Medically reviewed by Dr. Tom Biernacki, DPM
Board-certified podiatric surgeon | Balance Foot & Ankle, Howell & Bloomfield Hills, MI
Last reviewed: May 2026
Custom orthotics near Troy are fabricated from a 3D scan of your individual foot — and the shell material (rigid vs. semi-rigid vs. soft) is selected based on your specific condition, not preference. The wrong material for your diagnosis can worsen symptoms rather than help them. Call (810) 206-1402 — custom orthotic evaluation in Troy.
Custom Orthotics close to Troy
Troy residents needing prescription custom orthotics have a close, specialist option at Balance Foot & Ankle in Bloomfield Hills — just 10 minutes south on Woodward Ave. Custom orthotics are precision medical devices fabricated from a 3D digital scan of your individual foot geometry. Unlike OTC insoles, they’re designed to address your specific biomechanical problem: overpronation causing plantar fasciitis, forefoot overload causing metatarsalgia, first ray instability driving bunion progression, or insensate forefoot areas requiring protective offloading in diabetic patients.
We prescribe orthotics for a many conditions in our Bloomfield Hills clinic: plantar fasciitis (our most common indication), metatarsalgia and Morton’s neuroma, Achilles tendinopathy, tibialis posterior dysfunction and adult flat foot, bunion deformity management, hallux rigidus, and diabetic protective footwear. Each orthotic prescription is customized — the shell material, heel cup depth, accommodations, and cover material vary based on your diagnosis, activity level, and shoe type. See our custom orthotics process and pricing.
Key takeaway: Many Troy patients come to us after spending $40–60 on OTC insoles that provided temporary relief. Custom orthotics cost more upfront but typically last 2–5 years and address the actual biomechanical problem — not just padding the symptom. Most insurance covers them when properly documented.
What to expect at your appointment
Your orthotic consultation includes a full biomechanical examination: subtalar neutral position, forefoot-to-rearfoot relationship, first ray mobility, arch flexibility assessment, and gait analysis. We take a 3D digital scan of both feet in the corrected position — the scan captures your individual arch contour, heel curvature, and forefoot geometry for a precise fit.
Orthotics are typically ready within 1–2 weeks. We provide a structured break-in schedule and a follow-up adjustment appointment included in the original cost. We can fabricate orthotics for different shoe types — athletic, dress, and work boots each have different shell designs. Troy patients: same-day consultations available. Call (810) 206-1402.
⚠️ When to see a podiatrist promptly:
- New pain from orthotics in the first 2 weeks (normal adjustment — contact us for modification)
- Foot pain not improving after 6 weeks of orthotic use
- Skin irritation from orthotics in a diabetic patient — same-day contact
- Sharp localized foot pain — rule out stress fracture before orthotics
Why Balance Foot & Ankle for Troy patients
Dr. Tom Biernacki, DPM has prescribed thousands of custom orthotic pairs and educates patients on the topic regularly via his YouTube channel @MichiganFootDoctors. Our Bloomfield Hills office uses in-house 3D digital scanning — Troy patients don’t need to travel to a different facility for the scan.
We accept most commercial insurance and Medicare Part B for qualifying patients. Our team handles documentation, prior authorization, and billing. For Troy patients without coverage, we offer transparent cash pricing and payment options. 4.9★ | 1,100+ reviews.
Insurance & scheduling for Troy patients
We accept Blue Cross Blue Shield, Aetna, Cigna, United Healthcare, Priority Health, and Medicare. From Troy: Woodward Ave south approximately 10 minutes to 43494 Woodward Ave #208, Bloomfield Hills MI 48302.
Ready to Get Relief?
Same-day appointments available in Howell & Bloomfield Hills, MI
4.9★ | 1,123 Reviews | 3,000+ Surgeries
Or call: (810) 206-1402
Doctor Answer
What are custom orthotics and how do they differ from store-bought insoles?
Custom orthotics are prescription medical devices crafted from a precise mold of a patient’s feet to correct biomechanical imbalances, redistribute pressure, and relieve pain from conditions like plantar fasciitis, flat feet, and heel spurs. Unlike over-the-counter insoles, custom orthotics are tailored to each individual’s unique foot structure and gait. Dr. Tom Biernacki at Balance Foot & Ankle prescribes and fits custom orthotics in Troy, MI, providing lasting relief that generic insoles simply cannot match.
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.