A bunion, medically termed hallux valgus, is a bony bump that forms at the base of the big toe. This condition develops when the big toe pushes against the adjacent toe, causing the joint to protrude outward. Bunions can result from various factors, including genetics, wearing tight or ill-fitting shoes, and foot injuries. Individuals with certain foot types, such as flat feet or low arches, are more prone to developing bunions. Additionally, occupations or activities that involve repetitive stress on the feet can increase the risk. Bunions are a relatively common foot ailment, affecting millions of people worldwide, with women being more susceptible than men as a result of wearing high heels or narrow shoes that can worsen the condition. While bunions may initially cause mild discomfort, they can progressively worsen, leading to pain, inflammation, and difficulty walking. A bunion can be uncomfortable, and a podiatrist can offer you effective relief strategies. If you have this condition, it is suggested that you consult this type of doctor who can offer appropriate treatment methods.

If you are suffering from bunions, 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.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• Surgery

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.

Gout, a form of arthritis caused by the buildup of uric acid crystals in the joints, is often noticed in the big toe. The pain can be debilitating, making it difficult to complete daily activities. This painful foot condition can happen for a variety of reasons, including certain dietary choices. High-purine foods are notorious triggers for gout attacks, as purines break down into uric acid in the body. Foods rich in purines include red meat, organ meats like liver and kidney, shellfish, and certain types of fish such as anchovies and sardines. Additionally, excessive consumption of alcohol, especially beer and spirits, can raise uric acid levels and increase the risk of gout flare-ups. Sugary beverages and foods high in fructose can also contribute to gout by promoting uric acid production. Furthermore, processed foods, refined carbohydrates, and saturated fats may increase inflammation and worsen gout symptoms. It is beneficial for individuals prone to gout to limit their intake of these triggering foods and opt for a balanced diet rich in fruits, vegetables, whole grains, and lean proteins to help manage their condition effectively. If you have had one or several gout attacks, it is strongly suggested that you are under the care of a podiatrist who can help you manage this painful 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.

The arch of the foot is essential for supporting weight and movement, but high arches can lead to various issues. Identifying high arches can be done through methods like the wet footprint test or medical evaluation by a podiatrist. Problems associated with high arches include plantar fasciitis, metatarsalgia, claw toes, and hammer toe. Foot and ankle instability, often stemming from altered walking patterns and increased pressure, may also be the result of high arches. Custom orthotic devices, and wearing specialized shoes can offer relief. In severe cases, surgical intervention may be needed to enhance foot stability. A podiatrist can conduct a thorough examination and determine the appropriate treatment options. To correct foot problems brought on by high arches, it is suggested that you schedule an appointment with a podiatrist. 

If you have any 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.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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.

Tarsal tunnel syndrome, which involves the compression of the posterior tibial nerve as it passes through the tarsal tunnel on the inner side of the ankle, can be tricky to diagnose. Diagnosis typically begins with a physical examination where a podiatrist, or foot doctor, evaluates the foot for signs of nerve compression. The podiatrist may use specific tests that could provoke symptoms. To confirm the diagnosis and eliminate other potential conditions, magnetic resonance Imaging, or an MRI scan is commonly used. An MRI can provide clear images of the soft tissues surrounding the ankle, helping to identify any abnormalities like tumors, varicose veins, or structural deformities compressing the nerve. The treatment strategy may vary depending on MRI findings. For example, if the MRI reveals a structural anomaly compressing the nerve, surgical intervention may be required to alleviate the pressure. However, if inflammation is mild and no significant anatomical issues are detected, more conservative treatments like corticosteroid injections or custom orthotics might be effective. For proper diagnosis of tarsal tunnel syndrome and the most effective treatment plan, it is suggested that you consult a podiatrist. 

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 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.

Ingrown toenails are among the most common and painful foot issues people face. An ingrown toenail occurs when the edge or corner of the toenail grows into the surrounding skin, causing irritation, redness, swelling, and pain. If left untreated, ingrown toenails can become infected, leading to more severe discomfort and potentially serious complications. Podiatrists, or foot doctors, specialize in treating ingrown toenails and offer effective solutions to alleviate the pain associated with this condition. When you visit a podiatrist for an infected ingrown toenail, they will first assess the severity of the problem. Targeted treatment typically involves gently trimming or removing the ingrown portion of the nail, along with providing relief for any associated infection. Podiatrists can also offer guidance on proper nail care techniques to help prevent future occurrences. If you're dealing with the discomfort of an ingrown toenail, it is suggested that you schedule an appointment with a podiatrist. 

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. 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 are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

• Improper toenail trimming
• Genetics
• Improper shoe fitting
• Injury from pedicures or nail picking
• Abnormal gait
• Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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.