November 2022

If you notice a growth in the arch of your foot, it may indicate a plantar fibroma has developed. This is a benign nodule and is found in the plantar fascia. This is the band of tissue on the sole of the foot that connects the heel to the toes. This fibroma grows slowly, generally less than one inch, yet it can cause the foot to ache. Research has possibly linked the cause of developing a plantar fibroma to genetic reasons and it may also be prevalent among the Northern European population. Additionally, there may be a connection between repeated foot injuries and the development of a plantar fibroma. People who have existing medical conditions like alcoholics, diabetic patients, and people with liver disease may be predisposed to this foot condition as well. There are various treatment methods for plantar fibroma and if you have pain in your arch, it is suggested that you consult with a podiatrist. This type of doctor can perform a diagnosis and offer the treatment technique that is right for you.

A plantar fibroma may disrupt your daily activities. If you have any concerns, 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.

Plantar Fibroma

A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.

What Causes a Plantar Fibroma?

While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.

What Are the Symptoms of a Plantar Fibroma?

There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.

Treatment and Prevention

A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:

• Steroid injections
• Orthotics
• Physical therapy to help apply anti-inflammatory creams on the bump 

Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.

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 tools and technology to treat your foot and ankle needs.

Sometimes, playing a particular kind of sport can increase an athlete’s susceptibility to particular kinds of foot conditions. For example, when an individual plays volleyball, they may be putting themselves at a risk of enduring a foot injury, such as an ankle sprain. The lateral ankle sprain is a common injury among volleyball players. There are several reasons for this. Most importantly, volleyball players often must frequently jump during games. When coming back down from a high jump, a volleyball player might land incorrectly on the outside of the foot. Often the force with which this occurs on the feet can be too much for the muscles around the ankle to handle. Ankle sprains can be the result. If you are a volleyball player and want to take steps to protect your feet, it is a good idea to contact a podiatrist today to schedule an appointment. 

Ankle sprains are common but need immediate attention. If you need your feet checked, 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.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

• Mild to moderate bruising
• Limited mobility
• Swelling
• Discoloration of the skin (depending on severity)

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

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 and ankle needs.

There are several different afflictions of the foot that might be properly classified as rare. Charcot foot is one such foot condition. This condition primarily results from some kind of nerve damage that affects bones and joints in the feet. Individuals who suffer from diabetes can be more likely to develop this condition than others. If you are one of the few people that have Charcot foot, then you are likely to experience any number of symptoms. You may, for instance, develop bone fractures. However, since this condition is characterized by damaged nerves, this loss of feeling may prevent you from ever feeling any sensations from the bone fracture. To learn more about this condition or other rare foot conditions, consult a podiatrist today.

Some foot conditions may require additional professional care. If you have any concerns, 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.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

• Freiberg’s disease
• Kohler’s disease
• Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

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 tools and technology to treat your foot and ankle needs.
 

When the feet experience poor blood circulation, an individual may exhibit any number of symptoms. For example, poor circulation in the feet may cause sensations of numbness or leg pain. Importantly, poor circulation can cause discoloration. If an individual experiences poor circulation from peripheral artery disease (PAD), they may notice that their feet or lower legs can turn a different color. Specifically, the feet can turn a shade of purple or blue from poor circulation caused by PAD. These symptoms should not be taken lightly. If an individual experiences any symptoms, they should seek immediate medical attention. These symptoms can be addressed in several different ways, including medication and surgical procedures. Consult with a podiatrist today for more information about discoloration from poor circulation.

Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact Milos Tomich, DPM of Dr. Tomich Foot & Ankle Health Center. Our doctor will treat your foot and ankle needs.

Poor Circulation in the Feet

Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.

Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.

Causes

Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development. It can also cause:

• Muscle pain, stiffness, or weakness   
• Numbness or cramping in the legs 
• Skin discoloration
• Slower nail & hair growth
• Erectile dysfunction

Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

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 and ankle needs.

There is a type of inflammatory arthritis that is known as gout. It generally causes severe pain and discomfort, and affects the big toe. High levels of uric acid are responsible for the onset of gout, and it can lodge in the form of crystals in the joints of the big toe. Eating foods that have elevated levels of purines can cause gout to occur, or it may happen for genetic reasons. These types of foods can include shellfish, red meat, and drinks that are made with large amounts of sugar. People who have frequent gout attacks may be prone to developing other medical conditions such as diabetes, kidney disease, or congestive heart failure. Some methods can be implemented, which may help limit gout attacks. These can consist of drinking plenty of water daily, limiting the amount of sugar consumed, and engaging in a gentle exercise program. Gout can compromise lifestyles, so it is strongly suggested that you are under the care of a podiatrist who can help you to manage this condition.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Milos Tomich, DPM from Dr. Tomich Foot & Ankle Health Center. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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 and ankle needs.