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The Ankle and Tarsal Tunnel

Tuesday, 28 October 2025

The tibial nerve is a nerve located in the foot. When this nerve endures abnormal pressure, it can cause tarsal tunnel syndrome. Tarsal tunnel syndrome is caused by inflammation surrounding the tarsal tunnel, which is located on the inside of the ankle, and can result in severe pain and discomfort. Tarsal tunnel syndrome can develop for various reasons, including diabetes or a possible tumor on the tarsal tunnel. A common symptom that patients may experience is pain in the sole of the foot. The pain may become worse when walking and standing for extended periods of time, and relief may be found when the affected foot is elevated. If you have pain in your feet, it is strongly suggested that you consult with a podiatrist for a proper diagnosis.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Milos Tomich, DPM of Dr. Tomich Foot & Ankle Health Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please contact one of our offices located in Milwaukee and Wauwatosa, WI . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Hammertoes and Women’s Shoe Choices

Tuesday, 21 October 2025

Finding the right shoes to accommodate hammertoes can be challenging. People with high arches often get hammertoes, in which the knuckle of a toe raises up and rubs against the top of your shoe, or the tip of the toe curls under and rubs against the sole of your shoe. In either case, ill-fitting shoes, whether they are too tight or too loose, can make the problem worse. High heels should be avoided because they cause your toes to bunch up into the front of the shoe. At the same time, very flat shoes are also a problem because they offer little or no cushioning or arch support. Finally, pointed and narrow shoes place a lot of pressure on the forefoot and toe area. To best accommodate hammertoes, look for shoes that come in wide widths, have a roomy toe box, and have flexible uppers that mold to the shape of your foot. Shoes that offer cushioning, good arch support, and stable heels are a wise choice. If hammertoe pain and inflammation persist, it is suggested that you make an appointment with a podiatrist to discuss treatment options available to you.

Hammertoes can be a painful condition to live with. For more information, contact Milos Tomich, DPM of Dr. Tomich Foot & Ankle Health Center. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

Painful and/or difficult toe movement
Swelling
Joint stiffness
Calluses/Corns
Physical deformity

Risk Factors

Age – The risk of hammertoe increases with age
Sex – Women are more likely to have hammertoe compared to men
Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.

If you have any questions, please feel free to contact one of our offices located in Milwaukee and Wauwatosa, WI . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Are Bunions Affecting Your Everyday Life?

Saturday, 18 October 2025

Have you noticed a bony protrusion on the side of your big toe? If so, you may have developed the foot condition known as a bunion. Don't let bunions interfere with your daily activities.

Learning to Manage Rheumatoid Arthritis Affecting the Feet

Tuesday, 14 October 2025

Rheumatoid arthritis can significantly impact the feet and cause pain, swelling, and stiffness that can interfere with daily life. Education plays an important role in helping individuals manage these challenges effectively. Learning how the disease affects joints allows patients to better understand flare-ups and long-term changes. Wearing proper footwear with supportive cushioning can reduce pressure on tender joints, while custom orthotics may provide additional relief. Low-impact exercises such as swimming or cycling are often encouraged to maintain mobility without putting stress on the feet. Regular monitoring by a podiatrist can help detect changes early and prevent deformities from worsening. Self-care strategies such as warm soaks or gentle stretching may also ease discomfort. If rheumatoid arthritis is affecting your feet, it is suggested that you consult a podiatrist to explore supportive treatment options and provide further guidance on this condition.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact Milos Tomich, DPM of Dr. Tomich Foot & Ankle Health Center. Our doctor will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

Swelling and pain in the feet
Stiffness in the feet
Pain on the ball or sole of feet
Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

Recognizing a Fungal Toenail Infection

Tuesday, 07 October 2025

A toenail infection, known as onychomycosis when caused by fungus, can affect the way your nails look and feel. Infected toenails often become thick, brittle, and discolored, turning yellow, brown, or even white in appearance. The surface may develop ridges, crumble at the edges, or lift away from the nail bed. Warm and damp environments, such as heavy work boots or locker room floors, can encourage fungal growth, making toenails particularly vulnerable. In addition to fungal infections, bacteria can also infect the nail, leading to swelling, redness, and discomfort around the nail fold. These changes may interfere with walking, cause pain when wearing shoes, or increase the risk of further foot problems. A podiatrist can perform an examination, remove a small sample of nail if needed, and determine the cause of the infection. Early treatment helps prevent complications and restores nail health. If you believe you have a toenail infection, it is suggested that you make an appointment with a podiatrist for a diagnosis and treatment.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Milos Tomich, DPM of Dr. Tomich Foot & Ankle Health Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Symptoms

Warped or oddly shaped nails
Yellowish nails
Loose/separated nail
Buildup of bits and pieces of nail fragments under the nail
Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.

If you have any questions please contact one of our offices located in Milwaukee and Wauwatosa, WI . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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