August 2023

Recovering from an ankle sprain is an important way to prevent lingering weakness and instability in the ligaments. To enhance your ankle's range of motion after a sprain, the ABC's exercise has proved effective. While seated, trace the alphabet with your toes suspended in the air. Flexibility stretches can help by placing a towel under your foot while gently pulling back, feeling a comfortable stretch. Toe curls help to strengthen the toes and foot arch. An effective stretch is done by standing on a smooth surface and scrunching a towel under your foot. Eversion and inversion exercises also help to build ankle strength. While seated in a chair, use a towel to help glide your foot outward and inward with slow, controlled movements to avoid strain. For added strength, toe lifts can be an effective stretch, which is done by gently lifting your toes while keeping your heel grounded. Weight-shifting exercises are beneficial in promoting balance and stability. This is done by gradually shifting your weight from side to side while maintaining proper form. Any of these exercises should be done with your podiatrist’s approval and without causing pain. For more information, it is suggested that you consult this type of doctor for additional stretches for ankle sprains.

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.

We may have all stubbed our toes into a piece of furniture or dropped something heavy on our toes and experienced intense pain. A fractured toe, particularly a pinky toe, is a common occurrence, especially because they involve small bones on the edge of the foot and are more prone to injury. When one breaks a toe, it is painful, and the toe will look bruised and swollen. If the ends of the broken bone get displaced, the toe may look crooked. It may be painful to walk with a broken toe, particularly if one breaks their big toe because this toe takes more weight when walking. Most broken toes can be treated at home. The buddy taping method is frequently used, which involves taping the broken toe to the toe next to it for stability. Wearing comfortable, enclosed, and sturdy shoes that do not press against the broken toe should also help. The only way to be certain a toe is broken versus being sprained or strained, is to have an X-ray taken. If a broken toe is associated with another injury or problem, if the big toe is the affected toe, if the skin is broken, or the toe is displaced it is strongly suggested that you see a podiatrist for proper evaluation and treatment.

Broken toes may cause a lot of pain and should be treated as soon as possible. If you have any concerns about your feet, contact Milos Tomich, DPM from Dr. Tomich Foot & Ankle Health Center. Our doctor will treat your foot and ankle needs.

What Is a Broken Toe?

A broken toe occurs when one or more of the toe bones of the foot are broken after an injury. Injuries such as stubbing your toe or dropping a heavy object on it may cause a toe fracture.

Symptoms of a Broken Toe

• Swelling
• Pain (with/without wearing shoes)
• Stiffness
• Nail Injury

Although the injured toe should be monitored daily, it is especially important to have a podiatrist look at your toe if you have severe symptoms. Some of these symptoms include worsening or new pain that is not relieved with medication, sores, redness, or open wounds near the toe.

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.

Club foot, or talipes equinovarus, is a congenital foot and ankle deformity that affects some babies. This condition causes the foot to point downward at the ankle with the heel turned inward, making it challenging to put the sole of the foot flat on the ground. While the exact cause is unclear, both genetic factors and the position of the baby's foot in the womb may contribute to developing club foot. The Ponseti method has become the preferred treatment for talipes. This involves gentle manipulation of the foot into a corrected position, and using plaster casts for mobilization. This method has shown to have positive long-term results for most children, though a small number may still require surgery. Early diagnosis and treatment are crucial for successful correction, and adherence to wearing a post-treatment brace is essential to prevent a recurrence. If you have a child born with club foot, it is strongly suggested that you make an appointment with a podiatrist who can begin treatment as soon as possible.

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.

For older adults or those with medical issues, the risk of falling is a concern, as it can lead to severe injuries. Regular exercise can help prevent falls by strengthening foot and leg muscles, improving balance, and increasing endurance. One can perform balance exercises during everyday activities, such as standing on one foot while waiting in line or sitting down and standing up without using the hands. For stronger calves and ankle muscles, the toe stand exercise can be done where one holds onto a solid support, like a chair, for balance, with the back straight and both knees slightly bent. Then push up onto the tiptoes as high as possible and lower both heels to the floor. Walking, especially on uneven surfaces, and Tai Chi are beneficial for improving strength and balance. Swimming pool exercises can also help. Start slowly and breathe easily during exercise. If pain or dizziness occurs, stop immediately. If you are concerned about falling and seek additional fall prevention tips, it is suggested that you make an appointment with a podiatrist.

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.