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Posts for category: pediatric foot conditions

By Dr. Mayer Salama and Dr. Daniel Salama
October 11, 2017
Tags: Flat Feet   bow legs   intoeing  

As a parent we try to prevent, treat, and cure every ailment that our children come across. Sometimes these problems are easy to fix, other times they are due to the development of the child. It is not uncommon for children to have developmental disorders. Some of these disorders affect education, learning, and growth, while others can affect their feet and the way they stay mobile. The following list are four developmental disorders that could develop in your child.

  • Bowlegs – Bowlegs look exactly as they sound. The legs of the child that are typically straight, have more of a curve to them. This is very common in infants between 12 and 14 months old. This condition can last all the way up until a child is 2. Most bowlegs are very stable and symmetric. The disorder is also known to spontaneously resolve. Sometimes podiatrists such as Dr. Mayer Salama and Dr. Daniel Salama use bracing to help children’s legs get back into the right position and to help them stay mobile, especially if a child has bowlegs between the ages of 3 and 4. If a growth plate is causing the bowlegs, surgery may be necessary.
  • Knock-Knees – This disorder, in which knees touch but ankles do not when standing, is very common and considered normal in children ages 3-7. As the child ages, the knock-knees usually improve and go away all on their own. By age 11 the knees and legs should completely straighten out. Sometimes bracing is used to help this disorder. In very rare and severe cases, surgery is performed.
  • Flat Foot – This is a very common problem in children and adults all over the world. It is usually a condition that is caused by genetics. The tendons in the foot, as well as the ligaments, are lax and do not behave in a manner that creates an arch. As long as the foot and arch are not rigid, flat feet is not normally a cause for concern. By age 5 you can usually tell if a person will have flat feet or not. If these flat feet cause pain, orthotics can be used to aid the foot.
  • Intoeing – This condition is caused by the hips and lower body being rotated inward or outward. The most common cause of this shift is a shin bone twist or thigh bone torsion. Sometimes surgery is used to fix the affected limbs.

Does your child suffer from bow legs, flat feet, or any other developmental disorder of the foot and ankle? Do they have an odd gait and in need a professional opinion? Dr. Mayer Salama and Dr. Daniel Salama located in Dearborn, Farmington Hills, Clarkston, Trenton, Michigan can help you get the diagnosis you have been searching for. 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.



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

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Farmington Hills, MI  48336 - (248) 474-0040