We aim to provide a Happy office environment, Excellent foot care, Appreciation for your trust in us, Restoration of foot and ankle function, and a Teaching environment that keeps you informed. Call Next Step Foot & Ankle Clinic in Pleasanton, TX at (830) 569-3338 for an appointment to deal with your foot issues. We’ll do all we can to help!