Diabetic Foot Exam: What Your Podiatrist Checks and Why It Matters

Most amputations start with a tiny missed wound — here is the 10-minute exam that prevents most of them.

You are in the right place. Dr. Tom Biernacki, DPM, FACFAS — board-certified foot & ankle surgeon with 3,000+ surgeries — explains exactly what what a podiatrist checks during a diabetic foot exam means and what works. Book online or call (810) 206-1402 to book at Howell or Bloomfield Township.

Medically reviewed by Dr. Tom Biernacki, DPM — Board-Certified Podiatric Surgeon — Balance Foot & Ankle, Howell & Bloomfield Township, MI. Last updated April 2026.

▶ Watch

YouTube video

Medically Reviewed by Dr. Tom Biernacki, DPM — Board-Certified Podiatrist, Balance Foot & Ankle Specialists, Michigan. Last updated April 2026.

Watch on YouTube

Insurance Accepted

BCBS · Medicare · Aetna · Cigna · United Healthcare · HAP · Priority Health · Humana · View All →

Ready to Get Back on Your Feet?

Book online 24/7 at either office.

Book Your Appointment

(810) 206-1402

In Our Clinic

Diabetic neuropathy patients in our clinic often don’t realize they have it until we put a 10-gram Semmes-Weinstein monofilament to the plantar foot and they can’t feel it. Many arrive for an unrelated concern — an ingrown toenail, a callus — and we catch the neuropathy on screening. The conversation then shifts: we need to discuss daily foot inspections, appropriate footwear, the urgency of any blister or open area, and the timing of vascular referral if pulses are diminished. Comprehensive diabetic foot exams are covered by Medicare annually. If you have diabetes, we want to see you once a year even if nothing hurts.

More Podiatrist-Recommended Diabetic Essentials

Diabetic-Approved Walking Shoe

Orthofeet Sprint — seamless, extra-depth, designed for neuropathic feet.

Seamless Diabetic Sock

OS1st FS4 Plantar Fasciitis No Show Socks
Diabetes Peripheral Neuropathy Treatment [Diabetic Nerve Pain Remedy]

Watch: Diabetes Peripheral Neuropathy Treatment [Diabetic Nerve Pain Remedy] — MichiganFootDoctors YouTube

OS1st FS4 — non-binding, moisture-wicking, protects fragile diabetic skin.

Recovery Slide for Indoor Wear

HOKA Ora 3 — protects diabetic feet from barefoot injury at home.

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.

Diabetic Foot Exam 2 - Balance Foot & Ankle

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 Township

Watch: Dr. Tom explains

Dr. Tom Biernacki explains

Podiatrist-recommended products

As an Amazon Associate, Dr. Tom earns from qualifying purchases.

NervaCore Nerve Support Supplement

Nerve support for diabetic neuropathy.

View on Amazon →
PowerStep Pinnacle Orthotics

Offloading arch support for diabetics.

Check price →
Diabetic Gel Heel Cups

Diabetic-safe cushioning for pre-ulcerative areas.

Check price →
Doctor Hoy’s Natural Pain Relief Gel

Topical relief between visits.

View on Amazon →

Ready to solve this? Book today.

Book online 24/7 · Howell & Bloomfield Township · 4.9★ (1,200+ reviews)

☎ (810) 206-1402Book Online →

In-Office Treatment at Balance Foot & Ankle

When conservative care isn’t enough, Dr. Tom Biernacki and the team at Balance Foot & Ankle offer advanced treatment options — including Diabetic Foot Care Michigan at our Howell and Bloomfield Township clinics.

Book online 24/7. Call (810) 206-1402 or book online.

In-Office Treatment at Balance Foot & Ankle

If home treatment isn’t providing relief for your diabetic foot conditions, our podiatry team at Balance Foot & Ankle can help with expert evaluations and advanced in-office care.

Reviewed by Dr. Tom Biernacki, DPM — Board-certified podiatrist, Balance Foot & Ankle, Howell & Bloomfield Township, MI. 4.9-star rating across 1,200+ patient reviews. Schedule an evaluation | (810) 206-1402

Ready to feel better?

Appointments available in Howell and Bloomfield Township, Michigan.

Book Your Visit
★★★★★ 4.9 Stars · 1,200+ Five-Star Reviews

Get Expert Care at Balance Foot & Ankle

Appointments at our Howell and Bloomfield Township offices. Board-certified podiatric surgeons. Most insurance accepted.

Ready for Expert Care?

Appointments in Howell & Bloomfield Township, MI.

4.9★ | 1,200+ Reviews | 3,000+ Surgeries

Or call: (810) 206-1402

More questions patients ask

How often should diabetics check their feet?

Diabetic patients should perform daily self-examinations of both feet, checking for cuts, blisters, redness, swelling, calluses, and temperature changes. Professional diabetic foot exams should occur at least annually, or every 3-6 months for patients with neuropathy, peripheral artery disease, or history of foot ulcers. Dr. Biernacki provides comprehensive diabetic foot care programs.

Why do diabetics have foot problems?

Diabetes causes peripheral neuropathy (nerve damage reducing sensation), peripheral artery disease (reduced blood flow), and impaired immune function. This combination means injuries go unnoticed, heal slowly, and are prone to infection. Approximately 15% of diabetics will develop a foot ulcer, and diabetic foot complications are the leading cause of non-traumatic amputation. Prevention through regular podiatric care is essential.

What are the signs of diabetic neuropathy in feet?

Early signs include tingling, burning, or numbness starting in the toes and progressing upward. Other symptoms include sensitivity to touch, muscle weakness, balance problems, and loss of reflexes. If you experience any of these symptoms, schedule an evaluation with Dr. Biernacki at 810-206-1402 for nerve conduction testing and a comprehensive neuropathy management plan.

Still have a question about coverage or cost? Book online and we will check your benefits before your visit: Book in Howell · Book in Bloomfield Township. Prefer to talk it through first? Call (810) 206-1402.

Balance Foot & Ankle surgeons are affiliated with Trinity Health Michigan, Corewell Health, and Henry Ford Health — three of Michigan’s largest health systems.

Book your appointment

Choose your office

Choose an office, then select New or Existing. Existing patients must also choose a reason for visit before selecting a date and time.

Howell

4330 E Grand River Ave
Howell, MI 48843
Book Howell

Bloomfield Township

43494 Woodward Ave #208
Bloomfield Township, MI 48302

Listed as “Bloomfield Hills Office” in the scheduler.

Book Bloomfield Township

No times on your chosen date? Try another available date or check the other office. Need help? Call (810) 206-1402.

How do I choose a visit reason?

If you select Existing, choose a reason for visit. Use “What reason should I choose?” in the scheduler if you are unsure.

Insurance and referrals

Review accepted plans and referral information before your appointment. View insurance information.

Paying without insurance?

View self-pay pricing and booking guidance.

Prefer a callback?

Our team will call you within one business day. A callback request does not reserve an appointment. Request a callback.