Quick answer: When circulation is the underlying problem, foot care has to run alongside vascular assessment — a wound will not heal if blood is not reaching it. We see these patients at our Howell office. Book online or call (810) 206-1402.
Medically reviewed by Dr. Tom Biernacki, DPM · Board-Certified Podiatric Surgeon · Last reviewed: April 2026 · Editorial Policy
In This Article
Cramping when you walk, or a cut that has not healed in two weeks, is worth getting looked at now rather than later. Book a real opening at our Howell office online — the scheduler is open 24/7, or call (810) 206-1402.
Related Conditions
Quick Answer
Coordinated Vascular Foot Care in Howell — Balance Foo relates to foot pain — typically caused by overuse, footwear, or biomechanics. Most patients improve in 6-12 weeks with conservative care. Same-week appointments in Howell + Bloomfield Township: (810) 206-1402.
Coordinated Vascular Foot Care in Howell — Balance Foot & Ankle + Vassallo Medical Group
Two Practices, One Mission: Protecting Your Feet Through Coordinated Care
For vascular foot care, treating the feet in isolation isn’t enough. Managing PAD, diabetes-related vascular complications, and high-risk foot conditions requires a team — a podiatrist who understands the foot, and an internist who manages the systemic conditions driving the problem. In Howell, that team is Balance Foot & Ankle and Vassallo Medical Group.
About Vassallo Medical Group
Vassallo Medical Group is one of Livingston County’s most established internal medicine practices, led by Dr. John Vassallo, MD. Board-certified in internal medicine, Dr. Vassallo has served the Livingston County community since 2005, is the past president of the Livingston County Medical Society, and serves as medical director of Wellbridge Rehabilitation Centers in Brighton, Pinckney, and Fenton. He is affiliated with Trinity Health Livingston Hospital and specializes in the management of diabetes, heart failure, hypertension, and vascular health.
Vassallo Medical Group is located at 3399 E Grand River Ave, Howell — just minutes from our office at 4330 E Grand River Ave. We’re on the same road, and we share the same commitment to comprehensive, coordinated care for Livingston County patients.
How Our Partnership Works
When patients with vascular disease, diabetes, or complex medical conditions visit Balance Foot & Ankle, we communicate directly with Vassallo Medical Group to coordinate care. This means: shared awareness of vascular risk factors, coordinated management of wound care and infection, joint monitoring for patients at high risk of foot complications, clear communication when new foot problems develop, and seamless referrals in both directions.
For patients who are already Vassallo Medical patients, this means your podiatric care is integrated with your primary care — nothing falls through the cracks. For new patients, we can support a warm connection to Dr. Vassallo’s team for those who need internal medicine management alongside their foot care.
Who Benefits Most From This Partnership
Patients who benefit most from coordinated care between our two practices include those with diabetes (especially with neuropathy or poor glucose control), peripheral arterial disease or vascular disease, history of foot ulcers or amputation, chronic wounds, venous insufficiency, kidney disease or other systemic conditions affecting the feet, and those on complex medication regimens that affect wound healing or foot health.
Our Howell office works closely with Vassallo Medical Group (3399 E Grand River Ave — just minutes away on the same road) for patients with diabetes, vascular disease, and other systemic conditions. Dr. John Vassallo, MD, board-certified internist and past president of the Livingston County Medical Society, coordinates the medical side while we protect your feet.
📞 (810) 206-1402 | 4330 E Grand River Ave, Howell
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📞 (810) 206-1402 | Howell & Bloomfield Township
Schedule Your Visit
Call Balance Foot & Ankle today: (810) 206-1402. We serve Howell, Brighton, Hartland, Fowlerville, Pinckney, Hamburg, Whitmore Lake, Fenton, and all of Livingston County. Our Bloomfield Township office serves Oakland County patients: same care, same coordinated approach.
Professional Podiatric Care in Michigan: Balance Foot & Ankle’s Comprehensive Services
At Balance Foot & Ankle, Michigan patients receive comprehensive podiatric care across the full spectrum of foot and ankle conditions. Our fellowship-trained podiatrists provide conservative and surgical treatment for all foot and ankle pathology — from plantar fasciitis, bunions, and nail disorders to complex reconstructive surgery, diabetic foot care, and sports injuries. Our clinical approach prioritizes accurate diagnosis, evidence-based treatment selection, and honest communication with patients about realistic outcomes.
Related Treatment Guides
- Plantar Fasciitis & Heel Pain Treatment
- Custom 3D Orthotics
- Sports Foot & Ankle Injury Treatment
- Bunion Treatment
We serve patients in Livingston and Oakland counties from two convenient Michigan locations: our Howell office at 4330 E Grand River (serving Brighton, Hartland, Pinckney, Howell, and all of Livingston County) and our Bloomfield Township office at 43494 Woodward Ave #208 (serving Troy, Birmingham, West Bloomfield, Farmington Hills, and all of Oakland County). Both offices offer in-office X-ray, same-week new patient appointments, and a full range of diagnostic and treatment services. We accept Blue Cross Blue Shield, Aetna, UnitedHealthcare, Cigna, Medicare, and most Michigan insurance plans. Call Balance Foot & Ankle at (810) 206-1402 to schedule your appointment.
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
Doctor Hoy’s Natural Pain Relief Gel
Natural topical pain relief I use in our clinic. Arnica + camphor formula — apply directly to the area 3–4x daily. ($20–25)
Medical References & Sources
- American Podiatric Medical Association — Patient Education
- American Orthopaedic Foot & Ankle Society — Foot Conditions
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Our board-certified podiatrists treat this condition at two convenient locations. Same-day appointments often available.
Insurance Accepted
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Howell Office
4330 E Grand River Ave
Howell, MI 48843
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Bloomfield Township Office
43494 Woodward Ave, #208
Bloomfield Township, MI 48302
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Your Board-Certified Podiatrists
Ready to Get Back on Your Feet?
Same-week appointments available at both locations.
Pros & Cons of Conservative Care for foot care
Advantages
- ✓ Conservative care first
- ✓ Same-week appointments
- ✓ Multiple insurance accepted
Considerations
- ✗ Self-treatment can mask issues
- ✗ 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 Township. Most insurance accepted. Dr. Tom Biernacki, DPM & team.
Book Today — Same-Day Appointments Available
Call Now: (810) 206-1402
About Your Care Team at Balance Foot & Ankle
Dr. Tom Biernacki, DPM · Board-Certified Foot & Ankle Surgeon. Specializes in conservative-first care, minimally invasive bunion surgery, and complex reconstruction.
Dr. Carl Jay, DPM · Accepting new patients. Specializes in sports medicine, athletic injuries, and routine podiatric care.
Dr. Daria Gutkin, DPM, AACFAS · Accepting new patients. Specializes in surgical reconstruction and pediatric podiatry.
Locations: 4330 E Grand River Ave, Howell, MI 48843 · 43494 Woodward Ave Suite 208, Bloomfield Township, MI 48302
Hours: Mon–Fri 8:00 AM – 5:00 PM · (810) 206-1402
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