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Posts for: April, 2017

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.

By Dr. Mayer Salama and Dr. Daniel Salama
April 20, 2017
Tags: ankle sprains  

We are in full Spring swing and injuries are hovering over the ball fields, playgrounds, hiking trails and tracks. It is so easy to twist your ankle while you are getting back to outdoor activity from a long winter break. Look for swelling and bruising directly after your fall or twist, as they are the first and most prevalent signs that you have sprained your ankle. 

Treatment for such an injury is primarily rest but elevation and ice are key solutions to healing along with supportive bandaging. Preventative measures can also be taken to avoid ankle sprains by strengthening and stretching regularly. However, there are three levels of a sprain that you should know about.

Level 1 Sprain ~ Mild symptoms with little pain and almost no swelling. There may be some stiffness and slight difficulty in walking. Ligaments are usually stretched more than torn and should heal rather quickly.

Level 2 Sprain ~ Moderate to severe pain with more difficulty walking or playing sports. Minor bruising and swelling will develop as the ankle becomes more stiff and unstable to walk on. This level injury could take up to two months to heal.

Level 3 Sprain ~ Extreme symptoms will mean there is a torn or ruptured ligament. The onset of pain is more immediate and the ankle will feel very weak along with swelling and bruising. This level of injury should be treated right away and will require x-rays to make sure the bones are not broken.  Unfortunately, this sprain will take up to three or more months to heal properly.

PRICE is a great acronym to remember when it comes to a sprained ankle:

  • Protection of the injured area is important to stop the damage in its tracks.
  • Rest is one of the most effective components since the body knows how to heal on its own.
  • Ice is widely known and used for acute injuries but should only be applied for 15 minutes at most.
  • Compression is good right after the injury and should be applied for the first 24 to 48 hours.
  • Elevation is the final principal but also important since it helps reduce swelling.

Dr. Mayer Salama and Dr. Daniel Salama have offices in Dearborn, Farmington Hills, Clarkston and Trenton Michigan for your convenience and can be reached at 313-274-0990 to schedule an appointment. If you think you may have sprained your ankle do not delay, spring awaits you!

By Dr. Mayer Salama and Dr. Daniel Salama
April 11, 2017
Category: Foot Care
Tags: Flat Feet   over pronation  

Everyone has their own foot print that gets left behind in the sand. What does yours look like?

Over pronation happens when your heels roll too much towards the inside of your foot while Under pronation happens when your foot rolls outward; Both cause problems and change the way your foot hits the ground as you walk. This foot print tells us what you need to correct your walk and alleviate your pain. 

If your foot print appears to be longer with your toes at the end, you have flat feet from over pronation and can correct it in time by consulting Dr. Mayer Salama and Dr. Daniel Salama. In the meantime, here are some suggested exercises you can use to correct this condition.

Towel curl can be done anywhere and all you need is a towel. Lay the towel on the floor and curl it towards you using only your toes. Spread the towel back out and do it 10 more times. If you would like to increase the intensity you can put a weight at the end of the towel.

Golf ball roll starts by rolling a golf ball under both feet between your feet for 60 seconds. If you hit a point where you feel pain you need to pause for 10 seconds and massage the area that is causing you pain. 

Calf raises are good for increasing muscle strength. Place both feet a shoulders width apart and point your toes forward. Lift onto your toes repeatedly 12 times for 3 sets. You can hold free weight s to increase intensity. 

Pronate ball is simply placing a ball on the outside of your foot against a wall and press the foot outward in to the ball to strengthen the foot and ankle. Hold for 2 seconds and release for 10 sets.

Isometrics require placing a medium size ball between your feet and squeeze the ball, hold for 2 seconds, release and repeat 10 times. 

If you suffer from the pain associated with over pronation call our office and schedule an appointment to be evaluated.  We have four locations in Michigan; Dearborn, Farmington Hills, Trenton and Clarkston for your convenience. Make your foot print a healthy mark in the sand!

By Dr. Mayer Salama and Dr. Daniel Salama
April 06, 2017
Category: Foot Conditions
Tags: Turf Toe   big toe pain  

This condition occurs when an outside force is put onto the big toe causing a sprain in the ligaments around the big toe joint. Our team of doctors understand team sports and realize that your friends may play hard, potentially injuring themselves or you during a great game. While the score may show a win, injuries like turf toe, set you back in the game by several points.


  • Pushing off from your big toe and having your weight shift suddenly to the other foot like many football moves would require.
  • Sudden injury to the big toe mostly seen in soccer and football where the playing field is artificial and is harder than grass.
  • Wearing shoes that do not support the big toe for the specific sport – if the foot bends too far you are at more risk.


  • Pain and tenderness in the ball of the foot and the big toe area.
  • Limited big toe joint movement.
  • Unable to “push off” using your big toe.
  • Difficulty bearing weight on the ball of the injured foot.
  • Swelling in the big toe and ball of the foot.


  • Stay off your feet as much as you can and as long as you can to help it heal on its own.
  • Wrap a compression bandage around the big toe to help with swelling.
  • Use a cold pack with a border from a towel or washcloth and apply to the area several times a day for about 20 minutes each time.
  • Seek professional care.

Turf toe is a simple injury but can become complicated when it comes to the condition of the tendons, ligaments, joint surfaces, nerves and bones in the affected are around the big toe. While flexible shoes and synthetic surfaces are a hot risk for this injury, there are some easy resolutions to prevent or treat turf toe.

Dr. Mayer Salama and Daniel Salama have four locations in Michigan: Dearborn, Farmington Hills, Trento and Clarkston. Contact us at 313-274-0990 for an appointment to see if your symptoms show signs of turf toe or any other foot related problems. Don’t let your turf be compromised by your toes!

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