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By Dr. Mayer Salama and Dr. Daniel Salama
September 20, 2017
Category: Foot Conditions
Tags: Orthotics   Sesamoids   sesamoiditis  

Sesamoids are bones that are embedded in a tendon. They are found in different areas of the body, including your foot. Specifically, there are two pea shaped bones located in the ball of the foot and also beneath the joint of the toe.

These little bones help the big toe move normally. They also provide leverage when the big toe pushes off the ground.  This is very beneficial when you are walking or running. These bones also help absorb shock and stress during activities such as running, jogging, hiking, and walking.

Sesamoid injuries can be very complex. They can involve not only the sesamoid bones, but also the surrounding tendons, muscles, ligaments, and joints. These injuries almost always stem from activities that put a lot of pressure on the ball of the foot or the tips of the toes. High heel shoes can also cause this condition.

Types of Sesamoid Injuries

  • Turf Toe – This directly affects the tissues surrounding the big toe. It usually occurs when the big toe is over stretched.  Immediate sharp pain will occur accompanied with swelling. It is usually hard to move the toe afterwards. Sometimes an injured person with this condition will hear a popping noise. This could be a sign of a sesamoid fracture and should be treated by a podiatrist such as Dr. Mayer Salama and Dr. Daniel Salama.
  • Fracture – A fracture of the sesamoid bone can either be mild or severe. It will cause immediate swelling at the sight of trauma. They typically heal with rest but sometimes require casting.
  • Sesamoiditis – This condition is due to overuse of the joint. Over time after a lot of pressure and use of the foot, a dull pain will begin. Usually the patient can feel it whenever they walk or move their feet. Sometimes poor fitting shoes will cause this intermittent and often reoccurring injury.


Overall, most sesamoid injuries have a good outlook. The use of padding, immobilization, oral medication, physical therapy, and orthotic devices can help the patient. If you suspect that you are suffering from a sesamoid injury in the foot, it is important to contact a podiatrist right away. Dr. Mayer Salama and Dr. Daniel Salama located in Dearborn, Farmington Hills, Clarkston and Trenton, Michigan can help you treat your sesamoid issue. Call 313-274-0990 or make an appointment online today.

By Dr. Mayer Salama and Dr. Daniel Salama
September 13, 2017

Foot and ankle problems are very common in the United States. These problems are one of the most common reasons why children and adolescents are referred to orthopedic surgeons or a podiatrists. People of all ages can get foot and ankle problems, even your child. Sometimes these foot and ankle problems are due to a patient’s genetic background. Other times they are due to abnormal inter-utero development. Here are three possible congenital disorders children and teens can get.

  1. Metatarsus Adductus – This is a common foot abnormality which is caused by the position of the fetus in the womb. It is commonly referred to as a “packaging problem.” The mid portion of bones in the foot end up angled toward the midline. This specific foot angle is also known as “hooked forefoot.”  This condition can be mild or severe. Supple feet typically don’t require treatment, while rigid feet need the most treatment. A podiatrist uses casting and surgery to treat this condition.
  2. Clubfoot – This is a very serious condition caused by genetics. The foot is hooked upward, rolls inward, and points downward. Untreated, a patient with this condition would have a very severe disability. Casting and surgery are also used to treat this disorder.
  3. Congenital Vertical Talus – This is a rare and serious condition, which also goes by the name “Rocker Bottom Foot.” The foot becomes stiff and will not flex. It is also angled and requires casting and surgery to treat.

Congenital disorders are fairly common in children all across the United States. Most cases are not so severe that they cannot be treated. Unfortunately, not every foot is the same and some cases do not heal the same as others.

Do you have a child with a congenital foot disorder? Do you think your doctor may have missed something upon their initial examination? If you have any concerns or questions,  do not hesitate and call Dr. Mayer Salama and Dr. Daniel Salama today! Dr. Mayer Salama and Dr. Daniel Salama is located in Dearborn, Farmington Hills, Clarkston, and Trenton, Michigan and has many years of experience with congenital disorders of all types. Call 313-274-0990 or make an appointment online today. We care about the health of you and your child.

By Dr. Mayer Salama and Dr. Daniel Salama
September 07, 2017

When your child is born into the world, everything seems so surreal. The doctors usually check them out to make sure they are healthy not long after they are born. Most of the time, our babies come back to us with a clean bill of health. Sometimes, our babies are not so lucky. Some babies are born with foot deformities that need more surveillance and attention. Once such deformity is called Rocker-Bottom Foot. This deformity is very rare and is usually caught at birth.

Rocker-Bottom Foot is also known as congenital vertical talus. Podiatrists must distinguish this deformity from calcaneovalgus. At first, the two deformities can look similar, but upon further examination, it is evident that they are different. Rocker-Bottom Foot does not respond well to stretching. The foot is inflexible and rigid. In contrast, calcaneovalgus is a flexible deformity that can be fixed with stretching exercises over time. Rocker-Bottom Foot can only be corrected with surgery.

The deformed foot will have a downward point to it instead of an upward point. Usually the middle tarsal bones are dislocated due to this distinguishing factor.

It is important to examine all of the newborn for other deformities when Rocker-Bottom Foot is discovered. Multiple joint contractures (arthrogryposis) and meningomyelocele are very common in infants who suffer from Rocker-Bottom Foot and also need to be treated immediately. 

Upon examination, the affected child usually has a rigid foot with a reversed arch. A deep crease is also present on the foot. The midfoot and the forefoot are extended in an upward position. X-rays are useful when diagnosing Rocker-Bottom Foot.

Some stretching can help this condition but it is unlikely to cure it. Corrective surgery is usually the only treatment that can completely correct and heal the deformity. The surgery is complex and usually requires the podiatrist to fix three parts of the foot. It is important to heavily research your podiatric surgeon before choosing them. 

Dr. Mayer Salama and Dr. Daniel Salama located in Dearborn, Farmington Hills, Clarkston and Trenton, Michigan has two highly trained podiatrists who could be right for you. Dr. Mayer Salama and Dr. Daniel Salama have a diverse and advanced knowledge in foot and ankle care and surgery. If you are interested in consulting with them call 313-274-0990 or make an appointment online today. We know that your child is your top priority, let us make them our top priority too.

By Dr. Mayer Salama and Dr. Daniel Salama
August 31, 2017
Category: Foot Facts

Your foot is a very complex part of your body. It houses 26 bones that are held together by muscles, tendons, and ligaments.  These muscles, tendons, and ligaments form a network within your foot and connect it together. They also support your joints and your mobility. Without them, we would not be mobile beings and our feet would not be in the same shape that we are so familiar with.

There are approximately 20 muscles in one entire foot. They give the foot its overall shape. These muscles expand and contract as your foot moves and help with stability. These muscles each have their own name and function.

  • Anterior Tibial – Lets the foot move upward.
  • Posterior Tibial - Supports the arch and allows it to keep its shape.
  • Peroneal Tibial – Controls outside ankle movement.
  • Extensors – Allows the toes and ankles to raise to take a step.
  • Flexors – Stabilizes the toes on the ground and helps keep balance.

The small muscles in the foot allow the foot to lift and curl. This is also helpful when walking and running.

The tendons in the foot connect the muscles to bones and joints. The Achilles tendon is the largest tendon in the body. It is also the strongest tendon. It runs from the heel all the way up into the lower leg. It has important functions during running, jumping, and walking up the stairs.

The ligaments in the foot hold the tendons in place and help to stabilize the joints. The biggest ligament is the plantar fascia, which forms the main arch of the foot and allows the arch to contract and extend  when you walk.

There are also medial (inside) and lateral (outside) ligaments in the foot. These ligaments provide more stability and balance when the foot moves up and down.

If the foot did not have its intricate anatomy, then we would not be able to live a mobile and active lifestyle. Each piece of the foot is so important to our daily lives and health.

If you suspect an injury to your muscles, ligaments, or tendons, it is important to call a podiatrist right away. Delayed treatment could lead to permanent and irreversible damage. The office of Dr. Mayer Salama and Dr. Daniel Salama, which is located in Dearborn, Farmington Hills, Clarkston and Trenton, Michigan, can help you heal your foot issues and any other underlying conditions. Dr. Mayer Salama and Dr. Daniel Salama are highly trained podiatrists who take pride in their work and their patients. Call 313-274-0990 or make an appointment online today.

By Dr. Mayer Salama and Dr. Daniel Salama
August 24, 2017
Category: Foot Conditions

Your feet are in constant chronic pain. You have tried medication, shots, physical therapy, acupuncture and all kinds of different methods to try to keep the pain down. Nothing you have done is working and you are getting desperate. You don’t want to live with the pain and you want peace again. Fortunately you don’t have to lose hope! Radial shockwave therapy may be the right choice for you.

Shockwave therapy is a good alternative if you have tried every other option for pain management. This treatment treats the bones in the body and gets to the core of the problem instead of just treating the symptoms. It loosens any calcium deposits that have built up on the bones and tendons to help the body stimulate the healing process. 

How does it work?

A physiotherapist will use a shockwave applicator to the injured and pained area. Within 24 hours you should notice reduced pain. It usually takes 5 total treatments done every other week in order for the therapy to be effective. Many patients feel some sort of result immediately after their first therapy and many feel the effects long after.

What issues can this be used for?

Has evidence proves this even works?

The 2005 Journal of Orthopedic Research indicated that there was a 90% success rate for patients that suffered from plantar fasciitis. 

What are the side effects of this treatment?

There are minimal side effects that have been reported. In rare cases, soreness and bruising can occur.

Does the therapy hurt?

No, but if you do bruise from the therapy, it may cause a little pain.

Does insurance cover this therapy?


If you are suffering from pain from heel spurs, plantar fasciitis, fractures and have explored every other avenue, then give Dr. Mayer Salama and Dr. Daniel Salama, located in Dearborn, Farmington Hills, Clarkston and Trenton, Michigan, a call at 313-274-0990. You can also request an appointment online today. Dr. Mayer Salama and Dr. Daniel Salama will help you decide whether or not radial shockwave therapy is right for you.  

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Dr. Mayer Salama and Dr. Daniel Salama
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Trenton, MI 48183 -(734) 676-4664

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Dearborn, MI 48124 - (313) 274-0990

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Podiatrist - Dearborn MI - (313) 274-0990 Farmington Hills MI - (248) 474-0040 Clarkston MI - (248) 625-1110 Trenton MI - (734) 675-2440