You are in the right place. Dr. Tom Biernacki, DPM, FACFAS — board-certified foot & ankle surgeon with 3,000+ surgeries — explains exactly what chronic ankle instability means and what actually works. Call (810) 206-1402 for a same-day appointment at our Howell or Bloomfield Hills office.
Quick answer: Treatment for chronic ankle instability keeps giving way treatment follows a stepwise approach: 1) conservative care first (rest, ice, supportive footwear, OTC anti-inflammatories), 2) physical therapy and targeted exercises, 3) in-office treatments (injections, custom orthotics) if conservative fails at 4-6 weeks, 4) surgery for refractory cases. Most patients resolve at step 1 or 2. Call (810) 206-1402.
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
4330 E Grand River Ave
Howell, MI 48843
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Bloomfield Hills Office
43494 Woodward Ave, Suite 208
Bloomfield Hills, MI 48302
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The most important clinical decision with Chronic Ankle Instability Keeps Giving Way Treatment isn’t which treatment to start with — it’s identifying the correct subtype. That changes everything. Call (810) 206-1402.
Your Board-Certified Podiatrists
Ready to Get Back on Your Feet?
Same-week appointments available at both locations.
Book Your AppointmentMore Podiatrist-Recommended Ankle Sprain Essentials
Ankle Brace Stabilizer
Compression + lateral support during walking — prevents re-injury during recovery.
Kinesiology Tape
Proprioceptive support for athletic return-to-play without restricting motion.
Arch Support Insole
Stable midfoot platform reduces the inversion forces that re-sprain ankles.
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.
When to See a Podiatrist
A sprain that hasn’t fully recovered after 6 weeks often has residual ligament laxity or occult fracture that keeps the ankle unstable. Balance Foot & Ankle X-rays and stress-tests every lingering sprain — if the ligament is torn, we offer bracing, PRP, and (for chronic instability) minimally-invasive repair. Don’t keep re-rolling the same ankle; let us stabilize it properly.
Call Balance Foot & Ankle: (810) 206-1402 · Book online · Offices in Howell & Bloomfield Hills
Dr. Tom’s At-Home Recommendations
PowerStep Pinnacle Insoles — The OTC orthotic I recommend most in our Howell and Bloomfield Hills clinics. Medical-grade arch support at a fraction of custom orthotic cost ($40 vs $400+).
Doctor Hoy’s Natural Pain Relief Gel — Natural arnica + menthol formula. What I switched my own family to after years of recommending Doctor Hoy’s Natural Pain Relief Gel. Plant-based, FSA-eligible, pump bottle.
Disclosure: We earn a commission if you purchase — at no extra cost to you. We only recommend what we use in our clinic.
Ready to fix this for good?
Reading goes only so far. The fastest path to relief is a 30-minute office visit with Dr. Biernacki — same-day Howell or Bloomfield Hills. Call (810) 206-1402 or use our online booking.
In-Office Treatment at Balance Foot & Ankle
If home treatment isn’t providing relief for your ankle sprains, our podiatry team at Balance Foot & Ankle can help with same-day evaluations and advanced in-office care.
Same-day appointments available. (810) 206-1402
Get Expert Care at Balance Foot & Ankle
Same-week appointments at our Howell and Bloomfield Hills offices. Board-certified podiatric surgeons. Most insurance accepted.
Same-Week Appointments in Howell & Bloomfield Hills
Three board-certified podiatric surgeons. 1,123+ five-star reviews. Most insurance accepted.
Ready for Expert Care?
Same-day appointments in Howell & Bloomfield Hills, MI.
4.9★ | 1,123 Reviews | 3,000+ Surgeries
Or call: (810) 206-1402
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.