Your Ankles Are the Foundation of Every Step

Ankle pain can range from a nagging ache to a debilitating injury that keeps you off your feet. Whether it’s chronic pain, a recent injury, or instability from old sprains that never healed properly, your ankles affect everything you do.

At Next Step Foot & Ankle Clinic, we evaluate ankle problems thoroughly, including the often-overlooked nerve component, and build treatment plans that address the real cause, not just the symptoms.

FOOT & ANKLE CONDITIONS

Conditions Covered

Comprehensive evaluation and treatment for ankle pain, injuries, instability, and degenerative conditions to help restore comfort and mobility.

01

Chronic Ankle Pain

Persistent pain that doesn’t resolve with rest. Often has multiple contributing causes that need to be identified.

02

Achilles Tendonitis / Rupture

Inflammation or tearing of the Achilles tendon. Can range from chronic overuse to acute rupture.

03

Chronic Ankle Instability

The ankle gives way repeatedly, often from ligaments that didn’t heal properly after a sprain.

04

Ankle Fractures

Breaks in the bones of the ankle from trauma or injury. May require surgical fixation.

05

Residual Pain After Injury

Pain that persists after an ankle injury has supposedly healed. Often caused by undiagnosed nerve involvement or incomplete healing.

06

Arthritis of the Ankle

Degenerative joint changes causing pain, stiffness, and limited mobility.

COMPREHENSIVE ANKLE CARE

Treatment Options

Personalized treatment options ranging from conservative care to advanced regenerative therapies and surgical procedures.

Conservative

01

Bracing & Stabilization

Custom ankle braces and stabilization devices to support weakened or injured ankles.

02

Custom Orthotics

3D printed orthotics to improve ankle alignment and distribute forces more evenly.

03

Injections

Anti-inflammatory or diagnostic injections to manage pain and identify the source.

Advanced / Regenerative

01

Shockwave Therapy

Effective for chronic Achilles tendonitis and other tendon/ligament issues.

02

Class IV Laser Therapy

Reduces inflammation and accelerates healing.

03

PRP Injections

Promotes healing of damaged tendons and ligaments.

Surgical

01

Ankle Stabilization Surgery

Repairs damaged ligaments to restore stability.

02

Achilles Repair

Minimally invasive techniques for tendon tears.

03

Fracture Fixation

Internal fixation for fractures requiring surgical intervention.

04

Total Ankle Replacement

For severe arthritis. Dr. Grzywa specializes in this procedure.

FAQ

Why does my ankle keep giving out?

Chronic instability usually means the ligaments didn’t heal properly after a previous sprain. Proper treatment can restore stability.

Can ankle pain be caused by a nerve?

Yes. Nerve entrapment around the ankle is more common than many people realize and is often missed by other providers. Our diagnostic protocol tests for this.

When should I see a doctor about ankle pain?

If ankle pain persists beyond a few days, if your ankle gives way repeatedly, or if swelling doesn’t resolve, it’s time for an evaluation.

Do I need surgery for my ankle?

Not always. Many ankle conditions respond well to conservative and regenerative treatments. When surgery is needed, we offer minimally invasive options.

Get Back on Solid Ground.

Call us directly at (210) 375-3318

Fill out our quick Appointment Request

Universal City Office Pleasanton Office Appointments

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