Why Patients Choose Next Step.
Foot pain is not normal. If you’re living with it, something is wrong. Our goal is to find out what, fix it, and get you back on your feet as quickly as possible.
We Hear It All the Time.
“I’ve been to doctor after doctor. They took a quick look at my feet, gave me a diagnosis, and offered treatments that didn’t work. Nobody helped me.”
We take the time to listen carefully to your complaint and history. Then we provide a thorough, multi-step, symptom-directed physical exam to look at all the possible causes of the pain you’re experiencing. Our goal is to give you the most complete exam in South Texas so that we are confident about your diagnosis.
Because one of the worst things that can happen in a doctor’s office is being treated for something you don’t have.
That’s why Next Step Foot and Ankle Clinic is different.

Four Reasons Patients Choose Next Step
We’ve built this practice around a simple idea: get the diagnosis right, explore every option, and get you back on your feet as fast as possible.
We Take the Time to Get the Diagnosis Right
Foot pain can be caused by several things, and often by more than one thing at once. That’s why treatment fails. We use careful clinical exams, diagnostic injections, mechanical testing, and in-house ultrasound imaging that many clinics don’t even have, so we can make a more accurate diagnosis.
Conservative Care Usually Works
Most patients don’t need surgery. We offer comprehensive conservative options on your first visit: injections, orthotics, taping, medication, and more. It’s rare that a patient doesn’t get significant relief from the very first visit. Our goal is to get you feeling significantly better as quickly as possible.
Advanced Technology You Won’t Find Elsewhere
We’ve invested in advanced equipment that gives you more options when traditional treatment isn’t enough: shockwave therapy, Class IV Laser, red light therapy, EST Neuropathy Treatment, PRP, and more. Our investment in technology means you have alternatives that most podiatry practices simply can’t offer.
Expert Surgery When Needed
Our doctors have years of experience performing simple and complex procedures, including minimally invasive surgery through incisions the width of a pencil eraser. Sometimes surgery is the first and only option, and we know how to tell when that’s the case. When it is, you’re in expert hands.
Your Doctors
Every doctor at Next Step sees general podiatry patients. For complex nerve cases, Dr. Silvester and Dr. Larsen provide specialized care.

Board-Certified Surgeon
AENS-Certified Nerve Specialist

Nerve Surgery

Board-Certified Surgeon
Reconstructive Foot & Ankle Surgery

Board-Certified Surgeon
Reconstructive Rear Foot/Ankle Surgery
Have You Been Told There’s Nothing More That Can Be Done?
If you’ve been living with foot or ankle pain and haven’t found answers, we can offer a fresh perspective. Our advanced diagnostics and specialized training let us find what others miss.

Options You Won’t Find at Every Clinic
We’ve invested in advanced diagnostic and treatment technology that most podiatry practices don’t have. This means more accurate diagnoses, more treatment options, and better outcomes for you.
Plus the things you’d expect from any podiatry office: ingrown nail treatment, diabetic foot care, injections, and more. But our advanced capabilities are what set us apart.
Ready to Experience the Difference?
Whether it’s your first visit or you’re coming to us after seeing other doctors, our goal is the same: get the diagnosis right and get you back on your feet.