Quick answer: Diabetic Foot Care Royal Oak Mi 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.

Watch: Diabetes Peripheral Neuropathy Treatment [Diabetic Nerve Pain Remedy] — MichiganFootDoctors YouTube
Diabetic Foot Care Royal Oak Mi is one of the most common reasons patients book a podiatry visit with Balance Foot & Ankle. Our three board-certified podiatrists — Dr. Tom Biernacki DPM (950K+ YouTube subscribers, 156M+ educational views), Dr. Carl Jay DPM, and Dr. Daria Gutkin DPM — have evaluated and treated this exact concern thousands of times. On this page you’ll find the clinical context, the evidence-based home-care options most patients try first, the three products our doctors recommend most often, and the warning signs that mean it’s time to call a podiatrist instead of continuing home treatment.
If the discomfort has been present for more than a few weeks, if it disrupts sleep, walking, or your usual activity, or if there is visible redness, swelling, bruising, drainage, numbness, or color change, an in-office evaluation with a podiatrist is the fastest path to relief. Home care alone rarely resolves a condition that has become structural. Our diagnostic workup includes same-day digital X-ray, in-office diagnostic ultrasound, and a gait evaluation — results are explained to you during the visit, and we build a written treatment plan with clear next steps.
One unnoticed blister on a neuropathic foot can become a limb-threatening ulcer in under 14 days. Medicare covers diabetic shoes (A5500) and comprehensive foot exams annually for most diabetic patients with neuropathy or circulation concerns. Balance Foot & Ankle runs a dedicated diabetic limb-preservation program — vascular screening, offloading, ulcer care, and shoe fitting — all in one visit. Schedule your annual diabetic foot exam today.
What to expect at your first visit:
- Same-week appointments — most patients seen within 3-7 days of calling
- Digital X-ray and ultrasound available on-site (no second trip)
- Most insurance accepted — BCBS, Aetna, UHC, Cigna, HAP, Priority Health, Medicare
- Conservative care first, with surgery only when truly needed
- Written treatment plan with specific milestones
- Offices in Howell and Bloomfield Hills, Michigan
Get Seen This Week at Balance Foot & Ankle
Three board-certified podiatrists · 1,123+ five-star reviews · same-week appointments · most insurance accepted.
Howell · 4330 E Grand River | Bloomfield Hills · 43494 Woodward
More Podiatrist-Recommended Diabetic Essentials
Diabetic Compression Sock
Seamless, non-binding — improves circulation without constricting fragile skin.
Diabetic-Safe Lotion
Hydrates dry cracking feet without irritating neuropathic skin.
Diabetic Foot Mirror
Daily inspection tool — catches ulcers 3-4 weeks earlier than self-exam.
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
One unnoticed blister on a neuropathic foot can become a limb-threatening ulcer in under 14 days. Medicare covers diabetic shoes (A5500) and comprehensive foot exams annually for most diabetic patients with neuropathy or circulation concerns. Balance Foot & Ankle runs a dedicated diabetic limb-preservation program — vascular screening, offloading, ulcer care, and shoe fitting — all in one visit. Schedule your annual diabetic foot exam today.
Call Balance Foot & Ankle: (810) 206-1402 · Book online · Offices in Howell & Bloomfield Hills
In-Office Treatment at Balance Foot & Ankle
When home care and over-the-counter steps haven’t resolved your symptoms, it’s time for an in-office evaluation. At Balance Foot & Ankle in Howell and Bloomfield Hills, Michigan, Dr. Tom Biernacki, DPM and team provide diagnostic imaging, a clinical exam, and a plan tailored to your foot type — most patients are seen same-day.
Same-day appointments available. Call (810) 206-1402 or book online. Full treatment overview: Diabetic Foot Care.
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)
Shop Doctor Hoy’s →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.
American Diabetes Association: Diabetic Foot Care
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.
Our podiatrists treat the underlying cause, not just the symptom. Same-week appointments at our Howell and Bloomfield Hills, Michigan offices.
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 reached over one million views and almost 1 million subscribers on youtube.
