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Posts for category: Foot and Ankle Injuries

By Dr. Mayer Salama and Dr. Daniel Salama
December 06, 2017
Tags: footwear   injury   soles  

Getting hurt at work is never an enjoyable circumstance. Sometimes an injury can be minor and other times it can be very severe. One of the most common type of workplace injuries that can affect our feet and ankles occur from falls at the workplace. Sometimes these falls are not that simple. There are many different ways the body and feet and ankles can experience a fall and each has their own associated risks.

The two main types of falls are same level falls and elevated falls. Same level falls are more common and usually have a lower level severity in injury. Elevated falls happen less frequently but have more serious injuries associated with them.

Within the realm of the two major types of falls there are three main subcategories of falls. Each possesses characteristics that make them unique.

Slip and Fall

Slips are usually caused by a slippery surface and are made worse due to the wrong footwear. When walking normally two types of slips can occur. The first is when the heel of the forward foot connects with the surface one is walking on. The front of the foot slips forward and the person falls backwards.

The second type of slip when walking normal is when the rear of the foot slips backwards. The force moves from the rear foot sole to the front sole and causes the slip.

In order to avoid these types of slips and falls, one must have plenty of traction. A snow boot with anti slip soles is ideal for providing enough traction to prevent this type of slip and fall and also helps prevent further foot and ankle injuries.

Trip and Fall

Trips happen when the front of the foot strikes an object and is suddenly stopped. The body is thrown forward and falls due to the sudden force. Even the smallest difference of rise can make a person trip and fall.

Step and Fall

This occurs when the front foot lands on a surface lower than expected. An example of this is stepping off a curb you didn’t know was there while walking in the dark.

Making sure to wear the right shoes and keep up with regular maintenance of a building is important to help prevent these types of falls. Suffering from a fall injury? Do not hesitate, call Dr. Mayer Salama and Dr. Daniel Salama today! Dr. Mayer Salama and Dr. Daniel Salama located in Dearborn, Farmington Hills, Clarkston, Trenton, Michigan have many years of experience with congenital disorders of all types. Call 313-274-0990 or make an appointment online today.

By Dr. Mayer Salama and Dr. Daniel Salama
November 15, 2017

In 2004, Duke University Medical Center conducted a study about how Basketball players move and how it affects them. This study allowed them to better understand the cause of stress fractures. This breakthrough allowed podiatrists and scientists to better understand the mechanics of the foot and why it is so susceptible to stress fractures. In particular, it focused on basketball players, as they are one of the many types of athletes who suffer from stress fractures and other foot related conditions. They are constantly on their feet and moving them at quick, sharp angles.

In order to research this topic, the group used 11 male college basketball players for the test. They used special electronic sensors that were able to give continuous readings when they were inserted into the soles of the shoes of the basketball players. They also used sensors on two major foot muscles to monitor their activity.

After the players were hooked up they were asked to perform 3 typical basketball maneuvers. These maneuvers were: landing on one foot after a jump, changing direction 180 degrees during a side shuffle and pivoting 180 degrees during a sprint forward. These three motions are the top three that cause stress fractures in the feet of basketball players.

After each player participated and performed as per the test, the results were collected and evaluated. The scientists concluded that simply adding more arch support to the shoes of the athletes could minimize the risk of career ending stress fractures. This allowed for athletes and their podiatrists to focus on a different type of fit for their shoes. Instead of shoes with a lower arch, they would need to look for shoes with a higher, more supportive arch to enable more cushion and shock absorption. Due to these heightened benefits, they would be less likely to suffer a stress fracture.

Do you or a loved one play basketball? Are you having a hard time choosing the right shoes for the sport? It is time to see a podiatrist from Dr. Mayer Salama and Dr. Daniel Salama located in Dearborn, Farmington Hills, Clarkston, and Trenton, Michigan. Dr. Mayer Salama and Dr. Daniel Salama will help you choose the right shoes for your sport. Call 313-274-0990 or make an appointment online to help. We know athletic feet.

By Dr. Mayer Salama and Dr. Daniel Salama
November 01, 2017
Tags: Fractures   Swelling   Achilles Tendon   Sports   sprains  

A sports injury can be perceived as broad term and encompass many different ailments. Sports injuries are most commonly found in athletes but they can also affect people who go to the gym, work or engage in other daily tasks. Sometimes accidents and even poor training can result in a sports injury. If you do not warm up or stretch, wear the wrong gear, or do not know the rules, you are also more at risk for a sports injury.

What is classified as a sports injury?

How can I tell if I have sustained a sports injury?

Usually a sports injury occurs while playing, practicing or participating in a sport or other athletic activity. These injuries can be due to a fall, an impact, or moving in the wrong direction. Almost all sports injuries result in some sort of pain, swelling, or tenderness. It is important to treat these sports injuries immediately so that they can heal properly over time. Seek a podiatrist’s help immediately if you think you may be suffering from a sports injury.

What do I do if I have a sports injury?

If your sports injury is severe you should call 911 immediately. If it is moderate and you are not in any life-threatening scenario, then you should seek the help of a trained podiatrist. While waiting to see a podiatrist consider using the RICE method to treat your foot, ankle or other sports injury until you are seen.

Rest- reduce or stop your normal activities. You can do this by relieving pressure and weight from the affected area. Try laying on the couch or sitting down. If you have a set of crutches these may also help you.

Ice- use an ice pack and place it on the injury for 20 minutes about 8 times a day. Be sure to wrap it in a towel so that you do not give yourself further injury. If you do not have an ice pack a bag of peas or a plastic bag of ice cubes also work well.

Compression- use even pressure on the injury to help reduce swelling. An ace bandage, air cast or splint can all help give proper compression.

Elevation- elevate your injured foot or ankle. When laying down, prop it on a pillow so that it is angled above your heart. This will also help reduce swelling.

Did you twist your ankle at practice? Hear a funny popping noise after an accident impact? You should call Dr. Mayer Salama and Dr. Daniel Salama located in Dearborn, Farmington Hills, Clarkston, and Trenton, Michigan. Podiatrists Dr. Mayer Salama and Dr. Daniel Salama will help treat your sports injury with attention and care. Call 313-274-0990 or make an appointment online today. 

By Dr. Mayer Salama and Dr. Daniel Salama
June 06, 2017

Golf can be a very relaxing pastime straight thru Summer and into Fall. Dr. Mayer Salama and Dr. Daniel Salama specializes in foot and ankle care and wants to see you have a good long season without injuries. Getting your swing just right and placing your feet safely in the right position requires some focus to have a better game and fewer injuries. The right shoes are a big factor. The style can be up to you but the fit should be recommended from the pros. For example; lightweight, well cushioned, made from breathable material, water resistant and comfortable.

Although golf can be relaxing it can also be challenging when the competitive bug bites you and your focus shifts to a hard game. Here are some injuries that can result from playing hard without paying attention to some of the details.

  • Sprained ankle ~ it is possible to roll your ankle during a swing especially on uneven ground. Or simply stepping into a hole.
  • Lateral ankle pain ~ as the weight shifts from your back foot to the forefoot, you may experience pain in the front foot. More so if the swing is intense.
  • Big toe injury ~ on the follow through of the swing the back heel goes off the ground which puts pressure on the toes, especially the big toe. This can cause tissue under the big toe to become damaged over time.
  • Extensor tendinitis ~ believe it or not, this is a result of driving the golf cart and is typically an issue after playing rounds on hilly courses and using the parking break excessively. It can also be referred to as “golf cart tendinitis” and causes irritation of the tendons in the foot. Try trading off with your partner
  • Intermetatarsal neuroma ~ happens on the foot with the least pressure put on it during the swing. Repetitive weight on the nerve between the metatarsals. Symptoms such as burning, numbness and shooting pain can be a big part of the condition. Avoiding this can be as simple as adjusting your swing or in some cases can be fixed with orthotics.

If you are golfing in pain call  Dr. Mayer Salama and Dr. Daniel Salama at 313-274-0990 and schedule an appointment. We have four locations in Michigan; Dearborn, Farmington Hills, Clarkston and Trenton plus house calls!

By Dr. Mayer Salama and Dr. Daniel Salama
April 20, 2017
Tags: ankle sprains  

We are in full Spring swing and injuries are hovering over the ball fields, playgrounds, hiking trails and tracks. It is so easy to twist your ankle while you are getting back to outdoor activity from a long winter break. Look for swelling and bruising directly after your fall or twist, as they are the first and most prevalent signs that you have sprained your ankle. 

Treatment for such an injury is primarily rest but elevation and ice are key solutions to healing along with supportive bandaging. Preventative measures can also be taken to avoid ankle sprains by strengthening and stretching regularly. However, there are three levels of a sprain that you should know about.

Level 1 Sprain ~ Mild symptoms with little pain and almost no swelling. There may be some stiffness and slight difficulty in walking. Ligaments are usually stretched more than torn and should heal rather quickly.

Level 2 Sprain ~ Moderate to severe pain with more difficulty walking or playing sports. Minor bruising and swelling will develop as the ankle becomes more stiff and unstable to walk on. This level injury could take up to two months to heal.

Level 3 Sprain ~ Extreme symptoms will mean there is a torn or ruptured ligament. The onset of pain is more immediate and the ankle will feel very weak along with swelling and bruising. This level of injury should be treated right away and will require x-rays to make sure the bones are not broken.  Unfortunately, this sprain will take up to three or more months to heal properly.

PRICE is a great acronym to remember when it comes to a sprained ankle:

  • Protection of the injured area is important to stop the damage in its tracks.
  • Rest is one of the most effective components since the body knows how to heal on its own.
  • Ice is widely known and used for acute injuries but should only be applied for 15 minutes at most.
  • Compression is good right after the injury and should be applied for the first 24 to 48 hours.
  • Elevation is the final principal but also important since it helps reduce swelling.

Dr. Mayer Salama and Dr. Daniel Salama have offices in Dearborn, Farmington Hills, Clarkston and Trenton Michigan for your convenience and can be reached at 313-274-0990 to schedule an appointment. If you think you may have sprained your ankle do not delay, spring awaits you!



Dr. Mayer Salama and Dr. Daniel Salama
3408 West Rd (In Grange Plaza)
Trenton, MI 48183 -(734) 676-4664

2200 Monroe
Dearborn, MI 48124 - (313) 274-0990

6770 Dixie Hwy. Suite 101
Clarkston, MI 48346 - (248) 625-1110

23800 Orchard Rd Suite 201
Farmington Hills, MI  48336 - (248) 474-0040