Discover how custom orthotics from Balance Foot & Ankle Specialist in Michigan can relieve foot pain, improve posture, and support better mobility.
Most dress shoes destroy foot health within hours, but 4 specific features separate the ones that do from the ones that don’t. A podiatrist who operates on dress-shoe damage daily names the brands that consistently pass the test.
Tingling on top of the foot is almost always caused by the extensor retinaculum compressing the deep peroneal nerve — the same nerve that skechers-style rocker sole shoes decompress. Michigan podiatrist explains the Tinel’s test location and the three-step lacing modification that resolves the paresthesia.
Peroneus brevis tendonitis causes pain along the outer ankle that mimics a lateral ankle sprain — but the mechanism is different and the treatment that works for sprains makes peroneal tendinitis worse. Michigan podiatrist explains the peroneal stretch test and the specific fibular groove taping that offloads the tendon.
Dr. Tom’s Top Insole Picks (2026) PowerStep Pinnacle My #1 OTC insole for plantar fasciitis. Semi-rigid heel cup, real arch support, fits most shoes. Sub-$50 vs $400+ custom orthotics. Read Review CURREX RunPro Insole For runners and active patients. Three arch profiles (low/med/high), lighter and more flexible than Pinnacle — designed for repetitive impact. Check … Read more
Quick answer: Foot Arch Support affects roughly 1 in 4 adults in our practice. Effective treatment starts with a targeted diagnosis, conservative-first treatment, and escalation only when needed. We treat this regularly at our Howell and Bloomfield Township practices. Call (810) 206-1402. Medically reviewed by Dr. Tom Biernacki, DPM · Board-Certified Podiatric Surgeon · Last … Read more
You are in the right place. Dr. Tom Biernacki, DPM, FACFAS — board-certified foot & ankle surgeon with 3,000+ surgeries — explains exactly what shoe inserts for plantar fasciitis means and what actually works. Call (810) 206-1402 for a same-day appointment at our Howell or Bloomfield Township office. Quick answer: Prefabricated inserts with a firm, … Read more
Michigan podiatrist Dr. Tom Biernacki explains the key distinction most patients with Orthotics Vs Insoles miss – the one that determines whether conservative care will work.
Dr. Tom Biernacki has treated hundreds of Orthotics Custom Vs Otc cases in Michigan. Here is the clinical pattern most patients do not realize determines recovery time.
Same-week podiatry appointments in Howell and Bloomfield Township. Evidence-based approach to Orthotics For Running that gets patients back on their feet faster.
Watch: Dr. Tom Biernacki explains the topic in detail · Subscribe to Michigan Foot Doctors on YouTube Medically Reviewed by Dr. Tom Biernacki, DPM · Board-Certified Podiatrist · 3,000+ surgeries · Balance Foot & Ankle, Howell & Bloomfield Township MI · Updated April 2026 Quick Answer: Full-length insoles (like PowerStep Pinnacle) provide maximum arch support, … Read more