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Posts for tag: Orthotics

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
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
October 19, 2017
Category: Foot Care

Living with chronic pain in your feet can be detrimental to your health and quality of daily life. After all, we use our feet constantly throughout our day. We use them to walk, climb, stand, and sit down. Without them we would not be able to stay mobile and keep up with society. Unfortunately, some people suffer from chronic pain due to certain types of life altering conditions.

People who live with neuromas or certain types of plantar fasciitis know that living a normal daily life can be a challenge. They often suffer from severe pain and can have difficulty being mobile. These patients typically try many different courses of treatment, such as over the counter pain medication and orthotics. Sometimes these methods do not work and they are left with pain and suffering. Some of these patients then turn to cryotherapy for help.

Cryotherapy is a state of the art therapy for nerve pain relief. It can help treat patients who suffer from neuromas, fibromas, and some types of plantar fasciitis.

How does it work?

Cryotherapy is the process of freezing of nerves. When a nerve is frozen, it stifles the transmission signals that the nerve usually receives to indicate pain, thus reducing pain. The treatment is guided via ultrasound and is done under local anesthesia. This procedure can be done in office during a regular appointment. Most patients respond well to the treatment.

If a patient does not respond well to a treatment, there is no need for panic. The nerve can still be removed with a surgical procedure. Before resorting to this procedure, podiatrists will first try to treat a patient using other options such as injections, physical therapy and insoles. This type of procedure is used as a last resort but prior to a surgical remedy.

Do you have chronic pain due to a neuroma? Does your heel area experience a lot extra pain? Cryotherapy could help you live a pain free lifestyle. Call Dr. Mayer Salama and Dr. Daniel Salama located in Dearborn, Michigan, Farmington Hills, Michigan, Clarkston, Michigan, and Trenton, Michigan. There, foot care specialists Dr. Mayer Salama and Dr. Daniel Salama will help you decide if cryotherapy is the right course of action for you. Call 313-274-0990 or make an appointment online. Allow our caring and compassionate team help you make a decision of a lifetime. 


By Dr. Mayer Salama and Dr. Daniel Salama
October 04, 2017
Category: Foot Care
Tags: Orthotics   Diabetes   Arthritis  

When we are born we are given our feet. As we grow and mature, our feet grow with us. They are with us for our first steps, our first fall, our walk down the aisle and so much more. Our feet take us on journeys, to work, to school and just about everywhere else. They are so important to us and we often do not appreciate them enough. As we age, our feet start to wear down from all of their use. The average life expectancy of an American has increased by 30 years. This means that we have 30 more years to use our feet.

The body’s “mirror of health” is its feet. Why is this? Well that is because podiatrists are usually the first ones to see signs and symptoms of oncoming diseases and conditions. Diabetes, arthritis, and vascular diseases can all be found in the feet first. Some of the most common signs of these disorders are brittle nails, dry skin, and tingling in the feet. If you experience any of these symptoms in your feet, it is important to see a podiatrist right away. Once examined, you can prevent a minor problem from becoming a severe issue.

With the right foot care, many of your foot and ankle problems can be prevented. Foot pain is not just a part of growing older, and you should not live your life thinking that it is. More than 300 foot and ankle ailments can be prevented just by visiting a podiatrist twice a year. These examinations are very important. A podiatrist will help you find the right fit for your shoe, teach you different exercise options to keep your feet in optimal health, and can also prescribe custom orthotics to insert into your shoes to help aid in reducing pain and other foot and ankle conditions.

Walking is also key for the aging foot. If we do not walk our feet and our bodies will not be healthy. Over time the feet will deteriorate and weaken. Sores and structural issues can occur. Avoid these severe health issues by making time to walk for at least 30 minutes a day.

Are your aging feet achy? Are they sore in the shoes they are in? Dr. Mayer Salama and Dr. Daniel Salama of Dr. Mayer Salama and Dr. Daniel Salama located in Dearborn, Farmington Hills, Clarkston and Trenton, Michigan will provide you with quality and compassionate foot care. Call 313-274-0990 or make an appointment online today.

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.

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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