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Posts for category: Foot Conditions

By Dr. Mayer Salama and Dr. Daniel Salama
December 13, 2017
Category: Foot Conditions

People who live with plantar fascia problems know all about chronic pain. When the plantar fascia is overused, it can cause tears along the sole of the foot where the plantar fascia is. Many people who suffer from this type of injury go through many types of treatments to help alleviate the pain. Some people change shoes, use a cast, take over the counter pain medication or employ custom orthotics to help their plantar fascia injury. Even these conventional options do not always work. However, there is an alternative option for those who suffer from plantar fascia pain and that is known as shockwave therapy.

Extracorporeal shock wave treatment is an outpatient procedure. A medical device uses shock waves to help relieve the chronic pain that is felt in the foot. The podiatrist will take a dome that is filled with water and place it against the heel so that shock waves pass through it. These shockwaves help to increase the blood flow in the heel and the foot and help trigger the healing process. This in turn allows for the inflammation and pain to subside.

The FDA approves a large variety of devices for his type of procedure. Some include OssaTron, The Epos Ultra and The Orbasone Pain Relief System. There are also FDA approved devices but a podiatrist will choose the one that they like best. All machines meet basic standards.

People who have bleeding disorders, who take blood-thinning medication, or who are pregnant should not undergo shockwave therapy. Complications can occur and include mild neurological symptoms and tears in the tissue of the bottom of the foot.

Are you suffering from plantar fascia pain? Looking for an alternative from the basic means of treatment? There are many options out there and shockwave therapy may be the one for you. Call Dr. Mayer Salama and Dr. Daniel Salama today! Dr. Mayer Salama and Dr. Daniel Salama located in Dearborn, Farmington Hills, Clarkston, Trenton, Michigan have many years of experience with shockwave therapy and its effects on the foot. Call 313-274-0990 or make an appointment online today. We care about the best treatment for your feet.

By Dr. Mayer Salama and Dr. Daniel Salama
September 20, 2017
Category: Foot Conditions
Tags: Orthotics   Sesamoids   sesamoiditis  

Sesamoids are bones that are embedded in a tendon. They are found in different areas of the body, including your foot. Specifically, there are two pea shaped bones located in the ball of the foot and also beneath the joint of the toe.

These little bones help the big toe move normally. They also provide leverage when the big toe pushes off the ground.  This is very beneficial when you are walking or running. These bones also help absorb shock and stress during activities such as running, jogging, hiking, and walking.

Sesamoid injuries can be very complex. They can involve not only the sesamoid bones, but also the surrounding tendons, muscles, ligaments, and joints. These injuries almost always stem from activities that put a lot of pressure on the ball of the foot or the tips of the toes. High heel shoes can also cause this condition.

Types of Sesamoid Injuries

  • Turf Toe – This directly affects the tissues surrounding the big toe. It usually occurs when the big toe is over stretched.  Immediate sharp pain will occur accompanied with swelling. It is usually hard to move the toe afterwards. Sometimes an injured person with this condition will hear a popping noise. This could be a sign of a sesamoid fracture and should be treated by a podiatrist such as Dr. Mayer Salama and Dr. Daniel Salama.
  • Fracture – A fracture of the sesamoid bone can either be mild or severe. It will cause immediate swelling at the sight of trauma. They typically heal with rest but sometimes require casting.
  • Sesamoiditis – This condition is due to overuse of the joint. Over time after a lot of pressure and use of the foot, a dull pain will begin. Usually the patient can feel it whenever they walk or move their feet. Sometimes poor fitting shoes will cause this intermittent and often reoccurring injury.


Overall, most sesamoid injuries have a good outlook. The use of padding, immobilization, oral medication, physical therapy, and orthotic devices can help the patient. If you suspect that you are suffering from a sesamoid injury in the foot, it is important to contact a podiatrist right away. Dr. Mayer Salama and Dr. Daniel Salama located in Dearborn, Farmington Hills, Clarkston and Trenton, Michigan can help you treat your sesamoid issue. Call 313-274-0990 or make an appointment online today.

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?


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.  

August 01, 2017
Category: Foot Conditions

Many people are born with two legs, two ankles, and two feet. These parts of the body help us walk and get mobile every day. We rely on them heavily and use them constantly.  Not every foot and ankle is the same though. Feet and ankles come in all shapes and sizes. Sometimes the foot and ankle even comes pronated.

Pronated feet are feet that are rotated or turned away from the body. Typical feet are mostly in line with the center of the body. They do not turn inwards or outwards. They align straight and are parallel. People with pronated feet do not have such alignment.


  • The forefoot is shifted outward from the heel.
  • The ankle is bulging on the inside.
  • The heel is turned away from the center of the body.
  • The patient’s les are turned inward or are bowed.

Sometimes people with pronated feet also lack a plantar’s arch. This condition is commonly known as flat feet or pancake feet. Other times, however, those with pronated feet do not suffer from a lack of arch. Each person and circumstance is different as is every set of feet in the world. In all cases, if the feet are severely pronated, it can cause negative long-term health issues.

What are the long-term effects?

Those who suffer from severely pronated feet tend to have other pains and problems in their bodies. The pelvis, feet, ankles, and back are all directly affected. Pronation causes these body parts to misalign which can lead to pain, strain, and lead to abnormal gait, motion, and tired feet.

Other long-term effects from pronated feet are heel spurs, bunions, shin splints, Morton Neuroma and deformity.

Pronated feet are considered a serious deformity that should be treated by a podiatrist immediately. Once seen by a podiatrist the patient can select different treatment options that may be right for them. Some treatments for pronated feet include but are not limited to:

Dr. Mayer Salama and Dr. Daniel Salama located in Dearborn, Farmington Hills, Clarkston, and Trenton Michigan could be the right podiatry office for you. There you will meet Dr. Mayer Salama and Dr. Daniel Salama. They will examine, diagnose and treat you in a professional and educational manner. Call 313-274-0990 or make an appointment online today. We want you to have the best foot care possible.


By Dr. Mayer Salama and Dr. Daniel Salama
July 20, 2017
Category: Foot Conditions

After a few drinks and some motivation from your friends, you decided that it would be a great idea to go out onto the dance floor and show them all of the moves you had kept locked away for the past three years. Everything went well, until you woke up the next morning with your foot so sore that you couldn’t even dream of walking on it. What is that pain? Did you break your foot somehow? Sprain it? Or could it be plantar fasciitis?

Plantar fasciitis is the inflammation of the tough tissue on the bottom of the foot. Typically, it occurs along the plantar fascia, which extends from the heel all the way down and attaches to the toes. Essentially, it makes up the majority of the bottom of your foot. This condition not only causes pain in this area, but it can also cause heel spurs.

Pain from plantar fasciitis is usually at its worst in the morning and eases up by the end of the day. That is why it is common for people to wake up with the pain seemingly out of nowhere. 

One of the major causes of plantar fasciitis  is continuous, repetitive stress to the foot. This means that all of that stomping from dancing to Cotton Eye Joe only made things much worse, and likely caused the pain to begin. Another cause is poorly fitting shoes. If your shoes do not fit and have no arch support, you can also find yourself facing the pain of plantar fasciitis.


For mild cases of plantar fasciitis, rest, stretches, and over the counter pain medication can ease pain and allow for the arch to heal over time. If pain persists or worsens, you should call a podiatrist right away. Dr. Mayer Salama and Dr. Daniel Salama, located in Dearborn, Farmington Hills, Clarkston, and Trenton, Michigan can address all of your podiatry related questions and problems. Dr. Mayer Salama and Dr. Daniel Salama will examine, diagnose and treat your ailment according to each patient’s individual needs. Call 313-274-0990 or make an appointment online today. “We want all our patients to be informed decision makers and fully understand any health issues you/they face.”

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