May 2024

Foot ulcers are open wounds that occur on the bottom of the foot or around the toes. They can range in size from small sores to larger, more severe wounds. These ulcers develop from a combination of medical factors, such as poor circulation, nerve damage, and high blood sugar levels, particularly in individuals with diabetes. Additionally, non-medical reasons like improper footwear, foot deformities, and injuries can contribute to their formation. Diagnosis involves a thorough examination by a podiatrist, often including tests to assess blood flow and nerve function. Foot ulcers differ from other skin conditions by their depth and potential to worsen if left untreated, leading to serious complications like infection or even amputation. If you have a foot ulcer, it is strongly suggested that you schedule an appointment with a podiatrist for prompt treatment, which may involve wound care, infection management, pressure relief, and addressing related underlying medical conditions.

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, 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.