June 2025

Congenital foot deformities are conditions present at birth that affect the structure and alignment of a child's feet. Metatarsus adductus involves inward bending of the front part of the foot. Clubfoot causes the foot to turn inward and downward. Calcaneovalgus results in an upward and outward positioning of the foot, while congenital vertical talus creates a rigid flatfoot with the sole facing outward. These deformities can impact walking, balance, and comfort, if not treated early. A podiatrist can diagnose these conditions through physical examination and imaging, then develop a treatment plan that may include stretching, casting, bracing, or surgical correction. If you notice unusual positioning or movement in your child's feet, it is strongly suggested that you promptly consult a podiatrist to ensure early intervention and healthy development.

Congenital foot problems require immediate attention to avoid future complications. 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.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

• Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
• Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
• Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
• Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
• Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
• Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

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.

Diabetic patients often face foot problems due to poor circulation and nerve damage, which may lead to numbness, tingling, or loss of feeling in the feet. This nerve damage, known as diabetic neuropathy, makes it harder to detect injuries like blisters, cuts, or pressure sores. Even small wounds can develop into serious infections if left untreated, especially when blood flow is reduced. In some cases, infections may become so severe that surgery is needed to remove affected tissue. Diabetes can also lead to structural foot changes, including Charcot’s foot, where weakened bones shift or break, resulting in deformity. If deformities occur, shoes may not fit properly, increasing the risk of skin breakdown. Regular evaluation by a podiatrist is important to monitor circulation, detect changes in foot structure, and prevent ulcers. A podiatrist can also provide appropriate footwear, custom inserts, or surgical correction, if needed. If you have foot pain that may be related to diabetes, it is suggested that you schedule regular appointments with  a podiatrist for ongoing foot care.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, 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.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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.

Foot problems are a common but often overlooked reason why older adults may be at higher risk of falling. Conditions such as bunions, hammertoes, arthritis, or nerve pain can affect balance and stability. Thick or curved toenails, poor circulation, and loss of sensation in the feet may also lead to unsteady walking. Wearing ill-fitting shoes or worn-out soles can make the problem worse by limiting support or grip. Many older adults adjust how they walk to avoid pain, which can throw off posture and increase the chance of tripping. Regular foot care, comfortable footwear, and addressing pain early can help reduce this risk. If walking feels uncertain or there has been a recent fall, it is suggested that you see a podiatrist to assess foot health and explore ways to improve safety and confidence when moving around.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Milos Tomich, DPM from Dr. Tomich Foot & Ankle Health Center. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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.

Morton’s neuroma is a painful condition caused by a thickened nerve between the toes, often triggered by irritation or pressure. When conservative treatments do not provide relief, foot surgery may be recommended to remove the affected nerve or release the surrounding tissue. Surgery offers long-term pain relief and allows many patients to return to normal activities without discomfort. The procedure is typically performed on an outpatient basis and has a high success rate. Recovery usually involves rest, limited weight-bearing, and a gradual return to walking, over several weeks. Swelling and tenderness are normal during healing, but improve with time. A podiatrist can determine if surgery is the best option and guide you through recovery. If you have ongoing forefoot pain, it is suggested that you consult a podiatrist for expert care and appropriate treatment options.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Milos Tomich, DPM of Dr. Tomich Foot & Ankle Health Center. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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.