Expert Foot & Ankle Treatment from Michigan’s #1 Podiatrist - Balance Foot & Ankle Specialist
Board Certified Podiatrists
Expert Foot & Ankle Care
Expert Foot & Ankle Treatment from Michigan’s #1 Podiatrist - Balance Foot & Ankle Specialist
Expert Foot & Ankle Care
Living with chronic ankle or foot pain can limit your mobility and affect your quality of life. At Balance Foot & Ankle Specialist, our experienced podiatrists identify the root cause of ongoing pain and provide advanced, evidence-based treatments to help you move comfortably again.
Comprehensive Diagnosis • Personalized Treatment • Long-Term Relief
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Bloomfield Hills
43494 Woodward Ave # 208, Bloomfield Twp, MI 48302
Chronic pain in the feet can stem from various causes—ranging from plantar fasciitis, arthritis, neuropathy, or untreated injuries. It may present as persistent aching, burning, stabbing, or throbbing pain that affects your ability to walk or stand comfortably. Left untreated, chronic foot pain can lead to changes in posture, gait, and overall quality of life. Diagnosis typically involves a physical exam, imaging tests, and an evaluation of your medical history. The good news? Most conditions can be managed effectively with the right combination of rest, custom orthotics, physical therapy, medications, or minimally invasive procedures.
Chronic Pain in Feet is very TREATABLE! The most common cause is over-pronation and flat feet. We go over the best chronic 100% best treatment options!
Bottom Of The Foot Pain: Make 100% sure you find the causes & best treatment for your bottom of the sole, heel, and feet!
Chronic pain is defined as discomfort that lasts longer than three months or continues despite rest and home care. It may result from:
Arthritis or joint degeneration
Tendonitis or ligament damage
Nerve conditions (neuropathy, nerve entrapment)
Previous injuries or fractures
Flat feet or structural misalignment
Overuse or repetitive stress
Accurate diagnosis is critical to long-term relief.
Most cases of bottom-of-foot pain respond well to non-surgical care, especially when treated early.
Conservative treatment may include:
Custom orthotics and arch support
Stretching and strengthening therapy
Anti-inflammatory treatment (when appropriate)
Shockwave therapy
Footwear guidance and activity modification
Our goal is to relieve pain while addressing the root cause—not just the symptoms.
Surgery is rarely the first option and is only recommended when:
Conservative treatments fail
Pain significantly limits daily function
Structural issues require correction
If surgery is needed, our specialists carefully explain the procedure, risks, and expected outcomes before moving forward.
Recovery time depends on the condition and treatment approach, but many patients experience improvement within weeks to a few months.
Recovery focuses on:
Reducing inflammation and pressure
Restoring strength and flexibility
Preventing recurrence through biomechanical correction
Gradual return to normal activities
Early care often leads to faster and more complete recovery.
If foot pain is part of your daily life, don’t ignore it. Our board-certified podiatrists at Balance Foot & Ankle Specialists in Michigan can help diagnose and treat your condition with personalized care plans. Call today or schedule an appointment online and get back on your feet—comfortably and confidently.
Finding the best products for managing peripheral neuropathy and diabetic foot pain can make a world of difference in your daily comfort and mobility.
When it comes to managing foot pain from conditions like plantar fasciitis, flat feet, or diabetic neuropathy, the best orthotics can offer crucial support and relief.
Choosing the best shoes for foot conditions like neuropathy, plantar fasciitis, or flat feet is essential for pain relief and long-term foot health.
Look:
Please click on the gallery for a guided tour through heel pain conditions!
The following conditions and problems can be the cause of your Chronic pain in feet that is localized to the big toe area:
Big toe joint arthritis may cause ball of the foot pain.
The following conditions and problems can be the cause of your Chronic pain in feet that is localized to the big toe area:
Skin can be the culprit when it comes to chronic feet pain. Scan the list for the following causes of Chronic pain in the feet due to skin problems.
Chronic pain in the feet can frequently be due to the ball of the foot, and these are the most common causes of foot pain.
Posterior Tibial Nerve Entrapment:


















Best Full Length Orthotics:








Best Dress Shoe Orthotics:






Best 3/4 Length Orthotics:










































Our board-certified podiatrists specialize in foot and ankle care.
Board-certified podiatrist specializing in diabetic care, senior foot health, wound care, and mobility restoration. Known for a compassionate, gentle approach.
Experienced in geriatric foot conditions, chronic pain treatment, and difficult toenail management.
Experienced in treating a variety of conditions including diabetic foot care, foot pain and trauma.
Got questions? You’re not alone. Here are some of the most common inquiries from patients considering surgery:
Chronic foot pain can be caused by plantar fasciitis, arthritis, nerve damage, bunions, flat feet, or past injuries.
Yes, diabetes can cause peripheral neuropathy, leading to chronic foot pain, tingling, or numbness.
If foot pain lasts longer than a few weeks or interferes with daily activities, it’s time to see a specialist.
Absolutely—poorly fitting or unsupportive shoes are a common trigger for chronic foot discomfort.
Treatments range from physical therapy, orthotics, and footwear changes to medication or surgery.
With proper treatment, most foot pain can be significantly reduced or fully resolved.
Yes—rest, ice, elevation, and supportive shoes can offer temporary relief.
A podiatrist (foot and ankle specialist) is the best doctor to diagnose and treat chronic foot pain.
Yes—misalignment and poor posture from other musculoskeletal issues can lead to foot pain.
Yes—age-related changes, arthritis, and activity over time often contribute to foot pain in seniors.
Chronic foot pain rarely has a single cause — most patients benefit from a layered approach combining mechanical support, circulation improvement, and anti-inflammatory strategies. These are our first-line product recommendations for chronic foot pain.
Foundation of any chronic foot pain program — corrects biomechanical contributors
Reduces swelling, improves circulation, and provides mild proprioceptive support
On-demand topical relief for chronic pain flare-ups — safer than daily NSAIDs
See our complete guide: All podiatrist-recommended foot care products →
Products help, but a professional evaluation finds the root cause. Schedule your appointment or call (810) 206-1402.
Living with ongoing foot pain can affect your mobility, sleep, and quality of life. You don’t have to manage it alone.
Dr. Tom Biernacki, DPM is a board-qualified podiatrist and foot & ankle surgeon serving Southeast Michigan at Balance Foot & Ankle Specialists. A Michigan native, Dr. Biernacki earned his undergraduate degree from Michigan State University and his Doctor of Podiatric Medicine (DPM) from Kent State University College of Podiatric Medicine. He completed a three-year comprehensive surgical residency in foot and ankle surgery in the Detroit metro area.
Dr. Biernacki specializes in the treatment of heel pain, bunions, hammertoes, diabetic foot care, sports injuries, flatfoot correction, and minimally invasive foot surgery. He is dedicated to providing evidence-based, patient-centered care that helps people of all ages stay active and pain-free.
He sees patients at multiple convenient Metro Detroit locations and is committed to community education through the MichiganFootDoctors.com resource library. Dr. Biernacki is a member of the American Podiatric Medical Association (APMA) and the Michigan Podiatric Medical Association (MPMA).
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