There Is a Better Way
to Treat Neuropathy.
Neuropathy Is Usually Treatable.
If you’re experiencing nerve pain in your feet, you already know how much it affects your daily life. The burning, the numbness, the weakness, the fear of falling. And it’s even more frustrating when you’re told there’s nothing more that can be done.
Here’s what most doctors won’t tell you: nerves are living tissue. Like every other tissue in your body, they usually have the ability to heal if given the chance. Neuropathy prescription medications do NOT help the nerve get better. All they do is make the nerve feel better while the nerve continues to deteriorate. Helping the nerve actually heal requires a specialized approach and ongoing care. That’s exactly what we provide.
FAENS, AENS-Certified Nerve Specialists,
Right Here in South Texas
Dr. Darren Silvester is a Fellow of the Association of Extremity Nerve Surgeons (AENS), with specialized training in the treatment of nerve conditions. Dr. Gregory Larsen also holds advanced nerve surgery certification (AENS).
Your neuropathy isn’t treated with a one-size-fits-all approach. We use advanced diagnostics to understand exactly what’s happening, then build a plan around your specific condition.
Nerve Specialist
Certification
We Don’t Guess. We Test.
Many patients come to us after years of being told their symptoms are “just neuropathy” without anyone investigating why. At Next Step, diagnosis comes first.
Sudo Scan Nerve Testing
A painless, non-invasive scan that measures small nerve fiber function. Objective data about your nerve health, not just your description of symptoms.
Diagnostic Injections
Targeted injections that identify exactly which nerves are involved, confirming the source of your pain with precision.
Ultrasound Imaging
Real-time imaging to see nerve compression and soft tissue issues without radiation exposure.
Multiple Paths to Relief
No single treatment works for every patient. We build a plan based on your specific diagnosis, your goals, and what your body responds to best.
“I Can Feel My Feet Again!”
“Dr. helped ease my neuropathy pain. I can feel my feet again!”
“Since my initial visit, my feet are in a better place. Still work to be done minimizing my foot neuropathy, but is progressing nicely, day-by-day less pain just walking…”
“I have been having problems with neuropathy in my feet. Next Step Foot and Ankle has helped me tremendously. I would recommend them to anyone having issues with their feet.”
Neuropathy patients often come to us after seeing multiple doctors without finding relief. Our approach starts with listening, understanding your history, your symptoms, and what you’ve already tried, before we recommend anything.
Neuropathy FAQ
Answers to the questions our patients ask most.
What causes neuropathy?
The most common cause is diabetes, but neuropathy can also result from injuries, infections, medications, vitamin deficiencies, and other medical conditions. In some cases, the cause is unknown, but the symptoms are still treatable.
What does neuropathy feel like?
Symptoms vary but commonly include burning or tingling sensations, numbness or loss of feeling, sharp or shooting pain, sensitivity to touch, and difficulty with balance or walking. Symptoms are often worse at night.
Can neuropathy be reversed?
It depends on the cause and severity. In many cases, we can significantly reduce symptoms, restore nerve function, and improve quality of life, especially when treatment begins early. Even in advanced cases, most patients experience meaningful relief.
Do I need surgery for neuropathy?
Every case is different. For the right patient, surgery may be the first option and a great one to treat neuropathic symptoms. We always explore non-surgical options first. Surgery is recommended only when non-surgical treatments haven’t provided enough relief and nerve compression is a contributing factor.
Does insurance cover neuropathy treatment?
Your initial evaluation and diagnostic workup are typically covered by insurance. Our team will walk you through all costs and options before you begin any treatment so there are no surprises.
I’ve seen other doctors. Can you still help?
Yes. Many of our patients come to us after seeing other providers without finding relief. Our AENS-certified nerve specialists and advanced diagnostic tools allow us to identify issues that other clinics may have missed.
Specialists in What Others Call “Untreatable”
All four of our doctors see neuropathy patients. For complex or severe nerve cases, Dr. Silvester and Dr. Larsen provide specialized surgical and advanced treatment.
Nerve Specialist
Nerve Surgery
Foot & Ankle Surgery
Board-Certified Surgeon
Have You Been Told There’s Nothing More That Can Be Done?
If you’ve been living with neuropathy and haven’t found answers, we can offer a fresh perspective. Our AENS-certified nerve specialists uses advanced diagnostics that most clinics don’t have.
Your Nerves Deserve Specialists.
If you’re living with numbness, burning, tingling, or pain in your feet, don’t settle for “just live with it.” Our AENS-certified nerve team has helped 9 out of 10 patients find relief.