King, Susan P

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Mon:	9:30 am - 5:00 pm
Tue:	9:00 am - 7:00 pm
Wed:	9:00 am - 12:00 pm
Thu - Fri:	9:00 am - 4:00 pm
Sat:	9:00 am - 12:00 pm

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Payment method: insurance
Location: Belleville Square
AKA: King Susan P DPM
Other Link: http://footcareinstitute.com
Categories: Physicians & Surgeons, Podiatrists, Physicians & Surgeons, Physicians & Surgeons, Dermatology, Physicians & Surgeons, Family Medicine & General Practice, Physicians & Surgeons, Orthopedics

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Phone: (734) 699-2400

Address: 10798 Belleville Rd, Belleville, MI 48111

Website: http://footcareinstitute.com

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King, Susan P

General Practitioners

Warts
Arthritis
The possible causes of a bunion deformity are numerous and can only be numerically reduced pending a thorough examination by the specialist. Hereditary tendencies for bunions to occur in members of the same family ranks high as a potential cause. Another frequent culprit is that of our manner of walking. In short, the particular mechanics of one's walking style could be such that abnormal forces, pressures, and anatomical changes could result in a bunion deformity. Various arthritic conditions such as osteoarthritis, rheumatoid arthritis, and gout can also lead to deformities of the first metatarsal joint and a bunion. An important fact to keep in mind is that generally speaking, shoes can aggravate an existing bunion deformity but will not initially cause one to occur.
Plantar Fasciitis
Heel pain is most often caused by plantar fasciitis, a condition that is sometimes also called heel spur syndrome when a spur is present. Heel pain may also be due to other causes, such as a stress fracture, tendonitis, arthritis, nerve irritation, or, rarely, a cyst.
Primary Care

Depression

Endocrinologist

Diabetes Care

Orthopedics
Wound Care
Bunions
Bunions are those unsightly enlargements or bumps that occur on the inside areas of your feet. A bunion deformity can cause a wide range of problems for the patient and consequently can involve a varied approach to treatment. An important point to consider in the understanding of this problem is that it is a progressive deformity. In other words, a bunion will in most cases worsen with time. No one can predict how fast the deformity will progress or to what extent it will cause debility or symptoms but most authorities would agree that sooner or later, it will worsen. Bunions, by nature, can cause pain in certain shoes, become a common site for arthritic changes, lead to secondary compensatory problems such as hammertoes or pain in the fat pad area, or they may cause serious aesthetic or shoe wear concerns for certain individuals. Whatever the extent of involvement, a bunion deformity should warrant consideration by the patient and some level of professional evaluation by a foot specialist.
Ingrown Toenails
To borrow a term coined by our youth of today, ingrown toenails are definitely the "pits". In short, the problem is just what its name implies. The nail plate is too large for the under covering or bed and one or both sides are pressing into the skin. Ingrown nails can result from several possible causes such as improper cutting, abnormal nail structure, and localized injury to the plate. The appearance of the toe involved may range from a sensitive redness and slight inflammation to a full-blown infection of the toe with pus and bleeding usually evident. The object of course, is to prevent the infectious stage from taking place and to remedy the problem earlier in its development.

Corns
Corns may be vegetables to a farmer, but quite a different item to the afflicted patient seeing a foot specialist. By definition, they are the hard, thickened areas of skin, which frequently are located on the top, ends, and outer portions of toes. Generally speaking, corns are nature's response to chronic friction and pressure. Ill fitted shoes, abnormal toe structure, and arthritic conditions are common causes of these annoying lesions. Often times, an underlying section of bone beneath the corn is the culprit in that it causes skin pinching or pressure with the enclosed shoe.
Cyst
Calluses
Not all calluses cause discomfort just as not all blondes have blue eyes. A callus may be small, medium, or large in area but thin and diffuse in thickness. These are normally non-painful and can be effectively dealt with by paddings, insoles, and certain types of abrasive treatment procedures. On the other hand, calluses may become deep and punctuate with circular type cores in their center. These are the ones that can indeed cause grief and most often will lead to a visit at the local foot doctor's office. This painful type of callus may be due to an underlying problem in bone structure, a particular type of skin condition, or perhaps a response to a foreign body. Various treatment methods are available by the foot specialist that are geared towards re-establishing proper balance and weight distribution. These problems should be seen as early as possible so as to minimize the necessary treatment involved.
Fungus
Not all discolored, thickened, or deformed nail plates are due to fungus infections. Indeed, many are due to trauma, congenital (birth) changes, and other conditions such as drug use, high fever ailments, and circulatory problems. The actual fungus nail itself is one that is diagnosed through clinical cultures and identification of the involved organism. It is usually a thickened and yellowish-brown discolored nail plate surface. In most cases, the infection starts at the end of the toenail and progressively involves the remainder of the plate. The vast majority of fungus nails are asymptomatic or painless and for many, are more of a cosmetic problem than anything else. Most authorities agree that fungus nails are not contagious between people but a progressive involvement from one toe to another is still a confusing issue for many.
Lesions
Calluses on the bottom of the foot are about as common as sneezing with hay fever. Years ago, we used to judge a man's working ability or performance by the condition of his hands. It was quite simple. A good hard worker had callused hands and as for his feet, they just weren't part of the job interview. Calluses, like corns, are thickened layers of skin, which are nature's response to excessive friction and pressure. Initially, a hot spot or blister may be present but if the pressure continues, a callus will often form. Generally speaking, these lesions will usually form beneath weight bearing, bony segments of the foot. Characteristically this includes the metatarsal heads or ball of the foot, the heel, and the under surface of certain toes. Contrary to frequent belief, calluses do not grow and spread by any living intention. However, they are capable of involving adjacent skin areas as a result of continued fiction and pressure characteristic of certain areas of the foot.
Rashes
Burns

Physical Therapists

Physical Therapy
In most cases, the treatment of the pronated flat foot involves prescribed orthotics or foot and ankle supportive devices. These effectively reduce the in-rolling tendency and help to support the foot and ankle during gait. Other less frequently used approaches in the management of various flat foot conditions include shoe modifications, injections, oral anti-inflammatory medications, physical therapy, and surgery. A foot specialist will carefully evaluate this condition in order to identify its probable type, cause, and to select the most effective therapy plan available.
Flatfoot Correction
Heel Pain
Orthotics and Prosthetic Therapy

General Podiatry
A Podiatrist, Doctor of Podiatric Medicine (DPM), is the only health care professional whose total training focuses on the foot, ankle and related body systems. After obtaining an undergraduate degree, the podiatric doctor spends four years in a college of podiatric medicine to obtain a doctorate degree. Podiatrists then further their education by participating in a post-graduate residency program at an approved hospital or university. Following their doctorate degree, each podiatrist must pass national and state examinations in order to be licensed by the state in which he or she will practice.
Ankle Sprain
Pooja Srivastava, DPM was born and raised in the Metro Detroit area, She went on to complete her undergraduate degree at The University of Michigan-Ann Arbor, after which she proceeded to pursue her doctorate at the New York College of Podiatric Medicine after interning with Dr. John Grady. Going to school in New York City, Dr. Srivastava became well-acquainted with a diversity of patients as well as clinical pathologies. She decided to return home after her schooling, completing her medical and surgical training at Mclaren Oakland Hospital in Pontiac, Michigan. Dr. Srivastava's primary focus is in bunion correction, digital contractures, foot injuries, ankle injuries, tendon injuries, routine diabetic care, wound care, and additional dermatologic conditions pertaining to the lower extremity.
Bunions Problems
The rather large group of clinical conditions affecting the younger patient can be sub-divided into four categories. The first includes those conditions involving the skin and nails. Under this heading, we find such ailments as rashes, warts, ingrown nails, skin infections, and foreign bodies. The second category includes the traumatic conditions such as sprained ankles, bruises and soft tissue injuries, dislocations, fractures (broken bones), burns, and lacerations (cuts). A third group involves the structural or visible deformities of the feet. These include such conditions as bunions, hammertoes, tailor's bunions, and enlarged heel bumps. Category four includes the problems associated with gait or the way that one walks. We refer to this group of clinical problems as functional since they are produced by some sort of abnormal foot function during walking. Under this heading we find excessive pronation (in-rolling of the arch), suppination (rolling to the outside of the foot), in-toe and out-toe problems, limb length abnormalities, and other biomechanical problems.
Calluses
Flat Feet
Fungus Toenails
Toenail fungus often begins as an infection in the skin called tinea pedis (also known as athlete's foot). The fungus often starts under the nail fold at the end of the nail. Over time, it grows underneath the nail and causes changes to its appearance, such as a yellow or brownish discoloration. It can also cause thickening and deformity of the toenail.
Hammertoes
Hammertoe is a contracture (bending) deformity of one or both joints of the second, third, fourth or fifth (little) toes. This abnormal bending can put pressure on the toe when wearing shoes, causing problems to develop.
Heel Spurs
Plantar fasciitis involves a localized swelling, irritation, and/or bursitis of the thickened fibrous bands supporting the bottom of one's foot. These tendon-like bands run length wise from the heel and fan out into the metatarsal heads or fat pad area of the foot. In most cases, painful symptoms arise at or near the point at which the bands are attached to the heel. When a person stands, these fibrous bands stretch and elongate under the pressure and pull on the heel. Eventually, a heel spur or calcium deposit may actually form in response to this constant pulling. Many of the patients who have this condition seem to have a similar presentation. There is frequently pain upon rising out of bed in the morning. The first few steps are excruciating but reduce quickly in their intensity. Later in the day, the individual with plantar fasciitis will notice pain after sitting and then getting up again. The pain is mostly localized to the heel and arch areas with occasional radiation of discomfort up the back of the leg. Well-padded shoes are helpful but rarely rectify the condition.
Heel Pain
Foot Infections
A frequently raised question by many patients is why are diabetics more prone to develop foot problems? Reason one is that diabetics frequently have various degrees of nerve damage, which may be evident as areas of numbness, tingling, or burning. This abnormal level of nerve sensation can mask pain or discomfort. In other words, the diabetic can readily become injured without actually feeling the area involved. A second reason is that diabetes frequently involves changes in one's vascular circulation, which result in impaired healing. The third reason is that there is often an impaired immune system in these patients, which reduces their ability to fight infections. As one would guess, we encounter a higher number of foot infections in diabetics as compared to the rest of the population.
Ingrown Toenails
Trauma. Sometimes an ingrown toenail is the result of trauma, such as stubbing your toe, having an object fall on your toe or engaging in activities that involve repeated pressure on the toes, such as kicking or running.
Foot Injuries
Toenail Problems
Many people have difficulty with their toenails and need assistance in caring for them. A foot and ankle surgeon can diagnose the cause of toenail problems and can recommend treatments.
Foot Orthotics
Foot orthotics are supportive devices that are designed specifically for the purpose of improving one's postural stability, reducing shock impact, and/or improving weight distribution. In most cases, these devices are functional in the sense that they also improve one's biomechanical performance during gait. An impression of some sort, is usually taken of your feet, and used in the selection and fitting of a prescription orthotic. The particular information regarding anticipated cost, durability, and use may vary depending upon the type of orthotic and should be discussed with your foot specialist.
Plantar Fasciitis
We are unsure as to why certain people get plantar fasciitis while others do not. Trauma, repetitive stress and strain, overweight conditions, hereditary tendencies, and various soft tissue abnormalities can all play a causative role but as of yet, a clear and identifiable culprit has not been found. We can however, discuss why the pain onset seems to follow with rising or weight bearing periods after sitting. In a lying down or sitting position, the long plantar fascial bands are relaxed and contracted. There is little to no pulling on the heel and therefore, absent pain in most cases. Once we stand, these bands suddenly elongate or stretch, thus putting a strain on the bottom of the heel. Considering the fact that this pulling pressure is of a cumulative nature, sooner or later, symptoms may arise.
Podiatric Orthopedics
Podiatric Surgery
No one likes the thought of walking around with a pebble in his or her shoe or feeling as though one were stepping on a tack with each stride. After going to the foot doctor, you find out that the annoying corn or callus can possibly be corrected with surgery. And then, you start having all of those bad thoughts and fear stricken reservations as to the very idea of foot surgery. Well, put those fears aside because in most cases, there is a new procedure available, which offers many advantages.

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