How does Balance Foot & Ankle coordinate vascular foot care in Howell with vascular specialists?

Balance Foot & Ankle in Howell coordinates closely with Livingston County vascular surgeons and interventional radiologists when Michigan patients' foot wounds or PAD require revascularization. We perform Doppler ABI testing, refer appropriately, and manage the foot wound and protective footwear throughout vascular treatment. Call (810) 206-1402.

What vascular foot conditions does Balance Foot & Ankle evaluate in Howell, Michigan?

Balance Foot & Ankle evaluates peripheral arterial disease (PAD), critical limb ischemia, venous insufficiency leg ulcers, lymphedema, and arteriovenous complications in Howell and Livingston County patients. We use Doppler ultrasound and ABI testing to assess circulation and coordinate vascular referrals. Call (810) 206-1402.

What is an ankle-brachial index (ABI) and does Balance Foot & Ankle perform this test in Howell?

The ankle-brachial index measures blood pressure in the ankle versus the arm to detect peripheral arterial disease. Balance Foot & Ankle performs ABI testing at our Howell clinic as part of comprehensive diabetic and high-risk foot evaluations, helping identify Michigan patients who need vascular specialist evaluation. Call (810) 206-1402.

When does Balance Foot & Ankle in Howell refer patients to vascular surgery?

Balance Foot & Ankle refers Howell-area patients to vascular surgery when ABI testing indicates significant PAD (ABI below 0.6), wounds fail to heal due to poor circulation, patients present with rest pain or critical limb ischemia, or toe pressure is inadequate for wound healing. We maintain relationships with Michigan vascular specialists. Call (810) 206-1402.

Can Balance Foot & Ankle treat foot wounds from PAD without vascular surgery in Howell?

Balance Foot & Ankle treats PAD-related foot wounds conservatively with wound care, offloading, and MLS laser therapy when circulation is marginal but adequate. For severe PAD with critical limb ischemia, revascularization is essential before wounds can heal — we coordinate this with our Howell-area vascular partners. Call (810) 206-1402.

When should I see a podiatrist?

For persistent foot/ankle pain, difficulty walking, numbness, non-healing wounds, skin changes, or deformities. Dr. Biernacki offers same-day appointments. Call 810-206-1402.

Does Dr. Biernacki accept insurance?

Balance Foot & Ankle accepts most major plans including BCBS, Aetna, United, Cigna & Medicare. Call 810-206-1402 to verify coverage. Affordable self-pay options available.

What to expect at your first podiatry visit?

Comprehensive evaluation including history, exam, biomechanical assessment, and in-office X-rays. Same-day diagnosis and treatment when possible. Most visits take 30-45 minutes.

Coordinated Vascular Foot Care in Howell — Balance Foot & Ankle + Vassallo Medical Group

Two Practices, One Mission: Protecting Your Feet Through Coordinated Care

When it comes to 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 facilitate 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.

🤝 Coordinated Care: Balance Foot & Ankle + Vassallo Medical Group
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

⚡ Advanced Technology at Balance Foot & Ankle
✅ MLS Dual-Wavelength Laser — FDA-cleared
✅ EPAT Shockwave Therapy — 80%+ success
✅ 3D-Scanned Custom Orthotics
✅ Toenail Fungus Laser
✅ In-Office X-Ray & Ultrasound
📞 (810) 206-1402 | Howell & Bloomfield Hills

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 Hills 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

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 Hills 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.

Medical References & Sources

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📍 Located in Michigan?

Our board-certified podiatrists treat this condition at two convenient locations. Same-day appointments often available.

Book Now → (810) 206-1402

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

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Bloomfield Hills Office

43700 Woodward Ave, Suite 207

Bloomfield Hills, MI 48302

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Your Board-Certified Podiatrists

Dr. Tom Biernacki, DPM

Board-Certified · FACFAS

Dr. Carl Jay, DPM

Board-Certified Podiatrist

Dr. Daria Gutkin, DPM

Podiatrist

Ready to Get Back on Your Feet?

Same-week appointments available at both locations.

Book Your Appointment

(810) 206-1402