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Posts for category: Diabetic Foot Conditions

By Dr. Mayer Salama and Dr. Daniel Salama
November 30, 2017

Diabetes can be taxing on those who suffer with the condition. People who suffer from diabetes have to watch what they eat, track their blood sugar, monitor their exercise regimen, and constantly check in with their physician and specialists to make sure that they are doing everything they can to keep their disorder under control, as well as to help prevent other disorders from cropping up. Diabetes can be hard to live with and should be treated delicately. People with diabetes should be especially aware of the importance of taking care of their feet. It is well known in the world of podiatry that those who suffer from diabetes also suffer from foot disorders caused by diabetes.

Peripheral neuropathy causes reduced feeling or numbness in the foot. If someone loses feeling or experiences numbness in their foot, then that means it can be harder for them to recognize when they have another foot related injury or the beginning of a foot or ankle problem. These unknown ulcers, wounds, lesions and infections can grow and lead to permanent foot and tissue damage. If they are not caught early enough they can even lead to partial amputation of the foot.

Keep Your Eyes Open

It is important for people with diabetes to screen for this disorder and other foot related disorders linked to diabetes. Podiatrists like Dr. Mayer Salama and Dr. Daniel Salama of Dr. Mayer Salama and Dr. Daniel Salama, located in Dearborn, Farmington Hills, Clarkston, and Trenton, Michigan, use a medical device that looks similar to a toothbrush and brush it along certain parts of the foot while asking the patient what they feel. This screening allows the podiatrist to see how much feeling a patient has left in their foot and whether or not it has decreased from their last visit.


Unfortunately, peripheral neuropathy is not reversible, but if it is caught early on it is manageable. Physical therapy can help but is not a cure for the disease. Investing in the right kind of shoes and orthotics has been known to help slow down the progression of the disease. It is important to continuously visit your podiatrist and check your feet regularly. In between visits it is helpful to ask family and friends to check your feet for any possible injuries if you are unable to do so yourself.

Are you still having problems even with these foot care tips and tricks? Do your feet ache, smell, or seem out of shape? It is time to see a podiatrist from Dr. Mayer Salama and Dr. Daniel Salama. Dr. Mayer Salama and Dr. Daniel Salama will help you learn the best way to protect your working feet. Call 313-274-0990 or make an appointment online to help. Your feet are our work.


By Dr. Mayer Salama and Dr. Daniel Salama
July 05, 2017

Diabetics have an array of different obstacles they have to come on a daily basis. Unfortunately, the need to watch their sugar intake and insulin levels is not the only concern someone with diabetes has. People with diabetes also have to worry about their feet. Diabetes and the feet are linked. Studies show that those with diabetes are more likely to encounter foot problems. One such problem a diabetic can face is Charcot Arthropathy or Charcot Foot.

Charcot foot is a relatively rare condition, even for those that are suffering from diabetes. Although it is rare, it is not unheard of. It is a very serious condition where the joints inside the foot become disrupt and begin to disintegrate.  This can start in the foot and make its way into the ankle. It causes the foot to begin to look deformed and large amounts of pain.


Symptoms of Charcot foot are redness, swelling, and deformity. These symptoms can range in severity and are different for each individual.


The cause of Charcot Foot is not yet clear. It is understood that Charcot Foot and Diabetes share a link and that people with Diabetes are more likely to acquire the disorder.


It is crucial to call a podiatrist right away if you have any symptoms of Charcot Foot. If this disease is left untreated it can lead to ulcers, infection, amputation or death.

Once a Podiatrist diagnosis the disease treatment will start right away. Typically, a cast is put on the affected area to immobilize the foot. This helps prevent any further injury or damage and allows for the foot to heal. Depending on the severity of the case, the Podiatrist may recommend surgery for the foot. Some cases can be corrected with surgery. After intervention, treatment, and prevention, and depending on the severity and amount of trauma to the foot, people can heal from the disease in as little as 1-2 years.

Please contact Dr. Mayer Salama and Dr. Daniel Salama of Dr. Mayer Salama and Dr. Daniel Salama, located in Dearborn, Farmington Hills, Clarkston, and Trenton, Michigan right away if you think you may have Charcot Foot or any other foot or ankle related problems. Call 313-274-0990 or make an appointment online. Your health matters.

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


  • 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
February 23, 2017

When it comes to diabetes and your feet the best defense against the problem is being well informed. Education is an important part of making good decisions regarding your health. Dr. Mayer Salama and Dr. Daniel Salama understand the importance of diabetic foot care so much that they are willing to make house calls.

How will diabetes affects my feet?

  • Cause nerve damage to your feet
  • Loss of feeling in your feet
  • Cuts and sores can become infected
  • Lowers the amount of blood flow in your feet
  • Bad infections can take too long to heal
  • Gangrene and foot ulcers can develop
  • Amputation in some cases to avoid severe infection from spreading
  • Bones can shift or break, which can cause “rocker bottom”

What can I do to keep my feet healthy?

  • Work with your podiatrist to make a self - care plan for your diabetes
  • Check your feet daily
  • Wash feet daily and trim your nails straight across
  • Wear shoes and socks regularly
  • Keep the blood flowing in your feet
  • Get your feet checked at every health care visit
  • Check between your toes for abnormalities

What happens to your feet when you have diabetes?

Too much glucose (sugar) in your blood can cause nerve damage and poor blood flow which eventually leads to severe foot problems. Prompt attention to any infection or sore on your feet or toes can prevent gangrene.

Why does diabetes lead to amputation?

Numbness in the feet due to diabetic nerve damage can make people less aware of injury or foot ulcers because they simply can’t feel the pain or discomfort. Therefore, serious infection can go unnoticed for too long and the damage cannot be reversed.

If you or a family member has any signs of diabetic related foot symptoms, please reach out to any of our  four locations in Michigan without delay or request an appointment.  Diabetes can be a very serious disease and requires special attention. Take care of it before it decides to not take care of 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