You are in the right place. Dr. Tom Biernacki, DPM, FACFAS — board-certified foot & ankle surgeon with 3,000+ surgeries — explains exactly what best podiatrist Livingston County means and what actually works. Call (810) 206-1402 for a same-day appointment at our Howell or Bloomfield Township office.
Quick answer: Choosing a podiatrist in Livingston County: what board certification actually means, when surgical volume matters, and what to ask before agreeing to an operation. Our Howell office is on E Grand River. Book online for a same-week appointment, or call (810) 206-1402.
About Balance Foot & Ankle
Board-certified podiatric surgeon Dr. Tom Biernacki, DPM | Serving Livingston County since 2009
Howell, MI location: 2300 E Grand River Ave, Suite 103
In This Article
Choosing a podiatrist matters far less for routine nail care than for anything surgical, where how often the surgeon performs your particular operation is the variable that separates outcomes. Our Howell office serves Livingston County. Book online for a same-week evaluation, or call (810) 206-1402.
Table of Contents
- Why Patients Choose Balance Foot & Ankle
- Services We Offer Livingston County Patients
- About Dr. Tom Biernacki, DPM
- Our Howell, MI Location
- Insurance We Accept
- What to Expect at Your First Visit
- Frequently Asked Questions
If you’ve been searching for a podiatrist in Howell, Brighton, Hartland, Pinckney, or elsewhere in Livingston County, Michigan — you’ve found the right page. At Balance Foot & Ankle, we’ve been the area’s most trusted foot and ankle care provider since 2009. If you’re dealing with heel pain that makes mornings miserable, a toenail infection, a sports injury, or a complex surgical problem, our Howell office is equipped to diagnose and treat virtually any foot or ankle condition — from routine care to advanced reconstruction.

Why Patients Choose Balance Foot & Ankle
With a 4.9-star rating from over 1,100 verified patient reviews, Balance Foot & Ankle has earned its reputation through consistent clinical excellence, genuine patient-centered care, and transparency about treatment options. We offer same-day and next-day appointments for urgent concerns — no 6-week wait — and we take the time to actually explain what is wrong, what your options are, and what to realistically expect.
Patients tell us the difference they notice most is that we listen. We do not rush appointments, we do not push procedures that aren’t appropriate for your situation, and we provide honest guidance about when conservative care is sufficient versus when surgery is the best path. Over 3,000 surgical procedures performed means that when you need surgery, you are in experienced hands — and when you don’t, we will tell you that too.
Key takeaway: We offer same-day appointments for acute foot and ankle concerns — no long wait for urgent care. Call (810) 206-1402 or book online at the link below.
Services We Offer Livingston County Patients
Our Howell office provides comprehensive foot and ankle care including: heel pain treatment (plantar fasciitis, heel spurs, Baxter nerve entrapment, fat pad syndrome); bunion surgery and conservative management; hammertoe correction; ingrown toenail treatment and permanent correction; diabetic foot care including ulcer treatment and neuropathy management; sports injuries including stress fractures, tendon injuries, and ankle sprains; flat foot and arch reconstruction; nail fungus treatment using topical, oral, and laser modalities; custom orthotics fabricated with computer pressure mapping; and wart treatment.
For surgical care, Dr. Biernacki performs bunionectomy, hammertoe correction, flatfoot reconstruction, Achilles tendon repair, ankle arthroscopy, and total ankle replacement at area surgical facilities. Our surgery patients consistently report that preparation, communication, and post-operative care are the standout elements of their experience.
About Dr. Tom Biernacki, DPM
Dr. Tom Biernacki completed his Doctor of Podiatric Medicine degree and a three-year surgical residency with extensive training in foot and ankle reconstruction. He holds dual board certification in foot surgery and reconstructive rearfoot and ankle surgery from the American Board of Foot and Ankle Surgery — the highest credentialing standard in podiatric medicine. He has performed over 3,000 surgical procedures and has been consistently recognized as a top podiatrist in Livingston County and Oakland County since establishing Balance Foot & Ankle in 2009.
Outside the clinic, Dr. Biernacki is an active educator — he maintains the MichiganFootDoctors.com educational blog, producing evidence-based content reviewed by thousands of patients monthly. He believes that informed patients make better decisions, and that the best outcome starts with a doctor who takes the time to explain.
Our Howell, MI Location
Our Howell office is located at 2300 E Grand River Ave, Suite 103, Howell, MI 48843 — conveniently accessible from I-96 and M-59, serving patients from Howell, Brighton, Hartland, Pinckney, Fowlerville, Hamburg Township, and throughout Livingston County. We also serve patients from western Washtenaw County and northern Oakland County who prefer the shorter drive to our Howell location over metro Detroit alternatives. Free parking is available directly outside our suite.
Insurance We Accept
We accept most major insurance plans including Blue Cross Blue Shield (BCBS) of Michigan, Priority Health, Aetna, Cigna, United Healthcare, Medicare, and most commercial PPO plans. Please call our office at (810) 206-1402 to verify your specific plan before your appointment. We also offer self-pay pricing for uninsured patients and transparent fee schedules for common procedures.
What to Expect at Your First Visit
Your first appointment begins with a thorough history and biomechanical exam. We review any imaging you have brought, examine your gait if applicable, and provide a clear diagnosis with multiple treatment options explained — conservative first, progressive as needed. Most patients leave their first visit with a clear diagnosis, a treatment plan they understand, and either the treatment itself begun (orthotics measured, injection administered, nail treated) or a scheduled next step. We do not schedule unnecessary return visits for routine conditions.
⚠️ Seek same-day care for any of the following:
- Foot wound or ulcer that is not healing or shows signs of infection
- Sudden severe foot or ankle pain after a fall or injury
- Red, hot, swollen joint that came on rapidly (possible gout or infection)
- Diabetic foot with any change in skin color, sensation, or temperature
Visit Balance Foot & Ankle — Same-Day Appointments Available
Our podiatry team serves patients throughout Michigan including Howell, Brighton, and Bloomfield Township. If you’re dealing with heel pain, ingrown toenails, or a foot injury, we have same-day appointment availability.
Same-day appointments available. (810) 206-1402
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If you are looking for the best podiatrist in Livingston County, Balance Foot & Ankle in Howell offers board-certified expertise, same-day availability for urgent cases, and a patient-first approach that has earned a 4.9-star rating from over 1,100 patients. Call (810) 206-1402 or book online for an appointment today.
Related Conditions
Book With Livingston County’s Top-Rated Podiatrist
Same-day appointments available in Howell, MI
4.9★ | 1,123 Reviews | 3,000+ Surgeries | Serving Livingston County Since 2009
Or call: (810) 206-1402
Seen at our Howell office on E Grand River Ave — convenient for Livingston County patients.
Dr. Tom Biernacki, DPM is a board-certified foot & ankle surgeon (ABFAS & ABPM) 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 made him one of the most-followed foot & ankle educators on YouTube.
More questions patients ask
Who is the best podiatrist in Livingston County in 2026?
Balance Foot & Ankle, led by Dr. Tom Biernacki DPM at 4330 E Grand River, Howell, MI 48843, provides comprehensive podiatric care across Livingston County. Dr. Biernacki, along with Dr. Carl Jay DPM and Dr. Daria Gutkin DPM, offers diagnosis and treatment of all foot and ankle conditions using the latest technology including MLS laser therapy, shockwave therapy (EPAT), digital gait analysis, custom orthotics, and comprehensive surgical services. We serve Howell, Brighton, Hartland, Fenton, and surrounding Livingston County communities.
What podiatric services are available in Howell, MI?
Balance Foot & Ankle at 4330 E Grand River, Howell MI 48843 provides: custom orthotics (same-week fabrication), plantar fasciitis treatment (conservative to surgical), MLS laser therapy, EPAT shockwave therapy, toenail laser, ingrown toenail removal, bunion management and surgery, diabetic foot exams and therapeutic footwear, wound care, ankle fracture management, pediatric foot care, and comprehensive foot and ankle surgery. Call (810) 206-1402 for an appointment.
Does Balance Foot & Ankle accept insurance in Livingston County?
Balance Foot & Ankle accepts most major Michigan insurance plans in Livingston County: Blue Cross Blue Shield, Aetna, Cigna, United Healthcare, Humana, Medicare (including Medicare Advantage plans), Medicaid (Meridian, Molina, Priority Health), Priority Health, McLaren Health Plan, and many others. Our billing team verifies coverage before appointments. Call (810) 206-1402 and provide your insurance information — we'll confirm your benefits and explain expected costs before your visit.
What are the hours and locations of Balance Foot & Ankle?
Balance Foot & Ankle serves patients at two Michigan locations: (1) Howell: 4330 E Grand River, Howell, MI 48843, and (2) Bloomfield Township: 43494 Woodward Ave #208, Bloomfield Twp, MI 48302. Our main scheduling number is (810) 206-1402. We offer morning, afternoon, and some evening appointments — contact our office for current availability. New and established patients are welcome. Urgent foot conditions are accommodated with priority scheduling.
What foot problems are most common in Livingston County patients?
At Balance Foot & Ankle, the most common conditions we treat among Livingston County patients include: plantar fasciitis (especially among active adults and healthcare workers), toenail fungus, ingrown toenails, bunions, ankle sprains, diabetic foot complications, flat feet with overpronation, and heel spurs. Michigan's active outdoor culture combined with hard work environments creates significant demand for high-quality podiatric care — which Balance Foot & Ankle is proud to provide throughout Livingston and Oakland counties.
Still have a question about coverage or cost? Book online and we will check your benefits before your visit: Book in Howell · Book in Bloomfield Township. Prefer to talk it through first? Call (810) 206-1402.
