Medically reviewed by Dr. Tom Biernacki, DPM
Board-certified podiatric surgeon | Balance Foot & Ankle, Howell & Bloomfield Hills, MI
Last reviewed: May 2026
Diabetic foot care near Troy reduces amputation risk by up to 85% with regular podiatric monitoring — and the 10-gram monofilament neuropathy test result determines how frequently visits are needed and what preventive footwear is medically necessary. Call (810) 206-1402 — diabetic foot care in Troy.

Diabetic Foot Care treatment close to Troy
Troy residents with diabetes have a close, trusted podiatric diabetes care specialist at Balance Foot & Ankle in Bloomfield Hills — just 10 minutes south on Woodward Ave. Diabetic foot care includes annual sensory exams, vascular screening, nail and callus management, therapeutic footwear, and wound treatment when needed. Consistent preventive care is the single most effective intervention for reducing diabetic foot complication rates.
In our Bloomfield Hills clinic, we provide comprehensive diabetic foot services covered under Medicare Part B and most commercial insurance: annual diabetic foot exams with monofilament sensory testing, therapeutic diabetic shoe fitting (one pair of shoes + three inserts per calendar year under Medicare), custom prescription orthotics with documented medical necessity, and wound care for diabetic foot ulcers. For urgent cases — any new wound, spreading redness, or swelling in one foot — we offer same-day evaluation. Learn about our full diabetic foot care program.
Key takeaway: Troy has a significant diabetic population, and many patients are unaware that Medicare covers annual podiatric foot exams, diabetic shoe fitting, and custom orthotics with proper documentation. We ensure every qualifying patient receives the full benefit they’re entitled to — at no additional cost to them.
What to expect at your appointment
Your annual diabetic foot exam takes 30–45 minutes and includes complete sensory testing (monofilament + tuning fork), vascular assessment (pedal pulse palpation, ABI when indicated), skin and nail inspection, callus grading (high-risk callus that will ulcerate if not treated vs. low-risk thickening), and shoe fit assessment. We document everything in the format required for Medicare and insurance billing.
Therapeutic shoe fitting is done in-office by our trained staff. We carry a selection of Medicare-qualifying diabetic shoes and can order custom widths when standard widths don’t fit. Custom orthotics are scanned in-office with our 3D scanner and fabricated within 1–2 weeks. Same-day appointments are available for urgent diabetic foot concerns — call (810) 206-1402.
⚠️ When to see a podiatrist promptly:
- Any new wound, blister, or open sore on your foot — same-day evaluation
- One foot suddenly much more swollen than the other — Charcot fracture until proven otherwise
- Redness spreading from a wound (cellulitis)
- Dark discoloration or gangrene on any toe — emergency
Why Balance Foot & Ankle for Troy patients
Dr. Tom Biernacki, DPM has extensive experience managing diabetic foot complications from routine annual care through complex wound management and Charcot reconstruction. For Troy patients, our Bloomfield Hills office on Woodward Ave is the closest specialist destination offering this full range of diabetic foot services.
We are in-network with Medicare Part B, Blue Cross Blue Shield, Aetna, Cigna, United Healthcare, Priority Health, Humana, and most commercial plans. We handle all Medicare documentation for therapeutic footwear and orthotics — Troy patients leave our office with everything processed. 4.9★ | 1,100+ reviews.
Insurance & scheduling for Troy patients
We accept Medicare and most commercial insurance. From Troy: take Woodward Ave south approximately 10 minutes to 43494 Woodward Ave #208, Bloomfield Hills MI 48302.
American Diabetes Association: Diabetic Foot Care
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Same-day appointments available in Howell & Bloomfield Hills, MI
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Or call: (810) 206-1402
Doctor Answer
What does diabetic foot care include and why is it so important?
Diabetic foot care involves regular podiatric evaluations, careful nail and callus management, neuropathy and vascular screening, wound surveillance, and patient education to prevent ulcers and serious infections. Elevated blood sugar impairs circulation and nerve function, making even minor injuries dangerous. Dr. Tom Biernacki at Balance Foot & Ankle provides comprehensive diabetic foot care in Troy, MI, protecting patients from complications including hospitalization and amputation.
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.