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Posts for tag: Stress Fractures

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
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?

No.

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.  

By Dr. Mayer Salama and Dr. Daniel Salama
April 27, 2017
Category: Foot Care

The Challenge

The challenge of tennis can be stressful on your feet. Its quick jolts from side to side and repeated lateral motions on the court’s surface can cause common tennis injuries quicker than the moves you make to hit that little fuzzy ball. Those injuries can include sprains, stress fractures, plantar fasciitis and tennis toe.

The Prevention

The most effective way to prevent foot injuries from a good game of tennis is to condition yourself to the sport. Body strength, flexible muscles, hydration, and of course as in any sport, the right shoe! The right shoe with all the right moves equals a win on the course even if you lose the game.

The Technique

If you balance your upper body weight by bending your knees and raising your heels instead of putting it all into your back, you will likely prevent most injuries. However, when landing right after a hard jump it is wise to avoid landing on the ball of your foot as there is little to no balance with that move. That will most definitely help prevent an ankle sprain. While focusing on the ball it may be hard to focus on technique but this little tip could save you big pain.

The Shoe

Let’s talk about tennis shoes, they have become quite “a style” in the general fashion world but are they really “tennis shoes”? They need lots of cushioning and shock absorption along with a reinforced toe and wiggle room in the toe box. Padding at the ball of the foot, supportive sides and of course a low heel. As if you would try to play in stilettos!?

The Break

You need to practice increasing your game but you also need to rest your bones to avoid injury. If you follow these pieces of advice from our expert team you will very likely improve your game and keep your health intact!

If you have injured your ankle or feet while playing tennis or any other sport this Spring, let Dr. Mayer Salama and Dr. Daniel Salama take care of the problem before it takes you out for the entire year. We can be reached for an appointment by calling 313-274-0990. Our four conveniently located offices are in Dearborn, Farmington Hills, Clarkston and Trenton Michigan. We even make house calls if you can’t make it in the office to see us, call 248-474-0040.

While golf is not typically seen as a rigorous sport, repeatedly swinging a golf club can lead to hallux limitus—the jamming and deteriorating of the big toe joint.

Swinging can create an overextension of the big toe joint on the back foot, wearing out the cartilage or jamming the big toe joint.

Golfers who suffer from this condition generally have less mobility in this area than other parts of the foot. Pain in the big toe area should be viewed as a warning sign that intervention is necessary before the joint becomes arthritic.

Full recovery is much more difficult if one continues to play sports with a foot or ankle injury. If you would like assistance with an injury, see Dr. Mayer Salama, D.P.M. of Salama Foot Care. Dr. Salama will assess your injury and provide you with a quality treatment plan.  

Playing Sports with Foot Injuries

Many types of foot injuries affect athletes over the course of their athletic career. Despite their setbacks, many of these athletes will continue to play with mild foot injuries and attempt to ‘push’ through the pain. In order to be able to prevent injuries, it is important to stretch before any activity, wear proper footwear and replace shoes as needed. Some of the foot and ankle injuries athletes are at risk for include:

  • Turf toe- upward bending of the big toe outside normal range of motion
  • Stress Fractures
  • Overpronation- excessive foot movement during gait
  • Plantar Fasciitis- swollen ligament in the foot’s base
  • Strains

For more serious injuries it is recommended to consult with a podiatrist or orthopedic specialist as fractures and other serious conditions may require surgery.

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 Playing Sports with Foot Injuries

Studies have shown that women are at a greater risk of developing stress fractures than men. Reasons for this increased risk include hormonal differences, increased bone density, and higher rates of inadequate nutrition. While athletes in general are at highest risk after changes in intensity, frequency or duration of their workouts; in women, irregular menstrual cycles and weight less than 75 percent of ideal body weight are factors that make for an increased risk for stress fractures. Stress fractures are small cracks that develop in the bone after being stressed, and are most common in the foot, ankle, and lower leg but can occur on bones throughout the body.

Stress fractures can become painful if left untreated for an extended period of time. If you would like assistance in treating a stress fracture in the foot or ankle, consult with Dr. Mayer Salama, D.P.M. of Salama Foot Care. Dr. Salama can determine the severity of your condition and provide you with quality care.

Coping with Podiatric Stress Fractures

Stress Fractures occur on the foot and ankle when muscles in these areas weaken as a result of overexertion or underuse.  As a result, the ankles and feet lose support when walking or running from the ground. Since these bones are not protected, they receive the full impact of each step. The stress on the feet causes the bones to form cracks.

What are Stress Fractures?

Stress Fractures are very common among those who are highly active and involved in sports or activities that make excessive use of their legs and feet. Stress fractures are especially common among:

-athletes (gymnasts, tennis players, basketball players)
-runners/joggers
-osteoporosis patients
-those who engage in high-intensity workouts

Stress Fracture Symptoms

Pain from the fractures occur in the area of the fractures, and can be either constant or periodic. The pain is usually sharp or dull, accompanied by swelling and tenderness. Engagement in any kind of high impact activity will exacerbate the pain.

For more information about Stress Fractures of the Foot and Ankle, follow the link below.

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 Stress Fractures



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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Clarkston, MI 48346 - (248) 625-1110

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