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Ankle Fracture ORIF: Surgical Repair of Bimalleolar and Trimalleolar Fractures

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

Clinician-Recommended Alternatives
Dr. Tom's Pick: Pain Relief
Natural arnica and menthol formula. Our preferred topical for foot and ankle pain - no artificial dyes or parabens.
Replaces: Biofreeze | Available on Amazon with free Prime shipping
These products are personally used and recommended by Dr. Tom Biernacki, DPM at Balance Foot & Ankle Specialists.

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

Treatment at Balance Foot & Ankle: Foot Emergency Guide →

Insurance Accepted

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

Ready to Get Back on Your Feet?

Same-week appointments available at both locations.

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(810) 206-1402

More Podiatrist-Recommended Foot Health Essentials

Top-Rated Arch Support Insole

Universal podiatrist-recommended insert for pain relief and prevention.

Foot Massage Ball

Daily 3-minute roll reduces most forms of foot and heel pain.

Moisture-Wicking Sock

Prevents fungus, blisters, and odor — the basics matter.

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.

Dr Daria Gutkin Walking Boot Fitting Ankle Fracture Foot Injury Michigan - Balance Foot & Ankle

When to See a Podiatrist

If foot or ankle pain has been bothering you for more than a few weeks, home care alone may not be enough. Balance Foot & Ankle offers same-week appointments at our Howell and Bloomfield Hills clinics — no referral needed in most cases. Bring your current shoes and a short list of symptoms and we’ll build you a treatment plan in one visit.

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 Fracture Repair Michigan at our Howell and Bloomfield Hills clinics.

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

★ NEW LAUNCH — Dr. Tom’s Strategic Pick

PowerStep Dynamic Ankle Stability Sock (DASS)

Best for: Chronic ankle instability · Repeat ankle sprains · Proprioception training · Athletes returning to play

PRIME DR. TOM’S #1 BRAND APMA-ACCEPTED
★★★★★ 4.5 · Newer Product · Reviews building

A revolutionary alternative to bulky ankle braces. The DASS uses dynamic compression and targeted stabilization zones to retrain ankle proprioception while you walk, run, or stand. Designed by PowerStep’s biomechanical team specifically for patients with chronic ankle instability or recurring sprains.

✓ Pros
  • Fits in normal shoes
  • Trains proprioception
  • Less bulky than brace
  • Wear all day comfortably
✗ Cons
  • Less rigid than ASO brace
  • Newer product
  • Pricier than basic socks
DR. TOM’S VERDICT

“For my patients with chronic ankle instability who don’t want to rely on rigid bracing forever, the DASS is the best bridge product I’ve seen. It’s not a replacement for surgical reconstruction in severe cases, but for grade 1-2 instability it’s a game-changer for return-to-sport.”

Check Latest Price on Amazon — Free Returns →
As an Amazon Associate, Dr. Tom Biernacki, DPM earns from qualifying purchases. Independently tested + reviewed by Dr. Tom for 30+ days. Last verified April 2026.

Dr. Tom’s Top 3 — The Premium Foot Pain Stack (2026)

If you only buy three things for foot pain, get these. PowerStep + CURREX orthotics correct the underlying foot mechanics, and Dr. Hoy’s pain gel delivers fast topical relief. This is the exact stack Dr. Tom Biernacki, DPM gives his Michigan podiatry patients on visit one — over 10,000 patients have used this exact combination.

📋 Affiliate Disclosure + Trust Statement:
Dr. Tom Biernacki, DPM is a board-certified podiatrist + Amazon Associate. Picks shown are products he prescribes to patients at Balance Foot & Ankle Specialists. We earn a commission on qualifying purchases at no extra cost to you. All products independently tested + reviewed for 30+ days minimum. Last verified: April 28, 2026.
#1
⭐ Editor’s Pick — #1 Orthotic

PowerStep Pinnacle MaxxDr. Tom’s #1 Brand

Best For: #1 OTC Orthotic — Plantar Fasciitis + Overpronation
★★★★★ 4.5 (28,341+ reviews)
Amazon’s ChoicePrimeAPMA-Accepted

Dr. Tom’s most-prescribed OTC orthotic. Lateral wedge corrects overpronation that causes 90% of foot pain. Deep heel cradle stabilizes the ankle. Built by podiatrists, used by patients worldwide.

✓ PROS
  • Lateral wedge corrects pronation
  • Deep heel cradle stabilizes ankle
  • Dual-density EVA — comfort + support
  • Trim-to-fit any shoe
  • Used by 10,000+ podiatrists
✗ CONS
  • Trim-to-size required
  • 5-7 day break-in for some
👨‍⚕️ Dr. Tom’s Verdict: This single insole eliminates plantar fasciitis pain in 60% of patients within 2 weeks. The lateral wedge is the active ingredient — it stops the overpronation that causes the fascia to overstretch with every step. Pair with a max-cushion shoe for compound effect.
🛒 Check Latest Price on Amazon — Free Returns →
#2
⭐ Best Premium Orthotic

CURREX RunProDr. Tom’s #1 Brand

Best For: Premium German-Engineered Orthotic
★★★★★ 4.4 (4,000+ reviews)
Prime

3 arch heights for custom fit (Low/Med/High). Carbon-reinforced heel + dynamic forefoot — the closest OTC orthotic to a $500 custom orthotic. Engineered in Germany.

✓ PROS
  • 3 arch heights for custom fit
  • Carbon-reinforced heel cup
  • Dynamic forefoot zone
  • Premium German engineering
  • Sport-specific support
✗ CONS
  • Pricier than PowerStep
  • 7-10 day break-in
👨‍⚕️ Dr. Tom’s Verdict: Choose your arch height from a wet-foot test (low/med/high). Wrong arch = re-injury. For runners, athletes, or anyone who failed standard insoles — this is the closest you can get to custom orthotics without paying $500. The carbon heel is what professional athletes use.
🛒 Check Latest Price on Amazon — Free Returns →
#3
⭐ Best Topical Pain Relief

Dr. Hoy’s Natural Pain Relief GelDr. Tom’s #1 Brand

Best For: Topical Pain Relief — Plantar Fasciitis + Tendonitis
★★★★★ 4.6 (5,500+ reviews)
Prime

Menthol-based natural pain relief — Dr. Tom’s #1 brand for fast relief without greasy residue. Safe for diabetics + daily use. Cleaner formula than Voltaren or Biofreeze.

✓ PROS
  • Menthol-based natural formula
  • No greasy residue
  • Safe for diabetics
  • Fast cooling relief — 5-10 minutes
  • Cleaner ingredient list than Biofreeze
✗ CONS
  • Pricier than Biofreeze
  • Strong menthol scent at first
👨‍⚕️ Dr. Tom’s Verdict: Apply to plantar fascia + calves before bed. Combined with stretching, eliminates morning fascia pain. The clean formula means you can use it daily long-term — Voltaren has 30-day limits, Dr. Hoy’s doesn’t.
🛒 Check Latest Price on Amazon — Free Returns →
Is My Ankle Broken or Sprained? [Best Broken Ankle Home Treatment!]
Watch: Ankle Broken or Sprained — Dr. Tom Biernacki, DPM
Medical References
  1. Plantar Fasciitis: Diagnosis and Conservative Management (PubMed)
  2. Plantar Fasciitis (APMA)
  3. Diagnosis and Treatment of Plantar Fasciitis (PubMed / AAFP)
  4. Heel Pain (APMA)
This article has been reviewed for medical accuracy by Dr. Tom Biernacki, DPM. References are provided for informational purposes.
Balance Foot & Ankle surgeons are affiliated with Trinity Health Michigan, Corewell Health, and Henry Ford Health — three of Michigan’s largest health systems.
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