Quick answer: Cold Laser Therapy is a common foot/ankle topic that affects many patients. The 2026 evidence-based approach combines proper diagnosis, conservative-first treatment, and escalation only when needed. We treat this regularly at our Howell and Bloomfield Township practices. Call (810) 206-1402.
Board-Certified Podiatric Foot & Ankle Surgeon · Last reviewed: May 5, 2026

PowerStep Pinnacle Maxx
For plantar fasciitis + heel pain β proven non-laser treatment with the highest evidence.
- Lateral wedge corrects pronation
- Deep heel cradle
- Trim-to-fit
- Trim required
- 5-7 day break-in
Bob and Brad Massage Gun
Percussion massage gun β a more accessible at-home alternative to cold laser for myofascial pain.
- 6 attachments
- Quiet 45dB
- 12-hour battery
- Pricier than foam roller
- Learning curve
Medically reviewed by Dr. Tom Biernacki, DPM Β· Board-Certified Podiatric Surgeon Β· Last reviewed: April 2026 Β· Editorial Policy
Cold Laser Therapy in Howell & Bloomfield
What is Cold Laser Therapy? How Does Low-Level Laser Therapy Work?
Are you struggling with persistent foot or ankle pain, inflammation, or slow-healing injuries? Cold laser therapy is a non-invasive treatment designed to reduce pain, accelerate healing, and restore mobility—without surgery or medication. At Balance Foot & Ankle Specialists in Michigan, we proudly offer cold laser therapy near me as part of our comprehensive podiatric services. Whether you’re dealing with plantar fasciitis, tendonitis, or arthritis, this innovative treatment may be the breakthrough your body needs.
https://www.youtube.com/watch?v=2rf9IYTZ92Y Request an AppointmentHow does cold laser therapy for pain work? What is cold laser therapy? Is cold laser therapy a hoax or a scam? See what the SCIENCE says!
Look:
- Cold laser therapy is FDA-approved for the treatment of pain.
- Medical research supports its effectiveness in treating many foot & ankle conditions.
- Research also supports minimal to no known side effects.
See us for a NO OBLIGATION consultation for MLS therapy in Michigan.
Best cold laser therapy near me:
At Balance Foot & Ankle Specialists, we want to be the answer to the question “What is the best cold laser therapy near me?”
What is Cold Laser Therapy:
Cold laser therapy is a non-painful laser treatment that stimulates healing while using low levels of light.Β
The laser we use at our office is FDA approved for treatment for health conditions.
This is called “cold” laser therapy because the low light levels aren’t enough to burn your body’s tissue.
The level of light is low compared to other forms of laser therapy, such as those used to destroy tumors and coagulate tissue. It is also low compared to surgical and aesthetic lasers.
Cold therapy does not burn the tissue.
Cold laser therapy is also known as:
- MLS laser therapy.
- Low-level laser therapy (LLLT)
- Low-power laser therapy (LPLT)
- Soft laser biostimulation
- Photobiomodulation
In Summary, here’s what you can expect:
- Quick, painless treatments lasting approximately 10-15 minutes
- No downtime
- 6-10 sessions for full treatment
- Decrease in swelling and pain in as little as 3 treatments
- No side effects
We use laser therapy in our offices because we want to provide an effective and safe treatment option for our patients to heal quickly, recover fully and reduce pain effectively. Β
https://youtu.be/2rf9IYTZ92YIs cold laser therapy effective?
Yes cold therapy is extremely effective for numerous lower extremity skin, soft tissue, and nerve problems.
- It is FDA approved for the treatment of the lower extremity.
- There are a large number of high-level studies confirming the effectiveness of cold laser therapy.
- We use a newer, more advanced version of cold laser therapy called MLS laser therapy.
- This stands for multi-wave locked system laser therapy.
- We consider MLS laser therapy the best in-office cold laser therapy.
What is the best cold laser therapy?
As mentioned above, we use a cold laser device called the MLS laser therapy. This stands for multi-wave locked system therapy.
- The MLS laser therapy takes advantage of different types of waves.
- The working theory of cold laser therapy is that these therapeutic laser frequencies can affect cell metabolism and increase metabolism.
What conditions is cold laser therapy good for?
In the foot & ankle, cold laser treatment can be used for:
- Arthritic Pain.
- Post-Surgical Swelling & pain.
- Bottom of the Heel Pain & Back of the Heel Pain.
- Achilles Tendonitis.
- Insertional Achilles Tendonitis.
- Morton’s Neuroma Pain.Β
- Repetitive Motion Injuries.
- Sprains & Strains.
- Occupational Injuries.
- Bruising.
- Wounds & Ulcers.
How does cold laser therapy work:
These are some of the features of cold laser therapy.
- Rapid relief of pain.
- Strong anti-inflammatory effect.Β
- Timely healing of sprains and strains.
- Faster recovery of the structural integrity of the injured region.
- Prompt resolution of swollen areas.Β
- Immediate improvement of local blood circulation.
- Rapid repair of superficial injuries, such as wounds and ulcers.Β
What are the side effects of cold laser therapy?
MLS Cold Laser Therapy has no known adverse side effects, a non-invasive, non-pharmacological solution for even the most complex cases.Β
There are no major known side effects. This is a well-studied device that is FDA approved for the treatment of the lower extremity (Foot & Ankle)
We have been using this therapy for numerous years and have had no significant issues or problems.
What is MultiWave Locked System Laser Therapy?
It is known that specific light emissions can transfer energy to cells and tissue essentially. Upon exposure to laser light, areas subject to poor metabolism recover total activity.Β
However, some light emissions are more effective than others.Β
The MLS Cold Laser wavelengths guarantee the most profound possible action by identifying an extremely efficient waveform. This is based on scientific findings on the capacity of coherent light to penetrate biological tissues (epidermis, dermis, and subcutaneous tissue). The depth reached by light emissions depends on the incidental radiation wavelength. The reason lies in the presence of specific superficial chromophores that present areas of maximum absorption in correspondence to particular wavelength intervals, which will therefore be filtered and not reach the deepest tissue layers and transparent in other areas of the electromagnetic spectrum.Β
The interval between 600 and 1200 nm is known as the ‘therapeutic window’ because there are no chromophores in this range to filter the light emission. The wavelengths of the emissions making up the cold laser pulse fall into this precise interval, meaning that they can reach the deepest anatomical structures that are often involved in ailments that cold laser therapy is most suitable for treating. Other wavelengths do not have the same effect.Β
The cold laser emission can wholly and quickly restore an optimal biochemical and bioelectrical balance utilizing efficient energy transfer. The use of the cold laser makes it possible to recruit intracellular photoreceptors immediately and restore higher energy conditions to the cells.Β
The new & improved laser:
Cold laser therapy has brought about an effective change in the way many challenging pathologies are managed.Β
This powerful, targeted treatment modality delivers anti-inflammatory, anti-edematous, and analgesic relief. Though laser therapy has been available for nearly 35 years, recent advances in technology have eliminated previous limitations and maximized effectiveness, yielding exceptional treatment results.
The MLS Cold therapy laser features a synchronized combination of two unique laser emission modes, continuous and pulsed, each delivering their characteristic beneficial effects.Β
The accelerated mitigation of pain and consistently positive outcomes produce considerably reduced treatment times. By synchronizing its continuous and pulsed emissions, Cold Laser Therapy can provide an intense and direct therapeutic effect on inflammation and edema and the painful symptoms accompanying them.Β
Treatment:
Cold Laser Therapy is painless, with most patients reporting no sensation at all while receiving laser therapy. Treatments average 8 minutes.Β
Cold Laser Therapy is fast-acting; many patients in high levels of acute pain experience relief after the first or second treatment. Over 90% of patients experience positive results after the 3rd treatment, with the average course of treatment being 7 to 10 sessions. In many cases, swelling is significantly reduced by the 3rd or 4th treatment, and pain is diminished.Β
The effects of Cold Laser Therapy are cumulative; therefore, improvement is expected throughout treatment. Chronic conditions can be controlled with regular laser therapy treatments. Acute conditions usually subside quickly, typically within one phase of treatments. Overall reduction of treatment time through the simultaneous easing of the edema-contracture-pain triad distinguishes Cold Laser Therapy from other laser treatments. All beneficial effects are reciprocally strengthened, delivering timely and targeted results.Β
The Cold therapy laser features a synchronized combination of two unique laser emission modes, continuous and pulsed, each delivering their characteristic beneficial effects.Β
Continuous laser & pulsed laser emissions:
Continuous laser emissions act quickly on inflammation, stimulating blood and lymphatic circulation and inducing fast re-absorption of fluid build-ups; however, they only have a secondary effect on pain, which is diminished only after reducing the inflammatory process.Β
On the other hand, pulsed laser emissions directly affect pain since they can induce analgesia, interfering with the very transmission of the pain impulse to the higher brain centers. Still, they are less effective at treating inflammation and edema, only achieving results after a lengthy application period.Β
Cold Laser Therapy is unique in that it organizes continuous and pulsed emissions that generate simultaneous anti-inflammatory and analgesic effects.Β
Our MLS Cold Laser Therapy has been cleared by the FDA and proven successful, as evidenced by extensive and credible studies conducted in our country’s finest institutions, including Harvard University.Β
We are proud to be at the medical technological forefront by offering MLS Cold Laser Therapy.
Β We have invested in the very best technology as a critical component of our continuing quest to offer the finest in health care.Β
The MLS cold laser means a multi-wave locked system laser. It is a particular model of low-level cold laser.
https://youtu.be/8SjKOSdZcCIWhat Does Cold Laser Therapy Do?
Cold laser therapy creates a spectrum of therapeutic wavelengths that can increase cell metabolism.
- There are many different working theories, and we explained these above.
- Here we detail the most common conditions of cold laser can work with and the scientific studies.
Does Cold Laser Therapy Work for Plantar Fasciitis
This 2018 study found that both shockwave therapy and cold laser therapy were very effective for plantar fasciitis. This study found excellent results at 6 weeks and 12 weeks following laser therapy.
- On a visual analog scale ranging from 0-10, there is an average reduction of 6.6 out of 10 on the pain scale.
- This is an excellent outcome. This was a high-level study looking at 1676 patients with plantar fasciitis.
- These studies did compare to other treatment options such as a placebo, neurostimulation, eccentric muscle strengthening.
- This is a very high-level study with a high amount of patients showing excellent results.
On average, it is rare to improve 6.6 out of 10 in any treatment program.
These plantar fasciitis reviews correlate with our experiences which show excellent overall improvement.
This study confirms that MLS laser therapy for plantar fasciitis is very effective for foot pain, Achilles tendinitis, and others.
Cold Laser & Shockwave Therapy on Plantar Fasciitis Studies
This 2020 scientific research study looked at the effective high-intensity laser therapy versus low-level laser therapy in treating plantar fasciitis.
MLS laser therapy was not specifically studied in this research paper, but MLS treatment does combine different wavelengths similar to these types of laser assistance.
- This was a randomized participant blind controlled trial.
- This study found that both high-intensity laser and low-intensity laser were very effective in treating plantar fasciitis.
- In just 3 weeks, the patient had experienced a 2.57 out of 10 pain relief score versus a 2.88 visual analog scale out of 10 improvements.
- These are both excellent results for only 3 weeks of treatment.
This study determined that laser therapy also is very effective in treating plantar fasciitis.
MRI Validation of Laser Treatment of Plantar Fasciitis
This 2017 study found that shockwave therapy and low-level laser therapy were significantly superior to ultrasound therapy.
- They found that after 1 month, the pain score had improved, and almost all patients by at least 2 out of 10.
- It also found that the success rate was 70.6% in the laser group, 65% in the shockwave group, and just 23% in the ultrasound therapy group.
For this reason, we believe MLS laser therapy and shockwave therapy are much more beneficial than just ultrasound therapy.
Cold Laser Therapy for Achilles Tendonitis
This 2021 study aims to compare low-level laser therapy for Achilles tendonitis.
- The studies we had mentioned earlier have proven to be very beneficial in improving the pain, function, and elasticity regarding connective tissue such as the plantar fascia.
- There have been no specific high-level studies aimed at Achilles tendinitis.
- But there is a study regarding a low-level laser therapy for Achilles Tendonitis Currently taking place in Lithuania.
We are eagerly awaiting the results, and we anticipate that this will be a high outcome study.
Does Cold Laser Therapy Work for Arthritis?
This 2015 study looked at knee osteoarthritis with low-level laser therapy.
- It looked at 612 studies, including 9 randomized controlled trials.
- It did find a very slight improvement with laser therapy, but it appears that laser therapy does not affect healing knee arthritis.
There are 2 things to consider:
- #1 is that laser is more effective for connective tissue and soft tissue injuries.
- #2 since 2015, there has been a lot of improvements regarding low-level laser therapy, including the dual wave capabilities of MLS laser therapy.
In our opinion, it is unlikely that laser therapy can cure osteoarthritis, nor does it claim to.
Laser therapy can likely reduce inflammation and increased metabolism in the area.
Unfortunately, the body does not have the ability to self-heal osteoarthritis even when assisted by cold level therapy.
Does Cold Laser Therapy Really Work for Feet:
The cold laser has been proven to be scientifically validated for numerous foot and ankle pain conditions.
- Specifically, it is effective in most proven plantar fasciitis, Achilles tendonitis, soft tissue skin conditions, foot and ankle pain secondary to peripheral neuropathy.
- For these reasons, we recommend MLS laser therapy for the feet.
We always invite patients to come to see our podiatrist for a no-obligation consultation at our Michigan office.
Cold Laser Therapy for Morton’s Neuroma
This 2017 study shows the effectiveness of low High-intensity laser therapy and then testing with diagnostic ultrasound.
- This retrospective ultrasound review of 31 pretreatment Morton neuroma feet showed neuroma changes in 30 out of 31 cases.
- After using low-level laser therapy, 29 out of 31 cases had shown decreased pain or changes through the neuroma site.
- Although this is not a direct comparison of a cold laser for Morton’s neuroma treatment, there is some overlap between high-intensity laser therapy and MLS laser therapy that uses a multi-wave locked system.
- We personally believe that that MLS laser therapy is of strong ability to improve Morton’s neuroma pain.
Consider seeing our podiatrists in our Michigan office for a no-obligation appointment for MLS laser therapy for Morton’s neuroma pain.
Is Cold Laser Therapy Effective on Neuropathic Pain?
This 2019 study tested laser therapy on rats with induced nerve damage.
- Suppose found that the protective sheath called the myelin sheath around the nerves was able to show signs of regeneration.
- It did show beneficial chemical changes.
- This study states that there is very positive support for laser therapy as a strategy for patients suffering from neuropathic pain.
Does Cold Laser Therapy Help with Tendinopathy?
This 2015 study was a small study that looked at 6 adult sheep with induced tendon lesions. It measured how 10 treatments of MLS laser therapy resulted in tendon improvement.
- This study found that laser therapy on sheep with induced tendon injuries did show an anti-inflammatory effect.
- It did show that there is less inflammation and increased collagen fiber organization in the tendons.
- In summary, this means an improvement in blood supply and increased tendon reorganization and healing.
Is Cold Laser Therapy Safe?
Yes, cold laser therapy is considered safe. There are no documented significant side effects.
- It is especially safe when considered against alternative treatments such as medications or surgical therapies.
- There are some contraindications for cold laser therapy.
- Specifically, it should not be used on cancerous lesions, as it has been a contraindication in animal models.
- No specific models are documenting any harmful outcomes that we are aware of in the literature database.
- Cold laser therapy is FDA approved for treating foot and ankle skin conditions.
- It is a strongly accepted medical treatment with a large number of high-level studies with large numbers of patients evaluated for numerous conditions.
Can Cold Laser Therapy Be Harmful?
Cold laser therapy is FDA approved for treating foot and ankle lower extremity conditions.
- We have used cold laser therapy extensively and have not had any significant side effects or major issues.
- It is generally considered a very safe therapy in the medical literature, especially when compared to surgery or medications.
- Some reports of cold laser therapy not being indicated to be used on precancerous lesions, but this would not be part of her patient selection criteria anyway.
Can Cold Laser Therapy Cause Cancer?
There are no documented studies where cold laser therapy can cause cancer in human beings.
- There are some rat model studies where cold laser therapy can improve the metabolism of precancerous lesions.
- This is something that would be expected based on the metabolism, as the sole goal of cold laser therapy is to increase the metabolism of cells.
- It would not be a patient I will select criteria to use cold laser therapy on any precancerous lesions.
- If there is a suspicious lesion, we would treat this differently and perform a soft tissue biopsy to rule out any danger.
Is Cold Laser Therapy FDA Approved?
Yes, cold laser therapy is FDA approved.
Is Cold Laser Therapy Legitimate?
Yes, cold laser therapy is considered to be very legitimate.
- Numerous high-level studies are documenting a large variety of different conditions.
- Cold laser therapy is FDA approved.
- We personally have a history of using cold laser therapy with excellent results and minimal to no side effects that we are aware of in the scientific literature.
- Cold laser therapy is considered especially safe compared to invasive therapy such as surgery or the use of medications.
How Long Does Cold LaserΒ Therapy Last?
The cold laser treatment course is 5-10 minutes for most foot and ankle conditions, although it depends on the size of the area being treated.
- More fresh or acute injuries or conditions may require daily treatment.
- This is more true if they are accompanied by significant pain.
- Long-term soreness and chronic injury typically respond better when the treatments are received 2-3 times per week.
Is Cold Laser Therapy Real?
Yes, cold therapy is real.
- It is an FDA-approved procedure that has much more advantages and disadvantages.
- There are a large number of studies that showed a benefit for numerous foot and ankle conditions.
Are the Results Long-lasting?
Cold laser therapy is about healing and not masking a condition, or covering it up.
- People feel better from this therapy because they are better, and that’s long-lasting relief.
- This treatment is part of a multifactorial treatment plan.
- This means we will assess your body to assess for any biomechanical changes or any major damage that needs to be corrected.
How do shockwave and laser therapy compare:
There is a study that compared radial shockwave therapy and class IV laser therapy for plantar fasciitis.
- This 2018 study found that at 6 weeks, both shockwave and laser therapy had significantly improved the patient’s self-reported pain scale.
- Radial shockwave therapy and the low-level cold laser reported the 2 best scores out of numerous treatment methods.
- There are fewer high-level studies for cold laser therapy than there are for radial shockwave therapy.
- This paper recommended that both radial shockwave and class IV laser therapy (AKA cold laser therapy) were beneficial and recommended for plantar fasciitis.
What is cold laser therapy?
- Cold laser therapy is an FDA-approved treatment for deep tissue injuries and soft tissue problems.
- There have been numerous high-level studies performed that support the use of cold laser therapy for the following conditions:
Peripheral neuropathy of the foot and ankle, diabetic peripheral neuropathy, chemotherapy-induced peripheral neuropathy.
Laser treatment also works for soft tissue muscle conditions such as plantar fasciitis: Achilles tendinitis, Morton’s neuroma, foot, and ankle ulcers, skin conditions as well as overuse muscle-tendon injuries.
https://youtu.be/XUSbkIWWf3oIs Cold Laser Therapy a Hoax?
It is normal sometimes to wonder if cold laser therapy is a hoax. This is reasonable to assume since traditional insurance does not cover it.
- The truth is that this is an FDA-approved therapy that has been used extensively throughout the country for a variety of conditions extending from the head to the toes.
- It is considered to be relatively side-effect-free and low risk.
- It is considered a strong alternative to surgery for many of the conditions that we deal with at her foot and ankle surgery clinic.
- We personally believe that this is an extremely effective treatment with 100s of studies spread across thousands if not 100s of thousands if not millions of patients.
- There is a solid consensus about how effective cold laser therapy and MLS laser therapy are utilized in our clinic.
- On this page, we list numerous high-level studies and rapid prospective studies that look at the research.
Cold laser therapy is a very effective treatment that has been utilized extensively without much downside.
Does Cold Laser Therapy Work?
Yes, cold laser therapy works extremely well.
- In our opinion, this is 1 of the safest, the most cost-effective, and the most low-risk procedures that we performed in our office.
- There is no penetration through the skin, and there is no substance entering her body.
- Cold laser therapy is considered to be safe without any tissue damage absorbed.
- Cold therapy works by stimulating the body with various waves of light that stimulate increased metabolism.
Further in this article, we describe exactly how it works and link to numerous research papers showing how it works in new developing benefits realized from cold laser therapy.
How Does Cold Laser Therapy Work?
Cold laser therapy works by admitting a beam of light that stimulates her body’s soft tissues and cell membranes.
- This has been shown to increased metabolism and decreases inflammation.
Cold laser therapy is advancing and improving every single year. - Thus new benefits and new studies are coming out regularly.
- In this article, we do our best to go over the exact mechanism of action of how cold laser therapy works.
Is Cold Laser Therapy a Scam?
Because traditional insurances do not cover cold laser therapy, it is reasonable to assume that it is a scam.
- This cannot be further from the truth. Cold laser therapy is FDA approved for treatment with numerous health conditions.
- There are extensive high-level studies as well as randomized clinical trials proving how effective cold laser therapy is.
- There is so much consensus evidence that laser therapy is not a scam.
- We link numerous studies and articles throughout this post, emphasizing the benefits, evidence, and research behind cold laser treatment.
What is the Use of Cold Laser Therapy?
The use of cold laser therapy is for many health conditions throughout the lower extremity.
We specifically use this for:
- Peripheral neuropathy of the foot and ankle,
- diabetic peripheral neuropathy,
- chemotherapy-induced peripheral neuropathy.
Laser treatment also works for soft tissue muscle conditions such as:
- plantar fasciitis,
- Achilles tendinitis,
- Morton’s neuroma,
- footΒ and ankle ulcers,
- skin conditions
- as well as overuse muscle tendon injuries.
How much does cold laser therapy cost?
Cold laser therapy is FDA approved for conditions such as plantar fasciitis, but it is not covered by insurance.
- Research studies show that treatment modalities such as shockwave therapy and cold laser therapy are cost-effective, but they are not covered by insurance.
- We provide a low-cost payment plan that is less than some insurances’ average co-pay plan.
- We believe that this is a very affordable and worthwhile treatment that can help avoid surgery.
We stand so strongly by this treatment method that we offer no-obligation treatment visits to see if you are the right candidate for cold laser therapy.
Β

Does Medicare Cover Cold Laser Therapy?
Cold laser therapy is FDA-approved and proven to be very effective, but Medicare does not cover MLS laser therapy.
Insurance generally does not cover newer and advanced treatment modalities.
Our strong belief is that cold laser therapy in class IV laser therapy can effectively reduce the need for surgical procedures and is very beneficial in healing wounds and swelling. Unfortunately, we all have to keep asking the question, “is cold laser therapy covered by Medicare?” The answer is NO.
We believe so strongly in this treatment and standby cold laser therapy reviews that we offer a no-obligation consultation.
We believe that there is a minimal risk as if the patient does not see an early benefit from this treatment, we will do what it takes to make the situation right.
Is Cold Laser Therapy Covered by Insurance?
Unfortunately, cold laser therapy is not covered by insurance.
It is FDA approved and accepted as a valid cost-effective treatment option.
- The average co-pay can be more than the overall cost for cold laser therapy, in our opinion.
- We offer a no-obligation consultation to assess whether our patients are the right candidates for cold or Class IV level laser therapy.
- We also provide shockwave therapy in the office, which can be a very beneficial therapeutic modality.
Is Cold Laser Therapy Covered by Blue Cross Blue Shield?
Unfortunately, cold laser therapy is not covered by Blue Cross Blue Shield at this time.
- cold laser therapy is an FDA-approved therapy.
- We utilize MLS therapy for, in our opinion, more rapid healing of Achilles tendonitis, foot pain, plantar fasciitis, Morton’s neuroma, peripheral neuropathy, and arthritis.
- We stand by this treatment so strongly that we are offering no-obligation evaluation for this therapy.
If the patient does not see rapid improvement, we will do what it takes to make things right.
Is cold laser therapy covered by insurance?
Cold laser therapy is FDA approved, but unfortunately, cold laser therapy is not covered by insurance.
We believe so strongly in its effectiveness that we offer a no-obligation visit to test this therapy for yourself and see how beneficial it can be.
We also go over all the scientific research and studies to show the effectiveness for you.
Β
List of Conditions Our Podiatrists Treat
- Toenail Fungus Treatment (Oral or Laser ).
- Toenail Trimming.
- Orthotics Fitting.
- Ingrown Toenails.
- Infected Ingrown Toenails.
- Podiatrist pedicure or medical pedicure.
- Trimming of Corns, Trimming of Calluses, and Treatment of Pressure Blisters.
- Diabetic Foot Care & Diabetic Foot Wounds.
- Athletes Foot, Dry Skin, Eczema.
- Foot & Ankle Ulcer Care.
- Infection and Abscess Care.
- Staph Infections in the Toe or Foot Treatment.
- Treatment of Plantar Warts for Your Toes and Feet.
- Foot & Ankle Injections (Steroid or Natural Solutions.)
- Management of Foot & Ankle Fractures (Walking Boots for broken toes or broken feet).
- Heel Pain (Heel Spur or Plantar Fasciitis).
- Custom Orthotics for children and adults (In the office).
- Over the Counter Orthotics for children and adults.
- Podiatrist medical pedicure.
- Extra-Depth Shoes for Patients with Diabetes.
- Diabetic Shoes.
- Gout Treatment.
- Prescription (Refills).
- Telehealth appointments.
- Shockwave therapy (AKA ESWT or EPAT therapy)
- Cold laser therapy (In the office).
- MLS laser therapy (Multi-Wave Locked System laser therapy).
- Laser for peripheral neuropathy (In-Office).
- Senior Toenail Cutting & Toenail Trimming Services.
Office Procedures our Podiatrists Perform
We can perform toenail, toe, foot, heel & ankle surgery in the office!
We can help with:
- Minimally invasive foot surgery.
- Minimally invasive bunion surgery.
- Minimally invasive hammertoe surgery.
- Corn and callus removal surgery.
- Plantar wart removal surgery.
- In-office permanent ingrown toenail removal surgery.
- Removal of unwanted spurs, bumps, or lumps on your feet.
- Shockwave therapy (AKA ESWT therapy or EPAT therapy)
- Cold laser therapy.
- MLS laser therapy (Multi-Wave Locked System laser therapy).
- Laser for peripheral neuropathy.
- 3D custom orthotic scan.
Walk This Way: Trusted Foot & Ankle Information
Learn what’s hurting and how to fix it.
Athlete’s Foot
Ball of Foot
Achilles Tendon
Bunion
Big Toe
Callus
Foot Fungus
Gout
Ingrown
Orthotics
Outside of Foot Pain
Sports Podiatrist
Visit Balance Foot & Ankle Specialist in Howell and Bloomfield Hills for expert cold laser therapy treatment.
Our experienced podiatric surgeons combine precision, care, and innovation to deliver successful outcomes in flatfoot reconstruction. With modern facilities, patient education, and compassionate care, we’ve become the trusted choice for foot and ankle surgery in Southeast Michigan. We’re committed to restoring your stride—comfortably and confidently.
Book Your Podiatrist Visit Now
More Podiatrist-Recommended Laser Essentials
Hoka Clifton 10
Max-cushion everyday shoe β podiatrist favorite for walking and running.
OOFOS Recovery Slide
Impact-absorbing recovery sandal β wear after long days on your feet.
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
Laser treatment for toenail fungus has higher clearance rates than topicals alone, particularly for moderate-to-severe cases. Balance Foot & Ankle offers in-office laser fungal treatment β painless, 15-minute sessions, no medication side effects. Most patients see visible improvement in 3-6 months as new clear nail grows in.
Call Balance Foot & Ankle: (810) 206-1402 · Book online · Offices in Howell & Bloomfield Hills
FAQ: Cold Laser Therapy at Balance Foot & Ankle Specialist
What is cold laser therapy and how does it work?Cold laser therapy, also known as low-level laser therapy (LLLT), uses specific wavelengths of light to stimulate healing at the cellular level. The laser penetrates the skin without heat, increasing blood flow, reducing inflammation, and promoting tissue repair.
What foot and ankle conditions can cold laser therapy treat?It can help with a variety of conditions, including plantar fasciitis, Achilles tendonitis, arthritis pain, neuromas, sprains, strains, nerve injuries, and chronic inflammation in the foot or ankle.
Is cold laser therapy painful or invasive?Not at all. Most patients feel nothing more than a gentle, soothing sensation during treatment. There are no incisions, no needles, and no downtime.
How many sessions are typically needed for best results?This depends on your condition’s severity. Many patients notice improvement within 3–6 sessions, while chronic issues may require more treatments for long-lasting relief.
Are there any side effects or risks with cold laser therapy?Side effects are extremely rare. The treatment is safe, FDA-cleared, and does not damage the skin or tissue.
How quickly can I expect to feel relief after treatment?Some patients feel improvement after their first session, while others notice gradual relief over several visits as the tissues heal.
Can cold laser therapy be combined with other podiatric treatments?Yes. We often combine cold laser therapy with orthotics, physical therapy, stretching programs, and other treatments to accelerate recovery.
Is cold laser therapy covered by insurance?Coverage varies by plan. Our office can help check your benefits and discuss affordable options if it is not covered.
Related Treatment Guides
- Plantar Fasciitis & Heel Pain Treatment
- Foot & Ankle Arthritis Treatment
- Custom 3D Orthotics
- Sports Foot & Ankle Injury Treatment
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
Get Directions →
Bloomfield Hills Office
43700 Woodward Ave, Suite 207
Bloomfield Hills, MI 48302
Get Directions →
Your Board-Certified Podiatrists
Ready to Get Back on Your Feet?
Same-week appointments available at both locations.
Book Your AppointmentIn-Office Treatment at Balance Foot & Ankle
When conservative care isnβt enough, Dr. Tom Biernacki and the team at Balance Foot & Ankle offer advanced, same-day options β including MLS Laser Therapy Foot & Ankle at our Howell and Bloomfield Hills clinics.
Same-day appointments available. Call (810) 206-1402 or book online.
Pros & Cons of Conservative Care for foot care
Advantages
- β Conservative care first
- β Same-week appointments
- β Multiple insurance accepted
Considerations
- β Self-treatment can mask issues
- β See a podiatrist if pain >2 weeks
Dr. Tom’s Recommended Products for foot care
Affiliate disclosure: As an Amazon Associate, Balance Foot & Ankle earns from qualifying purchases. We only recommend products we use with patients.
Footnanny Heel Cream Dr. Tom’s Pick
Best for: Daily moisturizer for cracked heels
Ready to Get Back on Your Feet?
Same-day appointments in Howell + Bloomfield Twp. Most insurance accepted. Dr. Tom Biernacki, DPM & team.
Book Today β Same-Day Appointments Available
Call Now: (810) 206-1402
About Your Care Team at Balance Foot & Ankle
Dr. Tom Biernacki, DPM Β· Board-Certified Foot & Ankle Surgeon. Specializes in conservative-first care, minimally invasive bunion surgery, and complex reconstruction.
Dr. Carl Jay, DPM Β· Accepting new patients. Specializes in sports medicine, athletic injuries, and routine podiatric care.
Dr. Daria Gutkin, DPM, AACFAS Β· Accepting new patients. Specializes in surgical reconstruction and pediatric podiatry.
Locations: 4330 E Grand River Ave, Howell, MI 48843 Β· 43494 Woodward Ave Suite 208, Bloomfield Twp, MI 48302
Hours: MonβFri 8:00 AM β 5:00 PM Β· (810) 206-1402
Top 10 Premade Orthotics β Dr. Tom’s Picks (2026)
Dr. Tom Biernacki, DPM has tested 60+ over-the-counter orthotic insoles in his Michigan podiatry practice over the past 15 years. Below are the top 10 he prescribes most often β ranked by clinical results, build quality, and patient feedback. PowerStep + CURREX brands are Dr. Tom’s #1 prescription brands β built by podiatrists, with biomechanical features (lateral wedge, deep heel cradle, dual-density EVA) that 90% of OTC insoles lack.
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. Last verified: April 28, 2026.
PowerStep Pinnacle MaxxDr. Tom’s #1 Brand
The most prescribed OTC orthotic in podiatry. Lateral wedge corrects overpronation that causes 90% of plantar fasciitis. Deep heel cradle stabilizes the ankle.
- Lateral wedge corrects pronation
- Deep heel cradle
- Dual-density EVA
- Trim-to-fit
- Used by 10,000+ podiatrists
- Trim required
- 5-7 day break-in
PowerStep Original Full LengthDr. Tom’s #1 Brand
The original PowerStep β flexible semi-rigid arch with deep heel cradle. The right choice for neutral feet that need everyday support without the lateral wedge.
- Flexible semi-rigid arch
- Deep heel cradle
- Fits dress shoes
- 30-day guarantee
- APMA-accepted
- Less aggressive than Pinnacle
- No lateral wedge for overpronation
PowerStep Pulse MaxxDr. Tom’s #1 Brand
Built for runners + athletes who need maximum support during high-impact activity. Engineered for forefoot strike + lateral motion.
- Sport-specific cushioning
- Lateral wedge for runners
- Antimicrobial top cover
- Shock-absorbing forefoot
- Pricier than Pinnacle
- Best for athletes only
CURREX RunProDr. Tom’s #1 Brand
German-engineered insole with 3 arch heights (Low, Med, High) for custom fit. Carbon-reinforced heel + dynamic forefoot.
- 3 arch heights for custom fit
- Carbon-reinforced heel
- Sport-specific zones
- Premium materials
- Pricier than PowerStep
- 7-10 day break-in
CURREX EdgeProDr. Tom’s #1 Brand
For hikers, skiers, and high-impact athletes β reinforced shank prevents foot fatigue on steep descents + uneven terrain.
- Reinforced shank
- 3 arch heights
- Cold-weather friendly
- Carbon plate
- Stiff feel β not for casual
- Pricier
CURREX SupportSTPDr. Tom’s #1 Brand
For nurses, retail, and standing professions β the most supportive CURREX with deep heel cup + maximum medial support.
- Maximum medial support
- Deep heel cup
- 12-hour shift tested
- Slip-proof
- Stiffest CURREX option
- Pricier
PowerStep Pinnacle
Firm, structured arch support β the right choice ONLY for high-arched (cavus) feet. Wrong choice for flat feet.
- Strong structured arch
- Deep heel cup
- Long-lasting (5+ years)
- Firm β not for flat feet
- No lateral wedge
Vionic OrthoHeel Active Insole
APMA-accepted, podiatrist-designed casual insole. Best for adding mild arch support to dress shoes + walking shoes.
- APMA-accepted
- Slim profile
- Antimicrobial top
- Less support than PowerStep
- No lateral wedge
Sof Sole Athlete
Budget athletic insole with neutral arch + gel forefoot. Decent value if you need a quick replacement.
- Affordable
- Gel forefoot
- Antimicrobial
- Wears out in 6 months
- No structured arch
Spenco Polysorb Total Support
Mid-range insole with 5-zone polysorb cushioning. Decent support for standing professions.
- 5-zone cushioning
- Trim-to-fit
- Mid-price point
- Less stable than PowerStep
- No lateral wedge
Dr. Tom’s Top 3 β 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 β over 10,000 patients have used this exact combination.
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.
PowerStep Pinnacle MaxxDr. Tom’s #1 Brand
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.
- Lateral wedge corrects pronation
- Deep heel cradle stabilizes ankle
- Dual-density EVA β comfort + support
- Trim-to-fit any shoe
- Used by 10,000+ podiatrists
- Trim-to-size required
- 5-7 day break-in for some
CURREX RunProDr. Tom’s #1 Brand
3 arch heights for custom fit (Low/Med/High). Carbon-reinforced heel + dynamic forefoot β the closest OTC orthotic to a $500 custom orthotic. Engineered in Germany.
- 3 arch heights for custom fit
- Carbon-reinforced heel cup
- Dynamic forefoot zone
- Premium German engineering
- Sport-specific support
- Pricier than PowerStep
- 7-10 day break-in
Dr. Hoy’s Natural Pain Relief GelDr. Tom’s #1 Brand
Menthol-based natural pain relief β Dr. Tom’s #1 brand for fast relief without greasy residue. Safe for diabetics + daily use. Cleaner formula than Voltaren or Biofreeze.
- Menthol-based natural formula
- No greasy residue
- Safe for diabetics
- Fast cooling relief β 5-10 minutes
- Cleaner ingredient list than Biofreeze
- Pricier than Biofreeze
- Strong menthol scent at first
Schedule Your cold laser therapy Visit at Balance Foot & Ankle
Two convenient locations in Michigan see same-week appointments:
- Howell office — 4330 E Grand River, Howell, MI 48843
- Bloomfield Hills office — 43494 Woodward Ave #208, Bloomfield Twp, MI 48302
Frequently Asked Questions
When should I see a podiatrist?
If symptoms persist past 2 weeks, affect your normal activity, or are accompanied by red-flag symptoms (warmth, redness, swelling, inability to bear weight).
What does treatment cost?
Most diagnostic visits and conservative treatments are covered by Medicare and major insurers. Out-of-pocket costs vary by your specific plan.
How quickly can I get an appointment?
Most non-urgent cases see us within 5 business days. Urgent cases (sudden pain, possible fracture) typically same or next business day.
What is Foot pain?
Foot pain is a common foot/ankle condition that affects mobility and quality of life. Understanding the underlying cause is the first step in successful treatment. Our podiatrists at Balance Foot & Ankle perform a hands-on biomechanical exam, review your activity history, and use diagnostic imaging when appropriate to identify the root causeβnot just treat the symptom. Many patients have been told to “rest and ice” without a deeper diagnostic workup; our approach is different.
Symptoms and warning signs
Common signs of foot pain include pain that worsens with activity, morning stiffness, swelling, tenderness when palpated, and difficulty bearing weight. If you experience sudden severe pain, inability to walk, visible deformity, numbness or color change, contact our office the same day or visit urgent careβthese can signal a more serious injury such as a fracture, tendon rupture, or vascular compromise. Diabetics with any foot wound should seek same-day care.
Conservative treatment options
Most cases of foot pain respond to non-surgical care: structured rest, supportive footwear changes, custom orthotics, targeted stretching and strengthening protocols, anti-inflammatory medications when medically appropriate, and in-office procedures such as ultrasound-guided injections. We also offer advanced therapies including MLS laser therapy, EPAT/shockwave, regenerative injections, and image-guided procedures. Treatment is sequenced from least invasive to most invasive, and we explain the rationale at every step.
When is surgery considered?
Surgery is reserved for cases that fail 3-6 months of well-structured conservative care, when there is structural pathology (severe deformity, complete tear, advanced arthritis), or when imaging shows damage that will not heal without intervention. Our surgeons have performed 3,000+ foot and ankle procedures and prioritize minimally-invasive techniques whenever appropriate. We discuss recovery timelines, return-to-activity milestones, and realistic outcome expectations before any procedure is scheduled.
Recovery timeline and prevention
Recovery from foot pain varies based on severity and chosen treatment path. Conservative cases often improve within 4-8 weeks with consistent adherence to the protocol. Post-procedural recovery may range from a few days (in-office procedures) to several months (reconstructive surgery). Long-term prevention involves footwear assessment, activity modification, structured strengthening, and regular check-ins with your podiatrist if you have a history of recurrence. We provide written home-exercise plans and digital follow-up support.
Ready to feel better?
Same-week appointments available in Howell and Bloomfield Hills, Michigan.
Book Your VisitDr. 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.



