When should I see a podiatrist?

You should see a podiatrist for any persistent foot or ankle pain lasting more than a few days, difficulty walking, numbness or tingling, wounds that won't heal, changes in skin color or temperature, or structural deformities. Dr. Tom Biernacki, DPM is a board-certified podiatrist serving SE Michigan with same-day appointments available. Call 810-206-1402.

Does Dr. Biernacki accept insurance?

Balance Foot & Ankle accepts most major insurance plans including Blue Cross Blue Shield, Aetna, United Healthcare, Cigna, Medicare, and many others. Contact our office at 810-206-1402 to verify your specific coverage. We also offer affordable self-pay options.

What should I expect at my first podiatry appointment?

Your first visit includes a comprehensive evaluation with Dr. Biernacki including medical history review, physical examination, biomechanical assessment, and any necessary diagnostic imaging (X-rays are available in-office). You'll receive a diagnosis, treatment plan, and same-day treatment when possible. Most initial visits take approximately 30-45 minutes.

Ankle Arthritis: Total Ankle Replacement vs. Fusion

Medically reviewed by Dr. Tom Biernacki, DPM — Board-Certified Podiatric Surgeon — Balance Foot & Ankle, Howell & Bloomfield Hills, MI. Last updated April 2026.

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Medically Reviewed by Dr. Tom Biernacki, DPM — Board-Certified Podiatrist, Balance Foot & Ankle Specialists, Michigan. Last updated April 2026.

Insurance Accepted

BCBS · Medicare · Aetna · Cigna · United Healthcare · HAP · Priority Health · Humana · View All →

Howell Office

3980 E Grand River Ave, Suite 140

Howell, MI 48843

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Bloomfield Hills Office

43700 Woodward Ave, Suite 207

Bloomfield Hills, MI 48302

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Your Board-Certified Podiatrists

Dr. Tom Biernacki, DPM

Board-Certified · FACFAS

Dr. Carl Jay, DPM

Board-Certified Podiatrist

Dr. Daria Gutkin, DPM

Podiatrist

Ready to Get Back on Your Feet?

Same-week appointments available at both locations.

Book Your Appointment

(810) 206-1402

More Podiatrist-Recommended Arthritis Essentials

Cushioned Running Shoe

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Hoka Clifton 10 — max cushioning reduces joint impact for arthritic feet.

Wide Walking Shoe

New Balance 990v6 — wide toe box accommodates arthritic first-MTP (hallux rigidus).

Orthotic Insole

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PowerStep Pinnacle — offloads the big toe joint during gait.

As an Amazon Associate, Balance Foot & Ankle earns from qualifying purchases. Product recommendations are based on clinical experience; prices and availability shown above update live from Amazon.

Arthritis Header Photo Balance Foot And Ankle - Balance Foot & Ankle

When to See a Podiatrist

Foot and ankle arthritis progresses silently — cartilage doesn’t regrow, but joint fusion, cheilectomy, and biologic injections can restore function at every stage. Balance Foot & Ankle offers the full arthritis spectrum: bracing, injections, and reconstructive surgery. Start with a consult so we can image the joint and give you a realistic 5-year outlook.

Call Balance Foot & Ankle: (810) 206-1402 · Book online · Offices in Howell & Bloomfield Hills

In-Office Treatment at Balance Foot & Ankle

When conservative care isn’t enough, Dr. Tom Biernacki and the team at Balance Foot & Ankle offer advanced, same-day options — including Foot & Ankle Arthritis Treatment at our Howell and Bloomfield Hills clinics.

Same-day appointments available. Call (810) 206-1402 or book online.

Dr. Tom Biernacki, DPM

Dr. Tom Biernacki, DPM is a double board-certified podiatrist and foot & ankle surgeon at Balance Foot & Ankle Specialists in Southeast Michigan. With over a decade of clinical experience, he specializes in heel pain, bunions, diabetic foot care, sports injuries, and minimally invasive surgery. Dr. Biernacki is a member of the APMA and ACFAS, and his patient education content on MichiganFootDoctors.com and YouTube has reached over one million views.

Frequently Asked Questions

Can a podiatrist treat arthritis in the foot?

Yes. Podiatrists diagnose and treat all types of foot and ankle arthritis including osteoarthritis, rheumatoid arthritis, and gout. Treatments include custom orthotics, joint injections, physical therapy, and surgical options when conservative care is insufficient.

How much does a podiatrist visit cost without insurance?

Self-pay podiatrist visits typically range from 100 to 250 dollars for an initial consultation. Contact Balance Foot & Ankle Specialists at (810) 206-1402 for current self-pay pricing and payment plan options.

Medical References

Diagnosis and Treatment of Plantar Fasciitis (PubMed / AAFP)
Heel Pain (APMA)
Hallux Valgus (Bunions): Evaluation and Management (PubMed)
Bunions (Mayo Clinic)

This article has been reviewed for medical accuracy by Dr. Tom Biernacki, DPM. References are provided for informational purposes.