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Posts for: March, 2017

By Dr. Mayer Salama and Dr. Daniel Salama
March 29, 2017
Category: Foot Conditions
Tags: Stress Fracture   Neuroma  

That is a good question….It starts with a benign growth of nerve tissue most commonly found between the third and fourth toes. You will recognize symptoms that cause pain, such as burning or sharpness on the bottom of your feet. The nerve becomes inflamed and swollen which sends a numbness sensation directly to your nearby toes.

Symptoms

  • Burning sensation on the bottom of your feet will become noticeable slowly but surely.
  • Sharp pain in your foot that hurts more when you apply pressure or walk on it
  • Small bump can appear inside the ball of your foot and you will notice it by inspecting the area with your fingertips.
  • Tingling and numbness between the toes and sometimes in the ball of your foot is common and can be one of the first signs.

Diagnoses

  • X-rays will rule out a stress fractures or other injuries that may be causing the pain. An X-ray is the most conventional way to detect a problem.
  • An MRI can be very effective in determining neuroma as well as any other hidden issues under the skin.
  • Ultrasound is a simple test that can be done in the office and is safe a and noninvasive procedure. No that the other two options are invasive but our doctors will guide you and recommend what is best for your pain level and their experience.

Solutions

  • Avoid wearing tight, poorly shaped, or high-heeled shoes.
  • Apply ice for approximately 10 to 15 minutes at a time for a couple of days to see if the symptoms change.
  • Massaging the bottom of your foot around the painful area each day or when it hurts the most.
  • Rest your feet by reducing any daily activities that put stress on your toes.
  • A doctor approved anti- inflammatory medicine can help to temporarily reduce pain and swelling. 

The office of Dr. Mayer Salama and Dr. Daniel Salama can diagnose neuroma quickly with an office visit. We have four conveniently located Michigan offices in, Dearborn, Farmington Hills, Clarkston and Trenton. During your examination, we may order an x-ray of your foot first to make sure nothing else is causing the pain before we will diagnose your condition or perform more tests, but a quick call to us at 313-274-0990 could be all you need. Neuroma may begin with nerve pain but it could certainly end as simple as making an appointment with us!!


By Dr. Mayer Salama and Dr. Daniel Salama
March 23, 2017
Category: Foot Conditions
Tags: Orthotics   Flat Feet   over pronation  

Having flat feet simply means that your feet lie flat on the ground without any space in between. Your arches may have fallen or perhaps were never completely developed from your youth. The good news is you can still maintain a stable and active life with flat feet.  And there really is not any bad news but there are some consequences to consider to avoid further complications.

If you suffer from having flat feet you may not experience any pain or other problems but if left untreated it can lead to long term disability and chronic pain. Dr. Mayer Salama and Dr. Daniel Salama have information about this condition and some suggestions you can try to ease the symptoms.

Causes

  • Inherited ~ foot structure can be handed down to your feet creating a bone shape that makes you more prone to flat feet
  • Complication of other diseases ~ Ehler-Danlos syndrome is a condition that forces tendons and ligaments to become loose and the arch doesn’t form properly
  • Injury ~ obesity can fall under this category as well as direct injury

Treatment

  • Fitted insoles or orthotics ~ helpful aids in your shoes could take the load off of your tendon tissue until the inflammation decreases
  • Losing weight ~ if this is one of the reasons for developing flat feet then taking the pressure off your feet could improve the symptoms
  • Restricted activity ~ rest from certain activities can give the feet time to improve on their own
  • Surgery ~ children’s bones do not develop correctly which can lead to flat feet at birth and in some cases, carry into adulthood. Fusing the bones can help in this rare instance
  • Exercises ~ stretching the tendons and ligaments will help with over pronation (when the feet roll in or out) this in turn may reduce the symptoms, our team can give you some safe daily exercises

If your condition is such that you need a consultation, our doctors will diagnose your flat feet by watching you stand and walk during the examination. An X-ray or an MRI may be necessary along with a good look at your medical history depending on the severity of the condition. We have four conveniently located offices in Dearborn, Farmington Hills, Clarkston and Trenton Michigan and can be reached at 248-474-0040 for an appointment. We are dedicated to keeping your feet firmly planted on the ground no matter what!


By Dr. Mayer Salama and Dr. Daniel Salama
March 16, 2017
Category: Foot Conditions

Yes, but it doesn’t come from Spring or the pollen in may bring. This allergy hides in our footwear and can strike in any season. Some of the chemicals in shoes can irritate your skin without you suspecting it. The barrier between you and your shoe, your comfy socks, can be the culprit too. In addition, and more seriously, if your feet are exposed to chemicals and other synthetic materials on a regular basis this could be a bigger issue.

Here are three of the most common foot allergy symptoms:

  • Red skin ~ you may see signs of reddish areas along with flakes, crust, blisters and cracks.
  • Contact dermatitis ~ skin will swell and feel irritated sometimes causing a rash.
  • Inflamed skin ~ flaky scales called plaques may develop and prolonged exposure to the culprit may turn into psoriasis and spread. If pus accumulates underneath the area a blister can form.

What can I do to avoid or treat it?

  • The most common solution would be to wear cotton socks that are all natural.
  • If you change the material that your socks are made of but it persists then you must look at the material your shoes are made of.
  • Educate yourself on the dyes, glues and metal in your shoe that meet your feet. Nickel and cobalt are common in shoe décor and can easily cause irritation.

What is the difference between athlete’s foot and foot allergies? Athlete’s foot is an infectious and contagious condition that is usually contracted by being bare feet in public places or sweating in your shoes for too long. Allergies are noncontagious and the skin becomes inflamed and irritated upon contact with the allergic material causing the problem. Both conditions can be acute or chronic but with a quick visit to the podiatrist both can be easily resolved.

Shoe contact dermatitis can be diagnosed and treated by our expert podiatrists Dr. Mayer Salama and Dr. Daniel Salama. If you have been itching your feet repeatedly and suspect you may have an allergy or athlete’s foot call our office in any of our conveniently located towns in Michigan; Dearborn, Farmington Hills, Clarkston or Trenton. Don’t forget we offer house calls too! Let our team help relieve your irritation so you can step into Spring and crush that allergy! 


By Dr. Mayer Salama and Dr. Daniel Salama
March 09, 2017
Tags: Orthotics   Flat Feet   Bunions   heel spurs   tendonitis  

Flatfeet is a common disorder that effects the arch of your feet, also known as fallen arches. While orthotic insoles or gel padding may help reduce some of the potential problems, it is wise to have a professional diagnose the condition to avoid further damage to your feet. Dr. Mayer Salama and Dr. Daniel Salama specialize in routine podiatry, treatment and surgery. 

Chances are you had an injury that caused your arches to fall but here are other reasons why people develop flat feet. Weight gain is a culprit along with aging, two things we could do without. It is very beneficial to treat this condition so that other problems do not take over.  

The most common symptom of flat feet is pain, especially in the arch of the foot. The arches give spring to our step and distribute the bodies weight across the feet. If the foot lies flat as we walk, then other problems can arise.

Related issues from having flat feet:

  • Bunions ~ bony, often painful hump at the base of the big toe 
  • Weak posture and hip discomfort
  • Pronation ~ ankle rolling too far inward, over pronation
  • Heel spurs ~ calcium deposit on the underside of the heal bone
  • Tendonitis ~ irritated or inflamed tendons
  • Stretches and Tears in ligaments
  • Alignment problems with ankles, knees, back and legs

Remedies:

  • Wear more supportive shoes 
  • Use custom made orthotics
  • Eliminate heels higher than 2 & ¼”
  • Lose weight if necessary
  • Physical therapy – if recommended 

Having flat feet shouldn’t restrict your daily life and make your activities challenging. It is a common condition and can be treated either with therapy, medications, bracing or surgery. Our office provides complete podiatry care and our doctors listen to your concerns, diagnose your problem and ensure proper treatment. 

If the symptoms from having flat feet are effecting you in any capacity, then we suggest you call for a consultation visit. We have four locations in Michigan, Dearborn, Trenton, Clarksville and Farmington Hills. And believe it or not we make house calls! To make an appointment call 243-474-0040. 


By Dr. Mayer Salama and Dr. Daniel Salama
March 01, 2017
Category: Foot Conditions

It is very unsightly to have a toe nail infection, especially in the warmer months when we have our feet exposed more often than in the colder months. This information will help you understand a few key points about this ugly topic.

What are some causes of nail fungus?

  • Yeast and molds
  • Overgrowth of fungi under or around the nail
  • Thrives in warm moist environment

What symptoms will I experience?

  • Discoloration and darkening of the nail
  • Thickened brittle nail
  • Dull without shine or distorted shape

What can be done to treat nail fungus?

  • Topical or oral ointments – not always effective and have some degree of risk and can be costly
  • Surgical – having the nail removed is the quickest approach
  • Laser procedure – heat that destroys harmful fungi while saving the healthy tissue around the area

How can I prevent a nail fungus?

  • Don’t share nail clippers, files, shoes or socks, basically, keep your feet to yourself
  • Avoid trauma to your nail like cuts or bangs to the nail, be careful with your toes
  • Dry cotton socks, don’t let them sit wet for too long, change them often
  • Shoes that allow air to circulate and keep feet dry
  • Shower flip flops in public facilities to avoid bacteria

Nail fungal infections (aka “onychomycosis” yikes) is a fungal imbalance that effects our toenails. Here are some interesting facts from our experts in podiatry:

  • 5% of the general population contract a nail fungal infection, 20% are over the age of 60 and 50% are over the age of 70
  • Conventional approaches for treatment are effective in less than half of all cases
  • Men contract it more than women
  • Working in areas that are damp increases the risk
  • 1/3 of people with diabetes have nail fungal infections

Some risk factors include poor circulation, thickening of nails, diabetes, age, psoriasis, immune disorders and over perspiration. If you find that you suffer from more than one of these conditions you are more prone to getting toe nail fungal infections and should practice some of the preventative steps mentioned above. For more information or if you need to be treated for toenail fungus you can contact the office of Dr. Mayer Salama and Dr. Daniel Salama   in Dearborn, Farmington Hills, Clarkston or Trenton MI at 313-274-0990. Let our doctors keep your toe nails fungus free!




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