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Posts for: January, 2016

Norwegian skier Aksel Lund Svindal has made a speedy recovery after suffering from an Achilles tendon injury, and has no intention of slowing down. The athlete has been keeping up in training sessions with teammate Kjetil Jansrud, who is as fast as skiers can be. “I enjoy the process and that’s a sign I could do this for a while,” Svindal stated. “As long as I’m healthy and able to be fast and have good friends--some of my teammates are my best friends--there’s no reason not to do this.”

Achilles tendon injuries can be very painful. If you believe you are having problems with your Achilles tendon, consult with Dr. Mayer Salama, D.P.M. of Salama Foot Care. Dr. Salama can treat your foot and ankle needs.

What is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel bone of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can cause severe difficulties and should immediately be presented to a doctor.

What are the symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

- Inflammation

- Dull to Severe Pain

- Increased blood flow to the tendon

- Thickening of the tendon

Rupture Symptoms

- Extreme pain and swelling in the foot

- Snapping sensation

- Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

- Thorough stretching of the tendon before and after exercise

- Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If unable to immediately see your podiatrist, remember to Rest, Ice, Compress, and Elevate until then.

If you have any questions, please feel free to contact one of our offices located in Farmington Hills, Dearborn, Clarkston, and Trenton, MI. We offer all the latest in diagnostic and treatment technologies to meet your needs.

Read more about Achilles Tendon Injuries


January 18, 2016
Category: Foot Conditions
Tags: Foot Pain   Gout   Uric Acid  

Gout is a foot condition that involves the accumulation of too much uric acid in the body. It is a very common and painful form of arthritis that typically plagues men more than women. Aside from being male, risk factors for gout can include being overweight, drinking excess alcohol, a diet of foods that contain purines, and taking medication such as niacin, diuretics, cyclosporine, aspirin or levodopa. Gout maintenance revolves primarily around maintaining low uric acid levels. Depending on the suggestions of your doctor, this can involve decreasing the intake of foods that have purines, taking NSAIDS or corticosteroids, exercising regularly, and maintaining a healthy body weight.     

Gout is a foot condition that requires certain treatment and care. If you have any concerns regarding gout, consult with Dr. Mayer Salama, D.P.M. of Salama Foot Care. Dr. Salama will assist you with all of 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 Farmington Hills, Dearborn, Clarkston, and Trenton, MI. We offer all the latest in diagnostic and treatment technologies to meet your needs.

Read more about Gout


While arthritis is known to be a condition that affects adults, arthritis can also affect children. In kids, the condition is known as Juvenile Rheumatoid Arthritis (JRA), and manifests as joint pain and stiffness with an occasional fever. New findings, however, show that physical therapy can help kids recover from the effects of joint pain. Techniques such as exercise, alternating hot and cold therapy, and orthotics can all help children find relief from JRA.    

Making sure that your children maintain foot health is very important as they grow up. If you have any questions contact Dr. Mayer Salama, D.P.M. of Salama Foot Care. Dr. Salama will treat your child’s foot and ankle needs.

Keeping Children's Feet Healthy

Having healthy feet in childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care from birth to school-age.

Although babies do not walk yet, it is still very important to take care of their feet.

  • Avoid putting tight shoes or socks on his or her feet
  • Allow the baby to stretch and kick his or her feet to feel comfortable

As a toddler, kids are now on the move and begin to develop differently. At this age toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet

  • Show them proper hygiene to prevent infections such as fungus
  • Be watchful of any pain or injury
  • Have all injuries checked by a doctor as soon as possible
  • Comfortable, protective shoes should always be worn, especially at play

If you have any questions, please feel free to contact one of our offices located in Farmington Hills, Dearborn, Clarkston, and Trenton, MI. We offer all the latest in diagnostic and treatment technologies to meet your needs.

Read more about Keeping Children’s Feet Healthy


Diabetic neuropathy is a type of nerve disorder that can cause numbness and pain in those suffering from diabetes. The feet, legs, arms and internal organs can all be affected by the condition. The longer you have diabetes the higher the chances of developing neuropathy. Poor circulation, obesity, high blood pressure, smoking and alcohol use can all contribute to the disease as well. Performing a daily foot examination, checking shoes, and properly cleaning the feet can all preventative measures to the keep the feet healthy, especially when dealing with diabetes.

Aside from neuropathy and paresthesia, several nerve complications can ail the feet. For assistance with a nerve disorder in your lower extremities, visit Dr. Mayer Salama, D.P.M. of Salama Foot Care. Dr. Salama can provide you with a specific diagnosis and work with you to alleviate your symptoms.

Nerve Disorders of the Foot and Ankle

There are two nerve disorders of the foot and ankle called Interdigital Neuroma and Tarsal Tunnel Syndrome. These conditions affect the hands as well, and are caused by stress and genetics. People who suffer from Interdigital Neuroma and Tarsal Tunnel Syndrome are prone to serious pain and inflammation in the area.

Pain that is associated with Interdigital Neuroma is often from local inflammation in the nerves in the front of the foot. Symptoms include pain, burning, and/or tingling sensations of the toes.

There are several steps a doctor will take to determine if one has Neuroma such as: radiographs, MRIs, and bone scans. Surgery is not required in many instances, and should only be considered when the patient is suffering from persistent pain.

Tarsal Tunnel Syndrome is a condition that is less common than Interdigital Neuroma. It only seems to affect patients who have severe ankle pain which begins in the bottom of the foot extending all the way to the calf.  In other instances one may encounter partial numbness and atrophy if the cases are extreme.

If you have any questions, please feel free to contact one of our offices located in Farmington Hills, Dearborn, Clarkston, and Trenton, MI. We offer all the latest in diagnostic and treatment technologies to meet your needs.

Read more about Nerve Disorders of the Foot and Ankle.




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