Diabetic foot wounds progress through three key phases, the inflammatory, proliferative, and maturation stages. The inflammatory phase is when the body initiates its immune response, removing debris and bacteria. In people with diabetes, this phase can be extended because of poor circulation and weakened immunity, which delay healing. The proliferative phase focuses on tissue repair, as new blood vessels form and collagen builds up to close the wound. Diabetic wounds may experience slow progress during this phase, which increases the risk of infection. The maturation phase involves the remodeling of tissue, which can sometimes extend beyond a year. A podiatrist plays a critical role in managing diabetic foot wounds by conducting regular exams and recommending advanced wound care treatment when necessary. If you have diabetic foot wounds, it is suggested that you are under the care of a podiatrist who can effectively treat this serious condition.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, 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.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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.

A bunion is a bony bump that forms at the base of the big toe, causing the toe to angle toward the second toe. This condition often leads to discomfort and changes in foot shape. Several factors contribute to the development of bunions, including genetic predisposition, wearing tight or ill-fitting shoes, and certain foot conditions such as flat feet. Signs of a bunion include redness, swelling, and pain surrounding the affected joint, particularly when wearing shoes. Individuals may also notice a visible bump on the side of the foot, which can become more pronounced over time. In some cases, the condition can lead to difficulty in walking or participating in physical activities. If you see the beginning signs of a bunion forming, it is suggested that you contact a podiatrist who can monitor its progression, and offer you relief tips.

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.

A bruised heel, also known as a heel contusion, occurs when the heel experiences trauma or impact, leading to damage of the soft tissues and blood vessels. This condition often results from activities that involve jumping, running, or walking on hard surfaces. Symptoms typically include localized pain, swelling, and tenderness on the heel. The area may also appear discolored due to internal bleeding. The pain is usually sharp and may worsen with pressure or movement. Relief for a bruised heel involves rest to avoid aggravating the injury, and performing gentle stretching exercises to promote healing. Pain relief medication can help manage discomfort. If symptoms persist or worsen, it is suggested you schedule an appointment with a podiatrist for a thorough evaluation, and to rule out more serious injuries.

Many people suffer from bouts of heel pain. For more information, 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.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                  
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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.

Tarsal tunnel syndrome is a condition resulting from compression of the posterior tibial nerve as it passes through the tarsal tunnel, located on the inside of the ankle. This compression can result in such symptoms as numbness, tingling, and burning pain in the foot and toes. The condition is often caused by repetitive stress, injury, or inflammation that narrows the tarsal tunnel and places pressure on the nerve. Other contributing causes include flat feet, cysts, or varicose veins. Symptoms of tarsal tunnel syndrome typically worsen with activity and may improve with rest. If you have pain in this area of your foot, it may indicate tarsal tunnel syndrome. It is suggested that you consult a podiatrist who can accurately diagnose and treat this condition.

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.

Foot pain from standing at work all day is a common issue, especially for those in jobs requiring prolonged periods of standing or walking. This discomfort is often caused by pressure on the feet, leading to conditions like plantar fasciitis, heel spurs, or arch strain. Wearing unsupportive shoes or standing on hard surfaces can worsen the problem, leading to foot fatigue, swelling, and even long-term damage. Symptoms may include aching, burning, or sharp pain in the arches, heels, or balls of the feet. Over time, the pain can spread to the ankles, knees, or lower back. To manage foot pain, it is important to wear supportive footwear with proper arch support and cushioning. If you have foot pain for any reason, it is suggested that you consult a podiatrist for a tailored treatment plan.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Milos Tomich, DPM from Dr. Tomich Foot & Ankle Health Center. Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

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.