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Understanding Sesamoiditis and Its Impact on the Forefoot

Tuesday, 24 February 2026

Sesamoiditis is a painful condition that affects the small sesamoid bones located beneath the big toe joint. These tiny bones act like pulleys, helping the tendons function smoothly during activities such as walking, running, and pushing off the ground. When the surrounding tissues become inflamed from overuse, repetitive impact, wearing high heeled shoes, or increased athletic activity, pain develops under the big toe and can make every step uncomfortable. The discomfort often worsens during weightbearing activities and may be accompanied by swelling or tenderness in the ball of the foot. A podiatrist can diagnose sesamoiditis through a physical exam and imaging, then recommend treatments that reduce pressure on the area. Care may include activity modification, offloading pads, custom orthotics, or supportive footwear. In more persistent cases, immobilization or other targeted therapies may be necessary. If you have pain under your big toe, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and appropriate treatment.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Milos Tomich, DPM of Dr. Tomich Foot & Ankle Health Center. Our doctor will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

Sudden increase in activity
Increase in physically strenuous movement without a proper warm up or build up
Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

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.

Why the Big Toe Is Affected by Ingrown Toenails

Tuesday, 17 February 2026

The big toe carries much of the body weight and often experiences the most pressure inside a shoe, which makes the nail more likely to grow into the surrounding skin. Its nail is larger, thicker, and more curved than the others, so even a small change in how the nail grows or how the shoe fits can cause irritation. Wearing tight shoes, improper nail trimming, and repeated bumping of the toe can increase the chance of the nail edge digging into the tissue. When discomfort develops, a podiatrist can provide gentle care that removes the offending nail portion and eases the inflammation. Treatment may include reshaping the nail, protecting the skin, or using a procedure that prevents the troublesome edge from returning. If you notice pain, swelling, or difficulty walking because of a toenail problem, it is suggested that you see a podiatrist who can offer effective treatment solutions for ingrown toenails.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, 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.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

Bacterial infections
Improper nail cutting such as cutting it too short or not straight across
Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
Ill-fitting shoes that bunch the toes too close together
Genetic predisposition

Prevention

Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

Do You Suffer From Painful Feet?

Sunday, 15 February 2026

Painful deformities, such as hammertoes, can be treated. Stop living with foot pain, and have beautiful feet again!

Choosing the Right Running Shoes for Marathon Success

Tuesday, 10 February 2026

Selecting the right running shoes for a marathon is essential for comfort, performance, and injury prevention over long distances. Shoe qualities such as proper cushioning, adequate support, breathability, and durability help protect the feet from repeated impact and fatigue. These features matter because marathon running places continuous stress on the feet, ankles, and legs, increasing the risk of overuse injuries when shoes do not match individual needs. Running style and gait play an important role, as foot strike patterns and motion affect how forces travel through the body. Finding the right fit ensures the toes have room to move, the midfoot feels supported, and the heel remains secure without rubbing. A podiatrist can help by evaluating gait, foot structure, and training demands to recommend appropriate footwear or custom orthotics. If you are preparing for a marathon or have foot pain from training, it is suggested that you consult a podiatrist who can treat various foot conditions, and guide you on the appropriate shoes to wear, helping you to perform your best on race day.

You should always make sure your running shoes fit properly in order to avoid injury. For more information, contact Milos Tomich, DPM from Dr. Tomich Foot & Ankle Health Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Choosing the Right Running Shoe for Your Foot Type

Improper shoe sizing can cause a myriad of problems for your feet. Shoes that don’t fit you properly can lead to muscular imbalances in your body, which can result in foot, knee, and hip injuries.

Tips for Finding the Right Running Shoe

Make sure you have a thumb’s width of wiggle room between the end of your longest toe and the front of the shoe.
There should be little to no slipping at the heel
Don’t assume your size in one shoe brand will be your size in another
Do not lace up your shoes too tightly
Walk around in the store with your new shoes before you buy them

Types of Inner Foot Pain

Tuesday, 03 February 2026

Pain along the inner side of the foot can interfere with walking and comfort. One frequent cause involves strain of the tendon that supports the arch, leading to aching near the ankle and midfoot. Inner-foot pain may also develop from joint irritation, where cartilage wear produces stiffness with movement. Nerve compression can result in burning or tingling along the inside of the foot, while bone stress injuries may cause pinpoint tenderness during activity. In other situations, inflammation of soft tissues or structural changes shift pressure toward the inner border over time. A podiatrist can assess alignment, joint motion, and tendon function, and use imaging to identify the source of pain. Based on evaluation, a podiatrist can recommend care to reduce pain. If you feel pain in the inner part of your foot, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and appropriate treatment.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Milos Tomich, DPM from Dr. Tomich Foot & Ankle Health Center. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

Bunions
Hammertoes
Plantar Fasciitis
Bone Spurs
Corns
Tarsal Tunnel Syndrome
Ingrown Toenails
Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
Flat Feet
Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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