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Posts for: September, 2017

By Dr. Mayer Salama and Dr. Daniel Salama
September 27, 2017
Category: Foot Care
Tags: Bunions   Blisters   ankle sprains  

When it comes to shoes, women typically have all types and styles of shoes. There is practically a shoe for every color of the rainbow and every occasion you can think of. There are flip flops, sneakers, boat shoes, clogs, flats, high heels, sandals, and so on and so forth. The amount of different types of shoes is vast and impressive. Many of these shoes are often terrible for a woman’s feet, especially high heels. They are the culprits for a lot of pain and suffering and many foot and ankle problems that podiatrists see in their office every day.

If a woman insists on wearing high heels, it is important that she consider swapping them out for part of the day. Switching to flats or sneakers to give your feet a break can make a huge difference in the overall health of the foot.

Wearing heels with different heights is also beneficial to the feet. Women can also try “walking” heels. These heels are specifically designed to blend fashion and comfort together. They offer a wider toe box and reinforced heels for stability. These heels are less likely to cause ankle sprains, bunions, and blisters. They are not perfect though. They can still contribute to foot problems in the long term.

Overall, the best shoe for a woman’s foot is a lace-up sneaker. Not only do they offer ample amounts of stability and support, but there is less danger to the foot over all. As soon as the heel of a shoe disappears, the risk of a foot or ankle injury lessens. Sneakers also have good arch support, good shock absorption and a wider toe box for optimal fit.

Do you wear high heels every day? Do you have lumps on your feet? Do they ache or burn after a long day at work? It is time to see a podiatrist at 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 diagnose your foot condition and get you on the road to recovery. Call 313-274-0990 or make an appointment online to help. We care about you, let us help.

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
September 13, 2017

Foot and ankle problems are very common in the United States. These problems are one of the most common reasons why children and adolescents are referred to orthopedic surgeons or a podiatrists. People of all ages can get foot and ankle problems, even your child. Sometimes these foot and ankle problems are due to a patient’s genetic background. Other times they are due to abnormal inter-utero development. Here are three possible congenital disorders children and teens can get.

  1. Metatarsus Adductus – This is a common foot abnormality which is caused by the position of the fetus in the womb. It is commonly referred to as a “packaging problem.” The mid portion of bones in the foot end up angled toward the midline. This specific foot angle is also known as “hooked forefoot.”  This condition can be mild or severe. Supple feet typically don’t require treatment, while rigid feet need the most treatment. A podiatrist uses casting and surgery to treat this condition.
  2. Clubfoot – This is a very serious condition caused by genetics. The foot is hooked upward, rolls inward, and points downward. Untreated, a patient with this condition would have a very severe disability. Casting and surgery are also used to treat this disorder.
  3. Congenital Vertical Talus – This is a rare and serious condition, which also goes by the name “Rocker Bottom Foot.” The foot becomes stiff and will not flex. It is also angled and requires casting and surgery to treat.

Congenital disorders are fairly common in children all across the United States. Most cases are not so severe that they cannot be treated. Unfortunately, not every foot is the same and some cases do not heal the same as others.

Do you have a child with a congenital foot disorder? Do you think your doctor may have missed something upon their initial examination? If you have any concerns or questions,  do not hesitate and call Dr. Mayer Salama and Dr. Daniel Salama today! Dr. Mayer Salama and Dr. Daniel Salama is located in Dearborn, Farmington Hills, Clarkston, and Trenton, Michigan and has many years of experience with congenital disorders of all types. Call 313-274-0990 or make an appointment online today. We care about the health of you and your child.

By Dr. Mayer Salama and Dr. Daniel Salama
September 07, 2017

When your child is born into the world, everything seems so surreal. The doctors usually check them out to make sure they are healthy not long after they are born. Most of the time, our babies come back to us with a clean bill of health. Sometimes, our babies are not so lucky. Some babies are born with foot deformities that need more surveillance and attention. Once such deformity is called Rocker-Bottom Foot. This deformity is very rare and is usually caught at birth.

Rocker-Bottom Foot is also known as congenital vertical talus. Podiatrists must distinguish this deformity from calcaneovalgus. At first, the two deformities can look similar, but upon further examination, it is evident that they are different. Rocker-Bottom Foot does not respond well to stretching. The foot is inflexible and rigid. In contrast, calcaneovalgus is a flexible deformity that can be fixed with stretching exercises over time. Rocker-Bottom Foot can only be corrected with surgery.

The deformed foot will have a downward point to it instead of an upward point. Usually the middle tarsal bones are dislocated due to this distinguishing factor.

It is important to examine all of the newborn for other deformities when Rocker-Bottom Foot is discovered. Multiple joint contractures (arthrogryposis) and meningomyelocele are very common in infants who suffer from Rocker-Bottom Foot and also need to be treated immediately. 

Upon examination, the affected child usually has a rigid foot with a reversed arch. A deep crease is also present on the foot. The midfoot and the forefoot are extended in an upward position. X-rays are useful when diagnosing Rocker-Bottom Foot.

Some stretching can help this condition but it is unlikely to cure it. Corrective surgery is usually the only treatment that can completely correct and heal the deformity. The surgery is complex and usually requires the podiatrist to fix three parts of the foot. It is important to heavily research your podiatric surgeon before choosing them. 

Dr. Mayer Salama and Dr. Daniel Salama located in Dearborn, Farmington Hills, Clarkston and Trenton, Michigan has two highly trained podiatrists who could be right for you. Dr. Mayer Salama and Dr. Daniel Salama have a diverse and advanced knowledge in foot and ankle care and surgery. If you are interested in consulting with them call 313-274-0990 or make an appointment online today. We know that your child is your top priority, let us make them our top priority too.

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