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Posts for tag: Achilles Tendonitis

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.  

By Dr. Mayer Salama and Dr. Daniel Salama
June 15, 2017

Most people associate shin splints with sore shins after a long walk or run. In reality, it is a phrase that covers many different foot and ankle problems, as well as the more common shin pain it is known for. Shin splints are typically due to the overuse of the muscles and tendons. Tendons attach the muscles to the bones which allows us to use biomechanics. Without biomechanics, the human body would not be able to move around.

One of the most well-known tendons in our body is the Achilles Tendon. It is located at the back of the ankle. Achilles Tendonitis falls under the category of shin splints. This is because this disorder is from the overuse of the tendon, which causes inflammation and pain. A lot of jumping will also cause this disorder.


You can save yourself a lot of grief and pain from shin splints if you follow some basic guidelines. At the offices of Dr. Mayer Salama and Dr. Daniel Salama located in Dearborn MI, Farmington Hills MI, Clarkston MI, Trenton MI, they recommend three basic preventative measures.


The right shoes can make all the difference for any kind of shin split or ailment caused to the feet and ankles. If you are a runner and use your shoes all the time, it is often best to buy multiple pairs. Shoes that receive a high amount of stress wear down faster and lose the ability to support your feet, ankles and shins. This will lead to painful disorders and require a trip to the podiatrist.


Stretching before and after physical activities can help prevent shin splints. The use of heel stretches and toe stretches make the biggest difference of all. Mayer Salama, DPM and Dr. Salama welcome you to make an appointment or call 313-274-0990 to set up an appointment to assist you in learning the appropriate stretches.


Rest is not only great at helping the prevention of shin splints, it also helps them heal. After a hard workout, your body needs time to repair any damage or stress that it has taken from the activity it recently participated in. Without rest, the body is not able to hone in on weakening or stressed areas to alleviate tension. Without relief, and with repetitive overuse, the body will eventually break down. Be sure to rest appropriate so that your body can heal itself, and prevent shin splints.

If you are concerned that you may have shin splints, Achilles tendonitis, or any other foot or ankle related ailments, please contact us right away so that we can assist you in diagnosing, treating, and preventing any further pain or disorders.

candace bureAn upcoming MRI is going to determine whether or not Candace Bure’s leg injury is bad enough to force her to bow out of Dancing with the Stars this season. Bure believes that she might have tendonitis, but if it turns out to be a fracture, it could spell the end for her.

The former Full House star tweeted a photo of the injured leg last week with a caption reading “Great way to start off my day!!  Don’t worry, it looks worse than it is… Unless it’s not.  X-ray tomorrow!” Bure is trying to stay optimistic, and insists that the damage won’t be enough to keep her from winning the competition.

Participating in strenuous physical activities like dancing can often make one more susceptible to Achilles tendon injuries. If you are dealing with a problem in your Achilles tendon, visit podiatrist Dr. Mayer Salama, DPM of Salama Foot Care. Dr. Salama will evaluate the severity of your condition and present you with a wide variety of treatment options.

What is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body, and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can cause severe difficulties and should immediately be presented to a doctor.

What are the symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

- Inflammation
- Dull to Severe Pain
- Increased blood flow to the tendon
- Thickening of the tendon

Rupture Symptoms

- Extreme pain and swelling in the foot
- Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation. Often the doctor will order an MRI to confirm the diagnosis. Treatment will involve rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries.

For more information about Achilles Tendon Injuries, follow the link below.

If you have any questions, please feel free to contact one of our offices in Dearborn, Trenton, Clarkston, and Farmington Hills, MI. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Achilles Tendon Injuries.

heel painThere is good and bad news for Louisana State University gymnastics squad. The good news is that they won first place at the NCAA Baton Rouge Regional, setting a national record and earning them a seat competing in the NCAA champions. However, the bad news is that one of their top competitors, Kaleigh Dickson, tore her plantar fascia in her right foot during a routine and is most likely unable to compete in two key events at the Championships.

Coach Breaux has stated that she will be tapping reserve members to fill the gap in the floor and vault categories left behind by Dickson.

Anyone is susceptible of suffering from heel pain. If your heel is hurting, see podiatrist Dr. Mayer Salama, DPM of Salama Foot Care. Dr. Salama can treat your heel pain symptoms in addition to other podiatric related needs.

Causes of Heel Pain

● Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.
● Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.
● Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

- Wearing ill-fitting shoes                 
- Wearing non-supportive shoes
- Weight change          
- Excessive running


Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a thing of the past.

With the advancements in technology and greater knowledge of how muscles and joints work, physical therapists can turn things around dramatically.  

If you have any questions, please feel free to contact one of our offices in Dearborn, Trenton, Clarkston, and Farmington Hills, MI. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Heel Pain.

Plantar FasciitisGeorge Biondic was to attend a 48-hour race within the men’s 60-64 age category featured in the Across The Years Ultramarathon. However, Biondic’s initial upbeat, go-getting view took a turn for the sour after developing plantar fasciitis in his foot.

Sadly, Biondic fell two hours before medics would inform him that participating in the race would not cause additional damage.  “I couldn’t stand on it, let alone run,” Biondic said. “It put us 10 miles behind schedule on our distance and it became clear the Canadian record was not attainable. “But we didn’t want to quit. We were really prepared for this race. I trained 11 months for this one. Biondic was later able to attain the record.  “The record seemed possible if we avoided problems and didn’t sleep the second night,” said Biondic, who went on to complete 277.08 kilometres. “We went 48 hours and it wasn’t until the last five minutes was it clear that we had the record.”

If you are affected by plantar fasciitis, do your feet a favor and seek the care of podiatrist Dr. Mayer Salama of Salama Foot Care. Dr. Salama will examine and treat your feet and work towards a better recovery.

What is Plantar Fasciitis?

Plantar fasciitis is an inflammation of the connective tissues on the bottom of the foot, causing pain in the heel and arch of the foot.

What Causes Plantar Fasciitis?

· Lack of adequate footwear
· Obesity
· Excessive running
· Poor foot support
· Overpronation

How Can Plantar Fasciitis Be Treated?

· Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices.
· Shockwave therapy – sends sound waves to the areas where pain is experience.  Requires multiple sessions.  This is used for very persistent cases of plantar fasciitis.
· Ultrasound-guided technique with steroid injections into the plantar fascia.  This is from a relatively new and small study, but was shown to be effective in most cases treated.

If you have any questions, please contact one of our offices located in Farmington Hills, Dearborn, Clarkston, and Trenton, MI. We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

Read more on Plantar Fasciitis.

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

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Clarkston, MI 48346 - (248) 625-1110

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Farmington Hills, MI  48336 - (248) 474-0040